Gipson v. Colvin
Filing
17
Order that the decision of the Commissioner of Social Security denying plaintiff's claim be AFFIRMED. Signed by Magistrate Judge Sonja F. Bivins on 3/28/2016. (srr)
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ALABAMA
NORTHERN DIVISION
FREDERICK GIPSON,
*
*
*
*
*
*
*
*
*
*
*
Plaintiff,
vs.
CAROLYN W. COLVIN,
Commissioner of Social
Security,
Defendant.
CIVIL ACTION NO. 14-00536-B
ORDER
Plaintiff Frederick Gipson (hereinafter “Plaintiff”) seeks
judicial
review
of
a
final
decision
of
the
Commissioner
of
Social Security denying his claim for a period of disability,
disability insurance benefits, and supplemental security income
under Titles II and XVI of the Social Security Act, 42 U.S.C. §§
401, et seq., and 1381, et seq.
consented
to
have
the
proceedings in this case.
On October 9, 2015, the parties
undersigned
(Doc. 14).
conduct
any
and
all
Thus, the action was
referred to the undersigned to conduct all proceedings and order
the entry of judgment in accordance with 28 U.S.C. § 636(c) and
Federal Rule of Civil Procedure 73.
Upon careful consideration
of the administrative record and the memoranda of the parties,
it is hereby ORDERED that the decision of the Commissioner be
AFFIRMED.
I.
Procedural History
Plaintiff filed his applications for benefits on April 28,
2011.
(Tr. 172, 174).
Plaintiff alleged that he has been
disabled since November 19, 2010, due to “mental problems, back
and
wrist
pain,
learning
disability,
slow
learner,
mental
depression, confuse (sic), back problem, lack of knowledge and
understanding, mood change each and every month, understanding
what is right and what is wrong.”
Plaintiff’s
request,
he
applications
was
granted
(Id. at 220, 224).
were
an
denied
and
administrative
upon
timely
hearing
before
Administrative Law Judge Mary E. Helmer (hereinafter “ALJ”) on
January 16, 2013.
with
his
(Id. at 45).
counsel
impairments.
vocational
(Id.
expert
provided testimony.
and
at
Plaintiff attended the hearing
provided
48).
(“VE”)
A
also
testimony
medical
appeared
(Id. at 67, 75).
related
expert
at
to
(“ME”)
the
his
and
hearing
a
and
On April 2, 2013, the ALJ
issued an unfavorable decision finding that Plaintiff is not
disabled.
request
(Id. at 39).
for
review
on
The Appeals Council denied Plaintiff’s
September
23,
2014.
(Id.
at
1-2).
Therefore, the ALJ’s decision dated April 2, 2013, became the
final decision of the Commissioner.
Having
exhausted
his
administrative
timely filed the present civil action.
2
remedies,
(Doc. 1).
Plaintiff
The parties
waived oral argument on October 9, 2015 (Doc. 13), and agree
that this case is now ripe for judicial review and is properly
before
this
Court
pursuant
to
42
U.S.C.
§§
405(g)
and
1383(c)(3).
II.
Issues on Appeal
1.
Whether the ALJ erred in finding that
Plaintiff does not meet the criteria for
Listing 12.05B, and in rejecting the
opinion of consulting psychologist, Dr.
Nina Tocci, Ph.D.?
2. Whether the hearing transcript is adequate
for the Court to review the case?
III. Factual Background
Plaintiff was born on May 1, 1974, and was thirty-eight
years
of
age
at
the
time
of
his
January 16, 2013.
(Tr. 45, 220).
was
special
enrolled
in
administrative
hearing
on
Plaintiff testified that he
education
classes
in
school
and
completed the eleventh grade, but was unable to pass the high
school graduation exam.
(Id. at 49, 216).
Plaintiff’s school
records reflect poor academic performance throughout his school
career.
(Id. at 216-18).
According
to
Plaintiff’s
testimony
and
his
Work
History
Report, he last worked as a machine operator and laborer for a
lumber company for approximately two and a half
February 2007 to July 2009.
(Id. at 53, 230).
years, from
Prior to that,
Plaintiff worked as a machine operator and laborer at a catfish
3
plant and at several warehouses.
(Id. at 51-53, 240-47).
also worked as a fork lift driver.
(Id. at 244).
fired from each of these jobs.1
He
Plaintiff was
(Id. at 51-53).
Plaintiff testified that he has problems getting along with
people, that people make him nervous, and that he prefers to be
alone.
(Id. at 54-58).
He also testified that he has been
taking medication for nervousness, and it helps him stay calm.
(Id. at 57-58).
Plaintiff
testified
that
he
lives
with
his
mother
and
generally spends his time watching television or sitting on the
porch.
