Jarvis v. Colvin
Filing
25
MEMORANDUM OPINION. Signed by Magistrate Judge Thomas M. DiGirolamo on 9/27/2016. (kns, Deputy Clerk)(c/m 9/27/16)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MARYLAND
Southern Division
DEREK N. JARVIS,
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Plaintiff,
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v.
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CAROLYN W. COLVIN,
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Acting Commissioner of Social Security,
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Defendant.
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Civil No. TMD 15-2226
MEMORANDUM OPINION GRANTING DEFENDANT’S
MOTION FOR SUMMARY JUDGMENT
Plaintiff pro se Derek N. Jarvis1 seeks judicial review under 42 U.S.C. §§ 405(g) and
1383(c)(3) of a final decision of the Commissioner of Social Security (“Defendant” or the
“Commissioner”) denying his applications for disability insurance benefits (“DIB”) and
Supplemental Security Income (“SSI”) under Titles II and XVI of the Social Security Act.
Before the Court are Plaintiff’s Motion for Summary Judgment (ECF No. 20), Defendant’s
Motion for Summary Judgment (ECF No. 21), and Plaintiff’s Opposition to Defendant’s Motion
for Summary Judgment (ECF No. 23).2 Plaintiff contends that the administrative record does not
contain substantial evidence to support the Commissioner’s decision that he is not disabled. No
1
Derek N. Jarvis is “a frequent filer in this Court” noted for “his propensity for filing frivolous
lawsuits.” Jarvis v. Grady Mgmt., Inc., Civil No. PJM 13-3853, 2015 WL 363620, at *1, *3 (D.
Md. Jan. 22, 2015) (citing cases).
2
The Fourth Circuit has noted that, “in social security cases, we often use summary judgment as
a procedural means to place the district court in position to fulfill its appellate function, not as a
device to avoid nontriable issues under usual Federal Rule of Civil Procedure 56 standards.”
Walls v. Barnhart, 296 F.3d 287, 289 n.2 (4th Cir. 2002). For example, “the denial of summary
judgment accompanied by a remand to the Commissioner results in a judgment under sentence
four of 42 U.S.C. § 405(g), which is immediately appealable.” Id.
hearing is necessary. L.R. 105.6. For the reasons that follow, Defendant’s Motion for Summary
Judgment (ECF No. 21) is GRANTED, Plaintiff’s Motion for Summary Judgment (ECF No. 20)
is DENIED, and the Commissioner’s final decision is AFFIRMED.
I
Background
Plaintiff was born in 1960, has two years of a college education, and previously worked
as a customer service representative. R. at 19, 298, 303. Plaintiff protectively filed applications
for DIB and SSI on July 28, 2011, alleging disability beginning on October 23, 2009, due to
back, neck, and knee pain from a motor vehicle accident. R. at 18, 266-74, 294, 297. The
Commissioner denied Plaintiff’s applications initially and again on reconsideration, so Plaintiff
requested a hearing before an Administrative Law Judge (“ALJ”). R. at 87-124, 131-55. On
February 19, 2014, ALJ Eugene Bond held a hearing in Washington, D.C., at which Plaintiff pro
se and a vocational expert (“VE”) testified. R. at 26-42. On March 28, 2014, the ALJ issued a
decision finding Plaintiff not disabled from the alleged onset date of disability of October 23,
2009, through the date of the decision. R. at 11-25. Plaintiff sought review of this decision by
the Appeals Council, which denied Plaintiff’s request for review on June 11, 2015. R. at 1-7.
The ALJ’s decision thus became the final decision of the Commissioner.
See 20 C.F.R.
§§ 404.981, 416.1481; see also Sims v. Apfel, 530 U.S. 103, 106-07, 120 S. Ct. 2080, 2083
(2000).
On July 29, 2015, Plaintiff filed a pro se complaint in this Court seeking review of the
Commissioner’s decision. Upon the parties’ consent, this case was transferred to a United States
Magistrate Judge for final disposition and entry of judgment.
2
The case subsequently was
reassigned to the undersigned. The parties have briefed the issues, and the matter is now fully
submitted.
II
Summary of Evidence
A.
