Johnson v. Social Security Administration
Filing
16
OPINION AND ORDER by Magistrate Judge Paul J Cleary Affirming the Commissioner's decision (kjp, Dpty Clk)
IN THE UNITED STATES DISTRICT COURT FOR THE
NORTHERN DISTRICT OF OKLAHOMA
CURTIS JOHNSON,
Plaintiff,
v.
CAROLYN W. COLVIN,
Acting Commissioner of the
Social Security Administration,
Defendant.
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Case No. 14-CV-29-PJC
OPINION AND ORDER
Plaintiff, Curtis Johnson (“Johnson”), pursuant to 42 U.S.C. § 405(g), requests judicial
review of the decision of the Commissioner of the Social Security Administration
(“Commissioner”) denying Johnson’s application for disability insurance benefits pursuant to the
Social Security Act, 42 U.S.C. §§ 401 et seq. In accordance with 28 U.S.C. § 636(c)(1) and (3),
the parties have consented to proceed before a United States Magistrate Judge. Any appeal of
this order will be taken directly to the Tenth Circuit Court of Appeals. Johnson appeals the
decision of the Administrative Law Judge (“ALJ”) and asserts that the Commissioner erred
because the ALJ incorrectly determined that Johnson was not disabled. For the reasons discussed
below, the Court AFFIRMS the Commissioner’s decision.
Claimant’s Background
Johnson was 51 years old at the time of the hearing before the ALJ on January 4, 2012.
(R. 50). He had completed tenth grade and had obtained a GED. (R. 57-58).
Johnson had back surgery in May 2008 that was paid for by the Oklahoma Department of
Rehabilitation Services (“DRS”). (R. 72). Johnson testified that at the time of the surgery, his
caseworker with DRS had changed, and there was a delay in getting authorization for him to
attend rehabilitation physical therapy. Id. When his therapy was approved, he attended, and he
thought his condition improved some. (R. 73).
Johnson had originally seen his back surgeon, Dr. Milo, in 2006, and then returned in
2008 when the surgery was done. (R. 85-86). He said that the two-year delay was partly due to
funding delays by the DRS but also because he tried other treatments, such as seeing a
chiropractor, that he had hoped would improve his condition. (R. 86). When his condition did
not improve, he was approved by DRS to see Dr. Milo. (R. 86-87).
At the time of the hearing, Johnson walked with a cane and with legs bent due to his
condition. (R. 73-74). When he walked into the hearing room, he braced himself by using one
hand against the wall. (R. 76). He said that he had used walls, handrails, and other objects to
grasp while walking since the 2008 surgery. Id. He had been prescribed a cane and a
wheelchair. (R. 74). The wheelchair was in storage because he didn’t feel that his condition was
“down that far yet.” Id. He had been using the cane since his 2008 surgery. Id. He had two
walkers that he had sometimes used since the surgery. (R. 81-82). He kept one walker in his car
all the time. Id. The walkers were sometimes helpful, but he also found them to be
inconvenient. (R. 81). His usual practice if he went to a store such as Wal-Mart would be to
park as close as possible to one of the store’s shopping carts, and then he could use the cart for
balance. (R. 82). He had a handicapped parking placard. Id.
Johnson testified that his ability to walk after the surgery was “considerably better” than
his ability to walk at the time of the hearing. (R. 75). After the surgery, he had progressed to
walking two or three blocks, but his conditioned then worsened so that he could walk only one
block. (R. 74). He believed he had been in a gradual decline since the improvement immediately
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after the surgery. (R. 75-76). He testified that he did not have numbness in his legs and walking
was not painful. (R. 77). He had not fallen “in a while,” which he believed was because he was
very cautious when he walked. (R. 78). His walking was extremely slow. (R. 79). He could
only climb stairs if there was a handrail for him to grasp. (R. 78).
Johnson testified that he could not do a “sit down” job because of back pain and because
of his difficulty changing positions from standing to sitting. (R. 78). He did not have enough
strength in his legs to get to a standing position without using his upper body to assist. (R. 89).
To stand up from a sitting position, he needed something to pull himself up. (R. 79, 89). He
thought that he could stand for 30 minutes at most, and then he would be exhausted and need to
sit down. (R. 83). He would need to rest for an hour or two after standing that long, and he
thought he could only stand that long once or twice in a day. Id. Standing would also make his
back hurt. (R. 84).
