THOMAS v. BERRYHILL
Filing
16
MEMORANDUM ORDER. The decision of the Commissioner is AFFIRMED and plaintiffs applications for Supplemental Security Income are DENIED. The clerk is directed to enter judgment in favor of the Commissioner and close the file. Signed by MAGISTRATE JUDGE CHARLES J KAHN, JR on 9/21/2018. (alb)
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UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF FLORIDA
PANAMA CITY DIVISION
BEN THOMAS,
Plaintiff,
v.
Case No. 5:17cv173-CJK
NANCY A. BERRYHILL, Acting
Commissioner of Social Security,
Defendant.
______________________________/
MEMORANDUM ORDER
This case is before the court pursuant to 42 U.S.C. § 1383(c)(3) for review of
the final determination of the Commissioner of Social Security (“Commissioner”)
denying Ben Thomas’s application for Supplemental Security Income (“SSI”) under
Title XVI of the Social Security Act (“Act”), 42 U.S.C. §§ 1381-83. The parties
consented to Magistrate Judge jurisdiction pursuant to 28 U.S.C. § 636(c) and
Federal Rule of Civil Procedure 73 for all proceedings in this case, including entry
of final judgment. Upon review of the record before the court, I conclude the
findings of fact and determinations of the Commissioner are supported by substantial
evidence. The decision of the Commissioner, therefore, will be affirmed and the
application for SSI denied.
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ISSUES ON REVIEW
Mr. Thomas, who will be referred to as claimant, plaintiff, or by name, argues:
(1) the ALJ’s residual functional capacity (“RFC”) assessment is inconsistent with
the step-two finding concerning plaintiff’s severe impairments; (2) the ALJ erred by
failing to find uncontrolled hypertension, anxiety, and headaches were severe
impairments; and (3) the ALJ erred by failing to properly evaluate plaintiff’s
complaints of pain. 1 (Doc. 12).
PROCEDURAL HISTORY
On November 18, 2013, plaintiff filed an application for SSI, claiming
disability beginning October 25, 2013, due to spine problems and congestive heart
failure.
T. 88. 2
The Commissioner denied the applications initially and on
reconsideration. T. 98, 112. After a hearing on January 19, 2016, the ALJ found
claimant not disabled under the Act. T. 26-32. The Appeals Council denied a
request for further review and, as a result, the ALJ’s decision became the final
1
The court instructed plaintiff that his “memorandum shall, at its outset, specifically identify each
issue advanced.” (Doc. 11, p. 2). Nevertheless, plaintiff did not identify the issues until the third
page of the memorandum. (Doc. 12, p. 3); cf. Fed. R. App. P. 28 (providing that an appellate brief
shall contain a statement of the issues presented for review before a description of the facts and
procedural history). A very good reason exists for these requirements, in that the reviewing court
will read the factual and procedural history in light of the issues actually raised.
2
The administrative record filed by the Commissioner consists of 17 volumes (docs. 10-2 through
10-18) and has 845 consecutively-numbered pages. References to the record will be by “T.,” for
transcript, followed by the page number.
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determination of the Commissioner. T. 1-3. The Commissioner’s determination is
now before the court for review.
STANDARD OF REVIEW
A federal court reviews the “Commissioner’s decision to determine if it is
supported by substantial evidence and based upon proper legal standards.” Lewis v.
Callahan, 125 F.3d 1436, 1439 (11th Cir. 1997); see also Carnes v. Sullivan, 936
F.2d 1215, 1218 (11th Cir. 1991) (“[T]his Court may reverse the decision of the
[Commissioner] only when convinced that it is not supported by substantial evidence
or that proper legal standards were not applied.”). Substantial evidence is “‘such
relevant evidence as a reasonable mind might accept as adequate to support a
conclusion.’” Richardson v. Perales, 402 U.S. 389, 401 (1971) (quoting Consol.
Edison Co. v. NLRB, 305 U.S. 197, 229 (1938)). “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)). “Even if the evidence preponderates against the [Commissioner], [the
court] must affirm if the decision is supported by substantial evidence.” Sewell v.
Bowen, 792 F.2d 1065, 1067 (11th Cir. 1986).
