Kendall v. Commissioner of Social Security
DECISION AND ORDER - IT IS THEREFORE ORDERED THAT: 1. Plaintiff's Statement of Errors (Doc. 11 ) is OVERRULED; 2. The Court AFFIRMS the Commissioner's non-disability determination; and 3. The case is terminated on the Court's docket. Signed by Magistrate Judge Caroline H. Gentry on 8/2/2022. (srb)
Case: 3:20-cv-00334-CHG Doc #: 15 Filed: 08/02/22 Page: 1 of 9 PAGEID #: 1722
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF OHIO
WESTERN DIVISION AT DAYTON
JENNIFER K., 1
COMMISSIONER OF THE SOCIAL
: Case No. 3:20-cv-00334
: Magistrate Judge Caroline H. Gentry
: (by full consent of the parties)
DECISION AND ORDER
Plaintiff filed an application for Disability Insurance Benefits and Supplemental
Security Income in February 2017. Plaintiff’s claims were denied initially and upon
reconsideration. After a hearing at Plaintiff’s request, the Administrative Law Judge
(ALJ) concluded that Plaintiff was not eligible for benefits because she was not under a
“disability” as defined in the Social Security Act. The Appeals Council denied Plaintiff’s
request for review. Plaintiff subsequently filed this action.
Plaintiff seeks an order remanding this matter to the Commissioner for the award
of benefits or, in the alternative, for further proceedings. The Commissioner asks the
Court to affirm the non-disability decision. This matter is before the Court on Plaintiff’s
See S.D. Ohio General Order 22-01 (“The Committee on Court Administration and Case Management
of the Judicial Conference of the United States has recommended that due to significant privacy concerns
in social security cases federal courts should refer to claimants only by their first names and last
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Statement of Errors (Doc. 11), the Commissioner’s Memorandum in Opposition (Doc.
12), Plaintiff’s Reply (Doc. 13), and the administrative record (Doc. 9).
Plaintiff asserts that she has been under a disability since July 1, 2012. At forty
years old, Plaintiff was considered a “younger person” under Social Security Regulations.
See 20 C.F.R. §§ 404.1563(c), 416.963(c). 2 Plaintiff has a “high school education and
above.” See 20 C.F.R. § 404.1564(b)(4).
The evidence in the administrative record is summarized in the ALJ’s decision
(Doc. 9, PageID 62-80), Plaintiff’s Statement of Errors (Doc. 11), the Commissioner’s
Memorandum in Opposition (Doc. 12), and Plaintiff’s Reply (Doc. 13). Rather than
repeat these summaries, the Court will discuss the pertinent evidence in its analysis
STANDARD OF REVIEW
The Social Security Administration provides Disability Insurance Benefits and
Supplemental Security Income to individuals who are under a “disability,” among other
eligibility requirements. Bowen v. City of New York, 476 U.S. 467, 470 (1986); see 42
U.S.C. §§ 402, 423(a)(1), 1382(a). The term “disability” means “the inability to do any
substantial gainful activity by reason of any medically determinable physical or mental
impairment which . . . has lasted or can be expected to last for a continuous period of not
less than 12 months.” 20 C.F.R. § 404.1505(a).
The remaining citations will identify only the pertinent Disability Insurance Benefits Regulations, as
they are similar in all relevant respects to the corresponding Supplemental Security Income Regulations.
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This Court’s review of an ALJ’s unfavorable decision is limited to two inquiries:
“whether the ALJ applied the correct legal standards and whether the findings of the ALJ
are supported by substantial evidence.” Blakley v. Comm’r of Soc. Sec., 581 F.3d 399,
406 (6th Cir. 2009); see 42 U.S.C. § 405(g) (“The findings of the Commissioner of Social
Security as to any fact, if supported by substantial evidence, shall be conclusive.”).
“Unless the ALJ has failed to apply the correct legal standards or has made findings of
fact unsupported by substantial evidence,” this Court must affirm the ALJ’s decision.
Emard v. Comm’r of Soc. Sec., 953 F.3d 844, 849 (6th Cir. 2020). Thus, the Court “may
not try the case de novo, nor resolve conflicts in evidence, nor decide questions of
“Under the substantial-evidence standard, a court looks to an existing
administrative record and asks whether it contains ‘sufficien[t] evidence’ to support the
agency’s factual determinations.” Biestek v. Berryhill, 139 S. Ct. 1148, 1154 (2019)
(citation omitted). This limited standard of review does not permit the Court to weigh the
evidence and decide whether the preponderance of the evidence supports a different
conclusion. Instead, the Court is confined to determining whether the ALJ’s decision is
supported by substantial evidence, which “means—and means only—‘such relevant
evidence as a reasonable mind might accept as adequate to support a conclusion.’” Id.
