T. LANE WILSON, District Judge.
Plaintiff Brian A. Chadwick seeks judicial review of the decision of the Commissioner of the Social Security Administration denying his claims for disability insurance benefits under Titles II and XVI of the Social Security Act ("SSA"), 42 U.S.C. §§ 416(i), 423, and 1382c(a)(3). In accordance with 28 U.S.C. § 636(c)(1) & (3), and Fed. R. Civ. P. 73, the parties have consented to proceed before a United States Magistrate Judge. (Dkt. 5). Any appeal of this decision will be directly to the Tenth Circuit Court of Appeals.
In reviewing a decision of the Commissioner, the Court is limited to determining whether the Commissioner has applied the correct legal standards and whether the decision is supported by substantial evidence.
Plaintiff, then a 31 year old male, completed his applications for Titles II and XVI benefits on March 12, 2007. (R. 173-77, 178-81). Plaintiff alleged a disability onset date of September 1, 2005. (R. 173, 178). Plaintiff claimed that he was unable to work due to problems with Meniere's disease. (R. 207). Plaintiff's claims for benefits were denied initially on April 17, 2007, and on reconsideration on March 27, 2008. (R. 95-103; 105-10). Plaintiff then requested and received a hearing before an administrative law judge ("ALJ") (R. 35-56), after which, his claim was again denied on June 18, 2009.
The ALJ held a second hearing on August 5, 2011. (R. 57-83). The ALJ found that plaintiff was unable to perform any of his past relevant work as a furniture mover, pool maintenance worker, construction worker, painter, "counter sales," pest control worker, or computer draftsman, but did find that other jobs existed in significant numbers that plaintiff could perform, such as food order clerk, assembly worker, and checker. (R. 27-28). Therefore, in a second decision on October 26, 2011, the ALJ again denied benefits and found plaintiff not disabled. (R. 17-29). The Appeals Council denied review, and plaintiff appealed. (R. 1-4; dkt. 2).
As an initial matter, the ALJ noted that plaintiff's case was before him on remand from the Appeals Council, and that the Appeals Council had specifically directed him to:
(R. 20).
The ALJ found that plaintiff's last insured date was December 12, 2010. (R. 23). The ALJ found that plaintiff had not performed substantial gainful activity since his alleged onset date of September 1, 2005.
At step three, the ALJ determined that plaintiff's impairments did not meet or equal a listed impairment, stating that he "gave particular consideration to [plaintiff's] physical and mental impairments (see Sections 2.00, et seq., Special Senses and Speech, 12.00, et seq., Mental Disorders)."
The ALJ gave Thomas Dodson, M.D.'s 2005 diagnosis of Meniere's disease "considerable weight." (R. 27). He also gave considerable weight to Donald Dushay, D.O.'s 2008 relatively normal consultative examination (except for hearing loss in plaintiff's right ear).
At step four, the ALJ found that plaintiff was unable to perform his past relevant work as a furniture mover, pool maintenance worker, construction worker, painter, "counter sales," pest control worker, or computer draftsman, because each exceeded his residual functional capacity. (R. 27-28). At step five, the ALJ found that plaintiff could perform the sedentary jobs of food order clerk (DOT # 209.567-014), assembly worker (DOT # 726.684-110), and checker (DOT # 716.687-030). (R. 28). Because he found that other work existed that plaintiff could perform, the ALJ determined that plaintiff was not disabled.
Plaintiff presented to Dr. Reddy on December 2, 2010 for a consultative physical examination following the Appeals Council's June 23, 2010 reversal of the ALJ's June 18, 2009 unfavorable decision. (R. 340-351). Dr. Reddy performed a physical examination and completed a Medical Source Statement of Ability to do Work-Related Activities (Physical) form for the Social Security Administration.
After taking a brief history of plaintiff's chief complaint of Meniere's disease, Dr. Reddy noted plaintiff's height was 5'8" and that he weighed 215 pounds. (R. 340-41). His grip strength was "20kg on the right [and] 20kg on the left." (R. 341). Dr. Reddy observed decreased hearing in plaintiff's right ear.
When completing his Medical Source Statement, Dr. Reddy opined that plaintiff could lift and/or carry up to 10 pounds occasionally (up to 1/3 of the day), 11 to 20 pounds occasionally, and never lift and/or carry 21 to 50 pounds or 51 to 100 pounds, all due to "Meniere's disease." (R. 342). He said that plaintiff could sit eight hours without interruption, stand four hours without interruption, and walk two hours without interruption. (R. 343). Plaintiff could sit six hours total in an eight hour workday, stand one hour total in an eight hour workday, and walk one hour total in an eight hour workday.