Johnson testified that he quit seeing his surgeon, Dr. Milo, in February 2009 because
DRS quit paying for those visits, and he did not have money to pay for them. (R. 77). He never
returned to work after the surgery, and Dr. Milo never released him to return to work. (R. 76).
Johnson testified that the medications he was taking at the time of the hearing caused some
nausea and sleepiness. (R. 70).
Johnson saw Charles Gebetsberger, M.D. on March 7, 2005, and it was noted that he had
an ataxic gait for 6-8 years with intermittent fleeting paralysis of his extremities. (R. 294-95).
He was referred to a neurologist. Id.
On August 29, 2005 Johnson saw Dr. Gebetsberger for a complaint of back pain. (R.
292-93). It was noted that his gait was abnormal, with positive straight leg raising bilaterally.
(R. 292). He was tender to palpation in the paravertebral muscles of his lumbar spine. Id. The
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physician’s assessment was low back pain with sprain or strain. (R. 293). X-rays showed mild
degenerative changes. (R. 305).
Emil Milo, M.D., orthopedic surgeon, saw Johnson on February 27, 2006 for an
evaluation of his back and leg problems. (R. 333). Dr. Milo said that Johnson had a lengthy 1015 year history of problems walking exacerbated by an episode in September 2005 causing
severe pain in his low back with radiation into his legs. Id. At the time Dr. Milo saw Johnson,
the pain was reduced, but Johnson had a spastic gait. Id. Dr. Milo summarized the results of xrays and a September 26, 2005 MRI. Id. His impressions were ruptured disks at the L2/L3 and
L4/L5 levels; bulging disks at three levels; severe degenerative arthritis of the lumbosacral spine;
and spastic gait. Id. He recommended a myelogram to see the extent of the compression of the
spinal cord, which Dr. Milo believed was Johnson’s main problem. Id.
Johnson saw Dr. Milo again February 4, 2008, and Dr. Milo said that Johnson’s clinical
findings, including weakness in both legs, were far worse than in 2006. (R. 309). He
recommended surgery, including diskectomy. Id.
On April 16, 2008, Dr. Milo wrote again regarding Johnson’s condition, and he said that
he needed additional imaging before being able to proceed with surgery, especially given that
Johnson had chiropractic treatment in the two years after the October 2005 MRI. (R. 313). Dr.
Milo apparently prescribed a corset, because he noted Johnson’s corset size. Id.
A myelogram completed April 29, 2008 showed a mild disk bulge at L2/L3. (R. 418).
Dr. Milo did back surgery on Johnson at Henryetta Medical Center on April 30, 2008.
(R. 427-28).
Dr. Milo saw Johnson for his first postoperative visit on May 19, 2008. (R. 370).
Johnson stated that he was walking three to four blocks a day, which he could not do before the
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surgery. Id. Dr. Milo recommended that he increase his walking or begin swimming. Id. On
June 16, 2008, Dr. Milo said that Johnson’s gait was better, but he preferred “to sit and play with
his computer rather than to walk.” Id. He said that Johnson was a long way from being cured,
and he needed to increase his walking from one block to one mile. Id. On July 14, 2008, Dr.
Milo said that Johnson still had the scissoring gait which was of neurological origin. Id. He said
that Johnson needed to increase his activities, and that they would try to get authorization from
DRS for physical therapy. Id.
On August 11, 2008, Dr. Milo noted that Johnson had no physical therapy, and he said
that Johnson had approval from DRS. (R. 317). Dr. Milo gave him another prescription for
physical therapy “to have it done locally.” Id.
On September 8, 2008, Dr. Milo wrote that Johnson had no physical therapy and had quit
his treadmill, which he had been “strongly urged” to do daily. (R. 314). Dr. Milo recommended
that Johnson go to a rehabilitation center for two weeks on an inpatient basis, and he said this
request would be made to DRS. Id.
DRS correspondence dated September 17, September 22, September 25, and October 16,
2008 indicated that DRS was communicating with the rehabilitation center regarding the physical
therapy prescribed by Dr. Milo. (R. 316, 319).
On October 6, 2008, Dr. Milo again noted that Johnson had not been in physical therapy,
and he said that Johnson had “totally lost everything, not having therapy after quite an extensive
back surgery.” (R. 370).
