Lloyd v. Commissioner of Social Security
Filing
18
OPINION AND ORDER affirming the Commissioner's final decision; Clerk to enter judgment accordingly and close the file. Signed by Magistrate Judge James R. Klindt on 9/1/2017. (KAW)
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
JACKSONVILLE DIVISION
WILLIE LLOYD,
Plaintiff,
Case No. 3:16-cv-962-J-JRK
vs.
NANCY A. BERRYHILL,1
Acting Commissioner of Social Security,
Defendant.
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OPINION AND ORDER2
I. Status
Willie Lloyd (“Plaintiff”) is appealing the Commissioner of the Social Security
Administration’s final decision denying his claim for supplemental security income (“SSI”).
Plaintiff’s alleged inability to work is a result of being “HIV positive.”
Transcript of
Administrative Proceedings (Doc. No. 11; “Tr.” or “administrative transcript”), filed September
29, 2016, at 76, 84; see also Tr. at 198. On April 25, 2013, Plaintiff filed an application for
SSI, alleging an onset disability date of March 28, 2013. Tr. at 162-67. Plaintiff’s application
was denied initially, Tr. at 76-82, 83, 94-101, and on reconsideration, Tr. at 84-92, 93, 10410.
On May 7, 2015, an Administrative Law Judge (“ALJ”) held a hearing at which the ALJ
heard testimony from Plaintiff, who appeared with a non-attorney representative, and a
vocational expert (“VE”). Tr. at 31-75; see Tr. at 33, 155-56 (Appointment of Representative
1
Nancy A. Berryhill became the Acting Commissioner of Social Security on January 23,
2017. Pursuant to Rule 25(d)(1), Federal Rules of Civil Procedure, Nancy A. Berryhill should be
substituted for Carolyn W. Colvin as Defendant in this suit. No further action need be taken to continue
this suit by reason of the last sentence of section 205(g) of the Social Security Act, 42 U.S.C. § 405(g).
2
The parties consented to the exercise of jurisdiction by a United States Magistrate
Judge. See Notice, Consent, and Reference of a Civil Action to a Magistrate Judge (Doc. No. 12), filed
September 29, 2016; Reference Order (Doc. No. 14), entered September 30, 2016.
form and contract). On June 3, 2015, the ALJ issued a Decision finding Plaintiff not disabled
since the date the SSI application was filed.3 Tr. at 17-26. Plaintiff then requested review
by the Appeals Council. Tr. at 13. The Appeals Council accepted additional evidence in the
form of medical records. Tr. at 5-6; see Tr. at 737-45 (medical records). On June 29, 2016,
the Appeals Council denied Plaintiff’s request for review, Tr. at 1-4, making the ALJ’s
Decision the final decision of the Commissioner. On July 28, 2016, Plaintiff commenced this
action under 42 U.S.C. § 405(g), as incorporated by § 1383(c)(3), by timely filing a Complaint
(Doc. No. 1), seeking judicial review of the Commissioner’s final decision.
Plaintiff makes two arguments on appeal. First, “the ALJ erred in his formulation of
the hypothetical to the VE.” Memorandum in Support of Complaint (Doc. No. 16; “Pl.’s
Mem.”), filed November 14, 2016, at 5 (emphasis and capitalization omitted). Second, still
with respect to the hypothetical posed to the VE, Plaintiff contends “the ALJ erred by not
appropriately evaluating the medical evidence of record and specifically the side effects from
the medications.” Id. at 8 (emphasis and capitalization omitted). On January 13, 2017,
Defendant filed a Memorandum in Support of the Commissioner’s Decision (Doc. No. 17;
“Def.’s Mem.”) addressing the arguments raised by Plaintiff. After a thorough review of the
record and consideration of the parties’ respective memoranda, the undersigned determines
that the Commissioner’s final decision is due to be affirmed.
3
In SSI cases, “the earliest month for which [the Administration] can pay [a claimant]
benefits is the month following the month [the claimant] filed the application.” 20 C.F.R. § 416.335.
