Bond v. Commissioner of Social Security
Filing
24
MEMORANDUM DECISION AND ORDER. Based on the foregoing, Petitioner's Petitioner for Review 1 is DENIED, the decision of the Commissioner is AFFIRMED, and this action is DISMISSED in its entirety, with prejudice. Signed by Judge Ronald E. Bush. (caused to be mailed to non Registered Participants at the addresses listed on the Notice of Electronic Filing (NEF) by (st)
UNITED STATES DISTRICT COURT
DISTRICT OF IDAHO
ROSE BOND,
Case No. CV 14-00168-N-REB
Petitioner,
MEMORANDUM DECISION AND
ORDER
vs.
CAROLYN W. COLVIN, Commissioner of Social
Security,
Respondent.
The Court has before it for decision Petitioner Rose Bond’s Petition for Review (Dkt. 1),
filed May 1, 2014, seeking review of the Social Security Administration’s final decision to deny
her disability benefits. This action is brought pursuant to 42 U.S.C. § 405(g). Having carefully
reviewed the record and otherwise being fully advised, the Court enters the following
Memorandum Decision and Order.
I. ADMINISTRATIVE PROCEEDINGS
On March 10, 2011, Rose Bond (“Petitioner”) applied for Social Security Disability
Insurance, alleging a disability onset date of September 28, 2010, when she was 55 years old.
(AR 180.) Petitioner’s claim was initially denied and, again, denied on reconsideration. (AR
109-119.) Petitioner timely filed a Request for Hearing before an Administrative Law Judge,
which began on February 13, 2013 in Spokane, Washington before Administrative Law Judge
R.J. Payne (the “ALJ”). Petitioner was represented by attorney Mark Jones. (AR 28-65.) An
impartial medical expert, Dr. Vu, testified by telephone. (AR 66-83.) The hearing was then
continued to April 23, 2013, for the Petitioner’s testimony and testimony from a vocational
MEMORANDUM DECISION AND ORDER - 1
expert. Petitioner appeared and testified, along with K. Diane Kramer, an impartial vocational
expert. At the time of the hearing, Petitioner had past relevant work as an employment
specialist/counselor. (AR 21.)
The ALJ issued his decision on June 7, 2013. He denied Petitioner’s claims, ruling that
Petitioner was not disabled within the meaning of the Social Security Act. (AR 9-23.) Petitioner
timely requested review from the Appeals Council. (AR 7-8.) The Appeals Council denied
review on March 6, 2014 (AR 1-6), which served to make the ALJ’s decision the
Commissioner’s final decision.
Petitioner now seeks judicial review of the Commissioner’s decision to deny benefits.
Petitioner contends the ALJ erred in that he (1) did not use the best available evidence regarding
Petitioner’s neurologic disorder; (2) improperly ignored Dr. Puffer’s opinion in forming the
residual functional capacity (RFC) assessment; and (3) failed to find Petitioner’s ocular
migraines severe when formulating the RFC.
II. STANDARD OF REVIEW
The Commissioner’s decision will be upheld if supported by substantial evidence
and based on proper legal standards. 42 U.S.C. § 405(g); Matney ex. rel. Matney v. Sullivan, 981
F.2d 1016, 1019 (9th Cir. 1992); Gonzalez v. Sullivan, 914 F.2d 1197, 1200 (9th Cir. 1990).
Findings as to any question of fact, if supported by substantial evidence, are conclusive. 42
U.S.C. § 405(g). In other words, if there is substantial evidence to support the ALJ’s factual
decisions, they must be upheld, even when there is conflicting evidence. Hall v. Sec'y of Health,
Educ. & Welfare, 602 F.2d 1372, 1374 (9th Cir. 1979).
