Ackerman v. Commissioner of Social Security
Filing
15
MEMORANDUM OPINION and ORDER: Accepting 13 Report and Recommendation: The Commissioner's determination that Ackerman was not disabled is affirmed: Judgment shall enter against Ackerman and in favor of the Commissioner. Signed by Judge Mark W Bennett on 09/01/15. (kfs)
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF IOWA
CENTRAL DIVISION
ROBERT J. ACKERMAN,
No. C 14-3040-MWB
Plaintiff,
vs.
CAROLYN W. COLVIN, Acting
Commissioner of Social Security,
MEMORANDUM OPINION AND
ORDER REGARDING REPORT AND
RECOMMENDATION
Defendant.
___________________________
TABLE OF CONTENTS
I.
INTRODUCTION........................................................................... 2
II.
LEGAL ANALYSIS ........................................................................ 3
A.
Standard Of Review ................................................................ 3
B.
Review Of Ackerman’s Objections .............................................. 5
1.
The “treating physician” determination ............................... 5
2.
The Appeals Council’s opinion about additional
evidence ...................................................................... 8
3.
The discounting of opinions from the “treatment
team” therapist.............................................................. 9
4.
The lack of treating source limitations in the
assessment of RFC ....................................................... 10
C.
Clear Error Review ............................................................... 12
III.
CONCLUSION ............................................................................ 12
I.
INTRODUCTION
This is an action for judicial review by plaintiff Robert J. Ackerman of a final
decision of the Commissioner of Social Security (the Commissioner) denying Ackerman’s
application for Social Security Disability benefits (DIB) and Supplemental Security
Income benefits (SSI) under Titles II and XVI of the Social Security Act, 42 U.S.C.
§ 401 et seq. In a Report And Recommendation, filed June 16, 2015, United States
Magistrate Judge Leonard T. Strand recommended that the Commissioner’s
determination that Ackerman was not disabled be affirmed and that judgment be entered
against Ackerman and in favor of the Commissioner.
In his Objections To Magistrate Judge’s Report And Recommendation
(Objections) (docket no. 14), filed June 30, 2015, Ackerman objects to four parts of
Judge Strand’s Report And Recommendation: (1) the conclusion that the administrative
law judge (ALJ) properly discounted the opinion of Dr. Akbar, who was purportedly a
treating physician; (2) the conclusion that the Appeals Council properly evaluated the
additional evidence that Ackerman had submitted in connection with his request for
review; (3) the conclusion that the ALJ properly discounted the opinions from therapist
Scott Dickinson, on the ground that he was not a member of a “treatment team”; and
(4) the conclusion that the ALJ’s opinion is supported by substantial evidence in the
record, notwithstanding the ALJ’s failure to obtain work-related limitations from a
treating or examining source to support the ALJ’s assessment of Ackerman’s residual
functional capacity (RFC).
Thus, I must review Judge Strand’s Report And Recommendation in light of
Ackerman’s Objections.
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II.
LEGAL ANALYSIS
A.
Standard Of Review
Where, as here, a party has filed objections to a magistrate judge’s report and
recommendation, the applicable statute provides for de novo review by the district judge,
as follows:
A judge of the court shall make a de novo determination of
those portions of the report or specified proposed findings or
recommendations to which objection is made. A judge of the
court may accept, reject, or modify, in whole or in part, the
findings or recommendations made by the magistrate judge.
The judge may also receive further evidence or recommit the
matter to the magistrate judge with instructions.
28 U.S.C. § 636(b)(1) (2006); see FED. R. CIV. P. 72(b) (stating identical requirements);
N.D. IA. L.R. 72, 72.1 (allowing the referral of dispositive matters to a magistrate judge
but not articulating any standards to review the magistrate judge’s report and
recommendation). Thus, “[a]ny party that desires plenary consideration by the Article
III judge of any issue need only ask.” Thomas v. Arn, 474 U.S. 140, 154 (1985).
If a party files an objection to a magistrate judge’s report and recommendation,
the district court must “make a de novo determination of those portions of the report or
specified proposed findings or recommendations to which objection is made.” 28 U.S.C.
§ 636(b)(1) (emphasis added). In most cases, at least where the objecting party is
represented by counsel, to trigger de novo review, “objections must be timely and
specific.” Thompson v. Nix, 897 F.2d 356, 358-59 (8th Cir. 1990); but see Hudson v.