He also socializes with his cousins, an old classmate,
and a girlfriend, and he goes to church.
(Id. at 54-56, 256).
Plaintiff had a driver’s license, but it was suspended because
of a DUI.2
(Id. at 61-62).
In his Function Report, Plaintiff reported that his mother
prepares his breakfast and that he can prepare sandwiches and
frozen meals.
(Id. at 251, 254).
He also reported that he has
“no problem” with personal care and is able to take care of all
of his own personal care needs; however, his mother tells him
1
Plaintiff testified that he could not remember why he was fired
from each of these jobs, except with respect to his job at
Foster Farms. Referencing that job, Plaintiff stated, “I think
I got into it with a supervisor, I think.” (Tr. 53).
2
Plaintiff was assessed at the Cahaba Center for Mental Health
with alcohol dependency. (Tr. 374-75).
4
how to dress and reminds him to take his medication.
253-254).
riding
Plaintiff further reported that he
lawn
mower,
shop
with
his
mother,
and
(Id. at
can operate a
count
change;
however, he does not pay his own bills and has never had a
checking
account.
(Id.
at
50,
255).
Plaintiff
reported
problems understanding, concentrating, and remembering, and also
indicated that he gets along “ok” with authority figures, but he
has been fired from jobs for mood changes.
(Id. at 257-258).
According to Plaintiff, his mind comes and goes and will not
allow him keep a job.
IV.
(Id. at 251-53).
Analysis
A.
Standard of Review
In reviewing claims brought under the Act, this Court’s
role
is
a
determining
limited
1)
one.
whether
The
the
Court’s
decision
review
of
the
is
limited
to
Secretary
is
supported by substantial evidence and 2) whether the correct
legal standards were applied.
1520, 1529 (11th Cir. 1990).
3
Martin v. Sullivan, 894 F.2d
A court may not decide the facts
anew, reweigh the evidence, or substitute its judgment for that
of the Commissioner.
Cir.
1986).
The
Sewell v. Bowen, 792 F.2d 1065, 1067 (11th
Commissioner’s
findings
of
fact
affirmed if they are based upon substantial evidence.
3
must
be
Brown v.
This Court’s review of the Commissioner’s application of legal
principles is plenary. Walker v. Bowen, 826 F.2d 996, 999 (11th
Cir. 1987).
5
Sullivan, 921 F.2d 1233, 1235 (11th Cir. 1991); Bloodsworth v.
Heckler,
703
F.2d
1233,
1239
(11th
Cir.
1983)
(holding
substantial evidence is defined as “more than a scintilla, but
less
than
a
preponderance”
and
consists
of
“such
relevant
evidence as a reasonable person would accept as adequate to
support
a
conclusion.”).
In
determining
whether
substantial
evidence exists, a court must view the record as a whole, taking
into account evidence favorable, as well as unfavorable, to the
Commissioner’s decision.
Chester v. Bowen, 792 F. 2d 129, 131
(11th Cir. 1986); Short v. Apfel, 1999 U.S. Dist. LEXIS 10163, *4
(S.D. Ala. June 14, 1999).
B.
Discussion
An individual who applies for Social Security disability
benefits
must
prove
404.1512, 416.912.
his
or
her
disability.
20
C.F.R.
§§
Disability is defined as the “inability to
engage in any substantial gainful activity by reason of any
medically determinable physical or mental 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 12
months.”
42
U.S.C.
§§
404.1505(a),
416.905(a).
provide
five-step
a
423(d)(1)(A);
The
Social
sequential
6
see
also
20
Security
evaluation
C.F.R.
§§
regulations
process
for
determining if a claimant has proven his disability. 4
20 C.F.R.
§§ 404.1520, 416.920.
In the case sub judice, the ALJ determined that Plaintiff
has not engaged in substantial gainful activity since November
19, 2010, the alleged onset date, and that he has the severe
impairments of drug and alcohol abuse, borderline intellectual
functioning,
disorder.
mild
(Tr. 30).
depression,
and
antisocial
personality
The ALJ further found that Plaintiff does
not have an impairment or combination of impairments that meets
4
The claimant must first prove that he or she has not engaged in
substantial gainful activity.
The second step requires the
claimant to prove that he or she has a severe impairment or
combination of impairments. If, at the third step, the claimant
proves that the impairment or combination of impairments meets
or
equals
a
listed
impairment,
then
the
claimant
is
automatically found disabled regardless of age, education, or
work experience.