Johnson had an initial evaluation for outpatient physical therapy on October 22, 2008.
(R. 323-25). The evaluation noted that Johnson had a severe gait deformity, but it indicated that
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he was not using any assistive devices. (R. 323). His physical therapist completed a progress
report dated November 14, 2008, indicating that Johnson had attended 10 sessions. (R. 326).
On November 17, 2008, Dr. Milo noted that Johnson had two weeks for physical therapy,
and he prescribed another six weeks. (R. 370). He said that Johnson had some improvement.
Id.
Johnson’s physical therapist wrote a note dated December 12, 2008 stating that Johnson
had not attended therapy since November 14, 2008 because authorization was not received from
DRS until December 9, 2008. (R. 436). He said that Johnson had been working on some
exercises at home over the month and was planning to continue physical therapy. Id.
On December 15, 2008, Dr. Milo said that Johnson had only one additional session of
therapy because of problems between DRS and the rehabilitation center. Id. Dr. Milo said that
Johnson’s gait was slightly better, with not as much scissoring. Id. He said that Johnson should
increase walking on the treadmill. Id.
Notes show that Johnson attended eight sessions of physical therapy in December 2008
and January 2009. (R. 441-45). A discharge form was dated January 7, 2009. (R. 433).
On January 12, 2009, Dr. Milo wrote that Johnson appeared to be gaining strength in both
of his legs and to be walking with a slightly less spastic gait. (R. 311). On February 9, 2009,
Johnson was able to step on his tiptoes, and Dr. Milo believed he was gradually gaining strength.
Id. Dr. Milo recommended that Johnson approach DRS regarding having treatment for an
inguinal hernia. Id. On April 6, 2009, Johnson said that he had not improved much, and Dr.
Milo gave him exercises to do on his own. (R. 371). On June 1, 2009, Dr. Milo said that
Johnson’s situation was in “total limbo” because he was still waiting on repair of his hernia. Id.
He said that Johnson’s best option was to “do whatever he can do.” Id. On July 27, 2009, Dr.
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Milo indicated that he did not expect much further improvement in Johnson’s back condition.
Id.
Johnson had surgery to repair the inguinal hernia on September 9, 2009. (R. 348-49).
Johnson was treated at Utica Park Clinic in 2009 for hypertension. (R. 353-67).
On November 13, 2009, Dr. Milo reviewed the history of his treatment of Johnson’s
issues, and he said that Johnson still had a spastic scissoring gait. (R. 330). His impressions
were chronic low back pain; degenerative arthritis, lumbosacral spine; possible spinal stenosis,
multiple levels; and spastic antalgic gait, due to old spinal cord injury. Id. He recommended a
new MRI to see if there was any new pathology that needed evaluation. Id. If not, he
recommended intensive physical therapy and rehabilitation. Id. On December 16, 2009, Dr.
Milo reviewed the findings of the MRI and said that no surgical intervention was needed. (R.
372). He said that it would still be worthwhile to have another course of physical therapy. Id.
On January 13, 2010, Dr. Milo said nothing had been done, and he urged Johnson to see if DRS
would refer him to physical therapy. Id.
On February 5, 2010, Johnson was evaluated by Ashok Kache, M.D., who said that
vocational rehabilitation could proceed. (R. 331-32).
Johnson was seen by a nurse practitioner at Morton Comprehensive Health Care (the
“Morton Clinic”) on August 30, 2011 with a chief complaint of back problems. (R. 413-15). On
examination, Johnson had tenderness of his sacroiliac joints. (R. 414). He had reduced toe
strength bilaterally and impaired heel and toe walking. Id. The assessment was low back pain,
and medications were prescribed. (R. 414-15). Johnson saw the nurse practitioner again on
September 8, 2011, and Neurontin was prescribed. (R. 411-13). He was seen again September
15, October 3, October 4, and October 21, 2011. (R. 396-411).