Gammon, 46 F.3d 785, 786 (8th Cir. 1995) (suggesting that “general” objections by a
pro se party may be sufficient to trigger de novo review). When objections have been
made, and the magistrate judge’s report is based upon an evidentiary hearing, “‘the
district court must, at a minimum, listen to a tape recording or read a transcript of the
evidentiary hearing.’” United States v. Azure, 539 F.3d 904, 910 (8th Cir. 2008)
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(quoting Jones v. Pillow, 47 F.3d 251, 252 (8th Cir. 1995), in turn quoting Branch v.
Martin, 886 F.2d 1043, 1046 (8th Cir. 1989)). Judge Strand did not hold an evidentiary
hearing in this case, however, nor did he consider oral arguments. Instead, he considered
only the parties’ written submissions, and I have done the same.
In the absence of an objection, the district court is not required “to give any more
consideration to the magistrate’s report than the court considers appropriate.” Thomas,
474 U.S. at 150; see also Peretz v. United States, 501 U.S. 923, 939 (1991) (stating that
§ 636(b)(1) “provide[s] for de novo review only when a party objected to the magistrate’s
findings or recommendations” (emphasis added)); United States v. Ewing, 632 F.3d 412,
415 (8th Cir. 2011) (“By failing to file objections, Ewing waived his right to de novo
review [of a magistrate judge’s report and recommendation on a suppression motion] by
the district court.”). The Eighth Circuit Court of Appeals has indicated, however, that,
at a minimum, a district court should review the portions of a magistrate judge’s report
and recommendation to which no objections have been made under a “clearly erroneous”
standard of review. See Grinder v. Gammon, 73 F.3d 793, 795 (8th Cir. 1996) (noting
that, when no objections are filed and the time for filing objections has expired, “[the
district court judge] would only have to review the findings of the magistrate judge for
clear error”); Taylor v. Farrier, 910 F.2d 518, 520 (8th Cir. 1990) (noting that the
advisory committee’s note to FED. R. CIV. P. 72(b) indicates “when no timely objection
is filed the court need only satisfy itself that there is no clear error on the face of the
record”). Thus, “clearly erroneous” review applies to the portions of Judge Strand’s
Report And Recommendation to which no objections were made.
I will review Judge Strand’s Report And Recommendations with these standards
in mind.
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B.
Review Of Ackerman’s Objections
As noted, above, Ackerman makes four objections to Judge Strand’s Report And
Recommendation. I will consider these objections in turn.
1.
The “treating physician” determination
Ackerman’s first objection is to the part of the Report And Recommendation
accepting the ALJ’s RFC assessment, because Ackerman argues that the ALJ erroneously
discounted the opinions of Dr. Akbar, who was ostensibly a treating physician.
Ackerman objects to the ALJ’s finding that Dr. Akbar saw Ackerman only once, because
Ackerman contends that the record shows that he saw Dr. Akbar at least twice and
perhaps more often than that over a two-year period. Ackerman also argues that it
appears that there are medical records missing from the record, so that a remand is
appropriate.
Contrary to Ackerman’s contentions, upon de novo review, 28 U.S.C. § 636(b)(1);
Thomas, 474 U.S. at 154, I agree with Judge Strand that the ALJ had good reasons for
concluding that Dr. Akbar was not a “treating physician” and for discounting Dr. Akbar’s
opinions as inconsistent with the record evidence. Judge Strand recognized, “Medical
opinions from treating sources should not ordinarily be disregarded, and should receive
substantial weight.” Report And Recommendation at 10 (citing Singh v. Apfel, 222 F.3d
448, 452 (8th Cir. 2000)).
He also recognized, however, that “[o]pinions from
examining sources come from physicians who examined the claimant for purposes of
forming a medical opinion, such as a one-time consultative examiner, but such examiners
are not considered ‘treating sources,’” and that “[t]hese opinions do not generally
constitute substantial evidence, especially when contradicted by a treating physician’s
opinion.” Id. at 11 (citing Cantrell v. Apfel, 231 F.3d 1104, 1107 (8th Cir. 2000)). Like
Judge Strand, I find that the ALJ’s decision to afford little weight to Dr. Akbar’s opinion
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was supported by substantial evidence in the record as a whole and by a statement of
good reasons.