“Substantial evidence” is defined as such relevant evidence as a reasonable mind might
MEMORANDUM DECISION AND ORDER - 2
accept as adequate to support a conclusion. Richardson v. Perales, 402 U.S. 389, 401 (1971);
Tylitzki v. Shalala, 999 F.2d 1411, 1413 (9th Cir. 1993); Flaten v. Sec’y of Health & Human
Servs., 44 F.3d 1453, 1457 (9th Cir. 1995). The standard requires more than a scintilla but less
than a preponderance, Sorenson v. Weinberger, 514 F.2d 1112, 1119 n. 10 (9th Cir.1975);
Magallanes v. Bowen, 881 F.2d 747, 750 (9th Cir. 1989), and “does not mean a large or
considerable amount of evidence.” Pierce v. Underwood, 487 U.S. 552, 565 (1988).
With respect to questions of fact, the role of the Court is to review the record as a whole
to determine whether it contains evidence that would allow a reasonable mind to accept the
conclusions of the ALJ. See Richardson, 402 U.S. at 401; see also Matney, 981 F.2d at 1019.
The ALJ is responsible for determining credibility and resolving conflicts in medical testimony,
Allen v. Heckler, 749 F.2d 577, 579 (9th Cir. 1984), resolving ambiguities, see Vincent ex. rel.
Vincent v. Heckler, 739 F.2d 1393, 1394-95 (9th Cir. 1984), and drawing inferences logically
flowing from the evidence, Sample v. Schweiker, 694 F.2d 639, 642 (9th Cir. 1982). Where the
evidence is susceptible to more than one rational interpretation in a disability proceeding, the
reviewing court may not substitute its judgment or interpretation of the record for that of the
ALJ. Flaten, 44 F.3d at 1457; Key v. Heckler, 754 F.2d 1545, 1549 (9th Cir. 1985).
With respect to questions of law, the ALJ’s decision must be based on proper legal
standards and will be reversed for legal error. Matney, 981 F.2d at 1019. The ALJ’s
construction of the Social Security Act is entitled to deference if it has a reasonable basis in law.
See id. However, reviewing federal courts “will not rubber-stamp an administrative decision that
is inconsistent with the statutory mandate or that frustrates the congressional purpose underlying
the statute.” Smith v. Heckler, 820 F.2d 1093, 1094 (9th Cir. 1987).
MEMORANDUM DECISION AND ORDER - 3
III. DISCUSSION
A.
Sequential Process
In evaluating the evidence presented at an administrative hearing, the ALJ must follow a
sequential process in determining whether a person is disabled in general (see 20 C.F.R. §§
404.1520, 416.920) - or continues to be disabled (see 20 C.F.R. §§ 404.1594, 416.994) - within
the meaning of the Social Security Act.
The first step requires the ALJ to determine whether the claimant is engaged in
substantial gainful activity (“SGA”). 20 C.F.R. §§ 404.1520(a)(4)(I), 416.920(a)(4)(I). SGA is
defined as work activity that is both substantial and gainful. “Substantial work activity” is work
activity that involves doing significant physical or mental activities. 20 C.F.R. §§ 404.1572(a),
416.972(a). “Gainful work activity” is work that is usually done for pay or profit, whether or not
a profit is realized. 20 C.F.R. §§ 404.1572(b), 416.972(b). If the claimant has engaged in SGA,
disability benefits are denied, regardless of how severe her physical/mental impairments are and
regardless of her age, education, and work experience. 20 C.F.R. §§ 404.1520(b), 416.920(b). If
the claimant is not engaged in SGA, the analysis proceeds to the second step. Here, the ALJ
found that Petitioner had not engaged in SGA since September 28, 2010, the alleged onset date.
(AR 14.)
The second step requires the ALJ to determine whether the claimant has a medically
determinable impairment, or combination of impairments, that is severe and meets the duration
requirement. 20 C.F.R. § 404.1520(a)(4)(ii), 416.920(a)(4)(ii). An impairment or combination
of impairments is “severe” within the meaning of the Social Security Act if it significantly limits
an individual’s ability to perform basic work activities. 20 C.F.R. §§ 404.1520(c), 416.920(c).
MEMORANDUM DECISION AND ORDER - 4
An impairment or combination of impairments is “not severe” when medical and other evidence
establish only a slight abnormality or a combination of slight abnormalities that would have no
more than a minimal effect on an individual’s ability to work. 20 C.F.R. §§ 404.1521, 416.921.
