Nelson v. Social Security Administration, Commissioner
Filing
12
MEMORANDUM OF DECISION. Signed by Judge R David Proctor on 5/6/2013. (AVC)
FILED
2013 May-06 PM 01:26
U.S. DISTRICT COURT
N.D. OF ALABAMA
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF ALABAMA
SOUTHERN DIVISION
MARK ANTHONY NELSON,
Plaintiff,
v.
MICHAEL ASTRUE,
Commissioner of Social Security
Defendant.
}
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Case No.: 2:12-cv-813-RDP
MEMORANDUM OF DECISION
Plaintiff Mark Anthony Nelson (“Plaintiff”) brings this action pursuant to Section 1613(c)(3)
of the Social Security Act (the “Act”), seeking review of the decision of the Commissioner of Social
Security1 (“Commissioner”) denying his application for supplemental security income benefits
(“SSI”) under Title XVI. See 42 U.S.C. § 1383(c). For the reasons outline below, the court finds
that the decision of the Commissioner is due to be affirmed.
I.
Proceedings Below
Plaintiff filed an application for SSI under Title XVI of the Act on March 13, 2009. [R. 189].
Plaintiff alleged a disability onset date of January 1, 1998. [R. 189]. Plaintiff’s application was
initially denied on May 7, 2009. [R. 119].
Plaintiff then requested a hearing before an
Administrative Law Judge (“ALJ”), which was held on October 4, 2010.2 [R. 69-111]. In his
February 24, 2011 decision, the ALJ denied disability benefits concluding that Plaintiff was not
1
On February 14, 2013, Carolyn Colvin became the Acting Commissioner of Social Security.
2
Plaintiff’s original hearing date was August 18, 2010. [R. 112]. Plaintiff’s counsel sought a continuance on
his behalf because the day prior to the original hearing date, Plaintiff indicated he received treatment while in prison and
Plaintiff’s counsel desired time to obtain medical records associated with that treatment. [R. 114].
disabled under section 1614(a)(3)(A) of the Act. [R. 48]. After the Appeals Council denied
Plaintiff’s request for review of the ALJ’s decision, that decision became the final decision of the
Commissioner, and therefore a proper subject of this court’s review. [R. 1]. See 42 U.S.C. §
1383(c).
At the time of the hearing, Plaintiff was 46 years old and had completed eleventh grade. [R.
76]. Plaintiff had also obtained a GED. [R. 76]. Plaintiff was incarcerated for twenty (20) years and
was released from prison about a year and a half before the hearing. [R. 79]. He was currently
serving three years probation. [R. 85]. Plaintiff had last worked a temporary service job doing
construction work for about a year and stopped working in May 2010. [R. 77]. Plaintiff was
currently living in a halfway house. [R. 77].
Plaintiff claimed that he was unable to work due physical problems associated with foot
infections and his mental condition, which he stated impaired his ability to communicate with
people. [R. 81-82; 85]. Plaintiff also described his hearing loss in his right ear.3 [R. 91-92]. Because
he cannot hear out of his right ear, Plaintiff testified that he sometimes argues with individuals who
think he is ignoring them. [R. 92]. Plaintiff also suffers from chronic bronchitis. [R. 99]. Family
members have told him he suffers from “some type of breathing attacks” at night when he sleeps.
[R. 100].
Since being released from prison, Plaintiff has used cocaine. [R. 93]. However, Plaintiff did
not lose his temporary construction job due to this drug or alcohol use. [R. 95]. Plaintiff was
collecting unemployment benefits in the amount of $123.00 per week at the time of the hearing. [R.
3
On his Adult Disability Report, Plaintiff reported that he was fired for not being able to hear orders relayed
to him. [R. 209].
2
93]. Plaintiff also received food stamps. [R. 94]. Plaintiff stated that his prescribed medication for
his bipolar disorder, Seroquel, is only somewhat effective. [R. 96, 98]. Plaintiff claimed that this
medication causes difficulty breathing and causes his tongue to swell making it difficult to speak.
[R. 96, 98].
