WEST v. COLVIN
Filing
17
MEMORANDUM AND/OR OPINION. SIGNED BY HONORABLE GERALD J. PAPPERT ON 4/10/18. 4/10/18 ENTERED AND COPIES E-MAILED.(kf, )
IN THE UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF PENNSYLVANIA
LIONEL WEST,
Plaintiff,
CIVIL ACTION
NO. 16-0334
v.
NANCY A. BERRYHILL,1 Acting
Commissioner of Social Security,
Defendant.
PAPPERT, J.
April 10, 2018
MEMORANDUM
Lionel West, pursuant to 42 U.S.C. § 405(g), seeks judicial review of a decision by
the Commissioner of Social Security denying his claim for Supplemental Security
Income under Title XVI of the Social Security Act, 42 U.S.C. § 301, et seq. West
contends the decision was erroneous because the Administrative Law Judge failed to
adequately assess the effects of his obesity in conjunction with his other impairments.
The ALJ’s decision was upheld by the Appeals Council, and Magistrate Judge David
Strawbridge subsequently recommended that West’s request for review be denied. For
the reasons below, the Court overrules West’s objection to Magistrate Judge
Strawbridge’s Report and Recommendation and grants judgment in favor of the
Commissioner.
Nancy A. Berryhill became the Acting Commissioner of Social Security on January 23, 2017.
Pursuant to Federal Rule of Civil Procedure 25(d), Ms. Berryhill should be substituted for the former
Acting Commissioner, Carolyn Colvin, as the defendant in this action. See FED. R. CIV. P. 25(d).
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I
West filed for Supplemental Security Income on August 13, 2012, claiming that
he was disabled, effective that day.2 (R. 27–28, 180, ECF No. 7.)3 His claim was
initially denied by the Social Security Administration on January 9, 2013. (R. 27, 63.)
On March 12, 2013, West requested a hearing before an Administrative Law Judge (R.
67), which was held on July 29, 2014, (R. 25–51). West, represented by counsel,
testified at the hearing, as did an impartial vocational expert. (Id.) On August 15,
2014, the ALJ denied West’s claim. (R. 12–20.) West filed a request for review with the
Appeals Council on October 7, 2014. (R. 6.) The Appeals Council denied the request on
November 30, 2015, rendering the ALJ’s decision final. (R. 1–3, 6.) West filed this
action on January 27, 2016, seeking judicial review of the ALJ’s decision. (ECF Nos. 1
& 3.) On August 10, 2017, Judge Strawbridge recommended that West’s request for
review be denied. (ECF No. 13.) West filed his objection to the magistrate judge’s
recommendation on August 14, 2017. (Pl.’s Obj., ECF No. 14.)
The Court has reviewed the administrative record in its entirety and
summarizes here the evidence relevant to West’s request for review.
A
West, born on May 5, 1960, was fifty-two years old when he allegedly became
disabled. (R. 18, 27–28.) He attended high school and worked for a period of time as a
musician. (R. 39.) West underwent arthroscopic surgery in 1998 on his left knee and
West initially alleged an onset disability date of December 21, 2000, but asked to amend that
date to August 13, 2012. The ALJ granted the request during the July 29, 2014 hearing. (R. 27–28.)
2
The record, consisting of 330 numbered pages, was uploaded to ECF in piecemeal fashion.
See (ECF Nos. 7-1–4-8). The Court will cite to the record page numbers rather than the specific ECF
document identifiers.
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2
on his right knee in 2000. (R. 36.) On December 13, 2012, Dr. David Knox examined
West at the request of the Pennsylvania Bureau of Disability Determination. (R. 250.)
Dr. Knox reported that West’s “gait and station appeared normal,” that he “was able to
get on to the exam table without difficulty,” could “flex his lumbar spine to 90 degrees,”
was able to “flex both hip joints 100 degrees,” and could “extend his knee to 90 degrees
bilaterally.” (R. 253.) The doctor noted that West suffered from “[d]egenerative joint
disease involving both knees,” “[l]umbosacral sprain and strain,” and “[e]xogenous
obesity.” (R. 254.) Dr. Knox determined West’s prognosis to be “fair,” but reported that
West could “only stand for one hour,” “walk four or five blocks before…experience[ing]
pain,” and could only “sit for approximately one hour.” (R. 251, 254.)
