Tolbert v. Social Security Administration, Commissioner
Filing
11
MEMORANDUM OPINION. Signed by Judge Sharon Lovelace Blackburn on 8/16/16. (SMH)
FILED
2016 Aug-16 AM 10:51
U.S. DISTRICT COURT
N.D. OF ALABAMA
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ALABAMA
SOUTHERN DIVISION
ALFONSO TOLBERT,
Plaintiff,
vs.
CAROLYN W. COLVIN, Acting
Commissioner of Social Security,
Defendant.
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CASE NO. 2:15-CV-0516-SLB
MEMORANDUM OPINION
Plaintiff Alfonso Tolbert1 brings this action pursuant to 42 U.S.C. § 405(g),2 seeking
review of the Commissioner of Social Security’s final decision denying his application for
a period of disability, disability insurance benefits [“DIB”], and supplemental security
income [“SSI”]. Upon review of the record and the relevant law, the court is of the opinion
that the Commissioner’s decision is due to be affirmed.
I. PROCEDURAL HISTORY
Mr. Tolbert initially filed an application for DIB on June 7, 2012 and an application
for SSI on June 8, 2012. (Doc. 7-3 at R.10.)3 His applications were denied initially. (Id.;
1
The court notes that on some documents in the record Mr. Tolbert is referred to as
“Alfonsia.” (See, e.g., doc. 7-7 at R.169; doc. 7-8 at R.223.)
2
The judicial review provision for a disability insurance benefits claims, 42 U.S.C. §
405(g), also applies to claims for SSI, see 42 U.S.C. § 1383(c)(3).
3
Reference to a document number, [“Doc. ___”], refers to the number assigned to each
document as it is filed in the court’s record.
doc. 7-5 at R.69, R.74.) Thereafter, he requested a hearing before an Administrative Law
Judge [“ALJ”], which was held on July 17, 2013, in Birmingham, Alabama. (Doc. 7-5 at
R.83; doc. 7-3 at R.25.) After the hearing, the ALJ found that Mr. Tolbert was “capable of
making a successful adjustment to other work that exists in significant numbers in the
national economy.” (Doc. 7-3 at R.19.) In light of this finding, the ALJ denied Mr.
Tolbert’s claims for DIB and SSI on November 7, 2013. (Id.)
Mr. Tolbert then requested the Appeals Council to review the ALJ’s decision. (Id.
at R.6.) On January 30, 2015, the Appeals Council “found no reason under [its] rules to
review the Administrative Law Judge’s decision. Therefore, [it] denied [Mr. Tolbert’s]
request for review,” and the ALJ’s decision became the final decision of the Commissioner.
(Id. at R.1.)
Following denial of review by the Appeals Council, Mr. Tolbert filed the present
appeal in this court. (Doc. 1.)
II. STANDARD OF REVIEW
In reviewing claims brought under the Social Security Act, this court’s role is a
narrow one: “Our review of the Commissioner’s decision is limited to an inquiry into
whether there is substantial evidence to support the findings of the Commissioner, and
whether the correct legal standards were applied.” Wilson v. Barnhart, 284 F.3d 1219, 1221
(11th Cir. 2002); see also Lamb v. Bowen, 847 F.2d 698, 701 (11th Cir. 1988). The court
gives deference to factual findings and reviews questions of law de novo. Cornelius v.
Sullivan, 936 F.2d 1143, 1145 (11th Cir. 1991). The court “may not decide the facts anew,
2
reweigh the evidence, or substitute [its] judgment for that of the [Commissioner], rather [it]
must scrutinize the record as a whole to determine if the decision reached is reasonable and
supported by substantial evidence.” Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir.
