Warner v. Commissioner of Social Security
ORDER ADOPTING REPORT AND RECOMMENDATION 20 ; signed by Judge Gordon J. Quist (Judge Gordon J. Quist, kad)
UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF MICHIGAN
TONYA A. WARNER,
Case No. 1:11-CV-1068
HON. GORDON J. QUIST
REPORT AND RECOMMENDATION
On March 4, 2013, Magistrate Judge Ellen Carmody issued a Report and Recommendation
(R & R), recommending that this Court affirm the Commissioner of Social Security’s decision
denying Plaintiff’s claim for supplemental security income. In her R & R, the magistrate judge
rejected Plaintiff’s arguments that the administrative law judge (ALJ) failed to explain the
evidentiary basis for her residual functional capacity (RFC) determination and failed to perform a
“function-by-function” evaluation of Plaintiff’s work- related abilities, that the ALJ failed to
properly evaluate the medical opinion evidence, and that the ALJ improperly discounted Plaintiff’s
subjective complaints concerning the intensity, persistence, and limiting effects of her symptoms.
Plaintiff has filed an Objection to the R & R (docket no. 24), which raises three objections.
Pursuant to 28 U.S.C. § 636(b)(1), this Court is required to review de novo those portions
of the R & R to which specific objections have been made. The Court may accept, reject, or modify
any or all of the magistrate judge’s findings or recommendations. Id. After reviewing the R & R,
Plaintiff’s Objection, and the pertinent portions of the administrative record, the Court will overrule
Plaintiff’s Objection and adopt the R & R as the opinion of the Court.
Plaintiff first argues that the magistrate judge summarily concluded that the ALJ’s RFC
determination is supported by substantial evidence without conducting an analysis of the record
evidence supporting the disabling nature of Plaintiff’s impairments. Specifically, Plaintiff contends
that the magistrate judge’s statement that Plaintiff’s “fibromyalgia responded to medication and
exercise,” (R & R at 13), mischaracterizes the record evidence, which shows that Plaintiff’s treating
specialist consistently found positive tender points when examining Plaintiff. Plaintiff further notes
that even when her doctor reported her fibromyalgia as stable, the doctor nonetheless described it
as “still not good.” (Objection at 2 (citing Administrative Record (AR) at 479).) Plaintiff also cites
a September 2, 2010 office note stating that Plaintiff was having problems obtaining her medications
“until recently” due to health insurance issues. (AR at 479.) Plaintiff further notes that the R & R
fails to address the ALJ’s consideration of Plaintiff’s severe migraine headaches.
Having carefully reviewed the record and the ALJ’s decision, the Court concurs with the
magistrate judge that the ALJ’s RFC determination is supported by substantial evidence. Although
an ALJ may not categorically ignore evidence of fibromyalgia, see Rogers v. Comm’r of Soc. Sec.,
486 F.3d 234, 243 (6th Cir. 2007), the ALJ did not do so in this case. Rather, the ALJ properly
noted that examinations alternately revealed that Plaintiff had sixteen out of eighteen, and eighteen
out of eighteen, positive trigger points and an exquisite level of tenderness, which was highly
consistent with fibromyalgia. (AR at 19.) The ALJ further noted, that Plaintiff also developed
tenderness and pain in her knees. (Id. at 19.) However, the ALJ found that Plaintiff’s complaints
of disabling pain were not fully credible because Plaintiff’s neurological findings were consistently
unremarkable. (Id. at 19, 401, 415.) The ALJ observed that Plaintiff had a full range of motion in
all her joints, including her knees, normal sensation, normal muscle strength, and normal tendon
reflexes. Moreover, the ALJ properly noted that treatment records indicated that Plaintiff’s
fibromyalgia was “stable.” (Id. at 19, 479.) Although Plaintiff correctly notes that fibromyalgia
often does not have objective signs, the ALJ was nonetheless required to consider objective medical
evidence as one factor in her credibility determination. See 20 C.F.R. § 404.1529(a); SSR 96-7p,
1996 WL 374186, at *4–5 (providing that an ALJ must consider all of the evidence in the case
record, including any statements by the claimant and other persons concerning the claimant’s
symptoms, if the objective medical evidence does not substantiate the claimant’s reports of pain).
Accordingly, the ALJ included appropriate postural limitations in her RFC determination.
Similarly, the ALJ properly considered Plaintiff’s claim that she suffered daily, severe
migraines, and accepted Plaintiff’s subjective complaints to a certain extent. (AR at 19.) However,
the ALJ noted that the objective medical findings did not support Plaintiff’s subjective complaints.
Examinations generally showed that Plaintiff was alert, oriented, and in no acute distress, (Id. at 19,
401, 500, 504), and Plaintiff’s cranial nerves were intact. (Id. at 19, 415, 480.) In addition,
computer tomography scans and electroencephalagraphs were normal.
(Id. at 412, 420.)
Nonetheless, the ALJ accounted for Plaintiff’s migraines in her RFC determination.
Plaintiff next contends that the magistrate judge erred in concluding that the ALJ gave good
reasons for giving less than controlling weight to the opinion of Plaintiff’s treating orthopedist, Dr.
