Hood v. Social Security Administration, Commissioner of

Filing 19

MEMORANDUM AND ORDER. The decision of the Commissioner denying Plaintiff's application is AFFIRMED. Signed by District Judge John W. Broomes on 1/11/2022. (mam)

Case 6:21-cv-01016-JWB Document 19 Filed 01/11/22 Page 1 of 9

IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF KANSAS
S. H.,1
Plaintiff,
v.

Case No. 21-1016-JWB

COMMISSIONER OF SOCIAL SECURITY,
Kilolo Kijakazi, Acting Commissioner,
Defendant.
MEMORANDUM AND ORDER
Plaintiff filed this action for review of a final decision of the Commissioner of Social
Security denying Plaintiff’s application for disability insurance benefits and supplemental security
income. Plaintiff and the Commissioner have each filed a brief. (Doc. 13, 18.) The time allowed
for further briefing has expired and the matter is accordingly ripe for decision. For the reasons
stated herein, the decision of the Commissioner is AFFIRMED.
I. Standard of Review
The court's standard of review is set forth in 42 U.S.C. § 405(g), which provides that “the
findings of the Commissioner of Social Security as to any fact, if supported by substantial
evidence, shall be conclusive.” The Commissioner's decision will be reviewed to determine only
whether the decision was supported by substantial evidence and whether the Commissioner
applied the correct legal standards. Glenn v. Shalala, 21 F.3d 983, 984 (10th Cir. 1994).
Substantial evidence requires more than a scintilla, but less than a preponderance, and is satisfied

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Plaintiff’s initials are used to protect privacy interests.

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by such evidence as a reasonable mind might accept as adequate to support the conclusion. Biestek
v. Berryhill, 139 S. Ct. 1148, 1154 (2019).
Although the court is not to reweigh the evidence, the findings of the Commissioner will
not be mechanically accepted. Hendron v. Colvin, 767 F.3d 951, 954 (10th Cir. 2014). Nor will
the findings be affirmed by isolating facts and labeling them substantial evidence, as the court
must scrutinize the entire record in determining whether the Commissioner's conclusions are
rational. Graham v. Sullivan, 794 F. Supp. 1045, 1047 (D. Kan. 1992). The court should examine
the record as a whole, including whatever fairly detracts from the weight of the Commissioner's
decision and, on that basis, determine if the substantiality of the evidence test has been met. Glenn,
21 F.3d at 984.
The Commissioner has established a five-step sequential evaluation process to determine
disability. Wilson v. Astrue, 602 F.3d 1136, 1139 (10th Cir. 2010). If at any step a finding of
disability or non-disability can be made, the Commissioner will not review the claim further. At
step one, the agency will find non-disability unless the claimant can show that she is not working
at a “substantial gainful activity.” Williams v. Bowen, 844 F.2d 748, 750 (10th Cir. 1988). At step
two, the agency will find non-disability unless the claimant shows that she has a severe
impairment. At step three, the agency determines whether the impairment which enabled the
claimant to survive step two is on the list of impairments presumed severe enough to render one
disabled. Id. at 751. If the claimant's impairment does not meet or equal a listed impairment, the
agency determines the claimant's residual functional capacity (“RFC”).

20 C.F.R. §

416.920(a)(4)(iv), 20 C.F.R. § 416.945. The RFC represents the most that the claimant can still
do in a work setting despite her impairments. See Cooksey v. Colvin, 605 F. App'x 735, 738 (10th
Cir. 2015). The RFC assessment is used to evaluate the claim at both step four and step five. §

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416.920(e), (f), (g). At step four, the agency must determine whether the claimant can perform
previous work. If a claimant shows that she cannot perform the previous work, the fifth and final
step requires the agency to consider vocational factors (the claimant's age, education, and past
work experience) and to determine whether the claimant is capable of performing other jobs
existing in significant numbers in the national economy. Barnhart v. Thomas, 540 U.S. 20, 25
(2003).
The claimant bears the burden of proof through step four of the analysis. Blea v. Barnhart,
466 F.3d 903, 907 (10th Cir. 2006). At step five, the burden shifts to the Commissioner to show
that the claimant can perform other work that exists in the national economy. Id.; Thompson v.
Sullivan, 987 F.2d 1482, 1487 (10th Cir. 1993). The Commissioner meets this burden if the
decision is supported by substantial evidence. Thompson, 987 F.2d at 1487 (citations omitted).
II. Background and Procedural History
Plaintiff protectively filed2 applications for Title II disability insurance benefits and Title
XVI supplemental security income on January 22, 2019, alleging a disability onset date of
February 16, 2017.