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Nonexamining agency consultant Walter W. Bell, M.D., completed a Physical Residual
Functional Capacity Assessment on December 27, 2010. (R. 387-94). Dr. Bell indicated that
Johnson could perform work at the “sedentary” exertional level. (R. 388). In the section for
narrative comments, Dr. Bell noted Johnson’s extensive back surgery. Id. He noted that Johnson
had not followed up with recommended extensive physical therapy. Id. He said that Johnson
continued to have gait difficulties. He found that between May 31, 2008 and the date last insured
of December 31, 2008, Johnson would have been capable of sedentary work. Id. He said that
there was no evidence of the use of assistive devices during the relevant time period. Id. He
noted that Johnson was able to care for his activities of daily living independently. Id. For
postural limitations, Dr. Bell said that Johnson could never climb ladders and could only
occasionally climb stairs, balance, stoop, kneel, crouch, or crawl. (R. 389). Dr. Bell found no
manipulative, visual, communicative, or environmental limitations. (R. 390-91).
Procedural History
Johnson filed his application for disability insurance benefits on September 15, 2010,
asserting onset of disability on May 31, 2008. (R. 194-95). The application was denied initially
and on reconsideration. (R. 116-20, 123-25). An administrative hearing was held before ALJ
John W. Belcher on January 4, 2012. (R. 45-109). By decision dated April 13, 2012, the ALJ
found that Johnson was not disabled during the relevant time period. (R. 32-40). On November
25, 2013, the Appeals Council denied further review. (R. 1-7). Thus, the decision of the ALJ
represents the Commissioner’s final decision for purposes of this appeal. 20 C.F.R. § 404.981.
Social Security Law and Standard Of Review
Disability under the Social Security Act is defined as the “inability to engage in any
substantial gainful activity by reason of any medically determinable physical or mental
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impairment.” 42 U.S.C. § 423(d)(1)(A). A claimant is disabled under the Act only if his
“physical or mental impairment or impairments are of such severity that he 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 in the national economy.” 42 U.S.C. § 423(d)(2)(A).
Social Security regulations implement a five-step sequential process to evaluate a disability
claim. 20 C.F.R. § 404.1520.1 See also Wall v. Astrue, 561 F.3d 1048, 1052-53 (10th Cir. 2009)
(detailing steps). “If a determination can be made at any of the steps that a claimant is or is not
disabled, evaluation under a subsequent step is not necessary.” Lax, 489 F.3d at 1084 (citation
and quotation omitted).
Judicial review of the Commissioner’s determination is limited in scope by 42 U.S.C. §
405(g). This Court’s review is limited to two inquiries: first, whether the decision was supported
by substantial evidence; and, second, whether the correct legal standards were applied. Hamlin v.
Barnhart, 365 F.3d 1208, 1214 (10th Cir. 2004) (quotation omitted).
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Step One requires the claimant to establish that he is not engaged in substantial gainful
activity, as defined by 20 C.F.R. § 404.1510. Step Two requires that the claimant establish that
he has a medically severe impairment or combination of impairments that significantly limit his
ability to do basic work activities. See 20 C.F.R. § 404.1520(c). If the claimant is engaged in
substantial gainful activity (Step One) or if the claimant’s impairment is not medically severe
(Step Two), disability benefits are denied. At Step Three, the claimant’s impairment is compared
with certain impairments listed in 20 C.F.R. Pt. 404, Subpt. P, App.1 (“Listings”). A claimant
suffering from a listed impairment or impairments “medically equivalent” to a listed impairment
is determined to be disabled without further inquiry. If not, the evaluation proceeds to Step Four,
where the claimant must establish that he does not retain the residual functional capacity
(“RFC”) to perform his past relevant work. If the claimant’s Step Four burden is met, the burden
shifts to the Commissioner to establish at Step Five that work exists in significant numbers in the
national economy which the claimant, taJohnson into account his age, education, work
experience, and RFC, can perform. See Lax v. Astrue, 489 F.3d 1080, 1084 (10th Cir. 2007).
Disability benefits are denied if the Commissioner shows that the impairment which precluded
the performance of past relevant work does not preclude alternative work. 20 C.F.R. § 404.1520.
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Substantial evidence is such evidence as a reasonable mind might accept as adequate to
support a conclusion. Wall, 561 F.3d at 1052 (quotations and citations omitted). Although the
court will not reweigh the evidence, the court will “meticulously examine the record as a whole,
including anything that may undercut or detract from the ALJ’s findings in order to determine if
the substantiality test has been met.” Id.