Plaintiff submitted various medical records in support of his disability claim. The earliest
relevant treatment notes are from doctor’s visits during Plaintiff’s incarceration with the Bureau of
Prisons. These records from 2008 note Plaintiff’s chronic dermatitis to his feet and also indicate that
Plaintiff had received treatment for athlete’s foot, toe infections, and rashes. [R. 548, 551]. On
December 10, 2009, Plaintiff presented to the Cooper Green Hospital Emergency Room complaining
of a foot infection that had persisted for two weeks. [R. 251]. Treatment notes indicate that
Plaintiff’s toes displayed a bloody, yellow discharge, but no redness or inflammation was seen. [R.
251-252]. Upon discharge, Plaintiff was diagnosed with tinea corporis. [R. 252]. Plaintiff returned
to Cooper Green Hospital on January 14, 2009 reporting similar problems with his feet. [R. 249].
Plaintiff was diagnosed with suspected severe tinea. [R. 249]. Treatment notes indicate that the
treating physician, Dr. Lawrence Downs, told Plaintiff he must get more air to his feet and change
his socks two to three times a day. [R. 249]. Dr. Downs also instructed Plaintiff to stop wearing
combat boots. [R.249]. Plaintiff received prescriptions for topical creams, and Dr. Downs noted that
Plaintiff’s prognosis appeared favorable. [R. 249].
Plaintiff again returned to Cooper Green Hospital about one month later on February 16,
2009 and reported that he felt little no relief from the previous visit despite having used prescribed
ointment and oral medication. [R. 246]. Plaintiff “demanded an antibiotic shot like he received at
the federal correctional institute” as he claimed it was the best medicine he had received to treat his
3
foot fungus. [R. 246]. Dr. Downs noted some fissuring but no streaking or cellulitis. [R. 246].
Crusting that was present during Plaintiff’s January visit was not seen during this visit. [R. 246].
Plaintiff was again diagnosed with chronic tinea and/or contact dermatitis of the left foot. [R. 246].
Dr. Downs arranged for Plaintiff to see a doctor in the dermatology department later that week. [R.
247]. Dr. Downs also made phone calls to try to determine what antibiotic Plaintiff received while
in prison. [R. 246-248].
During a phone call with Plaintiff on February 18, 2009, Dr. Downs told Plaintiff that he was
now under the care of the dermatology department and that no follow-up visits with his office would
be made. [R. 245]. Dr. Downs also advised Plaintiff of the conversations he had with prison officials
who indicated that a written request would have to be mailed to Washington, D.C. in order to
determine what antibiotic he received in prison. [R. 245].
Plaintiff saw a Cooper Green
dermatologist on February 20, 2009. [R. 242]. Treatment notes are nearly illegible but indicate that
Plaintiff was seen for an evaluation of his feet. [R. 242].
On April 17, 2009, Morton Goldfarb, M.D., performed a consultative examination of
Plaintiff. [R. 255-261]. Dr. Goldfarb noted that Plaintiff had a history of no hearing in his right ear
and that Plaintiff was having trouble at work due to his hearing loss. [R. 256]. Plaintiff’s
audiometric evaluation showed “a profound sensorineural hearing loss involving his right ear.” [R.
256]. Dr. Goldfarb opined that Plaintiff “is hampered by his inability to hear from the right side.”
[R. 256]. Dr. Goldfarb recommended ear plugs and believed that with proper medical care,
including a hearing aid, Plaintiff could be rehabilitated back into an effective working individual.
[R. 256].
4
On May 7, 2009, an agency physician, Dr. Robert Heilpern, completed a physical summary
evaluation based upon Plaintiff’s medical records for visits to Cooper Green for his foot fungus and
Dr. Goldfarb’s examination. [R. 262]. This physical summary only contains information from these
treatment notes and does not provide any conclusions based upon their contents.
Plaintiff again reported to the Cooper Green Hospital Emergency Room on November 24,
2009 complaining of foot swelling and pain. [R. 263]. These treatment notes indicate that Plaintiff
has recurring athlete’s foot that occasionally gets infected. [R. 263]. During this particular visit,
Plaintiff had a small blister on the sole of his left foot, mild left foot swelling, and mild erythema
around the toes on his left foot. [R. 264]. Plaintiff was diagnosed with a soft tissue infection and was
given a prescription for an antibiotic. [R. 264-265].