If the claimant cannot prevail at the third
step, he or she must proceed to the fourth step where the
claimant must prove an inability to perform their past relevant
work. Jones v. Bowen, 810 F.2d 1001, 1005 (11th Cir. 1986). In
evaluating whether the claimant has met this burden, the
examiner must consider the following four factors: (1) objective
medical facts and clinical findings; (2) diagnoses of examining
physicians; (3) evidence of pain; and (4) the claimant’s age,
education and work history.
Id.
Once a claimant meets this
burden, it becomes the Commissioner’s burden to prove at the
fifth step that the claimant is capable of engaging in another
kind
of
substantial
gainful
employment
which
exists
in
significant
numbers
in
the
national
economy,
given
the
claimant’s residual functional capacity, age, education, and
work history.
Sryock v. Heckler, 764 F.2d 834, 836 (11th Cir.
1985). If the Commissioner can demonstrate that there are such
jobs the claimant can perform, the claimant must prove inability
to perform those jobs in order to be found disabled. Jones v.
Apfel, 190 F.3d 1224, 1228 (11th Cir. 1999). See also Hale v.
Bowen, 831 F.2d 1007, 1011 (11th Cir. 1987) (citing Francis v.
Heckler, 749 F.2d 1562, 1564 (11th Cir. 1985)).
7
or medically equals any of the listed impairments contained in
20 C.F.R. Part 404, Subpart P, Appendix 1.
The
ALJ
concluded
that
(Id. at 31).
Plaintiff
retains
the
residual
functional capacity (hereinafter “RFC”) to perform a full range
of
work
at
all
exertional
“limited
to
simple,
levels,
routine,
and
except
that
repetitive
Plaintiff
tasks
is
involving
simple, work-related decisions, with few, if any, work place
changes; he “is limited to work involving no direct contact with
the public;” he “can perform work that involves being around coworkers throughout the day, but with only occasional interaction
with co-workers.”
while
Plaintiff’s
reasonably
be
(Id. at 33).
medically
expected
to
The ALJ also determined that
determinable
produce
the
impairments
alleged
could
symptoms,
his
statements concerning the intensity, persistence and limiting
effects of the alleged symptoms are not credible to the extent
that they are inconsistent with the RFC assessment.
(Id. at
35).
Utilizing
the
testimony
of
a
VE,
the
ALJ
found
that
considering Plaintiff’s residual functional capacity for a range
of work at all exertional levels, with the stated restrictions,
as well as his age, education, and work experience, Plaintiff is
capable
of
(heavy,
unskilled)
unskilled).
performing
(Id.
and
at
his
as
past
a
work
fish
38).
Thus,
8
as
a
lumberyard
machine
the
ALJ
feeder
helper
(medium,
concluded
that
Plaintiff is not disabled.
The
Court
now
(Id. at 39).
considers
the
foregoing
in
light
of
the
record in this case and the issues on appeal.
1.
A.
Issues
Whether the ALJ erred in finding that
Plaintiff does not meet the criteria for
Listing 12.05B and in rejecting the
opinion of consulting psychologist, Dr.
Nina Tocci, Ph.D.?
In
this
finding
that
case,
he
Plaintiff
has
the
argues
severe
that
the
impairment
ALJ
of
erred
in
borderline
intellectual functioning, that the ALJ erred in failing to find
that
he
meets
the
criteria
for
Listing
12.05B
(mental
retardation), and that the ALJ erred in rejecting the opinion of
consulting
psychologist,
Dr.
Nina
Tocci,
Ph.D.,
and
giving
substantial weight to the opinions of non-examining reviewing
psychologists,
Psy.D.5
Dr.
Ellen
(Doc. 8 at 1-3).
Eno,
Ph.D.,
and
Dr.
Sydney
Garner,
The Commissioner counters that the ALJ
did not err in rejecting the opinion of Dr. Tocci because Dr.
Tocci’s opinion is inconsistent with the substantial evidence in
the case, that the ALJ did not err in finding that Plaintiff
does
not
satisfy
the
criteria
for
Listing
12.05B
because
Plaintiff’s Full Scale IQ score of 48 is not valid and is not an
accurate
reflection
of
his
capabilities,
5
and
that
the
Because these three issues are inextricably interwoven, the
Court discusses them together.
9
substantial
evidence
(such
as
Plaintiff’s
medical
records
showing alcohol abuse and exaggeration of symptoms, Plaintiff’s
work history, Plaintiff’s activities of daily living, and the
opinions
of
the
medical
expert,
Dr.
Garner,
and
reviewing
psychologist Dr. Eno) reflect functioning more consistent with a
finding
of
borderline
retardation.
intellectual
(Doc. 11 at 10-13).
functioning
than
mental
Having carefully reviewed the
record in this case, the Court agrees that Plaintiff’s claim is
without merit.