If the claimant does not have a severe medically determinable impairment or combination of
impairments, disability benefits are denied. 20 C.F.R. §§ 404.1520(c), 416.920(c). Here, the
ALJ found that Petitioner had the following severe impairments: fibromyalgia; emphysema;
neurologic disorder; and frozen shoulder syndrome. (AR 14.)
The third step requires the ALJ to determine the medical severity of any impairments;
that is, whether the claimant’s impairments meet or equal a listed impairment under 20 C.F.R.
Part 404, Subpart P, Appendix 1. 20 C.F.R. §§ 404.1520(a)(4)(iii), 416.920(a)(4)(iii). If the
answer is yes, the claimant is considered disabled under the Social Security Act and benefits are
awarded. 20 C.F.R. §§ 404.1520(d), 416.920(d). If the claimant’s impairments neither meet nor
equal one of the listed impairments, the claimant’s case cannot be resolved at step three and the
evaluation proceeds to step four. Id. Here, the ALJ concluded that Petitioner does not have an
impairment (or combination of impairments) that meets or medically equals a listed impairment
(AR 15.)
The fourth step of the evaluation process requires the ALJ to determine whether the
claimant’s residual functional capacity is sufficient for the claimant to perform past relevant
work. 20 C.F.R. §§ 404.1520(a)(4)(iv), 416.920(a)(4)(iv). An individual’s residual functional
capacity is her ability to do physical and mental work activities on a sustained basis despite
limitations from her impairments. 20 C.F.R. §§ 404.1545, 416.945. Likewise, an individual’s
past relevant work is work performed within the last 15 years or 15 years prior to the date that
MEMORANDUM DECISION AND ORDER - 5
disability must be established; also, the work must have lasted long enough for the claimant to
learn to do the job and be engaged in substantial gainful activity. 20 C.F.R. §§ 404.1560(b),
404.1565, 416.960(b), 416.965. Here, the ALJ determined that Petitioner has the residual
functional capacity to perform light work as defined in 20 C.F.R. § 404.1567(b) with the
following non-exertional limitations: could frequently kneel, crouch, and crawl; could
occasionally climb ramps or stairs, but could never climb ladders, ropes, or scaffolds; she could
never lift overhead with left, non-dominant arm; should avoid moderate exposure to fumes,
odors, dusts, gases, and other pulmonary irritants; and should avoid concentrated exposure to
hazardous machinery. (AR 16.)
In the fifth and final step, if it has been established that a claimant can no longer perform
past relevant work because of his impairments, the burden shifts to the Commissioner to show
that the claimant retains the ability to do alternate work and to demonstrate that such alternate
work exists in significant numbers in the national economy. 20 C.F.R. §§ 404.1520(a)(4)(v),
416.920(a)(4)(v), 404.1520(f), 416.920(f); see also Matthews v. Shalala, 10 F.3d 678, 681 (9th
Cir. 1993). If the claimant is able to do other work, he is not disabled; if the claimant is not able
to do other work and meets the duration requirement, he is disabled. The ALJ found, at step
five, that Petitioner is capable of performing past relevant work as an employment
specialist/counselor. (AR 21.)
B.
Analysis
1.
ALJ’s Finding of a Severe Neurologic Disorder
Petitioner contends that the ALJ erred in relying on a July 2011 medical opinion of
reviewing physician Dr. Crites, as to which Dr. Crites did not have the benefit (pro or con) of a
MEMORANDUM DECISION AND ORDER - 6
second MRI exam of the Petitioner, which was conducted in May 2013, nor the report of a
comprehensive eye exam conducted by Dr. Harrell in April 2013, for use in forming his opinion.
In his decision, the ALJ concluded that Petitioner has a neurologic disorder, as stated by
Dr. Puffer in September 2010. (AR 15.) The ALJ found this condition to be severe. (AR 14.)
Dr. Crites’ opinion from July 2011, prior to the first MRI, concluded that the evidence does not
document that Petitioner has multiple sclerosis. Dr. Puffer reviewed Petitioner’s first MRI from
August 2011 and he concluded that he could not diagnose multiple sclerosis. (AR 259-261.)
