HONHART v. ASTRUE
Filing
12
ORDER denying 8 Motion for Summary Judgment; granting 10 Motion for Summary Judgment. Signed by Judge Donetta W. Ambrose on 9/24/13. (hmg)
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF PENNSYLVANIA
DONALD HONHART, JR.,
Plaintiff,
v.
CAROLYN W. COLVIN,
Commissioner of Social Security,
Defendant.
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Civil Action No. 12-146
Judge Donetta W. Ambrose
MEMORANDUM OPINION
September 24, 2013
I.
INTRODUCTION
Donald Honhart, Jr., (“Plaintiff”) brings this action pursuant to 42 U.S.C. § 405(g),
seeking review of the final determination of the Commissioner of Social Security (“Defendant”
or “Commissioner”) denying his application for Disability Insurance Benefits (“DIB”) and
Supplemental Security Income (“SSI”) under Titles II and XVI of the Social Security Act, 42
U.S.C. §§ 401 – 433, 1381 – 1383f (“Act”). This matter comes before the Court on cross
motions for summary judgment. (ECF Nos. 8, 10). The record has been developed at the
administrative level. For the following reasons, Plaintiff’s Motion for Summary Judgment is
DENIED, and Defendant’s Motion for Summary Judgment is GRANTED.
II.
PROCEDURAL HISTORY
Plaintiff applied for DIB and SSI on January 22, 2008, claiming a disability onset of June
1, 2004. (R. at 173 – 79, 186).1 He claimed that his inability to work full-time allegedly
stemmed from: “epilepsy,” “seizure disorder,” “no testicles,” “anxiety,” and “depression.” (R. at
191). Plaintiff was initially denied benefits on July 24, 2008. (R. at 88 – 97). Per the request of
Plaintiff, an administrative hearing was held on November 4, 2010. (R. at 29 – 83). Plaintiff
testified, represented by counsel, and a neutral vocational expert also testified. (R. at 29 – 83).
In a decision dated January 18, 2011, the ALJ denied Plaintiff the benefits sought. (R. at 17 –
28). Plaintiff filed a request for review of the ALJ’s decision by the Appeals Council, but this
request was denied on May 2, 2012, thereby making the decision of the ALJ the final decision of
the Commissioner. (R. at 1 – 5).
Plaintiff filed his Complaint in this Court on June 28, 2012. (ECF No. 2). Defendant
filed an Answer on October 5, 2012. (ECF No. 5). Cross motions for summary judgment
followed. (ECF Nos. 8, 10). The matter has been fully briefed, and is ripe for disposition.
III.
STATEMENT OF FACTS
A. General Background
Plaintiff was born on March 15, 1969, was thirty eight years of age at the time of his
application for benefits, and forty one years of age at the time of the ALJ’s decision. (R. at 35).
Plaintiff completed the twelfth grade, but had no vocational or post-secondary education. (R. at
197).
He spent most of his career working as an automobile mechanic, but also worked as a
“tree cutter” for an excavation business, and as a “strobe light repairman” for an electric
company. (R. at 192). Plaintiff lived independently in his father’s house. (R. at 35). He was
single, and had no children. (R. at 35, 37). He maintained a driver’s license, and had his own
1
Citations to ECF Nos. 6 – 6-17, the Record, hereinafter, “R. at __.”
2
vehicle. (R. at 37 – 38). Plaintiff subsisted on cash assistance and food stamps, and received
medical benefits through the state. (R. at 41, 190).
B. Treatment History2
As far back as March 2004, Plaintiff had complained of pain in the area of his left groin.
(R. at 250). A left inguinal hernia was discovered and surgically repaired in May 2004. (R. at
251). Shortly thereafter, Plaintiff complained of new, and more intense, pain in the region of his
left epididymis. (R. at 251). Plaintiff’s treating surgeon, David Godfrey, M.D., could not
pinpoint a cause. (R. at 251, 254). Plaintiff was considered to be an “unusual patient.” (R. at
278). The left epididymis was subsequently removed on January 14, 2004, but only because of
Plaintiff’s persistent complaints. (R. at 254, 260, 262 – 63). Plaintiff was suspected to have a
low pain threshold. (R. at 252). Improvement in Plaintiff’s alleged pain was noted by August
2004. (R. at 255).
