Gamble v. Social Security Administration Commissioner
Filing
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MEMORANDUM OPINION. Signed by Honorable Barry A. Bryant on January 9, 2013. (cap)
IN THE UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF ARKANSAS
TEXARKANA DIVISION
PATRICK GAMBLE
vs.
PLAINTIFF
Civil No. 4:11-cv-04121
MICHAEL J. ASTRUE
Commissioner, Social Security Administration
DEFENDANT
MEMORANDUM OPINION
Patrick Gamble (“Plaintiff”) brings this action pursuant to § 205(g) of Title II of the Social
Security Act (“The Act”), 42 U.S.C. § 405(g) (2010), seeking judicial review of a final decision of
the Commissioner of the Social Security Administration (“SSA”) denying his application for
Supplemental Security Income (“SSI”) and a period of disability under Title XVI of the Act. The
parties have consented to the jurisdiction of a magistrate judge to conduct any and all proceedings
in this case, including conducting the trial, ordering the entry of a final judgment, and conducting
all post-judgment proceedings. ECF No. 5.1 Pursuant to this authority, the Court issues this
memorandum opinion and orders the entry of a final judgment in this matter.
1. Background:
Plaintiff protectively filed an application for SSI on January 16, 2009. (Tr. 10, 106-108).
Plaintiff alleged he was disabled due to diabetes and nerve damage in his feet and legs. (Tr. 145).
Plaintiff alleged an onset date of September 12, 2008. (Tr. 106). This application was denied
initially and again upon reconsideration. (Tr. 45-48, 50-51). Thereafter, Plaintiff requested an
administrative hearing on his application and this hearing request was granted. (Tr. 52).
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The docket numbers for this case are referenced by the designation “ECF No. ____” The transcript pages
for this case are referenced by the designation “Tr.”
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Plaintiff’s administrative hearing was held on January 7, 2011. (Tr. 22-42). Plaintiff was
present and was represented by counsel, Greg Giles, at this hearing. Id. Plaintiff testified at this
hearing. Id. At the time of this hearing, Plaintiff was twenty-five (25) years old, which is defined
as a “younger person” under 20 C.F.R. § 404.1563(c), and had an eleventh grade education. (Tr. 24).
On March 9, 2011, the ALJ entered an unfavorable decision denying Plaintiff’s application
for SSI. (Tr. 1018). In this decision, the ALJ determined Plaintiff had not engaged in Substantial
Gainful Activity (“SGA”) since January 16, 2009. (Tr. 12, Finding 1). The ALJ determined Plaintiff
had the severe impairments of insulin dependent diabetes mellitus with neuropathy. (Tr. 12, Finding
2). The ALJ also determined Plaintiff’s impairments did not meet or medically equal the
requirements of any of the Listing of Impairments in Appendix 1 to Subpart P of Regulations No.
4 (“Listings”). (Tr. 14, Finding 3).
In this decision, the ALJ indicated he evaluated Plaintiff’s subjective complaints and
determined his RFC. (Tr. 14-17, Finding 4). First, the ALJ indicated he evaluated Plaintiff’s
subjective complaints and found his claimed limitations were not entirely credible. Id. Second, the
ALJ determined Plaintiff retained the RFC for the full range of light work. Id.
The ALJ evaluated Plaintiff’s Past Relevant Work (“PRW”). (Tr. 17, Finding 5). The ALJ
determined Plaintiff was unable to perform his PRW as a fast food cook, maintenance worker, and
assembly line worker. Id. The ALJ, however, also determined there was other work existing in
significant numbers in the national economy Plaintiff could perform. (Tr. 17, Finding 9). The ALJ
then used Medical-Vocational Guidelines Rule 201.21 to reach a conclusion of “not disabled,” based
on Plaintiff’s age, education, vocational background, and residual functional capacity. See 20 C.F.R.
pt. 404, subpt. P, app. 2, § 201.21. (Tr. 17-18). The ALJ then determined Plaintiff had not been
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under a “disability,” as defined by the Act, at any time through the date of the decision. (Tr. 17,
Finding 10).
Thereafter, Plaintiff requested the Appeals Council review the ALJ’s unfavorable decision.
(Tr. 5). See 20 C.F.R. § 404.968. The Appeals Council declined to review this unfavorable decision.