Opinion Evidence
Following Plaintiff’s motor vehicle accident on October 23, 2009, Joel Fechter, M.D., on
December 18, 2009, examined Plaintiff (R. at 363-66, 384-86, 395-97, 400-02), who complained
of neck and low back pain, as well as numbness and tingling in the left upper extremity. R. at
364, 384, 395, 400. The ALJ noted in his decision:
[Plaintiff] reported using Motrin for pain relief. On examination, Dr. Fechter
noted tenderness to the paraspinal muscles, as well as the midline bilaterally in the
lumbar and cervical spine, and range of movement with pain in both areas. Xrays revealed “reversal of the normal cervical lordosis and some diffuse mild disc
space narrowing” in the cervical spine and “mild spur formation” at L4 and L5 in
the lumbar spine. Dr. Fechter assessed [Plaintiff] with cervical and lumbar strains
and recommended physical therapy, as well as use of Ibuprofen and Fexmid.”
R. at 18.
On October 19, 2011, Doriscine Colley, M.D., conducted a consultative musculoskeletal
examination of Plaintiff (R. at 353-58):
[Plaintiff] presents with persistent lower back and neck pain but also reports knee
and a shoulder pain. He states these symptoms stem from being in multiple auto
accidents between 1987-2009. He underwent a brief courses [sic] of therapy after
each accident and may have had some x-rays but never told that he needed
surgery or blocks. He denies having had any MRIs. He states he would get better
after each accident but his symptoms would soon flare up again. His most recent
accident was in October 2009 and he reports having had a cervical and lumbar
spine x-rays which revealed arthritic changes as well as bone spurs in the lumbar
spine. He reports slipping on some snow in late 09 which resulted in a [right]
knee injury. During that time he experienced some swelling of that knee. He
states he was able to undergo some therapy for the knee but his knee never
improved. More recently he reports [right] heel and [left] shoulder pain which
has not been evaluated.
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He has been diagnosed with mild kidney failure since 1992 but it has not
gotten worse, which [Plaintiff] attribute[s] this to taking alternative or
homeopathic regimen. He is not taking any prescribed medications. He is not
under doctors [sic] care at this time because he does not have any health coverage.
He reports sensory changes described as tingling in the base of the neck and
sometimes into the [left] fingers. He denies bowel or bladder changes. He has [a]
back and or knee brace which he did not wear today. Functional limitations
expressed by [Plaintiff] include reaching, lifting, bending, walking more than 2
blocks, standing more than 5 minutes, sitting more than 60 minutes, [and] lying
more than 60 minutes. On the scale of 0 to 10 with zero being pain free and 10
being excruciating pain, [Plaintiff] expresses his current pain level at 9-10/10 for
the neck and back, 7-8 for the [right] heel and only expresses discomfort not pain
in the [right] knee. He is presently taking [over-the-counter] pain medications.
There are no medical records to review.
R. at 353. On examination, Dr. Colley noted Plaintiff’s “[n]ormal gait and station with good
cadence and foot placement[,] i.e. heel-toe movement.” R. at 354. “No limp. [Plaintiff] is able
to come up on his heels and toes without difficulty. [Plaintiff] demonstrated an erect and
functional posture. No ambulatory aide [sic] required.” R. at 354. Dr. Colley also noted a
negative result on straight-leg-raise testing.3 R. at 354. Dr. Colley further evaluated Plaintiff’s
functional status:
[Plaintiff] able to sit, stand, and go from supine to prone and back to standing
independently. He self limited with all lifting on the [right] and avoid lifting
using the [left] upper limb. He was able to bend forward but did not pick up light
stool. He was able to squat, stoop and carry light objects. He is able to go up and
down stairs with railing independently using a normal alternating pattern.
R. at 354. Dr. Colley opined that, “[d]ue to the reported underlying mild Kidney Failure, his
medications would have to be chosen carefully.” R. at 355. The ALJ noted that “Dr. Colley
found no neurological deficits, loss of strength, or limitation of range of movement. She opined
3
The “straight leg raising test is a test done during a physical examination to determine whether
a patient with low back pain has an underlying herniated disk. The straight leg raising test is
positive if the patient experiences pain down the back of the leg when the leg is raised.” Miller
v. Astrue, No. 1:09-CV-1257 SKO, 2010 WL 4942814, at *1 n.2 (E.D. Cal. Nov. 30, 2010).
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that [Plaintiff] ‘most likely’ had some underlying degenerative changes, but remained ‘very
functional.’” R. at 18; see R. at 354-55.
On October 28, 2011, a state agency medical consultant, Nisha Singh, M.D., assessed
Plaintiff’s physical residual functional capacity (“RFC”). R. at 90-92, 97-99. Dr. Singh opined
that Plaintiff could (1) lift and/or carry fifty pounds occasionally and twenty-five pounds
frequently; (2) stand and/or walk for a total of about six hours in an eight-hour workday; (3) sit
for about six hours in an eight-hour workday; and (4) perform unlimited pushing and/or pulling.
