Huff v. Commissioner of Social Security
Filing
17
DECISION AND ORDER denying 9 Plaintiff's Motion for Judgment on the Pleadings; granting 15 Commissioner's Motion for Judgment on the Pleadings. (Clerk to close case.) Signed by Hon. Michael A. Telesca on 1/29/19. (JMC)-CLERK TO FOLLOW UP-
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NEW YORK
SHANNON M. HUFF,
n/k/a SHANNON M. FROEHLER
Plaintiff,
-vs-
No. 6:17-cv-06860-MAT
DECISION AND ORDER
NANCY A. BERRYHILL, Acting
Commissioner of Social
Security,
Defendant.
INTRODUCTION
Shannon M. Huff, n/k/a Shannon M. Froehler (“Plaintiff”)
brings this action pursuant to the Social Security Act (“the
Act”), seeking review of the final decision of the Commissioner
of
Social
Security
application
Supplemental
for
(“the
Commissioner”)
Disability
Security
Insurance
Income
denying
Benefits
(“SSI”).
This
Plaintiff’s
(“DIB”)
and
Court
has
jurisdiction over the matter pursuant to 42 U.S.C. §§ 405(g) and
1383(c)(3).
Presently
before
the
Court
are
the
parties’
competing motions for judgment on the pleadings pursuant to Rule
12(c) of the Federal Rules of Civil Procedure. Dkt. #9, 15.
BACKGROUND
A. Procedural History
Plaintiff filed applications for DIB and SSI on March 8,
2014, alleging disability beginning May 20, 2012. Administrative
Transcript
(“T.”)
183-195.
Plaintiff’s
applications
were
initially denied on May 6, 2014, and Plaintiff filed a timely
request
for
a
hearing
before
an
Administrative
Law
Judge
(“ALJ”). T. 79-98, 107-09.
At Plaintiff’s request, a video hearing was conducted on
May 13, 2016 by the ALJ in Baltimore, MD and Plaintiff appeared
in
Rochester,
NY.
Plaintiff
appeals
from
the
May
26,
2016
decision of the ALJ following a video hearing during which
Plaintiff testified without counsel1 and a Vocational Expert
also testified. The ALJ found the claimant not disabled from May
20, 2012 through the date of the decision. T. 51-78. On October
20,
2017,
the
Agency’s
Appeals
Council
denied
Plaintiff’s
request for review and the ALJ’s decision thus became the final
decision
subject
to
judicial
review.
T.
1-6.
This
action
followed.
B. The ALJ’s Decision
The ALJ applied the five-step sequential evaluation process
promulgated
by
the
Commissioner
for
adjudicating
disability
claims. See 20 CFR §§ 404.1520(a)(4), 416.920(a)(4).
At step one of the evaluation the ALJ found that while the
Plaintiff worked after the alleged disability onset date, the
Plaintiff only worked part-time, and Plaintiff’s earnings did
not exceed the amount required to be “substantial” under the
1
Plaintiff received a two and one half-month continuance on February 23,
2016 in order to obtain counsel. However, counsel did not appear at the May
13, 2016 hearing, but did file on July 11, 2018 an extensive and
comprehensive brief on behalf of the Plaintiff seeking reversal of the ALJ’s
decision.
2
regulations as a self-employed manicurist. 20 CFR §§ 404.1575,
416.975.
At
step
suffered
two
from
of
the
the
analysis,
following
the
ALJ
severe
found
Plaintiff
impairments:
ulnar
neuropathy, degenerative disc disease, sacroiliitis, obesity,
personality
disorder,
disorder,
and
bipolar
polysubstance
disorder,
abuse.
T.
generalized
13;
see
20
anxiety
CFR
§§
404.1520(a)(4)(ii), 416.920(a)(4)(ii). The ALJ did not find the
Plaintiff’s asthma or headaches to be “severe.” T. 13; see 20
CFR §§ 404.1522, 416.922.
At step three, the ALJ determined that Plaintiff did not
have an impairment or combination of impairments that met or
equaled the severity of the impairments listed in 20 CFR Part
404, Subpart P, Appendix 1. See 20 CFR §§ 404.1520(a)(4)(iii),
416.920(a)(4)(iii). The ALJ considered whether the Plaintiff’s
conditions met or medically equaled Listing 1.04, 11.14, 12.04,
12.06,
12.08,
restriction
in
and
12.09.
