Shephard v. Colvin

Filing 23

ORDER AFFIRMING THE COMMISSIONER'S DECISION. Signed by Magistrate Judge Tu M. Pham on 4/26/2018. (Pham, Tu)

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IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TENNESSEE WESTERN DIVISION VICTOR B. SHEPHARD, ) ) ) ) ) ) ) ) ) Plaintiff, v. CAROLYN W. COLVIN, Defendant. 16-cv-1106-TMP ORDER AFFIRMING THE COMMISSIONER’S DECISION Before the court is plaintiff Victor B. Shephard’s appeal from a final decision of the Commissioner of Social Security1 (“Commissioner”) denying his application for disability insurance benefits under Title II and Title XVI of the Social Security Act (“Act”), 42 U.S.C. § 401 et seq. On October 6, 2016, the parties consented to the jurisdiction of the United States magistrate judge pursuant to 28 U.S.C. § 636(c). No. 10.) This case was undersigned on March 13, 2017. subsequently reassigned to (ECF the For the reasons set forth below, the decision of the Commissioner is affirmed. I. PROCEDURAL HISTORY In June of 2009, Shephard applied for disability benefits under Title II and Title XVI of the Act, alleging disability 1 Carolyn W. Colvin was the Acting Commissioner of Social Security at the time this case was filed. beginning on January 1, 2008. (R. at 219–20.) The Social Security Administration (“SSA”) denied these claims initially. (R. at 70–71.) On January 15, 2013, Shephard reapplied for disability under Title II and Title XVI, alleging disability beginning on January 1, 2010, depression, special (R. at 190, 197, 271.) education, and an injured back. due to The SSA denied these applications initially and upon reconsideration. (R. at 94–95, 120–21.) At Shephard’s request, a hearing was held before an Administrative Law Judge (“ALJ”) on November 17, 2014. (R. at 33–69.) On December 24, 2014, the ALJ issued a decision denying Shephard’s request for benefits after finding that Shephard was not under a disability because he retained the residual functional capacity (“RFC”) to perform work existing in significant numbers in the national economy. (R. at 8–32.) March denied 21, 2016, the SSA’s request for review. became the final Subsequently, action. (ECF on Appeals (R. at 1.) decision May No. 18, Council Shephard’s Therefore, the ALJ’s decision for the Commissioner. 2016, Shephard Shephard 1.) On argues filed that (Id.) the the instant ALJ’s RFC determination is not supported by substantial evidence because the ALJ improperly weighed the medical source opinions and failed to explain the impact that Shephard’s major depressive disorder had upon his RFC. II. (ECF No. 19.) CONCLUSIONS OF LAW -2- A. Standard of Review Under 42 U.S.C. § 405(g), a claimant may obtain judicial review of any final decision made by the Commissioner after a hearing to which she or he was a party. “The court shall have power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing.” review there of is whether the Commissioner’s substantial the 42 U.S.C. § 405(g). evidence Commissioner making the decision. decision used is limited to support the the proper legal Judicial to whether decision criteria and in Id.; Burton v. Comm'r of Soc. Sec., No. 16-4190, 2017 WL 2781570, at *2 (6th Cir. June 27, 2017); Cole v. Astrue, 661 F.3d 931, 937 (6th Cir. 2011); Rogers v. Comm’r of Soc. Sec., 486 F.3d 234, 241 (6th Cir. 2007). Substantial evidence is more than a scintilla of evidence but less than preponderance and is “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Kirk v. Sec’y of Health & Human Servs., 667 F.2d 524, 535 (6th Cir. 1981) (quoting Richardson v. Perales, 402 U.S. 389, 401 (1971)). In determining whether substantial evidence exists, the reviewing court must examine the evidence in the record as a whole and “must ‘take into account whatever in the record fairly detracts from its weight.’” Abbott v. Sullivan, 905 F.2d 918, -3- 923 (6th Cir. 1990) (quoting Garner v. Heckler, 745 F.2d 383, 388 (6th support Cir. the 1984)). If Commissioner’s affirm that decision record could support and a substantial decision, “may not decision evidence however, even the is the to court must whether inquire other found the way.” Barker