Combs v. SSA
Filing
17
MEMORANDUM OPINION & ORDER: (1) Plaintiff's Motion for Summary Judgment [R. 10 ] is DENIED; (2) Defendant's Motion for Summary Judgment [R. 11 ] is GRANTED; and, (3) JUDGMENT in favor of the Defendant will be entered contemporaneously herewith. Case Terminated. Signed by Gregory F. VanTatenhove on 3/29/2012.(RBB)cc: COR
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF KENTUCKY
SOUTHERN DIVISION
LONDON
BRENDA COMBS,
Plaintiff,
V.
MICHAEL J. ASTRUE,
Commissioner of Social Security,
Defendant.
)
)
)
)
)
)
)
)
)
)
Civil No. 11-78-GFVT
MEMORANDUM OPINION
& ORDER
*** *** *** ***
The Plaintiff, Brenda Combs, brought this action pursuant to 42 U.S.C. §§ 405(g),
1383(c) to obtain judicial review of an administrative decision of the Commissioner of Social
Security (Commissioner) denying Combs’s application for disability insurance benefits (DIB).
The Court, having reviewed the record and for the reasons set forth herein, will deny Combs’s
Motion for Summary Judgment [R. 10] and grant the Commissioner’s [R. 11].
I.
Combs filed an application for DBI on February 2, 2009. [Transcript (Tr.) 10.] She
alleges a disability beginning on January 26, 2009, due to migraines, a bulging disc, and lower
back pain. [Tr. 28.] Combs’s application was denied initially [Tr. 87] and upon reconsideration
[Tr. 91]. Subsequently, at Combs’s request, an administrative hearing was conducted before
Administrative Law Judge Katherine D. Wisz (ALJ) on May 25, 2010. [Tr. 23-47.] During the
hearing, the ALJ heard testimony from Combs and vocational expert (VE) Linda Tabor [Tr. 43].
Combs, who was forty-four years old at the time of the hearing, is a high school graduate. [Tr.
1
4.] Combs has past relevant work experience, but the VE testified that she could no longer
perform that work, and the ALJ accepted that testimony. [Tr. 15.]
In evaluating a claim of disability, an ALJ conducts a five-step analysis. See 20 C.F.R.
§§ 404.1520, 416.920.1 First, if a claimant is working at a substantial gainful activity, she is not
disabled. 20 C.F.R. § 404.1520(b). Second, if a claimant does not have any impairment or
combination of impairments which significantly limit her physical or mental ability to do basic
work activities, then she does not have a severe impairment and is not disabled. 20 C.F.R. §
404.1520(c). Third, if a claimant’s impairments meet or equal an impairment listed in 20 C.F.R.
Part 404, Subpart P, Appendix 1, she is disabled. 20 C.F.R. § 404.1520(d). Fourth, if a
claimant’s impairments do not prevent her from doing past relevant work, she is not disabled. 20
C.F.R. § 404.1520(e). Fifth, if a claimant’s impairments (considering her residual functional
capacity, age, education, and past work) prevent her from doing other work that exists in the
national economy, then she is disabled. 20 C.F.R. § 404.1520(f).
In this case, at Step 1, the ALJ found that Combs has not engaged in substantial gainful
activity since the date she applied for benefits. [Tr. 12.] At Step 2, the ALJ found that Combs’s
medically determinable impairments—“degenerative disc disease resulting in disc protrusion . . .
and disc bulging,” “a congenital disc fusion,” and migraines—satisfied the standards set forth in
1
The Sixth Circuit summarized this process in Jones v. Comm’r of Soc. Sec., 336 F.3d 469 (6th Cir. 2003):
To determine if a claimant is disabled within the meaning of the Act, the ALJ employs a five-step
inquiry defined in 20 C.F.R. § 404.1520. Through step four, the claimant bears the burden of
proving the existence and severity of limitations caused by her impairments and the fact that she is
precluded from performing her past relevant work, but at step five of the inquiry, which is the
focus of this case, the burden shifts to the Commissioner to identify a significant number of jobs in
the economy that accommodate the claimant’s residual functional capacity (determined at step
four) and vocational profile.
