Caffey v. Commissioner of Social Security
Filing
13
ORDER REVERSING THE DECISION OF THE COMMISSIONER AND REMANDING CASE PURSUANT TO SENTENCE FOUR OF 42 U.S.C. § 405(g). Signed by Magistrate Judge Tu M. Pham on 9/12/2017. (Pham, Tu)
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF TENNESSEE
WESTERN DIVISION
CHARLES EDWARD CAFFEY,
)
)
)
)
) No. 14-cv-02640-TMP
)
)
)
)
)
)
Plaintiff,
v.
COMMISSIONER OF SOCIAL
SECURITY,
Defendant.
ORDER REMANDING CASE PURSUANT TO 42 U.S.C. § 405(g)
Before
appeal
from
the
a
court
final
is
plaintiff
decision
of
the
Charles
Edward
Commissioner
Caffey’s
of
Social
Security (“Commissioner”) denying his application for disability
insurance benefits under Title II of the Social Security Act
(“Act”), 42 U.S.C. §§ 401 et seq.
On May 25, 2017, the parties
consented to the jurisdiction of the United States magistrate
judge pursuant to 28 U.S.C. § 636(c).
(ECF No. 12.)
For the
reasons set forth below, the decision of the Commissioner is
reversed and the action is remanded pursuant to sentence four of
42 U.S.C. § 405(g).
I.
On
December
16,
PROCEDURAL HISTORY
2010,
Caffey
applied
insurance benefits under Title II of the Act.
for
disability
(R. at 102.)
Caffey alleged disability beginning on August 10, 2003, due to
residual back problems from a herniated disk.
183.)
Caffey’s
application
was
denied
(R. at 102, 179,
initially
and
upon
reconsideration by the Social Security Administration (“SSA”).
(R. at 22.)
At Caffey’s request, a hearing was held before an
Administrative Law Judge (“ALJ”) on May 1, 2012.
(Id.)
On May
23, 2012, the ALJ issued a decision denying Caffey’s request for
benefits after finding that Caffey was not under a disability
because he retained the residual functional capacity (“RFC”) to
perform jobs that exist in significant numbers in the national
economy.
Council
(R. at 22–30.)
denied
Caffey’s
On July 20, 2014, the SSA’s Appeals
request
for
review.
(R.
at
1.)
Therefore, the ALJ’s decision became the final decision for the
Commissioner.
(Id.)
Subsequently, on August 18, 2014, Caffey
filed the instant action.
(ECF No. 1.)
Caffey argues that (1)
the ALJ erred by improperly weighing the opinion of Caffey’s
treating
physician,
Dr.
Forest
Robinson;
and
(2)
the
ALJ’s
finding that Caffey has the RFC to perform a significant number
of jobs in the national and local economy is not supported by
substantial evidence.
(ECF No. 8 at 6–8.)
II.
A.
CONCLUSIONS OF LAW
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 he or she was a party.
2
“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
the
is
whether
Commissioner’s
substantial
the
42 U.S.C. § 405(g).
decision
evidence
Commissioner
is
limited
to
the
the
used
support
proper
legal
Judicial
to
whether
decision
and
criteria
in
making the decision. Id.; Burton v. Comm'r of Soc. Sec., No. 164190, 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 a
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,
923 (6th Cir. 1990) (quoting Garner v. Heckler, 745 F.2d 383,
388
(6th
support
affirm
Cir.
the
that
1984)).
If
Commissioner’s
decision
and
substantial
decision,
“may
3
not
evidence
however,
even
the
inquire
is
found
to
court
must
whether
the
record
could
support
a
decision
the
other
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
42 U.S.C. § 423(d)(1).
period
of
not
less
than
12
months.”
Additionally, section 423(d)(2) of the
Act states that:
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,
4
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 claimant to prove she has 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
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).
5
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.
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, the ALJ
must undertake the fourth step in the analysis and determine
whether the claimant has the RFC to return to any past relevant
work.
See 20 C.F.R. §§ 404.1520(a)(4)(iv), 404.1520(e).
If the
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 must determine whether the
claimant can perform other work existing in significant numbers
in the national economy.