First, as Judge Strand concluded, the portions of the record cited by Ackerman as
suggesting that Dr. Akbar was his treating physician “are not persuasive.” Id. at 14.
Rather, as Judge Strand concluded, there is only one documented meeting between
Ackerman and Dr. Akbar and, despite the ALJ leaving the record open after the hearing,
Ackerman did not produce any further records of an actual meeting with Dr. Akbar. Id.
at 15-16.
Even in his Objections, Ackerman has not cited any part of the record
demonstrating that anyone but Ackerman ever said he saw Dr. Akbar more than once.
See Objections at 3. Specifically, while Ackerman asserts, in his Objections, that he saw
Dr. Akbar in September 2010 and “returned” to Dr. Akbar twice in November 2010,
citing Administrative Record at 503, 581, and 582, these citations do not support his
contentions. The supposed documentation of a visit to Dr. Akbar in September 2010 is
actually from a self-report by Ackerman, months later, found in Dr. Conditt’s report
from February 14, 2011, see Administrative Record at 503; the record of one of the
purported “return” visits to Dr. Akbar in November of 2010 is actually a record of a
visit with therapist Scott Dickinson, which makes no reference at all to Dr. Akbar, see
Administrative Record at 581; and the remaining record is the only one actually by
Dr. Akbar documenting a face-to-face visit with Ackerman, but on November 10, 2010,
not in September of 2010.
In his Objections, Ackerman also attempts to lay the insufficiency of the
documentation of actual meetings by Ackerman with Dr. Akbar at the feet of the ALJ.
In his Report And Recommendation, however, Judge Strand rightly pointed out that the
ALJ’s duty to develop the record does not extend to seeking additional statements from
a physician unless a crucial issue is underdeveloped. See Report And Recommendation
at 15 (citing Stormo v. Barnhart, 377 F.3d 801, 806 (8th Cir. 2004). The issue of
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whether or not Ackerman had more than one face-to-face visit was not “crucial,” where
the ALJ had afforded Ackerman adequate opportunity after the hearing to provide
additional records of meetings with Dr. Akbar, but Ackerman produced none, and where
there were sufficient other records to develop fully the picture of Ackerman’s condition,
including Dr. Akbar’s opinion, set out in answers to interrogatories.
Although Ackerman also contends, in his Objections, that a remand to find missing
treatment records would be appropriate, in light of two decisions of federal courts in
Iowa, I find both decisions he cites to be readily distinguishable.
In Miatke v.
Commissioner of Social Security, No. C 08-1019, 2009 WL 909619 (N.D. Iowa April 2,
2009), the claimant’s attorney had actually provided additional records to the ALJ, but
the court found those records were inexplicably not included in the administrative record,
while Ackerman made no attempt to provide additional records of his purported meetings
with Dr. Akbar. The second decision, Martin v. Apfel, 983 F. Supp. 812, 815 (S.D.
Iowa 1997), is even more readily distinguishable, because Judge Pratt did not remand the
case on the basis that the ALJ and the claimant’s attorney recognized that records were
missing, as Ackerman contends. Rather, Judge Pratt ordered an award of benefits on the
basis of the evidence in front of and considered by the ALJ. Indeed, there was no remand
at all, let alone a remand to obtain “missing” records, which had actually been sent to
the Appeals Council, but not included in the record. Also, while Judge Pratt scolded the
Commissioner for not providing the records provided by counsel to the ALJ prior to the
ALJ’s decision, he also scolded the claimant’s attorney for expecting ALJs to secure
evidence that is easily accessible to the lawyer and the claimant.
Moreover, even if Judge Strand (and the ALJ) had considered Dr. Akbar to be a
“treating physician,” the ALJ gave adequate reasons for rejecting Dr. Akbar’s opinions.
See Report And Recommendation at 15 (recognizing that an ALJ has more discretion to
consider any inconsistencies with the record in evaluating opinions of a non-treating
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physician, citing Raney v. Barnhart, 396 F.3d 1007, 1010 (8th Cir. 2005)); and compare
id. at 10-11 (explaining that the ALJ may discount a treating source medical opinion, if
he gives good reasons for doing so, citing Brown v. Astrue, 611 F.3d 941, 951-52 (8th
Cir. 2010)).1 Specifically, I agree with Judge Strand (and the ALJ) that there were
significant inconsistencies between Dr. Akbar’s opinion, expressed in interrogatory
answers, and his own treatment notes and other treatment records. See id. at 15-17.