Plaintiff was admitted to the Emergency Room at UAB Hospital on December 8, 2009. [R.
279]. Plaintiff complained of an infection in his left foot and stated that it was swollen and bleeding.
[R. 281]. Plaintiff was diagnosed with a bacterial infection and was prescribed antibiotics. [R. 284,
285, 300]. Plaintiff was admitted to the Emergency Room at UAB Hospital again on March 1, 2010.
[R. 266]. Plaintiff complained of a cough, sore throat, and congestion. [R. 266]. Plaintiff was
diagnosed with bronchitis and sinus headache. [R. 269]. These treatment notes contain no
information regarding Plaintiff’s foot fungus; however, Plaintiff was advised to stop smoking. [R.
272, 276].
Plaintiff returned to the UAB Emergency Room on April 3, 2010 complaining of a left foot
infection and a sore throat. [R. 286]. Plaintiff was diagnosed with a bacterial infection and athlete’s
foot. [R. 290-291]. During this visit, Plaintiff was told these recurrent episodes would continue
unless he used an over the counter medication to treat his athlete’s foot. [R. 305].
5
Plaintiff visited the UAB Emergency Room on July 1, 2010 complaining of mild shortness
of breath and fatigue. [R. 312]. Plaintiff indicated that he had been treated earlier in the year for
bronchitis, but he denied any other problems or concerns. [R. 312]. Plaintiff requested admission
to the hospital upon arrival. [R. 312]. Treatment notes indicate that Plaintiff was alert and oriented.
[R. 313]. He was able to walk around without difficulty and was pleasant and cooperative. [R. 313].
When the physician returned to his room to explain x-ray results, Plaintiff’s wife was in his room
and stated that Plaintiff was a “schizo” and that he was suicidal. [R. 313]. When asked directly,
Plaintiff stated that he was depressed and that he would like to jump off a bridge. [R. 313].
Treatment notes state that Plaintiff did not initiate this conversation and had been pleasant and
cooperative throughout his stay in the emergency room. [R. 313]. Plaintiff was seen by a psychiatric
resident and his condition and disposition were pending that evaluation at discharge. [R. 313].
Plaintiff was diagnosed with bronchitis, questionable suicidal ideation, and history of schizophrenia.
[R. 313].
Medical records associated with Plaintiff’s bipolar disorder include a hospitalization and a
report from Plaintiff’s treating psychiatrist. On July 6, 2010 Plaintiff was admitted to Hill Crest for
a psychological assessment. [R. 314]. Plaintiff was discharged from on July 13, 2010 after reporting
improvement in his functioning. [R. 316]. Upon discharge, Plaintiff denied suicidal thoughts and
his anger and depression had improved. [R. 316]. Plaintiff was prescribed a variety of medications
at the time of discharge. [R. 316]. On October 19, 2010, Plaintiff’s treating psychiatrist, Dr. Shakil
Khan, completed a “Statement of Patient’s Mental Impairment” and found that Plaintiff was
moderately limited in the following areas: (1) understanding and memory; (2) sustained
concentration and persistence; (3) social interaction; and (4) adaptation. [R. 324-325].
6
In response to a hypothetical posed by the ALJ, a vocational expert (“VE”) testified that
based upon Plaintiff’s age, education, work experience, and RFC, that Plaintiff could perform the
following jobs: material moving and labor, hand packager and packer, inspector and tester, and
cleaner. [R. 106-107]. According to the VE if the ALJ determined that Plaintiff experienced a
moderately severe to severe limitation as a result of his pain and/or his depression, these restrictions
would eliminate these types of work. [R. 107]. The VE further stated that if the ALJ concluded that
Plaintiff could have frequent or occasional contact with his coworkers and supervisors, he could
perform the jobs she listed. [R. 108].
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).
7
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 her 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. §
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).
The court recognizes that “the ultimate burden of proving disability is on the claimant” and
that the “claimant must establish a prima facie case by demonstrating that he can no longer perform
former employment.” Freeman v. Schweiker, 681 F.2d 727, 729 (11th Cir. 1982) (other citations
omitted). Once a claimant shows that she can no longer perform her past employment, “the burden
then shifts to the [Commissioner] to establish that the claimant can perform other substantial gainful
employment.” Id.
