Hallmark v. Social Security Administration, Commissioner
Filing
9
MEMORANDUM OPINION. Signed by Judge L Scott Coogler on 6/18/12. (KGE, )
FILED
2012 Jun-18 PM 02:27
U.S. DISTRICT COURT
N.D. OF ALABAMA
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ALABAMA
EASTERN DIVISION
ROBERT N. HALLMARK,
Plaintiff,
vs.
MICHAEL J. ASTRUE,
Commissioner,
Social Security Administration,
Defendant.
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1:11-CV-1862-LSC
MEMORANDUM OF OPINION
I.
Introduction
The plaintiff, Robert N. Hallmark, appeals from the decision of the
Commissioner of the Social Security Administration (“Commissioner”) denying his
application for Disability Insurance Benefits (“DIB”). Mr. Hallmark timely pursued
and exhausted his administrative remedies and the decision of the Commissioner is
ripe for review pursuant to 42 U.S.C. §§ 405(g), 1383(c)(3).
Mr. Hallmark was forty-two years old at the time of the Administrative Law
Judge’s (“ALJ’s”) decision, and he has a high school education. (Tr. at 29-30.) His
past work experiences include employment as a truck driver, forklift operator, and
warehouse worker. (Id. at 42-43.) Mr. Hallmark claims that he became disabled on
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December 1, 2007, due to degenerative disc disease, migraine headaches, neck pain,
and back pain. (Id. at 33-42.)
When evaluating the disability of individuals over the age of eighteen, the
regulations prescribe a five-step sequential evaluation process. See 20 C.F.R. §
404.1520; see also Doughty v. Apfel, 245 F.3d 1274, 1278 (11th Cir. 2001). The first
step requires a determination of whether the claimant is “doing substantial gainful
activity.” 20 C.F.R. § 404.1520(a)(4)(I). If he or she is, the claimant is not disabled
and the evaluation stops. Id. If he or she is not, the Commissioner next considers the
effect of all of the physical and mental impairments combined. 20 C.F.R. §
404.1520(a)(4)(ii). These impairments must be severe and must meet the durational
requirements before a claimant will be found to be disabled. Id. The decision depends
on the medical evidence in the record. See Hart v. Finch, 440 F.2d 1340, 1341 (5th Cir.
1971). If the claimant’s impairments are not severe, the analysis stops. 20 C.F.R. §
404.1520(a)(4)(ii). Otherwise, the analysis continues to step three, which is a
determination of whether the claimant’s impairments meet or equal the severity of an
impairment listed in 20 C.F.R. pt. 404, Subpart P, Appendix 1. 20 C.F.R. §
404.1520(a)(4)(iii). If the claimant’s impairments fall within this category, he or she
will be found disabled without further consideration.
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Id.
If they do not, a
determination of the claimant’s residual functional capacity (“RFC”) will be made
and the analysis proceeds to the fourth step. 20 C.F.R. § 404.1520(e).
The fourth step requires a determination of whether the claimant’s
impairments prevent him or her from returning to past relevant work. 20 C.F.R. §
404.1520(a)(4)(iv). If the claimant can still do his or her past relevant work, the
claimant is not disabled and the evaluation stops. Id. If the claimant cannot do past
relevant work, then the analysis proceeds to the fifth step. Id. Step five requires the
court to consider the claimant’s RFC, as well as the claimant’s age, education, and
past work experience in order to determine if he or she can do other work. 20 C.F.R.
§ 404.1520(a)(4)(v). If the claimant can do other work, the claimant is not disabled.
Id.
Applying the sequential evaluation process, the ALJ found that Mr. Hallmark
meets the nondisability requirements for a period of disability and DIB and was
insured through the date of his decision. (Tr. at 14.) She further determined that Mr.
Hallmark has not engaged in substantial gainful activity since the alleged onset of his
disability. (Id.) According to the ALJ, Plaintiff’s degenerative disc disease is
considered “severe” based on the requirements set forth in the regulations. (Id.)
However, she found that this impairment neither meets nor medically equals any of
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the listed impairments in Appendix 1, Subpart P, Regulations No. 4. (Id. at 16.) The
ALJ did not find Mr. Hallmark’s allegations to be totally credible, and she determined
that he has the residual functional capacity to:
perform light work as defined in 20 CFR 404.1567(b) [sic] with the
following limitations. He can never crouch, crawl, or climb ladders,
ropes, or scaffolds; occasionally climb stairs/ramps, balance, stoop and
kneel; and frequently reach, handle, finger and feel. He must avoid
exposure to hazardous conditions such as heights and moving machinery.
(Id.)