When reviewing a Social Security disability case, the court “‘may not decide
the facts anew, reweigh the evidence, or substitute [its] judgment for that of the
[Commissioner.]’” Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990)
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(quoting Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983)); see also
Hunter v. Soc. Sec. Admin., Comm’r, 808 F.3d 818, 822 (11th Cir. 2015) (“In
determining whether substantial evidence supports a decision, we give great
deference to the ALJ’s factfindings.”) (citing Black Diamond Coal Min. Co. v. Dir.,
OWCP, 95 F.3d 1079, 1082 (11th Cir. 1996)). The reviewing court, however, may
not look “only to those parts of the record which support the ALJ[,]” but instead
“must view the entire record and take account of evidence in the record which
detracts from the evidence relied on by the ALJ.” Tieniber v. Heckler, 720 F.2d
1251, 1253 (11th Cir. 1983). Review is deferential to a point, but the reviewing
court conducts what has been referred to as “an independent review of the record.”
Flynn v. Heckler, 768 F.2d 1273, 1273 (11th Cir. 1985).
The Social Security Act defines disability as an 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 twelve months.” 42
U.S.C. § 1382c(a)(3)(A).
To qualify as a disability, the physical or mental
impairment must be so severe the plaintiff not only is unable to do his previous work,
“but cannot, considering his age, education, and work experience, engage in any
other kind of substantial gainful work which exists in the national economy[.]”
Id. § 1382c(a)(3)(B).
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Pursuant to 20 C.F.R. § 416.920(a)(4), the Commissioner analyzes a disability
claim in five steps:
1.
If the claimant is performing substantial gainful activity, he is not
disabled.
2.
If the claimant is not performing substantial gainful activity, his
impairments must be severe before he can be found disabled.
3.
If the claimant is not performing substantial gainful activity and he has
severe impairments that have lasted or are expected to last for a continuous period
of at least 12 months, and if his impairments meet or medically equal the criteria of
any impairment listed in 20 C.F.R. Part 404, Subpart P, Appendix 1, the claimant is
presumed disabled without further inquiry.
4.
If the claimant’s impairments do not prevent him from performing his
past relevant work, he is not disabled.3
5.
Even if the claimant’s impairments prevent him from performing his
past relevant work, if other jobs exist in significant numbers in the national economy
that accommodate the claimant’s RFC and vocational factors, he is not disabled.
3
“[C]laimant bears the initial burden of establishing a severe impairment that keeps him from
performing his past work.” Chester v. Bowen, 792 F.2d 129, 131 (11th Cir. 1986).
Case No. 5:17cv173-CJK
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FINDINGS OF THE ALJ
In her written decision, the ALJ made several findings relative to the issues
raised in this appeal:
•
Claimant has not engaged in substantial gainful activity since
November 18, 2013, the application date. T. 28.
•
Claimant has the following severe impairments: degenerative disc
disease, congestive heart failure, chronic kidney disease, the residual effects of a
gun-shot wound to the left foot, and obesity. T. 28.
•
Claimant has the RFC to perform the full range of light work as defined
in 20 C.F.R. § 416.967(b). T. 30.
•
Claimant has not been under a disability, as defined in the Act, from
November 18, 2013, the date the application was filed, to May 31, 2016, the date of
the ALJ’s decision. T. 32.
FACT BACKGROUND AND MEDICAL HISTORY
At the January 2016 hearing, Mr. Thomas testified about his health, daily
activities, and work history. Born on October 6, 1965, he completed high school.
T. 36. He is 5’11” tall, and weighs about 300 pounds. T. 36. He previously worked
as a maintenance worker at a baseball stadium and a construction laborer. T. 37, 4950. He lives with his girlfriend in a house; he says pain makes it difficult for him to
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move around the house, shower, cook, and complete chores. T. 38-39. Family
members bring him food when he is unable to cook for himself. T. 39.
Plaintiff has been diagnosed with congestive heart failure, which causes an
irregular heartbeat, shortness of breath, and fatigue. T. 39. When he stands for long
periods, his legs and hands swell. T. 39. His heart medication causes his chest to
tighten, which leads to difficulty breathing and panic attacks. T. 40, 45. The panic
attacks occur “14 to 15 times” a month and “normally” last half the day. T. 40. His
medication also makes it difficult to focus and pay attention “because [he] fall[s]
asleep a lot of [the] time[.]” T. 40.
Plaintiff testified his hypertension has been “uncontrollable” and resulted in
headaches “at least twice a week” that last half the day. T. 40-41. To cope with the
headaches, claimant takes pain medication and “sit[s] around” to relax. T. 41.
At the end of 2013, claimant’s “kidneys started hurting . . . real, real bad.” T.
42. After a doctor changed Mr. Thomas’s blood pressure medication, his “kidneys
started feeling a lot better.” T. 42. Later, however, the kidney problems returned.
