Snyder v. Colvin
Filing
22
MEMORANDUM (Order to follow as separate docket entry).Signed by Honorable Malachy E Mannion on 9/18/17. (bs)
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF PENNSYLVANIA
JANET DORIS SNYDER,
:
:
Plaintiff
CIVIL ACTION NO. 3:15-1980
:
v.
:
NANCY A. BERRYHILL,
Acting Commissioner
of Social Security1
(MANNION, D.J.)
(SAPORITO, M.J.)
:
:
Defendant
MEMORANDUM
Pending before the court is the report and recommendation of Judge
Saporito, (Doc. 16), recommending that plaintiff’s appeal from the final
decision of the Commissioner of Social Security be denied, and that the
decision of the Commissioner be affirmed. Judge Saporito reviewed the
record in this case pursuant to 42 U.S.C. §405(g) to determine whether there
is substantial evidence to support the Commissioner’s decision denying the
plaintiff’s claim for Disability Insurance Benefits (“DIB”) under the Social
Security Act, (“Act”). 42 U.S.C. §§401-433, 1381-1383f. The plaintiff, Janet
Doris Snyder, has filed objections and a brief in support.2 (Doc. 17). The
1
Nancy A. Berryhill is now the Acting Commissioner of Social Security.
Pursuant to Federal Rule of Civil Procedure 25(d), Nancy A. Berryhill is
substituted for Carolyn W. Colvin, Acting Commissioner of Social Security as
the defendant in this suit.
2
Plaintiff is represented by counsel in this case. The court notes that
since Judge Saporito stated the full procedural history of this case in his
Commissioner responded to plaintiff’s objections. (Doc. 18). For the following
reasons, the report and recommendation is ADOPTED and plaintiff’s appeal
of the decision of the Commissioner will be DENIED.
I.
STANDARD OF REVIEW
When objections are timely filed to the report and recommendation of
a magistrate judge, the district court must review de novo those portions of
the report to which objections are made. 28 U.S.C. §636(b)(1); Brown v.
Astrue, 649 F.3d 193, 195 (3d Cir. 2011). Although the standard is de novo,
the extent of review is committed to the sound discretion of the district judge,
and the court may rely on the recommendations of the magistrate judge to the
extent it deems proper. Rieder v. Apfel, 115 F.Supp.2d 496, 499 (M.D.Pa.
2000) (citing United States v. Raddatz, 447 U.S. 667, 676 (1980)).
For those sections of the report and recommendation to which no
objection is made, the court should, as a matter of good practice, “satisfy itself
that there is no clear error on the face of the record in order to accept the
recommendation.” Fed. R. Civ. P. 72(b), advisory committee notes; see also
Univac Dental Co. v. Dentsply Intern., Inc., 702 F.Supp.2d 465, 469 (M.D.Pa.
2010) (citing Henderson v. Carlson, 812 F.2d 874, 878 (3d Cir. 1987)
(explaining judges should give some review to every report and
report, (Doc. 16), and since plaintiff did not object to it, the court will not
repeat it herein.
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recommendation)). Nevertheless, whether timely objections are made or not,
the district court may accept, not accept, or modify, in whole or in part, the
findings or recommendations made by the magistrate judge. 28 U.S.C.
§636(b)(1); Local Rule 72.31.
When reviewing the denial of disability benefits, the court must
determine whether the denial is supported by substantial evidence. Brown v.
Bowen, 845 F.2d 1211, 1213 (3d Cir. 1988); Johnson v. Commissioner of
Social Sec., 529 F.3d 198, 200 (3d Cir. 2008). Substantial evidence “does not
mean a large or considerable amount of evidence, but rather such relevant
evidence as a reasonable mind might accept as adequate to support a
conclusion.” Pierce v. Underwood, 487 U.S. 552 (1988); Hartranft v. Apfel,
181 F.3d 358, 360. (3d Cir. 1999), Johnson, 529 F.3d at 200. It is less than
a preponderance of the evidence but more than a mere scintilla. Richardson
v. Perales, 402 U.S. 389, 401 (1971). Furthermore, in determining if the ALJ's
decision is supported by substantial evidence the court may not parse the
record but rather must scrutinize the record as a whole. Smith v. Califano, 637
F.2d 968, 970 (3d Cir. 1981).