v. Shalala, 40 F.3d 789, 794 (6th Cir. 1994) (quoting Smith v. Sec’y of Health & Human Servs., 893 F.2d 106, 108 (6th Cir. 1989)). resolve Similarly, the court may “not try the case de novo, conflicts credibility.” in the evidence or decide questions of Ulman v. Comm’r of Soc. Sec., 693 F.3d 709, 713 (6th Cir. 2012) (quoting Bass v. McMahon, 499 F.3d 506, 509 (6th Cir. 2007)). The Commissioner, not the court, is charged with the duty to weigh the evidence and to resolve material conflicts in the testimony. Walters v. Comm’r of Soc. Sec., 127 F.3d 525, 528 (6th Cir. 1997); Crum v. Sullivan, 921 F.2d 642, 644 (6th Cir. 1990); Prater v. Comm'r of Soc. Sec., No. 114CV01221STATMP, 2017 WL 2929479, at *1 (W.D. Tenn. July 10, 2017). B. The Five-Step Analysis The Act defines disability as the “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 period of -4- not less than 12 months.” 42 U.S.C. § 423(d)(1). Additionally, section 423(d)(2) of the Act states, An individual shall be determined to be under a disability only if his physical or mental impairment or impairments are of such severity that he is not only unable to do his previous work but cannot, considering his 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 he lives, or whether a specific job vacancy exists for him, or whether he would be hired if he 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. Under the Act, the claimant bears the establishing an entitlement to benefits. ultimate burden of Oliver v. Comm’r of Soc. Sec., 415 F. App’x 681, 682 (6th Cir. 2011). The initial burden is on the claimants to prove they have a disability as defined by the Act. Siebert v. Comm’r of Soc. Sec., 105 F. App’x 744, 746 (6th Cir. 2004) (citing Walters, 127 F.3d at 529); see also Born v. Sec’y of Health & Human Servs., 923 F.2d 1168, 1173 (6th Cir. 1990). If the claimant is able to do so, the burden then shifts to the Commissioner to demonstrate the existence of available employment compatible with the claimant’s disability and background. Born, 923 F.2d at 1173; see also -5- Griffith v. Comm’r of Soc. Sec., 582 F. App’x 555, 559 (6th Cir. 2014). Entitlement to social security benefits is determined by a five-step sequential analysis set forth in the Social Security Regulations. See 20 C.F.R. §§ 404.1520, 416.920. First, the claimant must not be engaged in substantial gainful activity. See 20 C.F.R. §§ 404.1520(b), 416.920(b). Second, a finding must be made that the claimant suffers from a severe impairment. 20 C.F.R. §§ 404.1520(a)(4)(ii), 416.920(a)(5)(ii). In the third step, the ALJ determines whether the impairment meets or equals the severity criteria set forth in the Listing Impairments contained in the Social Security Regulations. 20 C.F.R. §§ 404.1520(d), 404.1525, 404.1526, 416.920(d). of See If the impairment satisfies the criteria for a listed impairment, the claimant is considered to be disabled. On the other hand, if the claimant’s impairment does not meet or equal a listed impairment, analysis return and to the ALJ must determine any past 404.1520(a)(4)(iv), undertake whether the relevant (e), the fourth claimant work. See step has the 20 416.920(a)(4)(iv). in RFC C.F.R. If the the to §§ ALJ determines that the claimant can return to past relevant work, then a finding of not disabled must be entered. Id. But if the ALJ finds the claimant unable to perform past relevant work, then at the fifth step the ALJ -6- must determine whether the claimant can perform other work existing in significant numbers in the national economy. (g), 416.960(c)(1)–(2). See 20 C.F.R. §§ 404.1520(a)(4)(v), Further review is not necessary if it is determined that an individual is not disabled at any point in this sequential analysis. 