However, by September 2004, Plaintiff was again complaining of significant pain in the
area of his left testicle, and radiating into his groin. (R. at 279, 256). The etiology could not be
determined. (R. at 279). Due to the nature of Plaintiff’s complaints, a pain specialist and
another surgeon declined to treat Plaintiff. (R. at 256). Dr. Godfrey recommended removal of
the left testicle in an attempt to alleviate Plaintiff’s pain. (R. at 256, 280).
Plaintiff’s left testicle was removed by Dr. Godfrey on February 14, 2005. (R. at 258 –
59). Following the removal of his left testicle, Plaintiff reported to Dr. Godfrey in March 2005
that his pain had largely resolved. (R. at 257, 280). Plaintiff was “generally pleased with the
results of his surgery.” (R. at 257). However, in June 2005 Plaintiff reported to Dr. Godfrey that
he was experiencing persistent numbness in his left leg, and some muscle spasm. (R. at 281).
2
In his Motion for Summary Judgment, Plaintiff raises no objections to the ALJ’s conclusions regarding the
impact of mental impairments on Plaintiff’s ability to work. (ECF No. 9 at 10 – 14). As a result, discussion will be
limited to the facts on record which pertain to Plaintiff’s physical impairments.
3
There was no clear explanation, and physical examinations were normal. (R. at 281). Dr.
Godfrey referred Plaintiff to another physician for evaluation and treatment of his left leg
complaints. (R. at 281).
Plaintiff was seen by neurologist Patronio M. Llagan, M.D. on April 27, 2007 following a
head injury for which he had earlier sought emergency treatment. Dr. Llagan noted that Plaintiff
had a normal EEG and CT scan of the brain. (R. at 308 – 09, 311 – 12). Plaintiff was noted to
be a self-employed mechanic at that time.
(R. at 309).
A physical examination was
unremarkable, except for complaints of pain and stiffness in the back, neck, and shoulders. (R.
at 310). A motor examination revealed normal muscle tone, bulk, and strength, and no localizing
or lateralizing weakness. (R. at 310). Plaintiff was noted to have been non-compliant with
treatment recommendations following his visit to the emergency department. (R. at 310). Dr.
Llagan considered Plaintiff to be belligerent, and debated discharging Plaintiff from his care. (R.
at 310). No additional treatment notes from Dr. Llagan appear in the record.
An MRI of Plaintiff’s brain on August 15, 2007 revealed no abnormalities. (R. at 292).
That same day, an MRI and x-ray of Plaintiff’s right shoulder also demonstrated no abnormality.
(R. at 294, 433). An MRI of Plaintiff’s cervical spine on August 21, 2007 revealed slightly
bulging discs at the C3 – C5 levels of Plaintiff’s spine, but no other abnormalities. (R. at 293).
An x-ray of Plaintiff’s cervical spine showed degenerative joint disease at C3 – C5. (R. at 380).
An EEG of Plaintiff’s brain in January 2008 displayed intermittent sharp activity in the right
temporal region sometimes associated with seizure tendency. (R. at 424). A January 2008 x-ray
of Plaintiff’s right scapula was unremarkable. (R. at 428).
Plaintiff engaged in physical therapy for his cervical spine pain between June 27, 2008
and July 21, 2008. (R. at 595). His goals were to improve his functional mobility and range of
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motion, and to decrease his pain. (R. at 595). The physical therapists indicated that at the time
of discharge, Plaintiff had met all his treatment goals. (R. at 595).
Plaintiff again engaged in physical therapy for cervical spine pain and right shoulder
muscle strain between September 24, 2008 and October 15, 2008. (R. at 592). Plaintiff achieved
a fifty percent reduction in his symptoms. (R. at 592). Plaintiff made steady progress, but still
experienced limitation in his range of motion. (R. at 592). An MRI of Plaintiff’s cervical spine
on December 1, 2008 revealed minimal degenerative joint disease. (R. at 494). A lumbar spine
MRI that same day also revealed degenerative joint disease. (R. at 495).