To receive disability benefits, the plaintiff must demonstrate an “inability
to engage in any substantial gainful activity by reason of any medically
determinable physical or mental impairment which can be expected to result
in death or which has lasted or can be expected to last for a continuous
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period of not less than 12 months.” 42 U.S.C. §432(d)(1)(A). Furthermore,
[a]n individual shall be determined to be under a disability only if
[her] physical or mental impairment or impairments are of such
severity that [she] is not only unable to do [her] previous work but
cannot, considering [her] age, education, and work experience,
engage in any other kind of substantial gainful work which exists
in the national economy, regardless of whether such work exists
in the immediate area in which [she] lives, or whether a specific
job vacancy exists for [her], or whether [she] would be hired if
[she] applied for work. For purposes of the preceding sentence
(with respect to any individual), ‘work which exists in the national
economy’ means work which exists in significant numbers either
in the region where such individual lives or in several regions of
the country.
42 U.S.C. §423(d)(2)(A).
II.
RELEVANT MEDICAL EVIDENCE
Judge Saporito’s report and recommendation (“R&R”), (Doc. 16, pp. 2-
8), as well as the initial briefs of the parties, (Doc. 13, Doc. 14), contain a
thorough review of the plaintiff’s medical history. The plaintiff did not file any
objections to Judge Saporito’s factual determinations regarding her medical
history, so they will be adopted. See Butterfield v. Astrue, 2010 WL 4027768,
*3 (E.D.Pa. Oct. 14, 2010) (“To obtain de novo determination of a magistrate
[judge’s] findings by a district court, 28 U.S.C. §636(b)(1) requires both timely
and specific objections to the report.”) (quoting Goney v. Clark, 749 F.2d 5,
6 (3d Cir.1984)). The court will restrict its discussion below to the relevant
4
medical background as it pertains to the plaintiff’s objections. Also, since the
five-step legal framework for addressing a disability claim was properly stated
in the R&R, (Doc. 16 at 11-12), and the findings of the ALJ at each step is in
the record, (Doc. 10-2, at 21-29), the court incorporates by reference these
portions of the R&R and the ALJ’s decision.
III.
DISCUSSION
The plaintiff raises two objections to the R&R claiming that Judge
Saporito erred in his report with respect to his following findings about the
Administrative Law Judge (“ALJ”): (1) the judge erred in finding that the ALJ’s
error at step two was harmless and, erred by “supplying his own reasoning to
support the ALJ’s decision rather than relying upon the ALJ’s decision itself”;
and (2) the judge erred in finding that the ALJ properly evaluated the opinions
of Dr. Vegari and Dr. Shipkin. Specifically, plaintiff claims that Judge Saporito
erred regarding the stated doctors’ opinions by: a) “failing to analyze or
address [her] argument regarding Dr. Vegari’s opinion that [she] is limited to
lifting five pounds”; b. “finding that Dr. Vegari’s opinion regarding [her]
concentration limitations was accounted for by limiting [her] to ‘simple, routine,
repetitive tasks’” since she states that “the ability to perform simple tasks is
distinct from the ability to stay on task”; and c. “finding the ALJ[ ] properly
analyzed Dr. Shipkin’s opinion.” (Doc. 17, p. 2).
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The court will now discuss plaintiff’s objections to the R&R.
At step two, the ALJ is required to find whether plaintiff has a severe
medically determinable impairment or a combination of impairments that is
severe. The ALJ found that plaintiff had the following severe impairments:
degenerative disc disease of the cervical thoracic and lumbar spine, carpal
tunnel syndrome, reflex sympathetic dystrophy of the lower extremities,
sacroilitis, knee disorder, major depressive disorder, obesity and ankle/foot
joint disorder. (Doc. 10-2, p. 21). The ALJ also found that plaintiff was
diagnosed with a history of migraine headaches and hypertension but that
they did not cause any functional limitations and were non-severe. The ALJ
then found that plaintiff did not have an impairment or combination of
impairments that met or medically equaled the severity of a listed impairment.