R. at 91, 98. Because of his low back and right knee pain, Plaintiff occasionally could climb,
stoop, and kneel, and he could balance, crouch, and crawl without limit. R. at 91-92, 98-99.
Plaintiff had no manipulative, visual, communicative, or environmental limitations. R. at 92, 99.
Dr. Singh opined that Plaintiff’s statements were partially credible. R. at 92, 99. On May 14,
2012, another state agency consultant, Bert Spetzler, M.D., found that Plaintiff’s impairments
were not severe. R. at 110, 120.
On February 23, 2012, Plaintiff was involved in another motor vehicle accident. R. at
360. At an urgent care center the following day, Ishtiaq Malik, M.D., treated Plaintiff, who
complained of back and shoulder pain. R. at 359-62. Plaintiff did not complain, however, of any
foot symptoms; tingling or numbness; or knee, neck, leg, or arm pain. R. at 360.
B.
Hearing Testimony
1.
Plaintiff’s Testimony
The ALJ reviewed Plaintiff’s testimony in his decision:
[Plaintiff] has alleged disability due to pain in his neck, back, bilateral
knees, and the bottom of his feet. He testified at the hearing that he lives with
family and they do all his cleaning, cooking, and grocery shopping. In a typical
day, he goes over various legal documents and watches television. His pain
medication, which, as of February 2012 included Naproxen and Flexeril [R. at
343-45], only helps sometimes. In statements dated February 25, 2012, [Plaintiff]
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indicated that his pain made bending, lifting, sitting, walking, and standing
difficult. He also indicated difficulty sleeping due to pain.
R. at 17-18; see R. at 30-35, 315-26.
2.
VE Testimony
The VE testified that a hypothetical individual with Plaintiff’s same age, education, and
work experience with the RFC outlined below in Part III could perform the unskilled, light4 jobs
of general office helper, machine tender, or laundry worker. R. at 36-37. With the exception of
his testimony regarding a sit-stand option, the VE’s testimony was consistent with the Dictionary
of Occupational Titles.5 R. at 38. Further, no work would be available to someone whose
productivity was less than 80% of an employer’s requirement. R. at 38-39.
III
Summary of ALJ’s Decision
On March 28, 2014, the ALJ found that Plaintiff (1) had not engaged in substantial
gainful activity since the alleged onset date of disability of October 23, 2009; and (2) had an
impairment or a combination of impairments considered to be “severe” on the basis of the
requirements in the Code of Federal Regulations; but (3) did not have an impairment or a
combination of impairments meeting or equaling one of the impairments set forth in 20 C.F.R.
4
“Unskilled work is work which needs little or no judgment to do simple duties that can be
learned on the job in a short period of time.” 20 C.F.R. §§ 404.1568(a), 416.968(a). “Light
work involves lifting no more than 20 pounds at a time with frequent lifting or carrying of
objects weighing up to 10 pounds.” Id. §§ 404.1567(b), 416.967(b).
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“The Social Security Administration has taken administrative notice of the Dictionary of
Occupational Titles, which is published by the Department of Labor and gives detailed physical
requirements for a variety of jobs.” Massachi v. Astrue, 486 F.3d 1149, 1152 n.8 (9th Cir. 2007);
see Pearson v. Colvin, 810 F.3d 204, 205 n.1 (4th Cir. 2015); DeLoatche v. Heckler, 715 F.2d
148, 151 n.2 (4th Cir. 1983); 20 C.F.R. §§ 404.1566(d)(1), 416.966(d)(1). “Information
contained in the [Dictionary of Occupational Titles] is not conclusive evidence of the existence
of jobs in the national economy; however, it can be used to establish a rebuttable presumption.”
English v. Shalala, 10 F.3d 1080, 1085 (4th Cir. 1993).
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pt. 404, subpt. P, app. 1; and (4) was unable to perform his past relevant work; but (5) could
perform other work in the national economy, such as a general officer helper, machine tender, or
laundry worker. R. at 16-20. The ALJ thus found that he was not disabled from October 23,
2009, through the date of the decision. R. at 20.
In so finding, the ALJ found that Plaintiff had the RFC
to perform light work as defined in 20 CFR 404.1567(b) and 416.967(b) except
that he requires the ability to alternate between sitting and standing at will; he is
limited to understanding, remembering, and carrying out instructions for simple,
routine tasks; he can interact with coworkers, supervisors, and the public no more
than occasionally; he can use his judgment to make simple decisions occasionally;
he is unable to perform work that requires satisfaction of production pace; and he
is limited to low stress work that does not involve production standards, changes
generally, and judgment changes.