Plaintiff engaged in physical therapy between January 28, 2009 and February 18, 2009
for his cervical spine pain. (R. at 565). Plaintiff reported a sixty percent decrease in his
symptoms. (R. at 565). Plaintiff stated that therapy was “definitely helping.” (R. at 565). He
saw improvements in all aspects of his active range of motion. (R. at 565). An MRI of
Plaintiff’s lumbar spine on July 28, 2009 demonstrated degenerative disc disease at the L4 – S1
levels of Plaintiff’s spine, and moderate left foraminal stenosis at the L5 – S1 level. (R. at 489).
Plaintiff again attempted treatment for his groin pain at a pain clinic on August 11, 2009.
(R. at 498 – 500). A physical examination showed normal reflexes and full muscle strength and
tone.
(R. at 499).
Plaintiff was diagnosed with lumbar radiculopathy, lumbar discogenic
disease, and left scrotal pain. (R. at 499). An epidural steroid injection was administered. (R. at
499). However, Plaintiff was referred back to his primary care physician in September 2009
after complaining that his pain worsened following the epidural steroid injection. (R. at 497 –
98).
An EMG performed on October 26, 2010, was normal. (R. at 638). There was no
evidence of neuropathy, radiculopathy, or plexopathy in Plaintiff’s bilateral lower extremities.
5
(R. at 638). A neuromuscular examination showed that Plaintiff also had full strength in his
bilateral lower extremities, with decreased sensation to light touch and pinprick. (R. at 637).
C. Functional Capacity Evaluations
On September 20, 2007, Martin Jacobs, M.D. completed an Employability ReAssessment Form. (R. at 282 – 83). In it, Dr. Jacobs indicated that Plaintiff was “permanently
disabled.” (R. at 283). He cited Plaintiff’s history of epilepsy and seizures as the only cause.
(R. at 283). This was only one month after Dr. Jacobs completed another assessment indicating
that Plaintiff was only “temporarily disabled.” (R. at 286). No narrative statement or objective
clinical findings accompanied either assessment.
On June 2, 2008, V. Rao Nadella, M.D. completed a physical evaluation of Plaintiff on
behalf of the Bureau of Disability Determination. (R. at 453 – 57). Dr. Nadella recorded
Plaintiff’s chief complaints to be seizures, generalized pain, and pain in the neck and back. (R.
at 453). Plaintiff reported to Dr. Nadella that he had not experienced a seizure in approximately
eight months with medication management. (R. at 454). Plaintiff complained of chronic neck
and back pain, particularly when standing, ambulating, and climbing stairs. (R. at 454). For
approximately three months prior to the examination, Plaintiff also claimed to experience pain
and burning in his lower legs and feet. (R. at 454). Plaintiff took Dilantin for his seizures and
Aleve for his pain. (R. at 454). He denied taking other medications. (R. at 454). Inspection of
Plaintiff’s back and joints showed no tenderness or swelling. (R. at 456). Movement was
generally within normal limits. (R. at 456). Plaintiff had normal reflexes and a normal sensory
system. (R. at 456). His motor power was at or near full strength in all extremities. (R. at 456).
Mentally, Plaintiff was clear, but somewhat depressed. (R. at 457).
On July 24, 2008, state agency evaluator Mary Ryczak, M.D. completed a Physical
6
Residual Functional Capacity Assessment (“RFC”) of Plaintiff. (R. at 458 – 63). Following a
review of the medical record, Dr. Ryczak determined that evidence supported finding
impairment in the way of seizure disorder, left inguinal hernia repair, and cervical degenerative
disc disease. (R. at 458). As a result, Dr. Ryczak opined that Plaintiff could occasionally lift and
carry fifty pounds, frequently lift and carry twenty five pounds, stand and walk approximately
six hours of an eight hour work day, sit approximately six hours, occasionally climb and balance,
and would need to avoid exposure to hazardous machinery and heights. (R. at 459 – 61). Dr.
Ryczak indicated that diagnostic testing and imaging provided relatively normal findings with
some mild abnormalities. (R. at 463). Plaintiff had not experienced a seizure since November of
2007. (R. at 463). While Plaintiff had significant complaints of pain and limitation, Dr. Ryczak
noted that there were substantial gaps in his treatment history. (R. at 463). Plaintiff was
considered to be only partially credible. (R. at 463).