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II. The ALJ’s Decision
When determining whether an individual is disabled,4 an ALJ must follow the five-step
sequential inquiry set forth in the Code of Federal Regulations (“Regulations”), determining
as appropriate whether the claimant (1) is currently employed or engaging in substantial
gainful activity; (2) has a severe impairment; (3) has an impairment or combination of
impairments that meets or medically equals one listed in the Regulations; (4) can perform
past relevant work; and (5) retains the ability to perform any work in the national economy.
20 C.F.R. §§ 404.1520, 416.920; see also Phillips v. Barnhart, 357 F.3d 1232, 1237 (11th
Cir. 2004). The claimant bears the burden of persuasion through step four and, at step five,
the burden shifts to the Commissioner. Bowen v. Yuckert, 482 U.S. 137, 146 n.5 (1987).
Here, the ALJ followed the five-step sequential inquiry. See Tr. at 19-26. At step one,
the ALJ determined that Plaintiff “has not engaged in substantial gainful activity since April
3, 2013, the [protective] application date.” Tr. at 19 (emphasis and citation omitted). At step
two, the ALJ found that Plaintiff “has the following severe impairment: A history of being
human immunodeficiency virus (HIV) positive.” Tr. at 19 (emphasis and citation omitted).
At step three, the ALJ ascertained that Plaintiff “does not have an impairment or combination
of impairments that meets or medically equals the severity of one of the listed impairments
in 20 CFR Part 404, Subpart P, Appendix 1.” Tr. at 20 (emphasis and citation omitted).
The ALJ determined that Plaintiff has the following residual functional capacity
(“RFC”):
[Plaintiff can] perform medium work as defined in 20 CFR [§] 416.967(c).
Specifically he has the ability to lift and/or carry and push and/or pull 50 pounds
4
“Disability” is defined in the Social Security Act 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. §§ 423(d)(1)(A), 1382c(a)(3)(A).
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occasionally, and 25 pounds frequently; sit for four hours at a time and a total
of eight hours during an eight hour day, and stand and/or walk for four hours at
a time and a total of eight hours during an eight hour day with occasional
climbing of ladders and frequent climbing of stairs and ramps, and frequent
balancing, stooping, kneeling, crouching, and crawling.
Tr. at 20 (emphasis omitted). At step four, the ALJ relied on the testimony of the VE to find
that Plaintiff “is capable of performing past relevant work as a landscape laborer . . . and
kitchen helper.” Tr. at 24 (emphasis, some capitalization, and citation omitted); see also Tr.
at 25. The ALJ also made alternative findings at step five. Tr. at 25-26. There, the ALJ
considered Plaintiff’s age (“53 years old, which is defined as an individual closely
approaching advanced age, on the date the application was filed” with a “subsequent[]
changed age category to advanced age”), education (“at least high school education and is
able to communicate in English”5), work experience, and RFC, and relied on the testimony
of the VE to find that Plaintiff is capable of performing work that exists in significant numbers
in the national economy. Tr. at 25-26 (some emphasis omitted). Namely, the ALJ identified
representative jobs as “hand packager,” “stores laborer,” and “dining room attendant.” Tr.
at 26 (capitalization omitted). The ALJ concluded that Plaintiff “has not been under a
disability . . . since April 3, 2013, the date the application was filed.” Tr. at 26 (emphasis and
citation omitted).
III. Standard of Review
This Court reviews the Commissioner’s final decision as to disability pursuant to 42
U.S.C. §§ 405(g) and 1383(c)(3). Although no deference is given to the ALJ’s conclusions
of law, findings of fact “are conclusive if . . . supported by ‘substantial evidence.’” Doughty
v. Apfel, 245 F.3d 1274, 1278 (11th Cir. 2001) (citing Falge v. Apfel, 150 F.3d 1320, 1322
5
Plaintiff also attended nine months of culinary training and obtained a certificate and
license after the training. Tr. at 45.
