Shock v. Social Security Administration
Filing
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RECOMMENDED DISPOSITION recommending that the Commissioner's decision be reversed and remanded with instructions to develop the record as necessary by recontacting Shock's treating physicians or ordering consultative examinations 2 ; Objections due within 14 days of the date of this Recommendation. Signed by Magistrate Judge J. Thomas Ray on 10/12/18. (tjb)
IN THE UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF ARKANSAS
LITTLE ROCK DIVISION
DAVID WAYNE SHOCK
v.
PLAINTIFF
No. 4:18-CV-00032-JM-JTR
NANCY A. BERRYHILL,
Deputy Commissioner for Operations,
performing the duties and functions
not reserved to the Commissioner
of Social Security Administration
DEFENDANT
RECOMMENDED DISPOSITION
I.
Procedures for Filing Objections:
The following Recommended Disposition (“Recommendation”) has been sent
to United States District Judge James Moody. You may file written objections to all
or part of this Recommendation. If you do so, those objections must: (1) specifically
explain the factual and/or legal basis for your objection; and (2) be received by the
Clerk of this Court within fourteen (14) days of this Recommendation. By not
objecting, you may waive the right to appeal questions of fact.
II.
Introduction:
David Shock (“Shock”) applied for social security disability benefits with an
amended alleged disability onset date of July 13, 2013. (R. at 55–56). After a
hearing, the administrative law judge (“ALJ”) denied his application. (R. at 24). The
Appeals Council denied review. (R. at 1). Shock has requested judicial review.
For the reasons stated below, the Court recommends reversing and remanding
the Commissioner’s decision.
III.
The Commissioner’s Decision:
The ALJ found that Shock had the severe impairments of degenerative disk
disease; fracture of lower extremity; left eye blindness; borderline intellectual
functioning; affective disorder; and obesity. (R. at 14). The ALJ then found that
Shock’s impairments left him with the residual functional capacity (“RFC”) to lift
and/or carry twenty pounds occasionally and ten pounds frequently; push and/or pull
within those limitations; stand and/or walk six hours in an eight-hour workday with
normal breaks; sit six hours a day in an eight-hour workday with normal breaks;
occasionally use depth perception and peripheral vision; perform jobs that do not
require complex written communication or math skills beyond grade school level;
perform jobs that can be performed while using a handheld assistive device for
prolonged ambulation; work where interpersonal contact is incidental to the work
performed and where the complexity of tasks is learned and performed by rote with
few variables and little judgment; and work with supervision that is simple, direct,
and concrete. (R. at 17).
A vocational expert (“VE”) testified that Shock’s RFC would preclude his
past relevant work. (R. at 22). The VE testified, however, that the RFC would allow
for jobs such as price marker, routing clerk, and power screw driver operator. (R. at
2
23). Relying on the VE’s testimony, the ALJ concluded that Shock was not disabled.
(R. at 23–24).
IV.
Discussion:
Shock argues that the ALJ failed to fully and fairly develop the record, failed
to consider evidence that detracted from his findings, erred in his credibility analysis,
erred in weighing the treating physician’s opinion, failed to include all of Shock’s
limitations in the RFC, and failed to satisfy his burden at step five of the sequential
evaluative process.
After carefully reviewing the record, the Court concludes that the record was
not fully and fairly developed by the ALJ.1 Specifically, in his decision, the ALJ
gave little weight to the opinion of Shock’s treating physicians and supported his
RFC determination based on the opinions of non-examining State Agency reviewing
physicians’ opinions.
The ALJ must fully and fairly develop the record independent of the
claimant’s burden to press his or her case. Combs v. Berryhill, 878 F.3d 642, 646
(8th Cir. 2017). “This duty includes the responsibility of ensuring that the record
includes evidence from a treating physician, or at least an examining physician,
addressing the particular impairments at issue.” Strongson v. Barnhart, 361 F.3d
1066, 1071–72 (8th Cir. 2004). However, the ALJ need only seek additional
1
Accordingly, the Court need not address Shock’s other grounds for reversal.
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evidence where a critical issue is under-developed. Martise v. Astrue, 641 F.3d 909,
926-27 (8th Cir. 2011).