On September 16, 2010, Fayyaz Qadir, M.D., and Bonnie Scanlan, C.R.N.P., completed a
medical Source Statement Regarding the Nature and Severity of an Individual’s Physical
Impairments. (R. at 633 – 35). In it, they indicated that Plaintiff could occasionally lift and
carry twenty pounds, and frequently lift and carry ten pounds. (R. at 633). Plaintiff could stand
and walk one hour of an eight hour work day, and could sit only four hours. (R. at 633 – 34).
Additionally, Plaintiff would have to change positions every thirty minutes, and would be offtask for four to eight minutes each time. (R. at 634). Plaintiff would experience limitation with
pushing and pulling in all extremities. (R. at 634). He could only occasionally climb, balance,
kneel, and crouch, and could never crawl or stoop. (R. at 634). Plaintiff could only do limited
overhead reaching. (R. at 634). Plaintiff would need to avoid temperature extremes, dust,
humidity/wetness, hazardous machinery and heights, and fumes, odors, chemicals, and gases.
7
(R. at 635). Plaintiff was also believed to be likely to call off work three times per week, and
would need four to eight breaks in excess of five to ten minutes each work day. (R. at 635). No
narrative statement accompanied the findings.
D. Administrative Hearing
In response to questioning by the ALJ, Plaintiff testified that he had not sought full-time
work since his alleged disability onset date, but had taken on some part-time work. (R. at 42).
Plaintiff explained that he was primarily treated by nurse practitioner Scanlan, who was
employed by Dr. Qadir. (R. at 45). He had never met Dr. Qadir. (R. at 45). He noted that he
had also been seen by specialists for his other physical issues. (R. at 45).
Plaintiff stated that the most significant barrier to re-entering the workforce was constant
numbness in his left leg, and shooting pain when he was sitting or standing. (R. at 43). Plaintiff
also complained of similar, chronic pain in his left lower back, and cramping in his toes. (R. at
43, 48). He said that his back had been painful for over one year, but his leg had been bothering
him for only five or six months. (R. at 43). Activity worsened his pain. (R. at 49). His average
pain level was 7/10. (R. at 49).
Plaintiff’s next greatest barrier was his neck and shoulder pain.
(R. at 50 – 51).
Following an accident during which he fell and hit his head off of a concrete floor, Plaintiff had
neck and shoulder pain, and seizures.
(R. at 51). Plaintiff’s seizures were controlled on
medication, however. (R. at 51). Plaintiff testified that he was currently involved in physical
therapy for his pain, but that he had difficulty lifting his right arm. (R. at 51). He also could not
reach behind his back with his right arm. (R. at 52). He said that tests had found a torn muscle
in his shoulder. (R. at 52). In the past, physical therapy had provided only temporary relief from
his symptoms. (R. at 52). Plaintiff had not been taking any medication for his neck and shoulder
8
pain. (R. at 53).
Lastly, Plaintiff claimed that left-sided groin pain made it very painful for him to walk.
(R. at 53 – 54). He claimed that he experienced “phantom pain,” as a result of the removal of his
left testicle, as well as pain from a pinched nerve following his hernia surgery. (R. at 53). He
claimed that there was no way to alleviate this pain. (R. at 53). Plaintiff also incidentally
mentioned that he suffered from migraine headaches since his fall. (R. at 56 – 57).
Plaintiff testified that on a typical day he would clean his apartment and prepare his
meals. (R. at 59). His aunt washed his laundry because he did not have laundry machines. (R.
at 59). Plaintiff’s friend did his grocery shopping because he did not often leave his house. (R.
at 60). Plaintiff was capable of independent self-care. (R. at 61). Plaintiff would lie down two
or three times per day for at least half an hour to relieve pain. (R. at 70).
Following Plaintiff’s testimony, the ALJ asked the vocational expert whether a
hypothetical person of Plaintiff’s age, educational level, work background, and vocational profile
would be eligible for a significant number of jobs in the national economy if limited to sitting for
thirty minutes at a time, standing for ten to fifteen minutes at a time, and walking less than one
block, without the ability to sit and stand alternately throughout an eight hour work day. (R. at
76). The vocational expert responded that no jobs would be available to such a person. (R. at
77). The ALJ then asked whether a hypothetical person of Plaintiff’s age, educational level, and
work background would be eligible for jobs if limited to work involving lifting no more than
twenty pounds occasionally and ten pounds frequently, no hazardous heights or motorized
vehicles, simple, repetitive, and routine activities in a low-stress, low-contact work environment,
and no exposure to unventilated work areas with high concentrations of dust, fumes, gases, and
vapors. (R. at 77).