T.
activities
of
13-14.
daily
The
living
ALJ
due
noted
a
mild
primarily
to
mental impairment, moderate difficulties in social functioning,
moderate difficulties in concentration, persistence, or pace,
and no episodes of decompensation. T. 14-15.
Before proceeding to step four, the ALJ found that the
Plaintiff retained the residual functional capacity (RFC) to
perform light work as defined in 20 CFR §§ 404.1567(b) and
416.967(b),
except
the
Plaintiff
3
can
lift
and
carry
twenty
pounds occasionally and ten pounds frequently; stand and walk
for four out of eight hours; and sit for six out of eight hours.
The ALJ found the Plaintiff able to occasionally push and pull
with the upper extremities; occasionally climb stairs, balance,
stoop, kneel, crouch, and crawl; not climb ladders; frequently
handle but only occasionally finger and feel; not have any
exposure to hazards; is limited to simple, routine tasks and
occasional contact with supervisors, coworkers, and the public;
and
is
capable
of
low
stress
work
defined
as
occasional
decision-making and occasional changes in work setting. T. 15.
At step four, based on the record and the testimony of the
Vocational Expert, the ALJ found that the Plaintiff was unable
to
perform
any
past
relevant
work.
T.
20;
see
20
CFR
§§ 404.1520(a)(4)(iv), 416.920(a)(4)(iv).
At step five, taking into consideration Plaintiff’s age,
education, work experience, and RFC, the ALJ found that jobs
exist in significant numbers in the national economy that the
Plaintiff
could
perform,
e.g.,
packer,
sorter,
or
checker/inspector. T. 21. The ALJ accordingly found that the
plaintiff was not disabled as defined in the Act. T. 21; see
20 CFR §§ 404.1520(a)(4)(v), 416.920(a)(4)(v).
C. Plaintiff’s Assignments of Error
The Plaintiff argues that 1) the ALJ failed to consider the
severity of Plaintiff’s urinary frequency, migraine headaches,
post-traumatic stress disorder, and other disorders resulting in
4
RFC findings unsupported by substantial evidence, and 2) the ALJ
failed to adequately protect the pro se Plaintiff’s rights by
not developing “evidentiary gaps” in the record. Dkt. #9-1, pp.
14-15, 22.
D. Scope of Review
A federal district court may set aside an ALJ decision to
deny disability benefits only where it is based on legal error
or is not supported by substantial evidence. Balsamo v. Chater,
142
F.3d
75,
79
(2d
Cir.
1998);
see
42
U.S.C.
§§
405(g),
1383(c)(3). The reviewing court nevertheless must scrutinize the
whole record and examine evidence that supports or detracts from
both
sides.
Tejada
v.
Apfel,
167
F.3d
770,
774
(2d
Cir.
1998)(citation omitted). “The deferential standard of review for
substantial
evidence
does
not
apply
to
the
Commissioner’s
conclusions of law.” Byam v. Barnhart, 336 F.3d 172, 179 (2d
Cir. 2003)(citation omitted).
E. Plaintiff’s Background and Medical History
Plaintiff was born on May 4, 1980 and obtained a high
school
education.
T.
20,
56,
58,
81,
183.
She
received
a
cosmetologist’s license and her past work includes self-employed
part-time manicurist and full-time cosmetologist. T. 20, 58, 5963, 196-207, 233-254.
She was single and had one child. T. 56.
She resided in an apartment, and at times lived with her family.
T. 56. Plaintiff has been incarcerated for robbery (2012) and
has received fines and probation for DWI (2001) and menacing
5
(2010) respectively, all emanating, according to Plaintiff, from
her drug abuse. T. 58-59, 271. She received Medicaid and food
stamps. T. 61; see Dkt. #9-1, p. 4.
Plaintiff attempted to cut her wrists on April 12, 2010,
following a car accident while under the influence of cocaine.
T. 306. Following her suicide attempt, Plaintiff saw, Muhammad
Cheema,
MD,
Tammie
Raucci,
LMSW,
and
Rachel
Ward,
LCSW
at
Rochester Mental Health Center. See Dkt. #9-1, p. 8-10; T. 305321.
Plaintiff
cocaine
use
reported
at
15.
