McClain v. Social Security Administration, Commissioner
Filing
11
MEMORANDUM OPINION. Signed by Chief Judge Sharon Lovelace Blackburn on 9/30/13. (CTS, )
FILED
2013 Sep-30 AM 11:43
U.S. DISTRICT COURT
N.D. OF ALABAMA
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF ALABAMA
SOUTHERN DIVISION
QUINN E. MCCLAIN,
Plaintiff,
v.
CAROLYN W. COLVIN,
Acting Commissioner of the Social
Security Administration,
Defendant.
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) Civil Action No.: 2:11-cv-3963-SLB
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MEMORANDUM OPINION
Plaintiff Quinn McClain (“Plaintiff”) brings this action pursuant to Title II of Section 205(g)
and Title XVI of Section 1631(c)(3) of the Social Security Act (the “Act”), seeking review of the
decision by the Commissioner of the Social Security Administration1 (“Commissioner”) denying her
claims for a period of disability and disability insurance benefits (“DIB”) and supplemental security
income (“SSI”). See also 42 U.S.C. §§ 405(g), 1383(c). After careful review, the court finds that
the decision of the Commissioner is due to be affirmed.
I.
Proceedings Below
Plaintiff protectively applied for DIB and SSI on July 30, 2007 alleging disability beginning
on May 16, 2007. [R. 60-61]. The Social Security Administration denied Plaintiff’s claims on
November 9, 2007. [R. 70]. At Plaintiff’s request [R. 76-77], an administrative law judge (“ALJ”)
held a hearing on August 4, 2009. [R. 42-59]. On December 16, 2009, the ALJ entered his decision
1
Carolyn W. Colvin became the Acting Commissioner of Social Security on February 14, 2013. Therefore,
she should be substituted for Commissioner Michael J. Astrue as Defendant in this suit. See Fed. R. Civ. P. 25(d) (“An
action does not abate when a public officer who is a party in an official capacity dies, resigns, or otherwise ceases to hold
office while the action is pending. Later proceedings should be in the substituted party’s name, but any misnomer not
affecting the parties’ substantial rights must be disregarded.”).
denying both applications. [R. 30-38]. Plaintiff requested a review of the ALJ’s decision. [R. 2526]. The Appeals Council denied Plaintiff’s request,2 making the Commissioner’s decision final and
a proper subject of this court’s judicial review. See 42 U.S.C. §§ 405(g), 1383(c)(3).
A.
Plaintiff’s Hearing Testimony
Plaintiff was forty-seven years old at the time of the hearing. [R. 50]. Plaintiff graduated
from high school and completed two years of college but did not receive a degree. [R. 50-51].
Plaintiff testified that he last worked in 2006 and had been performing various jobs through a
temporary placement agency. [R. 51]. Most recently, Plaintiff had worked at a plant as a forklift
driver and machine operator. [R. 51]. Plaintiff stated that he stopped working because he injured
his back when he slipped off a moving truck ramp. [R. 52].
Plaintiff testified that his back pain prevented him from “sit[ting] too long” or “standing too
long.” [R. 52]. According to Plaintiff, he was “constantly in pain.” [R. 52]. Plaintiff also explained
that he had a pinched nerve in his back and that one disc was bulging and another deteriorating. [R.
52]. Plaintiff testified that his “spine [was] just sitting on the nerve.” [R. 52].
In response to a question from his attorney, Plaintiff explained why he had been leaning to
the right in his chair during the hearing. [R. 53]. Plaintiff testified that he “hurt[s] on the left side”
and that if he sits up straight he is in “severe pain.” [R. 53]. Plaintiff stated that he sits on the right
side to take some of the pressure off the left side of his body. [R. 53]. One of Plaintiff’s doctors
recommended surgery but Plaintiff testified that he did not want surgery because the doctor told him
2
Although the Appeals Council agreed that Plaintiff was not disabled, it found the jobs cited in the hearing
decision were inconsistent with Plaintiff’s assessed RFC and concluded that Plaintiff could perform only unskilled
sedentary work. [R. 5]. Based upon this determination, the Appeals Council found that Plaintiff could perform work as
a semiconductor bonder and that these jobs existed in a significant number in the national and local economy. [R. 7].