Here, the ALJ found that Plaintiff has not engaged in substantial gainful activity since
February 25, 2009, the application date. [R. 38]. The ALJ concluded that Plaintiff suffers from
hearing loss in his right ear, bilateral foot fungus, and bipolar disorder, all of which are “severe”
8
impairments as defined by the Act. [R. 38]. Nonetheless, the ALJ found that Plaintiff does not have
an impairment or combination of impairments that meets or equals one of the listed impairments in
the Listing of Impairments in 20 C.F.R. Part 404, Subpart F, Appendix 1. [R. 39].
After consideration of the entire record, the ALJ found that Plaintiff has the residual
functional capacity (“RFC”) to perform medium work as defined in 20 C.F.R. 416.967(c). [R. 41].
The ALJ stated that Plaintiff can work with or around things but not the general public. [R. 41]. The
ALJ also concluded that Plaintiff should not drive or operate hazardous machinery and should not
work around unrestricted heights. [R 41]. The ALJ found that Plaintiff is unable to perform his past
relevant work construction worker but is potentially capable of performing his past relevant work
as a kitchen helper.4 [R. 46]. Although Plaintiff may be able to perform his past relevant work as
a kitchen helper, the ALJ determined that other jobs existed in the national economy that he is also
capable of performing. [R. 46]. Based upon testimony from the VE, the ALJ found that Plaintiff
could perform medium occupations of moving material and labor, cleaner, and hand packager and
packer. [R. 47]. Also based upon testimony from the VE, the ALJ concluded that Plaintiff could
perform light unskilled jobs including inspector, tester, packager, packer, and cleaner. [R. 47]. Thus,
the ALJ ultimately found that Plaintiff is not disabled as that term is defined in the Act, and
therefore, is not entitled to SSI. [R. 48].
III.
Plaintiff’s Argument for Remand or Reversal
Plaintiff seeks to have the ALJ’s decision reversed, or in the alternative, remanded under
sentence four of Section 405(g) for development of the record and further proceedings. [Pl.’s Mem.
4
The ALJ stated that Plaintiff could not perform his past relevant work as a kitchen helper if it involved leaving
the kitchen and entering a dining room area. [R. 46].
9
10]. Specifically, Plaintiff argues that the ALJ’s decision is not supported by substantial evidence
and improper legal standards were applied because: (1) the ALJ should have specifically considered
Listing 8.04 when making his physical RFC determination and the ALJ’s RFC findings did not
comply with SSR 96-8p, which requires a function by function analysis regarding various
restrictions; and (2) the ALJ did not properly identify Plaintiff’s mental limitations that were more
than minimal in making his mental RFC determination and the ALJ did not explain why Plaintiff’s
inability to work around the general public would not preclude him from working around coworkers
and supervisors. [Pl.’s Mem. 5-9].
IV.
Standard of Review
The only issues before this court are whether the record reveals substantial evidence to
sustain the ALJ’s decision and whether the correct legal standards were applied. 42 U.S.C. § 405(g);
Walden v. Schweiker, 672 F.2d 835, 838 (11th Cir. 1982); 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)
mandates 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;
“[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
10
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 1259.
V.
Discussion
After careful review, the court concludes that the ALJ’s decision is due to be affirmed for the
reasons discussed below.
A.
Substantial Evidence Supports the ALJ’s Physical RFC Findings
Plaintiff challenges the ALJ’s physical RFC findings on two separate grounds. First, Plaintiff
argues that rather than simply mentioning Listing 8.00 et seq., the ALJ should have specifically
considered listing 8.04 – chronic infections of the skin with extensive fungating or extensive
ulcerating skin lesions that persist for at least three months despite prescribed treatment. Second,
Plaintiff claims that the ALJ should have conducted a function-by function analysis in accordance
with Social Security Ruling 96-8p, 1996 WL 374184, at *3 (1996). The court addresses each of
these contentions in turn.