In order
for a claimant to meet
Listing 12.05B (mental
retardation), he must present evidence of “[a] valid verbal,
performance,
or
full
scale
IQ
of
59
or
less.”
Jackson
v.
Astrue, 2011 U.S. Dist. LEXIS 95629, *12, 2011 WL 3757894, *4
(S.D. Ala. Aug. 25, 2011)(quoting 20 C.F.R. Part 404, Subpart P,
Appendix
1,
Listing
12.05B
(2010)).
In
addition,
he
must
satisfy the “diagnostic description” of mental retardation in
Listing
12.05
(the
listing
category
for
mental
retardation/intellectual disability),6 which provides that mental
6
On August 1, 2013, the Social Security Administration amended
Listing 12.05 by replacing the words “mental retardation” with
“intellectual disability.”
See Hickel v. Commissioner of Soc.
Sec., 539 Fed. Appx. 980, 982 n.2 (11th Cir. 2013) (citing 78
Fed. Reg. 46,499, 46,501, to be codified at 20 C.F.R. pt. 404,
subpt. P, app. 1)).
“This change was made because the term
‘mental retardation’ has negative connotations, and has become
offensive to many people.
Id.
(citations and internal
quotation marks omitted). “The Social Security Administration
stated that the change does not affect the actual medical
10
retardation
“refers
to
significantly
subaverage
general
intellectual functioning with deficits in adaptive functioning
initially manifested during the developmental period; i.e., the
evidence demonstrates or supports onset of the impairment before
age 22.”
20 C.F.R. Part 404, Subpart P, Appendix 1, §§ 12.05.
In this Circuit, it is presumed that a person’s IQ remains
fairly constant throughout his or her life, and a valid IQ test
score
meeting
presumption
twenty-two.
the
that
Listing
the
criteria
condition
creates
manifested
a
itself
rebuttable
before
age
Dragg v. Astrue, 2012 U.S. Dist. LEXIS 71717, *6,
2012 WL 1885126, *3 (N.D. Ala. May 23, 2012) (citing Hodges v.
Barnhart, 276 F.3d 1265, 1268–69 (11th Cir. 2001)); Jackson,
2011 U.S. Dist. LEXIS 95629 at *12-13, 2011 WL 3757894 at *4.
However, the Commissioner may present evidence of the claimant’s
daily life to rebut the presumption of disability.
Whetstone v.
Barnhart, 263 F. Supp. 2d 1318, 1325 (M.D. Ala. 2003) (citing
Hodges, 276 F.3d at 1269).
Indeed, the Eleventh Circuit has made clear that “a valid
I.Q. score is not conclusive of mental retardation if the score
is
‘inconsistent
with
other
evidence
in
claimant’s daily activities and behavior.’”
the
record
on
the
Id. (citing Lowery
definition of the disorder or available programs or services.”
Id. (citations and internal quotation marks omitted). As in
Hickel, this opinion uses the term “mental retardation” and
“intellectual disability” interchangeably.
11
v.
Sullivan,
979
F.2d
835,
837
(11th
Cir.
1992);
Heckler, 779 F.2d 1497, 1499 (11th Cir. 1986)).
Popp
v.
Accordingly,
the ALJ is tasked with determining whether there is sufficient
evidence
(relating
to
Hodges presumption.
plaintiff’s
daily
life)
to
rebut
the
See Grant v. Astrue, 255 Fed. Appx. 374,
375 (llth Cir. 2007); Hartman v. Colvin, 2014 U.S. Dist. LEXIS
91467, *7, 2014 WL 3058550, *3 (S.D. Ala. July 7, 2014).
In
process,
addition,
the
ALJ
as
is
part
tasked
of
the
with
disability
weighing
the
determination
opinions
and
findings of treating, examining, and non-examining physicians.
In reaching a decision, the ALJ must specify the weight given to
different medical opinions and the reasons for doing so.
See
Winschel v. Commissioner of Soc. Sec., 631 F.3d 1176, 1179 (11th
Cir. 2011).
The failure to do so is reversible error.
See
Williams v. Astrue, 2009 U.S. Dist. LEXIS 12010, *4, 2009 WL
413541, *1 (M.D. Fla. 2009).
When
ALJ
weighing
the
opinion
of
a
treating
physician,
the
must give the opinions “substantial weight,” unless good
cause exists for not doing so.
Costigan v. Commissioner, Soc.
Sec. Admin., 2015 U.S. App. LEXIS 2827, *10, 2015 WL 795089, *4
(11th Cir. Feb. 26, 2015) (citing Crawford v. Commissioner of
Soc. Sec., 363 F.3d 1155, 1160 (11th Cir. 2004) and Broughton v.