2
there was a “50-50 chance that [he] might walk” and because the doctor could not guarantee
Plaintiff would be pain free. [R. 53]. Plaintiff had undergone physical therapy to help his back pain.
[R. 53].
B.
Medical Records
Plaintiff submitted various medical records in support of his claims.
1.
Hospital and Clinic Visits
Plaintiff visited the Cooper Green Hospital Emergency Room on May 7, 2007. [R. 210].
Plaintiff reported that he was experiencing low back pain after slipping off a ramp two weeks earlier.
[R. 210]. Some of the treatment notes are illegible. However, Plaintiff demonstrated normal gait
and station. [R. 211]. Plaintiff was diagnosed with a low back strain and was prescribed various pain
medication. [R. 211].
Plaintiff returned to Cooper Green on July 19, 2007 and was seen by a neurologist. [R. 202204]. Plaintiff reported he was experiencing back pain radiating down his left leg. [R. 203]. Upon
examination, Plaintiff demonstrated positive straight leg raise. [R. 204]. A CT scan of his lumbar
spine noted L5-S1 disc bulge protrusion. [R. 204]. Plaintiff was diagnosed with sciatica and nerve
impingement. [R. 204].
Examination notes from an August 7, 2007 visit to Cooper Green Hospital’s Emergency
Room indicate that Plaintiff was experiencing chronic back pain with radiculopathy. [R. 324]. Xrays taken during that visit displayed a medium-sized left paracentral disc bulge protrusion at L5S1displacing the nerve and left gutter.
On August 21, 2007, Dr. Jeremy Allen, M.D., Plaintiff’s treating physician at Cooper Green,
diagnosed Plaintiff with back pain and radiculopathy. [R. 232]. Dr. Allen requested an MRI of
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Plaintiff’s lumbar spine, which was completed on September 8, 2007 at St. Vincent’s Hospital. [R.
320]. The MRI of Plaintiff’s showed mild diffuse disc bulging at L4-5. [R. 320]. The MRI also
displayed a prominent left-sided disc herniation at the L5-S1 level. [R. 320]. The extruded disc
fragment was seen extending downward to the left along the course of the left S1 nerve root. [R.
320].
Plaintiff was referred by Cooper Green Hospital to Dr. Patrick Pritchard, M.D., at the
Kirkland Clinic on May 23, 2008. [R. 196]. Examination notes indicate that Plaintiff had “some
pain with plantar flexion of his left foot but ha[d] good motor strength.” [R. 196]. A sensory exam
“revealed some paresthesia over the lateral aspect of the left foot, as well as leg in S1 distribution.”
[R. 196]. Plaintiff’s left ankle jerk reflex was “notably diminished” and on straight leg raise,
Plaintiff “ha[d] a significant reproduction of his pain down the left lower extremity.” [R. 196].
On November 11, 2008, Plaintiff saw Dr. Pritchard again. [R. 195]. During this visit,
Plaintiff complained he had developed recurring pain that was radiating down his left leg to his left
foot. [R. 195]. Again, Plaintiff’s exam demonstrated decreased reflex on the left foot and a
“persistent positive straight leg raise on the left.” [R. 195]. Dr. Pritchard discussed surgical options
with Plaintiff but he wished instead to receive physical therapy. [R. 195]. The record reflects that
Plaintiff attended physical therapy sessions at Cooper Green Hospital once a week for two months
beginning on January 5, 2009 and ending on March 13, 2009. [R. 266-273, 277].
Dr. Mamerhi Okor, M.D., examined Plaintiff at the Kirklin Clinic on February 27, 2009. [R.
297]. Plaintiff reported that he was “moving around a lot better since beginning therapy.” [R. 297].