Three days later, Dr. Knox completed a Medical Source Statement, which is an
assessment of “the claimant’s ability to engage in full-time employment in a regular
work setting.” (R. 256.) Dr. Knox stated that West could frequently lift and carry 20
pounds, and occasionally lift and carry 25 pounds.4 (Id.) The doctor also found that
West could stand or walk less than one hour in an eight hour day, but that he had no
limitation in sitting or pushing and pulling. (Id.) Dr. Knox indicated that West could
“frequently” balance, “occasionally” bend, stoop, crouch and climb, but could “never”
kneel. (R. 257.) Finally, Dr. Knox noted that West had no environmental restrictions
or limitations on other physical functions. (Id.)
On June 10, 2013, West was examined by Dr. Randall Smith, an orthopedic
surgeon. (R. 276–77.) Dr. Smith found that West had scoliosis, a “guarded range of
motion particularly when he tries to rotate the neck to the right side,” “popping and
“Frequently” is defined as lifting or carrying “from 1/3 to 2/3 of an 8 hour day,” and
“occasional” is defined as lifting or carrying “from very little up to 1/3 of an 8 hour day.” (R. 254.)
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grinding” in both knees, “good structural stability,” and difficulty “elevating the
shoulders above the horizontal.” (R. 276.) Dr. Smith concluded that West “has a
cervical lumbar sprain and strain, some underlying cervical lumbar discogenic
problems, a cervical lumbar radiculopathy, an internal derangement… and
chondromalacia of the knees, right greater than left.” (Id.) Dr. Smith also noted that
“[m]aybe we can get some of the weight off of him and take some of the pressure off, not
that, that is a major reason for his present symptoms.” (Id.)
Three days after his examination by Dr. Smith, West had a CT scan of his
lumbar spine, showing “[h]igh grade disc degeneration,” “[d]isc degeneration with
moderate disc protrusion with some facet joint overgrowth,” and “[d]isc degeneration
with mild disc protrusion[.]” (R. 289.) On July 8, 2013, West had an MRI of his right
knee, which revealed that he had “[t]ricompartmental degenerative osteoarthritis of a
moderate degree,” “[c]hronic tear/injury posterior horn and body meniscus with only
fragments remaining,” “[e]xtensive degenerative signal throughout the lateral meniscus
without tear,” and “[i]ntact tendons and ligaments.” (R. 288.) On July 15, 2013, an
MRI was taken of West’s left knee, revealing “[m]ild degenerative osteoarthritic
changes throughout the left knee,” and an “[o]blique tear posterior horn medial
meniscus.” (R. 287.) Finally, on July 29, 2013, West underwent an MRI on his cervical
spine, which showed “[n]o evidence of cervical cord compression, expansion or internal
signal aberration,” “[b]road disc protrusion at C6-7 eccentric to right,” and “[d]isc
degeneration with diffuse broad based disc protrusion[.]” (R. 285.)
On August 5, 2013, pursuant to a referral from Dr. Smith, West was evaluated
at Healing Hands Physical Therapy. (R. 318–20.) The assessment revealed that West
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had decreased strength, joint mobility and range of motion, increased pain and muscle
guarding, and poor “sit/stand tolerance.” (R. 320.) West was advised to “continue
physical therapy 2 days per week for 4 weeks to reach [specified] goals,” and told that
his potential for rehabilitation was “fair.” (Id.)
On January 7, 2014, West was involved in car accident. (R. 292.) Two days after
the accident, he was treated at Jefferson Hospital for “low back pain [and] leg
numbness.” (Id.) The emergency room physician diagnosed West with “lumbar/thoracic
sprain,” “muscle spasm of the back,” and noted that West was taking a number of
medications. (R. 291.) While at the hospital, West had X-rays taken of his lumbar and
thoracic spine, which revealed “degenerative disc disease” and “multilevel degenerative
endplate osteophytes” in the thoracic spine. (R. 297–98.) The physician noted that
West was “feeling better with some improvement in symptoms” and did not have a
“decreased range of motion” by the time he left the hospital. (R. 294–95.) West was
discharged “in stable condition,” with the ability to “ambulate independently [with]
steady gait.” (R. 293–94.)