Heckler, 776 F.2d 960, 962 (11th Cir. 1985)).
The opinion of “a
one-time examining physician — or psychologist,” on the other
12
hand,
is
not
physician.
entitled
to
the
same
deference
as
a
treating
Petty v. Astrue, 2010 U.S. Dist. LEXIS 24516, *50,
2010 WL 989605, *14 (N.D. Fla. Feb. 18, 2010) (citing Crawford,
363 F.3d at 1160).
An ALJ is also “required to consider the
opinions of non-examining state agency medical and psychological
consultants because they ‘are highly qualified physicians and
psychologists who are also experts in Social Security disability
evaluation.’”
(11th
Cir.
Milner v. Barnhart,
2008)
404.1527(f)(2)(i)).
examining
sources
(unpublished)
“The
when
examining sources.”
275 Fed. Appx. 947, 948
ALJ
they
may
do
(citing
rely
not
on
20
C.F.R.
opinions
conflict
with
of
§
non-
those
of
Id. (citing Edwards v. Sullivan, 937 F.2d
580, 584-85 (11th Cir. 1991)).
Whether considering the opinions of treating, examining, or
non-examining
physicians,
testimony
any
of
medical
good
cause
source
exists
when
it
to
is
discredit
contrary
to
the
or
unsupported by the evidence of record.
Phillips v. Barnhart,
357 F.3d 1232, 1240 (11th Cir. 2004).
“Good cause may also
exist
where
a
doctor’s
opinions
are
merely
conclusory,
inconsistent with the doctor’s medical records, or unsupported
by objective medical evidence.”
Hogan v. Astrue, 2012 U.S.
Dist. LEXIS 108512, *8, 2012 WL 3155570, *3 (M.D. Ala. 2012).
The ALJ is “free to reject the opinion of any physician when the
evidence supports a contrary conclusion.”
13
Sryock v. Heckler,
764
F.2d
834,
835
(11th
Cir.
1985)
(per
curiam)
(citation
omitted); Adamo v. Commissioner of Soc. Sec., 365 Fed. Appx.
209,
212
(11th
Cir.
2010)
(The
ALJ
may
reject
any
medical
opinion if the evidence supports a contrary finding.).
In this case, the ALJ found that Plaintiff did not meet
Listing 12.05B on two grounds: (1) the IQ test score was invalid
and
(2)
the
evidence
of
Plaintiff’s
school
history,
work
history, medical records, and daily life are inconsistent with
an IQ score of 48 and are more consistent with a finding of
borderline
intellectual
(Tr. 33-38).
functioning
than
mental
retardation.
In doing so, the ALJ rejected the opinions and IQ
test results of consultative psychologist, Dr. Tocci, as being
inconsistent with the substantial evidence in the case.
(Id. at
36).
The record shows that Dr. Tocci examined Plaintiff on July
13, 2011, and conducted IQ testing, which resulted in a Full
Scale IQ score of 48.
Dr. Tocci opined that Plaintiff’s Full
Scale IQ score was valid.
diagnosed
Plaintiff
with
(Id. at 349-51).
Mental
Retardation
Dr. Tocci also
and
noted
that
Plaintiff’s IQ testing, poor academic record, and history of
being fired from jobs supported the diagnosis.7
7
(Id. at 349-50).
Dr. Tocci noted that, during testing, Plaintiff evinced
difficulty understanding and performing simple tasks and that he
was unable to hold directions in his memory long enough to
complete a task.
(Tr. 351).
14
The ALJ rejected the IQ test results and gave Dr. Tocci’s
opinions
“little
inconsistent
with
weight”
the
based
on
the
substantial
fact
evidence
that
in
they
the
were
record,
including Dr. Tocci’s own findings that Plaintiff’s affect was
appropriate, normal, and stable; his mood was “good;” he was
oriented to person; his thought content was appropriate to mood
and circumstances, and he had a logical thought organization.
(Id. at 36, 350).
In addition, Dr. Tocci’s notes reflect that
she relied on Plaintiff’s report that he requires assistance
with his activities of daily living and does not have friends;
however, those statements are inconsistent with his testimony at
the hearing and his statements to the Agency that he has no
problem with his personal care needs, that he prepares simple
meals, that he uses a riding lawnmower to take care of his lawn,
and that he socializes on the weekends with a classmate, his
girlfriend, and his cousin.
In
addition,
Plaintiff’s
diagnosis
of
remaining
substantial
following:
evaluation,
mental
On
(Id. at 54-56, 253-56).
