HOPKINS v. COLVIN
Filing
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ORDER ON PLAINTIFF'S COMPLAINT FOR REVIEW: The decision of the Commissioner is affirmed, and Hopkins' brief in support of appeal [Filing No. 18] is denied (see Order for details). Signed by Magistrate Judge Tim A. Baker on 3/31/2015.(SWM)
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF INDIANA
INDIANAPOLIS DIVISION
NATHANIEL HOPKINS, III,
Plaintiff,
vs.
CAROLYN W. COLVIN,
Defendant.
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No. 1:13-cv-01404-TAB-JMS
ORDER ON PLAINTIFF’S COMPLAINT FOR REVIEW
Plaintiff Nathaniel Hopkins, III filed a claim for Social Security disability benefits
alleging that he has been disabled since November 18, 2008, due to a back injury and right eye
blindness. Hopkins was represented by counsel at a hearing before an Administrative Law
Judge, at which Hopkins and a vocational expert testified. The ALJ denied Hopkins’ claim,
finding that he retained the capacity to perform light work. The Appeals Council denied
Hopkins’ request for review. This appeal followed.
Hopkins makes a number of general, far-reaching allegations. For example, Hopkins
alleges, “The denial decision must be reversed because the ALJ ignored or rejected all of the
evidence proving he was disabled.” [Filing No. 18, at ECF p. 7.] But of course this assertion is
not correct. Following the hearing the ALJ issued a ten-page decision that discussed the
evidence and provided reasons for denying Hopkins’ claim. The real question is whether the
ALJ’s decision is supported by substantial evidence. Powers v. Apfel, 207 F.3d 431, 434 (7th
Cir. 2000).
In this regard, Hopkins’ arguments can be distilled into three rather familiar issues on
appeal: (1) does substantial evidence support the ALJ’s decision that Hopkins’ condition does
not meet or equal a listing?; (2) did the ALJ err in failing to summon a medical advisor?; and (3)
was the ALJ’s credibility finding patently erroneous?
With respect to the first issue, Hopkins’ primary argument is that the ALJ erred by not
discussing Listing 1.04A. [Filing No. 18, at ECF p. 10.] However, the ALJ specifically
mentioned that he considered whether Hopkins’ impairments met or medically equaled Listing
1.04, and discussed evidence related to this listing throughout his decision. [Filing No. 16-2, at
ECF p. 17-20.] Hopkins emphasizes that the ALJ discussed Listing 1.04, not Listing 1.04A. But
Listing 1.04A is necessarily subsumed by Listing 1.04, which references three types of disorders
of the spine. Hopkins argues that the central requirement for Listing 1.04A is a herniated disc,
and that a March 8, 2011, lumbar spine MRI revealed that he had two herniated discs. However
the MRI actually showed only “mild” lumbar changes. [Filing No. 16-7, at ECF p.100.] The
MRI report further stated, “No significant herniation herniations or forminal narrowings.” [Id.]
Hopkins also argues that the ALJ erred in rejecting Dr. Vikas Karla’s evaluation. [Filing
No. 31, at ECF p. 5.] However, in evaluating Hopkins’ functional limitations Dr. Karla
specifically noted that these limitations were “as per patient.” [Filing No. 16-7, at ECF p. 103.]
The ALJ assigned Dr. Karla’s opinion “little weight” as a result of the subjective nature of the
complaints; the fact that the opinion fails to identify what symptoms or impairments resulted in
the significant limitations noted; and because the opinion is conclusory and fails to coincide with
organic findings. [Filing No. 16-2, at ECF p 19.] The ALJ gave sufficient reasons for his
conclusions, which therefore are supported by substantial evidence.
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The Court next turns to whether the ALJ erred in failing to summon a medical advisor.
Hopkins alleges that the ALJ could not reasonably rely on the state agency physicians because
their opinions were dated October 12, 2010, and December 10, 2010, which predated other
evidence in the record. Specifically, Hopkins argues that the agency physicians did not review
the February 21, 2011, primary care treatment [Filing No. 16-7, at ECF p. 108], the March 18,
2011, lumbar spine MRI evaluation [Filing No. 16-7, at ECF p. 99], the July 27, 2011, neurology
treatment [Filing No. 16-7, at ECF p. 100], the April 11, 2011, primary care treatment [Filing
No. 16-7, at ECF p. 11], or the August 1, 2011, and August 22, 2011, functional evaluations
[Filing No. 16-7, at ECF p. 103-04; Filing No. 18, at ECF p. 12.]