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(11th Cir. 1998)). “Substantial evidence is something ‘more than a mere scintilla, but less
than a preponderance.’” Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th Cir. 2005) (quoting
Hale v. Bowen, 831 F.2d 1007, 1011 (11th Cir. 1987)). The substantial evidence standard
is met when there is “such relevant evidence as a reasonable mind might accept as
adequate to support a conclusion.” Falge, 150 F.3d at 1322 (quoting Richardson v. Perales,
402 U.S. 389, 401 (1971)). It is not for this Court to reweigh the evidence; rather, the entire
record is reviewed to determine whether “the decision reached is reasonable and supported
by substantial evidence.” Cornelius v. Sullivan, 936 F.2d 1143, 1145 (11th Cir. 1991)
(citation omitted). The decision reached by the Commissioner must be affirmed if it is
supported by substantial evidence—even if the evidence preponderates against the
Commissioner’s findings. Crawford v. Comm’r of Soc. Sec., 363 F.3d 1155, 1158-59 (11th
Cir. 2004) (per curiam).
IV. Discussion
As noted, Plaintiff raises two issues. Because both issues contain challenges to the
hypothetical posed to the VE, the applicable law is set out, followed by a discussion of each
issue.
An ALJ poses a hypothetical question to a VE as part of his step-five determination
of whether the claimant can obtain work in the national economy. See Wilson v. Barnhart,
284 F.3d 1219, 1227 (11th Cir. 2002). When the ALJ relies on the testimony of a VE, “the
key inquiry shifts” from the RFC assessment in the ALJ’s written decision to the adequacy
of the RFC description contained in the hypothetical posed to the VE. Brunson v. Astrue,
850 F. Supp. 2d 1293, 1303 (M.D. Fla. 2011) (quoting Corbitt v. Astrue, No.
3:07-cv-518-J-HTS, 2008 WL 1776574, at *3 (M.D. Fla. Apr. 17, 2008) (unpublished)).
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In determining an individual’s RFC and later posing a hypothetical to a VE that
includes the RFC, the ALJ “must consider limitations and restrictions imposed by all of an
individual’s impairments, even those that are not ‘severe.’” Social Security Ruling (“SSR”)
96-8P, 1996 WL 374184, at *5; see also 20 C.F.R. § 404.1545(a)(2); Hudson v. Heckler, 755
F.2d 781, 785 (11th Cir. 1985) (stating that “[w]here a claimant has alleged a multitude of
impairments, a claim . . . may lie even though none of the impairments, considered
individually, is disabling” (internal quotation and citations omitted)); Wilson, 284 F.3d at 1227
(stating that “for a [VE]’s testimony to constitute substantial evidence, the ALJ must pose a
hypothetical question which comprises all of the claimant’s impairments” (citation omitted)).
A. Argument Regarding Medium Work
Plaintiff argues that the ALJ erred in finding he is capable of performing medium work,
but then posing a hypothetical that limits Plaintiff to a different amount of standing and
walking than medium work requires. See Pl.’s Mem. at 6-7. More specifically, Plaintiff
complains that while medium work requires standing or walking for six hours per day, the
hypothetical that the ALJ posed to the VE limited Plaintiff to “stand[ing] and walk[ing] four[
hours] at one time in a total of eight hours per day.” Tr. at 71 (emphasis added); see Pl.’s
Mem. at 7. Plaintiff also alleges that “the RFC has been altered slightly between the hearing
testimony and the hearing [D]ecision.” Pl.’s Mem. at 7. Defendant responds that “[t]he ALJ’s
RFC finding and hypothetical are consistent[] with medium work.” Def.’s Mem. at 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). “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.” SSR 83-10, 1983 WL 31251, at *6 (1983).
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Here, despite Plaintiff’s contentions, the ALJ did not err in formulating the RFC and
posing the hypothetical to the VE. While Plaintiff is correct that a full range of medium work
requires standing or walking, off and on, for a total of approximately six hours, the ALJ posed
a hypothetical to the VE that delineated the specific amount of standing and walking that
Plaintiff is capable of performing: “four[ hours] at one time in a total of eight hours per day.”
Tr. at 71. This hypothetical does not differ substantively from the definition of medium work
or from RFC in the written Decision, which found in relevant part that Plaintiff can “stand
and/or walk for four hours at a time and a total of eight hours during an eight hour day.” Tr.
at 20. As the ALJ was permitted to do, the ALJ then relied on the VE’s testimony to find that
Plaintiff was capable of performing his past relevant work of “kitchen helper” (both as actually
performed and as typically performed) and “landscape laborer” (only as actually performed).