Decision of the Administrative Law Judge
In his decision, the ALJ found that Johnson met insured status requirements through
December 31, 2008. (R. 34). At Step One, the ALJ found that Johnson had not engaged in any
substantial gainful activity in the relevant period between his alleged onset date of May 31, 2008
and his date last insured of December 31, 2008. Id. At Step Two, the ALJ found that Johnson
had a severe impairment of degenerative disc disease. Id. At Step Three, the ALJ found that
Johnson’s impairments did not meet any Listing. (R. 35).
The ALJ found that Johnson had the RFC to perform the full range of work at the
sedentary exertional level during the relevant period. Id. At Step Four, the ALJ determined that
Johnson could not return to past relevant work. (R. 38). At Step Five, the ALJ found that there
were a significant number of jobs in the national economy that Johnson could perform, taking
into account his age, education, work experience, and RFC. (R. 39). Therefore, the ALJ found
that Johnson was not disabled at any time from May 31, 2008, through December 31, 2008. Id.
Review
Johnson makes three arguments in this proceeding. First, he argues that there was a
violation of due process related to a supplemental security income application he made pursuant
to Title XVI of the Social Security Act (the “SSI application”). Plaintiff’s Opening Brief, Dkt.
#13, pp. 3-6. Second, he states that the ALJ’s credibility assessment was inadequate. Id., pp. 710
9. Third, he argues that the ALJ impermissibly used only portions of the testimony of the
vocational expert (the “VE”). Id., pp. 9-10. Regarding the issues raised by Johnson, the Court
finds that the ALJ’s decision is supported by substantial evidence and complies with legal
requirements. Thus, the ALJ’s decision is AFFIRMED.
Due Process Issues
Social security hearings are subject to procedural due process considerations. Yount v.
Barnhart , 416 F.3d 1233, 1235 (10th Cir. 2005); Allison v. Heckler, 711 F.2d 145, 147 (10th
Cir.1983) (citing Richardson v. Perales, 402 U.S. 389, 401-02, 91 S. Ct. 1420, 28 L. Ed. 2d 842
(1971)). Johnson initially states his due process argument as follows: “[T]he ALJ failed to keep
his promise and award Title XVI benefits on an application which was filed and was to be
escalated to the ALJ level and the entire record is not included before this Court.” Plaintiff’s
Opening Brief, Dkt. #13, p. 3.
The Court agrees with the Commissioner that there was no promise to award Title XVI
benefits. The case decided by the ALJ was a Title II case only. (R. 32-40). The transcript of the
hearing shows extensive discussion between Johnson’s counsel and the ALJ. Johnson’s attorney
said that due to recent changes in his living arrangements, Johnson now qualified for Title XVI
benefits, and the attorney said that he needed to file an SSI application and have it escalated to
the ALJ. (R. 93). He asked for 30 days to do that. Id. Later, the ALJ said that Johnson might
want to consider a later onset date for an SSI application because he would grid out at the
sedentary level. (R. 101-02). The ALJ then stated that the attorney should discuss with Johnson
adjusting the onset date, and he said that if Johnson agreed to that then the attorney would “need
to get that elevated to me, I would approve it at age 50.” (R. 102-03). He said if Johnson did not
want to, they would proceed. (R. 103). After an off-the-record break, Johnson’s attorney said
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that Johnson did not want to abandon his Title II claim. (R. 103). Right before conclusion of the
hearing, the ALJ said that he would give Johnson 30 days to develop the record and get the SSI
application filed and elevated to him. (R. 108). Thus, the only agreement that is clear from the
transcript of the hearing was that the ALJ would give 30 days for a new SSI application to be
filed and escalated to him.
Johnson attached five exhibits to his Opening Brief, one of which showed that an SSI
application was filed January 12, 2012 and was denied January 19, 2012. Plaintiff’s Opening
Brief, Dkt. #14-1. A Request for Reconsideration was filed apparently January 30, 2012. Id.,
Dkt. #14-2.
The ALJ then issued his unfavorable decision on April 13, 2012, well after the 30-day
period he had agreed to give Johnson to file the application and to get it escalated to the ALJ. (R.
32-40). Other exhibits filed by Johnson reflect considerable effort by his attorney’s office to get
the SSI application before the Appeals Council. Plaintiff’s Opening Brief, Dkt. #14-4, #14-5.
