Johnson v. Commissioner of SSA
Filing
15
MEMORANDUM OPINION AND ORDER entered by Judge Michael M. Mihm on 9/4/2018. Plaintiff's Motion for Summary Judgment (Doc. 9 ) is DENIED, and the Commissioner's Motion to Affirm (Doc. 13 ) is GRANTED. The Commissioner's decision denying disability insurance benefits is AFFIRMED. This case is nowTERMINATED. SEE FULL WRITTEN OPINION AND ORDER. (JS, ilcd)
E-FILED
Tuesday, 04 September, 2018 01:18:04 PM
Clerk, U.S. District Court, ILCD
IN THE UNITED STATES DISTRICT COURT
FOR THE CENTRAL DISTRICT OF ILLINOIS
PEORIA DIVISION
CHARLES E. JOHNSON,
Plaintiff,
v.
NANCY A. BERRYHILL,
Commissioner of Social Security
Administration,
Defendant.
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Case No. 17-1452
MEMORANDUM OPINION AND ORDER
Now before the Court is Plaintiff Charles E. Johnson’s Motion for Summary Judgment
(Doc. 9), and Defendant Nancy A. Berryhill’s (“Defendant” or “Commissioner”) Motion for
Summary Affirmance (Doc. 13). For the reasons stated herein, Plaintiff’s Motion for Summary
Judgment is DENIED and the Commissioner’s Motion for Summary Affirmance is GRANTED.
The Commissioner’s decision denying disability insurance benefits is AFFIRMED. This case is
now TERMINATED.
JURISDICTION
The Court has jurisdiction over this matter pursuant to 28 U.S.C. § 1331, as the claim
asserted in the Complaint presents a federal question under 42 U.S.C. § 405(g).
PROCEDURAL HISTORY
On February 23, 2016, Plaintiff filed his Title II application for a period of disability and
disability insurance benefits (“DIB”) with the Social Security Administration (“SSA”). (Doc. 7,
at 198.) In his application, Plaintiff asserts that his disability began on April 14, 2015. Id.
Plaintiff’s DIB claim was initially denied on May 27, 2016 (id. at 125), as was his subsequent
Page 1 of 18
request for reconsideration (id. at 130). Plaintiff then requested a hearing before an administrative
law judge (“ALJ”) to appeal the SSA’s denial of his disability insurance benefits. Id. at 134.
Plaintiff’s hearing was held on April 4, 2017 in Peoria, Illinois (id. at 151), and on May 18, 2017,
the ALJ denied the appeal (id. at 29). The Appeals Council then denied Plaintiff’s request for
review (id. at 7), and following the Council’s denial, Plaintiff timely filed his request for this
Court’s review (Doc. 1).
FACTUAL BACKGROUND
Plaintiff was born January 8, 1980, is 5’6” tall and weighs 220 pounds. (Doc. 7 at 41.) At
the time of filing his Complaint, Plaintiff was thirty-six years old. Plaintiff has completed four
years of post-secondary education (id. at 43), and began working full time in May, 2006 in order
fulfillment at Caterpillar (id. at 46). At Caterpillar, Plaintiff was tasked with pulling tickets,
packing and placing items in totes, and transporting items for shipment. Id. at 46-47. Plaintiff
was also charged with lifting up to seventy-five pounds. Id. at 47. From January 2007 to April of
2015, Plaintiff worked as a petroleum supply specialist for the Army. Id. at 46. As a petroleum
supply specialist, Plaintiff was tasked with driving heavy vehicles, transporting and storing
hazardous materials, handling ammunition, and lifting objects which varied in weight from fivegallon cans to seventy-five pounds. Id. at 45. Prior to Plaintiff’s full-time employment, he had
brief stints as a parts specialist at Advance Auto Parts (January 2002 to May 2004), and as a
customer service representative at State Farm Insurance (May 2004 to January 2006). Id. at 4749. Plaintiff alleges inability to work as of April 14, 2015, due to excessive fatigue related to his
fibromyalgia and other ailments. Id. at 49-50.
Hearing Testimony1
1
The transcript of the April 4, 2017 hearing can be found at Doc. 7 at 35-86.
