Bear v. Commissioner of Social Security Administration
Filing
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OPINION AND ORDER. The decision of the Commissioner is affirmed. Signed by Honorable Charles Goodwin on 09/28/2018. (jb)
UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF OKLAHOMA
LAURIE BEAR,
Plaintiff,
v.
NANCY A. BERRYHILL, Acting
Commissioner of Social Security,
Defendant.
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Case No. CIV-17-585-G
OPINION AND ORDER
Plaintiff Laurie Bear brings this action pursuant to 42 U.S.C. § 405(g) for judicial
review of the final decision of the Commissioner of the Social Security Administration
(“SSA”) denying Plaintiff’s applications for disability insurance benefits (“DIB”) under
Title II of the Social Security Act, 42 U.S.C. §§ 401-434, and for supplemental security
income (“SSI”) under Title XVI of the Social Security Act, id. §§ 1381-1383f. Upon
review of the administrative record (Doc. No. 10, hereinafter “R. _”),1 and the arguments
and authorities submitted by the parties, the Court affirms the Commissioner’s decision.
PROCEDURAL HISTORY AND ADMINISTRATIVE DECISION
Plaintiff protectively filed her DIB application on July 8, 2014, and filed her SSI
application on July 25, 2014. R. 41, 216-22, 223-29. In both applications, Plaintiff alleged
a disability onset date of January 1, 2013. R. 41, 216, 223. Following denial of her
applications initially and on reconsideration, a hearing was held before an Administrative
With the exception of the administrative record, references to the parties’ filings use the
page numbers assigned by the Court’s electronic filing system.
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Law Judge (“ALJ”) on February 2, 2016. R. 62-96, 143-46, 147-51, 154-56, 157-59. In
addition to Plaintiff, a vocational expert (“VE”) testified at the hearing. R. 90-95. The
ALJ issued an unfavorable decision on February 25, 2016. R. 38-56.
The Commissioner uses a five-step sequential evaluation process to determine
entitlement to disability benefits. See Wall v. Astrue, 561 F.3d 1048, 1052 (10th Cir. 2009);
20 C.F.R. §§ 404.1520, 416.920. At step one, the ALJ found that Plaintiff had not engaged
in substantial gainful activity since her alleged onset date. R. 43. At step two, the ALJ
determined that Plaintiff had the severe medically determinable impairments of borderline
intellectual functioning, anxiety, learning disability, scoliosis, and lumbar degenerative disc
disease. R. 43-44. The ALJ also found that Plaintiff had the nonsevere impairment of obesity
and that her carpal tunnel syndrome was not a medically determinable impairment. R. 44. At
step three, the ALJ found that Plaintiff’s condition did not meet or equal any of the
presumptively disabling impairments listed in 20 C.F.R. Part 404, Subpart P, Appendix 1. R.
44-46.
The ALJ next assessed Plaintiff’s residual functional capacity (“RFC”) based on all
her medically determinable impairments. R. 46-53. The ALJ found that Plaintiff had the
RFC to
perform a range of medium work as defined in 20 CFR 404.1567(c) and
416.967(c), in that she can lift and/or carry, push and/or pull 50 pounds
occasionally and 25 pounds frequently. She can stand and/or walk 6 hours in
an 8 hour day and sit 6 hours in an 8 hour day. She can occasionally climb,
balance, stoop, kneel, crouch, and crawl. She can understand, remember and
carry out simple instructions, and make simple work-related decisions, but
can perform no more than very simple mathematical calculations. She can
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have superficial work-related interaction with coworkers, supervisors and the
public.
R. 46.
At step four, the ALJ, relying upon the VE’s testimony, found that Plaintiff could
perform her past relevant work as a fuel/oil delivery driver helper as actually performed.
R. 53-54; see R. 90-93. The ALJ then made an alternative step-five finding, considering
whether there were jobs existing in significant numbers in the national economy that
Plaintiff—in view of her age, education, work experience, and RFC—could perform.
Relying upon the VE’s testimony, the ALJ found that there were three medium, unskilled
jobs and three light, unskilled jobs that Plaintiff could perform. R. 54-55; see R. 93-95.
Therefore, the ALJ determined that Plaintiff had not been disabled within the
meaning of the Social Security Act during the relevant period. R. 56. Plaintiff’s request
for review by the SSA Appeals Council was denied on March 24, 2017, and the unfavorable
decision of the ALJ stands as the Commissioner’s final decision. R. 1-7; 20 C.F.R. §§
404.981, 416.1481.
STANDARD OF REVIEW
Judicial review of the Commissioner’s final decision is limited to determining
whether factual findings are supported by substantial evidence in the record as a whole and
whether correct legal standards were applied. Poppa v. Astrue, 569 F.3d 1167, 1169 (10th
Cir. 2009). “Substantial evidence is such relevant evidence as a reasonable mind might
accept as adequate to support a conclusion.” Doyal v. Barnhart, 331 F.3d 758, 760 (10th
Cir. 2003) (internal quotation marks omitted). “A decision is not based on substantial
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evidence if it is overwhelmed by other evidence in the record or if there is a mere scintilla
of evidence supporting it.” Branum v. Barnhart, 385 F.3d 1268, 1270 (10th Cir. 2004)
(internal quotation marks omitted). The court “meticulously examine[s] the record as a
whole,” including any evidence “that may undercut or detract from the ALJ’s findings,”
“to determine if the substantiality test has been met.” Wall, 561 F.3d at 1052 (internal
quotation marks omitted). While the court considers whether the Commissioner followed
applicable rules of law in weighing particular types of evidence in disability cases, the court
does not reweigh the evidence or substitute its own judgment for that of the Commissioner.
Bowman v. Astrue, 511 F.3d 1270, 1272 (10th Cir. 2008).
ANALYSIS
In this action, Plaintiff argues that the ALJ erred by: (1) failing to properly weigh
the opinion of physician Richard Thomas, MD, and (2) improperly relying on VE
testimony at steps four and five. See Pl.’s Br. (Doc. No. 13) at 2-12.
I.
WHETHER THE ALJ PROPERLY CONSIDERED DR. THOMAS’ PRESCRIPTION OF A
LUMBAR CORSET
Plaintiff argues that the ALJ erred by failing to “properly assess how much weight
Dr. Thomas’[] opinion should receive.” Pl.’s Br. at 2. Plaintiff cites her treatment history
and alleges that Dr. Thomas’ treating-source “opinion”2 is “contradictory to the ALJ’s RFC
for medium work with the limitations that [the ALJ] found.” Id.
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The record reflects that Plaintiff saw Dr. Thomas only one time, upon a referral from
another physician, and obtained one prescription from Dr. Thomas. R. 444-45 (Ex. 14F),
443 (Ex. 13F). Thus, it is not apparent that Dr. Thomas qualifies as a treating source. See
20 C.F.R. §§ 404.1502, 416.902 (2016) (defining treating source as an acceptable medical
source who has or had “an ongoing treatment relationship” with the claimant). Because
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In support, Plaintiff cites the record of Plaintiff’s November 2015 visit to Dr.
Thomas and a prescription Dr. Thomas issued for Plaintiff to obtain a lumbar corset. R.
443, 444-45. In the record, Dr. Thomas recited Plaintiff’s self-reported history and
complaints, noted his findings on physical examination and upon review of a lumbar-spine
MRI, and assessed Plaintiff with left-hip-joint pain and scoliosis of the lumbar spine. R.
444-45. The prescription simply directs that Plaintiff should receive a lumbar corset for
indefinite use due to her thoracolumbar scoliosis. R. 443.
Plaintiff argues that the ALJ “turn[ed] a blind eye” to her use of the lumbar corset.