404.1520(g)(1),
See 20 C.F.R. §§ 404.1520(a)(4)(v),
416.960(c)(1)-(2).
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).
C.
The ALJ’s Assessment of the Treating Physician’s Opinion
Caffey argues that the ALJ erred by giving no weight to the
6
opinion of his treating source,1 Dr. Forrest Robinson.
8 at 7.)
Dr. Robinson treated Caffey from October 7, 2008
through January 5, 2009.
ALJ
that
(ECF No.
Caffey
(R. at 25, 269.)
suffered
from
He reported to the
“compression
neuropathies”
resulting from his disk injury as well as from chronic pain that
medication did little to ease.
of
these
conditions,
Dr.
(R. at 269, 275.)
Robinson
said
As a result
that
Caffey
is
“consistently subject to ice packs, pain killers and bed rest up
to twenty-four hours” after engaging in light activity like yard
work.
(R. at 275.)
disabled”
and
While initially declaring Caffey “totally
incapable
of
gainful
employment,
Dr.
Robinson
later acknowledged that his “professional opinion regarding this
patient is based primarily on subjective statements made by the
patient”
and
explained
that
prevented further evaluation.
The
ALJ
gave
no
Caffey’s
financial
limitations
(R. at 269, 275.)
weight
to
Dr.
Robinson’s
opinion,
explaining that “Dr. Robinson’s conclusion cannot be accepted
because it is inconsistent with the Claimant’s activities of
daily
living,”
and
“the
final
responsibility
[disability] is reserved to the Commissioner.”
Caffey
contends
the
ALJ
violated
procedural
for
deciding
(R. at 29.)
requirements
by
neglecting to apply mandatory criteria when deciding what weight
1
The parties both describe Dr. Forrest Robinson as a treating
source. (ECF Nos. 8, 9.)
7
to give Dr. Robinson’s opinion.
(ECF No. 8 at 7–8.)
Treating sources are medical sources who have treated a
claimant
and
have,
or
have
had,
an
“ongoing
treatment
relationship” with the claimant. 20 C.F.R. § 404.1527(a)(2). If
an ALJ finds that a treating source’s diagnostic techniques are
medically acceptable and that the substantial evidence of the
claimant’s
opinion,
record
than
weight.”
the
accords
ALJ
with
will
the
give
treating
that
20 C.F.R. §§ 404.1527(c)(2).
source’s
opinion
In
the
medical
“controlling
event
the
treating source’s opinion does not meet these requirements and,
therefore, does not merit controlling weight, the ALJ must apply
a set of regulatory factors to determine what weight to give the
opinion.
Id.
Those factors include the length and nature of
the treatment relationship, the frequency of exams, the evidence
upon which the physician bases her or his opinion, the opinion’s
consistency with the record as a whole, whether the physician is
practicing in an area where she or he has specialized, and any
other relevant factor, like the physician’s familiarity with the
claimant’s
full
medical
record.
20 C.F.R. §§ 404.1527(c)(2)-
(6).
Though the Sixth Circuit emphasizes that ALJs must apply
all of these factors, it has recognized three instances where it
amounts to harmless error even though an ALJ failed to apply the
factors to the treating source’s opinion.
8
See Wilson v. Comm'r
of Soc. Sec., 378 F.3d 541, 546–47 (6th Cir. 2004).
The first
is if the treating source’s opinion is “so patiently deficient
that the Commissioner could not possibly credit it.”
second
is
if
the
“Commissioner
adopts
the
Id.
opinion
of
The
the
treating source or makes findings consistent with the opinion.”
Id.
The third is if the ALJ met the “goal of § 1527(d)(2)” by
fully
assessing
the
value
of
the
treating
without explicitly applying all of the factors.
source’s
opinion
Id.
In addition to specifying how to evaluate medical opinions,
the Code of Federal Regulations draws an important distinction
between
medical
opinions
20 C.F.R. § 404.1527(d).
The
and
ALJ
conclusory
should
opinions.
always
apply
the
procedural factors to determine what weight to give a medical
opinion.
Id.