R. at 17.
The ALJ also considered Plaintiff’s credibility and found that his “medically
determinable impairments could reasonably be expected to cause the alleged symptoms;
however, [his] statements concerning the intensity, persistence and limiting effects of these
symptoms are not entirely credible for the reasons explained in this decision.” R. at 18. The
ALJ found that Plaintiff’s “allegations are not considered fully credible because there is just not
sufficient medical evidence to support them.” R. at 18. The ALJ further gave “great weight” to
Dr. Colley’s opinion. R. at 18. The ALJ explained that his RFC assessment “takes into
consideration the mild physical and mental limitations expected to result from [Plaintiff’s] mild
impairments.” R. at 19.
IV
Disability Determinations and Burden of Proof
The Social Security Act defines a disability as the inability to engage in any substantial
gainful activity by reason of any medically determinable physical or mental impairment that can
be expected to result in death or that has lasted or can be expected to last for a continuous period
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of not less than twelve months.
42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A); 20 C.F.R.
§§ 404.1505, 416.905. A claimant has a disability when the claimant is “not only unable to do
his previous work but cannot, considering his age, education, and work experience, engage in
any other kind of substantial gainful work which exists . . . in significant numbers either in the
region where such individual lives or in several regions of the country.”
42 U.S.C.
§§ 423(d)(2)(A), 1382c(a)(3)(B).
To determine whether a claimant has a disability within the meaning of the Social
Security Act, the Commissioner follows a five-step sequential evaluation process outlined in the
regulations. 20 C.F.R. §§ 404.1520, 416.920; see Barnhart v. Thomas, 540 U.S. 20, 24-25, 124
S. Ct. 376, 379-380 (2003). “If at any step a finding of disability or nondisability can be made,
the [Commissioner] will not review the claim further.” Thomas, 540 U.S. at 24, 124 S. Ct. at
379; see 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4). The claimant has the burden of production
and proof at steps one through four. See Bowen v. Yuckert, 482 U.S. 137, 146 n.5, 107 S. Ct.
2287, 2294 n.5 (1987); Radford v. Colvin, 734 F.3d 288, 291 (4th Cir. 2013).
First, the Commissioner will consider a claimant’s work activity. If the claimant is
engaged in substantial gainful activity, then the claimant is not disabled.
20 C.F.R.
§§ 404.1520(a)(4)(i), 416.920(a)(4)(i).
Second, if the claimant is not engaged in substantial gainful activity, the Commissioner
looks to see whether the claimant has a “severe” impairment, i.e., an impairment or combination
of impairments that significantly limits the claimant’s physical or mental ability to do basic work
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activities. Pass v. Chater, 65 F.3d 1200, 1203 (4th Cir. 1995); see 20 C.F.R. §§ 404.1520(c),
404.1521(a), 416.920(c), 416.921(a).6
Third, if the claimant has a severe impairment, then the Commissioner will consider the
medical severity of the impairment. If the impairment meets or equals one of the presumptively
disabling impairments listed in the regulations, then the claimant is considered disabled,
regardless of age, education, and work experience.
20 C.F.R. §§ 404.1520(a)(4)(iii),
404.1520(d), 416.920(a)(4)(iii), 416.920(d); see Radford, 734 F.3d at 293.
Fourth, if the claimant’s impairment is severe, but it does not meet or equal one of the
presumptively disabling impairments, then the Commissioner will assess the claimant’s RFC to
determine the claimant’s “ability to meet the physical, mental, sensory, and other requirements”
of the claimant’s past relevant work.
20 C.F.R. §§ 404.1520(a)(4)(iv), 404.1545(a)(4),
416.920(a)(4)(iv), 416.945(a)(4). RFC is a measurement of the most a claimant can do despite
his or her limitations. Hines v. Barnhart, 453 F.3d 559, 562 (4th Cir. 2006); see 20 C.F.R.
§§ 404.1545(a)(1), 416.945(a)(1).
The claimant is responsible for providing evidence the
Commissioner will use to make a finding as to the claimant’s RFC, but the Commissioner is
responsible for developing the claimant’s “complete medical history, including arranging for a
consultative examination(s) if necessary, and making every reasonable effort to help [the
claimant] get medical reports from [the claimant’s] own medical sources.”