Page 2 of 18
During the April 4, 2017 hearing, Plaintiff testified as follows:
Plaintiff currently lives alone in a house with his 17 year-old son and receives benefits from
the Department of Veterans Affairs (“VA”). Id. at 42. He maintains a current driver’s license and
estimated that he drives approximately 70 miles per week: transporting his son to and from school,
attending church, shopping for food, and visiting his parents. Id. Plaintiff stated that he is currently
unemployed and that he cannot work in any capacity due to his fibromyalgia. Id. at 49. Plaintiff
continued that he was first diagnosed with fibromyalgia by a nurse practitioner at Fort Riley in
November of 2014. Id. at 50. His diagnosis was confirmed by Dr. Baratham, and he saw Dr.
Baratham for continuing treatment of his fibromyalgia including pain and medication
management, which included prescriptions for both Cymbalta and Lyrica. Id. at 51.
Plaintiff stated that he cannot return to his parts specialist position because he cannot stand
for prolonged periods of time. Id. at 51. He further stated that when he stands for prolonged
periods of time, he has problems with his feet, knees, and back, and has nervous system pain. Id.
Plaintiff also asserted he has widespread spasms and exhaustion when he is in the standing
position. Id. Plaintiff takes Haldol, which was prescribed by a neurologist at Unity Point, for
facial tics. Id. at 52. Plaintiff claimed that widespread fibromyalgia has the greatest impact on his
functional ability (id. at 52-53), but conceded that the illness “doesn’t affect my ability to move .
. . . it just makes it difficult for me to persevere” (id. at 53).
In order to mitigate the pain, Plaintiff exercises in the form of physical therapy and states
that–on his worst days–on a scale from 1 to 10, he experiences pain at a level 8. Id. at 54. He
added that he also has sporadic spasms and sharp pains which reach the level of 10. Id. Plaintiff
has completed EMG studies and states that a doctor has told him that he has an impingement in
his wrist and that he should look into surgery for carpal tunnel to relieve some of the pain in his
Page 3 of 18
arms and hands. Id. at 55. Plaintiff has braces for his arms/hands, but admitted that he does not
use them all of the time because they are uncomfortable. Id. Plaintiff also testified that since
moving out of his parents’ home, his mother comes to his house, does the laundry, cleans the
kitchen, and vacuums. Id. at 56.
Plaintiff’s medical issues do not end with fibromyalgia; Plaintiff also testified that he
suffers from major depressive disorder and somatic symptom disorder. Id. at 57. Plaintiff stated
that he currently sees a psychiatrist every three months for medication management and that he
takes Buspar (Buspirone), Cymbalta, and Amitriptyline for anxiety, mood, sleep, and pain. Id. at
57-58. Plaintiff also said that in 2004, he spent three days in Bowman (presumably a psychiatric
facility) when he was a student at ISU, and that his time there was on a voluntary basis. Id. at 59.
In terms of interacting with others, Plaintiff stated that he has reservations at times, but that
medication helps him significantly. Id. at 60. Plaintiff also testified that he has been diagnosed
with ankylosing spondylitis, which attacks his pelvis and causes his joints to become inflamed. Id.
at 62. For his ankylosing spondylitis, Plaintiff has been taking the immune-suppressant, Humira,
since 2015. Id. at 63.
As it relates to exercise, Plaintiff testified that he completes some physical therapy
movements for his fibromyalgia, but other than that he no longer goes to the gym, rides a bike, or
lifts weights. Id. at 61. For the most part, when Plaintiff is at home, he is either in his bedroom or
in his living room recliner. Id. Plaintiff claimed that he remains in bed all day two to three times
a week because he experiences aching when the weather (and barometric pressure) changes. Id.
at 62.
When questioned about his physical capabilities, Plaintiff stated that he does well at sitting
(id. at 63), but that things “get[] pretty bad” when he stands up after sitting for prolonged periods
Page 4 of 18
of time. Id. at 64. Plaintiff estimated that he can probably sit for 30 minutes to an hour before
needing to stand up, and that he could walk unassisted for approximately 1,000 yards. Id. In terms
of lifting, Plaintiff asserted that he can only lift ten pounds due to a thoracic spine issue that causes
him a lot of problems. Id. Plaintiff has also undergone injections in order to try and reduce the
inflammation in his joints. Id. at 65-66. Since taking Buspar, Plaintiff testified that his social
interaction with others has improved considerably. Id.