The ALJ gave little weight to the opinion of William Scott, M.D., Shock’s
treating physician. (R. at 22). According to Dr. Scott, Shock was capable of low
stress jobs; could sit for ten minutes at a time; stand for twenty minutes at a time; sit
for less than two hours total in an eight-hour day; stand/walk for less than two hours
total in an eight-hour day; must walk for ten minutes every ten minutes; required an
at-will sitting/standing option, would need to take unscheduled breaks every fifteen
minutes for ten minutes each; must use a cane when standing/walking; could rarely
lift less than ten pounds and never more; could occasionally look down; rarely turn
his head left or right; rarely look up; occasionally hold his head in a static position;
rarely twist, stoop, crouch/squat, or balance; never climb ladders or stairs, kneel, or
crawl, and would miss more than four days of work per month due to his
impairments. (R. at 590–93). The ALJ stated that Dr. Scott’s opinion relied heavily
on Shock’s subjective statements and was not supported by the rest of the evidence,
including Dr. Scott’s treatment records. (R. at 22). The ALJ did not identify any
specific inconsistencies between Dr. Scott’s treatment records and his opinion. After
independently reviewing Dr. Scott’s treatment records, the Court is unable to
identify how Dr. Scott’s treatment records fail to support his opinion of Shock’s
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limitations. The ALJ then relied on the opinions of non-examining State Agency
reviewing physicians to support his RFC determination. (R. at 21–22).
These were the only opinions from medical sources concerning Shock’s
physical ability to work. The ALJ concluded that Shock was not as limited as he
alleged due to the inferences he drew from the notations and treatment notes of
Shock’s physicians. (R. at 18–20). The Eighth Circuit held that an ALJ is not free to
draw his own inferences from medical treatment records and must seek additional
information when a relevant medical issue is underdeveloped. Combs v. Berryhill,
878 F.3d 642, 646–47 (8th Cir. 2017). The ALJ relied upon findings in a single
physical examination performed by Reza Shahim, M.D. such as intact pulses in both
upper and lower extremities, 5/5 motor strength, a lack of edema, and symmetrical
reflexes to support his findings that Shock’s musculoskeletal pain is not disabling.
(R. at 18–19, 604). There is no indication as to how those findings indicate Shock
has the ability to work consistently throughout the day in a competitive work
environment. (R. at 604–05).
Finally, it is also concerning that the ALJ stated in his decision that Shock
read the Bible, which is inconsistent with Shock’s testimony and other evidence.
Rather, Shock testified as follows:
Q What about your right eye?
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A I wear glasses. You know, I got, I go over to Dollar
Tree and I get the 250’s and I use them to read with,
well I try to read with. It got to be a pretend game but—
Q What kind of things do you try to read?
A My Bible. That’s the only thing, that or like Harbor
Freight, I don’t read, I just look at the things in there.
(R. at 69). When taken in context with Shock’s additional testimony that he has only
an eighth-grade education, during which he was in special education classes, and
that he has difficulty comprehending and understanding written instructions and
cannot do simple math, the Court can only understand his testimony to mean that he
makes an unsuccessful attempt to read. (R. at 55). In a Function Report – Adult,
Shock reported that he could not finish what he starts but that he read the Bible. (R.
at 317). However, Shock did not personally complete the form, and his testimony
indicates that his reading ability is more limited than the ALJ characterized it.
V.
Recommended Disposition:
After reviewing the entire record, including the briefs, the ALJ’s decision, and
the transcript of the hearing, the Court concludes that the record as a whole does not
contain sufficient evidence that “a reasonable mind might accept as adequate to
support [the] conclusion” of the ALJ regarding Shock’s RFC, which the ALJ relied
on to conclude that Sock was not disabled. Richardson v. Perales, 402 U.S. 389, 401
(1971).
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IT IS THEREFORE RECOMMENDED that the Commissioner’s decision be
REVERSED and REMANDED with instructions to develop the record as necessary
by recontacting Shock’s treating physicians or ordering consultative examinations.
DATED this 12th day of October, 2018.
____________________________________
UNITED STATES MAGISTRATE JUDGE
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