According to the ALJ, Mr. Hallmark is unable to perform any of his past
relevant work, and he is a “younger individual,” as those terms are defined by the
regulations. (Id. at 19.) She determined that Plaintiff’s “transferability of skills is not
an issue in this case.” (Id. at 20.) The ALJ found that Mr. Hallmark has the residual
functional capacity to perform a limited amount of light work. (Id.) Even though
Plaintiff cannot perform the full range of light work, the ALJ used Medical-Vocation
Rule 202.21 as a guideline for finding that there are a significant number of jobs in the
national economy that he is capable of performing, such as assembler and machine
feeder, inspector and tester, and general office clerk. (Id. at 20.) The ALJ concluded
her findings by stating that Plaintiff “was not under a ‘disability,’ as defined in the
Social Security Act, at any time through the date of this decision.” (Id.)
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II.
Standard of Review
The Court’s role in reviewing claims brought under the Social Security Act is
a narrow one. The scope of its review is limited to determining (1) whether there is
substantial evidence in the record as a whole to support the findings of the
Commissioner, and (2) whether the correct legal standards were applied. See
Richardson v. Perales, 402 U.S. 389, 390, 401 (1971); Wilson v. Barnhart, 284 F.3d
1219, 1221 (11th Cir. 2002). The Court approaches the factual findings of the
Commissioner with deference, but applies close scrutiny to the legal conclusions. See
Miles v. Chater, 84 F.3d 1397, 1400 (11th Cir. 1996). The Court may not decide facts,
weigh evidence, or substitute its judgment for that of the Commissioner. Id. “The
substantial evidence standard permits administrative decision makers to act with
considerable latitude, and ‘the possibility of drawing two inconsistent conclusions
from the evidence does not prevent an administrative agency’s finding from being
supported by substantial evidence.’” Parker v. Bowen, 793 F.2d 1177, 1181 (11th Cir.
1986) (Gibson, J., dissenting) (quoting Consolo v. Fed. Mar. Comm’n, 383 U.S. 607,
620 (1966)). Indeed, even if this Court finds that the evidence preponderates against
the Commissioner’s decision, the Court must affirm if the decision is supported by
substantial evidence. Miles, 84 F.3d at 1400. No decision is automatic, however, for
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“despite this deferential standard [for review of claims] it is imperative that the Court
scrutinize the record in its entirety to determine the reasonableness of the decision
reached.” Bridges v. Bowen, 815 F.2d 622, 624 (11th Cir. 1987). Moreover, failure to
apply the correct legal standards is grounds for reversal. See Bowen v. Heckler, 748
F.2d 629, 635 (11th Cir. 1984).
III.
Discussion
Mr. Hallmark alleges that the ALJ’s decision should be reversed and remanded
for one reason. He believes that the ALJ failed to properly credit his treating
physician’s report and opinion that he is “disabled within the meaning of the social
security law.” (Doc. 7 at 3.) The weight to be afforded a medical opinion regarding the
nature and severity of a claimant’s impairments depends, among other things, upon
the examining and treating relationship the medical source had with the claimant, the
evidence the medical source presents to support the opinion, how consistent the
opinion is with the record as a whole, and the specialty of the medical source. See 20
C.F.R. §§ 404.1527(d). A treating physician’s testimony is entitled to “substantial or
considerable weight unless ‘good cause’ is shown to the contrary.” Crawford v.
Commissioner of Social Security, 363 F.3d 1155, 1159 (11th Cir. 2004) (quoting Lewis v.
Callahan, 125 F.3d 1436, 1440 (11th Cir. 1997)) (internal quotations omitted).
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“[G]ood cause” exists for an ALJ to not give a treating physician’s opinion substantial
weight when the: “(1) treating physician’s opinion was not bolstered by the evidence;
(2) evidence supported a contrary finding; or (3) treating physician’s opinion was
conclusory or inconsistent with the doctor’s own medical records.” Phillips v.
Barnhart, 357 F.3d 1232, 1241 (11th Cir. 2004) (citing Lewis, 125 F.3d at 1440); see also
Edwards v. Sullivan, 937 F.2d 580, 583-84 (11th Cir. 1991) (holding that “good cause”
existed where the opinion was contradicted by other notations in the physician’s own
record). The ALJ “must clearly articulate the reasons for giving less weight to the
opinion of a treating physician, and the failure to do so is reversible error.” MacGregor
v. Bowen, 786 F.2d 1050, 1053 (11th Cir. 1986).
Opinions such as whether a claimant is disabled, the claimant’s residual
functional capacity, and the application of vocational factors “are not medical
opinions. . . but are, instead, opinions on issues reserved to the Commissioner because
they are administrative findings that are dispositive of a case; i.e., that would direct the
determination or decision of disability.” 20 C.F.R. §§ 404.1527(d). The Court is
interested in the doctors’ evaluations of the claimant’s “condition and the medical
consequences thereof, not their opinions of the legal consequences of his condition.”