1990)(quoting Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir.1983))(internal
quotations and other citation omitted). “The Commissioner’s factual findings are conclusive
if supported by substantial evidence.” Wilson, 284 F.3d at 1221 (citing Martin v. Sullivan,
894 F.2d 1520, 1529 (11th Cir. 1990); Allen v. Bowen, 816 F.2d 600, 602 (11th Cir. 1987)).
“Substantial evidence” is “more than a scintilla and is such relevant evidence as a reasonable
person would accept as adequate to support a conclusion.” Winschel v. Commissioner of
Social Sec., 631 F.3d 1176, 1178 (11th Cir. 2011)(internal quotations and citations omitted)
Conclusions of law made by the Commissioner are reviewed de novo. Cornelius, 936
F.2d at 1145. “No . . . presumption of validity attaches to the [Commissioner’s] conclusions
of law.” Wiggins v. Schweiker, 679 F.2d 1387, 1389 (11th Cir. 1982).
III. DISCUSSION
A. THE FIVE-STEP EVALUATION
The regulations require the Commissioner to follow a five-step sequential evaluation
to determine whether a claimant is eligible for a period of disability, DIB, and/or SSI. See
20 C.F.R. § 404.1520(a)(1)-(2); 20 C.F.R. § 416.920(a)(1)-(2); Bowen v. City of New York,
476 U.S. 467, 470 (1986). “[A]n individual shall be considered to be disabled for purposes
of [determining eligibility for DIB and SSI benefits] if [she] is unable to engage in any
substantial gainful activity by reason of any medically determinable physical or mental
3
impairment which can be expected to result in death or which has lasted or can be expected
to last for a continuous period of not less than twelve months.”
42 U.S.C. §
1382c(a)(3)(C)(1); see also 42 U.S.C. § 416(i)(1); 42 U.S.C. § 423(d)(1)(A). The specific
steps in the evaluation process are as follows:
1. Substantial Gainful Employment
First, the Commissioner must determine whether the claimant is engaged in
“substantial gainful activity.” Bowen v. Yuckert, 482 U.S. 137, 137 (1987). The regulations
define “substantial gainful activity” as “work activity that is both substantial and gainful.”4
20 C.F.R. § 404.1572; 20 C.F.R. § 416.972. If the claimant is working and that work is
substantial gainful activity, the Commissioner will find that the claimant is not disabled,
regardless of the claimant’s medical condition or his age, education, and work experience.
20 C.F.R. § 404.1520(b); 20 C.F.R. § 416.920(b). “Under the first step, the claimant has the
4
The regulations state:
(a) Substantial work activity. Substantial work activity is work activity that
involves doing significant physical or mental activities. Your work may be
substantial even if it is done on a part-time basis or if you do less, get paid
less, or have less responsibility than when you worked before.
(b) Gainful work activity. Gainful work activity is work activity that you do
for pay or profit. Work activity is gainful if it is the kind of work usually done
for pay or profit, whether or not a profit is realized.
(c) Some other activities. Generally, we do not consider activities like taking
care of yourself, household tasks, hobbies, therapy, school attendance, club
activities, or social programs to be substantial gainful activity.
20 C.F.R. § 404.1572; 20 C.F.R. § 416.972.
4
burden to show that she is not currently engaged in substantial gainful activity.”
Reynolds-Buckley v. Commissioner of Social Sec., 457 Fed. Appx. 862, 863 (11th Cir.
2012).5
The ALJ found that Mr. Tolbert had not engaged in substantial gainful activity since
May 9, 2012, the alleged onset date. (Doc. 7-3 at R.13.)
2. Severe Impairments
If the claimant is not engaged in substantial gainful activity, the Commissioner must
next determine whether the claimant suffers from a severe impairment or combination of
impairments that significantly limits the claimant’s physical or mental ability to do basic
work activities. 20 C.F.R. § 404.1520(a)(4)(ii), (c); 20 C.F.R. § 416.920(a)(4)(ii), (c). “[A]
‘physical or mental impairment’ is an impairment that results from anatomical, physiological,
or psychological abnormalities which are demonstrable by medically acceptable clinical and
laboratory diagnostic techniques.” 42 U.S.C. § 423(d)(3); 42 U.S.C. § 1382c(a)(3)(D). The
regulations provide: “[I]f you do not have any impairment or combination of impairments
which significantly limits your physical or mental ability to do basic work activities, we will
find that you do not have a severe impairment and are, therefore, not disabled. We will not
consider your age, education, and work experience.” 20 C.F.R. § 404.1520(c); 20 C.F.R.