9
The vocational expert replied that such a person would be capable of light exertional
work performing “light cleaning,” or “housekeeping work,” with 1,103,336 such positions
available in the national economy, or “operating of plastic molding machines,” with 33,392
positions available, or working as a “mailroom clerk,” with 89,146 positions available. (R. at 78
– 79). The vocational expert was then asked to explain whether jobs would be available if the
hypothetical person had marked limitation in concentration, persistence, and pace. (R. at 80).
The vocational expert said that no jobs would be available to such a person. (R. at 80). Next, the
vocational expert was asked whether jobs would be available if the hypothetical person had
marked limitation maintaining normal work schedules and attendance.
(R. at 80).
The
vocational expert stated that no jobs would be available. (R. at 81).
IV.
STANDARD OF REVIEW
To be eligible for social security benefits under the Act, a claimant must demonstrate to
the Commissioner that he or she cannot engage in substantial gainful activity because of a
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 period of at least twelve months.
42 U.S.C. §423(d)(1)(A); Brewster v. Heckler, 786 F. 2d 581, 583 (3d Cir. 1986). When
reviewing a claim, the Commissioner must utilize a five-step sequential analysis to evaluate
whether a claimant has met the requirements for disability. 20 C.F.R. §§ 404.1520, 416.920.
The Commissioner must determine: (1) whether the claimant is currently engaged in
substantial gainful activity; (2) if not, whether the claimant has a severe impairment or a
combination of impairments that is severe; (3) whether the medical evidence of the claimant’s
impairment or combination of impairments meets or equals the criteria listed in 20 C.F.R., Pt.
404, Subpt. P, App’x 1; (4) whether the claimant’s impairments prevent him from performing his
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past relevant work; and (5) if the claimant is incapable of performing his past relevant work,
whether he can perform any other work which exists in the national economy. 20 C.F.R. §§
404.1520(a)(4), 416.920(a)(4); see Barnhart v. Thomas, 540 U.S. 20, 24 – 25 (2003). If the
claimant is determined to be unable to resume previous employment, the burden shifts to the
Commissioner (Step 5) to prove that, given claimant’s mental or physical limitations, age,
education, and work experience, he or she is able to perform substantial gainful activity in jobs
available in the national economy. Doak v. Heckler, 790 F. 2d 26, 28 (3d Cir. 1986).
Judicial review of the Commissioner’s final decisions on disability claims is provided by
statute, and is plenary as to all legal issues. 42 U.S.C. §§ 405(g)3, 1383(c)(3)4; Schaudeck v.
Comm’r of Soc. Sec., 181 F. 3d 429, 431 (3d Cir. 1999). Section 405(g) permits a district court
to review the transcripts and records upon which a determination of the Commissioner is based;
the court will review the record as a whole. See 5 U.S.C. §706. The district court must then
determine whether substantial evidence existed in the record to support the Commissioner’s
findings of fact. Burns v. Barnhart, 312 F. 3d 113, 118 (3d Cir. 2002).
Substantial evidence is defined as “more than a mere scintilla. It means such relevant
evidence as a reasonable mind might accept as adequate” to support a conclusion. Ventura v.
3
Section 405(g) provides in pertinent part:
Any individual, after any final decision of the [Commissioner] made after a hearing to which he
was a party, irrespective of the amount in controversy, may obtain a review of such decision by a
civil action ... brought in the district court of the United States for the judicial district in which the
plaintiff resides, or has his principal place of business
42 U.S.C. § 405(g).
4
Section 1383(c)(3) provides in pertinent part:
The final determination of the Commissioner of Social Security after a hearing under paragraph
(1) shall be subject to judicial review as provided in section 405(g) of this title to the same extent
as the Commissioner's final determinations under section 405 of this title.
42 U.S.C. § 1383(c)(3).
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Shalala, 55 F. 3d 900, 901 (3d Cir. 1995) (quoting Richardson v. Perales, 402 U.S. 389, 401
(1971)). If the Commissioner’s findings of fact are supported by substantial evidence, they are
conclusive. 42 U.S.C. § 405(g); Richardson, 402 U.S. at 390. When considering a case, a
district court cannot conduct a de novo review of the Commissioner’s decision nor re-weigh the
evidence of record; the court can only judge the propriety of the decision in reference to the
grounds invoked by the Commissioner when the decision was rendered. Palmer v. Apfel, 995 F.
