Shephard v. Colvin
Filing
23
ORDER AFFIRMING THE COMMISSIONER'S DECISION. Signed by Magistrate Judge Tu M. Pham on 4/26/2018. (Pham, Tu)
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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