Plaintiff argues that Judge Saporito erred in evaluating her contention
regarding the ALJ’s alleged step two errors since she showed that the ALJ
failed to consider her impairments of Guyon’s tunnel syndrome and brachial
plexus lesions at this step and how they related to her RFC assessment. In
particular, plaintiff states that Judge Saporito erred by concluding that any
step two errors by the ALJ were harmless since her claim was not denied at
step two, by failing to consider her reliance upon Awad v. Colvin, Civ. A. No.
3:14-CV-1054, (M.D.Pa. April 21, 2015), a case in which the court remanded
plaintiff’s case to the Commissioner due to the ALJ’s failure to properly
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evaluate all impairments at step two, and by supplying his own reasoning for
the failure of the ALJ to include limitations related to her Guyon’s tunnel
syndrome and brachial plexus lesions rather than relying upon the ALJ’s
decision itself. (Doc. 17, pp. 3-4).
Judge Saporito found, (Doc. 16, p. 17), as follows:
In his decision, the ALJ properly accorded “significant” weight to
all of Snyder’s impairments including her alleged Guyon’s tunnel
syndrome and brachial plexus lesions. The ALJ reviewed the
records of Dr. Feinstein where he concluded that Dr. Vegari’s
diagnosis of “brachial plexus lesions” were unbelievable and that
there was absolutely nothing to confirm any evidence of carpel
tunnel syndrome (CTS), or canal of guyon, ulnar nerve irritation
at the wrist (Tr. 601). The ALJ considered the diagnosis stemming
from these two impairments in making his decision, failure to list
them at step two is harmless. Salles, 229 Fed. Appx. at 145.
Limitations from Guyon’s tunnel syndrome and brachial plexus
lesions are similar to those of CTS, involving pain, numbness, and
tingling in the wrists and hands. The ALJ properly assessed
Snyder’s alleged limitations relating to CTS in developing the
residual functional capacity, and he properly took the symptoms
of Guyon’s tunnel and brachial lesions into consideration.
Substantial evidence supports the ALJ’s decision.
With respect to the ALJ’s finding that plaintiff’s concussion/headaches
were not severe impairments, Judge Saporito found that “[w]hile the record
shows that Snyder complained of frequent headaches and light sensitivity in
2012 (Tr. 337, 352), there is no evidence that shows any evidence of
functional deficit.” (Id. at 18). Judge Saporito also found that any failure of the
ALJ to find plaintiff’s headaches were severe at step two was harmless since
the ALJ found in favor of plaintiff at step two when he found she had several
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severe impairments” and since there was no likelihood that further review of
this issue, i.e., the alleged erroneous conclusion that plaintiff’s migraines were
non-severe, could change the outcome in this case. Judge Saporito cited to
Salles v. Comm’r of Soc. Sec., 229 Fed. Appx. 140, 145 n.2 (3d Cir. 2007),
and indicated that Salles held that “[b]ecause the ALJ found in Salles favor at
step two, even if he erroneously concluded that some of her impairments
were non-severe, any error was harmless.” He also cited to 20 C.F.R.
§416.945(a)(2)(“We will consider all of your medically determinable
impairments of which we are aware, including your medically determinable
impairments which are not ‘severe,’ . . . when we assess your residual
functional capacity”.). (Id.).
“At step two of the sequential analysis, an individual seeking benefits
under the Act bears the burden of proving that he suffers from ‘a medically
severe impairment or combination of impairments.’” Alvarado v. Colvin, 147
F.Supp.3d 297, 310 E.D.Pa. 2015) (citation omitted). “An impairment is
‘severe’ when it is ‘of a magnitude sufficient to limit significantly the
individual's ‘physical or mental ability to do basic work activities.’” Id. at 310-11
(citation omitted). “An impairment is not severe if it does not significantly limit
or has only a minimal effect on a claimant’s physical or mental ability to do
basic work activities.” Id. at 311 (citation omitted).