Dr. Stevens examined Petitioner and reviewed her medical records, including the August 2011
MRI, in March 2013 and found that there was “no objectively demonstrated condition that would
prevent her from functioning in normal manner.” (AR 604.) Medical expert Dr. Vu, who
reviewed all of Petitioner’s medical files at the time, testified at the first hearing in February
2013 and stated the record does not establish petitioner has multiple sclerosis. The ALJ relied on
several medical opinions to conclude that Petitioner has a severe neurologic disorder, not just Dr.
Crites. (AR 15.)
Petitioner argues that because the ALJ relied on the opinion of Dr. Crites,1 who did have
the benefit of the second MRI or comprehensive eye exam, both conducted in 2013, this case
should be remanded. It is Petitioner’s burden to establish that she is disabled. See Meanel v.
Apfel, 172 F.3d 1111, 1113 (9th Cir. 1999). Petitioner contends that she believes the second
MRI, which noted “small areas consistent with demyelination,” “would have been important to
Dr. Crites.” (See AR 617.) Whether or not the second MRI would have been important to Dr.
1
The Court disagrees with Petitioner’s characterization of the ALJ’s decision in this
regard. The ALJ relied on several medical sources, including Dr. Crites.
MEMORANDUM DECISION AND ORDER - 7
Crites is not the inquiry before the Court. The inquiry is whether the ALJ’s decision is supported
by substantial evidence. E.g., 42 U.S.C. § 405(g); Matney ex. rel. Matney v. Sullivan, 981 F.2d
1016, 1019 (9th Cir. 1992); Gonzalez v. Sullivan, 914 F.2d 1197, 1200 (9th Cir. 1990). There is
substantial evidence to support the ALJ’s finding that Petitioner has a severe neurologic
disorder. First, no medical provider has diagnosed multiple sclerosis Although Petitioner has
symptoms and there is medical evidence that is consistent with a diagnosis of multiple sclerosis
that is noted in the record, there has not been a diagnosis of multiple sclerosis. Second, although
the ALJ did cite to Dr. Crites’ conclusion that the medical evidence did not establish multiple
sclerosis as a medically determinable impairment, it was Dr. Puffer’s opinion he adopted
regarding the severe neurologic disorder. (See AR 15.) Significantly, in that Petitioner
emphasizes the ALJ’s assessment of Dr. Crites’ opinion, the ALJ did not rely solely on Dr.
Crites’ opinion. It is correct that Dr. Crites did not review the first MRI; however, Dr. Puffer did
review the first MRI and did not diagnose multiple sclerosis. Significantly for these purposes,
the second MRI report states that the scattered white matter foci are “unchanged from [the first
MRI.]” (AR 617.) (Emphasis supplied.)
Petitioner focuses on this phrase in the second MRI report: “These small abnormal white
matter foci are consistent with small areas of demyelination, again of multiple etiologies.” (AR
617.) This statement simply says these findings are consistent with demyelination and does not
state what the source of these areas are. The fact that the first MRI report did not contain the
term “demyelination” does not alter the fact that the second MRI’s findings are “unchanged” in
number and distribution from the first MRI. (Id.) It is unclear how the ALJ’s discussion of the
various physician’s assessments of one or more of the MRI reports could possibly constitute
MEMORANDUM DECISION AND ORDER - 8
error given these details, but even if the reference to the demyelination is of some significance in
that it is language found in second MRI report and not identical to the first MRI report, the
variation seems inconsequential in light of the fact that the second MRI’s findings are
“unchanged” in number and distribution from the first MRI. (Id.) Hence, any error that might
arguably exist in this particular setting is harmless. See Stout v. Comm’r, Soc. Sec. Admin., 454
F.3d 1040, 1054-55 (9th Cir. 2006) (noting that the ALJ commits harmless error when the
mistake was “nonprejudicial” or “irrelevant” to the ultimate disability conclusion).