In terms of being able to finish tasks to completion, Plaintiff testified that he suffers from
cognitive impairments and medication side effects, which cloud his concentration and limit his
ability to follow reading materials and movies. Id. at 66-67. On the other hand, Plaintiff also
confirmed that he is able to maintain checking and savings accounts, take care of his personal bills,
and keep a calendar on his phone. Id. at 67-68. Plaintiff has had a more difficult time remembering
to take his medication and following contemporaneous questioning (e.g., Plaintiff trailed off and
asked the ALJ to repeat the question when the ALJ asked Plaintiff to name specific mechanisms
Plaintiff used to help him remember things). Id. at 68. Despite Plaintiff’s temporary lapses in
memory, Plaintiff testified that he is able to follow sports and watch football, basketball, and
baseball games either in his recliner or in bed. Id. at 69.
To control pain, Plaintiff takes medication and uses therapeutic/mobility devices such as a
back cane massager, orthopedic lifts and insoles, and knee braces. Id. at 70. Even without the
assistance of some of the devices (Plaintiff admitted that he has knee braces, but has not been
wearing them), Plaintiff frequents his mother’s house (id. at 70), goes to the grocery store–where
he walks up and down the aisles leaning on a cart (id. at 71), attends parent/teacher conferences at
his son’s school (id.), and even washes his own dirty dishes (id. at 74). Plaintiff also testified that
he can walk without assistance for approximately 1,000 yards and that he can sit for prolonged
Page 5 of 18
periods of time so long as he can stand up every 30 minutes to an hour. Id. at 64. Finally, Plaintiff
admitted that he can use a pen to write out a page-long grocery list and that he is familiar with how
to use a computer, as he utilizes one at home. Id. at 75-76.
ALJ Zapf’s Decision2
On May 18, 2017, Administrative Law Judge Susan F. Zapf concluded:
(1) the claimant meets the insured status requirements of the Social
Security Act through December 31, 2020; (2) the claimant has
not engaged in substantial gainful activity since April 14, 2015,
the alleged onset date; (3) the claimant has the following severe
impairments: ankylosing spondylitis, plantar fasciitis, carpal
tunnel syndrome, fibromyalgia, obesity, a somatoform disorder,
an affective disorder and an anxiety disorder; (4) the claimant
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; (5) the
claimant has the residual functional capacity to perform light
work as defined in 20 CFR 404.1567(b) except he can
occasionally climb ramps, stairs, ladders, ropes or scaffolds. He
can do occasional stooping, kneeling, crouching and crawling.
He must avoid concentrated exposure to hazards. He is limited
to frequent, but not constant, fingering and handling bilaterally.
He is limited to simple, routine, repetitive tasks than can be
easily resumed if the claimant has momentary deficits in
concentration and attention, and no more than occasional
changes in work processes and procedures. He can have
occasional interaction with coworkers and supervisors, and no
interaction with the public; (6) the claimant is unable to perform
any past relevant work; (7) the claimant was born on January 8,
1980 and was 35 years old, which is defined as a younger
individual age 18-49, on the alleged disability onset date; (8) the
claimant has at least a high school education and is able to
communicate in English; (9) transferability of job skills is not
material to the determination of disability because using the
Medical-Vocational Rules as a framework supports a finding
that the claimant is “not disabled,” whether or not the claimant
has transferable job skills; (10) considering the claimant’s age,
education, work experience, and residual functional capacity,
there are jobs that exist in significant numbers in the national
economy that the claimant can perform; and (11) the claimant
2
ALJ Zapf’s Decision, including her findings, can be found at Doc. 7, pp. 19-29.
Page 6 of 18
has not been under a disability, as defined in the Social Security
Act, from April 14, 2015, through the date of this decision.
STANDARD OF REVIEW
The Court’s function on review is not to reweigh the testimony or supplant the ALJ’s
judgment with the Court’s own assessment of the evidence. Murphy v. Astrue, 454 F.App’x 514,
517 (7th Cir. 2012). Indeed, “[t]he findings of the Commissioner of Social Security as to any fact,
if supported by substantial evidence, shall be conclusive.” 42 U.S.C. § 405(g) (2018). Although
great deference is afforded to the determination made by the Administrative Law Judge, the Court
does not merely rubber stamp the Administrative Law Judge’s decision. Scott v. Barnhart, 297
F.3d 589, 593 (7th Cir. 2002). The Court’s function is to determine whether the Administrative
Law Judge’s findings were supported by “substantial evidence” and whether the proper legal
standards were applied. Crosby v. Apfel, No. 00-1311, 2000 WL 1909641, at *3 (7th Cir. Dec. 29,
2000). Substantial evidence, in the context of a Social Security DIB review, requires “such
evidence as a reasonable mind might accept as adequate to support a conclusion.” Henderson v.