Tr. at 72 (VE’s testimony), 24-25 (ALJ’s Decision). The ALJ also found alternatively that
Plaintiff is capable of performing other work that exists in significant numbers in the national
economy. Tr. at 25-26. These findings are supported by substantial evidence.
B. Argument Regarding Side Effects of Medications
Plaintiff next contends the ALJ erred in failing to include the side effects of his
medications in the hypothetical to the VE. Pl.’s Mem. at 8. Specifically, Plaintiff points to his
testimony that he suffers from “dizziness and headaches.” Id. He argues, “When the ALJ
posed the hypothetical to the VE[,] he did not include any of these side effects that may
change[] the answers to the hypothetical answers from the VE.” Id. This argument fails to
recognize, however, that the ALJ found Plaintiff’s testimony incredible to the extent it
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conflicted with the assigned RFC. See Tr. at 23. Plaintiff makes no challenge to the ALJ’s
credibility finding, and it is supported by substantial evidence in the record.6
To be sure, the ALJ recognized Plaintiff’s testimony that his medications cause
headaches. Tr. at 23. In discussing the medical evidence, the ALJ also recognized
Plaintiff’s complaints of dizziness and headaches. See Tr. at 21-22. Nevertheless, the ALJ
provided numerous reasons, supported by substantial evidence, for discrediting Plaintiff.
See Tr. at 21-24. In so doing, the ALJ specifically found that the medications do not cause
“significant nausea and diarrhea or other significant adverse side effects . . . to the extent
alleged.” Tr. at 23 (emphasis added). Having properly discounted Plaintiff’s testimony to the
extent it was inconsistent with the RFC, the ALJ was not obligated to include the alleged side
effects in the hypothetical to the VE.
V. Conclusion
In accordance with the foregoing, it is hereby ORDERED:
1.
The Clerk of Court is directed to enter judgment pursuant to sentence four of
42 U.S.C. § 405(g), as incorporated by § 1383(c)(3), AFFIRMING the Commissioner’s final
decision.
6
“[T]o establish a disability based on testimony of pain and other symptoms, the claimant
must satisfy two parts of a three-part showing: (1) evidence of an underlying medical condition; and (2)
either (a) objective medical evidence confirming the severity of the alleged pain; or (b) that the objectively
determined medical condition can reasonably be expected to give rise to the claimed pain.” Wilson, 284
F.3d at 1225 (citing Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991)). “The claimant’s subjective
testimony supported by medical evidence that satisfies the standard is itself sufficient to support a finding
of disability.” Holt, 921 F.3d at 1223.
Although “credibility determinations are the province of the ALJ,” Moore v. Barnhart, 405 F.3d
1208, 1212 (11th Cir. 2005), “explicit and adequate reasons” must be articulated if the ALJ discredits the
claimant’s testimony, Wilson, 284 F.3d at 1225; see also Dyer, 395 F.3d at 1210; Marbury v. Sullivan,
957 F.2d 837, 839 (11th Cir. 1992) (stating that “after considering a claimant’s complaints of pain [or
other subjective symptoms], the ALJ may reject them as not creditable, and that determination will be
reviewed for substantial evidence”). “When evaluating a claimant’s subjective symptoms, the ALJ must
consider such things as: (1) the claimant’s daily activities; (2) the nature, location, onset, duration,
frequency, radiation, and intensity of pain and other symptoms; (3) precipitating and aggravating factors;
(4) adverse side-effects of medications; and (5) treatment or measures taken by the claimant for relief
of symptoms.” Davis v. Astrue, 287 F. App’x 748, 760 (11th Cir. 2008) (unpublished) (citing 20 C.F.R.
§ 404.1529(c)(3)(i)-(vi)).
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2.
The Clerk is directed to close the file.
DONE AND ORDERED at Jacksonville, Florida on September 1, 2017.
kaw
Copies to:
Counsel of record
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