Craig v. Social Security Administration, Commissioner
Filing
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MEMORANDUM OPINION. Signed by Magistrate Judge Staci G Cornelius on 3/29/18. (MRR, )
FILED
2018 Mar-29 PM 04:18
U.S. DISTRICT COURT
N.D. OF ALABAMA
UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF ALABAMA
SOUTHERN DIVISION
IRA KWAN DARIES CRAIG,
Plaintiff,
v.
SOCIAL SECURITY
ADMINISTRATION,
COMMISSIONER,
Defendant.
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Case No.: 2:16-cv-02011-SGC
MEMORANDUM OPINION1
Plaintiff Ira Kwan Daries Craig appeals from the decision of the
Commissioner of the Social Security Administration ("Commissioner") denying
his application for Supplemental Security Income ("SSI"). (Doc. 1). Plaintiff
timely pursued and exhausted his administrative remedies, and the decision of the
Commissioner is ripe for review pursuant to 42 U.S.C. §§ 405(g), 1383(c)(3). For
the reasons stated below, the Commissioner's decision is due to be affirmed.
I.
FACTS, FRAMEWORK, AND PROCEDURAL HISTORY
Plaintiff was fifty years old on the date he filed the instant application and
was fifty-two at the time of the Administrative Law Judge's ("ALJ's") decision.
(See R. 22, 24). Plaintiff had at least a high school education and speaks English.
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The parties have consented to magistrate judge jurisdiction pursuant to 28 U.S.C. § 636(c).
(Doc. 9).
(R. 23). Plaintiff has past work experience as a salesman, ending in 1998; he
subsequently worked at a carwash for approximately six months in 2011. (R. 38,
50). Plaintiff alleges a disability onset of September 5, 2009, due to a bulging disc,
diabetes, and high blood pressure. (R. 155; see R. 16).
When evaluating the disability of individuals over the age of eighteen, the
regulations prescribe a five-step sequential evaluation process. See 20 C.F.R. §§
404.1520, 416.920; Doughty v. Apfel, 245 F.3d 1274, 1278 (11th Cir. 2001). The
first step requires a determination whether the claimant is performing substantial
gainful activity ("SGA").
20 C.F.R. § 404.1520(a)(4)(i).
If the claimant is
engaged in SGA, he or she is not disabled and the evaluation stops. Id. If the
claimant is not engaged in SGA, the Commissioner proceeds to consider the
combined effects of all the claimant's physical and mental impairments. 20 C.F.R.
§§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii). These impairments must be severe and
must meet durational requirements before a claimant will be found disabled. Id.
The decision depends on the medical evidence in the record. See Hart v. Finch,
440 F.2d 1340, 1341 (5th Cir. 1971). If the claimant's impairments are not severe,
the analysis stops. 20 C.F.R. §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii). Otherwise,
the analysis continues to step three, at which the Commissioner determines
whether the claimant's impairments meet the severity of an impairment listed in 20
C.F.R. Part 404, Subpart P, Appendix 1.
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20 C.F.R. §§ 404.1520(a)(4)(iii),
416.920(a)(4)(iii). If the impairments fall within this category, the claimant will be
found disabled without further consideration. Id. If the impairments do not fall
within the listings, the Commissioner determines the claimant's residual functional
capacity ("RFC"). 20 C.F.R. §§ 404.1520(e), 416.920(e).
At step four the Commissioner determines whether the impairments prevent
the claimant from returning to past relevant work.
20 C.F.R. §§
404.1520(a)(4)(iv), 416.920(a)(4)(iv). If the claimant is capable of performing
past relevant work, he or she is not disabled and the evaluation stops. Id. If the
claimant cannot perform past relevant work, the analysis proceeds to the fifth step,
at which the Commissioner considers the claimant's RFC, as well as the claimant's
age, education, and past work experience, to determine whether he or she can
perform other work. Id.; 20 C.F.R. §§ 404.1520(a)(4)(v), 416.920(a)(4)(v). If the
claimant can do other work, he or she is not disabled. Id.
Applying the sequential evaluation process, the ALJ found Plaintiff had not
engaged in SGA since the alleged onset of his disability. (R. 18). At step two, the
ALJ found Plaintiff suffered from the single, severe impairment of degenerative
disc disease ("DDD") of the lumbar spine. (R. 18-19). The ALJ further found
Plaintiff suffered from the non-severe impairments of diabetes mellitus,
hypertension, ocular hypertension, asthma, hyperlipidemia, and suspicion of
glaucoma. (Id.).