August
Plaintiff
IQ
test
retardation
are
evidence
in
2,
two
2011,
was
score
Dr.
inconsistent
this
case,
weeks
diagnosed
and
with
Tocci’s
with
the
including
the
after
Dr.
ongoing
Tocci’s
alcohol
dependency at the Cahaba Center for Mental Health, where he was
treated for substance abuse by psychiatrist, Dr. Timothy Baltz,
M.D., and his staff.
(Id. at 374-75, 383-84, 387).
15
This is
significant because Dr. Tocci’s opinions were based, in part, on
Plaintiff’s false report that he only drank alcohol “sometimes.”
(Id. at 349).
In
addition,
medical
expert,
Dr.
Sydney
Garner,
Psy.D.,
testified at the hearing that Plaintiff was not functioning in
the range of a person with an IQ score of 48, that Plaintiff’s
past work history and previous functioning (such as driving) did
not support a finding of mental retardation, and that alcohol
use
“could
have
definitely
lowered
interfered with his socialization.
his
[IQ]
(Id. at 65, 69).
score”
and
Dr. Garner
further noted that Plaintiff’s medical records reflect a history
of
exaggeration
of
personality disorder.8
Consistent
with
symptomology,
which
is
a
opinion
is
the
feature
of
(Id.).
Dr.
Garner’s
opinion
of
Plaintiff’s treating psychiatrist, Dr. Baltz, who noted on more
than one occasion that Plaintiff “appears to be exaggerating
symptomology.”
(Id. at 371, 388).
8
Dr. Baltz treated Plaintiff
Dr. Garner opined that Plaintiff suffers from alcohol
dependence, mild depression, and antisocial personality disorder
and stated that Plaintiff has no impairments in maintaining
activities of daily living,
has only mild to moderate
impairments in maintaining concentration, persistence, and pace,
only moderate impairments in maintaining social functioning, and
no episodes of decompensation.
(Tr. 65-66).
Dr. Garner also
opined that Plaintiff would need limited contact with customers,
co-workers, and with the general public, unskilled work
activities, simple, routine, repetitive tasks, simple workrelated decisions, and few workplace changes. (Id.).
16
for almost two years; yet, at no time did he ever indicate that
Plaintiff was mentally retarded.
To the contrary, Dr. Baltz
estimated Plaintiff’s IQ to be in the “low-average range.”9
(Id.
at 371).
Likewise, the opinions of State Agency reviewer, Dr. Ellen
Eno, Ph.D., are inconsistent with the opinions of Dr. Tocci.
Dr. Eno opined that the “claimant’s grades in school and OLSAT
scores suggest a Borderline IQ.
behaviors support this.
His work history and functional
The scores reported by Dr. Tocci are
not supported by the data in the file.”
found
only
moderate
mild
restrictions
difficulties
in
in
(Id. at 365).
activities
maintaining
of
social
daily
Dr. Eno
living,
functioning
and
maintaining concentration, persistence, or pace, and no episodes
of decompensation.
(Id. at 363).
Also, as previously discussed, the evidence of Plaintiff’s
previous
work
history
and
activities
of
daily
living
are
inconsistent with Dr. Tocci’s opinions and Plaintiff’s IQ score.
The evidence reflects that Plaintiff worked from 2005 to 2009 in
approximately eight jobs in various industries as a laborer and
as a machine operator.
(Id. at 51-53, 230, 240-47).
While
Plaintiff reported that he was fired from each of these jobs, he
9
Dr. Baltz diagnosed Plaintiff with Mood Disorder, NOS (somewhat
improved), Anxiety Disorder, NOS, and Selective Mutism features.
(Tr. 371, 385, 388).
17
did
not
contend
that
assigned job tasks.
he
was
not
capable
of
performing
Instead, Plaintiff asserts that
the
he was
fired from one job after he “got into it with a supervisor,” and
he that cannot remember why he was fired from the other jobs.
(Id.
at
living
family,
51-53).
include
Moreover,
Plaintiff’s
socializing
to
going
with
driving
church,
activities
friends,
a
(until
of
daily
girlfriend,
his
license
and
was
suspended because of a DUI), taking care of his own personal
needs, fixing simple meals, operating a riding lawn mower, and
counting change.
(Id. at 50, 54-56, 61-62, 251-56).
this
inconsistent
evidence
is
with
Dr.
Tocci’s
All of
opinions
and
Plaintiff’s Full Scale IQ score of 48.
Finally, the Court finds it instructive that on June 30,
2011,
Dr.
Stephen
Robidoux,
M.D.,
attempted
to
conduct
a
consultative physical examination to evaluate Plaintiff’s claims
of back problems.
became
belligerent
However, Dr. Robidoux reported that Plaintiff
and
would
not
allow
proceed except on Plaintiff’s terms.
the
examination
(Id. at 344-47).
to
Dr.