Groseclose, that Plaintiff could not do stand-up work because of her knee pain. The ALJ gave Dr.
Groseclose’s opinion little weight because it was not consistent with the medical evidence or
Plaintiff’s activities of daily living. (Id. at 22.)
An ALJ must give a treating physician’s opinion “controlling weight” if it is consistent with
the evidence in the record and supported by sufficient clinical findings. Smith v. Comm’r of Soc.
Sec., 482 F.3d 873, 877 (6th Cir. 2007). An ALJ may discount a treating physician’s opinion if it
is contrary to substantial medical evidence. Id. When the opinion of a treating source is not given
“controlling weight,” the ALJ must balance certain factors in determining what weight to give the
opinion, including the length of the treatment relationship and the frequency of the examination, the
nature and extent of the treatment relationship, supportability of the opinion, consistency of the
opinion with the record as a whole, and the specialization of the treating source. Wilson v. Comm’r
of Soc. Sec., 378 F.3d 541, 544 (6th Cir. 2004). The ALJ must give “good reasons” for the weight
she gives the treating source’s medical opinion. 20 C.F.R. § 404.1527(d)(2). The purposes of this
requirement are to provide a claimant with an explanation for why she is deemed not
disabled—when her physicians may have told her otherwise—and to “ensure that the ALJ applies
the treating physician rule and permit meaningful appellate review of the ALJ’s application of the
rule.” Id. Although an ALJ’s explanation “must be sufficiently specific to make clear to any
subsequent reviewers the weight the adjudicator gave to the treating source’s medical opinion and
the reasons for that weight,” SSR 96–2p, 1996 WL 374188, at *5 (1996), an ALJ is not required to
explicitly discuss each factor. See, e.g., Francis v. Comm’r of Soc. Sec., 414 Fed. App’x 802, 804
(6th Cir. Mar. 16, 2011) (“Although the regulations instruct an ALJ to consider these factors, they
expressly require only that the ALJ’s decision include ‘good reasons ... for the weight ... give[n] [to
the] treating source’s opinion’—not an exhaustive factor-by-factor analysis”); Oldham v. Astrue,
509 F.3d 1254, 1258 (10th Cir. 2007) ([Plaintiff] cites no law, and we have found none, requiring
an ALJ’s decision to apply expressly each of the six relevant factors in deciding what weight to give
a medical opinion.”).
Plaintiff does not dispute that Dr. Groseclose’s opinion was not consistent with objective
medical evidence in the record. In other words, there was no objective medical or clinical evidence
to substantiate Plaintiff’s knee pain. Plaintiff nonetheless argues that the ALJ should not have
completely disregarded Dr. Groseclose’s opinion, which was not that Plaintiff could not stand at all
or not do any standing activities, but that Plaintiff could not do a job that is performed standing.
Even so, the Court concludes that the magistrate judge did not err in concluding that the ALJ gave
good reasons for giving Dr. Groseclose’s opinion minimal weight because it was still inconsistent
with the objective medical evidence.
Finally, Plaintiff contends that the magistrate judge erred in concluding that the ALJ’s
credibility determination was supported by substantial evidence. Plaintiff contends that, contrary
to the magistrate judge’s assertion, her reported daily activities of living are not inconsistent with
her complaints of disabling pain and limitations because Plaintiff has “good days” and “bad days,”
on which she is confined to her bed. Plaintiff asserts that the activities of daily living that Plaintiff
performs on “good days” are not inconsistent with the disabling pain she experiences on her “bad
days.” However, the ALJ had multiple reasons to conclude that Plaintiff’s complaints were not fully
credible. In addition to the lack of objective medical evidence confirming the severity of Plaintiff’s
alleged symptoms and Plaintiff’s reported activities of daily living, Plaintiff’s own testimony was
inconsistent with the medical record. For example, Plaintiff testified that she had suffered from
migraines “every day, all day, 24 hours a day,” (AR at 46), but Plaintiff’s doctor noted that Plaintiff
confirmed that she “only infrequently has a severe headache” and is able to “ignore most of her
milder headaches. (Id. at 19, 383.) Similarly, although Plaintiff testified that she only reads “fluff”
because she can’t follow mysteries anymore due to inability to concentrate, (id. at 39), Plaintiff
demonstrated intellectual functioning in the average to above-average range, (id. at 272, 472), and
had a full-scale IQ score in the average range, (id. at 447), and a neurologist observed that Plaintiff
experienced no difficulties comprehending or retaining test instructions.
(Id. at 20, 447.)
Accordingly, substantial evidence supported the ALJ’s determination that Plaintiff’s claims were
not entirely credible.
IT IS HEREBY ORDERED that the Magistrate Judge’s Report and Recommendation
issued March 4, 2013 (docket no. 20), is ADOPTED as the Opinion of the Court, and the decision
of the Commissioner denying benefits to Plaintiff is AFFIRMED.
IT IS FURTHER ORDERED that Plaintiff’s Objection (docket no. 24) is OVERRULED.
A separate judgment will issue.
This case is concluded.
Dated: March 29, 2013
/s/ Gordon J. Quist
GORDON J. QUIST
UNITED STATES DISTRICT JUDGE
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