Based on the record, the ALJ did not err in step two and properly
8
considered plaintiff’s Guyon’s tunnel syndrome and brachial plexus lesions.
As defendant states, (Doc. 18, at 4), “[t]here is simply no support in the record
evidence suggesting that Plaintiff’s Guyon’s tunnel syndrome and brachial
plexus lesions impaired her ability to work.” Also, as defendant points out,
(Id.), both the ALJ and Judge Saporito thoroughly discussed plaintiff’s
Guyon’s tunnel syndrome and brachial plexus lesions conditions. In fact, after
plaintiff was examined by Peter A. Feinstein, M.D., he opined that Dr. Vegari’s
diagnosis of brachial plexus lesions was “truly unbelievable”, (Tr. 596), and
that there was “absolutely nothing to confirm any evidence of . . . Canal of
Guyon ulnar nerve irritation at the [plaintiff’s] wrist.” He also opined that there
was “absolutely nothing to confirm evidence of brachial plexopathy, and to
assert that is one of the [plaintiff’s] diagnoses is patently ludicrous.” (Tr.
601-02).3
The ALJ discussed plaintiff’s medical tests, including her EMG’s of her
upper extremities, and stated that they showed plaintiff had “left ulnar
peripheral neuropathy consistent with Guyon’s tunnel syndrome. (Doc. 10-2,
at 25). The ALJ also stated that in October 2013 Dr. Vegari assessed her with
degenerative disc disease of her spine as well as other conditions, including
brachial plexus lesions. The ALJ then considered these findings based on the
medical opinions in the record. (Id., at 26-27). Judge Saporito found that the
3
“TR.” refers to the SSA transcript found at Doc. 10.
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ALJ “properly took [plaintiff’s] symptoms of Guyon’s tunnel syndrome and
brachial lesions into consideration.” (Doc. 16, at 17). In light of the record and
the above case law, the court also finds that the ALJ properly considered
plaintiff’s Guyon’s tunnel syndrome and brachial plexus lesions.
Additionally, as the court in Alvarado, 147 F.Supp.3d at 311, explained:
The step two inquiry is a de minimis screening device used to
dispose of groundless claims. Bowen v. Yuckert, 482 U.S. 137,
107 S.Ct. 2287, 96 L.Ed.2d 119 (1987). Additionally, the analysis
at step two is wholly independent of the analysis at later steps.
Accordingly, not finding certain impairments severe at step two
does not affect the ultimate disability determination. Where an
ALJ finds in a claimant’s favor at step two, “even if he ...
erroneously concluded that some of [the claimant’s] other
impairments were non-severe, any error [is] harmless.” Salles v.
Comm'r of Soc. Sec., 229 Fed. Appx. 140, 145 n. 2 (3d Cir.
2007).