Social Security Ruling 96-6p explains the two circumstances when an ALJ should
summon a medical advisor: (1) when no additional evidence is received, but in the opinion of the
ALJ, the signs, symptoms, and laboratory findings reported in the case record suggest that a
judgment of equivalence may be reasonable; or (2) when additional medical evidence is received
that in the opinion of the ALJ may change the state agency medical or psychological consultant’s
findings that the impairment is not equivalent in severity to any impairment in the listing of
impairments.
Hopkins is correct that the review by the state agency physicians (Drs. Ruiz and Bond)
did not include the subsequent medical information Hopkins cites. But as set forth above, this
fact alone is not enough to require the ALJ to summon a medical advisor. Rather, the evidence
must in the opinion of the ALJ change the state agency doctor’s findings on equivalence. Here,
the ALJ concluded that after “careful consideration of the entire record” Hopkins had the
residual functional capacity to perform light work. [Filing No. 16-2, at ECF p. 17.] Of course
just because the ALJ proclaimed that he reviewed the entire record does not mean this
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necessarily occurred. It is incumbent on this Court to ensure that the ALJ actually reviewed this
additional evidence, and to determine if the ALJ’s conclusion based upon that evidence is
substantially justified.
A review of the ALJ’s decision conclusively establishes that the ALJ reviewed all of the
additional evidence that was not before the state agency physicians. [Filing No. 16-2, at ECF p.
18-19.] Hopkins argues, “Presumably if they had reviewed all of the evidence they would have
reasonably determined he was totally disabled.” [Filing No. 18, at ECF p. 12.] As the
Commissioner correctly observes, however, this is nothing more than Hopkins’ conjecture.
[Filing No. 26, at ECF p. 13.] Hopkins has the burden of showing that the additional medical
evidence would change the state agency medical consultant’s findings so as to warrant the ALJ
summoning a medical expert. See Howell v. Sullivan, 950 F.2d 343, 348-49 (7th Cir. 1991)
(claimant maintains the burden to provide medical evidence that proves he is impaired and that a
need to summon a medical advisor exists). See also D.N.M ex rel. Brame v. Colvin, No. 1:13-cv00884-RLY-DKL, 2014 WL 4636390, at *7 (S.D. Ind. Sept. 16, 2014) ("[It is Plaintiff's] burden
to show that the nature of these items of evidence, compared to the other evidence the stateagency physicians reviewed, required the ALJ to obtain a supplemental medical opinion.").
Hopkins has not met this burden.
For example, the July 2011 treatment notes Hopkins relies upon do support that he
continued to have pain. [Filing No. 16-7, at ECF p. 100.] However, as the ALJ noted Hopkins
did not describe any weakness or other symptoms and was referred to a pain clinic, but there is
no evidence that Hopkins followed up on this treatment. [Filing No. 16-2, at ECF p. 18; Filing
No. 16-7, at ECF p. 100.] Moreover, the March 18, 2011, MRI Hopkins relies upon showed only
“mild” lumbar changes, and the MRI report indicated, “No significant herniation herniations or
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forminal narrowings.” [Filing No. 16-7, at ECF p. 100.] In addition, Dr. Karla specifically
noted the subjective nature of Hopkins’ claimed limitations and for this reason, and others stated
above, the ALJ gave little weight to Dr. Karla’s opinion. [Filing No. 16-2, at ECF p. 19.]
This is not to say the ALJ’s analysis was not without its shortcomings. For example, the
ALJ indicated that it was Dr. Karla’s opinion that Hopkins should not do any heavy lifting.
[Filing No. 16-2, at ECF, p. 19] This is not exactly what Dr. Karla indicated on the form in
question. Under the “restrictions” section of the form, Dr. Karla wrote, “-no lifting of weight –
no bending.” [Filing No. 16-7, at ECF p. 103.] However, under the “prognosis” section of the
form, Dr. Karla wrote, “Patient may not be able to do heaving lifting but his pain level may
decrease after seeing his pain clinic for some epidural injection.” [Filing No. 16-7, at ECF p.