During this visit, Plaintiff demonstrated “mild weakness of dorsiflexion and plantar flexion of the
left foot” but was “able to perform heel and toe gait without difficulty.” [R. 297]. According to
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treatment notes, Plaintiff was “making satisfactory progress with conservative management” through
physical therapy and Dr. Okor noted that the he would see Plaintiff on an as-needed basis if his
symptoms recurred or progressed. [R. 297].
2.
Treating, Consultative, and State Agency Assessments
On October 3, 2007, Dr. Peter Morris, M.D., performed a consultative examination. [R. 235237]. Plaintiff reported pain in his back that radiated down the left leg to his toes. [R. 235]. Dr.
Morris noted Plaintiff’s history of back problems including a lumbar laminectomy in 1993 due to
lumbar disc disease. [R. 235]. Plaintiff indicated that he was taking a variety of prescription
medication but stated he was still in a great deal of pain. [R. 235]. Examination notes reflect that
Plaintiff’s lumbar flexion was limited to about 20 degrees. [R. 237]. The exam revealed positive
straight leg raising on the left at 40 degrees. [R. 237]. Dr. Morris found no muscle atrophy but noted
a “decrease to absent sensation to pinprick and vibration of the left leg and the knee particularly at
the lateral aspect.” [R. 237].
On November 9, 2007, Audrey Finch, a state agency disability examiner completed a
physical RFC assessment. [R. 244-251]. Based upon a review of Plaintiff’s medical records, Finch
determined that Plaintiff has the following physical limitations: occasionally lift and/or carry up to
20 pounds; frequently lift and/or carry up to 10 pounds; stand or walk (with normal breaks) for a
total of six hours in an 8-hour work day; sit (with normal breaks) for a total of six hours in an 8-hour
work day; and, unlimited pushing and/or pulling (including operation of hand and/or foot controls).
[R. 245]. Regarding postural limitations, Finch opined that Plaintiff could: frequently climb ramp
or stairs but should never climb ladders, ropes, or scaffolding; frequently balance; and occasionally
stoop, kneel, crouch, and crawl. [R. 246].
Finch further determined that Plaintiff had no
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manipulative, visual, or communicative limitations. However, Finch did state that Plaintiff should
avoid concentrated exposure to extreme cold or heat, vibrations, and hazardous machinery and
heights. [R. 248].
On January 11, 2008, Dr. Allen completed a Physical Capabilities Assessment (“PCA”) and
a Clinical Assessment of Pain based upon his clinical evaluation of Plaintiff and other testing. Dr.
Allen indicated that Plaintiff was able to lift 20 pounds occasionally and 10 pounds frequently. [R.
259]. He further opined that Plaintiff could sit for two hours during an 8-hour work day and could
stand for one hour in an 8-hour work day. [R. 259]. The PCA also notes that Plaintiff could
occasionally push and pull, engage in gross manipulation such as grasping, twisting, and handling,
bend, stoop, and reach. [R. 259]. According to Dr. Allen, Plaintiff should never climb stairs or
ladders or balance but he could frequently engage in fine manipulation. [R. 259]. Although the PCA
states that Plaintiff should never work around hazardous machinery, it suggests Plaintiff could
operate a motor vehicle and work around dust, allergen, and fumes. [R. 259]. Dr. Allen’s Clinical
Assessment of Pain indicates that Plaintiff’s pain was present to such an extent to be distracting to
adequate performance of daily activities or work. [R. 261]. Dr. Allen also opined that physical
activity would greatly increase Plaintiff’s pain to such a degree as to cause distraction from tasks or
total abandonment of tasks. [R. 261].
On August 14, 2008 and January 14, 2009, Dr. Allen provided Plaintiff with letters
attempting to excuse him from work. Both letters state that Plaintiff is “unable to compete in the
competitive job market” due to his “uncontrolled” or “severe” back pain. [R. 190, 293].
On May 8, 2009, Dr. Allen completed a second PCA, in which he opined that Plaintiff could
lift and/or carry 20 pounds occasionally and 10 pounds frequently. [R. 301]. Dr. Allen also opined
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that Plaintiff could sit for up to six hours in an 8-hour work day but could stand and walk for only
one hour in an 8-hour work day. [R. 301]. Dr. Allen further indicated that Plaintiff should never
climb stairs or ladders but could occasionally engage in pushing and pulling movements, bend,
stoop, and reach. [R. 301]. Dr. Allen’s PCA also noted that Plaintiff could frequently engage in
gross and fine manipulation including grasping, twisting, and handling. [R. 301]. Although Dr.