On March 10, 2014, West was seen by his primary care physician, Dr. Donald
Parks, for the injuries sustained in the car accident two months before. (R. 36, 306.)
Dr. Parks’ examination revealed no abnormalities in West’s cervical spine and
shoulders but a restricted range of motion of the lumbosacral spine. The “straight leg
raising test was positive bilaterally,” and the “lower extremities revealed tenderness
down the left lower leg.” (Id.) Dr. Parks diagnosed West with “acute lumbar
strain/sprain” and “acute left leg strain/sprain,” and opined that “the injuries [West]
sustained are directly related to” the car accident. (Id.)
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On March 11, 2014, West went to NovaCare Rehabilitation for physical therapy.
(R. 299–303.) The NovaCare medical report stated that West had trouble “bending and
lifting” and was “unable to sit up straight because of the pain.” (R. 301.) West’s
“[o]verall rehabilitation potential” was “good,” and it was recommended that he attend
physical therapy three times per week for four weeks. (R. 302–03.) He failed to do so,
however, and was discharged on March 19, 2014. (R. 300.) The discharge summary
stated that West “did not want to work” and appeared “non-interested in PT when
asked to perform exercises.” (R. 299.)
B
West testified at the July 29, 2014 hearing before the ALJ. (R. 25–51.) When
asked why he was unable to work, West stated that he had difficulty standing and
walking due to pain in his knees and lower back, and that he suffered from
uncontrolled hypertension. (R. 33–35.) West testified that he mainly watched
television at home because it pained him to walk, but that he was capable of caring for
his personal hygiene and drove short distances twice a month to shop for groceries. (R.
5–6, 35–36.) He stated that he had surgeries on both knees, and that he began
attending physical therapy but stopped due to the pain he experienced from the
therapy. (R. 37–39.) West admitted that he did not inform his physical therapist that
he would not be returning, and that he was formally discharged from treatment when
he failed to attend his therapy sessions. (Id.) At no point during the hearing did West
mention his obesity (R. 36–37); his lawyer argued that West’s obesity likely had an
adverse effect on his knees and back. (R. 47.)
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II
The Social Security Administration has promulgated a five-step process for
evaluating disability claims. First, the Commissioner considers whether the claimant
is currently engaged in substantial gainful activity. Woodson v. Comm’r Soc. Sec., 661
F. App’x 762, 765 (3d Cir. 2016) (citing Sykes v. Apfel, 228 F.3d 259, 262–63 (3d Cir.
2000)). If he is not, then the Commissioner considers at the second step whether the
claimant has a “severe impairment” that significantly limits his physical or mental
ability to perform basic work activities. Id. If the claimant suffers from a severe
impairment, the inquiry at step three is whether, based on the medical evidence, the
impairment meets the criteria of an impairment included in the “listing of
impairments,” which result in a presumption of disability, or whether the claimant
retains the capacity to work. Id. If the impairment does not meet the criteria for a
listed impairment, the Commissioner assesses at the fourth step whether, despite the
severe impairment, the claimant has the residual functional capacity (“RFC”)5 to
perform his past work. If the claimant cannot perform his past work, the
Commissioner attempts to determine at the fifth step whether there is other work in
the national economy that the claimant can perform. Id. The claimant bears the
burden of proof for steps one through four of this test, while the Commissioner bears
the burden of proof at step five. Id.; see also 20 C.F.R. § 404.1520(a)(4)(i)–(v).
In her August 15, 2014 decision, the ALJ determined that West was not disabled
as defined by the Social Security Act. (R. 12–20.) At step one, the ALJ found that West
Residual functional capacity is “what an individual can still do despite his or her limitations.