Pl.’s Br. at 3 (citing R. 85, 443). Plaintiff argues that a person wearing a lumbar corset
would be unable to perform the stooping and crouching required for jobs at the mediumexertion level. See id. at 3-4 (citing SSR 85-15, 1985 WL 56857 (1985) for proposition
that most medium-exertion work requires frequent stooping and crouching). Plaintiff
contends that the ALJ improperly failed to incorporate physical limitations related to her
corset use in the RFC and that the RFC finding “conflict[s] with Dr. Thomas’s lumbar
corset limitations.” Pl.’s Br. at 5.
As an initial matter, the special requirements for evaluation and explanation of a
treating-physician opinion do not apply here.3 Social Security regulations define “medical
Defendant does not dispute Plaintiff’s characterization of Dr. Thomas as her treating
physician, see Def.’s Br. (Doc. No. 17) at 6-8, however, the Court assumes that this was
so.
Specific SSA regulations govern the consideration of opinions by “acceptable medical
sources.” See 20 C.F.R. §§ 404.1502, .1513(a); id. §§ 416.902, .913(a). The
Commissioner generally gives the highest weight to the medical opinions of a “treating
source,” which includes a physician who has provided the claimant “with medical
treatment or evaluation” during a current or past “ongoing treatment relationship” with the
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opinions” as “statements from acceptable medical sources that reflect judgments about the
nature and severity of your impairment(s), including your symptoms, diagnosis and
prognosis, what you can still do despite impairment(s), and your physical or mental
restrictions.” 20 C.F.R. §§ 404.1527(a)(1), 416.927(a)(1). For an ALJ to evaluate and
assign weight to a medical opinion, a physician must provide “judgment” about the nature
and severity of a claimant’s limitations or “information” about the activities he or she could
still perform despite these limitations. Cowan v. Astrue, 552 F.3d 1182, 1189 (10th Cir.
2008). Neither the medical record nor the prescription Plaintiff received from Dr. Thomas
for her lumbar corset contains any judgment from Dr. Thomas as to Plaintiff’s functional
limitations, and neither includes a medical opinion that the ALJ could compare against the
medical record and was required to weigh. See Bales v. Colvin, 576 F. App’x 792, 797
(10th Cir. 2014) (“Ms. Bales fails to explain how Dr. Reddy’s findings have any bearing
on her functional limitations, such that the ALJ should have specifically discussed those
findings in setting her RFC for medium work.”).
The corset prescription is, however, relevant evidence regarding Plaintiff’s
functional capacity. But Plaintiff’s allegation that the ALJ “turn[ed] a blind eye” to her
use of a corset is not correct. Pl.’s Br. at 3. The ALJ discussed Dr. Thomas’ evaluation
and corset prescription in the hearing decision and discussed at length Plaintiff’s treatment
claimant. Id. §§ 404.1502, .1527(c); id. §§ 416.902, .927(c); Langley v. Barnhart, 373 F.3d
1116, 1119 (10th Cir. 2004). The ALJ’s decision “‘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.’” Watkins v. Barnhart, 350 F.3d 1297,
1300 (10th Cir. 2003) (quoting SSR 96-2p, 1996 WL 374188, at *5 (July 2, 1996)).
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history related to her musculoskeletal impairments. R. 47-52. The ALJ assessed an RFC
for a limited range of medium-exertion work, including that Plaintiff can only
“occasionally climb, balance, stoop, kneel, crouch, and crawl.” R. 46 (emphasis added).
Plaintiff contends that “[a] person utilizing a lumbar corset cannot perform the
requirements of medium work, specifically stooping and crouching,” but she cites no
authority to support that proposition.
Pl.’s Br. at 3.
Nor does Plaintiff appear to
acknowledge that the ALJ included a limitation to occasional rather than frequent stooping
and crouching.