Apfel, 179 F.3d 507, 512 (7th Cir. 1999). Finally, “[T]he Court gives considerable deference to
the ALJ’s credibility finding and will not overturn it unless the plaintiff can show those findings
are patently wrong.” Penny v. Astrue, No. 08-2270, 2010 WL 1931312, at *3 (C.D. Ill. May 13,
2010).
The establishment of disability under the Social Security Act is a two-step process: First,
the claimant must be suffering from a medically determinable physical or mental impairment, or
combination of impairments, 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)
(2015). Second, there must be a factual determination that the impairment renders the claimant
unable to engage in any substantial gainful employment. McNeil v. Califano, 614 F.2d 142, 143
Page 7 of 18
(7th Cir. 1980); 42 U.S.C. § 423(d)(2)(A) (2015). The factual determination is made using a fivestep test. 20 C.F.R. § 404.1520(a)(4) (2012). In the following order, the Administrative Law
Judge must evaluate whether the claimant:
1) currently performs or, during the relevant time period, did perform any substantial
gainful activity;
2) suffers from an impairment that is severe or whether a combination of his impairments
are severe;
3) suffers from an impairment which meets or equals any impairment listed in the
appendix3 and which meets the duration requirement;
4) is unable to perform his past relevant work; and
5) is unable to make an adjustment to other work, considering his residual functional
capacity, age, education, and work experience.
Id. An affirmative answer at any step leads either to the next step of the test, or at Steps 3 and 5,
to a finding that the claimant is disabled. Zurawski v. Halter, 245 F.3d 881, 886 (7th Cir. 2001).
“A negative answer at any point, other than Step 3, ends the inquiry and leads to a determination
that a claimant is not disabled.” Id. The claimant has the burdens of production and persuasion
on steps 1 through 4. See Id. However, if the claimant reaches step 5, the burden shifts to the ALJ
to establish that the claimant is capable of performing work in the national economy.” Id.
DISCUSSION
Plaintiff raises numerous issues in his Memorandum for Summary Judgment and attempts
to pack them under an umbrella of two main arguments. (Doc. 10 at 7-14.) Plaintiff first argues
that the Administrative Law Judge failed to follow the proper legal guidelines for evaluating expert
medical opinion evidence. Id. at 7. To support that contention, Plaintiff argues the ALJ did not
3
Should the claimant not qualify under one of step three’s listed impairments, the ALJ then proceeds to step four to
determine the claimant’s Residual Functional Capacity (“RFC”). Pursuant to the claimant’s RFC, the ALJ
determines under steps four and five whether he is capable of performing past work available in the national
economy. 20 C.F.R. § 404.1520(e)-(g).
Page 8 of 18
accord proper weight to the Department of Veterans Affairs’ determination that Plaintiff was
completely disabled. Id. Plaintiff adds that the ALJ should have provided a more thorough
explanation as to the differences between the disability standards used by the SSA and the VA,
and should have evaluated the evidence in support of the VA’s determination of disability and
explained why she failed to credit said evidence. Id. at 7-8. Moreover, Plaintiff argues the ALJ
should have given the VA’s determination of disability greater weight and considered its
determination to be the equivalent of several treating source statements. Id. at 9-10. Finally,
Plaintiff contends the ALJ incorrectly gave State Agency physicians controlling weight in her
disability determination (id. at 11), failed to give Plaintiff’s treating physicians any weight in the
determination (id.), and substituted her own unsubstantiated conclusions of Plaintiff’s residual
functional capacity (“RFC”) instead of relying on the conclusions of the treating doctors found in
the record (id. at 12).
Plaintiff’s second main argument is that the ALJ failed to properly credit Plaintiff’s own
evidence and testimony of disability before making a credibility determination. Id. at 12-13.
