JAMES M. MUNLEY, District Judge.
Before the court for disposition is Plaintiff Brian Golzak's (hereinafter "plaintiff") appeal of the denial of supplemental security income benefits. The matter has been fully briefed and is ripe for disposition.
Plaintiff filed an application for supplemental security income on December 5, 2005. (Doc. 4, Record (hereinafter "R") at 16).
An administrative law judge (hereinafter "ALJ") denied plaintiff's application on July 24, 2007 after an administrative hearing. (
On January 4, 2011, a different ALJ, Ronald Sweeda, held a hearing. He issued a decision finding plaintiff not disabled on April 21, 2011. (
Plaintiff was thirty-two years of age on the date his alleged disability began. (
At the time of his second hearing, plaintiff was living with his mother. (
The ALJ analyzed the case pursuant to the appropriate five-step sequential analysis, which is described more fully below. He found the plaintiff to be "not disabled." The plaintiff challenges that decision with the instant appeal.
The court has federal question jurisdiction over this Social Security Administration appeal.
In reviewing a Social Security appeal, this court must determine whether "substantial evidence" supports the ALJ's decision.
The court should not reverse the Commissioner's findings merely because evidence may exist to support the opposite conclusion.
Substantial evidence exists only "in relationship to all the other evidence in the record,"
After a careful review of plaintiff's arguments, we find no merit to the instant appeal, and it will be denied. To receive disability benefits, the plaintiff must demonstrate an "inability to engage in any
The Commissioner evaluates supplemental security income claims with a five-step sequential analysis. 20 C.F.R. §§ 404.1520(a)(4) and 416.920(a)(4). This analysis requires the Commissioner to consider, in sequence, whether a claimant (1) is engaging in substantial gainful activity;
In applying the five-step sequential analysis in the instant case, the ALJ found the following: 1) plaintiff has not engaged in substantial gainful activity since December 5, 2005; 2) plaintiff suffers from severe impairments of coronary artery disease, attention deficit hyperactivity and anxiety disorder; 3) the plaintiff's impairments do not meet or medically equal a listed impairment; 4) plaintiff cannot do past relevant work and 5) the plaintiff is capable of making a successful adjustment to other work that exists in significant numbers in the national economy. (R. at 18-25).
Plaintiff's appeal raises the following four issues: 1) Are plaintiff's mental impairments as outlined prior to the first ALJ's hearing such that they are sufficient to render him disabled under listings 12.02, 12.06, 12.08? 2) Did plaintiff's second mental status examination confirm the severity of his condition and find him even more impaired so as to meet listings 12.02, 12.06 or 12.08? 3) Did the ALJ overly downplay the effects of plaintiff's heart condition and the side effects of plaintiff's medications? and 4) Did the ALJ improperly provide greater weight to the assessment of the "DDS" physician who had never seen the claimant and improperly discount the findings and observations of the doctor that the ALJ had sent plaintiff to for evaluation? We find no merit to any of these contentions, but we will address them in turn.
The first alleged error raised by plaintiff is whether the severity of the plaintiff's mental condition as outlined prior to the first ALJ's hearing was sufficient to render him disabled. This issue, however, is not properly before the court. As explained above, the initial ALJ's decision was remanded by the Appeals Council. Then a second ALJ, Ronald Sweeda, held a hearing, examining more evidence than the first ALJ had available. ALJ Sweeda rendered a decision denying benefits. (R. at 16-26). This second decision is the one at issue in the present appeal and the result of the first hearing is irrelevant. Thus, we find no merit to the plaintiff's first argument.
The plaintiff's next argument involves the ALJ's analysis of the third step of the sequential analysis. That is, whether plaintiff's impairments meet a "listed impairment." A "listed impairment" is one that appears on the Commissioner's Listing of Impairments, which is "a list of impairments presumed severe enough to preclude any gainful work."
Plaintiff asserts that he meets listings 12.02, 12.06 and 12.08, and that this conclusion is supported by a second mental status examination which occurred in March 2011. We disagree.
Plaintiff's brief fails to provide an in-depth analysis as to the manner in which plaintiff meets any of these listings and their very specific requirements. With regard to this issue, plaintiff's briefs do little more than present which listings plaintiff claims should apply. Without medical evidence and analysis explaining his position, we are required to find that plaintiff has failed to meet his burden of establishing that his impairments meet a listing.