The claims were denied administratively both initially and upon

reconsideration. Plaintiff subsequently requested an evidentiary hearing before an Administrative
Law Judge (ALJ). (See Tr. at 10.3)
On August 18, 2020, ALJ Michael Werner held a telephonic hearing and heard testimony
from Plaintiff and vocational expert (VE) Karen Terrill. At the hearing Plaintiff amended the
alleged onset date of disability to December 7, 2018. (Id. at 40.) Plaintiff testified, among other
things, that she was born in 1978 (making her 40 years old at the alleged onset date); that she had

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The protective filing date is the date an individual contacts the Social Security Administration with the stated
intention of filing for disability benefits. In some circumstances it will be considered the application filing date even
if it precedes the Administration’s receipt of a signed application. See 20 C.F.R. § 416.340; 20 C.F.R. § 416.345.
3
Citations to “Tr.” refer to the Bates’ numbering in the administrative transcript. (Doc. 12.)

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a high school education and a certificate in cosmetology; that she previously could lift a maximum
of 70 pounds and routinely lifted 50 pounds in her prior work as a custodian but now she was
unable to do so because of pain; that her current height and weight were 5’4” and 263 pounds; that
she experiences constant back pain; that she has pain in her knees particularly when she bends,
moves, or twists and has pain when lifting her arms; that she can only stand about 8-15 minutes
and then has to sit or lay down; that she is constantly sitting but after 15 minutes has to get up and
move, and by three or four o’clock in the afternoon has to lay down; that she can carry the weight
of a gallon of milk but not much more; that she has to lay down 8-10 times a day; that she cannot
really drive because her medication makes it difficult to think and gives her hallucinations; that
she uses a cane outside of the house because her balance is off; and that she suffers from
depression. (Id. at 41-16.)
The ALJ denied Plaintiff’s application on September 1, 2020. (Id. at 7.) At step one, the
ALJ found Plaintiff had not engaged in substantial gainful activity since the alleged onset date.
(Id. at 12.) At step two, the ALJ found Plaintiff suffers from the following severe impairments:
lumbar spine degenerative disc disease; degenerative joint disease of the right knee; obesity;
fibromyalgia; and depressive disorder. (Id.) At step three, the ALJ found that none of Plaintiff’s
impairments, alone or in combination, met or medically equaled any of the presumptively disabling
impairments listed in the regulations.
The ALJ next determined that Plaintiff has the RFC to perform sedentary work as defined
in the regulations except that Plaintiff: can lift, carry, push and/or pull 20 pounds occasionally and
10 pounds frequently; can sit with normal breaks for a total of 6 hours of an 8-hour workday; can
stand and/or walk with normal breaks for a total of 2 hours of an 8-hour workday; can occasionally
climb ramps and stairs, but never ladders, ropes or scaffolds; can occasionally balance, stoop,