Plaintiff asserts that the ALJ should be required to offer more specific reasoning for her credibility
determination. Id. at 13. In support of his argument, Plaintiff selects random statements from the
ALJ’s findings and surmises said statements were used to discredit Plaintiff’s testimony. Id. at
13-14. For Plaintiff, this strategy suffices to demonstrate that the ALJ failed to build an accurate
and logical bridge from the evidence to her conclusion. Id. at 14. For purposes of the following
analysis, this Court addresses Plaintiff’s main arguments as they appear in his Memorandum of
Law. (Doc. 10 at 6-15.) Those arguments, in turn, are as follows:
The ALJ Fails to Accord Proper Weight to the VA’s Determination of Disability
Page 9 of 18
Plaintiff’s first argument hinges on the premise that the ALJ did not accord appropriate
weight to the Department of Veterans Affairs’ determination of Plaintiff’s complete disability.
Plaintiff argues that if the ALJ chooses to reject the VA’s determination because its standard for
disability is different, she should explain what is different about its standard. Plaintiff adds that if
the VA’s determination of disability is supported by evidence in the record, the ALJ should
evaluate that evidence and explain why it has been rejected. Plaintiff cites Varga v. Astrue, No.
10-C-0454, 2011 U.S. Dist. LEXIS 10261, at *46 (E.D. Wis, Feb. 2, 2011) (reversing decision of
ALJ for failing to give VA’s determination of disability appropriate weight), as the basis for both
of the aforementioned propositions.
In Hall v. Colvin, 778 F.3d 688, 691 (7th Cir. 2015), the Seventh Circuit found that there
are small differences in the criteria used for the VA’s determination of disability compared to the
SSA’s criteria for disability. But see Allord v. Barnhart, 455 F.3d 818, 820 (7th Cir. 2006) (finding
a “substantial difference between the criteria used in the two programs.”). Notwithstanding this
finding, the Court has opined that the disability determination of another governmental agency is
entitled to some weight and consideration, Smith v. Secretary of Health, Education and Welfare,
587 F.2d 857, 862 (7th Cir. 1978), but it has fallen short of mandating such consideration by the
ALJ and has reiterated that the administrative law judge is not bound by the findings made by a
governmental agency concerning whether the claimant is disabled. Clifford v. Apfel, 227 F.3d 863,
874 (7th Cir. 2000).
In the situation at hand, and as demonstrated by her references to the record, the ALJ did
give adequate weight and consideration to the evidence provided by the VA. In her Findings of
Fact and Conclusions of Law, she writes:
Clinical and other records from the VA were considered. These
records show improved symptoms with medications (Exhibits
Page 10 of 18
8F/284 and 17F/53). A March 2016 VA assessment noted range of
motion was “within functional limits” in all tested areas (Exhibit
3F/36). The VA Disability Rating Verification noted a motor vehicle
accident in early 2014. There was no evidence of pain, full motion,
and repetitive testing did not result in additional loss of motion.
There were no muscle spasms. There was a flare-up of back pain in
June 2015. The verification noted no sign of widespread
musculoskeletal pain and tender points (Exhibit 6F). An October
2016 physical therapy note indicated the claimant walked with a
slow but steady gait (Exhibit 17F/27). He had limited cervical
motion but good range of motion in the upper body (Exhibit
17F/29).
(Doc. 7 at 24.) It should be noted the ALJ’s Findings are in contrast to the VA’s determination
that Plaintiff had a 100 percent disability rating for major depressive and somatic symptom
disorders (Doc. 7.1 at 39), and a 40 percent disability rating for thoracolumbar spondylopathy (id.
at 43), among other ratings. Yet, even if the ALJ’s determination of disability was contrary to the
ratings of the VA, the ALJ adequately supported her overall determination of disability with
evidence provided by that agency. See e.g., medical evidence from March 4, 2016 (Doc. 7-1 at
120); March 18, 2016 (Doc. 7-10 at 117); October 12, 2016 (Doc. 7-12 at 219); October 21, 2016
(Doc. 7-12 at 195); and October 26, 2016 (Doc. 7-12 at 193). Therefore, the Court fails to accept
this line of argumentation as creditworthy.
The ALJ Should Accord Greater Weight to the VA’s Determination of Disability
Following up his previous argument, Plaintiff contends that the ALJ should have accorded
the VA’s determination of complete disability more weight. To support his proposition, Plaintiff
cites opinions by the Fifth, Eleventh, and Ninth Circuit Courts of Appeals. See Chambliss v.