Lewis, 125 F.3d at 1440. Such statements by a physician are relevant to the ALJ’s
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findings, but they are not determinative, as it is the ALJ who bears the responsibility
for assessing a claimant’s residual functional capacity. See, e.g., 20 C.F.R. §
404.1546(c).
Dr. Aldaher, Plaintiff’s treating physician, examined Plaintiff on May 29, 2009,
for a Physical Capacities Evaluation (“PCE”) and a Clinical Assessment of Pain
(“CAP”). (Tr. at 420-21.) In these reports, Dr. Aldaher offers several opinions that
speak to Plaintiff’s medical capacity, vocational capacity, or both. Plaintiff argues the
ALJ erred in failing to “accord substantial, considerable or even controlling weight”
to these opinions. (Doc. 7 at 9.) However, the ALJ correctly followed appropriate
standards. Dr. Aldaher’s non-medical opinions regarding Plaintiff’s vocational
capacity, while relevant, are not entitled to “any special significance.” 20 C.F.R. §§
404.1527(d)(3). The ALJ also had good cause to discount the medical opinions as
reflected in the PCE and CAP because the evidence, including Dr. Aldaher’s own
medical records, supports a contrary finding.
The ALJ “carefully considered Dr. Aldaher’s opinions” from the July 2009
assessments, yet ultimately accorded them less than substantial weight upon
addressing the parts of the record which discredited them. (Tr. at 18-19.) First, an
April 2009 examination of Plaintiff by consultative examiner Dr. Tobing-Ruiz revealed
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only minor defects in Plaintiff’s left hand grip strength and spinal motion. (Tr. at 18,
374-78.) Plaintiff exercised a full range of motion of his remaining joints with no
report of pain, and was able to walk, squat, and heel-to-toe walk without difficulty or
complaint of pain. (Id.) Based on this physical assessment, Dr. Tobing-Ruiz opined
that Plaintiff’s “condition is expected to improve with physical therapy and exercise,”
and also that Plaintiff “should be able to do some type of non-manual work.” (Tr. at
376.)
Moreover, the ALJ recognized that Dr. Aldaher’s opinion was inconsistent with
his own medical records, some of which suggested that Plaintiff’s capabilities
exceeded those presented in the July 2009 PCE and CAP. (Tr. at 19.) Dr. Aldaher’s
follow-up record from one year earlier indicates that Plaintiff engaged in work activity
even after the onset of his disability in December of 2007. Specifically, upon being
advised to follow-up with a neurosurgeon, Plaintiff told Dr. Aldaher he could not take
off from work. (Tr. at 280.) Dr. Aldaher’s follow-up record from February 16, 2009,
notes Plaintiff’s successful completion of a Department of Transportation physical,
certifying his fitness as a commercial driver. (Tr. at 281.) This indicates that his pain
was not so disabling that he could not work. In addition to the completion of this
physical, Dr. Aldaher stated that “[Mr. Hallmark] is doing fine.” (Id.) However, five
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months later, in July, Dr. Aldaher evaluated the plaintiff as only being capable of
spending one hour sitting and one hour standing or walking over the course of an
eight-hour work day, if not being outright incapacitated by pain and side effects of
medication. (Tr. at 281, 420-21.) Nothing in Dr. Aldaher’s intervening follow-up
records from April 10, June 1, or July 24 provides a medical explanation for the drastic
change in Plaintiff’s condition. (Tr. at 387, 417.) In fact, the April 10, June 1, and
ensuing September 21 records all specifically indicate a lack of recent trauma. (Id.)
Plaintiff summarizes Dr. Aldaher’s evidence as “several hundred pages of treating
physician notes and diagnostic test results covering a period of some 10 years,” yet
that very evidence fails to explain the significant change in Dr. Aldaher’s opinion
between the February physical and the July assessments. (Doc. 7 at 8.)
The record shows that the ALJ had good cause for according less than
substantial weight to Dr. Aldahar’s July 2009 opinion. See Crawford, 363 F.3d at 115960; Phillips, 357 F.3d at 1240-41. The examination performed by Dr. Tobing-Ruiz
provided evidence that supported a contrary finding, and Dr. Aldaher’s opinion
proved inconsistent with his own medical records.
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IV.
Conclusion
Upon review of the administrative record, and considering all of Mr.
Hallmark’s arguments, the Court finds the Commissioner’s decision is supported by
substantial evidence and in accord with the applicable law. A separate order will be
entered.
Done this 18th day of June 2012.
L. Scott Coogler
United States District Judge
167458
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