20 C.F.R.
§§ 404.1545(a)(3), 416.945(a)(3). The Commissioner also will consider certain non-medical
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The ability to do basic work activities is defined as “the abilities and aptitudes necessary to do
most jobs.” 20 C.F.R. §§ 404.1521(b), 416.921(b). These abilities and aptitudes include
(1) physical functions such as walking, standing, sitting, lifting, pushing, pulling, reaching,
carrying, or handling; (2) capacities for seeing, hearing, and speaking; (3) understanding,
carrying out, and remembering simple instructions; (4) use of judgment; (5) responding
appropriately to supervision, co-workers, and usual work situations; and (6) dealing with changes
in a routine work setting. Id. §§ 404.1521(b)(1)-(6), 416.921(b)(1)-(6); see Yuckert, 482 U.S. at
141, 107 S. Ct. at 2291.
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evidence and other evidence listed in the regulations. See id. If a claimant retains the RFC to
perform past relevant work, then the claimant is not disabled.
Id. §§ 404.1520(a)(4)(iv),
416.920(a)(4)(iv).
Fifth, if the claimant’s RFC as determined in step four will not allow the claimant to
perform past relevant work, then the burden shifts to the Commissioner to prove that there is
other work that the claimant can do, given the claimant’s RFC as determined at step four, age,
education, and work experience. See Hancock v. Astrue, 667 F.3d 470, 472-73 (4th Cir. 2012).
The Commissioner must prove not only that the claimant’s RFC will allow the claimant to make
an adjustment to other work, but also that the other work exists in significant numbers in the
national economy.
See Walls, 296 F.3d at 290; 20 C.F.R. §§ 404.1520(a)(4)(v),
416.920(a)(4)(v). If the claimant can make an adjustment to other work that exists in significant
numbers in the national economy, then the Commissioner will find that the claimant is not
disabled. If the claimant cannot make an adjustment to other work, then the Commissioner will
find that the claimant is disabled. 20 C.F.R. §§ 404.1520(a)(4)(v), 416.920(a)(4)(v).
If an ALJ finds that a claimant, who has medical evidence of drug addiction or
alcoholism, is disabled, the ALJ must then determine whether the addiction or alcoholism is a
contributing material factor to the determination of disability. Id. §§ 404.1535(a), 416.935(a).
The key factor is whether the ALJ still would find the claimant disabled if the drug or alcohol
use stopped.
Id. §§ 404.1535(b)(1), 416.935(b)(1).
To make this determination, the ALJ
evaluates which of the claimant’s current physical and mental limitations would remain if the
claimant stopped using drugs or alcohol and then determines whether any or all of the remaining
limitations would be disabling. Id. §§ 404.1535(b)(2), 416.935(b)(2). If the ALJ determines that
the remaining limitations would not be disabling, then the ALJ will find that the drug addiction
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or alcoholism is a material contributing factor, and a determination of disability is prohibited. Id.
§§ 404.1535(b)(2)(i), 416.935(b)(2)(i).
The burden to prove that substance abuse is not a
contributing factor material to his disability lies with the claimant. Brown v. Apfel, 192 F.3d
492, 498 (5th Cir. 1999).
V
Substantial Evidence Standard
The Court reviews an ALJ’s decision to determine whether the ALJ applied the correct
legal standards and whether the factual findings are supported by substantial evidence. See
Craig v. Chater, 76 F.3d 585, 589 (4th Cir. 1996). In other words, the issue before the Court “is
not whether [Plaintiff] is disabled, but whether the ALJ’s finding that [Plaintiff] is not disabled is
supported by substantial evidence and was reached based upon a correct application of the
relevant law.” Id. The Court’s review is deferential, as “[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). Under this standard, substantial evidence is less than a preponderance but is
enough that a reasonable mind would find it adequate to support the Commissioner’s conclusion.
See Hancock, 667 F.3d at 472; see also Richardson v. Perales, 402 U.S. 389, 401, 91 S. Ct.
1420, 1427 (1971).
In evaluating the evidence in an appeal of a denial of benefits, the court does “not
conduct a de novo review of the evidence,” Smith v. Schweiker, 795 F.2d 343, 345 (4th Cir.
1986), or undertake to reweigh conflicting evidence, make credibility determinations, or
substitute its judgment for that of the Commissioner. Hancock, 667 F.3d at 472. Rather, “[t]he
duty to resolve conflicts in the evidence rests with the ALJ, not with a reviewing court.” Smith v.
Chater, 99 F.3d 635, 638 (4th Cir. 1996). When conflicting evidence allows reasonable minds to
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differ as to whether a claimant is disabled, the responsibility for that decision falls on the ALJ.