T.
beginning
316.
marijuana
Plaintiff
use
attended
at
4
13
out
and
of
8
scheduled therapy appointments at Rochester Mental Health Center
and met twice with Dr. Cheema for medication management between
April 12 and July 27, 2010. T. 306.
On September 22, 2010 Plaintiff left a voice message for
Rochester Mental Health Center indicating she no longer required
their services. Id. At Plaintiff’s final meeting on July 27,
2010 with Dr. Cheema, the examining doctor at Rochester Mental
Health
Center,
he
found
Plaintiff
alert
and
oriented,
cooperative and friendly, with a euthymic mood, and appropriate
affect congruent with mood. T. 312. Plaintiff denied suicidal or
homicidal ideation or psychosis and Plaintiff’s judgment was
intact.
Disorder
Id.
Dr.
[Not
Cheema
Otherwise
gave
the
impression
Specified]”
and
of
“Rule
“Depressive
out
Major
Depressive Disorder, recurrent, moderate.” Id. There was some
indication that Plaintiff might continue to receive treatment
6
through her primary care physician at the time, Leslie Weisbrod,
MD,
however
treatment
by
Dr.
Weisbrod
is
not shown
in
the
record. See Dkt. #9-1, p. 10.
On January 10, 2012, Plaintiff was evaluated at the Strong
Memorial Hospital Pain Center regarding low back and right hip
pain. T. 286; Dkt. #9-1, p.11. Cody Mickelsen, MD, examined
Plaintiff
and
reported
exercise-induced
depression
with
asthma,
prior
her
past
cervical
suicide
medical
history
dysplasia,
attempts,
to
GERD,
and
include
obesity,
ulnar
nerve
compression. T. 288. Dr. Mickelsen noted that Plaintiff saw a
Dr. Elfar and was scheduled for an ulnar nerve decompression but
declined to proceed due to her pregnancy. Id. The Plaintiff
reported smoking a half pack per day of cigarettes for the past
16 years. Id. Dr. Mickelsen recommended physical therapy and
declined to prescribe Vicodin due to Plaintiff’s history of
narcotic abuse, but recommended the continued use of NSAIDs and
follow-up with Orthopaedics for ulnar nerve compression and the
Pain Center for physical therapy and potential injection if
physical therapy proved unavailing. T. 288-89.
Plaintiff saw Odysseus Adamides, MD, on June 1, 2012, for a
psychiatric evaluation at Wayne Behavioral Health because of
increased anxiety due to pending criminal charges and cocaine
abuse related to depression. T. 329-338. Dr. Adamides reported
that Posttraumatic Stress Disorder would explain and amplify
some
of
Plaintiff’s
symptoms
though
7
Plaintiff
declined
to
discuss with him the abuse that he believed gave rise to the
PTSD. T. 337. In addition to PTSD, Dr. Adamides found Cocaine
Dependence,
Cannabis
Abuse
in
remission,
Major
Depression,
Antisocial Personality Disorder, Chronic pain, gallstones, and
neuropathy. Id. Following this one examination, Plaintiff’s case
was closed with Wayne Behavioral Health due to loss of contact
(Plaintiff became incarcerated). Id.
On October 1, 2013, while an inmate at Albion Correctional
Facility,
Plaintiff
was
seen
by
Amy
MacDonald,
MD,
a
gynecologist resident from Strong Memorial Hospital. T. 290.
Plaintiff
complained
of
chronic
pelvic
pain,
stress
urinary
incontinence, and urinary frequency. Id. Dr. MacDonald examined
plaintiff
avoiding
and
recommended
bladder
sweeteners.
T.
irritants
292.
Dr.
a
voiding
such
as
MacDonald
diary,
caffeine
saw
medication,
and
Plaintiff
and
artificial
again
on
November 25, 2013, and discussed a pessary with Plaintiff, which
Plaintiff
was
interested
in,
but
not
until
after
her
incarceration was complete. T. 293. Plaintiff claimed to be
keeping a voiding diary but that the guards at the prison would
not permit her to bring it. Id. Plaintiff continued drinking
multiple cups of coffee and smoking. Id. Dr. MacDonald again
recommended avoiding alcohol and caffeine (no more than one
caffeinated beverage per day), voiding every 2 hours during the
day, normalizing fluid intake to 50 ounces per day on average,
8
and use of pelvic floor muscle contractions to suppress urinary
urgency. T. 294.
