Best v. Commissioner of Social Security
ORDER adopting 20 Report and Recommendation and affirming the Commissioner's decision. Signed by Honorable David C Norton on March 3, 2017.(rweh, )
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF SOUTH CAROLINA
ROCK HILL DIVISION
STEPHANIE RITA BEST,
NANCY A. BERRYHILL, Acting
Commissioner of the Social Security
This matter is before the court on United States Magistrate Judge Paige J.
Gossett’s Report and Recommendation (“R&R”) that the court affirm Acting
Commissioner of Social Security Nancy A. Berryhill’s (the “Commissioner”)
decision denying Plaintiff Stephanie Rita Best’s (“Plaintiff”) application for disability
insurance benefits (“DIB”) and Supplemental Security Income (“SSI”). For the
reasons set forth below, the court adopts the R&R and affirms the Commissioner’s
Plaintiff filed for SSI and DIB on March 9, 2012, alleging that she became
disabled beginning June 1, 2011 because of rheumatoid arthritis, hypertension,
hypothyroidism, and anxiety. Tr. 147, 287–300. Plaintiff’s last date insured was
March 31, 2012. Tr. 98, 147. Her claims were denied initially on August 3, 2012,
and upon reconsideration on November 15, 2012. Tr. 98. At Plaintiff’s request, a
hearing was held before Administrative Law Judge Nicole S. Forbes-Schmitt (the
“ALJ”) on December 17, 2013, where Plaintiff and a vocational expert (“VE”)
testified. Tr. 113–44. On January 31, 2013, the ALJ issued a decision finding that
Plaintiff was not disabled under the Social Security Act. Tr. 95–107. Following the
Appeals Council’s denial of Plaintiff’s request for review, the ALJ’s decision became
the final decision of the Commissioner. Tr. 1–4. Plaintiff then initiated the present
appeal. ECF No. 1. On October 16, 2016, the magistrate judge issued the R&R
recommending that this court affirm the ALJ’s decision. ECF No. 20. Plaintiff filed
objections to the R&R on November 17, 2016, ECF No. 21, and the Commissioner
filed a reply on December 5, 2016. ECF No. 22.
Because Plaintiff’s medical history is not directly at issue here, the court
dispenses with a lengthy recitation thereof and only notes a few relevant facts.
Plaintiff was born July 13, 1963 and was forty-seven years old at the time of her
alleged disability onset date. Tr. 106. Prior to the ALJ’s decision, plaintiff reached
the age of 50, making her a person closely approaching advanced age. Id. She has an
eighth-grade education and past relevant work experience as a kennel cleaner, a
manager at a thrift store, and a manager and owner of a video store. Tr. 348.
Applying the five-step sequential analysis, the ALJ first noted that Plaintiff
had not engaged in substantial gainful activity since June 1, 2011, her disability
alleged onset date. Tr. 100. Second, the ALJ found that Plaintiff suffered from three
severe impairments: rheumatoid arthritis, fibromyalgia, and anxiety. Tr. 100–01.
The ALJ found that Plaintiff’s hyperthyroidism, hypertension, and left-hand injury
were not severe. Id. At the third step, the ALJ found that Plaintiff’s combination of
impairments did not meet the requirements of 20 C.F.R. Part 404, Subpart P,
Appendix 1. Tr. 101–02. Fourth, the ALJ found that Plaintiff had the residual
functional capacity (“RFC”) to perform light work. Tr. 102–06. The ALJ noted that
Plaintiff had postural, manipulative, and social limitations—specifically, she had the
ability to lift or carry twenty pounds occasionally and ten pounds frequently; stand or
walk for a total of six hours in an eight-hour workday; engage in simple, routine,
repetitive tasks in a work setting that did not require direct ongoing interaction with
the public; and occasionally climb, stoop, kneel, crouch, and crawl. Id. In making
this determination, the ALJ relied on treating rheumatologist Dr. Alan Nussbaum’s
(“Dr. Nussbaum”) observations that Plaintiff’s rheumatoid arthritis was so well
controlled by her medication regimen that her use of prednisone was discontinued.