(Tr. 1-3). On December 13, 2011, Plaintiff filed the present appeal. ECF No. 1. The Parties
consented to the jurisdiction of this Court on January 5, 2012. ECF No. 5. Both Parties have filed
appeal briefs. ECF Nos. 10, 13. This case is now ready for decision.
2. Applicable Law:
In reviewing this case, this Court is required to determine whether the Commissioner’s
findings are supported by substantial evidence on the record as a whole. See 42 U.S.C. § 405(g)
(2006); Ramirez v. Barnhart, 292 F.3d 576, 583 (8th Cir. 2002). Substantial evidence is less than
a preponderance of the evidence, but it is enough that a reasonable mind would find it adequate to
support the Commissioner’s decision. See Johnson v. Apfel, 240 F.3d 1145, 1147 (8th Cir. 2001).
As long as there is substantial evidence in the record that supports the Commissioner’s decision, the
Court may not reverse it simply because substantial evidence exists in the record that would have
supported a contrary outcome or because the Court would have decided the case differently. See
Haley v. Massanari, 258 F.3d 742, 747 (8th Cir. 2001). If, after reviewing the record, it is possible
to draw two inconsistent positions from the evidence and one of those positions represents the
findings of the ALJ, the decision of the ALJ must be affirmed. See Young v. Apfel, 221 F.3d 1065,
1068 (8th Cir. 2000).
It is well established that a claimant for Social Security disability benefits has the burden of
proving his or her disability by establishing a physical or mental disability that lasted at least one
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year and that prevents him or her from engaging in any substantial gainful activity. See Cox v. Apfel,
160 F.3d 1203, 1206 (8th Cir. 1998); 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). The Act defines
a “physical or mental impairment” as “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), 1382(3)(c). A plaintiff must show that
his or her disability, not simply his or her impairment, has lasted for at least twelve consecutive
months. See 42 U.S.C. § 423(d)(1)(A).
To determine whether the adult claimant suffers from a disability, the Commissioner uses
the familiar five-step sequential evaluation. He determines: (1) whether the claimant is presently
engaged in a “substantial gainful activity”; (2) whether the claimant has a severe impairment that
significantly limits the claimant’s physical or mental ability to perform basic work activities; (3)
whether the claimant has an impairment that meets or equals a presumptively disabling impairment
listed in the regulations (if so, the claimant is disabled without regard to age, education, and work
experience); (4) whether the claimant has the Residual Functional Capacity (RFC) to perform his
or her past relevant work; and (5) if the claimant cannot perform the past work, the burden shifts to
the Commissioner to prove that there are other jobs in the national economy that the claimant can
perform. See Cox, 160 F.3d at 1206; 20 C.F.R. §§ 404.1520(a)-(f). The fact finder only considers
the plaintiff’s age, education, and work experience in light of his or her RFC if the final stage of this
analysis is reached. See 20 C.F.R. §§ 404.1520, 416.920 (2003).
3. Discussion:
In his appeal brief, Plaintiff claims the ALJ’s disability determination is not supported by
substantial evidence in the record. ECF No. 10, Pg. 10-18. Specifically, Plaintiff claims the ALJ
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erred (1) in failing to find Plaintiff met Listing 9.08, (2) in failing to properly evaluate Plaintiff’s
symptoms associated with diabetic neuropathy, (3) in the credibility determination of Plaintiff, and
(4) in failing to question a Vocational Expert at Plaintiff’s hearing. In response, the Defendant
argues the ALJ did not err in any of his findings. ECF No. 13. Because this Court finds the ALJ
erred in the credibility determination of Plaintiff, this Court will only address this issue.
In assessing the credibility of a claimant, the ALJ is required to examine and to apply the five
factors from Polaski v. Heckler or from 20 C.F.R. § 404.1529 and 20 C.F.R. § 416.929.2 See Shultz
v. Astrue, 479 F.3d 979, 983 (2007). The factors to consider are as follows: (1) the claimant’s daily
activities; (2) the duration, frequency, and intensity of the pain; (3) the precipitating and aggravating
factors; (4) the dosage, effectiveness, and side effects of medication; and (5) the functional
restrictions. See Polaski, 739 at 1322.