RFC is an administrative assessment of the extent to which an individual’s medically determinable
impairment(s), including any related symptoms, such as pain, may cause physical or mental
limitations or restrictions that may affect his or her capacity to do work-related physical and mental
activities.” 20 C.F.R. § 404.1545(a)(1).
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had not engaged in gainful employment since the alleged disability onset date of August
13, 2012. (R. 14.) At step two, the ALJ concluded that West suffers from the severe
impairments of degenerative disease of the knees, lumbosacral sprain and strain,
cervical degenerative disc disease, hypertension and obesity. (R. 14.) At step three, she
found that West’s impairments, either alone or in combination with each other, did not
meet the severity of one of the listed impairments in 20 C.F.R. Pt. 404, Subpt. P, App. 1.
(R. 16.) At step four, she determined that West had the RFC to “perform a range of
light work as defined in 20 C.F.R. § 416.967(b). He can lift, carry, push, and pull 20
pounds occasionally and 10 pounds frequently. He can sit for six hours in an eight-hour
workday and stand and/or walk six hours in an eight-hour workday.” (R. 17.) Given
the RFC assessment, the ALJ concluded that West could not perform his past relevant
work. (R. 18.) Considering West’s age, education, work experience and RFC, and the
testimony of the vocational expert, the ALJ determined that jobs West could perform
exist in significant numbers in the national economy, including ticket taker, cafeteria
attendant, and lens matcher. (R. 19.)
III
The Court reviews de novo those portions of the Report and Recommendation to
which West has objected. See 28 U.S.C. § 636(b)(1); see also Cont’l Cas. Co. v. Dominick
D'Andrea, Inc., 150 F.3d 245, 250 (3d Cir. 1998). The Court “may accept, reject, or
modify, in whole or in part, the findings or recommendations made by the magistrate
judge.” 28 U.S.C. § 636(b)(1)(C). In reviewing the ALJ’s decision, the Court is not
permitted to weigh the evidence or substitute its own conclusions for those reached by
the ALJ. See Burns v. Barnhart, 312 F.3d 113, 118 (3d Cir. 2002). Rather, the Court
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reviews the ALJ’s findings to determine whether they were supported by substantial
evidence. See 42 U.S.C. § 405(g); Rutherford v. Barnhart, 399 F.3d 546, 552 (3d Cir.
2005).
Substantial evidence is evidence that a “reasonable mind might accept as
adequate to support a conclusion.” Rutherford, 399 F.3d at 552 (internal quotations
omitted). “It is ‘more than a mere scintilla but may be somewhat less than a
preponderance of the evidence.’” Id. (quoting Ginsburg v. Richardson, 436 F.2d 1146,
1148 (3d Cir. 1971)). If the decision of the ALJ is supported by substantial evidence,
the Court may not set it aside “even if [the Court] would have decided the factual
inquiry differently.” Hartranft v. Apfel, 181 F.3d 358, 360 (3d Cir. 1999)). The ALJ’s
decision “must therefore present a sufficient explanation of the final determination in
order to provide the reviewing court with the benefit of the factual basis underlying the
ultimate disability finding.” D’angelo v. Colvin, No. 14-6594, 2016 WL 930690, at *1
(E.D. Pa. Mar. 11, 2016) (citing Cotter v. Harris, 642 F.2d 700, 704–05 (3d Cir. 1981)).
The decision need only discuss the most relevant evidence concerning a claimant’s
disability, “but it must provide sufficient discussion to allow the reviewing Court to
determine whether its rejection of potentially significant evidence was proper.” Id.
(citing Johnson v. Comm’r of Soc. Sec., 529 F.3d 198, 203–04 (3d Cir. 2008)).
IV
A
West objects to the magistrate judge’s finding that the ALJ did not err by failing
to “explicitly weigh the impact” of his obesity in assessing his RFC and at step five of
the SSA’s sequential evaluation. (Pl.’s Obj., at 3.) The ALJ recognized at step two that
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“obesity is a medically determinable impairment that is often associated with
disturbance of the musculoskeletal system,” the combined effects of which “can be
greater than the effects of each impairment considered separately.” (R. 15.) The ALJ’s
only other discussion of West’s obesity, however, was to conclude that “the record does
not show there are any additional and cumulative effects of obesity that would make
this musculoskeletal condition of a listing-level severity, or impose limitations beyond
my findings on this decision.” (Id.)