Robidoux’s notes reveal that Plaintiff was fully in control of
his examination; he had no difficultly articulating his demands;
and
he
was
functioning
well
above
the
expectations
individual with a Full Scale IQ score of 48. 10
10
of
an
Dr. Robidoux
Dr. Robidoux documented the following statement by Plaintiff:
“In 2006 or 2007 or 2008, I was working in a warehouse lifting
18
diagnosed
Plaintiff
(Id. at 346).
with
“sociopathic
personality
disorder.”
This evidence supports the ALJ’s finding that
Plaintiff is functioning above the range of an individual with a
Full Scale IQ score of 48 and that his IQ is more consistent
with
borderline
intellectual
functioning
than
mental
retardation.11
The Court is aware, as was the ALJ, of Plaintiff’s poor
academic performance in school, his special education classes,
and the letter from Plaintiff’s former teacher, Callie Sanders,
stating that Plaintiff struggled in school and that it was her
50 to 100 pound boxes and my back WENT OUT[.] That’s it[.] MY
BACK WENT OUT[.] [W]hat else do you need to know??” (Tr. 344).
Dr. Robidoux documented that Plaintiff became very belligerent
when asked the meaning of “his back went out,” and refused to
answer.
Dr. Robidoux called Plaintiff’s disability specialist
on the telephone and had her speak to Plaintiff.
Thereafter,
Plaintiff resumed his tirade, stating: “Then I fell down,
doesn’t everybody whose back goes out? I don’t know how you got
your license.
I went by car the next day to a doctor in
Birmingham. I don’t know his name. He x-rayed me and ran tests.
Then he gave me medicine.
I haven’t been to a doctor for my
back since then.
I haven’t been to anyone else.
No
chiropractor, no physical therapy, no back surgery, no epidural
shots.
I don’t know what a CT or MRI scan is.
I told you he
did x-rays and tests.” (Id.).
When Dr. Robidoux then tried to
conduct the physical examination, Plaintiff told him, “I will
tell you what you can look at.” (Id. at 345). Dr. Robidoux was
required to ask permission, and have permission granted, to
examine each body system. (Id.). Plaintiff refused many parts
of the examination.
11
Dr. Eno agreed with Dr. Robidoux that the evidence suggests “a
Borderline IQ combined with a Personality Disorder.” (Tr. 365).
Dr. Eno concluded that, “[t]he personality problems displayed in
Dr. Robidoux[’s] evaluation make retesting for a more valid IQ
unproductive.” (Id.).
19
opinion that “mentally he is not cable (sic) of holding a job.” 12
(Id.
at
219,
274,
287).
However,
as
the
ALJ
found,
even
considering this evidence, the substantial evidence reflects a
level of functioning that is higher than Plaintiff’s Full Scale
IQ score of 48 would indicate and that is more consistent with
borderline intellectual functioning than mental retardation.
Based on the foregoing, the Court finds that the ALJ had
good
cause
to
reject
the
opinions
and
IQ
test
results
of
consultative psychologist, Dr. Tocci, as being inconsistent with
the substantial evidence in the case.
In addition, the Court
finds that substantial evidence in this case supports the ALJ’s
finding that Plaintiff did not meet Listing 12.05B because (1)
the IQ test score was invalid, and (2) even assuming a valid
score,
the
evidence
of
Plaintiff’s
work
history,
medical
records, and activities of daily living rebuts the presumption
of
mental
Plaintiff
(heavy,
retardation
can
perform
unskilled)
unskilled)
and,
and
supports
his
and
thus,
past
as
is
a
work
fish
not
the
as
ALJ’s
a
finding
lumberyard
machine
disabled.
that
helper
feeder
(medium,
(Tr.
33-38).
Accordingly, Plaintiff’s claim must fail.
12
The ALJ properly considered Ms. Sanders’ opinion in accordance
with SSR 06-03p but held that her opinion was not based on
objective facts or data and that her opinion, which was more
properly reserved for the Commissioner, was, in any event,
inaccurate given the evidence in the case. (Tr. 34).
20
B.
Next,
Whether
the
hearing
transcript
is
adequate for the Court to review the
case?
Plaintiff
administrative
argues
hearing
that
shows
the
that
transcript
there
were
of
his
significant
problems with sound quality during the hearing, resulting in an
incomplete hearing transcript of portions of the Plaintiff’s and
the
experts’
testimony.
(Doc.
8
at
11).
The
Commissioner
counters that, while some portions of the audio recording of the
hearing were inaudible, the transcript is sufficient to allow
the
Court’s
reviewed
the
review.
record
(Doc.
in
11
this
at
14-17).
case,
the
Having
Court
carefully
agrees
that
Plaintiff’s claim is without merit.