103.] So Dr. Karla’s statements in this form, as well as the ALJ’s interpretation of these
statements, are somewhat inartful. But what can be extrapolated from this form is that Hopkins
had pain and lifting restrictions, and that Dr. Karla thought Hopkins might obtain relief from the
pain clinic. In response, the ALJ specifically referenced the lack of any evidence that Hopkins’
ever followed upon Dr. Karla’s recommendation and limited Hopkins to light duty along with
other work restrictions.
While the ALJ’s reference to heavy lifting is flawed, Hopkins fails to meaningfully
address this issue in his briefs. Hopkins briefly takes issue in his reply brief with the ALJ’s
failure to advise the vocational expert of Hopkins’ “no lifting of weight” and “no bending”
restrictions. [Filing No. 31, at ECF p. 8.] Of course, Hopkins was represented by counsel at his
administrative hearing, so his counsel could have clarified this point for the vocational expert. In
any event, Hopkins’ overall discussion of the ALJ’s failure to summon a medical advisor is
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spartan at best. Based on this record, the Court is not convinced the ALJ erred in failing to
summon a medical advisor.
Lastly, the Court addresses the ALJ’s credibility finding. Hopkins alleges the ALJ’s
credibility finding was “illogical” and “conclusory,” and “contrary to the evidence.” [Filing No.
18, at ECF p. 15-18.] The ultimate issue, however, is whether the ALJ’s credibility finding is
patently erroneous. Elder v. Astrue, 529 F.3d 408, 413-14 (7th Cir. 2008); Social Security
Ruling 96-7p.
Unfortunately, Hopkins does not flesh out this argument, relying instead upon sweeping
statements and what appear to be cut-and-paste references to case law. [Filing No. 18, at ECF p.
15-18; Filing No. 31, at ECF p. 7.] Skeletal arguments such as these are not helpful in
determining whether the ALJ’s credibility assessments are flawed. It is true, as Hopkins argues,
that the ALJ used boilerplate language in his credibility determination. [Filing No. 31, at ECF p.
7; Filing No. 16-2, at ECF p. 17.] The mere inclusion of such language, however, does not
undermine the ALJ’s credibility determination. This Court must determine whether the ALJ
otherwise explained his conclusions adequately and offered reasons grounded in the evidence.
Filus v. Astrue, 694 F.3d 863, 868 (7th Cir. 2012). A review of the decision reveals that the ALJ
adequately explained his decision.
The ALJ cited to numerous factors to support his finding that Hopkins’ complaints of
debilitating pain and related symptoms were not fully credible. The ALJ considered Hopkins’
activities, his course of treatment and medications, and his failure to follow through with
treatment recommendations. [Filing No. 16-2, at ECF p. 19-20.] The ALJ also discussed the
effectiveness of Hopkins’ treatment and the evidence showing that Hopkins’ pain decreased
when attending therapy. [Filing No. 16-2, at ECF p. 18.] The ALJ also discussed the intensity
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and frequency of Hopkins’ pain, as well as the observations by his treating doctors and by the
medical consultants. [Filing No. 16-2, at ECF p. 17-20.] Contrary to Hopkins’ contention, the
ALJ’s reasoning was not illogical, conclusory, or contrary to the evidence. In short, Hopkins has
failed to demonstrate that the ALJ’s credibility determination is patently erroneous.
For these reasons, the decision of the Commissioner is affirmed, and Hopkins’ brief in
support of appeal [Filing No. 18] is denied.
Dated: 3/31/2015
_______________________________
Tim A. Baker
United States Magistrate Judge
Southern District of Indiana
Distribution:
Patrick Harold Mulvany
patrick@mulvanylaw.com
Joshua P. Dehnke
OFFICE OF GENERAL COUNSEL, SOCIAL SECURITY ADMINISTRATION
joshua.dehnke@ssa.gov
Thomas E. Kieper
UNITED STATES ATTORNEY'S OFFICE
tom.kieper@usdoj.gov
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