Supp. 549, 552 (E.D. Pa. 1998); S.E.C. v. Chenery Corp., 332 U.S. 194, 196 – 97 (1947). The
court will not affirm a determination by substituting what it considers to be a proper basis.
Chenery, 332 U.S. at 196 – 97. Further, “even where this court acting de novo might have
reached a different conclusion . . . so long as the agency’s factfinding is supported by substantial
evidence, reviewing courts lack power to reverse either those findings or the reasonable
regulatory interpretations that an agency manifests in the course of making such findings.”
Monsour Medical Center v. Heckler, 806 F. 2d 1185, 1190 – 91 (3d. Cir. 1986).
V.
DISCUSSION
In his decision, the ALJ concluded that Plaintiff suffered the following medically
determinable severe impairments: a history of seizure disorder, anxiety/depression, groin pain
status post hernia surgery and testicle removal, and neck and back pain with evidence of
narrowing, stenosis, and degenerative changes. (R. at 22). As a result, the ALJ determined that
Plaintiff would be capable of only light work, with the following limitations: lifting no more than
twenty pounds occasionally and ten pounds frequently, no use of motorized vehicles, no work at
unprotected heights or in unventilated areas with high concentrations of dust, fumes, or vapors,
and no more than simple, repetitive, routine tasks performed in a low-contact, low-stress work
environment. (R. at 24). Based upon the testimony of the vocational expert, the ALJ found that
12
– even with the above functional limitations – Plaintiff was capable of engaging in a significant
number of jobs in existence in the national economy. (R. at 27 – 28). Plaintiff was, therefore,
denied DIB and SSI. (R. at 28).
Plaintiff objects to the decision of the ALJ, arguing that he erred in failing to accord the
disability assessment of Dr. Qadir and Ms. Scanlon greater weight, in favor of the opinions of a
consultative examiner and non-examining state agency evaluator. (ECF No. 9 at 11 – 14).
Defendant counters that the ALJ adequately supported his decision with substantial evidence
from the record, and should be affirmed. (ECF No. 11 at 10 – 15). The court agrees with
Defendant.
Plaintiff believes that the findings of Dr. Qadir and Ms. Scanlan, findings which – if
adopted – would have precluded Plaintiff from full-time work, should have been given great
weight by the ALJ. (ECF No. 9 at 11 – 14). He also claims that the ALJ’s reliance upon the
findings of a consultative examiner and non-examining state agency evaluator cannot constitute
substantial evidence, and is not adequate to overcome the findings of Dr. Qadir and Ms. Scanlan.
(Id.). It is long-established in this Circuit that a treating physician=s opinions may be entitled to
great weight – considered conclusive unless directly contradicted by evidence in a claimant=s
medical record – particularly where the physician=s findings are based upon “continuing
observation of the patient=s condition over a prolonged period of time.” Brownawell v. Comm’r
of Soc. Sec., 554 F. 3d 352, 355 (3d Cir. 2008) (quoting Morales v. Apfel, 225 F. 3d 310, 317 (3d
Cir. 2000)); Plummer v. Apfel, 186 F. 3d 422, 429 (3d Cir. 1999) (citing Rocco v. Heckler 826 F.
2d 1348, 1350 (3d Cir. 1987)). However, it has also been held that “the opinion of a treating
physician does not bind the ALJ on the issue of functional capacity.” Chandler v. Comm’r of
Soc. Sec., 667 F. 3d 356, 361 (quoting Brown v. Astrue, 649 F. 3d 193, 197 n. 2 (3d Cir. 2011)).
13
The determination of disabled status for the purpose of receiving benefits – a decision reserved
for the Commissioner, only – will not be affected by a medical source simply because it states
that a claimant is disabled or unable to work. Adorno v. Shalala, 40 F. 3d 43, 47 – 48 (3d Cir.