Finally, I find Ackerman’s reliance, in his Objections, on Shontos v. Barnhart,
328 F.3d 418 (8th Cir. 2003), to be misplaced. Contrary to Ackerman’s contentions,
Judge Strand (and the ALJ) properly concluded that Dr. Akbar was not a member of a
“treatment team,” which might have required greater deference to his opinions. Again,
there is no evidence that Dr. Akbar saw Ackerman “intermittently . . . for the purpose
of prescribing psychiatric medication.” Shontos, 328 F.3d at 426. Rather, there is only
one documented record of Dr. Akbar ever seeing Ackerman. A single contact does not
make Dr. Akbar a “team member.”
Therefore, I overrule Ackerman’s first objection to Judge Strand’s Report And
Recommendation.
2.
The Appeals Council’s opinion about additional evidence
Ackerman’s second objection to Judge Strand’s Report And Recommendation is
that Judge Strand improperly concluded that the Appeals Council properly evaluated the
additional evidence that Ackerman had submitted in connection with his request for
review. The additional evidence in question, at least as far as Ackerman’s objection
goes, was a 2012 report from Dr. Conditt. As Judge Strand (and the Appeals Council)
noted, that report is dated October 15, 2012, and was based on an evaluation that same
1
Judge Strand inadvertently cited this case as from the Ninth Circuit Court of
Appeals.
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day, five weeks after the end of the period relevant to Ackerman’s application, on
September 10, 2012. Report And Recommendation at 19.
Upon de novo review, 28 U.S.C. § 636(b)(1); Thomas, 474 U.S. at 154, I find
that Judge Strand correctly explained,
The Commissioner’s regulations provide that the Appeals
Council may consider additional evidence “only where it
relates to the period on or before the date of the administrative
law judge hearing decision.” 20 C.F.R. §§ 404.970(b),
416.1470(b). Dr. Conditt’s 2012 report did not address
Ackerman’s condition on or before September 10, 2012, the
date of the ALJ’s decision. Instead, it was based on an
evaluation that took place October 15, 2012. AR 37.
Report And Recommendation at 19-20.
While Ackerman scoffs at the notion that
Dr. Conditt’s 2012 report was not based, in part, on his 2011 evaluation and considered,
to some extent, Ackerman’s condition prior to September 10, 2012, I am not persuaded.
As was the case when Judge Strand wrote his Report And Recommendation, Ackerman
still has not identified, in his Objections, any statements in Dr. Conditt’s 2012 report to
support Ackerman’s characterization. See id. at 20. Thus, Judge Strand correctly
affirmed the Appeals Council’s rejection of Dr. Conditt’s 2012 report on the ground that
it did not relate to the period prior to September 10, 2012. 20 C.F.R. §§ 404.970(b),
416.1470(b).
Consequently, I also overrule Ackerman’s second objection to Judge Strand’s
Report And Recommendation.
3.
The discounting of opinions from the “treatment team” therapist
Ackerman’s third objection is that Judge Strand improperly accepted the ALJ’s
RFC assessment, despite the ALJ’s failure to give proper weight to the opinions of
therapist Scott Dickinson, who was a member of Ackerman’s “treatment team.” Upon
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de novo review, 28 U.S.C. § 636(b)(1); Thomas, 474 U.S. at 154, I also overrule this
objection.
Again, contrary to Ackerman’s contentions, Judge Strand (and the ALJ) properly
concluded that Dr. Akbar and therapist Scott Dickinson were not members of a “treatment
team,” thus requiring greater deference to their opinions.
Although it is true that
Mr. Dickinson, the therapist in this case, like the therapists on the “treatment team” in
Shontos, had a “longitudinal” treatment relationship with Ackerman, there is no evidence
that this relationship was developed as part of a “team” approach. Compare Shontos,
328 F.3d at 426. Moreover, unlike the situation in Shontos, I find, upon de novo review,
that Judge Strand (and the ALJ) correctly concluded that Mr. Dickinson’s opinions—like
Dr. Akbar’s—were inconsistent with the record. Compare Report And Recommendation
at 17-19; with Shontos, 328 F.3d at 426-27 (finding that the ALJ’s conclusion that the
treating sources’ opinions were inconsistent with the record was not borne out by the
record).