On February 20, 2014, Plaintiff saw Charlene Reeves, LMHC,
for a preadmission screening at Genesee Mental Health Center.
T. 265-67. Plaintiff was scheduled to return on March 13, 2014,
but the record does not show a summary of this appointment or
future appointments at this facility. T. 266. Plaintiff filed
her applications for DIB and SSI on March 8, 2014. T. 183-195.
On
April
9,
2014
consultative
examiner
Kristina
Luna,
Psy.D. conducted a mental exam of Plaintiff on behalf of the
state. T. 270-74; see Dkt. #9-1, p. 4. Plaintiff reported having
been seen continually at Genesee Mental Health Center once every
two weeks since February 2014. T. 270. Plaintiff’s attention and
concentration
were
mildly
impaired
due
to
anxiety
and
nervousness and she failed to perform serial 3s from 20. Id.
Plaintiff could only recall 1 of 3 objects after 5 minutes. T.
273. Dr. Luna found the Plaintiff had no limitations in e.g.,
following
simple
instructions,
but
mild
limitations
in
her
ability to maintain attention and concentration and deal with
stress. Id. Overall Dr. Luna found psychiatric problems not
“significant
enough
to
interfere
with
claimant’s
ability
to
function on a daily basis.” Id.
On April 9, 2014, Plaintiff was examined by Aharon Wolf,
MD, a consultative medical examiner for the state. T. 275-80.
Dr. Wolf diagnosed back pain and ulnar nerve entrapment and
9
found Plaintiff had “moderate limitation for repetitive use of
bilateral hands when gripping.” T. 279.
On May 6, 2014, T. Harding, PhD, state assigned review
psychologist, found her psychiatric impairment was non-severe.
Dkt. 9-1, p. 5; see T. 84-94.
On January 21, 2015, Harbinder Toor, MD completed a Monroe
County Department of Social Services physical assessment for
determination
of
employability.
T.
345-49,
357-62.
Dr.
Toor
found Plaintiff to be Very Limited (one to two-hour limit) in
walking, standing, pushing, pulling, bending, using hands, and
stairs or other climbing, with lifting permissible of 10 lb.
occasionally. T. 360. Dr. Toor indicated that Plaintiff was
unable to participate in any activities except treatment or
rehabilitation for a period of three to six months. T. 361.
On February 20, 2016, Laurence E. Torpey, MD, completed a
residual functional capacity physical form for Plaintiff. T.
363-70. Dr. Torpey also completed a mental RFC assessment for
Plaintiff. T. 371-74. Dr. Torpey had seen Plaintiff previously
for new patient intake on November 2, 2015 and for a “GYN Visit”
on January 4, 2016. T. 364. Dr. Torpey reported that he would
expect Plaintiff’s impairment to last one year or more, and that
her impairment would prevent Plaintiff from standing for six to
eight hours. T. 365. Dr. Torpey found Plaintiff could not stand
for longer than 10 minutes before having to sit. Id. Plaintiff
could sit for one hour at a time before having to stand. Id.
10
This was due to pain in the sacroiliac joint radiating to the
buttocks. Id.
Due to back pain, Dr. Torpey found Plaintiff could rarely
reach toward the floor, and due to neuropathy of fingers, rarely
carefully handle objects. T. 366. Dr. Torpey suggested Plaintiff
could work part-time until she had an ulnar release. T. 369.
Dr. Torpey opined that the Plaintiff’s disability was not likely
to change “unless intervention.” Id.
On his mental RFC assessment, Dr. Torpey indicated marked
limitations
in
ability
to
remember
locations
and
work-like
procedures, noting “bad at directions;” marked limitation in
ability to understand and remember short instructions, noting
“telephone
limitations
numbers.”
in
T.
ability
372.
to
Dr.
Torpey
understand
and
also
noted
remember
marked
detailed
instructions, ability to maintain attention, ability to work in
coordination with others, ability to make simple work-related
decisions, ability to complete a normal workday, ability to
interact with the general public, ability to maintain socially
appropriate behavior, ability to be aware of normal hazards, and
ability to set realistic goals. T. 373. When asked to record any
elaboration
or
explanation
for
his
summary
conclusions,
Dr. Torpey left the area blank. T. 374.