Tr. 104. Likewise, the ALJ considered Plaintiff’s residual complaints of muscle pain
and its subsequent improvement with fibromyalgia medication. Id.
This court is charged with conducting a de novo review of any portion of the
magistrate judge’s R&R to which specific, written objections are made. 28 U.S.C.
§ 636(b)(1). A party’s failure to object is accepted as agreement with the conclusions
of the magistrate judge. See Thomas v. Arn, 474 U.S. 140, 149–50 (1985). The
recommendation of the magistrate judge carries no presumptive weight, and the
responsibility to make a final determination rests with this court. Mathews v. Weber,
423 U.S. 261, 270–71 (1976).
Judicial review of the Commissioner’s final decision regarding disability
benefits “is limited to determining whether the findings of the [Commissioner] are
supported by substantial evidence and whether the correct law was applied.” Hays v.
Sullivan, 907 F.2d 1453, 1456 (4th Cir. 1990). Substantial evidence is “more than a
mere scintilla of evidence but may be somewhat less than a preponderance.” Id.
(internal citations omitted). “[I]t is not within the province of a reviewing court to
determine the weight of the evidence, nor is it the court’s function to substitute its
judgment for that of the [Commissioner] if his decision is supported by substantial
evidence.” Id. Where conflicting evidence “allows reasonable minds to differ as to
whether a claimant is disabled, the responsibility for that decision falls on the [ALJ],”
not on the reviewing court. Craig v. Chater, 76 F.3d 585, 589 (4th Cir. 1996)
(internal citation omitted). However, “[a] factual finding by the ALJ is not binding if
it was reached by means of an improper standard or misapplication of the law.”
Coffman v. Bowen, 829 F.2d 514, 517 (4th Cir. 1987)
Though styled as a single objection challenging the evidentiary basis for the
ALJ’s decision, Plaintiff appears to lodge two objections against the R&R. Plaintiff’s
first objection, as best the court can tell,1 relates to the ALJ’s failure to explain the
weight it gave to certain “objective clinical evidence,” Pl.’s Obj. 3, while the second
This objection largely consists of an outline of the general principles
governing the ALJ’s analysis and the assertion that “[a]pplying these principles to the
present case, the law and facts below preclude affirmation of the ALJ’s findings
regarding the medical source opinions, impairment severity, and medical
equivalency.” Pl.’s Obj. 3.
takes issue with the magistrate judge’s finding that the ALJ properly evaluated
Plaintiff’s credibility regarding her subjective complaints of pain. Id. at 4.
Unspecific Objections Demand No Consideration
The court begins by noting that it is under no obligation to consider
conclusory objections or attempts to challenge the entirety of the R&R without
focusing the court’s attention on specific errors therein. Pursuant to 28 U.S.C.
§ 636(b)(1)(C), the court is required to “make a de novo determination of those
portions of the report . . . or recommendation to which [an] objection is made.”
“The statute does not on its face require any review at all . . . of any issue that is not
the subject of an objection.” Thomas, 474 U.S. 140, 149 (1985); see also United
States v. Midgette, 478 F.3d 616, 621 (4th Cir. 2007) (“Section 636(b)(1) does not
countenance a form of generalized objection to cover all issues addressed by the
magistrate judge; it contemplates that a party’s objection to a magistrate judge’s
report be specific and particularized . . . .”); Page v. Lee, 337 F.3d 411, 416 n.3 (4th
Cir. 2003) (“[P]etitioner’s failure to object to the magistrate judge’s recommendation
with the specificity required by the Rule is, standing alone, a sufficient basis upon
which to affirm the judgment of the district court.”). Requiring specific objections
permits the district court to “focus attention on those issues . . . that are at the heart of
the parties’ dispute.” Thomas, 474 U.S. at 148. A litigant who objects in vague or
general terms prevents the district court from focusing on specific issues for review,
rendering the initial reference to the magistrate judge useless and frustrating to the
purposes of the statute. Keeler v. Pea, 782 F. Supp. 42, 43 (D.S.C. 1992). Therefore,
general and conclusory arguments do not constitute “objections” under 28 U.S.C.