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4). C. ALJ’s Step-Four Determination 1. Weight Given to Medical Source Opinions Shephard finds fault with the ALJ’s treatment of nearly every medical source opinion in the record. He claims that these opinions do not support either the ALJ’s conclusion that he could occasionally lift fifty pounds and frequently lift twenty-five pounds or the ALJ’s treatment of his mental health limitations. The first medical source opinion in the record to address Shephard’s lifting abilities was Donita Keown, M.D. 52.) (R. at 350– On August 10, 2009, Dr. Keown examined Shepard. The majority of the exam was unremarkable; however, Dr. Keown noted that Shephard’s left shoulder hung lower than the right and had a limited range of motion. Additionally, Dr. Keown found no clear basis for Shephard’s back pain. Based on the examination, Dr. Keown found that Shephard could sit, walk, or stand, for eight hours in an eight-hour work day, could occasionally lift twenty to twenty-five pounds, and could frequently lift ten to -7- fifteen pounds. Dr. Keown noted that the restrictions might be altered based upon the results of a pending x-ray of Shephard’s left shoulder. (Id.) significant weight, restriction since The but the degenerative spurring. gave x-rays ALJ gave little most weight results showed (R. at 24, 353.) of this opinion the lifting to “very minimal” Dr. Keown examined Shephard a second time on February 11, 2013. (R. at 364–66.) This exam was also unremarkable, and Dr. Keown concluded that Shephard could sit, walk, or stand for six to eight hours in an eight-hour work day, occasionally lift thirty-five to pounds, and frequently lift fifteen to twenty pounds. forty (Id.) The ALJ again gave this opinion significant weight but gave little weight to the lifting restriction, finding that Dr. Keown had not reviewed the previously mentioned x-rays and that the normal results of the exam did not support the limitations on lifting. (R. at 24.) Harold Ramsey, M.D., evaluated Shephard’s medical records on April 1, 2013. Keown’s opinion, (R. at 78–82.) Dr. Ramsey Giving great weight to Dr. determined that, among other postural and exertional limitations, Shephard could occasionally lift twenty pounds and frequently lift ten pounds. Dr. Ramsey concluded that Shephard was not disabled. Ultimately, (Id.) The ALJ gave this opinion little weight, finding it too restrictive. (R. at 24.) -8- Larry McNeil, M.D., evaluated Shephard’s medical records on June 9, 2013. (R. at 102–07.) weight to Dr. Keown’s opinion. Dr. McNeil also gave great However, Dr. McNeil determined that Shephard had far fewer postural and exertional limitations than Dr. limited Ramsey had to Shephard twenty-five opined. carrying pounds Furthermore, fifty frequently. Shephard was not disabled. pounds Dr. (Id.) Dr. McNeil only occasionally and concluded that McNeil The ALJ gave this opinion significant weight, finding that it was more comprehensive and well supported than Dr. Ramsey’s. (R. at 24.) The final medical source to opine on Shephard’s lifting limitations was John Woods, M.D. (R. at 449–60.) examined Shephard on October 29, 2014. Dr. Woods The exam was primarily unremarkable; although, Dr. Woods did note that Shephard had moderately severe bilateral pes planus. (R. at 452.) Among other exertional and postural limitations, Dr. Woods found that Shephard could lift no more than twenty pounds but could do so frequently. (R. at 454–55.) He based his findings Shephard’s lower back pain and bilateral pes planus. 457.) upon (R. at The ALJ gave this opinion little weight, finding that Dr. Woods’s basis for his opinions did not support the severity of his specified limitations. Regarding fault with how Shephard’s the ALJ (R. at 24.) mental weighed -9- limitations, the opinions Shephard of two finds medical examiners: William Sewell, Ph. D., and David Pickering, Ph. D. Dr. Sewell examined Shephard on March 4, 2013. (R. at 368–74.) Dr. Sewell observed that Shephard was well groomed and spoke in a satisfactory fashion. (R. at 368.) Dr. Sewell then examined Shephard’s mental status by administering a series of memory and abstract reasoning tests. determined that notwithstanding As a result of this exam, Dr. Sewell Shephard Shephard’s had average dysthymic mood, intelligence did not and, exhibit sufficient symptoms to meet the criteria for a major mood or anxiety disorder. (R. at 370.) Dr. Sewell concluded that Shephard would have difficulty functioning in the abstract, but had no other work-related limitations. (R. at 370–72.) The ALJ found this opinion overly optimistic and gave it some weight. (R. at 24–25.) Dr. Pickering examined Shephard on October 28, 2014. at 475–87.) (R. He observed that Shephard was well groomed and cooperative but was also anxious, inhibited, constricted, angry, and distant. (R. at 476.) Dr. Pickering indicated in his opinion that he administered a total of eight different tests to examine Shephard’s mental status. Pickering determined that From Shephard’s results, Dr. Shephard exhibited significant symptoms of major depressive disorder and generalized anxiety disorder. Shephard’s (R. at 479.) condition Dr. Pickering found it unlikely that would improve -10- significantly in the foreseeable future. Dr. Pickering concluded that Shephard faced a plethora of moderate and marked limitations in his ability to interact with others, function independently, remember and understand instructions, sustain concentration and persistence, and adapt to changes. (R. at 480–84.) The ALJ gave this opinion noting little reviewed weight, Shephard’s Dr. Pickering had not records, medical that Dr. Pickering did not report the specific mental status exam findings, part of the opinion was based on Shephard’s subjective statements, and the opinion conflicted with ability to socialize. ALJs employ a Shephard’s later testimony “sliding scale of deference” for sources typically merit the medical Norris v. Comm'r of Soc. Sec., 461 F. App'x 433, 439 (6th Cir. 2012). treating his (R. at 25.) opinions depending upon each opinion’s source. from about most Opinions deference, followed by opinions from examining sources, and then from nonexamining sources. 416.927(c)(1)–(2). See 20 C.F.R. §§ 404.1527(c)(1)–(2), However, in certain circumstances, an ALJ may assign more weight to the opinion of a non-examining source than an examining source. See Miller v. Comm'r of Soc. Sec., 811 F.3d 825, 834 (6th Cir. 2016). One example of this is when the opinion of the non-examining source “is based upon a review of a complete case record.” Id. (quoting SSR 96-6p, 1996 WL 374180, *3 (S.S.A. July 2, 1996)). -11- In the event that a “non- examining source did not review a complete case record, ‘[the Sixth Circuit] require[s] some indication that the ALJ at least considered these facts before giving greater opinion’ from the non-examining source.” weight to an Id. (quoting Blakley v. Comm'r of Soc. Sec., 581 F.3d 399, 409 (6th Cir. 2009)). When weighing medical source opinions, the ALJ must consider various factors, including the evidence upon which the sources’ opinions are based medical record. and the opinions’ consistency with the 20 C.F.R. §§ 404.1527(c)(2)–(6), 416.927(c)(2)– (6). Shephard argues that all of the medical source opinions except Dr. McNeil’s contradict the ALJ’s RFC determination of how much weight Shephard could lift. However, as the ALJ pointed out, Dr. Keown’s and Dr. Ramsey’s lifting limitations were overly restrictive in light of the medical evidence. Hence, this part of their opinions merited less weight. C.F.R. § 404.1527(c)(4) (“Generally, the more See 20 consistent a medical opinion is with the record as a whole, the more weight we will give 416.927(c)(4). to that medical opinion.”); 20 C.F.R. § The ALJ also properly gave Dr. Woods’s opinion little weight given that Dr. Woods’s own exam did not support the severity of the limitations contained in his opinion. See 20 C.F.R. § 404.1527(c)(3) (“The more a medical source presents relevant evidence to support a -12- medical opinion, particularly medical signs and laboratory findings, the more weight we will give that medical Furthermore, the opinion.”); court can 20 infer C.F.R. from § the 416.927(c)(3). ALJ’s constant reference to the dates of exams and strictly chronological order of analysis that the ALJ was aware that Dr. McNeil’s non- examining source opinion pre-dated Dr. Woods’s examining source opinion. See Gibbens v. Comm'r of Soc. Sec., 659 F. App'x 238, 248 (6th Cir. 2016). Thus the court finds that the ALJ properly weighed these opinions and, consequently, substantial evidence supported the lifting limitations that the ALJ assigned to Shephard. Shephard objects to the