The Listings that plaintiff raises are as follows: 12.02 — "Organic Mental Disorders;" 12.06 — "Anxiety-Related Disorders" and 12.08 — "Personality Disorders". First, we note, that plaintiff fails to identify any physician who opined that plaintiff has an impairment or combination of impairments meeting any of these listings. In fact, the opposite is true. A state agency mental health professional, Kowalski, examined plaintiff's limitations and concluded that they do not meet any listing. (R. at 331-43).
Each of the listings that plaintiff claims he meets has its own particular requirements. For example, Listing 12.02 requires that the claimant has a "specific organic factor judged to be etiologically related to the abnormal mental state and loss of previously acquired functional abilities." Plaintiff points to no medical witnesses who provided evidence of such an organic factor.
Listing 12.08 requires the existence of a personality disorder. Plaintiff fails to identify any evidence in the record indicating that a physician has diagnosed plaintiff with such a disorder.
Listing 12.06 relates to anxiety. The medical records demonstrate that plaintiff, in fact, has been diagnosed with anxiety, however, as explained more fully below, he does not meet the listing requirements for this mental disability.
All of these listings also all require that the plaintiff's mental status symptoms result in at least two of the following:
12.02(B); 12.06(B) and 12.08(B).
Plaintiff cites to no evidence that establishes that any two of those factors have been met. Accordingly, plaintiff has not met any of the listings that he has raised, including 12.06, anxiety.
Plaintiff would meet listings 12.06, anxiety, and also 12.02, if he met the preliminary requirements and also had a "complete inability to function independently outside the area of [his] home." 12.02(C), and 12.06(C). Plaintiff cites to no evidence before the ALJ that indicated such a complete inability to function outside of his home. Thus, he does not meet the listings with regard to this requirement. Accordingly, we find no merit to the plaintiff's argument that the ALJ erred in finding that he did not meet any listed impairments.
The next task for the ALJ after concluding that plaintiff failed to meet any of the listings, is to determine his residual functional capacity ("RFC"), that is "the most [the plaintiff] can still do despite [his] limitations." 20 C.F.R. § 404.1545(a)(1). Here, the ALJ found that the plaintiff's RFC is as follows:
(R. at 20).
Plaintiff argues that the ALJ downplayed the effects of his heart condition and the side effects of his medications. Plaintiff's brief does not fully develop this issue. He does not explain the limiting effects of his heart condition. He also fails to indicate what the side effects of the medication are.
Further, we note that the RFC determination takes into consideration plaintiff's physical condition and provides for certain physical limits. Plaintiff suffers generally from coronary artery disease, however, he had surgery, angioplasty, and fully recovered from the surgery. No further surgery is scheduled. He also has a history of presenting himself at the hospital emergency room with coronary artery symptoms. He has not made such a visit, however, since 2007. He stopped the emergency room visits apparently because they had been due to side effects to the medicine he had been taking at the time. (R. at 100-101). Accordingly, as the ALJ did take plaintiff's physical limitations into consideration in his analysis, we find that plaintiff's argument is without merit.
Finally, plaintiff generally attacks the ALJ's evaluation of the medical evidence. He asserts that the ALJ improperly credited evidence that supported the denial of benefits and did not provide proper analysis to medical evidence that favored disability. Specifically, the ALJ accorded little weight to Dr. Ciaravino's report, relied too heavily on the reports of non-examining physicians and should have given more weight to his treating physicians. After a careful review, we disagree.
To determine whether substantial evidence supports the ALJ's decision, it is important to review the evidence that was before him. Generally, the ALJ had reports/records from several different medical experts. Additionally, the ALJ had the plaintiff's own testimony and the testimony of a vocational expert. We will first discuss the reports of the medical experts and then address the specific arguments plaintiff raised.