The medical opinions in the record addressing Plaintiff’s physical
impairments either found those impairments to be nonsevere (i.e., that they result in no
significant functional limitations) or included no findings indicative of the limitations
Plaintiff alleges. R. 99-106, 109-16, 121-29, 132-40, 370-72. Plaintiff points to no
physician’s opinion concerning what, if any, limitations would be associated with, or stem
from, use of a lumbar corset. See Pl.’s Br. at 3.
As such, Plaintiff’s assertions that the ALJ failed to properly address her use of a
lumbar corset and that the use of such a corset would prevent her from performing to the
RFC find no support in the record. Plaintiff has not shown that reversal is required on this
basis.
II.
WHETHER THE ALJ IMPROPERLY RELIED ON CERTAIN VOCATIONAL-EXPERT
TESTIMONY AS A BASIS FOR THE STEP-FOUR DECISION
Plaintiff alleges that when the VE assessed her past relevant work during the
hearing, the VE “made up a job for the claimant which does not exist” in the Dictionary of
Occupational Titles (“DOT”). Pl.’s Br. at 7. Specifically, Plaintiff contends that the job
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cited by the VE as Plaintiff’s past relevant work, “fuel/oil delivery driver helper,” does not
exist in the DOT. Id. at 7-8; see R. 54. Plaintiff argues that the VE arbitrarily reduced the
Specific Vocational Preparation4 associated with this job and added the term “helper” to a
job typically classified as “Tank-Truck Driver,” and she contends that the ALJ “failed to
ask the VE how she arrived at her conclusion to reduce the SVP to get to a nonexistent
job.” Pl.’s Br. at 7-8.
During the hearing, the VE characterized Plaintiff’s past relevant work:
VE:
Okay. The best match I found for that was a fuel oil delivery driver,
although she may not have been doing the actual driving, there isn't
a helper aspect -ALJ: Okay.
VE: -- in the DOT so I'm going to just reduce the SVP.
ALJ: Okay.
VE: It is classified as medium. This particular title is classified as a 3; a
helper would be a 2; the DOT code is 903.683-018.
R. 92. The ALJ then posed to the VE a hypothetical containing the functional limitations
ultimately incorporated into the RFC. R. 92-93. The ALJ asked the VE if, given these
restrictions, Plaintiff could still perform her past relevant work. R. 93. The VE responded
by saying:
Let's see, the fuel oil delivery driver helper as she performed it which, like
I said, that particular DOT is not for a helper. And I believe that would be
it due to the office helper job that she had at the radio station that was in -4
Specific Vocational Preparation (“SVP”) focuses on the amount of time needed to
properly learn a job. An SVP can range between 1 and 9, 1 being the lowest amount of
vocational preparation (short demonstration) and 9 being the highest (over 10 years of
education or training). 1 Harvey L. McCormick, Social Security Claims Practice and
Procedures, § 8:164 (6th ed. 2009). Unskilled work corresponds to an SVP of between 1
and 2; semiskilled work corresponds to an SVP of between 3 and 4; skilled work
corresponds to an SVP of between 5 and 9. SSR 00-4p, 2000 WL 1898704, at *3 (Dec. 4,
2000).
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with the public too much.
R. 93.
Plaintiff is correct that the VE, in attempting to classify Plaintiff’s past work, crafted
a job description that does not exactly correspond to any job in the DOT, chiefly by
reducing the SVP associated with Plaintiff’s past work from 3 to 2 because Plaintiff did
not drive. But Plaintiff offers no specific basis as to why the VE’s approach was not “a
reasonable explanation” for the discrepancy between the DOT and the VE’s testimony, and
the Court will not “speculate on [Plaintiff’s] behalf.” Haddock v. Apfel, 196 F.3d 1084,
1091 (10th Cir. 1999); Threet v. Barnhart, 353 F.3d 1185, 1190 (10th Cir. 2003); see Pl.’s
Br. at 8 (asserting only that the VE’s reduction of the SVP was “insufficient”).