Regarding Plaintiff’s first argument, Plaintiff’s brief cites his treatment history for his foot
infections and states that “[i]t does not appear likely that Plaintiff could perform the requirements
of medium work, on his feet for a majority of the day (SSR 83-10) under these circumstances.” [Pl.’s
Mem. 6-7]. First, the court notes that the ALJ implicitly considered each listing under Section 8 by
referring to Listing 8.00 et seq. Second, Plaintiff states that “it does not appear likely” that Plaintiff
could walk and/or stand for approximately six (6) hours in an 8-hour work day, Plaintiff cites no
evidence to the contrary. Plaintiff fails to explain how the ALJ erred nor has he presented any
supporting arguments or legal authority on this claim. As it stands, the argument remains too
11
undeveloped for the court to make any determinations regarding it. See N.L.R.B. v. McClain of
Georgia, Inc., 138 F.3d 1418, 1422 (11th Cir. 1998) (“Issues raised in a perfunctory manner, without
supporting arguments and citations to authorities, are generally deemed to be waived.”).
Regarding Plaintiff’s second argument, Social Security Ruling 96-8p identifies the RFC
assessment as a “function-by-function assessment based upon all of the relevant evidence of an
individual’s ability to do work-related activities.” SSR 96-8p, 1996 WL 374184, at *3 (1996).
Plaintiff maintains that the ALJ erred in making his physical RFC findings because he only
addressed Plaintiff’s RFC in terms of lifting capacity and height and machinery restrictions, and not
other environmental factors including: extremes of temperature, humidity, noise, vibration, fumes,
odors, toxic conditions, dust, poor ventilation, and hazards. [See Pl.’s Mem. 7-8]. Defendant
counters that the ALJ specifically considered every piece of medical record that could possibility
support any environmental limitations, including one emergency room visit where Plaintiff
complained of shortness of breath., but that no physician imposed any work-related restrictions due
to Plaintiff’s mild bronchitis. [Def.’s Mem. 15]. In arriving at his physical RFC conclusions, the
ALJ specifically considered Plaintiff’s testimony and medical evidence (including treatment notes,
clinical findings, and diagnostic tests). [R. 41-44].
The ALJ referred to Plaintiff’s Cooper Green treatment notes recorded on the following
dates: February 20, 2009; March 1, 2009; April 3, 2009; and April 12, 2009. [R. 43]. The ALJ
stated that Plaintiff’s foot infection improved with each visit and that no streaking was observed. [R.
43]. The ALJ also discussed Dr. Goldfarb’s findings that suggested with proper medical care,
including a hearing aid, Plaintiff could be rehabilitated into an effective working citizen. [R. 43].
The ALJ also specifically referred to Plaintiff’s additional emergency room visits for his recurrent
12
athlete’s foot, one bronchitis diagnosis in March 2010, and shortness of breath in July 2010. [R. 4344].
After discussing this evidence of record in detail, the ALJ found that Plaintiff had suffered
from recurring foot infections and hearing loss; however, in the ALJ’s opinion, these alleged
disabling effects alleged by Plaintiff were not entirely supported by the record. [R. 44]. For example,
Plaintiff testified and also indicated in his Adult Function Report that he sought employment each
day, which according to the ALJ, was inconsistent with his alleged inability to work. [R. 44].
Moreover, although Plaintiff testified that his right ear was completely “dead,” Dr. Goldfarb opined
that a hearing aid would be beneficial. [R. 44]. Ultimately, the ALJ concluded that Plaintiff was
capable of medium work with no driving, no working around hazardous machinery, and no
unrestricted heights. [R. 44].