Carl T. Sebastianelli, M.A., a clinical psychologist, performed an evaluation of the plaintiff on April 13, 2006. (R. at 324-330). He diagnosed plaintiff with attention deficit disorder of a hyperactive-impulsive type and an adjustment disorder with mixed disturbance of emotion and conduct. (
Sebastianelli noted that plaintiff's troubles started while he was very young and continued into his adolescence and adulthood. (
Sebastianelli concluded that plaintiff's prognosis for his attention-deficit/hyperactivity disorder was poor because he had not addressed any pharmacological or psychiatric or psychological treatment. (
(
Overall, Sebastianelli concluded that claimant would have moderate difficulty making judgments on simple work-related decisions, interacting appropriately with the public, supervisors and co-workers and responding appropriately to changes in a routine work setting. (
A state agency physician, Oliver Finch, M.D., examined plaintiff's case in March 2006 for physical limitations, and Dr. Finch completed a "Physical Residual Functional Capacity Assessment." Dr. Finch indicated some exertional limitations in lifting and standing/sitting. (
Joseph J. Kowalski, M.D., a psychiatrist, completed a "Psychiatric Review Technique" regarding the plaintiff in May 2006. (
Another psychologist, Elizabeth Ciaravino, Ph.D, performed a clinical psychological evaluation on March 6, 2011. (
Plaintiff indicated to Dr. Ciaravino that he had difficulty focusing throughout his life and could never work adequately at various assembly line type jobs because he could not work quickly enough. (
Plaintiff informed Dr. Ciaravino that his days and nights are often mixed up. He watches television, generally cartoons, and has few friends. (
Dr. Ciaravino's diagnostic impression states that plaintiff has a history of bipolar disorder, adjustment disorder with disturbance of emotions and conduct, panic disorder and attention deficit hyperactivity disorder. (
Dr. Ciaravino completed a check-off type form entitled: "Medical Source Statement of Ability To Do Work-Related Activities (Mental)." On this form she indicated that plaintiff would have marked difficulty in: understanding and remembering detailed instructions; carrying out detailed instructions; and making judgments on simple work-related decisions. (
Plaintiff's treating physician is Cynthia Oleski, M.D. Plaintiff had evidently only seen Oleski twice prior to the ALJ's hearing and the medical records from her are not overly elucidating in determining whether the plaintiff is entitled to benefits. (
Based upon this evidence, the plaintiff's testimony and the testimony of the Vocational Expert, the ALJ concluded that plaintiff is not disabled. The ALJ provided little weight to the Dr. Ciaravino's "Medical Source Statement" because she is not a treating source and relied solely on one observation of the plaintiff and not long-term observations and experiences with him. (
Plaintiff argues that the ALJ should have afforded this statement more weight because it was similar to the report of Dr. Sebastianelli and the findings of treating doctor Cynthia Oleski. Additionally, according to the plaintiff, her report is supported by the medicine he was prescribed, including Xanax, and his work history. As noted, however, Dr. Ciaravino found plaintiff markedly limited in twice as many work related mental activities as Dr. Sebastianelli found. Additionally, the findings of Dr. Oleski do not support Ciaravino's findings. For example, Oleski found plaintiff suffered from anxiety and panic disorder. The records do not indicate that she found him to be bi-polar. Ciaravino, however, indicates that he suffers from bi-polar disorder. Moreover, Ciaravino found plaintiff to be extremely depressed, a finding not supported by any of the other medical professionals. Thus, while Dr. Oleski's records do not contradict Ciaravino's report, they do not support it either as plaintiff suggests. We find, therefore, that is was appropriate for the ALJ to provide little weight to Dr. Ciaravino's report.
Next, plaintiff attacks the reports of the non-examining physicians. Plaintiff states: "It is also important to note that the evaluation of the [Disability Determination Services] DDS physician that is referred to by ALJ Sweeda was done without ever seeing Mr. Golzak and without the benefit of reviewing either examinations of Carl Sebastianelli, M.S. or Dr. Ciaravino. As such, it cannot be considered to constitute substantial evidence." (Doc. 5, Pl's. Brief at 9). For this proposition, plaintiff cites to
Specifically with regard to the DDS physicians, the ALJ stated:
(R. at 23).
The ALJ refers to the assessments made by two different medical professionals, Oliver Finch, M.D., who performed a physical residual functional capacity assessment in March 2006, and Joseph Kowalski, M.D. who performed a psychiatric review in May 2006. (R. at 299-304 & 331-344).
First, we note that it is unclear which doctor plaintiff refers to when he complains of the "DDS physician."
Plaintiff asserts that the reports of the non-examining physicians cannot be considered "substantial evidence." Importantly, these records are not the sole evidence that the ALJ relied upon. They are merely a portion of the evidence in the record that he examined which we look at as a whole to determine whether substantial evidence exists to support his position. Indeed, upon review of all the evidence, the ALJ found plaintiff more limited than Dr. Kowalski suggested.