§ 416.920(c). “An impairment can be considered as not severe only if it is a slight
5
Eleventh Circuit Rule 36-2 provides, in pertinent part, “An opinion shall be
unpublished unless a majority of the panel decides to publish it. Unpublished opinions are
not considered binding precedent, but they may be cited as persuasive authority.” 11th Cir.
R. 36-2 (emphasis added).
5
abnormality which has such a minimal effect on the individual that it would not be expected
to interfere with the individual’s ability to work, irrespective of age, education, or work
experience.” Brady v. Heckler, 724 F.2d 914, 920 (11th Cir. 1984); see also 20 C.F.R. §
404.1521(a); 20 C.F.R. § 416.921(a). A claimant may be found disabled based on a
combination of impairments even though none of the individual impairments alone are
disabling. Walker v. Brown, 826 F.2d 996, 1001 (11th Cir. 1985); see also 20 C.F.R. §
404.1523; 20 C.F.R. § 416.923. A claimant has the burden to show that she has a severe
impairment or combination of impairments. Reynolds-Buckley, 457 Fed. Appx. at 863.
The ALJ found that Mr. Tolbert had the severe impairments of chest pain, leg pain,
and foot pain. (Doc. 7-3 at R.13.)
3. The Listings
If the claimant has a severe impairment, the Commissioner must then determine
whether the claimant’s impairment meets the durational requirement and whether it is
equivalent to any one of the listed impairments, which are impairments that are so severe as
to prevent an individual with the described impairment from performing substantial gainful
activity. 20 C.F.R. § 404.1520(a)(4)(iii), (d)-(e); 20 C.F.R. § 416.920(a)(4)(iii), (d)-(e); see
20 C.F.R. pt. 404, Subpart P, Appendix 1 [The Listings]. If the claimant’s impairment meets
or equals a Listing, the Commissioner must find the claimant disabled, regardless of the
claimant’s age, education, and work experience. 20 C.F.R. § 404.1520(d); 20 C.F.R. §
416.920(d). The claimant has the burden of proving that his impairment meets or equals the
criteria contained in one of the Listings. Reynolds-Buckley, 457 Fed. Appx. at 863.
6
The ALJ found that Mr. Tolbert did not have an impairment or combination of
impairments that met or medically equaled a Listing. (Doc. 7-3 at R.13.)
4. Residual Functional Capacity and Past Relevant Work
If the impairment does not meet or equal the criteria of a Listing, the claimant must
prove that his impairment prevents him from performing his past relevant work. See 20
C.F.R. § 404.1520(a)(4)(iv), (f); 20 C.F. R. § 416.920(a)(4)(iv), (f). At step four, the
Commissioner “will first compare [her] assessment of [the claimant’s] residual functional
capacity [“RFC”] with the physical and mental demands of [the claimant’s] past relevant
work.” 20 C.F.R. § 404.1560(b); 20 C.F.R. § 416.960(b). “Past relevant work is work that
[the claimant has] done within the past 15 years, that was substantial gainful activity, and
that lasted long enough for [him] to learn to do it.” 20 C.F.R. § 404.1560(b)(1); 20 C.F.R.
§ 416.960(b)(1). If the claimant is capable of performing his past relevant work, the
Commissioner will find he is not disabled. 20 C.F.R. § 404.1560(e); 20 C.F.R. § 416.920(e).
The claimant bears the burden of establishing that the impairment prevents him from
performing past work. Reynolds-Buckley, 457 Fed. Appx. at 863.
The ALJ found that Mr. Tolbert had the RFC “to perform medium work . . . which
allows occasional climbing and no work with hazardous machinery.”6 (Doc. 7-3 at R.14.)
6
“Medium work involves lifting no more than 50 pounds at a time with frequent lifting
or carrying of objects weighing up to 25 pounds.” 20 C.F.R. § 404.1567(c); 20 C.F.R.