4.
The lack of treating source limitations in the assessment of RFC
Ackerman’s last objection to Judge Strand’s Report And Recommendation is to
Judge Strand’s conclusion that the ALJ’s opinion is supported by substantial evidence in
the record, notwithstanding the ALJ’s failure to obtain work-related limitations from a
treating or examining source to support the ALJ’s assessment of Ackerman’s residual
functional capacity (RFC). Ackerman argues that, because the ALJ only had opinions of
non-examining state agency psychological consultants, after rejecting opinions of
Dr. Akbar, Dr. Conditt, and Mr. Dickinson, the ALJ’s conclusion that Ackerman had
no disabling limitations during the relevant period is not supported by substantial medical
evidence. Upon de novo review, 28 U.S.C. § 636(b)(1); Thomas, 474 U.S. at 154, I
disagree.
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As Judge Strand correctly observed, “Even after giving little weight to some
medical opinions, the ALJ may determine a claimant’s RFC without obtaining additional
medical evidence ‘so long as other evidence in the record provides a sufficient basis for
the ALJ’s decision.’” Report And Recommendation at 22 (quoting Anderson v. Shalala,
51 F.3d 777, 779 (8th Cir. 2014), in turn quoting Naber v. Shalala, 22 F.3d 186, 189
(8th Cir. 1994)).
Judge Strand then identified the sources of substantial evidence
supporting the ALJ’s determination, including records of Ackerman’s in-patient treatment
in August 2010; a report by psychologist John Bayless, Ph.D.; a report by Kevin Orcutt,
M.D., upon Ackerman’s discharge from in-patient treatment; Dr. Akbar’s November
2010, record of a meeting with Ackerman; and Dr. Conditt’s February 2011 report,
concerning Ackerman’s condition after six months of sobriety. See id. at 22-23. Like
Judge Strand, I find that the ALJ did not “reject” Dr. Conditt’s 2011 report, but, in fact,
gave it “considerable weight.” Id. at 23 (citing Administrative Record at 26). Upon de
novo review, I agree with Judge Strand’s conclusion on this issue:
[Dr. Conditt’s 2011] report, along with the other evidence
described above, supports a finding that Ackerman’s drug
abuse was a “substantial barrier to [his] normal functioning.”
Vester v. Barnhart, 416 F.3d 886, 889 (8th Cir. 2005). As
the Eighth Circuit Court of Appeals has noted: “Determining
whether a claimant would still be disabled if he or she stopped
drinking is, of course, simpler if the claimant actually has
stopped.” Pettit v. Apfel, 218 F.3d 901, 903 (8th Cir. 2000).
To his credit, Ackerman stopped using drugs in August 2010.
The record shows that this change caused Ackerman’s
condition to improve significantly. The ALJ’s RFC findings
are supported by substantial evidence on the record as a
whole.
Report And Recommendation at 23.
I overrule Ackerman’s last objection to the Report And Recommendation.
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C.
Clear Error Review
As mentioned, above, the Eighth Circuit Court of Appeals has indicated that, at a
minimum, a district court should review the portions of a magistrate judge’s report and
recommendation to which no objections have been made under a “clearly erroneous”
standard of review. See Grinder, 73 F.3d at 795; Taylor, 910 F.2d at 520. I have
considered the remainder of Judge Strand’s Report And Recommendation, to which no
objections were made, and I find no “clear error” in those portions.
III.
CONCLUSION
Upon the foregoing,
1.
Ackerman’s June 30, 2015, Objections To Magistrate Judge’s Report And
Recommendation (Objections) (docket no. 14) are overruled;
2.
I accept United States Magistrate Judge Strand’s June 16, 2015, Report
And Recommendation without modification, see 28 U.S.C. § 636(b)(1) (2006), and,
pursuant to Judge Strand’s recommendation,
The Commissioner’s determination that Ackerman was not disabled
is affirmed; and
Judgment shall enter against Ackerman and in favor of the
Commissioner.
IT IS SO ORDERED.
DATED this 1st day of September, 2015.
______________________________________
MARK W. BENNETT
U.S. DISTRICT COURT JUDGE
NORTHERN DISTRICT OF IOWA
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