But, when a physician opines on issues reserved
to the Commissioner by, for example, announcing that a person is
disabled,
the
Commissioner
“will
not
give
any
special
significance” to the physician’s opinion on that issue.
Id.;
see also Curler v. Comm'r of Soc. Sec., 561 F. App'x 464, 472
(6th
Cir.
2014).
However,
just
because
the
physician
impermissibly opines about a claimant’s ability to work does not
mean that the ALJ can cast aside the entirety of the physician’s
opinion. See Hall v. Comm'r of Soc. Sec., 148 F. App'x 456, 461–
67 (6th Cir. 2005) (remanding a case because the ALJ failed to
give good reasons for dismissing the treating physician’s entire
9
opinion even though the doctor had improperly opined that the
claimant was “totally disabled”).
The Commissioner argues that because Dr. Robinson’s opinion
was conclusory it was not entitled to any weight and, thus, the
ALJ did not need to apply the multi-factor analysis.
at 11.)
(ECF No. 9
This is true for the portion of Dr. Robinson’s opinion
that invaded the ALJ’s purview.
20 C.F.R. § 404.1527(d).
The
ALJ did not have to give any weight to Dr. Robinson’s statements
that Caffey was “totally disabled” and could not be “gainfully
employed.”
(R. at 269.)
However, Dr. Robinson’s opinion also
contained medical opinions.
“compression
Dr. Robinson diagnosed Caffey with
neuropathies;”
detailed
the
nature,
unpredictability, and severity of Caffey’s symptoms; and stated
that
Caffey’s
activities.
pain
impacts
(R. at 269, 275.)
his
ability
to
perform
daily
Thus, the ALJ had to comply with
the regulatory requirements and determine what weight to assign
to these medical opinions.
Here, the ALJ correctly chose not to give Dr. Robinson’s
opinion controlling weight but erred by not applying the multifactor analysis to Dr. Robinson’s medical opinions.
Robinson
based
all
of
his
opinions
primarily
Because Dr.
on
Caffey’s
subjective complaints, the ALJ provided good reason for deciding
not to give Dr. Robinson’s opinion controlling weight.
Payne v.
Comm'r of Soc. Sec., 402 F. App'x 109, 113 (6th Cir. 2010)
10
(“[T]he ALJ is not bound by conclusory statements of doctors,
particularly where they are unsupported by detailed objective
criteria and documentation.” (quoting Buxton v. Halter, 246 F.3d
762, 773 (6th Cir. 2001))).
However, after determining that the
Dr. Robinson’s opinion did not merit controlling weight, the ALJ
did not apply the multi-factor test to the opinion.
The court
will therefore consider whether the ALJ’s decision falls into
one
of
the
three
Wilson
exceptions
and
amounts
to
harmless
error.
Applying the first of the Wilson exceptions, this is not a
situation where the treating source’s opinion was “so patently
deficient that the Commissioner could not possibly credit it.”
Wilson, 378 F.3d at 547.
Dr. Robinson’s opinion is confirmed by
his own medical notes and corresponds with the evidence from
Caffey’s MRI. (R. at 212, 269–275.); cf. Pasco v. Comm'r of Soc.
Sec., 137 F. App'x 828, 837–38 (6th Cir. 2005) (upholding an
ALJ’s decision to give no weight to a medical opinion where the
claimant’s record contained no “office notes or other treatment
records” from the doctor and the doctor’s opinion lacked any
objective basis whatsoever to support it).
The ALJ’s treatment of Dr. Robinson’s opinion also does not
fall
into
Wilson,
378
the
second
F.3d
at
Wilson
547.
exception:
The
Robinson’s opinion. (R. at 29.)
11
ALJ
implicit
explicitly
adoption.
rejected
Dr.
The
only
remaining
exception
is
the
third:
the
ALJ
comported with the goal of the regulatory requirements if not
the letter of them.
contends
that
this
Wilson, 378 F.3d at 547.
is
the
case
and
that
the
The Commissioner
ALJ
implicitly
applied two of the factors when he noted that Dr. Robinson’s
opinion
was
inconsistent
with
Caffey’s
daily
activities
identified the subjective basis of the opinion.
12.)