§416.967(c). Although the regulations do not contain any reference to the claimant’s ability
to stand or walk, the Commissioner has stated:
3. Medium work. The regulations define medium work as lifting no more than
7
The ALJ also found that Mr. Tolbert could not perform his past relevant work because such
work was performed at medium to heavy exertional levels in excess of the restrictions
assessed in his RFC. (Id. at R.17.)
As for Mr. Tolbert’s other vocational factors, the ALJ found Mr. Tolbert was 59 years
old, an individual of advanced age, on the alleged onset date. (Id.) He had a high school
education plus one year of college course work and was able to communicate in English.
50 pounds at a time with frequent lifting or carrying of objects weighing up to
25 pounds. A full range of medium work requires standing or walking, off and
on, for a total of approximately 6 hours in an 8-hour workday in order to meet
the requirements of frequent lifting or carrying objects weighing up to 25
pounds. As in light work, sitting may occur intermittently during the
remaining time. Use of the arms and hands is necessary to grasp, hold, and
turn objects, as opposed to the finer activities in much sedentary work, which
require precision use of the fingers as well as use of the hands and arms.
The considerable lifting required for the full range of medium work usually
requires frequent bending-stooping[.] (Stooping is a type of bending in which
a person bends his or her body downward and forward by bending the spine
at the waist.) Flexibility of the knees as well as the torso is important for this
activity. (Crouching is bending both the legs and spine in order to bend the
body downward and forward.) However, there are a relatively few
occupations in the national economy which require exertion in terms of
weights that must be lifted at times (or involve equivalent exertion in pushing
or pulling), but are performed primarily in a sitting position, e.g., taxi driver,
bus driver, and tank-truck driver (semiskilled jobs). In most medium jobs,
being on one's feet for most of the workday is critical. Being able to do
frequent lifting or carrying of objects weighing up to 25 pounds is often more
critical than being able to lift up to 50 pounds at a time.
Titles II & XVI: Determining Capability to Do Other Work – the Medical-Vocational Rules
of Appendix 2, SSR 83-10 at *6.
8
(Id.) Also, he found that whether Mr. Tolbert had any transferable job skills was not
material to his decision. (Id.)
5. Other Work in the National Economy
If the claimant establishes that he is unable to perform his past relevant work, the
Commissioner must show that the claimant – in light of his RFC, age, education, and work
experience – is capable of performing other work that exists in substantial numbers in the
national economy. Reynolds-Buckley, 457 Fed. Appx. at 863; see also 20 C.F.R. §
404.1520(c)(1); 20 C.F.R. § 416.920(c)(1). The regulations provide:
If we find that your residual functional capacity is not enough to enable
you to do any of your past relevant work, we will use the same residual
functional capacity assessment we used to decide if you could do your past
relevant work when we decide if you can adjust to any other work. We will
look at your ability to adjust to other work by considering your residual
functional capacity and your vocational factors of age, education, and work
experience. Any other work (jobs) that you can adjust to must exist in
significant numbers in the national economy (either in the region where you
live or in several regions in the country).
20 C.F.R. § 404.1560(c)(1); 20 C.F. R. § 416.960(c)(1). If the claimant is not capable of
performing such other work, the Commissioner must find the claimant is disabled. 20 C.F.R.
§ 404.1520(f); 20 C.F.R. § 416.920(f).
If, however, the Commissioner finds that the
claimant can perform other work, the claimant has the burden to prove he in not capable of
performing such other work.7
7
The Eleventh Circuit has noted:
In practice, the burden temporarily shifts at step five to the Commissioner. See
Jones [v. Apfel], 190 F.3d [1224,] 1228 [(11th Cir. 1999)]. The Commissioner
9
Because the ALJ found Mr. Tolbert could not perform a full range of medium work,
he consulted a Vocational Expert [VE] to determine whether any jobs exist in the national
economy that Mr. Tolbert, considering his RFC and his vocational factors, could perform.