Plaintiff presented to Larry Vaught, Ph.D. on December 14, 2010 for a mental consultative examination. (R. 352-362). Dr. Vaught conducted a range of psychological tests and completed a Medical Source Statement of Ability to do Work Related Activities (Mental) form.
Dr. Vaught discussed plaintiff's physical history with him, and how plaintiff felt his physical problems with Meniere's disease decreased his self-worth and increased his depression. (R. 356). Plaintiff reported an increase in both his depression and anxiety since his children were placed in foster care after his ex-wife's legal problems.
Dr. Vaught summarized plaintiff's examination and test results as follows. (R. 360). Plaintiff denied any history of mental health treatment.
Dr. Vaught completed a Medical Source Statement using the information from his examination and found that plaintiff was moderately limited in his ability to understand, remember, and carry out complex instructions (R. 352); and moderately limited in his ability to interact appropriately with co-workers, supervisors, and the general public. (R. 353). All other areas were rated with mild limitation. (R. 352-353). Dr. Vaught supported his opinion with the results of his testing showing depression, anxiety, introversion, hypervigilance, "and possible paranoid features." (R. 353).
After the ALJ posed the hypothetical he ultimately adopted as plaintiff's RFC to the vocational expert, he allowed plaintiff's attorney to question the vocational expert. Plaintiff's attorney asked if the job of food order clerk would expose plaintiff to the public. (R. 79). The vocational expert realized that it would, and noted that the job of food order clerk would be eliminated by the ALJ's stated RFC. (R. 79-80). Plaintiff's counsel went on to ask if the remaining jobs found by the vocational expert, assembly and inspection/checker, would be eliminated if the hypothetical person had a limitation "to only occasionally push and pull with his hands and [was] restricted as to his hands due to moderate to severe impairment on the dominant extremity, mild to moderate on the non-dominant extremity." (R. 80). Again, the vocational expert stated the jobs he previously found would be eliminated.
On appeal, plaintiff raises four issues: (1) the ALJ failed to include all of plaintiff's severe impairments in his RFC; (2) the ALJ erred in determining that plaintiff did not meet a listing;
Plaintiff first argues that the ALJ failed to include all of plaintiff's severe impairments in his RFC assessment by excluding any mention of his hand impairment found by Drs. Vaught and Reddy. (Dkt. 10 at 3). Plaintiff also argues that the ALJ failed to include any mental RFC limitation for the moderate impairment in dealing with supervisors and co-workers found by Dr. Vaught.
Ordinarily, the Commissioner would be correct that an error at step two is harmless because the ALJ proceeded to the next step in the sequential evaluation process.
Social Security Regulations clearly state that the ALJ must "follow a special technique" to evaluate the severity of mental impairments. 20 C.F.R. §§ 404.1520a(b)-(d), 416.920a(b)-(d).
At step four, the ALJ must determine plaintiff's residual functional capacity, which reflects the most a claimant can do despite his limitations.
In summarizing the medical evidence, the ALJ mentions Dr. Reddy's limitation on plaintiff's hands "to push/pull occasionally," and the ALJ gave Dr. Reddy's opinion "substantial weight." (R. 26, 27). However, the ALJ failed to explain why he excluded Dr. Reddy's limitation on plaintiff's hands from the RFC.
Similarly, the ALJ discussed Dr. Vaught's consultative mental examination, but failed to mention Dr. Vaught's physical finding regarding plaintiff's hands.
Finally, at the hearing, the vocational expert acknowledged that the job of food order clerk (DOT # 209.567-014) exceeded the hypothetical given by the ALJ due to excessive public contact. (R. 79-80). The ALJ does not explain why he decided to include this job at step five, even though the vocational expert's testimony clarified that it exceeded the RFC limitation of "no more than incidental contact with the public."
For these reasons, this case must be remanded for the ALJ to perform the special technique at step two in order to determine the severity of plaintiff's mental impairments, translate those severe or nonsevere mental impairments into RFC limitations, and if he chooses to reject Dr. Vaught's moderate limitation on contact with co-workers and supervisors in his RFC, to explain his reasoning, and for the ALJ to explain the evidence supporting his RFC determination.
The Court declines to address the remaining issues.
For the foregoing reasons, the ALJ's decision finding plaintiff not disabled is
SO ORDERED.