DISCUSSION
A. Plaintiff Argues the ALJ’s Decision is Not Supported by
Substantial Evidence and Remand is Warranted
11
“Substantial evidence ‘means such relevant evidence as a
reasonable
mind
conclusion.’”
might
accept
Green-Younger
v.
as
adequate
Barnhart,
to
335
support
F.3d
99,
a
106
(2d Cir. 2003)(quoting Curry v. Apfel, 209 F.3d 117, 122 (2d
Cir. 2000)).
Plaintiff first argues that Plaintiff’s urinary frequency,
migraines, post-traumatic disorder, asthma, chronic pain, and
combined effects were not properly addressed by the ALJ in
making her RFC findings. However, Plaintiff fails to show how
any of these disorders or effects would have necessitated an RFC
finding different from that made by the ALJ.
Regarding
urinary
frequency,
the
recommendation
of
Dr. MacDonald, the gynecologist who treated the Plaintiff at
Albion
Correctional
Facility,
was
to
avoid
alcohol
and
caffeine, void every two hours during the daytime, normalize
fluid intake to 50 ounces per day on average, and use pelvic
floor muscle contractions to suppress urinary urgency. T. 294.
None
of
these
would
interfere
with
Plaintiff’s
ability
to
perform basic work activities, as required for a finding of a
severe impairment. 20 CFR §§ 404.1522, 416.922. In particular,
breaks every two hours are considered normal in the workplace
and would not have required a more limited finding of available
jobs by the Vocational Expert. See SSR 96-9p, 1996 WL 362208
(July 2, 1996)(“In order to perform a full range of sedentary
work, an individual must be able to remain in a seated position
12
for approximately 6 hours of an 8-hour workday, with a morning
break, a lunch period, and an afternoon break at approximately
2-hour intervals.”)(emphasis added).
Therefore the ALJ’s not
having
in
included
impairments
of
urinary
the
frequency
Plaintiff
is
her
list
supported
by
of
severe
substantial
evidence in the record.
The
ALJ
considered
Plaintiff’s
testimony
regarding
migraines several times a week and her statements to Dr. Toor
that she had migraines up to three times a week and lasting for
days at a time. T. 358. However, Plaintiff did not describe at
any
time
associated
symptoms
such
as
photophobia,
nausea,
dizziness, or vomiting, that may have led to a finding of severe
impairment.
Plaintiff’s
Therefore,
migraines
while
severe
the
under
ALJ
the
did
not
regulations,
consider
the
ALJ
considered the migraines in determining the Plaintiff’s RFC.
Headaches without severe symptoms for which the Plaintiff takes
no medication are not severe under the regulations.
The Plaintiff also alleges that the ALJ failed to properly
consider
evidence
of
post-traumatic
stress
disorder.
While
Plaintiff acknowledges that “there is no medical opinion related
to limitations from PTSD” in the record, Plaintiff argues that
some limitation is suggested by the opinion of Dr. Adamides, who
evaluated Plaintiff on June 1, 2012 at Wayne Behavioral Health,
that
Plaintiff
antisocial
“suppressed
conduct,
and
PTSD
through
self-destructive
13
substance
behavior;
abuse,
and
it
amplified
her
depression.”
Dkt.
#9-1,
p.
18.
Even
if
Dr. Adamides’s opinion had been given significant weight, the
alleged
limitations
from
PTSD:
substance
abuse,
antisocial
conduct, self-destructive behavior, and depression, are covered
adequately by the ALJ’s findings regarding severe impairments
and considered by the ALJ in making her RFC determination.
Polysubstance abuse, personality disorder, bipolar disorder, and
generalized anxiety disorder were all found to be severe by the
ALJ. In the ALJ’s RFC determination, the ALJ found that, while
the Plaintiff “at times showed symptoms including a depressed or
irregular mood, she also had a euthymic mood in May 2012 and
generally intact memory, good concentration, and fair to good
insight and judgment in February 2014.” Dkt #15-1, p.10 (citing
T. 17-18, 266, 272-73, 334, 337).
Similar
to
the
ALJ’s
treatment
of
Plaintiff’s
migraine
headaches, the ALJ fully considered Plaintiff’s asthma symptoms
at step two and in determining the RFC. Plaintiff fails to show
how
her
asthma
Plaintiff’s
should
asthma
has
have
never
changed
been
the
severe
RFC
determination.
enough
to
require
emergency treatment according to Dr. Toor, and Dr. Wolf noted
that the claimant had clear lungs and normal movement of the
diaphragm. T. 278, 358. Therefore, the ALJ’s findings regarding
lack of severity of asthma are supported by substantial evidence
in the record.