Two Third Circuit decisions provide guidance on how an ALJ should evaluate
obesity in determining whether an individual is disabled under the Social Security Act.
In Rutherford v. Barnhart, 399 F.3d 546 (3d Cir. 2005), the plaintiff argued that the
ALJ had erred by failing to explicitly consider her weight throughout the disability
determination. Id. at 552. The Court of Appeals noted that the plaintiff, who alleged
disability due to back and arm impairments, had never mentioned obesity as a
condition that contributed to her inability to work and had not specified how that factor
would affect the analysis beyond a generalized assertion that her weight made it more
difficult for her to stand, walk and manipulate her hands and fingers. Id. The court
further explained that although the ALJ did not note or discuss the plaintiff’s obesity,
he adopted the limitations suggested by specialists and reviewing doctors, who were
aware of her weight. Id. Because those doctors were aware of the plaintiff’s obesity,
the ALJ’s adoption of their conclusions was a satisfactory, albeit indirect, consideration
of the condition. Id. The court concluded that the plaintiff’s generalized assertion
regarding the effects of her obesity was “insufficient to require remand, particularly
when the administrative record indicates clearly that the ALJ relied on the voluminous
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medical evidence as a basis for his findings regarding her limitations and
impairments.” Id.
In Diaz v. Comm’r of Soc. Sec., 577 F.3d 500 (3d Cir. 2009), the ALJ determined
at step two that the plaintiff’s obesity constituted a “severe impairment.” Id. at 504. At
step three, however, he failed to consider the impact of that obesity in combination with
the plaintiff’s other impairments, including joint disease, on her ability to perform work
functions, as instructed by Social Security Ruling 02-1p.6 Id. The District Court
upheld the ALJ’s decision, relying on Rutherford. The Court of Appeals, however,
reversed and held that the ALJ had erred, noting that “an ALJ must clearly set forth
the reasons for his decision” and “conclusory statements that a condition does not
constitute the medical equivalent of a listed impairment are insufficient.” Id. (citations
omitted). The court distinguished Rutherford, noting that in that case, the plaintiff had
not asserted obesity as an impairment or argued that it impacted her job performance.
Id. The court then stated:
Here, by contrast, Diaz asserted—and the ALJ specifically determined—
that Diaz’s obesity constituted a severe impairment. Further, we cannot
conclude, as we did in Rutherford, that Diaz’s obesity had no impact,
alone or in combination with her other impairments, on her workplace
performance. To the contrary, Diaz’s morbid obesity would seem to have
exacerbated her joint dysfunction as a matter of common sense, if not
medical diagnosis. Although in Rutherford we expressed some willingness
to view the reference to the reports of the claimant’s examining physicians
as constituting adequate, implicit treatment of the issue by the ALJ, we
decline to do so here, where Diaz’s obesity was urged, and acknowledged
by the ALJ, as a severe impairment that was required to be considered
alone and in combination with her other impairments at step three.
The Ruling instructs adjudicators “to consider the effects of obesity not only under the
listings but also when assessing a claim at other steps of the sequential evaluation process, including
when assessing an individual’s residual functional capacity,” and reminds them to consider “the
combined effects of obesity with other impairments” when making disability determinations. SSR
02-1P, 2002 WL 34686281, at *1 (Sep. 12, 2002).
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Id. The Court of Appeals stated that “[w]ere there any discussion of the combined effect
of Diaz’s impairments, we might agree with the District Court. However, absent
analysis of the cumulative impact of Diaz’s obesity and other impairments on her
functional capabilities, we are at a loss in our reviewing function.” Id. Thus, the court
remanded because “the ALJ, having recognized obesity as an impairment, should
determine in the first instance whether, and to what extent, Diaz’s obesity, in
combination with her asthma, diabetes, arthritis, back pain, and hypertension,
impacted her workplace performance.” Id. at 505.