The relevant question, moreover, is not whether Plaintiff’s past relevant work
precisely matches an occupation listed in the DOT, but whether Plaintiff could do her past
job as actually performed given the restrictions in her RFC.
See 20 C.F.R. §§
404.1520(a)(4)(iv), 416.920(a)(4)(iv); SSR 82-61, 1982 WL 31387, at *2 (1982)
(“[W]here the evidence shows that a claimant retains the RFC to perform the functional
demands and job duties of a particular past relevant job as he or she actually performed it,
the claimant should be found to be ‘not disabled.’”). In this case, the ALJ posed a
hypothetical question to the VE containing all the restrictions contained in the RFC and
properly relied upon the VE’s testimony to find that Plaintiff could perform her past
relevant work. See 20 C.F.R. §§ 404.1560, 416.960 (“A [VE] . . . may offer relevant
evidence within his or her expertise or knowledge concerning the physical and mental
demands of a claimant’s past relevant work, either as the claimant actually performed it or
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as generally performed in the national economy.”); cf. Qualls v. Apfel, 206 F.3d 1368, 1373
(10th Cir. 2000) (“The ALJ propounded a hypothetical question to the VE that included all
the limitations the ALJ ultimately included in his RFC assessment. Therefore, the VE’s
answer to that question provided a proper basis for the ALJ’s disability decision.”).
Plaintiff has not shown that her impairments prevented her from performing her past work,
such that the ALJ’s step-four finding would be undermined. See Grogan v. Barnhart, 399
F.3d 1257, 1261 (10th Cir. 2005).
Plaintiff further argues that she would be unable to perform the six unskilled jobs
relied on by the ALJ in the alternative step-five finding because the requirements of these
jobs exceed her RFC as assessed by the ALJ. R. 55. Specifically, Plaintiff contends that
the RFC restriction to performing “no more than very simple mathematical calculations”
would prevent her from performing any of the jobs cited by the VE and the ALJ. Pl.’s Br.
at 9. Plaintiff argues that “[a]t the very least” the VE should have reduced the base of jobs
available given this restriction and further contends that the ALJ should have included an
RFC limitation related to Plaintiff’s difficulties with reading and spelling. Id. at 9-10.
Plaintiff’s arguments are without merit. First, because the Court has upheld the
ALJ’s step-four finding of nondisability, challenges to the alternative step-five finding
generally would not support reversal. See Williams v. Bowen, 844 F.2d 748, 750 (10th Cir.
1988) (“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.”); Murrell v. Shalala, 43
F.3d 1388, 1389 (10th Cir. 1994) (“[T]he integrity of a step-four finding is not
compromised in any way by the recognition that step five, if it were reached, would dictate
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the same [or a different] result.” (alteration in original)). Next, Plaintiff offers no support
for the proposition that a restriction to performing “no more than very simple mathematical
calculations” would make it impossible for Plaintiff to perform any of the unskilled jobs
cited by the VE. Pl.’s Br. at 9. And Plaintiff has not established that the reading and
spelling problems she alleges, even if accepted by the ALJ, are not already encompassed
by the existing RFC. See R. 46 (ALJ limiting Plaintiff to only “simple” instructions, “simple”
decisions, and “superficial” interaction with others); 20 C.F.R. §§ 404.1568(a), 414.968(a)
(“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.”); see also Bean v. Chater, 77 F.3d 1210, 1214
(10th Cir. 1995) (“The ALJ was not required to accept the answer to a hypothetical question
that included limitations claimed by plaintiff but not accepted by the ALJ as supported by the
record.”); Smith v. Colvin, 821 F.3d 1264, 1270 (10th Cir. 2016) (“The administrative law
judge had to ask only about the effect of those limitations ultimately assessed; the judge did
not need to ask about the effect of limitations that he didn’t believe applied.”). Reversal is
not warranted on this basis.
CONCLUSION
The decision of the Commissioner is affirmed. A separate judgment shall be
entered.
IT IS SO ORDERED this 28th day of September, 2018.
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