§ 636(b)(1). Cf. id., 782 F. Supp. at 43 (finding that a litigant who files “general or
conclusory objections” forfeits the right to de novo review under 28 U.S.C.
Plaintiff’s objections are of such a general nature that they merit no
consideration at all. Over the course of four pages, plaintiff provides a brief recitation
of the relevant factual and procedural history, sets forth the general rule that an ALJ’s
decision must be supported by substantial evidence, and then proceeds to list various
pieces of evidence found in the record. Pl.’s Objections 2–4. Plaintiff does not refer
the court to a specific portion of the R&R to which she objects. Though Plaintiff
apparently takes issue with “the ALJ’s findings regarding the medical source
opinions, impairment severity, and medical equivalency,” id. at 3, and the ALJ’s
evaluation of her credibility. Id. at 4. Plaintiff offers little explanation for why such
findings were deficient.2 Instead, she simply points out a hodgepodge of evidence
that supports her claim of debilitating limitations. However, the fact that there is
some evidence in the record which supports Plaintiff’s position is no reason to disturb
the ALJ’s findings. See Kober v. Apfel, 133 F. Supp. 2d 868, 873 (W.D. Va. 2001)
(“The Commissioner’s decision, ‘if supported by substantial evidence, must be
affirmed even though the reviewing court believes that substantial evidence also
supports a contrary result.’” (quoting Estep v. Richardson, 459 F.2d 1015, 1017 (4th
Cir. 1972))). In effect, Plaintiff’s objections task the court with reviewing the entire
Plaintiff references the ALJ’s findings on “impairment severity,” yet she
does not identify any particular impairment that the ALJ should have found to be
severe. Similarly, she takes issue with the ALJ’s findings on “medical equivalency,”
but does not identify any impairment listed in 20 C.F.R. Part 404, Subpart P,
Appendix 1 that she contends the ALJ should have applied.
record to identify the manner in which the highlighted evidence should have been
incorporated into the ALJ’s analysis. The court declines to undertake such a task.
The ALJ Offered a Sufficient Explanation of the “Objective
Even if the court were to consider Plaintiff’s objections, it would find that the
ALJ sufficiently explained her decision and did not err in failing to address the
various pieces of evidence Plaintiff highlights in her objections.
“An ALJ has a duty to explain the administrative decision so as to enable
meaningful judicial review.” Marquez v. Colvin, 2014 WL 1316113, at *3 (E.D.N.C.
Mar. 31, 2014). This requires the ALJ to “explain the weight  given to obviously
probative exhibits,” Gordon v. Schweiker, 725 F.2d 231, 236 (4th Cir. 1984) (internal
quotations omitted), but the ALJ “need not cite every piece of possibly relevant
evidence in the record.” Fridley v. Astrue, 2014 WL 2468821, at *6 (W.D. Va. June
Here, the ALJ explained her conclusion that Plaintiff’s rheumatoid arthritis
and fibromyalgia “are severe impairments, but not . . . disabling,” finding that many
of Plaintiff’s symptoms improved with treatment and pointing out notes in the
treatment records that undermined Plaintiff’s claims of widespread, persistent pain.
Tr. 103–04. Much of the “objective clinical evidence” Plaintiff highlights comes
from her initial visits to a general practitioner and orthopedic surgeon in mid- to late2011, before she received treatment from a rheumatologist. Pl.’s Objections 3
(discussing treatment records from Coastal Carolina Medical Center in June 2011 and
from orthopedic surgeon Dr. Ralph Salzer in November and December of 2011).
Assuming this evidence could be considered “obviously probative,” it is clear from
the ALJ’s decision why the ALJ did not rely on such evidence—Plaintiff’s pretreatment symptoms are not indicative of her post-treatment level of impairment.