Massanari, 269 F.3d 520, 522 (5th Cir. 2001); Brady v. Heckler, 724 F.2d 914, 921 (11th Cir.
1984); McCartey v. Massanari, 298 F.3d 1072, 1076 (9th Cir. 2002). Plaintiff continues that the
VA’s determination of disability should also be given greater weight “since it was based upon the
medical evidence from several treating doctors at the VA and Department of Defense.” (Doc. 10
Page 11 of 18
at 10.) And lastly, Plaintiff complains that the ALJ gave “no weight at all” to the compiled records
of the Departments of Veterans Affairs and Defense. (Id.)
The Seventh Circuit has repeatedly held that the VA’s determination of disability should
be accorded only “some weight,” while also recognizing that other Courts of Appeals have the
prerogative to accord greater weight to the same determination. Allord v. Barnhart, 455 F.3d 818,
820 (7th Cir. 2006); Davel v. Sullivan, 902 F.2d 559, 560 n.1 (7th Cir. 1990); Smith v. Secretary
of Health, Education and Welfare, 587 F.2d 857, 862 (7th Cir. 1978). Moreover, the “treating
physician rule”4 is inapplicable to the claim at hand, as Plaintiff concedes that “there are no treating
source opinions, per se” (Doc. 10 at 10), and fails to reference any treating physician opinions to
substantiate his assertion in his Memorandum. (See generally, id.) Finally, Plaintiff’s contention
that the administrative law judge gave no weight to the compiled records of the VA and DoD is
directly contradicted by the ALJ’s Findings of Fact and Conclusions of Law, which directly
references (on multiple occasions) the VA’s records. (Doc. 7 at 21-28.)
In Determining Plaintiff’s Residual Functional Capacity, the ALJ Incorrectly Accorded
Controlling Weight to State Agency Physicians
Plaintiff’s final argument under his first prong of attack asserts that the ALJ improperly
accorded controlling weight to State Agency physicians in her determination of Plaintiff’s residual
functional capacity (“RFC”). Plaintiff argues that the ALJ erroneously accorded non-examining
State Agency physicians controlling weight in her disability determination; failed to mention that
there were contradicting State Agency opinions; and failed to reference medical evidence which
would support her residual functional capacity finding.
4
The rule that “requires the SSA to give greater weight to the opinion of the claimant’s treating physician’s assessment
than to the opinion of a non-treating physician.” Raybourne v. Cigna Life Ins. Co. of New York, 700 F.3d 1076, 1079
(7th Cir. 2012).
Page 12 of 18
The fourth step in the Social Security Administration’s disability evaluation “assesses an
applicant’s residual functional capacity (‘RFC’) and ability to engage in past relevant work.” Craft
v. Astrue, 539 F.3d 668, 674 (7th Cir. 2008). An applicant’s residual functional capacity is the
“most [he] can still do despite [his physical and mental] limitations [in a work setting].” 20 C.F.R.
§ 416.95(a)(1) (2018). If the applicant “is unable to engage in his past relevant work,” in step four
of the SSA’s disability analysis, he then moves on to step five. Zurawski, 245 F.3d at 886 (7th
Cir. 2001); 20 C.F.R. § 404.1520(a)(4)(iv) (2018).
Historically, it has been left to the Commissioner to make the final determination of an
applicant’s RFC. Oakes v. Astrue, 258 F.App’x 38, 44 (7th Cir. 2007). Such determination is to
be “based upon consideration of all relevant evidence in the case record.” Id. Although the ALJ
considers opinions from medical sources on such issues as whether an applicant’s impairments
meet or equal the requirements of any impairments in the Listing of Impairments in step three, the
final responsibility for deciding the applicant’s RFC (which is an administrative decision) is
reserved to the Commissioner. 20 C.F.R. § 416.927(d),(d)(2) (2017). Moreover, an ALJ’s decision
not to give controlling weight to a treating physician’s opinion will be upheld, where the opinion
is inconsistent with the objective medical evidence like x-rays.” Oakes, 258 F.App’x at 44.
Here, in determining Plaintiff’s RFC, the ALJ found:
[C]laimant has the residual functional capacity to perform light
work as defined in 20 CFR 404.1567(b)[,] except he can
occasionally climb ramps, stairs, ladders, ropes or scaffolds. He can
do occasional stooping, kneeling, crouching and crawling. He must
avoid concentrated exposure to hazards. He is limited to frequent
but not constant fingering and handling bilaterally. He is limited to
simple, routine, repetitive tasks that can be easily resumed if the
claimant has momentary deficits in concentration and attention, and
no more than occasional changes in work processes and procedures.