weight that the ALJ gave to the sources who opined on his mental limitations, arguing that Dr. Sewell’s report was less objective than Dr. Pickering’s and that Dr. Pickering’s failure to examine Shephard’s medical record should not count against him given that Dr. Sewell also did not review the record. However, Dr. Pickering’s opinion was less supported Sewell’s than Dr. because Dr. Pickering did not describe how Shephard performed on the tests, noting only the results of the tests, whereas Dr. Sewell documented Shephard’s performance. See 20 C.F.R. §§ 404.1527(c)(3), 416.927(c)(3). Furthermore, it would have been unreasonable for the ALJ to criticize Dr. Sewell for failing to review Shephard’s medical record because, when Dr. Sewell examined Shephard, Shephard’s -13- medical history apparently contained no such evidence. Thus, the court finds that the ALJ correctly gave Dr. Pickering’s opinion less weight than Dr. Sewell’s. 2. Explanation of Effects of Major Depressive Disorder Shephard argues that the ALJ failed to provide a basis for treating Shephard’s major depressive disorder as severe at step two of the disability analysis little import at step four. the following source opinions; providers show own concerning July description that Shephard nonetheless, giving it Shephard’s medical records contain treatment spanning Shephard’s notes evidence but, his notes 16, of from 2013, his mental condition as a result of medication. mental to June condition. experienced health: an medical health 6, The care 2014; and treatment improvement (R. at 417, 421.) in his In his function reports and hearing testimony, Shephard portrayed his depression and anxiety as impacting his ability to perform basic chores and socialize. (R. at 52, 278, 297.) Yet, he also indicated that he performs a variety of household chores and meets with friends on a regular basis. (R at 45–48, 294–95.) Between the summary of the evidence section and the analysis section of her opinion, the ALJ listed each piece of evidence in the record relating to Shephard’s mental health and described what weight she assigned to this evidence. (R. at 13–25.) While the ALJ concluded at step two that Shephard suffered from -14- severe mental health impairments in the form of major depressive disorder and borderline intellectual functioning, the ALJ found at step four that these impairments affected Shephard’s RFC by restricting him to simple, routine tasks and only occasional contact with others. When an ALJ (R. at 20, 22.) finds impairment at step two claimant’s impairment that of a claimant the has analysis, “significantly a it limits severe means [the mental that the claimant’s] physical or mental ability to do basic work activities.” Winn v. Comm'r of Soc. Sec., 615 F. App'x 315, 320 (6th Cir. 2015) (quoting Colvin v. Barnhart, 475 F.3d 727, 730 (6th Cir. 2007)); 20 C.F.R. §§ 404.1522, 416.922. An ALJ’s RFC determination at step four is a determination of how these impairments “affect what [a claimant] can do in a work setting.” 404.1545(a)(1), 416.945(a)(1). 20 C.F.R. §§ To make this determination, ALJs must consider all medical evidence in the record as well as the claimant’s description of her or his symptoms. 404.1545(a)(3), 416.945(a)(3). See 20 C.F.R. §§ In the opinion itself, ALJs must “address a claimant's exertional and nonexertional capacities and also describe conclusions.” how the evidence supports [their] Rudd v. Comm'r of Soc. Sec., 531 F. App'x 719, 729 (6th Cir. 2013) (citing SSR 96-8p, 1996 WL 374184 (S.S.A July, 2, 1996)). In this case, the ALJ considered all of the evidence on the record, and by assigning weight to the various -15- pieces of evidence, effectually supported her conclusion. described how the evidence Thus, the court finds that the ALJ properly assessed the effect that Shephard’s major depressive disorder has upon his ability to function in the workplace. III. CONCLUSION For the foregoing reasons, the Commissioner’s decision that Shephard is not disabled is affirmed. IT IS SO ORDERED. s/ Tu M. Pham TU M. PHAM United States Magistrate Judge April 26, 2018 -16-

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