The other line of judicial inquiry—reviewing the correctness of the ALJ’s legal
criteria—may result in reversal even when the record contains substantial evidence
supporting the ALJ’s factual findings. Rabbers v. Comm’r of Soc. Sec., 582 F.3d 647, 651
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(6th Cir. 2009). “[E]ven if supported by substantial evidence, ‘a decision of the
Commissioner will not be upheld where the SSA fails to follow its own regulations and
where that error prejudices a claimant on the merits or deprives the claimant of a
substantial right.’” Id. (citations omitted). Such an error of law will require reversal even
if “the outcome on remand is unlikely to be different.” Cardew v. Comm’r of Soc. Sec.,
896 F.3d 742, 746 (6th Cir. 2018) (internal quotations and citations omitted).
THE ALJ’S DECISION
The ALJ was tasked with evaluating the evidence related to Plaintiff’s application
for benefits. In doing so, the ALJ considered each of the five sequential steps set forth in
the Social Security Regulations. See 20 C.F.R. § 404.1520. The ALJ made the following
findings of fact:
Plaintiff has not engaged in substantial gainful activity since July 1,
2012, the alleged onset date.
She has the severe impairments of degenerative disc disease,
fibromyalgia, osteoarthritis, obesity, narcolepsy, and
gastroesophageal reflux disease (GERD).
She does not have an impairment or combination of impairments
that meets or equals the severity of one in the Commissioner’s
Listing of Impairments, 20 C.F.R. Part 404, Subpart P, Appendix 1.
Her residual functional capacity (RFC), or the most she can do
despite her impairments, see Howard v. Comm’r of Soc. Sec., 276
F.3d 235, 239 (6th Cir. 2002), consists of sedentary work as defined
in 20 CFR § 404.1567(a), subject to the following limitations: “(1)
occasionally pushing and/or pulling with the lower left extremity; (2)
never climbing ladders, ropes, or scaffolds; (3) occasionally
climbing ramps and stairs, balancing, stooping, kneeling, crouching,
and crawling; (4) occasionally reaching overhead bilaterally; (5)
avoid concentrated exposure to extreme cold, extreme heat, wetness,
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humidity, dust, odors, fumes, and pulmonary irritants; (6) avoid
exposure to unprotected heights and dangerous machinery.”
She is capable of performing past relevant work as a clinical
counselor, case manager, social worker supervisor, and director
In the alternative, considering Plaintiff’s age, education, work
experience, and RFC, there are jobs that exist in significant numbers
in the national economy that she can perform.
(Doc. 9-2, PageID 66-80.) These findings led the ALJ to conclude that Plaintiff does not
meet the definition of disability and so is not entitled to benefits. (Id. at PageID 80.)
Plaintiff alleges one error: namely, that the ALJ failed to account for Plaintiff’s
narcolepsy in the RFC or to explain the reasons why no limitations were included in the
RFC. (Doc. 11, PageID 1695.) Plaintiff contends that the ALJ “essentially ignored the
affect [sic] that Plaintiff’s well-documented narcolepsy would have on her ability to
maintain employment.” (Id.) This argument is not persuasive. For the reasons discussed
below, the ALJ’s RFC accounts for narcolepsy and is supported by substantial evidence.
A claimant’s RFC is “the most [she] can still do despite [her] limitations.” 20
C.F.R. § 404.1545(a)(1). The Social Security regulations, rulings, and Sixth Circuit
precedent charge the ALJ with the final responsibility for determining a claimant’s RFC.
See, e.g., 20 C.F.R. § 404.1527(d)(2) (the final responsibility for deciding the RFC “is
reserved to the Commissioner”); 20 C.F.R. § 404.1546(c) (“the [ALJ] . . . is responsible
for assessing your [RFC]”); Webb v. Comm’r of Soc. Sec., 368 F.3d 629, 633 (6th Cir.
2004) (“the ALJ is charged with the responsibility of evaluating the medical evidence and
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the claimant’s testimony to form an ‘assessment of [her] [RFC]’”). The Commissioner
determines a claimant’s RFC based on relevant evidence in the record, including
objective medical evidence, medical opinions, other medical evidence, evidence from
non-medical sources, and prior administrative medical findings. See 20 C.F.R.
Plaintiff contends that the ALJ did not include any limitations in the RFC to
account for the severe impairment of narcolepsy. (Doc. 11, PageID 1695.) She asserts:
“when discussing how the ALJ arrived at the RFC he settled upon . . . the ALJ never even
mentions Plaintiff’s narcolepsy, let alone how it was accounted for in the RFC used at
steps four and five.” (Doc. 11, PageID 1697.) This assertion is not well-taken.
This Court may consider the ALJ’s evaluation of the evidence at other steps of the
decision to determine how to “credit the evidence at issue in this appeal.” Smith-Johnson
v. Comm'r of Soc. Sec., 579 Fed. Appx. 426, 435 (6th Cir. 2014) (citing Bledsoe v.