Further, under the regulations, in assessing a claimant’s RFC prior to
step four, the ALJ considers the symptoms of all medically determinable
impairments, whether they are found severe or non-severe at step two. See
20 C.F.R. §404.1545.
Thus, as Judge Saporito found, even if the ALJ failed to specifically list
plaintiff’s Guyon’s tunnel syndrome and brachial plexus lesions at step two,
importantly, “[t]he ALJ considered the diagnosis stemming from these two
impairments in making his decision.” (Doc. 16, at 17). Judge Saporito also
found that any error was harmless because the ALJ did not deny plaintiff
benefits at step two of the sequential evaluation process. This court finds that
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the Salles case is more persuasive with respect to the instant case than the
Awad case, 2015 WL 1811692 (M.D.Pa. Apr. 21, 2015), on which plaintiff
relies. As the defendant indicates, (Doc. 18, at 5-6), the Awad case is
distinguishable from the instant case since the Awad “decision focused on an
ALJ’s failure to ‘acknowledge or discuss numerous diagnoses’, 2015 WL
1811692, at *16,” and “[t]hat is not the case here, where the ALJ twice
discussed Guyon’s tunnel syndrome (Tr. 24, citing Ex. 8F at 74, 11F at 12,
87), and discussed Plaintiff’s brachial plexus lesions multiple times (Tr. 24,
25, citing Ex. 8F at 4, 52, Ex. 11F at 3; Tr. 335, 383, 462).” The court finds
that the present case is similar to Rutherford v. Barnhart, 399 F.3d 546, 553
(3d Cir. 2005), where the Third Circuit found it harmless error when ALJ only
indirectly considered claimant’s obesity since it would not affect the outcome
of the case and the record indicated that the ALJ relied on claimant’s medical
evidence to support his findings regarding claimant’s limitations and
impairments. See also Wells v. Acting Commissioner of Social Security, 2016
WL 6824369235, *4 (D.N.J. Nov. 18, 2016) (court found that failure of ALJ to
include plaintiff’s cervical radiculopathy and left knee post-traumatic arthritis
as severe impediments was harmless error because the ALJ allowed plaintiff's
claim to proceed past step two and the ALJ considered these two conditions
in making the RFC determination.).
No doubt that the ALJ must “consider all ... medical determinable
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impairments ... including [those] that are not ‘severe’” when he assessed
plaintiff’s RFC. See 20 C.F.R. §404.1545(a)(2); SSR 96-8p. As discussed, the
ALJ’s decision repeatedly referenced plaintiff’s diagnoses Guyon’s tunnel
syndrome and brachial plexus lesions. Thus, the Court finds that the ALJ did
properly consider plaintiff’s Guyon’s tunnel syndrome and brachial plexus
lesions in making his RFC determination and he explained the basis for his
conclusions as required. See Fargnoli v. Massanari, 247 F.3d 34, 42 (3d Cir.
2001) (the ALJ is required to “consider and evaluate the [relevant] medical
evidence in the record” and, to discuss and weigh this evidence).
Moreover, the plaintiff states that “the R&R supplies its own reasoning
for [the ALJ’s failure] to include limitations related to Guyon’s tunnel syndrome
and brachial plexus lesions rather than relying upon the ALJ’s decision itself
in violation of the Chenery Doctrine.” (Doc. 17, at 5) (citing SEC v. Chenery
Corporation, 318 U.S. 80 (1943). Judge Saporito stated that the ALJ
considered the plaintiff’s diagnosis related to Guyon’s tunnel syndrome and
brachial plexus lesions and that limitations from these two conditions were
“similar to those of CTS [carpal tunnel syndrome], involving pain, numbness,
and tingling in the wrists and hands.” (Doc. 16, at 17). Plaintiff states that
since the ALJ did not make the analysis which Judge Saporito did, namely,
“comparing the functional limitations of Guyon’s tunnel and brachial plexus
lesions to that of carpal tunnel syndrome”, “the court may not undertake such
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an analysis now.” (Doc. 17, at 6). She then states that the ALJ failed to
discuss or consider the two impairments and failed to include functional
limitations from these impairments.
It is clear that the court cannot rectify the failure of an ALJ to consider
all of the relevant and probative evidence “by relying on medical records found
in its own independent analysis, and which were not mentioned by the ALJ.”
Fargnoli, 247 F.3d at 44 n. 7 (citing Securities & Exchange Commission v.