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kneel, crouch and crawl; can tolerate occasional exposure to extreme cold, extreme heat,
vibrations, and hazards such as unprotected heights and moving mechanical parts; can understand,
remember, and apply instructions to perform simple tasks (jobs SVP 2 and below); can make work
decisions commensurate with the foregoing tasks; can concentrate to work at a consistent pace for
two-hour periods before and after customary breaks; can tolerate occasional interactions with
coworkers and the public; and can adapt to changes in a work environment with these limitations.
(Id. at 15.)
At step four, the ALJ determined that Plaintiff was unable to perform any of her past
relevant work as a lead custodian or office clerk. (Id. at 18.) Finally, at step five, the ALJ
determined that, considering Plaintiff’s age, education, work experience, and RFC, Plaintiff is
capable of performing jobs that exist in significant numbers in the national economy. (Id. at 19.)
In so finding, the ALJ credited the VE’s testimony that an individual with Plaintiff’s RFC could
perform the occupations of lens inserter (DOT 713.687-026), wafer breaker, semi-conductor (DOT
726.687-046), and loader of semi-conductor dies (DOT 726.687-030), all of which had an SVP 2
and sedentary rating. (Id.) The ALJ accordingly determined Plaintiff was not under a disability
within the meaning of the Social Security Act.
III. Analysis
Plaintiff’s sole argument on appeal is that the ALJ failed to provide a physical RFC
supported by substantial evidence. (Doc. 13 at 7.) Plaintiff contends the ALJ mischaracterized
Plaintiff’s ability to perform activities of daily living and failed to explain how the evidence
supported the physical RFC. (Id. at 9-11.) Plaintiff relies on a medical source statement of P.A.
Virginia King, who opined among other things that Plaintiff: could only sit 10 minutes at a time
without changing position and for less than 2 hours of an 8-hour day; could only stand for 10

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minutes at a time without changing position and for less than 2 hours of an 8-hour day; needed two
unscheduled breaks per hour or more and would need to rest 30 minutes before resuming work;
needed to elevate her legs 50% of an 8-hour day; was incapable of low stress work; and on average
would miss more than 4 days per month of work. (Tr. at 677-79.)

Plaintiff argues there was

evidence supporting these opinions, and that “[i]t was unclear how the ALJ reached the RFC
conclusions based on the reasoning contained in the [ALJ’s] decision and in light of PA King’s
well-supported medical opinion.” (Doc. 13 at 13.)
These arguments might be more persuasive if the court were the finder of fact operating
under a de novo standard of review. But they are ultimately unavailing because “the 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). The question is not whether there is any evidence that could
sustain a finding of disability; it is whether there is substantial evidence to support the ALJ’s
findings. After reviewing the ALJ’s decision and the record, the court concludes the ALJ’s RFC
determination is supported by substantial evidence.
The ALJ’s decision acknowledged and addressed Plaintiff’s physical impairments,
including lumbar spine degenerative disc disease, degenerative joint disease of the right knee, and
fibromyalgia. (Tr. at 16.) The ALJ further considered Plaintiff’s various reported symptoms,
including that she experiences pain when sitting, that she is not able to stand for long periods, and
that she has fatigue and other symptoms due to constant pain. (Id.) The ALJ found Plaintiff’s
impairments could reasonably be expected to cause her symptoms but that her statements
concerning the intensity, persistence, and limiting effects of the symptoms were “not entirely
consistent with the medical evidence and other evidence in the record….”

(Id.) The ALJ’s

decision recounted some of the evidence relating to these symptoms, including evidence that

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supported them as well as evidence indicating the symptoms were not as severe as reported. For
example, the ALJ discussed a June 2019 consultative exam by Darya Collins, NP, who among
other things reported that Plaintiff exhibited a steady gait, exhibited full strength in her muscles,
had no muscle spasms, showed normal limits and normal reflexes on a sensory exam, and exhibited
no more than moderate difficulty on orthopedic maneuvers. (Id. at 17.) That same report included
findings that Plaintiff exhibited normal speech and mood, had clear thought processes and normal
memory and concentration; did not present with an assistive device for walking; exhibited full
muscle strength in all areas examined; had tenderness in the back, hip, knee, and buttock but
exhibited no joint erythema, effusion, or deformity; could button and unbutton a shirt, pick up and
grasp a pen and write a sentence; could lift, carry, and handle personal belongings; was able to rise
from a sitting position without assistance and, with some difficulty, get up and down from the
exam table; could walk on heels and toes with moderate difficulty; could dress and undress
adequately well; and tandem walking was normal and she could stand but not hop on one foot
bilaterally. (Id. at 662-63.)
The ALJ’s decision cited additional evidence in support of the RFC findings. It noted
evidence that despite Plaintiff’s limitations, she was able to tolerate trips to South Dakota and
Washington by air travel. (Id. at 16.) The ALJ recognized objective medical findings supporting
Plaintiff’s claims of pain but also considered evidence that Plaintiff had been observed to have a
slow but stable, normal gait and could walk short distances, noted that her claims of pain were not
entirely consistent, and pointed out that she remained able to ride her bicycle and assist her parents
with gardening. (Id. at 17.) The ALJ also considered the various medical opinions in the record,
including those of P.A. King. The ALJ found King’s opinions on Plaintiff’s limitations (such as
only being able to sit for 10 minutes at a time, needing to elevate her legs 50% of the time, and