The Court recognizes that the ALJ “has a duty to develop a
full and fair record.”
George v. Astrue, 338 Fed. Appx. 803,
805 (11th Cir. 2009) (quoting Brown v. Shalala, 44 F.3d 931, 934
(11th Cir. 1995)).
Nonetheless, an ALJ’s failure to fulfill his
duty to fully develop the record “only necessitates a remand if
‘the record reveals evidentiary gaps which result in unfairness
or clear prejudice.’”
Mosley v. Acting Commissioner of Soc.
Sec. Admin., 2015 U.S. App. LEXIS 21193, *7, 2015 WL 8105166, *3
(11th Cir. Dec. 8, 2015) (quoting Brown, 44 F.3d at 935).
“In
other words, ‘there must be a showing of prejudice before we
will find that the claimant’s right to due process has been
violated to such a degree that the case must be remanded to the
21
[ALJ]
for
further
development
Brown, 44 F.3d at 935).
of
the
record.’”
Id.
(quoting
“Prejudice requires a showing that ‘the
ALJ did not have all of the relevant evidence before him in the
record (which would include relevant testimony from claimant),
or that the ALJ did not consider all of the evidence in the
record
in
reaching
his
decision.’”
Id.
(quoting
Kelley
v.
Heckler, 761 F.2d 1538, 1540 (11th Cir. 1985)).
In this case, Plaintiff points to inaudible portions of the
testimony
of
the
medical
expert,
Dr.
Garner,
related
to
Plaintiff’s IQ test scores and the question of whether Plaintiff
met or equaled a listing.
(Doc. 8 at 11).
In the selected
passage, Dr. Garner made it clear that Plaintiff did not meet or
equal a listing, and, while it is unclear precisely to what he
was referring when he said, “they’re just not valid,” it seems
reasonable given his discussion of Plaintiff’s IQ test results
in
the
previous
sentences
that
he
was
invalidity of Plaintiff’s IQ test scores.
referring
(Id. at 65).
to
the
Indeed,
Dr. Garner specifically stated that Plaintiff had IQ scores in
the 40’s and 50’s and that he did not believe that Plaintiff was
functioning in that range.
(Id. at 65).
Similarly, Plaintiff points to Dr. Garner’s discussion of
Plaintiff’s school records and argues that inaudible portions of
Dr.
Garner’s
testimony
(Doc. 8 at 12).
make
that
passage
incomprehensible.
To the contrary, it is apparent to the Court
22
that
Dr.
Garner
was
testifying
that
Plaintiff’s
test
score,
which he described as “a 78,” was a reference to the 78 that
Plaintiff scored on the Otis Lennon School Ability Test (OLSAT),
a test score that Dr. Eno likewise found significant in her
Psychiatric Review Technique. 13
(Id. at 288, 365).
Dr. Garner
testified that this test score was inconsistent with a diagnosis
of mental retardation, as was Plaintiff’s level of functioning
and his work history.
(Id. at 66).
Last, Plaintiff refers to inaudible gaps in the testimony
of the VE related to a hypothetical posed by the ALJ.
at 12).
(Doc. 8
While it is unclear precisely which restrictions the
ALJ posited in the second, partially inaudible hypothetical, the
ALJ’s decision reveals that he relied on the VE’s testimony
related to the first hypothetical, which was fully recorded.
(Id. at 38, 76-77).
Therefore, Plaintiff’s argument related to
the second hypothetical, which was not relied upon by the ALJ,
is unavailing.
Having reviewed the transcript at length, the Court finds
that, despite the court reporter’s designations of some portions
of
the
neither
transcript
incomplete
as
“inaudible,”
nor
inadequate.
the
record
To
the
as
a
whole
contrary,
is
the
passages referenced by Plaintiff contain some missing words but
13
Dr. Eno opined that a 78 on the OLSAT suggested a borderline
IQ. (Tr. 365).
23
are
still
capable
demonstrate
of
unfairness
reasonable
or
interpretation
prejudice
to
and
the
do
not
Plaintiff.
Accordingly, Plaintiff’s claim is without merit.
V.
Conclusion
For
the
reasons
set
forth
herein,
and
upon
careful
consideration of the administrative record and memoranda of the
parties,
it
is
hereby
ORDERED
that
the
decision
of
the
Commissioner of Social Security denying Plaintiff’s claim for a
period
of
disability,
disability
insurance
benefits,
and
supplemental security income be AFFIRMED.
DONE this 28th day of March, 2016.
/s/ SONJA F. BIVINS
UNITED STATES MAGISTRATE JUDGE
24
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