Johnson v. Barnhart, 434 F.3d 650, 653 (4th Cir. 2005) (per curiam).
VI
Discussion
Defendant contends that substantial evidence supports the ALJ’s decision and that the
ALJ properly evaluated Plaintiff’s disability claim using the five-step sequential evaluation
process outlined above in Part IV. The Court has carefully reviewed the ALJ’s decision and the
entire record. See Matthews v. Comm’r, Soc. Sec., Civil Case No. ELH-13-1720, 2014 WL
1427182, at *1 (D. Md. Apr. 11, 2014) (citing Elam v. Barnhart, 386 F. Supp. 2d 746, 753 (E.D.
Tex. 2005) (mapping analytical framework for judicial review of pro se action challenging
adverse administrative decision, including (1) examining whether Commissioner’s decision
generally comports with regulations, (2) reviewing ALJ’s critical findings for compliance with
the law, and (3) determining from evidentiary record whether substantial evidence supports
ALJ’s findings)), adhered to on denial of reconsideration, 2014 WL 2738276 (D. Md. June 16,
2014). The Court notes that it should construe pro se pleadings liberally. See Haines v. Kerner,
404 U.S. 519, 520, 92 S. Ct. 594, 596 (1972) (per curiam); Lambert v. Williams, 223 F.3d 257,
260 (4th Cir. 2000).
A.
Steps One and Two
As noted in Part III above, the ALJ proceeded through all five steps of the sequential
evaluation process. At step one, the ALJ found that Plaintiff had not engaged in substantial
gainful activity since the alleged onset date of disability. R. at 16. At step two, the ALJ found
that Plaintiff’s disorder of the cervical and lumbar spine was a severe impairment. R. at 16. The
ALJ found that Plaintiff’s alleged kidney failure was not a medically determinable impairment
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because “there is no medical evidence establishing this condition, nor is there any record of
treatment for it.” R. at 16. The ALJ also found that Plaintiff’s alleged pain in his bilateral knees
and heels was not a medically determinable impairment because “there is no objective clinical or
diagnostic evidence establishing any impairment of the knees or feet.” R. at 17.
Plaintiff apparently contends, however, that the ALJ erred in finding that his kidney
problem was not a medically determinable impairment, pointing to evidence in December 1992
of his diagnosis of “early renal colic” before his alleged onset date of disability. R. at 370, 372,
375, 409, 411. Abdominal X-rays were “within normal limits,” however. R. at 377, 382. In
October 2011, Dr. Colley noted that Plaintiff’s kidney failure had not gotten worse. R. at 353.
In any event, “[a] diagnosis that a person suffers from a condition or disease does not establish
disabling functional limitations.” Carringer v. Colvin, No. 2:13-CV-00027-MOC, 2014 WL
1281122, at *5 (W.D.N.C. Mar. 27, 2014). Because Plaintiff does not point to any evidence in
the record of any functional loss as a result of this condition or to any evidence that this
condition significantly limits his ability to do basic work activities, his contention that the ALJ
erroneously considered his alleged kidney failure is unavailing. See Gross v. Heckler, 785 F.2d
1163, 1166 (4th Cir. 1986) (per curiam) (indicating that a diagnosis is insufficient to establish
disability, as “[t]here must be a showing of related functional loss”).
Plaintiff further maintains apparently that the ALJ erred in finding a lack of objective
evidence establishing any impairment of his knees or feet.
Dr. Colley’s October 2011
consultative examination revealed, however, “[n]ormal gait and station with good cadence and
foot placement[,] i.e. heel-toe movement. No limp.” R. at 354. Dr. Colley also noted that
Plaintiff was “able to come up on his heels and toes without difficulty” and “demonstrated an
erect and functional posture. No ambulatory aide [sic] required.” R. at 354. Dr. Colley further
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noted Plaintiff’s ability to sit, stand, squat, stoop, carry, and climb stairs. R. at 354. Substantial
evidence thus supports the ALJ’s finding regarding that Plaintiff’s alleged pain in his bilateral
knees and heels were not medically determinable impairments. For these reasons, substantial
evidence supports the ALJ’s finding at step two of the sequential evaluation process.
B.