The same can be said about the eye exam report of Dr. Harrell, the optometrist who
diagnosed ocular migraines. (See AR 15.) Dr. Harrell found that Petitioner had a general
decrease in vision, but there was no “pattern consistent with any particular or common disease
process” and that her eyes appeared “healthy outside of this decrease in acuity.” (AR 612.) He
also stated that she appeared to have an “inflammatory condition . . . that could very possibly be
MS.” (Id.) The ALJ considered and discussed this evidence in his decision. Petitioner has not
shown that because Dr. Crites did not have the benefit of this examination in forming his
opinion, there has been prejudicial error. It is often common in the social security disability
process that the evaluating physicians at the earlier stages, like Dr. Crites, will not have the
benefit of later medical evidence. This does not make their opinions inherently unreliable.
In sum, the ALJ did not solely rely on Dr. Crites’ and Dr. Vestral’s opinions from 2011
in forming his conclusion. He stated he gave significant weight to Dr. Puffer’s diagnoses, but
little to Puffer’s opinion of Petitioner’s limitations.2 (AR 18.) He gave great weight to the
opinion of Dr. Vu who reviewed all of Petitioner’s medical evidence. (AR 19.) He also
2
This will be discussed in further detail in the next section.
MEMORANDUM DECISION AND ORDER - 9
reviewed the report of Dr. Stevens who evaluated Petitioner in March 2013 and gave his opinion
“some weight.” (AR 20.) Dr. Stevens found that Petitioner suffered from “no limitations” and
that nothing would “prevent her from functioning in a normal manner.” (AR 20.) Accordingly,
Petitioner is mistaken in her contention that the ALJ only relied on these two medical evaluators,
Dr. Crites and Dr. Vestral, who did not have the benefit of the entire record.
The Court finds the ALJ’s finding of a severe neurologic disorder is supported by
substantial evidence as required by the law. Further, Petitioner has not met her burden of
showing how any error, if there was indeed one, has been prejudicial or relevant to the ultimate
determination of disability.
2.
Dr. Puffer’s Opinion and Petitioner’s RFC
Petitioner takes issue with the ALJ adopting Dr. Puffer’s opinion regarding Petitioner’s
severe neurologic disorder but not adopting the limitations set forth by Dr. Puffer, which are far
more limited that the RFC set forth by the ALJ.
With respect to Dr. Puffer’s opinion, the ALJ specifically “assign[ed] significant weight
to Dr. Puffer’s diagnoses, but little weight to his opinion on the effects of the claimant’s
conditions. No other medical source of record opined that the claimant would be limited to the
extent assessed by Dr. Puffer and his opinion appears to be primarily based on the claimant’s
complaints during the evaluation.” (AR 18.) The ALJ then discussed the activities of daily
living that Petitioner reported in her Function Report, including preparing meals, performing
personal care, cleaning, doing laundry, doing yard work, shopping for groceries, and fishing.
(Id.) After doing so, the ALJ concluded that the capabilities self-reported by the Petitioner were
“inconsistent with her complaints to Dr. Puffer, and his resulting conclusions are assigned little
MEMORANDUM DECISION AND ORDER - 10
weight.” (Id.)
In reviewing Petitioner’s criticisms of the ALJ’s conclusions in this regard, the Court
considers the template contained Ninth Circuit case law as to the consideration to be given to the
different types of physicians commonly involved in cases such as this: (1)
those who treat the claimant (treating physicians); (2) those who examine but do not treat the
claimant (examining physicians); and (3) those who neither examine nor treat the claimant
(nonexamining physicians). Lester v. Chatter, 81 F.3d 821, 830 (9th Cir. 1995). Generally,
more weight is accorded to the opinion of a treating physician than a nontreating physician.