Chenery Corp., 332 U.S. 194, 67 S.Ct. 1575, 91 L.Ed. 1995 (1947)); Marbury
v. Astrue, 2010 WL 3220039, *6 (W.D.Pa. August 12, 2010) (“the agency's
decision cannot be affirmed on a ground other than that actually relied upon
by the agency in making its decision.”). The court must limit its consideration
to what is plain in “the four corners of the ALJ’s decision.” Marbury v. Astrue,
2010 WL 3220039, *6.
As analyzed above, the court finds that the ALJ did thoroughly discuss
plaintiff’s Guyon’s tunnel and brachial plexus lesions impairments, (Doc. 10-2,
at 24-26), and, did consider them when deciding her functional limitations
regarding all of her impairments. Judge Saporito found that the ALJ assessed
plaintiff’s symptoms from Guyon’s tunnel and brachial plexus lesions and
considered them in formulating her RFC and, that the ALJ’s reasoning
regarding the plaintiff’s limitations from all of her conditions can be discerned
from his decision.
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As such, plaintiff’s first objection to Judge Saporito’s report will be
overruled.
Next, plaintiff contends that Judge Saporito erred by finding that the ALJ
properly evaluated the opinion evidence of two physicians, particularly, the
opinions of her neurologist Matt M. Vegari, M.D. that she is limited to lifting
five pounds and that she has trouble concentrating, as well as the opinion of
Paul M. Shipkin, M.D., a neurologist who performed an Independent Medical
Exam (“IME”) of plaintiff, that she was capable of at least full or part-time
sedentary work as opposed to light work which the ALJ found she could
perform. Plaintiff also contends that the ALJ failed to incorporate these
opinions into his RFC assessment.
With respect to Dr. Vegari’s opinions, plaintiff argues that the ALJ
should have given controlling weight to her doctor’s opinion that she could
only lift five pounds, and that Judge Saporito incorrectly concluded that her
concentration limitations found by Dr. Vegari were properly accounted for in
the ALJ’s Residual Functional Capacity (“RFC”) assessment.4
The ALJ thoroughly discussed plaintiff’s exams and treatment with Dr.
Vegari in his decision, (Doc. 10-2, at 24-26). The ALJ found that while Dr.
Vegari opined that plaintiff was disabled and limited to lifting, pushing and
4
Since the ALJ’s RFC finding is found at Doc. 10-2, at 23, as well as
Judge Saporito’s report, (Doc. 16, at 13-14), it shall not be repeated herein.
14
pulling up to five pounds, he gave “little to no weight to this opinion since
there is no functional assessment or other credible basis with which to
support such significant limitations.” (Id., at 27).
The court finds that Judge Saporito properly held that there was
substantial evidence to support the ALJ’s evaluation of Dr. Vegari’s limitations
since there was no support for these limitations and there was ample
contradictory evidence in the record. Judge Saporito pointed out that both
Peter Feinstein, M.D., who performed an orthopedic IME of plaintiff, and
whose opinion was afforded great weight by the ALJ, and Dr. Shipkin
concluded that plaintiff was capable of work and that she could return to work.
(Doc. 16, at 19). Judge Saporito also noted that the ALJ relied upon the
opinion of Sharon A. Wander, M.D., a state agency physician, who found that
plaintiff had the RFC to perform work at the light exertional level with
limitations. (Id., at 21). Judge Saporito then concluded that Dr. Vegari “did not
evaluate the demands of [plaintiff’s] job even with limitations, but only opined
that she was ‘totally disabled’ after noting that she has had a series of cervical
and lumbar facet injections with improvement of pain and spasm.” (Id.).
Thus, Judge Saporito properly held that there was substantial evidence
to support the ALJ’s conclusion that there was“no credible basis” to support
Dr. Vegari’s limitations.
Plaintiff also claims that Judge Saporito erred by finding that the ALJ
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properly considered for Dr. Vegari’s opinion with respect to her concentration
limitations. However, as Judge Saporito noted, (Doc. 16, at 21), the ALJ
limited plaintiff’s RFC to “occupations requiring no more than simple, routine,
repetitive tasks, not performed in a fast-paced environment, involving only
simple, work-related decisions, and in general, relatively few work places
changes.” (Doc. 10-2, at 23). Judge Saporito then correctly concluded that the
ALJ’s RFC assessment “accounted for [plaintiff’s] concentration and
comprehension issues.” (Id.).