T. 42-43. Due to kidney disease, plaintiff says his kidneys hurt and his legs swell
with fluid. T. 41. It also causes him to use the bathroom at least four times a night,
which interrupts his sleep and leaves him tired. T. 41.
As part of the disability application process, Cristina Rodriguez, M.D.,
reviewed Mr. Thomas’s medical records and offered an opinion as to his functional
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limitations. T. 109-10. On March 4, 2014, Dr. Rodriguez concluded plaintiff could
occasionally lift 20 pounds, frequently lift 10 pounds, and stand and/or walk for
about 6 hours in an 8-hour workday. T. 109.
ANALYSIS
Residual Functional Capacity
Mr. Thomas first argues the ALJ’s RFC assessment failed to account for
limitations caused by the severe impairments the ALJ found at step two. (Doc. 12,
p. 4-11). Specifically, plaintiff contends the ALJ erred by: (1) including “no
limitations with regard to [plaintiff’s] ability to stand, walk, or use foot controls,
which would directly correspond to the severe impairments with [plaintiff’s] heart,
back, and left foot”; (2) not including limitations to account for the pain caused by
the severe impairments, “despite finding a number of impairments that are
reasonably expected to cause pain and, in fact, are documented to have done so”;
and (3) not including limitations related to plaintiff’s “ability to finger, feel, and
manipulate with the left hand or reach with the left arm” due to evidence plaintiff’s
“cervical DDD has affected his ability to use his left hand and arm.” (Id., p. 8).
The ALJ’s RFC assessment restricted claimant to light work. T. 30. Light
work: (1) “requires standing or walking, off and on, for a total of approximately 6
hours of an 8-hour workday”; and (2) requires “lifting no more than 20 pounds at a
time with frequent lifting or carrying of objects weighing up to 10 pounds.” SSR
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83-10. Thus, plaintiff’s assertion that the ALJ included “no limitations” regarding
plaintiff’s ability to stand or walk is incorrect. Moreover, Mr. Thomas has not cited
any evidence in the record suggesting he had additional functional limitations related
to his ability to stand, walk, or use foot controls. 4 See Moore v. Barnhart, 405 F.3d
1208, 1213 n.6 (11th Cir. 2005) (“the mere existence of . . . impairments does not
reveal the extent to which they limit [the] ability to work or undermine the ALJ’s
determination in that regard”). Plaintiff cannot establish reversible error through his
speculation, or unsupported conclusions, regarding limitations that might be caused
by his impairments.
With respect to pain-related limitations, the ALJ noted plaintiff’s physical
impairments “could reasonably be expected to cause the alleged symptoms” but his
“statements concerning the intensity, persistence and limiting effects of these
symptoms are not entirely consistent with the medical evidence and other evidence
in the record for the reasons explained in [the ALJ’s] decision.” T. 30. The ALJ,
therefore, found Mr. Thomas’s subjective complaints of disabling pain not entirely
credible and concluded he could perform light work despite those complaints. And,
as discussed below, the ALJ’s credibility determination is supported by substantial
evidence.
4
The court’s briefing order mandated that plaintiff “specifically cite the record, as filed by the
Commissioner, by page number for factual contentions.” (Doc. 11, p. 2). As with the statement
of issues, this requirement is rooted in judicial efficiency.
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Claimant’s argument regarding the omission of work restrictions related to his
left arm or hand is also unavailing. The only evidence plaintiff cites to support the
inclusion of such restrictions comes from an emergency room visit seven days after
a car accident. T. 339, 343. The visit occurred on August 13, 2012, over a year
before the alleged disability onset date, and diagnostic imaging of the cervical spine
was within normal limits. T. 342-43. More recent records do not show left-arm
numbness, T. 449, 498, and claimant did not testify he experienced left-arm
limitations at the January 2016 hearing. Substantial evidence, therefore, supports
the ALJ’s decision not to include left-arm restrictions in the RFC.
Mr. Thomas also takes issue with the ALJ’s reliance on the opinion of Dr.
Rodriguez, the non-examining physician. (Doc. 12, p. 9-10). The ALJ gave Dr.
Rodriguez’s opinion significant weight, finding it generally consistent with the
treatment records. T. 31; see 20 C.F.R. § 416.913a(b)(1) (“State agency medical . .
. consultants are highly qualified and experts in Social Security disability
evaluation.”). Because Dr. Rodriguez’s opinion is dated March 4, 2014, plaintiff
argues Rodriguez did not review the entire medical record. Claimant, however, has
not identified any evidence post-dating the opinion which might undermine Dr.