The VE testified that an individual with Mr. Tolbert’s limitations and vocational factors
could perform the jobs of night cleaner, hand packer, and laborer, which are jobs that exist
in significant numbers in the national economy. (Doc. 7-3 at R.18, R.47-48.) Based on this
testimony, the ALJ found Mr. Tolbert could perform other work and, therefore, was not
under a disability from May 9, 2012, through November 7, 2013. (Id. at R.19.)
B. TOLBERT’S ISSUE ON APPEAL
Mr. Tolbert raises a single issue on appeal: whether the ALJ improperly evaluated the
credibility of his testimony under the Eleventh Circuit Pain Standard. He contends that the
ALJ erred in finding his pain was not disabling based on the medical evidence and his limited
daily activities.
must produce evidence that there is other work available in significant
numbers in the national economy that the claimant has the capacity to perform.
See id. In order to be considered disabled, the claimant must then prove that
he is unable to perform the jobs that the Commissioner lists. See id. The
temporary shifting of the burden to the Commissioner was initiated by the
courts, and is not specifically provided for in the statutes or regulations. See
Brown v. Apfel, 192 F.3d 492, 498 (5th Cir. 1999)(quoting Walker v. Bowen,
834 F.2d 635, 640 (7th Cir. 1987)( “The shifting of the burden of proof is not
statutory, but is a long-standing judicial gloss on the Social Security Act”)).
Doughty v. Apfel, 245 F.3d 1274, 1278 n.2 (11th Cir. 2001).
10
In this Circuit –
When a claimant attempts to establish a disability through [his] own
testimony concerning pain or other subjective symptoms, [the court applies]
a three-part test, which requires (1) evidence of an underlying medical
condition; and (2) either (a) objective medical evidence that confirms the
severity of the alleged pain stemming from that condition, or (b) that the
objectively determined medical condition is of a severity that can reasonably
be expected to cause the alleged pain. Wilson v. Barnhart, 284 F.3d 1219,
1225 (11th Cir. 2002)(per curiam). “After considering a claimant's complaints
of pain, the ALJ may reject them as not creditable, and that determination will
be reviewed for substantial evidence.” Marbury v. Sullivan, 957 F.2d 837,
839 (11th Cir. 1992)(per curiam). The ALJ must explicitly and adequately
articulate his reasons if he discredits subjective testimony. Id.
If the record shows that the claimant has a medically determinable
impairment that could reasonably be expected to produce [his] symptoms, the
ALJ must evaluate the intensity and persistence of the symptoms in
determining how they limit the claimant's capacity for work. 20 C.F.R.
§404.1529(c)(1). In doing so, the ALJ must consider all of the record,
including the objective medical evidence, the claimant's history, and
statements of the claimant and [his] doctors. Id. § 404.1529(c)(1)-(2). The
ALJ may consider other factors, such as: (1) the claimant's daily activities; (2)
the location, duration, frequency, and intensity of the claimant's pain or other
symptoms; (3) any precipitating and aggravating factors; (4) the type, dosage,
effectiveness, and side effects of the claimant's medication; (5) any treatment
other than medication; (6) any measures the claimant used to relieve [his] pain
or symptoms; and (7) other factors concerning the claimant's functional
limitations and restrictions due to [his] pain or symptoms. Id. §
404.1529(c)(3). The ALJ must then examine the claimant's statements
regarding [his] symptoms in relation to all other evidence, and consider
whether there are any inconsistencies or conflicts between those statements
and the record. Id. § 404.1529(c)(4).
Costigan v. Comm'r, Soc. Sec. Admin., 603 Fed. Appx 783, 786-87 (11th Cir. 2015).
Based on its review of the record before the Commissioner, this court finds that the
ALJ properly applied the pain standard and his determination regarding Mr. Tolbert’s
credibility is supported by substantial evidence. In his decision, the ALJ found, “While the
11
claimant may reasonably be expected to experience some pain and limitations, the
preponderance of credible evidence fails to corroborate the assertions of a complete inability
to perform all substantial gainful activity, particularly those activities which would not
require climbing. Any contention to the contrary is not fully credible.” (Doc. 7-3 at R.17.)