Further, the court does not find that Judge Saporito substituted his own
reasoning that the ALJ did not use as plaintiff suggests. (Doc. 17, at 11).
Plaintiff points out that during her worker’s compensation hearing, her counsel
asked Dr. Vegari if her medication would affect her ability to comprehend or
concentrate, (Tr. 243-44), and Dr. Vegari indicated that it would. However,
defendant states that Dr. Vegari “provided no discussion at all of how [plaintiff]
would be limited”, and that “[t]he ALJ specifically found that there was very
little in the record regarding Plaintiff’s alleged mental problems (Tr. 25).” (Doc.
18, at 9). The ALJ also relied upon the determination of the state agency
psychologist, Melissa Diorio, Psy.D., who found that plaintiff: “had no
restrictions in activities of daily living; no difficulties in maintaining social
functioning; mild difficulties in maintaining concentration, persistence, or pace;
and no episodes of decompensation.” (Doc. 10-2, at 27).
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Indeed, plaintiff has not referred to any other evidence which shows that
her comprehension and concentration limitations precluded her from working.
Further, the ultimate decision as to plaintiff‘s RFC is an administrative finding
for the ALJ to make. See Gunder v. Astrue, 2012 WL 511936, *15 (M.D. Pa.
Feb. 15, 2012) (“it is clear that an [ALJ] is responsible for making the ultimate
determination regarding [RFC] and disability and need not accept a
conclusory statement from a treating physician.”) (citation omitted). Thus,
plaintiff’s stated objection will be overruled.
Plaintiff also maintains that Judge Saporito erred in finding that the ALJ
properly evaluated Dr. Shipkin’s opinion that she could perform sedentary
work and not light work as the ALJ found she could perform. (Doc. 17, at
13-15). Plaintiff also contends that the ALJ did not properly apply Dr. Shipkin’s
opinion when assessing her RFC. Judge Saporito detailed the findings of Dr.
Shipkin based on his IME exam of plaintiff. (Doc. 16, at 21-22). He then found
that the ALJ’s RFC assessment, including plaintiff’s ability to perform light
work, was supported by substantial evidence. Judge Saporito clearly
evaluated Dr. Shipkin’s opinion when he reviewed the ALJ’s RFC
assessment. Defendant also points out that plaintiff fails to account for “Dr.
Shipkin’s opinion in which he concluded that Plaintiff was capable of work at
the medium exertional level (Tr. 615).” (Doc. 18, at 11, (Doc. 10-12, at 23).
As such, Judge Saporito correctly concluded the ALJ’s decision that
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plaintiff was capable of light work as well as his RFC assessment was
supported by substantial evidence. The court concurs with Judge Saporito
and finds that the ALJ properly considered the combined effect of all of
plaintiff’s impairments and symptoms. See Watson v. Astrue, 2012 WL
406374, *7 (E.D.Pa. Jan. 19, 2012) (“It is settled that the ‘Secretary shall
consider the combined effect of all of the individual’s impairments without
regard to whether any such impairment, if considered separately, would be of
such severity.’” (citing Bailey v. Sullivan, 885 F.2d 52, 59–61 (3d Cir.1989);
42 U.S.C. §423(d)(2)(B); 20 C.F.R. §§ 404.1523, 416.923; and Social Security
Ruling 96–8p (“In assessing RFC, the adjudicator must consider limitations
and restrictions imposed by all of an individual’s impairments, even those that
are not ‘severe.’”)).
Therefore, plaintiff’s objections, (Doc. 17), to Judge Saporito’s report,
(Doc. 16), will be overruled, and the report will be adopted in its entirety.
IV.
CONCLUSION
In light of the foregoing, Judge Saporito’s report and recommendation,
(Doc. 16), is ADOPTED, plaintiff’s objections, (Doc. 17), are OVERRULED,
and plaintiff’s appeal, (Doc. 1), is DENIED. A separate order shall issue.
s/ Malachy E. Mannion
MALACHY E. MANNION
United States District Judge
Dated: September 18, 2017
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