Rodriguez’s findings.
Plaintiff also incorrectly asserts Dr. Rodriguez did not consider his chronic
kidney disease, the residual effects of the gunshot wound to the left foot, and obesity.
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In fact, Dr. Rodriguez specifically referenced the 2010 gunshot wound and obesity.
T. 109-10. And Dr. Rodriguez reviewed records from December 2013, which
included glomerular filtration rate test results indicative of chronic kidney disease.
T. 110, 457-58. Thus, although Dr. Rodriguez did not review the entire record, her
opinion supports the ALJ’s RFC determination and the ALJ did not err by relying
on it.
Severe Impairments
Next, Mr. Thomas argues the ALJ erred by failing to find anxiety, headaches,
and uncontrolled hypertension were severe impairments. (Doc. 12, p. 11-13). An
impairment is “severe” if it “significantly limits claimant’s physical or mental ability
to do basic work activities.” Crayton v. Callahan, 120 F.3d 1217, 1219 (11th Cir.
1997) (citing 20 C.F.R. § 416.920(c)). Because the ALJ found at least one severe
impairment, however, the ALJ’s failure to designate additional conditions as severe
does not necessarily constitute reversible error. See Heatly v. Comm’r of Soc. Sec.,
382 F. App’x 823, 825 (11th Cir. 2010) (“Nothing requires that the ALJ must
identify, at step two, all of the impairments that should be considered severe.”).
“Instead, at step three, the ALJ is required to demonstrate that it has considered all
of the claimant’s impairments, whether severe or not, in combination.” Id.; see also
Ball v. Comm’r of Soc. Sec. Admin., 714 F. App’x 991, 993 (11th Cir. 2018) (“[S]tep
two of the test ‘acts as a filter’ in that the ‘finding of any severe impairment . . . is
Case No. 5:17cv173-CJK
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enough to satisfy the requirement of step two’ and allow the ALJ to proceed to step
three.”) (quoting Jamison v. Bowen, 814 F.2d 585, 588 (11th Cir. 1987)); SSR 968p (“In assessing RFC, the adjudicator must consider limitations and restrictions
imposed by all of an individual’s impairments, even those that are not ‘severe.’
While a ‘not severe’ impairment(s) standing alone may not significantly limit an
individual’s ability to do basic work activities, it may—when considered with
limitations or restrictions due to other impairments—be critical to the outcome of a
claim.”).
Noting his complaints of headaches and hypertension at the hearing, plaintiff
complains the ALJ failed to discuss either condition in her decision. Nevertheless,
the ALJ’s failure to expressly mention headaches or hypertension does not constitute
reversible error because: (1) the ALJ found claimant’s subjective complaints not
entirely credible; and (2) the medical evidence does not indicate the conditions
caused work-related functional limitations.
Plaintiff presented to the emergency room of Jackson Hospital complaining
of a headache on August 20, 2012, but he received medication and was discharged
after a couple of hours in “good and stable” condition. T. 345-50. Furthermore, the
visit occurred over a year before the alleged disability onset date.
In addition, medical evidence contradicted plaintiff’s testimony that he had
headaches that lasted half a day at least twice a week. T. 41. Treatment notes from
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April 16, April 25, July 18, and September 19 of 2015 revealed “[w]ithin the last 30
days, [claimant] has not experienced any . . . headaches[.]” T. 629, 643, 690, 695,
705. On January 26, 2016, Dr. Hari Kolli noted “no headache.” T. 776. The medical
records, therefore, contradict plaintiff’s testimony and support the ALJ’s decision
not to impose functional limitations due to headaches.
With respect to hypertension, plaintiff cites three instances when a physician’s
assistant diagnosed uncontrolled hypertension.
T. 427-28, 504.
Under the
regulations governing plaintiff’s claim, however, a physician’s assistant is not an
acceptable medical source capable of establishing the existence of a medicallydeterminable impairment. See Zawatsky v. Comm’r of Soc. Sec., No. 6:13-cv-1976Orl-18DAB, 2015 WL 179284 (M.D. Fla. Jan. 14, 2015) (“Under the regulations,
evidence from nurses, physician’s assistants, and other non-acceptable medical
sources cannot establish the existence of a medically determinable impairment, but
an ALJ can use evidence from these other sources to show the severity of a
claimant’s impairments and how the claimant’s impairments affects the claimant’s
ability to work.”).