When
applying
the
third
Wilson
and
(ECF No. 9 at
exception,
the
Sixth
Circuit has permitted ALJ decisions to stand even though the ALJ
applied less than the full set of factors.
Kepke v. Comm'r of
Soc. Sec., 636 F. App'x 625, 630 (6th Cir. 2016) (“[T]he ALJ
gave good reasons for discounting Dr. Chapman's opinion, and
satisfied the mandates of 20 C.F.R. § 404.1527 by considering
some of the listed factors . . . .”); Pasco, 137 F. App'x at
837–38.
Nevertheless, the ALJ still had to apply those factors
in a reasoned fashion spelled out in the opinion.
Morr v.
Comm'r of Soc. Sec., 616 F. App'x 210, 211 (6th Cir. 2015) (“If
an ALJ decides to give a treating source's opinion less than
controlling weight, she must give ‘good reasons’ for doing so
that are sufficiently specific to make clear to any subsequent
reviewers the weight given to the treating source’s opinion and
the
reasons
544)).
apply
for
that
weight.”
(quoting
Wilson,
378
F.3d
at
Here, the ALJ’s treatment of the two factors that he did
falls
short
of
the
goal
12
of
the
procedural
regulation
because the ALJ did not provide a fully reasoned analysis.
The ALJ’s finding of inconsistency between Dr. Robinson’s
opinion and Caffey’s daily activities is an insufficient basis
for
disregarding
the
opinion.
The
Sixth
Circuit
has
held
several times that an “ALJ's focus on the claimant's ability to
do
certain
activities
in
discounting
the
treating
source's
opinion does not constitute ‘good reasons’ for doing so when the
claimant's testimony and other record evidence contradict the
ALJ's finding.”
Cole, 661 F.3d at 939 (citing Johnson v. Comm'r
Soc.
F.3d
Sec.,
652
646,
652
(6th
Cir.
testimony contradicts the ALJ’s finding.
2011)).
Caffey’s
The ALJ noted that
Caffey can engage in “activities of daily living, which include
yard
work,
shopping.”
housework,
(R. at 28.)
daily
exercise,
driving,
ironing
and
This commentary mischaracterizes the
many limitations that Caffey laid out both in his testimony and
in his questionnaire responses.
Caffey conceded
that he
is
capable of doing yard work but clarified that it causes him pain
in his back and right hip to do it.
(R. at 165.)
With regard
to the household chores, Caffey acknowledged he was responsible
for them but explained “it doesn’t get done, my house is a
mess.”
(R. at 47.)
He also explained that when he does wash
dishes he has to rest or lie on his back afterwards and that he
can cook on a good day but, even then, can only stand long
enough to make simple meals like a frozen dinner.
13
(R. at 151,
160, 192, 202.)
the
exercise
When discussing exercise, Caffey specified that
consisted
of
ice
packs,
stretching,
different size balls,” hardly a rigorous workout.
and
“two
(R. at 44.)
With regard to shopping, Caffey consistently reported that he
could
only
do
it
on
a
good
day.
(R.
at
44,
151,
160.).
Furthermore, he stated that he could only shop at night when
there were no lines and that he had trouble with heavy grocery
bags.
(Id.)
All of Caffey’s explanations correspond with Dr.
Robinson’s medical opinion that Caffey’s “daily activities are
only
accomplished
Robinson’s
through
opinion
was
pain.”
(R.
consistent
at
with
275.)
evidence
Thus,
of
Dr.
Caffey’s
activities.
Dr. Robinson’s opinion of Caffey’s physical condition does
conflict with the opinions of the state consultants who noted
that Caffey could do everything from stand for six hours to
climb, balance, stoop, and crawl.
(R. at 219–220.)
However, it
does not appear that the ALJ assessed the weight of the state
consultant
opinions,
thus
calling
into
question
the
ALJ’s
reliance on the state consultants’ opinions over Dr. Robinson’s
opinion.
(6th
Gayheart v. Comm'r of Soc. Sec., 710 F.3d 365, 379–80
Cir.