Id. at 474 (internal citations omitted).
2
20 C.F.R. § 404.1520(c). [Tr. 12.] At Step 3, the ALJ found that Combs’s impairments did not
meet or medically equal one of the listed impairments in 20 C.F.R. pt. 404, subpt. P, app. 1 (20
C.F.R. § 404.1520(d), 404.1525, or 404.1526). [Tr. 13.] At Step 4, the ALJ determined that
Combs possessed the residual functional capacity (RFC) to perform work, subject to several
limitations. [See id.]
Thus, at the fifth step, “the burden shift[ed] to the Commissioner to identify a significant
number of jobs in the economy that accommodate the claimant’s residual functional capacity
(determined at step four) and vocational profile.” Jones, 336 F.3d at 474. Here, the ALJ
concluded that there were a significant number of jobs in the economy that Combs could
perform. [Tr. 15-16.] Accordingly, on July 27, 2010, the ALJ issued an unfavorable decision,
finding that Combs was not disabled, and therefore, not eligible for DIB. [Tr. 17.] The Appeals
Council declined to review the ALJ’s decision [Tr. 1], and Combs now seeks judicial review in
this Court.
II.
This Court’s review is limited to whether there is substantial evidence in the record to
support the ALJ’s decision. 42 U.S.C. § 405(g); Wright v. Massanari, 321 F.3d 611, 614 (6th
Cir. 2003); Shelman v. Heckler, 821 F.2d 316, 319-20 (6th Cir. 1987). “Substantial evidence” is
“more than a scintilla of evidence but less than a preponderance; it is such relevant evidence as a
reasonable mind might accept as adequate to support a conclusion.” Cutlip v. Sec’y of Health &
Human Servs., 25 F.3d 284, 286 (6th Cir. 1994). The substantial evidence standard “presupposes
that there is a zone of choice within which decision makers can go either way, without
interference from the court.” Mullen v. Bowen, 800 F.2d 535, 545 (6th Cir. 1986) (en banc)
(quotes and citations omitted).
3
In determining the existence of substantial evidence, courts must examine the record as a
whole. Id. (citing Kirk v. Sec’y of Health & Human Servs., 667 F.2d 524, 535 (6th Cir. 1981),
cert. denied, 461 U.S. 957 (1983)). However, courts are not to conduct a de novo review, resolve
conflicts in evidence, or make credibility determinations. Id. (citations omitted); see also Bradley
v. Sec’y of Health & Human Servs., 862 F.2d 1224, 1228 (6th Cir. 1988). Rather, if the
Commissioner’s decision is supported by substantial evidence, it must be affirmed even if the
reviewing court would decide the matter differently, and even if substantial evidence also
supports the opposite conclusion. See Her v. Comm’r of Soc. Sec., 203 F.3d 388, 389-90 (6th
Cir. 1999); see also Casey v. Sec’y of Health & Human Servs., 987 F.2d 1230, 1233 (6th Cir.
1993); Kinsella v. Schweiker, 708 F.2d 1058, 1059 (6th Cir. 1983); Mullen, 800 F.2d at 545.
A.
Combs’s first and second arguments on appeal focus on the ALJ’s decision regarding
Combs’s treating physician’s opinion. [R. 10, Ex. 1 at 2.] Combs first argues that appropriate
weight was not given to the treating physician’s opinion by the ALJ. Second, Combs contends
that the ALJ failed to offer sufficient justification for not wholly accepting the physician’s
opinion.