Allen opined that Plaintiff should not work around hazardous machinery, his PCA states that
Plaintiff can operate motor vehicles and can work around dust, allergens, or fumes. [R. 301].
Dr. Allen also completed a second Clinical Assessment of Pain, in which he indicated that
Plaintiff’s pain was present to such an extent as to be distracting to adequate performance of daily
activities or work. [R. 302]. Dr. Allen also noted that physical activity, including walking, standing,
bending, stooping, and moving extremities would greatly increase Plaintiff’s pain to such a degree
as to cause distraction from tasks or total abandonment of tasks. [R. 302]. Additionally, as part of
a Clinical Assessment of Fatigue and Weakness, Dr. Allen indicated that fatigue and weakness was
present but did not prevent Plaintiff from functioning in everyday activities or work. [R. 304].
Moreover, according to Dr. Allen, physical activity would cause some increase in Plaintiff’s level
of fatigue and weakness but not to an extent that would prevent adequate functioning. [R. 304].
C.
Vocational Expert Hearing Testimony
According to a vocational expert (“VE”) who testified at the hearing, Plaintiff’s past relevant
work included general laborer, forklift operator, and machine operator. [R. 55]. In response to
hypotheticals posed by the ALJ, the VE testified that someone of Plaintiff’s age, education, work
experience, and residual functional capacity (“RFC”) could not perform his past relevant work but
could perform work as a packager, storage facility clerk, marker or semiconductor bonder, optical
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goods polisher, or inspector of small parts. [R. 56-57]. In response to a hypothetical posed by the
ASJ based upon Dr. Allen’s physical capacity evaluation, the VE testified that Plaintiff could not
perform his past work or any other work. [R. 58].
II.
ALJ Decision
Disability under the Act is determined under a five-step test. 20 C.F.R. § 404.1520. First,
the ALJ must determine whether the claimant is engaging in substantial gainful activity. 20 C.F.R.
§ 404.1520(a)(4)(i). “Substantial work activity” is work activity that involves doing significant
physical or mental activities. 20 C.F.R. § 404.1572(a). “Gainful work activity” is work that is done
for pay or profit. 20 C.F.R. § 404.1572(b). If the ALJ finds that the claimant engages in substantial
gainful activity, then the claimant cannot claim disability. 20 C.F.R. § 404.1520(b). Second, the
ALJ must determine whether the claimant has a medically determinable impairment or a
combination of medical impairments that significantly limits the claimant’s ability to perform basic
work activities. 20 C.F.R. § 404.1520(a)(4)(ii). Absent such impairment, the claimant may not
claim disability. (Id.). Third, the ALJ must determine whether the claimant’s impairment meets or
medically equals the criteria of an impairment listed in 20 C.F.R. § 404, Subpart P, Appendix 1. See
20 C.F.R. §§ 404.1520(d), 404.1525, and 404.1526. If such criteria are met, the claimant is declared
disabled. 20 C.F.R. § 404.1520(a)(4)(iii).
If the claimant does not fulfill the requirements necessary to be declared disabled under the
third step, the ALJ may still find disability under the next two steps of the analysis. The ALJ must
first determine the claimant’s residual functional capacity (“RFC”), which refers to the claimant’s
ability to work despite his impairments. 20 C.F.R. § 404.1520(e). In the fourth step, the ALJ
determines whether the claimant has the RFC to perform past relevant work. 20 C.F.R. §
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404.1520(a)(4)(iv). If the claimant is determined to be capable of performing past relevant work,
then the claimant is deemed not disabled. (Id.). If the ALJ finds the claimant unable to perform past
relevant work, then the analysis proceeds to the fifth and final step. 20 C.F.R. § 404.1520(a)(4)(v).