B
West neither alleged obesity as a basis for his disability nor testified that it
limits his ability to engage in work-related activities. The ALJ nonetheless explicitly
recognized West’s obesity as a severe impairment. (R. 14.) After identifying that
severe impairment and acknowledging her obligation to consider it in making her
determination, the ALJ stated that “the record does not show there are any additional
and cumulative effects of obesity that would make this musculoskeletal condition of a
listing-level severity, or impose limitations beyond my findings on this decision.” (R.
15.) That statement, in and of itself, was insufficient. Diaz instructs that after
acknowledging obesity as a severe impairment, the ALJ is required to “meaningfully
consider the effects of a claimant’s obesity, individually and in combination with [his]
impairments, on [his] workplace function at step three and every subsequent step.”
Diaz, 577 F.3d at 504. Meaningful consideration requires that the ALJ “provide a
‘discussion of the evidence’ and an ‘explanation of reasoning’ for [her] conclusion….” Id.
After stating that the record did not support finding any limitation due to West’s
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obesity, the ALJ was required to discuss that evidence and explain her reasoning in
determining West’s RFC and at step five of the analysis. See, e.g., Buchanan v. Colvin,
No. 11-4597, 2014 WL 351577, at *1 (E.D. Pa. Jan. 30, 2014) (finding that the ALJ was
required to address plaintiff’s obesity after finding it was a severe impairment, despite
plaintiff failing to claim it was an impairment). Although the ALJ “need not employ
particular ‘magic’ words,” the ALJ never mentioned West’s obesity after step two. See,
e.g., Wise v. Comm’r of Soc. Sec., 626 F. App’x 357, 359–60 (3d Cir. 2015) (explaining
that, in determining RFC, ALJ must consider “all the evidence in the record [and]
explain his rejection of any pertinent evidence”); Thorne v. Colvin, No. 13-2139, 2015
WL 3498642, at *4 (E.D. Pa. June 3, 2015) (finding error where ALJ recognized
plaintiff’s obesity but did not mention it again in his decision); Buchanan, 2014 WL
351577 at *2 (finding that even though ALJ stated that she considered plaintiff’s
obesity, the ALJ “failed to clearly set forth the reasons supporting her decision insofar
as plaintiff’s obesity is concerned”).
C
Although the ALJ erred in failing to adequately address West’s obesity, the error
was harmless. Evidence in the record, including reports, testimony and medical
records, does not support a conclusion that West’s obesity rendered him unable to work.
See Thorne, 2015 WL 3498642 at *4 (finding ALJ’s failure to adequately assess
plaintiff’s obesity was harmless error where plaintiff did not allege that obesity
exacerbated other pain at hearing before the ALJ). When filling out his Social Security
application, West did not identify obesity as a condition that limited his work ability.
(R. 141.) Similarly, when filling out the functional report section of that application,
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West listed back and knee pain, high blood pressure, and frequent bathroom use as
conditions that limited his ability to work. (R. 148.) Furthermore, in his testimony
before the ALJ, West did not discuss any affect his obesity had on his ability to work,
despite extensive discussion of his physical capabilities and limitations. (R. 30–37.)
West mentioned his height and weight, but when asked why he was unable to work,
stated that it was because of his knee and back pain (R. 30, 33–34); he never claimed
that his obesity exacerbated that pain. See, e.g., Jones v. Colvin, No. 11-6698, 2013 WL
5468305, at *1 (E.D. Pa. Oct. 1, 2013) (finding failure to adequately address plaintiff’s
obesity harmless error where plaintiff “failed to mention obesity when the ALJ asked
him why he was unable to work”); Suarez, 996 F. Supp. 2d at 332–33 (same); Thorne,
2015 WL 3498642 at *5–6 (same); McPherson v. Colvin, No. 16-1469, 2016 WL 5404471,
at *6 (E.D. Pa. Sept. 28, 2016) (same).