He can have occasional interaction with coworkers and supervisors,
and no interaction with the public.
Page 13 of 18
(Doc. 7 at 22.) In making her determination, the ALJ relied on substantial medical evidence found
throughout the record, which is outlined in succinct and cohesive findings written in her
determination of disability. (See e.g., Doc. 7 at 22-27.) The substantial medical evidence which
the ALJ accurately references in her analysis includes:
The claimant does have evidence of retro calcaneal bursitis in the
left foot and ankle and has been treated for plantar fasciitis. An EMG
showed impingement in the wrist. The claimant has evidence of
ridging at C2-3, C3-4, C4-5, and C5-6, but has only mild neural
foraminal stenosis and no evidence of nerve impingement . . . . A
right knee MRI indicated no osseous abnormality and a left knee
study showed mild degenerative changes. He does not have
evidence of abnormalities in his shoulders. Lumbar studies showed
minimal degenerative changes of the lower lumber spine, with no
significant central canal or neuroforaminal stenosis (Exhibits
3F/1949 and 9F/97) . . . . Flint Hills Pain Management records show
swelling, spasm and tenderness during some office visits, but full
muscle strength in all major muscle groups (Exhibit 4F). Heartland
Healthcare Clinic records demonstrate restricted motion of the neck
and back, knee tenderness, and tender points in the hands and
elbows, with plantar fasciitis of both feet. However, these findings
were considered in limiting the claimant’s [RFC] and there are no
reported findings of severe loss of joint motion or significant
neurologic deficits in these records.
(Doc. 7 at 22-23.)
The ALJ also accorded appropriate weight to State Agency physicians and was overt and
transparent in her analysis. Id. at 27. She summarized her RFC findings by concluding:
As for the opinion evidence, the opinions of State Agency
physicians were given significant but not controlling weight. These
physicians did not have the benefit of reviewing the latest medical
evidence or assessing whether the claimant’s statements at hearing
are consistent with medical and other evidence of record. The State
Agency medical consultants found the claimant could perform a
limited range of light work with frequent climbing of ramps and
stairs and kneeling, and occasional climbing of ladders, ropes and
scaffolds, with occasional stooping crouching and crawling and the
need to avoid concentrated exposure to hazards. The undersigned
gave these findings significant weight, but increased all postural
limitations to occasional and limited hand manipulations and
Page 14 of 18
grasping to frequent but not constant. The claimant is service
connected 100% through the Veterans Administration (VA), but the
VA evaluation process is different from the process used in
determining Social Security claims (Exhibits 21E and 6F).
Id. And while Plaintiff may not agree with the ALJ’s residual functional capacity findings, the
federal code, administrative record, and relevant caselaw fail to support Plaintiff’s contention that
the ALJ failed to provide substantial evidence to support her appraisal of Plaintiff’s RFC
assessment and that “an explanation of [Plaintiff’s] functional capacity from a doctor is needed.”
See Flener ex rel. Flener v. Barnhart, 361 F.3d 442, 448 (7th Cir. 2004) (concluding that it is
appropriate for an ALJ to rely on the opinions of Agency physicians to support a determination of
disability).
Finally, Plaintiff asserts that the ALJ committed legal error when she failed to consider
contradicting State Agency physician opinions in her RFC assessment. The Court disagrees. On
May 26, 2016, State Agency physician, Mininder Kaur, M.D., concluded that Plaintiff had the
residual functional capacity to occasionally lift twenty pounds, frequently lift ten pounds, stand
and/or walk for a total of two hours, sit for a total of six hours, push and/or pull for an unlimited
amount of time, and that Plaintiff had occasional climbing, stooping, kneeling, crouching, and
crawling postural limitations. (Doc. 7 at 95-96.) This analysis is consistent with “light work”
under current SSA guidelines. 20 C.F.R. § 404.1567(b) (2018).
On August 3, 2016, Disability Adjudicator, Rosemary Tuggle, gave a non-medical opinion
that Plaintiff demonstrated the maximum sustained work capability for sedentary work, but did
not assign or weigh Plaintiff’s residual functional capacity via any documented medical criteria.