Mr. Tolbert contends that this finding is not supported by substantial evidence because the
ALJ “failed to properly consider the medical evidence which . . . supports the testimony of
significant limitations due to leg and chest pain,” and he “accepted the Plaintiff’s reports of
[his daily activities] but ignored the limits the Plaintiff described as to those activities.”
(Doc. 9 at 5, 8.)
A. MEDICAL EVIDENCE
In his Decision, the ALJ discussed the evidence of Mr. Tolbert’s limited medical
treatment:
The medical evidence illustrates that on April 24, 2011, the claimant presented
to Cooper Green Hospital with complaints of chest pain. [(Doc. 7-8 at
R.192.)] Diagnostic testing included a normal myocardial perfusion imaging
and cardiovascular stress test with no chest pain or EKG changes. [(Id. at
R.196, R.198, R.216, R.218.)] Chest x-rays indicated a normal heart center
with clear lungs. [(Id. at R.219.)] The claimant then underwent an upper and
lower endoscopy with results indicating mild gastritis. [(Id. at R.200-01] The
claimant was placed on anti-hypertensive medication, instructed as to diet, and
advised to quit smoking.8 [(Id. at R.198.)]
8
The note in the medical record actually states, “The patient was counseled
extensively on his need for tobacco cessation given his other comorbid conditions.” (Doc.
7-8 at R.198 [emphasis added].) Other record evidence shows that Mr. Tolbert was told to
stop smoking on at least one other occasion. (See id. at R.241.)
12
On June 30, 2012, Ashley Holdridge, DO, examined the claimant at the
request of the state agency. [(See id. at R.223.)] Dr. Holdridge interviewed
the claimant and noted his report of a 20-year history of leg pain since a
broken left fibula and tibula. [(Id.)] The claimant reported a burning
sensation in the right knee and leg for the past three to four years. [(Id.)] He
reported the pain occurred mostly with walking and is relieved by rest. [(Id.)]
Upon examination, Dr. Holdridge observed the claimant to get on and off the
examination table without assistance. [(Id. at R.224.)] The claimant was 5'9"
in height with a weight of 167 pounds and blood pressure of 166/124. [(Id.)]
The claimant had reduced range of motion in his knees, but normal range of
motion in the back and upper extremities. [(Id. at R.225-26.)] The claimant
had 5/5 motor strength, 5/5 grip strength, good muscle bulk, and good tone.
[(Id. at R.226.)] He had 2+ deep tendon reflexes throughout. [(Id.)] The
diagnostic impression was osteoarthritis9 and possible peripheral vascular
disease given the calf pain with walking.10 [(Id.)]
On December 14, 2012, the claimant presented to the Cooper Green
emergency room with complaint of moderate chest pain of two hours duration.
[(Id. at R.233.)] The claimant reported the pain increased with walking.
[(Id.)] Chest x-rays showed no significant abnormality.11 [(Id. at R.242.)] He
had regular heart rate and rhythm with no murmurs, gallops, or rubs.12 [(Id.
at R.241.)] He had no peripheral edema, normal peripheral pulses, and normal
9
Dr. Holdridge noted, “It appears that the claimant’s knee pain could be attributed to
arthritis. He did have this accident, however, it involved his tibia and fibula and not really
his knee. Therefore, it is unclear why he has left knee pain other than possibly osteoarthritis.
The claimant has full range of motion. No crepitus or effusions were noted. The claimant
is able to ambulate without assistance.” (Doc. 7-8 at R.226.)
10
Dr. Holdridge noted, “The claimant has no records to review to see if this has been
evaluated, . . . but his symptoms sound consistent with peripheral vascular disease. Given
that he is a smoker, this is a likely diagnosis.” (Id.)
11
The x-rays showed, “The lung fields are clear. The heart, mediastinum and bony
thorax are normal.” (Id. at R.242.)
12
This finding appears to be from an examination conducted on November 13, 2012.
(See id. at R.241.) However, the examination on December 14, 2012, was similar. The
examination was negative for palpitations, shortness of breath, and leg edema; his “heart
sound[ed] normal.” (Id. at R.233-34.)