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At step three, the ALJ found Plaintiff did not have an impairment or
combination of impairments meeting or medically equaling any of the listed
impairments. (R. 19-20). Before proceeding to step four, the ALJ determined
Plaintiff had the RFC to perform light work as defined in 20 C.F.R. § 416.967(c),
except that he could only frequently crawl and climb ladders, ropes, or scaffolds.
(R. 20-22).
At step four, the ALJ determined Plaintiff had no past relevant work. (R.
22). Because the Plaintiff's RFC did not allow for the full range of medium work,
the ALJ relied on the testimony of a vocational expert in finding a significant
number of jobs in the national economy Plaintiff can perform. (R. 23). The ALJ
concluded by finding Plaintiff was not disabled. (R. 24).
II.
STANDARD OF REVIEW
A court's role in reviewing claims brought under the Social Security Act is a
narrow one. The scope of its review is limited to determining (1) whether there is
substantial evidence in the record as a whole to support the findings of the
Commissioner, and (2) whether the correct legal standards were applied. See Stone
v. Comm'r of Soc. Sec., 544 F. App'x 839, 841 (11th Cir. 2013) (citing Crawford v.
Comm'r of Soc. Sec., 363 F.3d 1155, 1158 (11th Cir. 2004)). A court gives
deference to the factual findings of the Commissioner, provided those findings are
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supported by substantial evidence, but applies close scrutiny to the legal
conclusions. See Miles v. Chater, 84 F.3d 1397, 1400 (11th Cir. 1996).
Nonetheless, a court may not decide facts, weigh evidence, or substitute its
judgment for that of the Commissioner. Dyer v. Barnhart, 395 F.3d 1206, 1210
(11th Cir. 2005) (quoting Phillips v. Barnhart, 357 F.3d 1232, 1240 n.8 (11th Cir.
2004)). "The substantial evidence standard permits administrative decision makers
to act with considerable latitude, and 'the possibility of drawing two inconsistent
conclusions from the evidence does not prevent an administrative agency's finding
from being supported by substantial evidence.'" Parker v. Bowen, 793 F.2d 1177,
1181 (11th Cir. 1986) (Gibson, J., dissenting) (quoting Consolo v. Fed. Mar.
Comm'n, 383 U.S. 607, 620 (1966)). Indeed, even if a court finds that the proof
preponderates against the Commissioner's decision, it must affirm if the decision is
supported by substantial evidence.
Miles, 84 F.3d at 1400 (citing Martin v.
Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990)).
No decision is automatic, for "despite th[e] deferential standard [for review
of claims], it is imperative that th[is] Court scrutinize the record in its entirety to
determine the reasonableness of the decision reached." Bridges v. Bowen, 815
F.2d 622, 624 (11th Cir. 1987) (citing Arnold v. Heckler, 732 F.2d 881, 883 (11th
Cir. 1984)). Moreover, failure to apply the correct legal standards is grounds for
reversal. See Bowen v. Heckler, 748 F.2d 629, 635 (11th Cir. 1984).
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III.
DISCUSSION
Plaintiff's principal argument on appeal is based on a prior SSI application
that was denied on September 12, 2008, approximately one year prior to the
disability onset alleged in the instant application. (Doc. 12 at 7). Plaintiff states
the prior application was denied after a hearing at which the ALJ found he suffered
from the severe impairments of "back disorder not otherwise specified, diabetes
mellitus, hypertension, status post cyst removal, and status post nasal surgery."
(Id.). Plaintiff alleges the prior ALJ assigned an RFC for medium work limited to
occasional bending, climbing, and stooping and precluding pushing and/or pulling
with the left leg. (Id.). Accordingly, Plaintiff contends the ALJ failed to follow
the law of the case under the analysis employed in Bloodsaw v. Apfel, 105 F. Supp.
2d 1223 (N.D. Ala. 2000). Specifically, Plaintiff contends the ALJ erred in finding
he suffered from only one severe impairment and in assigning a less restrictive
RFC. (Doc. 12 at 7-8).
As the Commissioner notes, Plaintiff's theory regarding the prior disability
determination suffers from at least two flaws. First, it appears the prior application
was decided at the initial level and that Plaintiff never sought an ALJ hearing. (See
R. 39-40, 138). While Plaintiff states the prior application was adjudicated after a
hearing and purports to attach the prior ALJ's decision as an exhibit, Plaintiff's
brief is unaccompanied by exhibits. (Doc. 12 at 2 n.1). Accordingly, Plaintiff has
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not produced or pointed to any prior decision from which to analyze his arguments
regarding res judicata or law of the case.