Assuming the validity of the hypertension diagnoses, however, “the mere
existence of . . . impairments does not reveal the extent to which they limit [the]
ability to work[.]” Moore, 405 F.3d at 1213 n.6. The physician assistant’s notes
indicate Mr. Thomas reported dizziness in December 2013. T. 428. The next month,
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however, he reported “no more dizziness.” T. 427. Likewise, he did not complain
of dizziness in June 2014. T. 504.
On March 6, 2015, Mr. Thomas presented to the Jackson Hospital emergency
room with a complaint of hypertension. T. 619. The treatment note, however, shows
“[t]he severity of the symptoms was mild[,]” with “no associated nausea, vomiting,
abdominal pain, chest pain, confusion, headache, hematuria, palpitations, seizure, or
[shortness of breath].” T. 619. Plaintiff was diagnosed with “benign essential
hypertension” and prescribed Norvasc. T. 621. On September 20, 2015, Mr.
Thomas reported he had been “on Norvasc 10 for the last several months” and “it’s
doing fairly well [for] his blood pressure[.]” T. 677. On January 26, 2016, Dr. Kolli
concluded claimant’s hypertension was “stable.” T. 777.
The medical evidence, therefore, contradicts plaintiff’s testimony that he
suffered from uncontrolled hypertension. And the evidence does not suggest the
hypertension caused any work-related functional limitations. Thus, the ALJ did not
commit reversible error by failing to designate “uncontrolled hypertension” as a
severe impairment or include limitations in the RFC related to the condition.
Plaintiff also asserts the ALJ should have identified anxiety as a severe
impairment. The ALJ noted plaintiff complained of anxiety, but concluded the
evidence did not establish a medically-determinable mental impairment that met the
durational requirement of the Act because “there are only occasional brief references
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to . . . anxiety in the treatment records and no evidence of significant limitations on
any sustained basis.” T. 29.
As the ALJ noted, the record contains references to anxiety. On June 28,
2014, Mr. Thomas visited the emergency room with chest pain. T. 548. The
treatment notes from the visit reflect he was “positive for anxiety” and received
Ativan. T. 551, 555. On October 28, 2014, a provider at the Faith Health Clinic
diagnosed severe anxiety and prescribed Celexa. T. 584. In March 2015, plaintiff
again presented to the emergency room with chest pain; the doctor concluded it was
anxiety-related and prescribed Xanax. T. 612, 616.5 On December 21, 2015,
plaintiff visited Everest Medical Care for a sleep study consult and reported he
experienced anxiety. T. 766.
Nevertheless, the ALJ did not err by concluding the record contained “no
evidence of significant limitations [from anxiety] on any sustained basis.” The
evidence cited by plaintiff shows he received treatment for anxiety on three
occasions from June 28, 2014, to March 5, 2015; the remainder of the evidence
claimant cites merely indicates he reported anxiety or was noted as having a history
of anxiety. T. 512, 524, 585, 717, 727, 766. This limited treatment history supports
the ALJ’s assessment of the effect of claimant’s anxiety. See Beegle v. Soc. Sec.
5
Plaintiff cites an additional visit to Dr. Andreas Muench on October 20, 2015. T. 717. Records
from the visit show anxiety was circled on a “problem list,” which does not necessarily indicate
plaintiff experienced anxiety-related symptoms at the time.
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Admin., Comm’r, 482 F. App’x 483, 487 (11th Cir. 2012) (citations omitted) (“When
evaluating a claimant’s statements regarding his symptoms and their functional
effects, the ALJ may consider whether the level or frequency of treatment is
consistent with the level of complaints.”) (citing S.S.R. 96-7p at *7).
Furthermore, other parts of the record indicate anxiety did not cause functional
limitations. Treating providers at Jackson Hospital found plaintiff “negative for
anxiety” in August 2012, November 2012, November 2013, December 2013, April
2015, and July 2015. T. 348, 449, 463, 479, 633, 647, 709. On June 24, 2014, and
April 25 and September 20 of 2015, Mr. Thomas denied “any psychiatric problems.”
T. 498, 624, 677. Thus, the ALJ’s determination that plaintiff did not suffer from
anxiety-related work limitations is supported by substantial evidence.