2013)
(“His
failure
to
apply
the
same
level
of
scrutiny to the opinions of the consultative doctors upon which
he relied, let alone the greater scrutiny of such sources called
for
by
20
C.F.R.
§
404.1527,
14
further
demonstrates
that
his
assessment of [the treating source’s] opinions failed to abide
by
the
Commissioner's
question
the
ALJ's
regulations
and
analysis.”).
therefore
For
calls
into
of
these
assessment
opinions, the ALJ mentioned only that the state agency medical
consultant opinions were supported by the record.
(R. at 28.)
The ALJ’s failure to apply the multi-factor analysis to the
state consultants’ opinions lessens the probative value of any
inconsistencies between the state consultants’ opinions and Dr.
Robinson’s opinion.
With
the
inconsistency
factor
an
unsound
reason
to
disregard Dr. Robinson’s opinion, the primarily subjective basis
of Dr. Robinson’s medical opinions remains as the single factor
from the multi-factor test supporting the ALJ’s decision to give
Dr. Robinson’s opinion no weight.
In McGlothin v. Commissioenr
of Social Security, the Sixth Circuit upheld an ALJ decision to
disregard treating sources’ medical opinions solely because of
the subjective basis of the opinions.
(6th
Cir.
2008).
However,
in
299 F. App'x 516, 523
McGlothin,
the
Sixth
Circuit
pointed out that the ALJ had found the claimant’s complaints to
be “incredible.”
while
“at
statements
times”
were
Consequently,
Id.
In the present case, the ALJ found that,
Caffey’s
also
because
claims
“generally
the
ALJ
were
exaggerated,
credible.”
(R.
found
the
that
at
Caffey’s
27–28.)
subjective
complaints upon which Dr. Robinson based his medical opinion
15
were
exaggerated
sufficient
opinions.
but
basis
for
credible,
the
ALJ
Dr.
discounting
did
not
provide
Robinson’s
a
medical
While there may be additional factors in the record
upon which the ALJ could have relied when deciding to give Dr.
Robinson’s medical opinions no weight, “the requisite evidence
and analysis must appear in the ALJ's decision, not simply be
present in the rest of the record.”
Karger v. Comm'r of Soc.
Sec., 414 F. App'x 739, 753 (6th Cir. 2011).
Because the ALJ has failed to provide good reasons for
giving Dr. Robinson’s opinion no weight, the ALJ’s decision does
not meet the procedural requirements of 20 C.F.R. § 404.1527(c),
leaving the decision unsupported by substantial evidence.
See
Cole, 661 F.3d at 940 (“Our finding that the ALJ's decision is
not supported by substantial evidence is based on the ALJ's
violation of the agency's procedural rules.”).
Accordingly, it
is ordered that the case be remanded so that the ALJ may comply
with
procedural
requirements
when
determining
what
weight
to
give Dr. Robinson’s opinion.
D.
The ALJ’s RFC Determination
Caffey asserts that the ALJ’s determination that he has the
RFC
to
perform
evidence.
light
work
(ECF No. 8 at 6.)
is
not
supported
by
A claimant’s RFC is “the most [the
claimant] can still do despite [his] limitations.”
404.1545(a)(1),
substantial
416.945(a)(1).
The
16
ALJ
must
20 C.F.R. §§
assess
the
claimant’s RFC based on all of the relevant evidence in the
record.
20 C.F.R. §§ 404.1545(a)(3), 416.945(a)(3); see also
SSR 96-8P, 1996 WL 374184, at *3 (S.S.A. July 2, 1996) (“The RFC
assessment is a function-by-function assessment based upon all
of the relevant evidence of an individual's ability to do workrelated
activities.”).
responsibility
of
“[T]he
evaluating
the
ALJ
is
charged
medical
evidence
with
the
and
the
claimant’s testimony to form an ‘assessment of [her] residual
functional capacity.’”
629,
633
(6th
Cir.