The Regulations provide a framework for the evaluation of treating source opinion
evidence:
If we find that a treating source’s opinion on the issue(s) of the nature and
severity of your impairment(s) is well-supported by medically acceptable clinical
and laboratory diagnostic techniques and is not inconsistent with the other
substantial evidence in your case record, we will give it controlling weight. When
we do not give the treating source’s opinion controlling weight, we apply the
factors listed in paragraphs (d)(2)(I) and (d)(2)(ii) of this section, as well as the
factors in paragraphs (d)(3) through (d)(6) of this section in determining the
weight to give the opinion. We will always give good reasons in our notice of
determination or decision for the weight we give your treating source’s opinion.
4
20 C.F.R. § 404.1527(d)(2). Thus, although the opinion of a treating source is not necessarily
binding, an ALJ is required to set forth some basis for the decision to reject a treating source
opinion. Shelman v. Heckler, 821 F.2d 316, 321 (6th Cir. 1987); see also Hickey-Haynes v.
Barnhart, 116 F. App’x 718, 725 (6th Cir. 2004) (noting that in cases where the treating
physician rule applies, a reviewing court must evaluate whether the ALJ gave good reasons for
his decision not to give controlling weight to a treating source opinion, as required by the
governing Regulation).
As mandated by 20 C.F.R. § 404.1527(b), the ALJ considered Dr. Chaney’s diagnoses
and opinions and clearly explained why he alternately adopted and rejected them. [Tr. 14] For
instance, many of Chaney’s limitations for Combs were adopted by the ALJ. [C.f. Tr. 738 and
Tr. 14 (adopting Chaney’s findings that Combs is unable to bend, squat, crawl, climb, etc.).]
Additionally, the ALJ explicitly noted that Chaney’s opinion was “granted the most weight”
when Combs’s RFC was determined. [Tr. 15.] When Chaney’s suggested limitations were
rejected, the ALJ explained that the extent to which Chaney limited Combs’s activities neither
aligned with his own observations of Combs’s maladies nor those of Dr. Harshman. [Tr. 14]
Combs’s descriptions of some of the activities in which she engages further undermines the
severe limitations Chaney set forth. [Tr. 14 citing Tr. 139-40.] Wilson v. Comm’r of Soc. Sec’y,
378 F.3d 541 (6th Cir. 2004), requires reversal when a treating physician’s opinion is ignored
and no reasons for doing so are provided. Id. at 546; see also Bass v. McMahon, 499 F.3d 506,
512 (6th Cir. 2007). But that is not the case here; Chaney’s opinions were mostly accepted and
reasons were given for the instances in which they were rejected.
Because the ALJ clearly articulated her reasons for weighting Dr. Chaney’s opinions as
she did, the procedural safeguards required by the regulations have been met here. See, e.g.,
5
Nelson v. Comm’r of Soc. Sec., 195 Fed. App’x 462, 470 (6th Cir. 2006) (noting that ALJ
complied with procedural safeguards of § 404.1527 because he provided sufficient reasons for
rejecting the opinions of the treating physicians); Smith v. Comm’r of Soc. Sec. 482 F.3d 873,
877 (6th Cir. 2007) (affirming ALJ decision not to give treating physician’s opinion controlling
weight where the opinions were “inconsistent with the overall evidence of record” as this was “a
factual determination within his discretion under § 404.1527(d)(2)”). Thus, after reviewing the
record, the Court finds that the ALJ weighted Chaney’s opinion satisfactorily and offered
sufficient justification when his opinion was not relied upon. Consequently, the ALJ’s decision
must stand because the evidence reasonably supports her conclusion. See Her, 203 F.3d at 38990; Casey, 987 F.2d at 1233.
B.
Combs’s third argument is that the ALJ failed to consider her limitations cumulatively,
choosing instead, to look at each impairment individually. “In reaching a determination as to
disability, the ALJ is to consider the combined effect of all of the claimant’s impairments
without regard to whether any such impairment, if considered separately, would be of sufficient
severity to render the claimant disabled.” Walker v. Sec’y of Health and Human Servs., 980 F.2d
1066, 1071 (6th Cir. 1992) (citing 20 C.F.R. § 404.1523). Here, there is no evidence in the
record suggesting that the ALJ did anything other than just that. The ALJ noted her duty to
determine whether Combs has a “medically determinable impairment that is ‘severe’ or a
combination of impairments that is ‘severe’ within the meaning of the Regulations.” [Tr. 11
(emphasis added).] The ALJ further determined that Combs does not have “an impairment or
combination of impairments that meets or medically equals one of the listed impairments.” [Tr.