Credibility
Finally, Mr. Thomas argues the ALJ failed to properly evaluate his complaints
of pain. “Pain alone can be disabling, even when its existence is unsupported by
objective evidence.” Marbury v. Sullivan, 957 F.2d 837, 839 (11th Cir. 1992) (citing
Walker v. Bowen, 826 F.2d 996, 1003 (11th Cir. 1987)). The Eleventh Circuit “has
established a three part ‘pain standard’ that applies when a claimant attempts to
establish disability through his . . . own testimony of pain or other subjective
symptoms.” Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991); see also Stewart
v. Astrue, 551 F. Supp. 2d 1308, 1319 (N.D. Fla. 2008) (“Pain and other symptoms
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reasonably attributed to a medically determinable impairment are relevant evidence
for determining residual functional capacity.”) (citing SSR 96-8p). “The 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.” Holt,
921 F.2d at 1223 (citing Landry v. Heckler, 782 F.2d 1551, 1553 (11th Cir. 1986)).
“The standard also applies to complaints of subjective conditions other than pain.”
Id. (citing Jackson v. Bowen, 873 F.2d 1111, 1114 (8th Cir. 1989)). “[T]he ALJ
must clearly ‘articulate explicit and adequate reasons’ for discrediting the claimant’s
allegations of completely disabling symptoms.” Dyer, 395 F.3d at 1210 (quoting
Foote v. Chater, 67 F.3d 1553, 1561-62 (11th Cir. 1995)). And of course, the
reasons articulated for disregarding the plaintiff’s subjective testimony must be
based on substantial evidence. See Jones v. Dep’t of Health & Human Servs., 941
F.2d 1529, 1532 (11th Cir. 1991).
Here, the ALJ concluded plaintiff’s physical impairments “could reasonably
be expected to cause the alleged symptoms” but his “statements concerning the
intensity, persistence and limiting effects of these symptoms are not entirely
consistent with the medical evidence and other evidence in the record for the reasons
explained in [the ALJ’s] decision.” T. 30.
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First, the ALJ found the objective findings did not support the severity of
plaintiff’s subjective complaints and identified parts of the record supporting that
conclusion. T. 30. The evidence cited by the ALJ included: (1) an unremarkable
June 2014 musculoskeletal examination, conducted during plaintiff’s visit to the
emergency room for back pain, T. 500; (2) an unremarkable August 2014 physical
examination, T. 653; (3) July 2015 diagnostic imaging of the lumbar spine showing
“no abnormalities,” T. 712; (4) treatment notes from September 20, 2015, in which
plaintiff denied any musculoskeletal problems, T. 677; and (5) a physical
examination by Dr. Kolli in January 2016 which elicited “no tenderness” and
showed “no musculoskeletal swelling,” T. 777. These medical records support the
ALJ’s determination that plaintiff’s allegations are not entirely credible. See 20
C.F.R. § 404.1529(c)(2) (“Objective medical evidence . . . is a useful indicator to
assist us in making reasonable conclusions about the intensity and persistence of
your symptoms and the effect those symptoms, such as pain, may have on your
ability to work.”).
In addition, the ALJ also found claimant “admitted to engaging in activities
that contradict[ed] his testimony.” T. 30-31. As an example, the ALJ noted plaintiff
“admitted to Dr. Kolli that he continued to work out and was capable of 25 push-ups
without stopping.” T. 31, 775. The ability to perform 25 push-ups at one time is not
consistent with claimant’s assertion that he suffers from disabling pain and “get[s]
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tired real fast.” T. 39; see Macia v. Bowen, 829 F.2d 1009, 1012 (11th Cir. 1987)
(“The regulations do not . . . prevent the ALJ from considering daily activities at the
fourth step of the sequential evaluation process.”). Plaintiff’s admission that he is
capable of vigorous exercise, and the benign objective findings, provide substantial
evidence supporting the ALJ’s credibility determination. See Lara v. Comm’r of
Soc. Sec., 705 F. App’x 804, 814 (11th Cir. 2017) (holding “substantial evidence
supports the ALJ’s determination that Lara’s statements about her symptoms were
not credible because those statements were inconsistent with the medical evidence
in this case and because she had given inconsistent statements throughout the
record”); Werner v. Comm’r of Soc. Sec., 421 F. App’x 935, 939 (11th Cir. 2011)
(“The question is not . . . whether ALJ could have reasonably credited [claimant’s]
testimony, but whether the ALJ was clearly wrong to discredit it.”).
Accordingly, it is ORDERED:
1.
The decision of the Commissioner is AFFIRMED and plaintiff’s
applications for Supplemental Security Income are DENIED.
2.
The clerk is directed to enter judgment in favor of the Commissioner
and close the file.
DONE AND ORDERED this 21st day of September, 2018.
/s/
Charles J. Kahn, Jr.
CHARLES J. KAHN, JR.
UNITED STATES MAGISTRATE JUDGE
Case No. 5:17cv173-CJK
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