The Appeals Council explicitly addressed this in the denial of Johnson’s request for review of the
ALJ’s decision. (R. 1-7). The Appeals Council stated that the issue of disability under Title XVI
had not been before the ALJ and was not before the Appeals Council. (R. 2). The Appeals
Council acknowledged the difficulty that Johnson had in attempting to obtain the status of the
SSI application. Id. The denial stated that there was no record of the request for reconsideration
and that therefore reconsideration was the next administrative remedy available to Johnson. Id.
The Court agrees with the Commissioner that this Court lacks jurisdiction to hear
Johnson’s claim as it relates to his SSI application because there is no final decision as to that
application. 42 U.S.C. § 405(g). Johnson has clearly failed to exhaust his administrative
remedies with respect to the SSI application. Gibbs v. Colvin, 529 Fed. Appx. 950, 953 (10th
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Cir. 2013) (unpublished). In Ingmire v. Astrue, 359 Fed. Appx. 38, 40 (10th Cir. 2009)
(unpublished), the claimant appealed denial of a Title II claim, but he had also made an SSI
application that had been denied. The Tenth Circuit said that, to the extent claimant was
challenging denial of the SSI claim, judicial review was precluded by his failure to exhaust
administrative remedies. Id. The court also said that the claimant had failed to show that
exhaustion was not required using the three-part test. Id., citing Marshall v. Shalala, 5 F.3d 453,
455 (10th Cir. 1993). The three-part test is that exhaustion would be futile; the claimant has
suffered irreparable harm; and the claimant states a colorable constitutional claim. Marshall at
455. Here, Johnson has not asserted that his situation meets the requirements of this three-part
test, and the Court finds that his appeal of his SSI application fails for failure to exhaust his
administrative remedies.
Johnson at length complains that he did file a request for reconsideration and that
therefore the Appeals Council statement to the contrary is false. He complains that the request
for reconsideration was lost. He complains that the ALJ did not mention the SSI application in
his decision. None of these complaints involves a final decision that would give this Court
jurisdiction. Because there was no final decision regarding the SSI application and because
Johnson did not exhaust his administrative remedies with respect to the SSI application, this
Court has no jurisdiction with respect to the SSI application.
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Credibility Assessment
Credibility determinations by the trier of fact are given great deference. Hamilton v.
Secretary of Health & Human Services, 961 F.2d 1495, 1499 (10th Cir. 1992).
The ALJ enjoys an institutional advantage in making [credibility determinations].
Not only does an ALJ see far more social security cases than do appellate judges,
[the ALJ] is uniquely able to observe the demeanor and gauge the physical
abilities of the claimant in a direct and unmediated fashion.
White v. Barnhart, 287 F.3d 903, 910 (10th Cir. 2002). In evaluating credibility, an ALJ must
give specific reasons that are closely linked to substantial evidence. See Kepler v. Chater, 68
F.3d 387, 391 (10th Cir. 1995); Social Security Ruling 96-7p, 1996 WL 374186. “[C]ommon
sense, not technical perfection, is [the] guide” of a reviewing court. Keyes-Zachary v. Astrue,
695 F.3d 1156, 1167 (10th Cir. 2012).
The Court is convinced that the ALJ’s credibility findings here are “closely enough linked
to the evidence to pass muster.” Keyes-Zachary, 695 F.3d at 1172. After an introductory
paragraph stating that he found claimant’s statements not credible to the extent that they were
inconsistent with his RFC determination, the ALJ discussed the treating medical evidence in
some detail. (R. 36-38).
The ALJ then started a paragraph by stating that Johnson “was not compliant with Dr.
Milo most of the time.” (R. 38). While the ALJ did not expressly state that the purpose of this
paragraph was to address Johnson’s credibility, the Court finds that the ALJ’s reasoning is clear
that he found these facts to undermine Johnson’s claim of disability. A claimant’s lack of
compliance with treatment is a legitimate factor in finding that the claimant’s claim of disability
is not credible. See SSR 96-7p, 1996 WL 374186 *7 (observing that a claimant’s credibility may
be undermined “if the medical reports or records show that the individual is not following the
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treatment as prescribed and there are no good reasons for this failure”); Decker v. Chater, 86
F.3d 953, 955 (10th Cir. 1996) (“The fact that [claimant] regularly exceeded the work restrictions
recommended by his doctors was relevant to the credibility of his testimony concerning disabling
pain.”); Sims v. Apfel, 172 F.3d 879 *3 (10th Cir. 1999) (unpublished) (failure to follow doctors’
instructions was a factor in determining credibility); Williams v. Barnhart, 178 Fed. Appx. 785,
788-89 (10th Cir. 2006) (unpublished) (failure to follow recommended medical advice listed as
one of the ALJ’s legitimate credibility findings).