Step Three
“The Social Security Administration has promulgated regulations containing ‘listings of
physical and mental impairments which, if met, are conclusive on the issue of disability.’ A
claimant is entitled to a conclusive presumption that he is impaired if he can show that his
condition ‘meets or equals the listed impairments.’” Radford, 734 F.3d at 291 (citation omitted);
see 20 C.F.R. pt. 404, subpt. P, app. 1. “[A]n ALJ only has to identify a listing and compare the
evidence to the listing requirements where there is ample evidence to suggest that the listing is
met.” Sterrette v. Comm’r, Soc. Sec. Admin., Civil No. SAG-15-1850, 2016 WL 953225, at *2
(D. Md. Mar. 11, 2016) (citing cases). In this regard, at step three, the ALJ found that there was
no medical opinion of record to support a finding that Plaintiff’s impairments met or equaled a
listed impairment. R. at 17. Plaintiff neither argues that the ALJ erred in finding that he did not
have an impairment or combination of impairments that met or medically equaled the severity of
one of the listed impairments in 20 C.F.R. pt. 404, subpt. P, app. 1, nor points to any evidence
that the criteria of any listed impairment were met. Substantial evidence supports the ALJ’s
finding that “[t]here is no medical opinion of record to support a finding that [Plaintiff’s]
impairments meet or equal a listing.” R. at 17; see R. at 90.
C.
Step Four
Before considering step four, the ALJ found Plaintiff’s RFC to be limited to less than the
full range of light work with a sit-stand option. R. at 17. In so finding, the ALJ invoked the two-
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part process for evaluating a claimant’s subjective complaints and considered whether Plaintiff’s
statements about the intensity, persistence, or functionally limiting effects of pain or other
symptoms were credible (R. at 17-19). See Dunn v. Colvin, 607 F. App’x 264, 272-73 (4th Cir.
2015). Whether “a person is disabled by pain or other symptoms is a two-step process. First,
there must be objective medical evidence showing the existence of a medical impairment(s)
which results from anatomical, physiological, or psychological abnormalities and which could
reasonably be expected to produce the pain or other symptoms alleged.” Id. at 272 (quoting
Craig, 76 F.3d at 594). “At this stage of the inquiry, the pain claimed is not directly at issue; the
focus is instead on establishing a determinable underlying impairment—a statutory requirement
for entitlement to benefits—which could reasonably be expected to be the cause of the disabling
pain asserted by the claimant.” Id. at 272-73 (quoting Craig, 76 F.3d at 594). Second, after the
first inquiry is complete, the ALJ must evaluate “the intensity and persistence of the claimant’s
pain, and the extent to which it affects her ability to work.” Craig, 76 F.3d at 595; see 20 C.F.R.
§§ 404.1529(c)(1), 416.929(c)(1).
“[T]his evaluation must take into account not only the
claimant’s statements about her pain, but also ‘all the available evidence,’ including the
claimant’s medical history, medical signs, and laboratory findings, any objective medical
evidence of pain (such as evidence of reduced joint motion, muscle spasms, deteriorating tissues,
redness, etc.) . . . .” Craig, 76 F.3d at 595 (citation omitted); see 20 C.F.R. §§ 404.1529(c)(1)(2), 416.929(c)(1)-(2). The ALJ must also take into account “any other evidence relevant to the
severity of the impairment, such as evidence of the claimant’s daily activities, specific
descriptions of the pain, and any medical treatment taken to alleviate it.” Craig, 76 F.3d at 595;
see 20 C.F.R. §§ 404.1529(c)(3), 416.929(c)(3); see SSR 16-3p, 2016 WL 1119029, at *3-12
(Mar. 28, 2016).
15
Here, the ALJ found that Plaintiff’s “allegations are not considered fully credible because
there is just not sufficient medical evidence to support them” (R. at 18), noting the results of
examinations by Drs. Colley and Fechter and treatment records in February 2012 (R. at 18), as
well as the fact that Plaintiff did not seek free or low-cost care in the area, despite the lack of
medical insurance, suggesting that his impairments were not as severe as he alleged (R. at 19).