Barnhart, 165 F. App'x 408, 411 (6th Cir. 2006) (finding that the ALJ appropriately
considered a claimant's combined impairments at step three in part because he “described
evidence pertaining to all impairments, both severe and non-severe, for five pages earlier
in his opinion and made factual findings”)). In this case, the ALJ evaluated the medical
evidence related to Plaintiff’s narcolepsy, as well as the evidence related to Plaintiff’s
other severe and non-severe impairments, at Step Two. (Doc. 9-2, PageID 66-72.) This
Court will consider the ALJ’s evaluation of narcolepsy at Step Two when evaluating
Plaintiff’s assignment of error.
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The ALJ acknowledged Plaintiff’s subjective complaints related to narcolepsy.
(Doc. 9-2, PageID 65.) He acknowledged Plaintiff’s testimony that she experienced
“chronic fatigue due to narcolepsy” and that “there are times she sleeps excessively.”
(Id.) The ALJ also cited Plaintiff’s testimony that she “naps as often as she can,
approximately one to [three] naps per day for 20 minutes to 2 hours.” (Id.) The ALJ then
summarized the medical records that documented Plaintiff’s treatment for a sleep
disorder at Step Two. (Id. at PageID 66.) He cited to the 2015 sleep studies, as well as the
prescriptions for medication and a CPAP machine. (Id.) The ALJ acknowledged that
Plaintiff initially required adjustments to her CPAP machine and medications, but noted
that she reported improved wakefulness in August 2016. (Id.) The ALJ further found that
Plaintiff continued to do “well” with her medication regimen for narcolepsy. (Id.)
The ALJ supported his findings by citing to records from Plaintiff’s primary care
provider that indicate Plaintiff was “doing well” with medication for narcolepsy, with no
side effects. (Id., citing Doc. 9-9, PageID 986, 1055.) The ALJ’s conclusion is consistent
with later records from this provider, which show that Plaintiff reported no specific
complaints of daytime sleepiness and that the provider made no changes to Plaintiff’s
narcolepsy medication dosage. (Doc. 9-10, PageID 1192, 1204, 1220, 1238 1247 1270,
1291, 1326; Doc. 9-11, PageID 1413, 1422.) The ALJ also noted that Plaintiff’s
subsequent (and short-term) complaints of fatigue were related to gastric bypass surgery,
rather than a sleep disorder. (Doc. 9-2, PageID 67.)
The ALJ found that on balance, the evidence did not support Plaintiff’s allegations
of symptom severity. (Doc. 9-2, PageID 77.) The Court concludes that the ALJ’s finding
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is supported by substantial evidence, which is “such relevant evidence as a reasonable
mind might accept as adequate to support a conclusion.” Biestek, 139 S.Ct. at 1154. The
Court cannot determine whether the evidence might support a different result. Id.
In addition, the Court finds that the ALJ adequately accounted for the evidence
regarding Plaintiff’s narcolepsy and other impairments by limiting Plaintiff to the
reduced range of sedentary work in the RFC. (Doc. 9-2, PageID 74.)
Plaintiff argues that “the ALJ considered only purely exertional limitations when
determining the RFC.” (Doc. 11, PageID 1698.) This argument is not well-taken, as the
RFC contains a range of postural, manipulative, and environmental limitations in addition
to the sedentary exertional limitations. (Doc. 9-2, PageID 74.)
Alternatively, Plaintiff argues that the postural and exertional limitations in the
RFC cannot account for Plaintiff’s narcolepsy because they “were present in a prior RFC,
used during the adjudication of a prior unfavorable decision, when narcolepsy was not
considered a severe impairment.” (Doc. 13, PageID 1715-16.) This argument is
unpersuasive. Nothing in the regulations requires an RFC limitation to address only one
impairment. The postural and environmental limitations in the prior ALJ’s RFC, which
accounted for degenerative disc disease, fibromyalgia, osteoarthritis, and obesity (Doc. 93, PageID 133, 138), can also account for narcolepsy. This is especially true given the
fact that Plaintiff’s narcolepsy was under good control with medication, and given the
absence of significant or consistent subjective complaints of narcolepsy-related daytime
sleepiness. Plaintiff does not cite to any evidence in the record that would warrant
additional RFC limitations.
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In sum, substantial evidence supports the ALJ’s RFC, and the ALJ did not err by
failing to include additional limitations in the RFC to further account for narcolepsy.
Plaintiff’s assertions to the contrary are without merit and are overruled.
IT IS THEREFORE ORDERED THAT:
Plaintiff’s Statement of Errors (Doc. 11) is OVERRULED;
The Court AFFIRMS the Commissioner’s non-disability determination;
The case is terminated on the Court’s docket.
/s/ Caroline H. Gentry
Caroline H. Gentry
United States Magistrate Judge
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