As part of his paragraph addressing compliance, the ALJ said that Johnson did not walk
or use the treadmill as requested by Dr. Milo. (R. 38). This legitimate factor was supported by
substantial evidence, including Dr. Milo’s June 16, 2008 note, approximately six weeks after the
surgery, that Johnson preferred to play on his computer rather than to walk. (R. 370). On July
14, 2008, Dr. Milo again stated that Johnson needed to increase his activity level. Id. On
September 8, 2008, Dr. Milo wrote that Johnson had quit using his treadmill even though he had
been strongly urged to use it daily. (R. 314). On December 15, 2008, Dr. Milo again said that
Johnson should increase his walking on the treadmill. (R. 436). All of these entries show that
Johnson did not follow Dr. Milo’s recommendations; therefore, this failure undermined his claim
that his issues were disabling during the relevant period.
The other portions of this paragraph of the ALJ’s decision are not clearly supported by
substantial evidence. For example, the ALJ said that Johnson “did not follow up with the
physical therapy.” (R. 38). The evidence on this point is mixed, because it seems clear that at
least some of the delays in physical therapy were on the part of DRS. Also, the ALJ appears to
fault Johnson for the delay between his first 2006 appointment with Dr. Milo and his surgery
after his second 2008 appointment. (R. 38). On this point, Johnson testified that he had tried
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other treatments, such as chiropractic care, in the interval and that he returned to Dr. Milo after
those treatments did not improve his condition. (R. 86-87). He also testified that some of the
delay was on the part of DRS. Id. Under these circumstances, the undersigned finds that
Johnson’s delay from 2006 to 2008 was excused, and therefore this was not a point supporting
the ALJ’s adverse credibility finding.
The ALJ did have other supported credibility factors for his adverse assessment, however.
In a later paragraph of his decision, the ALJ stated that the relevant period was May 31, 2008
through December 31, 2008. (R. 38). He said that during the relevant period, there was no
evidence of use of assistive devices. Id. While Johnson testified that he had used a cane during
this period, the initial evaluation by his physical therapist dated October 22, 2008 indicates that
there were no assistive devices being used. (R. 74, 323). The undersigned has seen no medical
notes in the administrative transcript that indicate that Johnson was using a cane during the
relevant time period. The lack of use of assistive devices during the relevant time period is
another factor supporting the ALJ’s adverse credibility assessment.
The ALJ also stated that Johnson had been able to take care of his activities of daily
living during the relevant time period. (R. 38). Johnson’s physical therapist in the initial
evaluation dated October 22, 2008 assessed grooming, dressing, home management, and
transfers as four activities of daily living that Johnson could do on a “modified independent”
basis. (R. 323). During his testimony, Johnson did not describe an inability to do activities of
daily living independently, although he used modification strategies such as using the shopping
cart for balance while shopping. (R. 50-89). Johnson’s ability to manage his activities of daily
living independently during the relevant period is another factor supporting the ALJ’s adverse
credibility assessment. Hendron v. Colvin, 767 F.3d 951, 956 (10th Cir. 2014) (ALJ properly
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considered the claimant’s activities during the relevant time period as part of his credibility
assessment); Newbold v. Colvin, 718 F.3d 1257, 1267 (10th Cir. 2013).