Winans v. Bowen, 853 F.2d 643, 647 (9th Cir.1987). An examining physician’s opinion also is
entitled to greater weight than the opinion of a nonexamining physician. Pitzer v. Sullivan, 908
F.2d 502, 506 (9th Cir.1990); Gallant v. Heckler, 753 F.2d 1450 (9th Cir.1984). If the treating
physician’s opinion is not contradicted by another doctor, it may be rejected only for “clear and
convincing” reasons. Baxter v. Sullivan, 923 F.2d 1391, 1396 (9th Cir.1991). If a treating
doctor’s opinion is contradicted by another doctor, the Commissioner may not reject the treating
physician’s opinion without providing “specific and legitimate reasons” supported by substantial
evidence in the record for doing so. Murray v. Heckler, 722 F.2d 499, 502 (9th Cir.1983).
Even so, an ALJ is not required to accept a conclusory opinion of a treating physician,
not supported by clinical findings. Matney ex rel. Matney v. Sullivan, 981 F.2d 1016, 1019 (9th
Cir. 1992). Neither is ALJ bound to adopt a physician’s opinion of a petitioner’s physical
condition or the ultimate issue of disability. Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir.
1989). Further, if the record as a whole does not support the physician’s opinion, the ALJ may
reject that opinion. Batson v. Comm’r of Soc. Sec. Admin., 359 F.3d 1190, 1195 (9th Cir. 2004).
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Items in the record that may not discredit a physician’s opinion in that regard include clinical
findings from examinations, conflicting medical opinions, conflicting physician’s treatment
notes, and the claimant’s daily activities. Id.; Bayliss v. Barnhart, 427 F.3d at 1216; Connett v.
Barnhart, 340 F.3d 871 (9th Cir. 2003); Morgan v. Comm’r of Soc. Sec. Admin., 169 F.3d 595
(9th Cir. 1999).
Here, it was not error for the ALJ to assign significant weight to Dr. Puffer’s diagnoses
but little weight to Puffer’s opinions regarding the effects of Petitioner’s conditions. However,
in doing so, the ALJ must follow the rule that when the treating doctor’s opinion is contradicted
by another doctor, the Commissioner may not reject the treating physician’s opinion without
providing “specific and legitimate reasons” supported by substantial evidence in the record for
doing so. Murray v. Heckler, 722 F.2d 499, 502 (9th Cir.1983). In this record, the ALJ pointed
to evidence that Dr. Puffer’s opinion was contradicted by other physicians who did not assess as
restrictive of limitations as Dr. Puffer. The ALJ noted that Dr. Puffer’s opinion appeared to be
based primarily on Petitioner’s complaints during the evaluation. The ALJ noted that Petitioner
engaged in a wide variety of activities and that these activities were inconsistent with her
complaints to Dr. Puffer. (AR 18.) Accordingly, the ALJ provided legitimate and specific
reasons for not agreeing with the totality of Dr. Puffer’s opinion on Petitioner’s limitations.
Conflicting medical opinions and conflicting daily activities are specific and legitimate reasons
for rejecting a contradicted treating physician’s opinion. See Batson v. Comm’r of Soc. Sec.
Admin., 359 F.3d 1190, 1195 (9th Cir. 2004).
Next, Petitioner takes issue with how the ALJ “adopted” a portion of Dr. Puffer’s opinion
but failed to include it in formulating the RFC. Such an argument mischaracterizes the manner
MEMORANDUM DECISION AND ORDER - 12
in which the ALJ used Dr. Puffer’s opinion in formulating the RFC. As stated above, the ALJ
said he adopted Dr. Puffer’s opinions as to Petitioner’s diagnoses but not the extent of the
limitations assessed by Dr. Puffer. It is within the purview of the ALJ to accept portions of a
treating physician’s opinion and reject others if specific and legitimate reasons are given for
doing so. See Batson v. Comm’r Soc. Sec. Admin. 359 F.3d 1190, 1197 (9th Cir. 2004) (finding
the ALJ was not required to incorporate opinion evidence which was permissibly discounted);
Magallanes, 881 F.2d at 753. The ALJ met that standard in providing his reasons for not giving
significant weight to the limitations assessed by Dr. Puffer.