The factors must be analyzed and considered in light of the claimant’s subjective complaints
of pain. See id. The ALJ is not required to methodically discuss each factor as long as the ALJ
acknowledges and examines these factors prior to discounting the claimant’s subjective complaints.
See Lowe v. Apfel, 226 F.3d 969, 971-72 (8th Cir. 2000). As long as the ALJ properly applies these
five factors and gives several valid reasons for finding that the Plaintiff’s subjective complaints are
not entirely credible, the ALJ’s credibility determination is entitled to deference. See id.; Cox v.
Barnhart, 471 F.3d 902, 907 (8th Cir. 2006). The ALJ, however, cannot discount Plaintiff’s
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Social Security Regulations 20 C.F.R. § 404.1529 and 20 C.F.R. § 416.929 require the analysis of two
additional factors: (1) “treatment, other than medication, you receive or have received for relief of your pain or other
symptoms” and (2) “any measures you use or have used to relieve your pain or symptoms (e.g., lying flat on your
back, standing for 15 to 20 minutes every hour, sleeping on a board, etc.).” However, under Polaski and its progeny,
the Eighth Circuit has not yet required the analysis of these additional factors. See Shultz v. Astrue, 479 F.3d 979,
983 (2007). Thus, this Court will not require the analysis of these additional factors in this case.
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subjective complaints “solely because the objective medical evidence does not fully support them
[the subjective complaints].” Polaski, 739 F.2d at 1322.
When discounting a claimant’s complaint of pain, the ALJ must make a specific credibility
determination, articulating the reasons for discrediting the testimony, addressing any
inconsistencies, and discussing the Polaski factors. See Baker v. Apfel, 159 F.3d 1140, 1144 (8th
Cir. 1998). The inability to work without some pain or discomfort is not a sufficient reason to find
a Plaintiff disabled within the strict definition of the Act. The issue is not the existence of pain, but
whether the pain a Plaintiff experiences precludes the performance of substantial gainful activity.
See Thomas v. Sullivan, 928 F.2d 255, 259 (8th Cir. 1991).
In the present action, the ALJ did not perform a proper Polaski analysis. While the ALJ
indicated the factors from 20 C.F.R. § 404.1529 and 20 C.F.R. § 416.929 had been considered (Tr.
15), a review of the ALJ’s opinion shows that instead of evaluating these factors and noting
inconsistencies between Plaintiff’s subjective complaints and the evidence in the record, the ALJ
merely reviewed the medical records and recognized the proper legal standard for assessing
credibility. In his opinion, the ALJ only made the following perfunctory statement regarding
Plaintiff’s subjective complaints:
After careful consideration of the evidence, I find that the claimant’s medically
determinable impairments could reasonably be expected to produce the symptoms
to the degree alleged by the claimant. The claimant’s statements concerning the
intensity, persistence and limiting effects of these symptoms have been determined
to diminish the capacity for basic work activities only to the extent to which they can
be reasonably be accepted as consistent with the objective medical and other
evidence.
(Tr. 16-17).
Other than mentioning Plaintiff had been non-compliant with his medications, the ALJ made
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no other specific findings regarding the inconsistencies between Plaintiff’s claimed subjective
complaints and the record evidence. The ALJ must make a specific credibility determination,
articulate the reasons for discrediting the Plaintiff’s testimony, and address any inconsistencies
between the testimony and the record. The ALJ failed to perform this analysis. This lack of analysis
is insufficient under Polaski, and this case should be reversed and remanded for further consideration
consistent with Polaski. Upon remand, the ALJ may still find Plaintiff not disabled, however a
proper and complete analysis pursuant to Polaski should be performed.3
4. Conclusion:
Based on the foregoing, the undersigned finds that the decision of the ALJ, denying benefits
to Plaintiff, is not supported by substantial evidence and should be reversed and remanded. A
judgment incorporating these findings will be entered pursuant to Federal Rules of Civil Procedure
52 and 58.
ENTERED this 9th day of January 2013.
/s/ Barry A. Bryant
HON. BARRY A. BRYANT
U.S. MAGISTRATE JUDGE
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This Court recommends this case be reversed and remanded only for the purpose of fully considering the
Polaski factors and supplying valid reasons for discounting Plaintiff’s subjective complaints. This Memorandum
Opinion should not be interpreted as requiring Plaintiff be awarded disability benefits upon remand.
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