Nor has Plaintiff replied to the
Commissioner's statements regarding the procedural posture of the prior
determination or its absence from the record.
Moreover, even assuming Plaintiff's description of a prior decision is
accurate, it would not be entitled to any preclusive effect. The instant application
alleges a disability onset date of September 5, 2009. As described the by Plaintiff,
the prior application was denied on September 12, 2008.
(Doc. 12 at 1).
Accordingly, the prior application concerned an earlier time period, entirely
distinct from the period relevant to the instant petition. The Eleventh Circuit has
repeatedly held, albeit in unpublished decisions, that prior findings and RFC
assessments concerning different and distinct periods of time have no preclusive
effect on a subsequent, unadjudicated period. Moreno v. Astrue, 366 F. App'x 23,
27 (11th Cir. 2010); McKinzie v. Comm'r of Soc. Sec., 362 F. App'x 71, 73 (11th
Cir. 2010); Luckey v. Astrue, 331 F. App'x 634, 638 (11th Cir. 2009). For the
foregoing reasons, any determinations made in the prior decision described by
Plaintiff would not constitute the law of the case and would not be entitled to
preclusive effect.
Having addressed Plaintiff's arguments regarding law of the case, what
remains is Plaintiff's contention that the ALJ's RFC determination underestimated
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the severity of his back problems. (Doc. 12 at 8-10).2 In support of this argument,
Plaintiff points to diagnostic testing, examination findings, diagnoses, and
procedures he underwent. (Id.). Plaintiff contends this evidence shows his August
16, 2013 lumbar laminectomy was not effective and that he continued to suffer
from debilitating pain and limitations. (Doc. 12 at 10).
As an initial matter, while Plaintiff has pointed to diagnoses, the mere
existence of a medical condition or impairment does not shed light on the ability to
work.
E.g. Moore v. Barnhart, 405 F.3d 1208, 1213 n.6 (11th Cir. 2005).
Liberally construed, Plaintiff appears to contend the ALJ erred in rejecting his
testimony of disabling pain. (R. 12 at 8-10). As discussed below, the ALJ's
decision, including his finding that Plaintiff's testimony was less than fully
credible, is supported by substantial evidence and complies with applicable law.
During the hearing, Plaintiff testified he suffered from severe back pain. (R.
43-48). Plaintiff testified the severity of his back pain prevents him from sitting
for more than ten minutes without changing positions; Plaintiff noted he often has
to lie down and elevate his leg due to pain. (R. 43-45). Plaintiff further claimed
2
Plaintiff also notes the ALJ described him as a "younger individual." (Doc. 12 at 4). Because
Plaintiff was 50 when he filed the application and 52 at the time of the ALJ's decision, he
contends he should have been classified as "closely approaching advanced age." (Id.). While
Plaintiff is correct that individuals over 50 are properly categorized as closely approaching
advanced age, he makes no legal argument regarding his age category. For whatever it is worth,
the ALJ noted Plaintiff's age category was "subsequently changed . . . to closely approaching
advanced age." (R. 22). In any event, it appears any mistake in this regard is inconsequential
here. See Miller v. Comm'r of Soc. Sec. Admin., 241 F. App'x 631, 635 (11th Cir. 2007).
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that, without medication, his pain level was eight or nine on a ten-point ascending
scale; Plaintiff rated his pain as five out of ten with medication. (R. 45). However,
Plaintiff testified his pain medication made him drowsy. (R. 47). The ALJ found
Plaintiff's testimony regarding the intensity, persistence, and limiting effects of his
pain to be less than entirely credible. (R. 21).
Subjective testimony of pain and other symptoms may establish the presence
of a disabling impairment if it is supported by medical evidence. See Foote v.
Chater, 67 F.3d 1553, 1561 (11th Cir. 1995). To establish disability based upon
pain, the Eleventh Circuit's pain standard requires:
(1) evidence of an underlying medical condition and either (2)
objective medical evidence that confirms the severity of the alleged
pain arising from that condition or (3) that the objectively determined
medical condition is of such a severity that it can be reasonably
expected to give rise to the alleged pain.
Dyer, 395 F.3d at 1210 (citing Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir.
1991)); see Hunter v. Comm'r of Soc. Sec., 651 F. App'x 958, 960-61 (11th Cir.
2016). The ALJ is permitted to discredit the claimant’s subjective testimony of
pain if he or she articulates explicit and adequate reasons for doing so. Wilson v.
Barnhart, 284 F.3d 1219, 1225 (11th Cir. 2002).