Webb v. Comm’r of Soc. Sec., 368 F.3d
2004)
(alteration
in
original)(quoting
20 C.F.R. § 416.920(a)(4)(iv)).
The ALJ found that, through the date last insured, Caffey
[H]ad the [RCF] to lift 20 pounds occasionally and 10
pounds frequently and stand, walk, and sit 6 hours in
an eight hour workday with frequent balancing,
stooping,
kneeling,
crouching,
crawling,
and
ramp/stair
climbing
and
occasional
ladder/rope/scaffold
climbing
while
avoiding
concentrated exposure to hazards, moving machinery and
work at heights.
(R. at 26.)
As a result of these findings, the ALJ determined
that Caffey still had the RFC to “perform the full range of
light work . . . .”2 (R. at 30.)
2
“Light work”
involves lifting no more than 20 pounds at a time with
frequent lifting or carrying of objects weighing up to
10 pounds. Even though the weight lifted may be very
little, a job is in this category when it requires a
good deal of walking or standing, or when it involves
17
Caffey
reasons.
argues
this
finding
is
unsubstantiated
for
two
First, his treating physician reported to the ALJ that
Caffey’s disability rendered him incapable of working. (ECF No.
8 at 6.)
Second, the ALJ neglected to consider the combined
effect of Caffey’s three impairments: lumbar spinal disorders,
hypertension, and prostate cancer.
As
discussed
above,
ALJs
(Id.)
are
not
obligated
to
give
controlling weight to opinions that state that a claimant is
disabled,
regardless
of
their
source.
20 C.F.R. §§ 404.1527(d)(1), 416.972(d)(1); see also Curler, 561
F. App'x at 472.
Therefore, the ALJ correctly disregarded Dr.
Robinson’s opinion that Caffey was disabled.
Furthermore, the ALJ did consider the combined effect of
Caffey’s three impairments.
When assessing whether a claimant
is disabled, the ALJ must consider the “combined effect” of all
of the claimant’s impairments.
20 C.F.R. § 404.1523.
This
consideration must be more than “lip service” that does little
more
than
acknowledge
the
presence
of
multiple
impairments.
Germany-Johnson v. Comm'r of Soc. Sec., 313 F. App'x 771, 775–76
sitting most of the time with some pushing and pulling
of arm or leg controls. To be considered capable of
performing a full or wide range of light work, you
must have the ability to do substantially all of these
activities.
20 C.F.R. § 404.1567(b); see also SSR 83-10, 1983 WL 31251, at
*5 (January 1, 1983).
18
(6th Cir. 2008) (citing Mowery v. Heckler, 771 F.2d 966, 970
(6th Cir. 1985)).
However, the ALJ may meet this requirement by
analyzing each condition individually.
See Bledsoe v. Barnhart,
165 F. App'x 408, 410–11 (6th Cir. 2006) (“The ALJ described
evidence pertaining to all impairments, both severe and nonsevere . . . . The ALJ explicitly stated that he considered
the combination of all impairments . . . .”); Loy v. Sec'y of
Health & Human Servs., 901 F.2d 1306, 1310 (6th Cir. 1990) (“An
ALJ's
individual
discussion
of
multiple
impairments
does
not
imply that he failed to consider the effect of the impairments
in
combination,
where
the
ALJ
specifically
refers
to
a
‘combination of impairments’ in finding that the plaintiff does
not meet the listings.”).
Here, the ALJ listed and described
all three of Caffey’s impairments and noted that Caffey did not
have a “combination of impairments” that rendered him disabled.
(R. at 24–26.)
Even if he had not considered the combined
effect of the impairments, it is unclear from the record how the
hypertension and prostate cancer might have impacted Caffey’s
ability to work.
Therefore, whether the ALJ had or had not
considered the combined effect of the impairments would not have
impacted the ALJ’s ultimate determination.
the
court
upholds
the
ALJ’s
disregard
For these reasons,
of
Dr.
Robinson’s
conclusory opinions and assessment of the combined effect of
Caffey’s impairments when determining Caffey’s RFC.
19
III. CONCLUSION
For the foregoing reasons, the ALJ’s decision is reversed,
and this case is remanded pursuant to sentence four of 42 U.S.C.
§ 405(g) for proceedings consistent with this opinion.
IT IS SO ORDERED.
s/ Tu M. Pham
TU M. PHAM
United States Magistrate Judge
September 12, 2017
Date
20
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