In his brief, Johnson first asserts that the ALJ was in error in using the problems with
physical therapy as an adverse factor detracting from Johnson’s credibility because Johnson
could not pay for the physical therapy and because the delays were caused by DRS. Plaintiff’s
Opening Brief, Dkt. #13, pp. 7-8. The Court, as discussed above, agrees that the evidence
regarding the problems with physical therapy was mixed and therefore this factor was not
supported by substantial evidence. However, this error by the ALJ does not mean that his
credibility assessment is fatally flawed, because the ALJ gave other legitimate reasons that were
supported by substantial evidence. Keyes-Zachary, 695 F.3d at 1168-69 (error “could not have
had a substantial effect on the ALJ’s assessment of the credibility of her complaint of disabling
pain”); Butler v. Astrue, 410 Fed. Appx. 137, 139 (10th Cir. 2011) (unpublished) (court agreed
one of ALJ’s reasons was not clear, but other reasons for adverse credibility finding were
sufficient).
Johnson then states that the medical evidence supported Johnson’s claims of disability
and he also briefly asserts that he met Listing 1.02A and Listing 1.04A.2 Plaintiff’s Opening
Brief, Dkt. #13, pp. 8-9. These points do not affect the ALJ’s credibility assessment because the
factors cited by the ALJ remain supported by substantial evidence. The question the Court must
decide is whether the decision of the ALJ is supported by substantial evidence.
2
Johnson’s allusion to the two Listings was in one sentence, without any development
other than stating that Johnson met a Listing. Plaintiff’s Opening Brief, Dkt. #13, pp. 8-9. This
point is not sufficiently developed for this Court to be able to give it meaningful review, and it is
therefore waived. Wall, 561 F.3d at 1066. See also Sullivan v. Colvin, 519 Fed. Appx. 985, 987
(10th Cir. 2013) (unpublished) (affirming lower court’s finding of waiver on credibility issue).
17
The possibility of drawing two inconsistent conclusions from the evidence does
not prevent an administrative agency’s findings from being supported by
substantial evidence. We may not displace the agency’s choice between two fairly
conflicting views, even though the court would justifiably have made a different
choice had the matter been before it de novo.
Cowan v. Astrue, 552 F.3d 1182, 1185 (10th Cir. 2008) (further quotation omitted). Here, even
if the evidence was susceptible to a conclusion in favor of finding Johnson to be disabled, that
possibility would not mean that the ALJ’s conclusion of nondisability is lacking support by
substantial evidence.
The credibility assessment of the ALJ complied with legal requirements and was
supported by substantial evidence.
The Testimony of the Vocational Expert
At Step Five, the burden shifts to the Commissioner to show that there are jobs in
significant numbers that the claimant can perform taking into account his age, education, work
experience and RFC. Haddock v. Apfel, 196 F.3d 1084, 1088-89 (10th Cir. 1999). The ALJ is
allowed to do this through the testimony of a VE. Id. at 1089. “Testimony elicited by
hypothetical questions that do not relate with precision all of a claimant’s impairments cannot
constitute substantial evidence to support the [ALJ’s] decision.” Hargis v. Sullivan, 945 F.2d
1482, 1492 (10th Cir. 1991) (quotation omitted).
Johnson asserts that the ALJ erred by accepting part of the VE’s testimony and rejecting
part of it. Plaintiff’s Opening Brief, Dkt. #13, pp. 9-10. The Court agrees with the
Commissioner that the ALJ accepted the testimony of the VE in response to his hypothetical
based on the RFC determination he ultimately made. (R. 97-99). The testimony of which
Johnson complains is testimony in response to the ALJ’s question asking whether there would be
jobs available based on Johnson’s testimony. (R. 99-100).
18
The ALJ made a supported finding that Johnson was not entirely credible, and therefore
he was not required to accept the testimony of the VE that was premised on the credibility of
Johnson’s testimony. See Talley v. Sullivan, 908 F.2d 585, 588 (10th Cir. 1990); Barrett v.
Astrue, 340 Fed. Appx. 481, 488 (10th Cir. 2009) (unpublished) (testimony of VE regarding
limitations that were not ultimately included in the ALJ’s RFC was not relevant); Brescia v.
Astrue, 287 Fed. Appx. 626, 631 (10th Cir. 2008) (unpublished) (ALJ was not required to accept
the VE’s opinion regarding availability of jobs to a person required to lie down for several hours
each day, as he concluded that this limitation did not exist).
The testimony of the VE supported the ALJ’s decision at Step Five, and therefore the
ALJ’s decision is affirmed.
Conclusion
The decision of the Commissioner is supported by substantial evidence and complies with
legal requirements. The decision is AFFIRMED.
Dated this 11th day of March 2015.
19
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