13
breath sounds.13 [(Id.)] The claimant was discharged with a referral to the
surgery clinic for hemorrhoids. [(Id. at R.236.)] On April 17, 2013, the
claimant presented with atypical angina chest pain with exertion and
claudication with walking down the length of the hall. An electrocardiogram
was normal. [(Id. at R.247.)] Chart notes indicated a referral to cardiology.
[(Id.)]
On May 22, 2013, the claimant went to the cardiology clinic where he
received prescriptions for Trental for peripheral artery disease; Norvasc for
blood pressure; and enteric coated aspirin.14 [(See id. at R.255-56.)] The
claimant had an allergic reaction to Lisinopril and received additional written
instructions not to take Lisinopril or any other ACE-Inhibitor medications ever
again. [(Id. at R.257 see id. ast 249.)]
(Doc. 7-3 at 15-16 [footnotes added; original citations omitted].)
The medical evidence does not support Mr. Tolbert’s claims of disabling chest and
leg/foot pain. Although he has several presentations complaining of chest pain and testified
that his chest pain was exacerbated by any activity, including showering, he did not complain
of chest pain during his consultative examination with Dr. Holdridge. He did, however,
complain of neck pain and knee pain, which are not mentioned in any other medical records.
Certainly, Mr. Tolbert’s failure to mention his chest pain during the consultative examination
is inconsistent with his testimony that most exertions cause chest pain. Moreover, other than
13
See, supra, note 12.
14
The record contains no treatment notes from the visit to the cardiology clinic.
However, this visit may be inferred by records of prescriptions from around this time which
are in the record. (See id. at R.254-56.) Mr. Tolbert testified that he was told he needed a
stent, but nothing in the medical records supports this statement. The need for a stent is not
supported by medical tests that are in the record.
14
evidence of prescriptions, the record contains no evidence of any other treatment for PAD
or leg/foot pain.
The record is largely devoid of any objective evidence of a medical condition of
sufficient severity to cause disabling pain and it contains only sporadic treatment notes of
conservative treatment. The lack of abnormal test results or findings and only sporadic,
conservative treatment are inconsistent with Mr. Tolbert’s testimony that he suffers disabling
pain that prevents him from walking short distances, standing for longer than an hour, or
otherwise performing work activity at a medium level of exertion.
The court finds that the ALJ’s determination that Mr. Tolbert’s testimony was not
entirely credible as it was inconsistent with the medical record is supported by substantial
evidence and will not be disturbed.
B. DAILY ACTIVITIES
After discussing Mr. Tolbert’s medical evidence, the ALJ stated:
The undersigned notes the claimant's report of driving his daughter, his friend,
and his grandchild daily to their respective jobs or school and then picking
them up at the end of the day. The claimant testified to no problems with
taking care of personal hygiene or helping his friend around the house. . . .
While the claimant may reasonably be expected to experience some pain and
limitations, the preponderance of credible evidence fails to corroborate the
assertions of a complete inability to perform all substantial gainful activity,
particularly those activities which would not require climbing. Any contention
to the contrary is not fully credible.
(Doc. 7-3 at R.16.) Mr. Tolbert contends, “A review of the record demonstrates the
Plaintiff’s activities are not as substantial as the ALJ claimed.” (Doc. 9 at 8.) He objects
to the ALJ not mentioning his statements that “[1] he takes his daughter to work and may try
15
to wash some dishes[, (doc. 7-3 at R.32);] [2] . . . he takes his grandchild to school[,] (id. at
40),] [h]owever, . . . when he comes home, he sits down and ‘rests up’ until it is time to pick
them up[, (id.);] [3] he lives with a friend who helps with the cleaning and cooking and
washes clothes occasionally[, (doc. 7-8 at R.224 [emphasis added]).” (Doc. 9 at 9.)