An applicant’s residual functional capacity is an assessment of that individual's ability to
do sustained work-related physical and mental activities in a work setting on a regular and
continuing basis. In other words, what can an individual can still do despite her limitations? See
SSR 96–8P. In assessing an applicant’s residual functional capacity, the ALJ must consider all of
the relevant evidence in the case record, including information about the individual’s symptoms
and any “medical source statements” submitted by an individual’s treating source or other
acceptable medical sources. See id. An ALJ’s residual functional capacity determination is
upheld if it is supported by substantial evidence. See Bayliss v. Barnhart, 427 F.3d 1211, 1217
(9th Cir. 2005). The ALJ considered opinions from all the physicians, treating, examining, and
reviewing, in making the RFC determination. (AR 18-20.) The ALJ has considered all the
evidence in making his residual functional capacity finding and it is supported by substantial
evidence.
3.
Petitioner’s Ocular Migraines and Severity
The ALJ discussed Petitioner’s diagnosis from an optometrist in April 2013 that she
MEMORANDUM DECISION AND ORDER - 13
suffers from ocular migraines. (AR 15.) However, the ALJ found the ocular migraines were
“non-severe” for purposes of his decision because neither the optometrist’s “report nor the
remaining evidence indicates that the ocular migraines limit the claimant’s ability to perform any
work-related activities.” (AR 15.) A medically determinable impairment is not “severe” unless
it “significantly limit[s]” the claimant’s “physical or mental ability to do basic work activities.”
20 C.F.R. § 404.1521(a). Basic work activities include physical functions such as walking,
standing, sitting, and lifting; capacities for seeing, hearing and speaking; understanding,
remembering, and carrying out simple instructions; using judgment; responding appropriately in
a work situation; and dealing with changes in a routine work setting. 20 C.F.R. § 404.1521(b).
Substantial evidence supports the ALJ’s conclusion that Petitioner’s ocular migraines
were not severe. Although Petitioner has complained of headaches over the years, the only
objective medical evidence of such was the report of Dr. Harrell in April 2013. Dr. Harrell did
not assess any functional limitations from the ocular migraines, nor has Petitioner argued that
she has any such limitations or that they should have been included in the RFC. Instead,
Petitioner argues in conclusory fashion that her “ocular migraines would be a severely limiting
vocational barrier to maintaining employment” but does not state how, why, or cite to any place
in the record for such a position. See Shinseki v. Sanders, 556 U.S. 396 (2009) (holding that the
burden of showing an error is harmful falls on the party attacking an administrative agency’s
determination) (citing Nelson v. Apfel, 131 F.3d 1228, 1236 (7th Cir. 1997) (applying rule in
social security case)). There is no indication in the record that Petitioner suffers any significant
limitations in her ability to do basic work activities because of her ocular migraines. See 20
C.F.R. § 416.921(a). On this record, substantial evidence support’s the ALJ’s findings.
MEMORANDUM DECISION AND ORDER - 14
IV. CONCLUSION
The ALJ is the fact-finder and is solely responsible for weighing and drawing inferences
from facts and determining credibility. Allen, 749 F.2d at 579; Vincent ex. Rel. Vincent, 739
F.2d at 1394; Sample, 694 F.2d at 642. If the evidence is susceptible to more than one rational
interpretation, one of which is the ALJ’s, a reviewing court may not substitute its interpretation
for that of the ALJ. Key, 754 F.2d at 1549.
The evidence upon which the ALJ relied can reasonably and rationally support his wellformed conclusions, despite the fact that such evidence may be susceptible to a different
interpretation. Accordingly, the ALJ’s decision as to Petitioner’s alleged disability is based on
proper legal standards and supported by substantial evidence. Therefore, I conclude that the
Commissioner’s determination that Petitioner is not disabled within the meaning of the Social
Security Act is supported by substantial evidence in the record and is based upon an application
of proper legal standards.
Accordingly, the Commissioner’s decision is affirmed.
V. ORDER
Based on the foregoing, Petitioner’s Petitioner for Review (Dkt. 1) is DENIED, the
decision of the Commissioner is AFFIRMED, and this action is DISMISSED in its entirety, with
prejudice.
DATED: September 24, 2015
Honorable Ronald E. Bush
U. S. Magistrate Judge
MEMORANDUM DECISION AND ORDER - 15
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