In the last part of the analysis, the ALJ must determine whether the claimant is able to perform any
other work commensurate with his RFC, age, education, and work experience. 20 C.F.R. §
404.1520(g). Here, the burden of proof shifts from the claimant to the ALJ to prove the existence,
in significant numbers, of jobs in the national economy that the claimant can do given her RFC, age,
education, and work experience. 20 C.F.R. §§ 404.1520(g), 404.1560(c).
In the instant case, the ALJ found that Plaintiff met the insured status requirements of the Act
through September 30, 2008. [R. 32]. The ALJ concluded that Plaintiff had not engaged in
substantial gainful activity since May 16, 2007, the alleged onset date. [R. 32]. According to the
ALJ, Plaintiff has lumbosacral radiculopathy secondary to left-sided L5-S1 disc herniation, which
is a severe impairment. [R. 32]. Nonetheless, the ALJ determined that Plaintiff does not have an
impairment or a combination of impairments that meets or medically equals one of the listed
impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. [R. 32]. After consideration of the entire
record, the ALJ found that Plaintiff has the RFC to perform light work as defined in 20 C.F.R.
404.1567(b) and 416.967(b) with the following limitations: occasionally lift 20 pounds; sit for up
to six hours in an 8-hour work day; stand/walk for up to two hours in an 8-hour work day; would
need the ability to sit or stand at his option; could not be required to push or pull with respect to foot
or leg controls; could not be exposed to continuous vibration; could not work around unprotected
heights or hazardous machinery; could not operate a motor vehicle; could not be exposed to extremes
of temperature or humidity; and could occasionally bend, stoop, or reach. [R. 34]. Although the ALJ
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concluded that Plaintiff could not perform his past relevant work, based upon testimony from the
VE, he did find that jobs existed in the national economy that Plaintiff could perform including:
packager of small parts; storage facility clerk; and, marker of semi-conductor wafers. [R. 38]. Based
upon this analysis, the ALJ determined that Plaintiff is not disabled as the term is defined in the Act.
[R. 38].
III.
Plaintiff’s Argument for Reversal
Plaintiff seeks to have the Commissioner’s decision reversed, or in the alternative, remanded
for further proceedings. Plaintiff’s sole argument in this appeal is that the ALJ did not properly
consider the opinions of Plaintiff’s treating physician, Dr. Allen, in making his RFC findings. [Pl.’s
Mem. 9].
IV.
Standard of Review
The only issues before this court are whether the record reveals substantial evidence to
sustain the ALJ’s decision, see 42 U.S.C. § 405(g); Walden v. Schweiker, 672 F.2d 835, 838 (11th
Cir. 1982), and whether the correct legal standards were applied. See Lamb v. Bowen, 847 F.2d 698,
701 (11th Cir. 1988); Chester v. Bowen, 792 F.2d 129, 131 (11th Cir. 1986). Title 42 U.S.C. §§
405(g) and 1383(c)(3) mandate that the Commissioner’s findings are conclusive if supported by
“substantial evidence.” Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990). The district court
may not reconsider the facts, reevaluate the evidence, or substitute its judgment for that of the
Commissioner; instead, it must review the final decision as a whole and determine if the decision
is reasonable and supported by substantial evidence. See id. (citing Bloodsworth v. Heckler, 703
F.2d 1233, 1239 (11th Cir. 1983)).
Substantial evidence falls somewhere between a scintilla and a preponderance of evidence;
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“[i]t is such relevant evidence as a reasonable person would accept as adequate to support a
conclusion.” Martin, 894 F.2d at 1529 (quoting Bloodsworth, 703 F.2d at 1239) (other citations
omitted). If supported by substantial evidence, the Commissioner’s factual findings must be
affirmed even if the evidence preponderates against the Commissioner’s findings. See Martin, 894
F.2d at 1529. While the court acknowledges that judicial review of the ALJ’s findings is limited in
scope, the court also notes that review “does not yield automatic affirmance.” Lamb, 847 F.2d at
701.
V.