The court finds the ALJ’s description of Mr. Tolbert’s daily activities – “driving his
daughter, his friend, and his grandchild daily to their respective jobs or school and then
picking them up at the end of the day” and “taking care of personal hygiene or helping his
friend around the house” – accurately described the substance of Mr. Tolbert’s daily
activities.15 (Doc. 7-3 at R.16.) The ALJ did not state specifically that Mr. Tolbert had
testified he rested during the day or that he “help[ed] his friend out around the house” only
on occasion, but the ALJ did not imply activities to the contrary. Moreover, driving every
day to three different locations, taking care of his personal hygiene, and helping out around
the house to any degree is inconsistent with Mr. Tolbert’s testimony that any significant
exertion causes him pain to the extent he must sit down and rest. (See doc. 7-3 at 29
15
The ALJ’s statement closely follows Mr. Tolbert’s description of his daily activities
in his Function Report – Adult:
Describe what you do from the time you wake up until going to bed.
Take my friend[’s] daughter to work, take daughter’s child to school, take
friend to work, [try] to do housework. Pick up friend’s daughter from work,
pick up friend from work, watch T.V., go to bed.
(Doc. 7-7 at R.162.) He also stated that he was able to do “laundry, household repair, [and]
vacuum,” which he performed “once or twice every two or three weeks.” (Id. at R.164.)
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[“[W]hen I walk I have leg pains and it goes over to my foot then my foot hurts[;] I have foot
pain. Most anything I do[,] including showering, I have chest pain.”], 32-33 [“Q And in
regard to the chest pain can you describe how often you experience chest pains? A Just
anything I do, any kind of activity.”].)
In a similar case in which the claimant raised the issue of her limited daily activities,
this court held:
Plaintiff argues, however, that “‘participation in everyday activities of
short duration, such as housework or fishing’ does not disqualify a claimant
from disability and does not establish that a claimant can perform sedentary
work.” (Doc. 8 at 9)(quoting Lewis v. Callahan, 125 F.3d 1436, 1441 (11th
Cir.1997)). This argument might be more persuasive if plaintiff's daily
activities were the only reason that the ALJ discredited her testimony, or, as
in Lewis, if the ALJ had been up against two treating physicians who opined
that the plaintiff was disabled. Lewis, 125 F.3d at 1441. But the language
omitted from plaintiff's excerpt shows that Lewis does not help her much:
“Nor do we believe that participation in everyday activities of short duration,
such as housework or fishing, disqualifies a claimant from disability or is
inconsistent with the limitations recommended by Lewis's treating physicians.”
Id. (emphasis added). In this case, plaintiff has no limitations recommended
by her treating physicians, nor does the ALJ's decision rely heavily on
plaintiff's daily activities. The ALJ found that she goes shopping, drives up to
an hour and a half, and goes to church twice a week. (Doc. 6-3 at 18); (see
doc. 6-7 at 44-45; doc. 6-3 at 36). These activities simply made up one piece
of the substantial evidence upon which the ALJ relied to discredit plaintiff's
own characterization of the effects of her symptoms.
Hollis v. Colvin, No. 7:12-CV-2833-SLB, 2014 WL 721947, at *6 (N.D. Ala. Feb. 21,
2014)(footnote omitted; emphasis in original).
While the ALJ recognized that Mr. Tolbert experiences some recurrent leg and chest
pain, he found “no indiction of any ongoing limitations or restrictions that would preclude
the claimant from all work.” (Doc. 7-3 at R.16). This finding was not based solely on Mr.
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Tolbert’s limited daily activities. However, the court finds that his daily activities, as found
by the ALJ and supported by substantial evidence, are inconsistent with his testimony that
the intensity and persistence of his pain prohibits virtually all exertional activity. The court
finds no error in the ALJ’s discussion of Mr. Tolbert’s daily activities as they reflect upon
his credibility.
Based on the foregoing, the decision of the ALJ, as adopted by the Commissioner,
denying Mr. Tolbert’s claim for a period of disability, DIB, and SSI is due to be affirmed.
CONCLUSION
For the reasons set forth above, the decision of the Commissioner is due to be
affirmed.
An Order affirming the decision of the Commissioner will be entered
contemporaneously with this Memorandum Opinion.
DONE this 16th day of August, 2016.
SHARON LOVELACE BLACKBURN
SENIOR UNITED STATES DISTRICT JUDGE
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