When the credibility of a
claimant's testimony is at issue, "[t]he question is not . . . whether the ALJ could
have reasonably credited testimony, but whether the ALJ was clearly wrong to
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discredit it." Werner v. Comm'r of Soc. Sec., 421 F. App'x 935, 938-39 (11th Cir.
2011).
Regarding Plaintiff's back pain, the ALJ began by discussing his history of
back problems leading up to his August 16, 2013 surgery. (R. 21). The ALJ noted
Plaintiff subsequently reported improvement but continued to complain of back
pain; the ALJ also noted Plaintiff was discharged from post-surgery physical
therapy due to noncompliance. (Id.; see R. 461,464-66).
The ALJ next discussed the December 2013 consultative examination
performed by Dr. T. Gaston; the decision notes Dr. Gaston observed Plaintiff to
have: (1) a normal casual gait; (2) an unsteady tandem gait; (3) a positive straight
leg raise on the left when seated; and (4) bilateral positive straight leg raises when
supine. (R. 12; see R. 481-85). The ALJ noted Dr. Gaston's diagnosis of lower
back pain and his opinion that Plaintiff could: (1) occasionally lift and carry fifty to
seventy-five pounds; (2) frequently lift and carry thirty to thirty-five pounds; (3)
frequently climb ladders, ropes, and scaffolds; and (4) frequently crawl. (Id.).3
The ALJ assigned great weight to Dr. Gaston's opinion, finding it was consistent
with the treatment record and diagnostic imaging of Plaintiff's spine. (R. 22).
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Dr. Gaston further opined Plaintiff could: (1) stand, walk, and sit for up to six hours; (2) climb
ramps and stairs without limitation; (3) frequently crawl and climb ladders, scaffolds, and ropes;
and (4) stoop, crouch, and kneel without limitation. (R. 485).
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The ALJ also discussed June 2014 x-rays showing borderline disc space
narrowing at L4-5 with marginal osteophyte formation and mild lower lumbar
facet arthropathy. (R. 21; see R. 653). Also noted is the late 2014 treatment by Dr.
Robert Poczatek, consisting of a series of epidural injections; these injections had
to be discontinued due to Plaintiff's diabetes. (R. 21; see R. 612; 921-22). An
MRI ordered by Dr. Poczatek revealed "a small central disc protrusion at the L5-S1
level without any evidence of significant central canal or neural foraminal
stenosis." (R. 920). The decision notes medical providers described Plaintiff's
lumbar DDD as "mild" in July 2014. (R. 21; see R. 707). The ALJ also addressed
Plaintiff's testimony that the medications prescribed to treat his back pain made
him drowsy but found the treatment record revealed no complaints of drowsiness.
(R. 22).
Finally, the ALJ also relied on Plaintiff's self-reported daily activities to find
that Plaintiff's impairment was not as disabling as alleged. (R. 22) In particular,
the ALJ noted Plaintiff testified he: (1) does the housework and cooking for
himself and his uncle; and (2) goes to church weekly; and (3) visits his father's
house twice a week and sometimes cooks for his father. (Id.; see R. 51, 53-54).
Plaintiff does not take particular issue with any specific conclusion the ALJ
reached regarding the credibility of his testimony. (Doc. 12). Review of the
record reveals the ALJ accurately described the medical evidence, including the
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procedures, examination findings, and diagnostic tests mentioned in Plaintiff's
brief. The ALJ's assignation of great weight to Dr. Gaston's opinion appears to be
proper, as the ALJ found it was consistent with his examination findings and the
record as a whole. Plaintiff does not point to any other opinion evidence in the
record to cast doubt on Dr. Gaston's opinion. Finally, while not dispositive of the
issue, the ALJ did not err in relying on Plaintiff's self-reported daily activities to
show his impairments were not as severe as alleged. 20 C.F.R. § 416.929(c)(3)(i);
Dyer, 395 F.3d at 1212.
As described above, the ALJ offered explicit and adequate reasons for
finding Plaintiff's testimony of disabling pain was less than fully credible. See
Wilson, 284 F.3d at 1225. Certainly, the ALJ was not "clearly wrong to discredit
it." Werner, 421 F. App'x at 938-39.
IV.
CONCLUSION
Upon review of the administrative record and considering all of Plaintiff's
arguments, the undersigned finds the Commissioner's decision is supported by
substantial evidence and is in accord with applicable law.
Accordingly, the
Commissioner's decision is due to be affirmed. A separate order will be entered.
DONE this 29th day of March, 2018.
____________________________
STACI G. CORNELIUS
U.S. MAGISTRATE JUDGE
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