Discussion
Plaintiff contends that the ALJ’s decision is not supported by substantial evidence because
the ALJ did not properly consider the opinions of Plaintiff’s treating physician. The court disagrees.
The Eleventh Circuit has held that the opinion of a treating physician must be given
substantial or considerable weight unless ‘good cause’ is shown to the contrary. Lewis v. Callahan,
125 F.3d 1436, 1440 (11th Cir. 1997) (quoting MacGregor v. Bowen, 786 F.2d 1050, 1053 (11th Cir.
1986); Broughton v. Heckler, 776 F.2d 960, 961-62 (11th Cir. 1985)). Social Security regulations
echo this preference:
Generally, we give more weight to opinions from your treating sources, since these
sources are likely to be the medical professionals most able to provide a detailed,
longitudinal picture of your medical impairment(s) and may bring a unique
perspective to the medical evidence that cannot be obtained from the objective
medical findings alone or from other reports of individual examinations, such as
consultative examinations or brief hospitalizations.
20 C.F.R. § 1527(c).
“Good cause” has been found when “the doctor’s opinion was not bolstered by the evidence,
or where the evidence supported a contrary finding.” Lewis, 125 F.3d at 1440 (quoting Schnorr v.
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Bowen, 816 F.2d 578, 582 (11th Cir. 1987); Sharfaz v. Bowen, 825 F.2d 278, 280-81 (11th Cir.
1987)). The Eleventh Circuit has also found “good cause” when “the doctors’ opinions were
conclusory or inconsistent with their own medical records.” Lewis, 125 F.3d at 1440 (quoting Jones
v. Department of Health & Human Services, 941 F.2d 1529, 1532-33 (11th Cir. 1991); Edwards v.
Sullivan, 937 F.2d 580, 583 (11th Cir. 1991)). The Commissioner “must specify what weight is
given to a treating physician’s opinion,” MacGregor, 786 F.2d at 1053, and an ALJ’s failure to
clearly articulate the reasons for giving less weight to the opinion of a treating physician constitutes
reversible error. Lewis, 125 F.3d at 1440.
The Commissioner’s regulations also specifically provide that certain decisions are reserved
for the Commissioner. See 20 C.F.R. § 1527(d)(1) (“A statement by a medical source that you are
‘disabled’ or ‘unable to work’ does not mean that we will determine that you are disabled.”). A
Social Security Administration policy interpretation further clarifies that because statements that an
individual is disabled are “administrative findings that may determine whether an individual is
disabled, they are reserved to the Commissioner. Such opinions on this issues must not be
disregarded. However, even when offered by a treating source, they can never be entitled to
controlling weight or given special significance.” Social Security Ruling 96-5p; see also Bell v.
Bowen, 796 F.2d 1350, 1353-54 (11 th Cir. 1986) (“The regulation in 20 C.F.R. § 404.1527 provides
that although a claimant's physician may state he is ‘disabled’ or ‘unable to work’ the agency will
nevertheless determine disability based upon the medical findings and other evidence.”).
Substantial evidence supports the ALJ’s decision to reject Dr. Allen’s opinion. The ALJ
noted that he gave little weight to the opinions of Dr. Allen to the extent his opinions were not
consistent with the ALJ’s RFC findings. [R. 36]. The ALJ further noted that he rejected Dr. Allen’s
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opinion that Plaintiff could not compete in a competitive work environment. [R. 36]. As it relates
to the RFC, the ALJ did not reject Dr. Allen’s opinions in their entirety. And, in fact, the ALJ noted
that Dr. Allen’s January 2008 and May 2009 physical capabilities evaluations were “to a large extent
. . . consistent” with the ALJ’s RFC determination. [R. 36]. On this point, the ALJ noted Dr. Allen’s
opinions concerning the following limitations were entirely consistent with the RFC determination:
that Plaintiff could lift and/or carry 20 pounds occasionally and 10 pounds frequently; that Plaintiff
could occasionally stoop, bend, and reach; and, that Plaintiff cannot work around hazardous
machinery. [R. 36]. Additionally, the ALJ noted that Dr. Allen’s opinion that Plaintiff could sit for
six hours and stand/walk for one hour in an 8-hour work day was “largely consistent” with the RFC
findings. [R. 36]. The ALJ further noted that the RFC determination accounted for additional
limitations not suggested by Dr. Allen. Specifically, although Dr. Allen found Plaintiff could
occasionally perform pushing and pulling movements and could operate a motor vehicle, the
assessed RFC limited Plaintiff’s pushing and pulling with respect to foot controls and does not
permit Plaintiff to operate a motor vehicle. [R. 36].