Id. at 107-08.
Moreover, Ms. Tuggle determined that “all potentially applicable Medical-
Vocational Guidelines would direct a finding of ‘not disabled’ given the individual’s age,
education, and RFC,” and that Plaintiff “can adjust to other work.” Id. at 107. Finally, on October
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31, 2016, State Agency physician, Richard Lee Smith, M.D., also made a determination that
Plaintiff could perform “light” work based on the strength factors of Plaintiff’s physical residual
functional capacity. Id. at 126.
In summary, the ALJ made a residual functional capacity assessment based upon a review
of all the evidence contained in the administrative record, with the benefit of multiple opinions
from physicians and other qualified medical professionals regarding the exertional and nonexertional abilities of Plaintiff. As such, Plaintiff’s argument that the ALJ acted improperly by
according incorrect weight to non-examining Agency physicians lacks substantiation and merit,
and cannot serve as a basis to reverse the Commissioner’s decision.
The ALJ Failed to Credit Plaintiff’s Evidence, Primarily His In-Person Testimony, and
Failed to Explain the Omission
Plaintiff’s final, and least-supported, argument is that the ALJ gave an improper credibility
determination to Plaintiff’s statements concerning the intensity, persistence, and limiting effects
of his mental and physical symptoms. In his Memorandum, Plaintiff speculates that certain
findings by the ALJ were used to diminish the credibility of his statements. Plaintiff concludes
his appeal by asserting the ALJ failed to provide adequate reasons and examples for her credibility
determinations.
A reviewing court gives the ALJ’s credibility finding “special deference” and will overturn
it only if it is “patently wrong”. Summers v. Berryhill, 864 F.3d 523, 528 (7th Cir. 2017) (quoting
Eichstadt v. Astrue, 534 F.3d 663, 667-68 (7th Cir. 2008)).
Here, the ALJ’s credibility
determination is not “patently wrong” because it is otherwise informed by “specific reasons
supported by the record.” Pepper v. Colvin, 712 F.3d 351, 367 (7th Cir. 2013). In her evaluation,
the ALJ specifically noted:
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[E]vidence of record is not fully consistent with the claimant’s
statements about the intensity, persistence and limiting effects of
[his] symptoms, and thus lessens the weight given to those
statements . . . . [Claimant] does not take the strong codeine or
morphine-based analgesics usually prescribed for severe and
unremitting pain. There have been no hospital or emergency room
visits for pain since the alleged onset date. He has [been] treated
with braces, insoles, physical therapy, and cortisone and trigger
point injections, but has not been referred for attendance at a pain
clinic or the use of a TENS unit. Usual objective signs of severe pain
are not indicated in the record, such as abnormal weight loss or
muscle atrophy. Daily activities also indicate that the claimant can
perform work activity. He follows sports . . . goes to the grocery
store, goes to parent/teacher conferences, and drives his son to
school. In April 2016, the claimant stated that he cared for personal
needs, fixed simple meals, washed dishes, did laundry, cleaned and
shopped . . . . The claimant completed schooling in regular classes
and there is no evidence of retention at any grade level. The
claimant’s work history evidences no difficulties working with or
sustaining basic tasks, and the record fails to establish evidence of
any significant deterioration in cognitive functioning since the
claimant stopped working. Claims representatives report that the
claimant could understand and answer questions appropriately
during interviews.
(Doc. 7 at 25.) Thus, the ALJ properly outlined specific reasons when she concluded that
Plaintiff’s subjective complaints of disabling limitations were “not fully consistent” with the
evidence of record. As such, the ALJ did not commit reversible error, and the Court finds she
provided ample and adequate reasons for her credibility determinations. See Pepper, 712 F.3d at
367 (“[A]n ALJ must adequately explain [her] credibility finding by discussing specific reasons
supported by the record. A failure to do so could also be grounds for reversal.”) (internal citations
omitted).
CONCLUSION
For the reasons set forth herein, Plaintiff’s Motion for Summary Judgment (Doc. 9) is
DENIED, and the Commissioner’s Motion to Affirm (Doc. 13) is GRANTED. The
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Commissioner’s decision denying disability insurance benefits is AFFIRMED. This case is now
TERMINATED.
ENTERED this 4th day of September 18.
s/Michael M. Mihm
Michael M. Mihm
United States District Judge
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