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needing two unscheduled breaks every hour with a 30-minute rest) unpersuasive, noting these
severe limitations were not well-explained and were not consistent with Plaintiff’s level of activity
that included traveling, reading, and doing crafts. (Id. at 18.) There was nothing improper or
inadequate in the manner in which the ALJ assessed the persuasiveness of King’s opinions. Under
the regulations, an ALJ is required to consider the persuasiveness of a medical opinion using five
factors: supportability; consistency; relationship with the claimant; specialization; and other
factors, such as “a medical source's familiarity with the other evidence in a claim.” 20 C.F.R. §
404.1520c(c); id. § 416.920c(c). “The factors of supportability … and consistency … are the most
important factors” in determining persuasiveness. Id. § 404.1520c(a). The ALJ followed that
framework here, noting the lack of support or explanation for the limitations indicated by King,
and citing other medical opinions that were inconsistent with those limitations. Among others, the
ALJ cited the medical opinion of Mary Tawadros, M.D., who opined that Plaintiff could stand or
walk for a total of 4 hours of an 8-hour workday, could sit for a total of 6 hours in a workday, and
said that Plaintiff’s alleged limitations in her physical activities exceeded the documented medical
findings such as mild degenerative disc disease. (Id. at 107.) The ALJ also considered the
assessment of Crystalla Daly, D.O., who likewise opined that Plaintiff was capable of standing
and/or walking 4 hours and sitting 6 hours in an 8-hour workday. (Id. at 142.)
The ALJ considered the record, weighed evidence relating to the severity of Plaintiff’s
symptoms, and concluded Plaintiff was capable of performing the RFC outlined in the ALJ’s
opinion. In doing so the ALJ found the opinions of Drs. Tawadros and Daly “generally persuasive”
because they were more consistent with physical examinations and imaging than were Plaintiff’s
reported pain symptoms. (Id. at 18.) In support of his findings, the ALJ cited medical opinions,
objective examinations, and testimony concerning Plaintiff’s activities of daily living. Substantial

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evidence requires “more than a mere scintilla[,]” but the threshold “is not high.” Biestek v.
Berryhill, 139 S. Ct. 1148, 1154 (2019). It means “such relevant evidence as a reasonable mind
might accept as adequate to support a conclusion.” Id. (citation omitted). The evidence cited by
the ALJ, taken as a whole, could be accepted by a reasonable person as adequate to support the
RFC findings set forth in the opinion. The contrary evidence cited by Plaintiff in her brief is not
sufficient to undermine this conclusion. “The mere fact that there is evidence which might support
a contrary conclusion is not sufficient to show error on the part of the ALJ.” Tammy F. v. Saul,
No. 20-1079-JWL, 2020 WL 7122426, at *7 (D. Kan. Dec. 4, 2020); Lax v. Astrue, 489 F.3d 1080,
1084 (10th Cir. 2007) (“We consider whether the ALJ followed the ‘specific rules of law that must
be followed in weighing particular types of evidence in disability cases,’ but we will not reweigh
the evidence or substitute our judgment for the Commissioner's.”)
IV. Conclusion
Accordingly, the decision of the Commissioner denying Plaintiff’s application is
AFFIRMED. The clerk is directed to enter judgment accordingly.
IT IS SO ORDERED this day 11th of January, 2022.

_____s/ John W. Broomes___________
JOHN W. BROOMES
UNITED STATES DISTRICT JUDGE

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