14
This Court also finds that Plaintiff’s chronic pain was
considered by the ALJ at step two and during the RFC findings at
step four. The ALJ considered and found severe impairments due
to
ulnar
neuropathy,
degenerative
disc
disease,
and
sacroiliitis, which according to the record, were the causes of
Plaintiff’s chronic pain. T. 13. Additionally, Plaintiff’s pain
was discussed in detail throughout the ALJ’s determination of
her RFC findings. T. 15-20.
The ALJ considered all symptoms and the extent to which
those symptoms, along with other evidence in determining her
RFC, were based on the requirements of 20 CFR §§ 404.1529 and
416.929 and SSR 96-4P. T. 15. As the Commissioner points out,
the ALJ “need not discuss every possible factor.” Dkt. #15-1,
p.11 (citing Delk v. Astrue, 2009 WL 656319 (W.D.N.Y. Mar 11,
2009)(“Although his findings do not explicitly indicate whether
he
considered
each
of
the
factors...,
the
court
finds
the
reasons given by the ALJ sufficiently specific....”). The ALJ
carefully weighed the opinions, giving lighter weight not only
to the marked mental limitations findings of Dr. Torpey, who was
not
a
psychiatric
specialist,
but
also
to
the
mild
mental
limitations findings of Dr. Harding, who never examined the
Plaintiff. T. 19-20. In sum, the ALJ justified her weighing of
the various opinions and Plaintiff’s complaints of limitations
and supported her findings with substantial evidence. T. 15-18.
Plaintiff’s claim that the ALJ’s failure to name specific severe
15
impairments
evidence
at
for
step
the
two
ALJ’s
results
RFC
in
findings
a
is
lack
of
substantial
unsupported
by
the
record.
B. ALJ’S DUTY TO DEVELOP THE RECORD
Plaintiff also argues that the ALJ erred by failing to
fulfill her regulatory duty to develop the record by not recontacting the sources of opinions to which she gave lesser
weight
in
her
analysis
due
to
their
lack
of
supporting
observations. Plaintiff argues that this duty is of heightened
importance to this case because Plaintiff appeared pro se at her
hearing. In particular, Plaintiff cites Thompson v. Sullivan, a
Seventh Circuit case, that “...when a claimant appears at his or
her hearing before an ALJ without representation, the ALJ has a
heightened duty to assist Plaintiff with developing the record
by ‘scrupulously and conscientiously’ probing and exploring ‘for
all relevant facts.’” Dkt. #9-1, p. 23 (quoting Thompson v.
Sullivan, 933 F.2d 581, 585-86 (7th Cir. 1991)); see also Gold
v. Secretary of Health, Ed. and Welfare, 463 F.2d 38, 43 (2d
Cir. 1972).
However, the actions of the ALJ in Gold are distinguishable
from the actions of the ALJ in the present case. In Gold, “the
examiner did not suggest when [claimant] appeared alone, that
she obtain legal aid,” and showed “intolerance of [claimant’s]
confusion.” Id. at 43.
16
In
the
present
case,
the
ALJ
carefully
discussed
the
benefit of representation with the Plaintiff and gave her an
almost three-month postponement of her case to obtain counsel:
[B]efore we go any further, I want to discuss
with you your right to representation in a Social
Security disability hearing. You have the right to be
represented by an attorney or by a non-attorney who is
familiar with Social Security disability law. A
representative can be helpful in a number of ways. He
or she can assist you in gathering together the
documents that are necessary to support your claim and
a representative can also assist you in presenting
your claim at the hearing. ... Because I can see your
record that it looks like there’s only medical records
in here really that go up to 2014, and it appears that
from what you just submitted a couple weeks ago, that
you are seeing doctors and receiving medical treatment
since then, is that correct? ... So would you like me
to grant you a postponement so that you’ll have an
opportunity to obtain a representative to help you
gather together all the evidence and help you with the
hearing?