Although a claimant may not be penalized for failing to seek treatment he cannot afford, Lovejoy
v. Heckler, 790 F.2d 1114, 1117 (4th Cir. 1986), as “[i]t flies in the face of the patent purposes of
the Social Security Act to deny benefits to someone because he is too poor to obtain medical
treatment that may help him,” Gordon v. Schweiker, 725 F.2d 231, 237 (4th Cir.1984), “[a]n
absence of evidence that a claimant sought low-cost or free care may warrant discrediting his
excuse that he could not afford treatment.” Buchholtz v. Barnhart, 98 F. App’x 540, 546 (7th
Cir. 2004) (citing Osborne v. Barnhart, 316 F.3d 809, 812 (8th Cir. 2003)); see Riggins v. Apfel,
177 F.3d 689, 693 (8th Cir. 1999) (ALJ appropriately discounted claimant’s argument he could
not afford medical care absent evidence he sought and was denied low-cost or free care); Mickles
v. Shalala, 29 F.3d 918, 930 (4th Cir. 1994) (Luttig, J., concurring) (stating that “an unexplained
inconsistency between the claimant’s characterization of the severity of her condition and the
treatment she sought to alleviate that condition is highly probative of the claimant’s credibility”
and holding that “it was not improper for the ALJ to consider the level and type of treatment [the
claimant] sought and obtained in determining what weight to accord her allegations of constant
disabling pain”); SSR 16-3p, 2016 WL 1119029, at *8-9. Contrary to Plaintiff’s assertion, he
points to no evidence of “X-rays and blood and urine analysis” that supports his disability claim,
and he “has failed to point to any specific piece of evidence not considered by the Commissioner
that might have changed the outcome of his disability claim.” Reid v. Comm’r of Soc. Sec., 769
16
F.3d 861, 865 (4th Cir. 2014). Plaintiff’s additional argument that the ALJ erred in rejecting the
opinions of “treating physicians” in favor of the opinion of the consultative examiner also is
unavailing, as he does not point to any treating source’s opinion about his functional limitations.
The Court thus finds that substantial evidence supports the ALJ’s discounting of Plaintiff’s
subjective complaints of disabling symptoms and limitations, as well as the weight the ALJ gave
to the opinion evidence.
As noted previously, the Court’s function is neither to review Plaintiff’s claims de novo
nor to reweigh the evidence of record.
The Court instead must determine whether, upon
reviewing the whole record, the Commissioner’s decision is supported by substantial evidence
and a proper application of the law. Under that standard and in light of the evidence cited by the
ALJ, the Court finds no error in the ALJ’s RFC assessment from which the ALJ found that
Plaintiff could not perform any past relevant work at step four (R. at 19). See Matthews, 2014
WL 1427182, at *2.
D.
Step Five
At step five, the ALJ considered whether Plaintiff could perform other work in the
national economy in light of the ALJ’s assessment of Plaintiff’s RFC. R. at 19-20. Because the
ALJ found that additional limitations impeded Plaintiff’s ability to perform all of the
requirements of light work, the ALJ elicited testimony from a VE (R. at 19-20, 35-40). See
Walker v. Bowen, 889 F.2d 47, 50 (4th Cir. 1989). “In order for a vocational expert’s opinion to
be relevant or helpful, it must be based upon a consideration of all other evidence in the record,
and it must be in response to proper hypothetical questions which fairly set out all of [the]
claimant’s impairments.” Id. (citation omitted); see Fisher v. Barnhart, 181 F. App’x 359, 364
(4th Cir. 2006) (per curiam) (noting that hypothetical question is unimpeachable if it adequately
17
reflects RFC for which ALJ had sufficient evidence (citing Johnson, 434 F.3d at 659)).
“Moreover, it is the claimant’s functional capacity, not his clinical impairments, that the ALJ
must relate to the vocational expert.” Fisher, 181 F. App’x at 364.
Here, the VE testified that jobs such as a general office helper, machine tender, and
laundry worker existed in the economy for an individual such as Plaintiff limited to the RFC
assessed by the ALJ.
The VE properly testified from his own experience that these jobs
provided a sit-stand option. See Zarkowski v. Barnhart, 417 F. Supp. 2d 758, 767 (D.S.C. 2006).
The VE’s testimony thus provides substantial evidence to support the ALJ’s finding that Plaintiff
was not disabled because of the significant number of jobs in the economy that he could perform.
See Walls, 296 F.3d at 291-92; Hicks v. Califano, 600 F.2d 1048, 1051 n.2 (4th Cir. 1979) (“We
do not think that the approximately 110 jobs testified to by the vocational expert constitute an
insignificant number.”).
In sum, substantial evidence supports the decision of the ALJ, who applied the correct
legal standards here.
Thus, Defendant’s Motion for Summary Judgment is GRANTED,
Plaintiff’s Motion for Summary Judgment is DENIED, and the Commissioner’s final decision is
AFFIRMED.
VII
Conclusion
For the foregoing reasons, Defendant’s Motion for Summary Judgment (ECF No. 21) is
GRANTED.
Plaintiff’s Motion for Summary Judgment (ECF No. 20) is DENIED. The
Commissioner’s final decision is AFFIRMED. A separate order shall issue.
Date: September 27, 2016
/s/
Thomas M. DiGirolamo
United States Magistrate Judge
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