Moreover, none of West’s medical reports referred to his weight as a cause of his
functional limitations. Many of his medical records noted his obesity, but none of them
indicated that it affected his other symptoms. (R. 52, 55, 58, 59, 141, 226, 253, 263,
276, 278, 291, 304–05, 310–12.) For example, Dr. Knox found that his ability to sit and
stand was limited, but nothing in the record indicates that Dr. Knox believed West’s
obesity exacerbated his other conditions. (R. 251–53.) Dr. Smith referenced West’s
obesity, writing that “[m]aybe we can get some weight off of him and take some of the
pressure off, not that, that is a major reason for his present symptoms.” (R. 277.) Dr.
Smith recognized that West’s obesity was not a major cause of his present conditions,
and his note does not indicate that West’s obesity limited his ability to work in any way.
West argues that his impairments, in combination with his obesity, are consistent with
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the limitations on his ability to walk or stand. (Pl.’s Obj., at 5.) The records West cites,
however, do not reference his obesity; they note instead other physical impairments.
(R. 258, 285, 287–89, 297.) In sum, West fails to point to any evidence that supports a
finding that obesity worsened his symptoms or limited his ability to work. See Jones,
2013 WL 5468305 at * 1 (finding harmless error where record did not indicate any
additional limitation imposed by plaintiff’s obesity); Suarez, 996 F. Supp at 332–33
(same); Thorne, 2015 WL 3498642 at *5–6 (same); Lugo v. Colvin, No. 13-7598, 2016
WL 2910104, at *4–5 (E.D. Pa. May 19, 2016) (same); Proudfoot v. Colvin, No. 1307147, 2016 WL 316498, at *2 (E.D. Pa. Jan. 26, 2016) (same); McPherson, 2016 WL
5404471 at *6 (same).
West relies extensively on Diaz, but in discussing that decision, our court has
reasoned that the ALJ must “limit[ ] the exercise of common sense to the analysis of the
evidence of record.” Suarez, 996 F. Supp. 2d at 332. “If an ALJ were to claim that
‘common sense’ led in a direction where the evidence did not follow,” the ALJ “would
simply be substituting his opinion for that of the medical experts, which is not
permitted.” Id. (citing Morales v. Apfel, 225 F. 3d 310, 319 (3d Cir. 2000)). Where the
plaintiff fails to “point[ ] to any evidence in the record which would support [his] claim,”
the court will not “remand the ALJ’s decision based on the failure to confront evidence
that does not exist.” Id. (quoting Neff v. Astrue, 875 F. Supp. 2d 411, 423 (D. Del.
2012)). Here, there was no record evidence from which the ALJ could have drawn
conclusions about the effects or combined effects of West’s obesity on his ability to
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work.7 See SSR 02-1P, 67 Fed. Reg. 57859-02 (Sep. 12, 2002) (“[W]e will not make
assumptions about the severity or functional effects of obesity combined with other
impairments. Obesity in combination with another impairment may or may not
increase the severity or functional limitations of the other impairment. We will
evaluate each case based on the information in the case record.”). Accordingly, remand
is not warranted. See Woodson, 661 F. App’x at 765–66 (ALJ did not commit reversible
error where plaintiff did not point to specific medical evidence demonstrating that his
obesity, in combination with other impairment, was sufficiently disabling); Thorne,
2015 WL 3498642 at *5–6 (same); Lugo, 2016 WL 2910104 at *4–5 (same); McPherson,
2016 WL 5404471, at *6 (same). The Court overrules West’s objection, approves and
adopts the magistrate judge’s Report and Recommendation and grants judgment in
favor of the Commissioner.
An appropriate Order follows.
BY THE COURT:
/s/ Gerald J. Pappert
____________________________
GERALD J. PAPPERT, J
Unlike here, the record evidence in Diaz supported plaintiff’s claim that her obesity
exacerbated her other conditions. See Diaz v. Comm’r of Soc. Sec., No. 07-790, 2008 WL 3154744, at
*4 (D.N.J. Aug. 4, 2008), vacated, 557 F.3d 500 (3d Cir. 2009) (explaining that Dr. Miracle
“determined that Plaintiff’s obesity…created the postural limitations,” and that Dr. Miranda
“determined that Plaintiff’s ‘pain in multiple joints and back is due to multiple arthritis [ ], diabetes,
[ ], and obesity.’”).
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