T. 45. The ALJ carefully explained to the Plaintiff the
lack of evidence in the file, guided her on how to obtain and
present
the
evidence,
and
made
photocopies
of
additional
evidence the Plaintiff brought with her. Her case was postponed
until May 13, 2016. T. 46, 47.
The burden of establishing disability through evidence falls on
the Plaintiff. 20 CFR §§ 404.1512, 416.912. This burden includes
an
ongoing
evidence
duty
that
to
inform
relates
to
the
agency
whether
or
about
not
or
the
submit
Plaintiff
all
is
disabled. Id. The record reflects that the agency contacted the
providers
listed
by
the
Plaintiff,
17
ordered
consultative
examinations, and offered the help of the hearing office in
retrieving evidence. See T. 111-113, 215-217, 244-245, 255, 260,
270-280. Of note, the Plaintiff has not submitted new evidence
that would undermine the ALJ’s determination, but argues that
such evidence could be “logically deduced” to exist. Dkt. #9-1,
pp. 26-27. If such evidence existed it was incumbent upon the
Plaintiff to provide it or notify the agency of its existence,
not the ALJ to infer its existence. Plaintiff had the assistance
of counsel who submitted on her behalf a detailed memorandum of
law of 29 pages on July 11, 2018.
Regarding any duty of the ALJ to extract more detailed analysis
specifically from Dr. Torpey, the Plaintiff points to Cruz v.
Sullivan and the Second Circuit’s admonition that “[w]e have
repeatedly stated that when the ALJ rejects the findings of a
treating physician because they were conclusory or not supported
by specific clinical findings, [the ALJ] should direct a pro se
claimant to obtain a more detailed statement from the treating
physician.” Cruz v. Sullivan, 912 F.2d 8, 12 (2d Cir. 1990).
However, as the Commissioner points out, Dr. Torpey was not a
treating
Dr.
physician
Torpey
saw
within
Plaintiff
the
meaning
only
twice
of
the
before
regulations.
rendering
his
opinion. T. 19, 364. Therefore, Dr. Torpey “did not have a
longitudinal view of Plaintiff’s alleged impairments and was not
18
a treating source under the regulations.” Dkt #15-1, p. 12;
20 CFR §§ 404.1527(a)(2), 416.927(a)(2).
While
the
Second
Circuit
has
been
clear
that
it
is
necessary to direct a pro se Plaintiff to recontact a treating
physician whose findings are discounted due to their conclusory
nature,
it
is
less
clear
that
Dr.
Torpey,
a
non-treating
physician, needed to be recontacted. Notably, Dr. Torpey had
sufficient opportunity to elaborate on his summary conclusions
and declined to do so. T. 374. Because Dr. Torpey’s opinion was
not
that
of
a
treating
physician
“the
relevant
inquiry
is
whether the record was sufficient to support the ALJ’s RFC
assessment.” Jasen v. Commissioner of Social Security, 2017 WL
3722454, *12 (W.D.N.Y. 2017)(quoting Ayers v. Astrue, 2009 WL
4571840, *2 (W.D.N.Y. 2009). Any gap created by Dr. Torpey’s
failure to explain his conclusions was provided for by the other
opinions and the medical record relied upon by the ALJ.
The ALJ’s conclusions as to the Plaintiff’s disability and
the RFC finding are all supported by the complete medical record
and
Plaintiff’s
testimony
given
at
her
hearing.
Although
Plaintiff’s attorney was not present at the adjourned hearing or
the hearing on May 13, 2016, Plaintiff’s position was carefully
and thoroughly presented in her attorney’s brief dated July 11,
2018.
19
CONCLUSION
For
the
foregoing
reasons,
this
Court
finds
that
the
Commissioner’s decision is free of legal error and is supported
by
substantial
evidence
and
it
is
therefore
affirmed.
Plaintiff’s motion for judgment on the pleadings is denied and
the
Commissioner’s
motion
for
judgment
on
the
pleadings
granted. The Clerk of Court is directed to close this case.
ALL OF THE ABOVE IS SO ORDERED.
S/Michael A. Telesca
________________________________
HONORABLE MICHAEL A. TELESCA
United States District Judge
Dated:
Rochester, New York
January 29, 2019
20
is
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