Although the ALJ did not discuss Plaintiff’s RFC in terms of any environmental restrictions,
the Eleventh Circuit has held that an ALJ’s failure to “more specific[ally] and explicit[ly] set forth
his findings with respect to a claimant’s “functional limitations and work-related ability on a
function-by-function basis” is excusable where it is apparent the ALJ did “consider all of the
evidence.” Freeman v. Barnhart, 220 F. App’x 957, 959-60 (11th Cir. 2007). Based upon a careful
review of the record, this court is satisfied that substantial evidence supports the ALJ’s finding that
Plaintiff retains the RFC for medium work with no driving, no working around hazardous machinery,
and no unrestricted heights. In reaching this conclusion, the ALJ clearly considered the record
evidence regarding any possible environmental limitations as demonstrated by his reference to
Plaintiff’s March 2010 bronchitis diagnosis and a subsequent visit to the emergency room
complaining of shortness of breath in July 2010. [R. 44]. Other than these two medical records,
13
the record is void of evidence suggesting Plaintiff should avoid working in or around fumes,
humidity, odors, dust, and other similar environmental conditions. No physician indicated the need
for any environmental restrictions based upon Plaintiff’s bronchitis and, in fact, several days after
Plaintiff was treated for bronchitis, Plaintiff’s treating psychiatrist observed that Plaintiff was
“currently asymptomatic” with no shortness of breath. [R. 320-321]. The fact that the ALJ did not
specifically state Plaintiff’s RFC in terms of any of these restrictions is harmless as the ALJ
considered the record as a whole and noted in great detail Plaintiff’s medical history and evidence
supporting the stated limitations and restrictions. See Freeman, 220 F. App’x at 959-60; see also
Carson v. Comm’r of Soc. Sec., 440 F. App’x 863, 864 (finding that the ALJ’s failure to adopt
further limitations on claimant’s ability to perform work related activities was proper where the
evidence or record did not support such limitations).
B.
Substantial Evidence Supports the ALJ’s Mental RFC Findings
Plaintiff next asserts that because the ALJ determined that Plaintiff’s bipolar disorder was
a “severe” impairment, he was bound to identify the limitations that were more than minimal under
a Psychiatric Review Technique (“PRT”) and a mental RFC and that he should have explained why
Plaintiff’s inability to work around the general public would not preclude him from working around
supervisors and coworkers. [Pl.’s Mem. 8-9]. Again, Plaintiff’s arguments miss the mark.
Here, the ALJ found Plaintiff has mild limitations in activities of daily living and no episodes
of decompensation. [R. 39-40]. Further, the ALJ determined Plaintiff has moderate limitations in
social functioning and in concentration, persistence, and pace. [R. 40]. The ALJ noted that his RFC
reflects the degree of limitation he found in considering these criteria. [R. 39]. Ultimately, the ALJ
concluded that Plaintiff could work “around things but not the general public.” [R. 41].
14
Although Plaintiff contends the ALJ should have considered other limitations that were more
than minimal under a PRT or mental RFC, Plaintiff neither cites authority for this proposition nor
identifies what other limitations the ALJ should have considered in making his mental RFC finding.
Moreover, Plaintiff cites no authority that requires an ALJ to have explained why Plaintiff’s bipolar
disorder permitted him to work around coworkers and supervisors but not the general public. It is
axiomatic that Plaintiff “bears the burden of proving that he is disabled, and consequently, he is
responsible for producing evidence in support of his claim.” Ellison v. Barnhart, 355 F.3d 1272,
1276 (11th Cir. 2003). Moreover, the ALJ is not required to include limitations in a VE
hypothetical question or RFC finding that are not supported by the record. Crawford v. Comm’r of
Soc. Sec., 363 F.3d 1155, 1161 (11th Cir. 2004). In his hypothetical questions to the VE during the
hearing, the ALJ specifically asked the VE about frequent and occasional contact with supervisors
and coworkers to which the VE responded that Plaintiff would not be precluded from any identified
jobs based on either restriction. [R. 108]. Further, Plaintiff testified that he was a good worker when
working in construction, which was a job requiring some contact with coworkers and supervisors.
[R. 42, 90]. The ALJ also commented that the medical evidence indicated that Plaintiff’s mood and
anger improved when he was taking prescribed medications. [R. 44]. Based upon a careful review
of the ALJ’s decision, the court concludes that the ALJ did not err in making his mental RFC
findings and that the findings are supported by substantial evidence.
VI.
Conclusion
For the reasons discussed 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.
15
Therefore, the Commissioner’s decision is due to be affirmed. A separate order in accordance with
the memorandum or decision will be entered.
DONE and ORDERED this
6th
day of May, 2013.
___________________________________
R. DAVID PROCTOR
UNITED STATES DISTRICT JUDGE
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