Further, as noted above, plaintiff relies on
Such factors may include whether the experts received extensive documentation, whether they are highly qualified and whether "they reviewed the record, and they confined themselves to expressing an opinion on the basis of the clinical reports before them."
In this case, we find that the ALJ provided appropriate weight to the opinions. The two non-examining physicians are experts in evaluating disability claims, and they examined the plaintiff's medical records.
The ALJ appropriately considered the reports and the plaintiff has made no convincing argument to indicate that he did not. Even though Kowalski did not examine the entire record, the ALJ did. The Third Circuit Court of Appeals has acknowledged "because state agency review precedes the ALJ review, there is always some time lapse between the consultant's report and the ALJ hearing and decision."
The plaintiff next argues that "[t]he reports and opinions of treating doctors are to be accorded more weight than those of non-treating physicians." (Doc. 5, Pl's. Brief at 9). While this may be a correct statement of the law, the plaintiff does not explain its application to the instant case. The administrative record contains records of Plaintiff's two visits to his treating physician. Plaintiff does not argue that these records indicate that his treating physician opines that he is disabled. In fact, the treating physician does not indicate that plaintiff is disabled from work. Plaintiff argues that "the last treating doctor has confirmed the long standing diagnosis of Mr. Golzak and her opinion is amply supported by the findings on examination of two psychological consultants and is reflected in the record as a whole." (
Based upon his review of all of this evidence, the ALJ determined that the plaintiff's residual functional capacity is as follows:
(R. at 20). The ALJ asked the impartial vocational expert (hereinafter "VE") who testified at the hearing, Fran Terry, whether jobs existed in the national economy for an individual with the claimant's age, education, work experience, and residual functional capacity. (
Based upon the medical records and the treatment history of the plaintiff, substantial evidence supports this decision. With regard to treatment of his disorders, plaintiff evidently went through all the treatment and follow-up treatment for his coronary and artery problems. The last time he went to the hospital regarding this issue was in 2007.
Plaintiff claims that Sebastianelli's consultative psychological evaluation is sufficient to find him disabled. Plaintiff's argument, however, misses the point. The court's sole task at this stage is to determine whether substantial evidence supports the ALJ's decision, not whether we would make a different decision or whether the evidence would support a different decision.
Moreover, Sebastianelli's report does not conclude that plaintiff cannot work or is permanently disabled. It notes that he has marked limitations in certain areas including remembering and carrying out detailed instructions and responding appropriately to work pressures. (R. at 329). The ALJ took these limitations into consideration in determining the plaintiff's RFC and in putting a hypothetical question to the impartial vocational expert.
Although not explicitly set out in the brief as such it appears that the plaintiff generally argues that the ALJ made an improper RFC determination. This improper RFC determination is based upon the ALJ providing inappropriate weight to the various medical evidence and reports. As set forth above, we disagree. The ALJ made a decision that is supported by substantial evidence. It is not our task to say whether we agree with that decision or whether we would have come to a different conclusion.
For the reasons set forth above, we will deny the plaintiff's appeal. We find that while it is undeniable that plaintiff has had an unsettled life and certain physical and psychological maladies, substantial evidence supports the ALJ's denial of SSI benefits. The ALJ took into consideration plaintiff's limitations when determining the plaintiff's residual functional capacity. He provided appropriate weight to the reports and records of the various medical experts. Accordingly, plaintiff's appeal will be denied. An appropriate order follows.
The determination of whether a claimant has any severe impairment that has lasted or is expected to last for a continuous period of at least twelve (12) months, at step two of the sequential evaluation process, is a threshold test. 20 C.F.R. §§ 404.1509, 404.1520(c) and 416.920(c). If a claimant does not have any severe impairment or combination of impairments which significantly limits his physical or mental abilities to perform basic work activities that has lasted or is expected to last for a continuous period of at least twelve (12) months, the claimant is "not disabled" and the evaluation process ends at step two.
If a claimant has any severe impairments, the evaluation process continues. 20 C.F.R. §§ 404.1520(d)-(g) and 416.920(d)-(g). Furthermore, all medically determinable impairments, severe and non-severe, are considered in the subsequent steps of the sequential evaluation process. 20 C.F.R. §§ 404.1523, 404.1545(a)(2), 416.923 and 416.945(a)(2).
20 C.F.R. § 404.1527(e)(2).