As a basis for rejecting Dr. Allen’s opinions that Plaintiff could not compete in the
competitive work environment or that Plaintiff could work only seven hours a day , the ALJ noted
that Plaintiff’s own reports to an examining physician in February 2009 are not consistent with Dr.
Allen’s opinions. [R. 36]. Specifically, Plaintiff indicated that he “was moving around a lot better
since beginning therapy” and was found to be “making satisfactory progress with conservative
management in the form of physical therapy.” [R. 36; 298].
By February 2009, Plaintiff also
performed heel and toe gait without difficulty. [R. 36; 298]. Plaintiff also told his doctor at this
time that he was “pleased with his current situation with regard to low back and left leg
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symptomology.” [R. 36; 298].
Additional evidence of record supports the ALJ’s decision to reject Dr. Allen’s opinion.
In October 2007, about six months after Plaintiff injured himself moving furniture (and about five
months after he allegedly became disabled) [R. 51-52; 108; 207; 210], Dr. Morris examined Plaintiff
and did not observe significant limitations. [R. 235]. At this time, Dr. Morris observed Plaintiff’s
arm and leg strength were 5/5. Dr. Morris also noted that Plaintiff had a “normal” gait and station
despite a “slight” limp. [R. 35, 236, 238]. Dr. Pritchard’s findings also support the ALJ’s RFC
determination. When he first examined Plaintiff in May 2008, Dr. Pritchard observed Plaintiff’s
strength in his arms and legs was a 5/5. He also noted that Plaintiff had “good strength.” [R. 196].
Dr. Pritchard’s November 2008 notes indicated that Plaintiff would heel, toe, and tandem walk with
only “very slight” difficulty despite a herniated disc. [R. 195]. The court finds this additional
objective medical evidence supports the ALJ’s observation that Plaintiff’s medical records showed
“continuing improvement” in his condition and the corresponding decision to reject Dr. Allen’s
opinions. See 20 C.F.R. §§ 404.1527(c)(4), 416.927(c)(4) (permitting the ALJ to weigh medical
opinions based upon consistency with other evidence).
In sum, based upon the foregoing, the court concludes that substantial evidence supports the
ALJ’s decision to reject “the notion implicit in Dr. Allen’s opinion that [Plaintiff] could work only
7 hours a day and not a full 8-hour work day.” [R. 36]. The ALJ provided specific reasons for
according little weight to Dr. Allen’s physical limitations to the extent they were inconsistent with
the RFC findings. Moreover, the ALJ rejected Dr. Allen’s opinion that Plaintiff could not compete
in the competitive work environment on the basis that this opinion was inconsistent with medical
records as well as with the Plaintiff’s own testimony. See e.g., Phillips v. Barnhart, 357 F.3d 1232,
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1241 (11th Cir. 2004) (ALJ’s decision that treating physician’s opinion should be given little weight
was supported by substantial evidence because he identified several specific contradictions between
his opinion and other evidence of record including claimant’s own statements and medical records
from examining or consultative physicians). Accordingly, the Commissioner’s decision is due to
be affirmed.
VI.
Conclusion
For the reasons stated above, the court concludes that the ALJ’s determination that Plaintiff
is not disabled is supported by substantial evidence and proper legal standards were applied.
Therefore, the Commissioner’s final decision is due to be affirmed. A separate order in accordance
with this memorandum opinion will be entered.
DONE, this 30th day of September, 2013.
SHARON LOVELACE BLACKBURN
CHIEF UNITED STATES DISTRICT JUDGE
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