13.] Although the ALJ wrote about the impairments separately when explaining whether they
6
met one of the listed impairments, [Tr. 13] it is obvious that she considered both conditions in
concert when determining Combs’s RFC, as that reflects limitations stemming from each
identified condition. [See Tr. 14-15.] Thus, the ALJ’s decision is not lacking in substantial
evidence for failure to consider the combined or cumulative effect of Combs’s impairments.
C.
With regard to Combs’s fourth claim, she asserts that the ALJ did not consider the
durational requirement of substantial gainful activity in reaching a decision. Specifically, Combs
argues that the ALJ did not recognize that the ability to engage in substantial gainful activity
means more than just the ability to find a job and physically perform it; it also means the ability
to hold the job for a significant period of time. Combs cites a Ninth Circuit decision, Gatliff v.
Comm’r of Soc. Sec., 172 F.3d 690 (9th Cir. 1999), in support of this argument.
In Gatliff, however, it was undisputed that the claimant had a work history showing that
he could only hold a job for a period of about two months. Id. at 692. It was also undisputed that
this pattern would continue. Id. The Ninth Circuit held that “[w]here it is established that the
claimant can hold a job for only a short period of time, the claimant is not capable of substantial
gainful activity.” Id. at 694 (emphasis added). Here, there is no work history suggesting that
Combs is incapable of sustained employment. Dr. Chaney opines that Combs might have to
miss four or more days of work as a result of her ailments. [Tr. 738.] This, however, is disputed
as the ALJ explains that the observed medical signs do not support the limitations Chaney
suggests. [R. 14.] The VE testified that, in light of the ALJ’s determination about Combs’s
limitations, Combs would not be prevented from holding a job for a significant period of time.
[Tr. 46.] Accordingly, the ALJ’s determination that Combs is not disabled is supported by
substantial evidence.
7
D.
Combs’s final claim2 is that no reasonable person could conclude that she is not disabled.
The Court has already addressed Combs’s argument about Chaney’s opinions and how those
were weighted and analyzed by the ALJ. Ultimately, the ALJ adopted many of Chaney’s
observations about Combs’s physical problems, but the ALJ disagreed with the intensity,
persistence, and limiting effects of those problems. [Tr. 13.] Upon review of the record, the
Court cannot find that the ALJ’s weighing of the evidence is improperly supported.
III.
Accordingly, and the Court being sufficiently advised, it is hereby ORDERED as
follows:
(1)
Plaintiff’s Motion for Summary Judgment [R. 10] is DENIED;
(2)
Defendant’s Motion for Summary Judgment [R. 11] is GRANTED; and,
(3)
JUDGMENT in favor of the Defendant will be entered contemporaneously
herewith.
This the 29th day of March, 2012.
2
The Commissioner’s Motion analyzes two issues—the ALJ made an improper credibility determination [R. 11 at
10] and the hypothetical question was not supported by substantial evidence [Id.at 15]—that Combs did not
explicitly include in her “Issues Presented” section. Combs only made passing reference to both of those issues and
failed to cite any portion of the record that supported her position. In addition to the fact that the Commissioner’s
brief sufficiently explains why substantial evidence supports the ALJ’s decision, the Sixth Circuit held in Gragg v.
Kentucky Cabinet for Workforce Development, 289 F.3d 958, 963 (6th Cir. 2002) and McPherson v. Kelsey, 125
F.3d 989, 995-96 (6th Cir. 1997), that courts are not required to “consider issues that have not been fully developed
by the briefs.” McPherson, 125 F.3d at 995. Accordingly, the Court declines to further analyze these issues.
8
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?