Plaintiff also points to certain notes from her October 2012 and March 2013 visits to
her rheumatologist, Dr. Nussbaum. But the ALJ discussed the October 2012 visit,
making note of Dr. Nussbaum’s conclusion that Plaintiff’s rheumatoid arthritis was
under “fairly good control” and that her symptoms suggested a diagnosis of
fibromyalgia. Tr. 104. Significantly, the ALJ found that Plaintiff’s fibromyalgia pain
improved in December 2012. Id. The March 2013 notes simply disclose Plaintiff’s
symptoms of “clicking” in her left shoulder and parentesias in her left arm. The court
finds that this evidence is not so significant as to require explicit discussion by the
The ALJ Properly Evaluated Plaintiff’s Subjective Complaints of
Plaintiff also argues that the ALJ’s decision to discount her subjective
complaints of pain was unsupported by substantial evidence. Pl.’s Objections 3–4.
As the magistrate judge set forth in the R&R, credibility determinations are reserved
to the ALJ, and on review, the court is restricted only to determining whether the
ALJ’s finding is supported by substantial evidence and whether the ALJ applied the
correct legal standard. Craig, 76 F.3d at 589. The ALJ must employ a two-step
process when evaluating a claimant’s subjective complaints of pain.3 SSR 96-7P.
The court notes that SSR 96-7P was superseded by SSR 16-3P in March
2016 to remove references to the plaintiff’s “credibility.” SSR 16-3P. However, the
ALJ’s decision was issued well before SRR 16-3P, and Plaintiff’s objections speak in
terms of “credibility.” Pl.’s Objections 4. Therefore, the court analyzes Plaintiff’s
objections under SSR 96-7P. See Sullivan v. Colvin, 2017 WL 473925, at *3 (W.D.
Va. Feb. 3, 2017) (applying SRR 96-7P for similar reasons). In any event, “the
methodology required by both SSR 16-3P and SSR 96-7P, are quite similar. Under
First, the ALJ must determine whether there is objective medical evidence showing
the existence of a medical impairment which could be reasonably expected to produce
the alleged pain. Id. If such evidence exists, the ALJ “must evaluate the intensity,
persistence, and limiting effects of claimant’s symptoms.” Id. At the second step of
this process, “whenever the individual’s statements about the intensity, persistence, or
functionally limiting effects of pain or other symptoms are not substantiated by
objective medical evidence, the adjudicator must make a finding on the credibility of
the individual’s statements based on a consideration of the entire case record.” Id. If
the ALJ makes a negative credibility determination, she must explain her
reasoning. Id. (“The determination or decision must contain specific reasons for the
finding on credibility, supported by the evidence in the case record, and must be
sufficiently specific to make clear to the [claimant] and to any subsequent reviewers
the weight that the [ALJ] gave to the [claimant’s] statements and the reason for that
In her decision, the ALJ outlined the required two-step process and identified
specific reasons for her credibility finding that were supported by the record. Tr.
102–06. First, the ALJ found that Plaintiff’s severe impairments of rheumatoid
arthritis and fibromyalgia could reasonably produce Plaintiff’s claimed symptoms.
Tr. 103. Second, the ALJ found that Plaintiff’s statements about her pain were
exaggerated, noting specific inconsistencies in claimant’s hearing testimony and her
reports to physicians. Tr. 105. The ALJ also noted that the treatment notes were
inconsistent with “the level of dysfunction [Plaintiff] is alleging,” highlighting the
either, the ALJ is required to consider [the claimant’s] report of his own symptoms
against the backdrop of the entire case record.” Id.
improvement in Plaintiff’s condition after treatment. Tr. 103–105. The ALJ even
found that the medical record does not contain any complaints of pain related to
Plaintiff’s fibromyalgia. Tr. 104.
The court finds this analysis sufficient. The ALJ fully explained her finding
on Plaintiff’s credibility and provided specific reasons for her assessment. Id. While
Plaintiff may disagree with the ALJ’s credibility assessment, it is not the province of
this court to re-weigh conflicting evidence, to make credibility determinations, or to
substitute its judgment for that of the Commissioner. Craig, 76 F.3d at 589.
Therefore, the court finds that the ALJ’s credibility determination is supported by
substantial evidence in the record.
Based on the foregoing, the court ADOPTS the magistrate judge’s R & R,
and AFFIRMS the Commissioner’s decision.
AND IT IS SO ORDERED.
DAVID C. NORTON
UNITED STATES DISTRICT JUDGE
March 3, 2017
Charleston, South Carolina
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