1994) (citing Wright v. Sullivan, 900 F. 2d 675, 683 (3d Cir. 1990)); 20 C.F.R. §§
404.1527(e)(2), 416.927(e)(2). A showing of contradictory evidence and an accompanying
explanation will allow an ALJ to reject a treating physician=s opinion outright, or accord it less
weight. Brownawell, 554 F. 3d at 355. Moreover, a medical opinion is not entitled to any
weight if unsupported by objective evidence in the medical record. Plummer, 186 F. 3d at 430
(citing Jones v. Sullivan, 954 F. 2d 125, 129 (3d Cir. 1991)).
Presently, the ALJ rejected Dr. Qadir and Ms. Scanlan’s findings for a number of
reasons. First, he cited to the examination findings of Dr. Nadella. (R. at 26). While Dr.
Nadella did not provide specific limitations findings, his observations upon physical examination
of Plaintiff did not support the kinds of limitations expressed by Dr. Qadir and Ms. Scanlan. (R.
at 25 – 26). Second, he cited to the specific limitations findings of Dr. Ryczak, indicating a far
lesser degree of impairment than indicated by Dr. Qadir and Ms. Scanlan. (R. at 26). Third, the
ALJ noted that Dr. Qadir had never personally examined Plaintiff. (R. at 26). Lastly, Plaintiff’s
own personal activities were not in accord with his claimed limitations, and those provided by
Dr. Qadir and Ms. Scanlan. (R. at 24 – 26). Plaintiff engaged in a full range of daily activities,
was capable of functioning independently, and was capable of engaging in part-time work. (R. at
25 – 26). Furthermore, diagnostic imaging studies and EEG and EMG testing yielded relatively
normal results, and few findings of mild or moderate abnormality. (R. at 24). This is adequate
to constitute substantial evidence.
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Plaintiff also claims that neither Dr. Nadella nor Dr. Ryczak was entitled to significant
consideration due to the lack of treatment history. Yet, the United States Court of Appeals for
the Third Circuit has held that “[s]tate agent opinions merit significant consideration,” because
“[s]tate agency medical and psychological consultants . . . are experts in the Social Security
disability programs.” Chandler, 667 F. 3d at 361 (citing Social Security Ruling 96-6p). As
such, both Dr. Nadella and Dr. Ryczak’s conclusions were given proper consideration, and the
ALJ’s reliance upon them was sufficiently justified.
VI.
CONCLUSION
Based upon the foregoing, the RFC assessment, hypothetical question, and ultimate
decision by the ALJ to deny benefits were adequately supported by substantial evidence from
Plaintiff’s record. Reversal or remand of the ALJ’s decision is not appropriate. Accordingly,
Plaintiff’s Motion for Summary Judgment is denied (ECF No. 8), Defendant’s Motion for
Summary Judgment is granted (ECF No. 10), and the decision of the ALJ is affirmed.
Appropriate Orders follow.
s/ Donetta W. Ambrose
Donetta W. Ambrose
Senior United States District Judge
cc/ecf: R. Christopher Brode, Esq.
Brode Law Firm
305 Walnut Street
Meadville, PA 16335
(814) 337-7883
Christine A. Sanner, Esq.
United States Attorney’s Office
17 South Park Row, Room A330
Erie, PA 16501
(814) 452-2906
15
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF PENNSYLVANIA
DONALD HONHART, JR.,
)
)
)
)
)
)
)
)
)
)
Plaintiff,
v.
CAROLYN W. COLVIN,
Commissioner of Social Security,
Defendant.
Civil Action No. 12-146
Judge Donetta W. Ambrose
ORDER OF COURT
AND NOW, this 24th day of September, 2013, in accordance with the foregoing
Memorandum Opinion,
IT IS HEREBY ORDERED that Plaintiff Donald Honhart, Jr.=s Motion for Summary
Judgment [8] is DENIED, Defendant Commissioner of Social Security=s Motion for Summary
Judgment [10] is GRANTED, and the decision of the Commissioner of Social Security is
AFFIRMED, pursuant to the fourth sentence of 42 U.S.C. ' 405(g).
s/ Donetta W. Ambrose
Donetta W. Ambrose
Senior United States District Judge
cc/ecf: R. Christopher Brode, Esq.
Brode Law Firm
305 Walnut Street
Meadville, PA 16335
(814) 337-7883
Christine A. Sanner, Esq.
United States Attorney’s Office
17 South Park Row, Room A330
Erie, PA 16501
(814) 452-2906
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