Dennis v. Colvin
Filing
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Order Accepting Findings and Recommendations of the United States Magistrate Judge re: 20 Findings and Recommendations on Case re: 1 Complaint filed by Jessie M Dennis. Based on the foregoing analysis, the Court finds that the Magistrate Judges Report and Recommendation in this case should be and is hereby ACCEPTED and the Plaintiffs case is DISMISSED. Magistrate Judge E. Scott Frost no longer assigned to case. (Ordered by Judge Reed C O'Connor on 9/17/2015) (ult)
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF TEXAS
FORT WORTH DIVISION
JESSIE M. DENNIS,
Plaintiff,
v.
CAROLYN W. COLVIN,
Acting Commissioner of Social
Security,
Defendant.
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Civil Action No. 4:14-cv-481-O
ORDER ACCEPTING REPORT AND RECOMMENDATION
OF THE UNITED STATES MAGISTRATE JUDGE
The United States Magistrate Judge issued a Report and Recommendation (ECF No. 20) in
this case. The Magistrate Judge recommended that the Commissioner’s decision be affirmed and
the complaint be dismissed with prejudice. R&R, ECF No. 20. Plaintiff filed objections. See Pl.’s
Obj. R&R, ECF No. 21. The Court has conducted a de novo review of those portions of the
proposed findings and recommendation to which an objection was made. Having reviewed the
Motion, the applicable law, and the record before the Court, the Court finds the Report and
Recommendation in this case is hereby ACCEPTED.
I.
BACKGROUND
Dennis filed an application for disability insurance benefits under Title II of the Social
Security Act on June 27, 2011. Admin. Record (“Decision”) 15, App. 21, ECF No. 12-3. Following
a hearing on November 13, 2012, an Administrative Law Judge (“ALJ”) determined that Dennis was
not disabled. R&R 2, ECF No. 20. The Magistrate Judge found that the ALJ properly evaluated
Dennis’s Paragraph B limitations and the ALJ did not err in assigning “no weight” to Dennis’s
treating physicians’ opinions. Id. at 6. Moreover, the Magistrate Judge found substantial evidence
to support the ALJ’s residual functional capacity assessment. Id. at 11. Therefore, the Magistrate
Judge recommends that the Commissioner’s decision be affirmed and Plaintiff’s complaint
dismissed with prejudice. Id. at 13.
Dennis objects to the Report and Recommendation on the following grounds: (1) first,
Dennis objects on the basis that the Commissioner’s decision is not supported by substantial
evidence; (2) second, that the Magistrate Judge erred in finding that the ALJ gave proper
consideration to the opinion of the treating physicians; (3) third, that the ALJ failed to consider the
effect of moderate limitations in social functioning upon her ability to perform her past relevant work
activity; (4) fourth, that the ALJ failed to consider all of Plaintiff’s medical problems in evaluating
the residual functional capacity. Pl.’s Obj. R&R 1–3, ECF No. 21.
II.
LEGAL STANDARDS
Judicial review of the Commissioner’s denial of benefits is limited to whether the
Commissioner’s position is supported by substantial evidence and whether the Commissioner
applied proper legal standards in evaluating the evidence. Greenspan v. Shalala, 38 F.3d 232, 236
(5th Cir. 1994); 42 U.S.C. §§ 405(g), 1383(C)(3). Substantial evidence is defined as more than a
scintilla, less than a preponderance, and as being such relevant and sufficient evidence as a
reasonable mind might accept as adequate to support a conclusion. Leggett v. Chater, 67 F.3d 558,
564 (5th Cir. 1995). In applying the substantial evidence standard, the reviewing court does not reweigh the evidence, retry the issues, or substitute its own judgment, but rather, scrutinizes the record
to determine whether substantial evidence is present. Greenspan, 38 F.3d at 236. A finding of no
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substantial evidence is appropriate only if there is a conspicuous absence of credible evidentiary
choices or contrary medical findings to support the Commissioner’s decision. Johnson v. Bowen,
864 F.2d 340, 343–44 (5th Cir. 1988). “The Commissioner, not the court, has the duty to weigh the
evidence, resolve material conflicts in the evidence, and make credibility choices.” Carrier v.
Sullivan, 944 F.2d 105, 109 (5th Cir. 1991).
The Social Security Administration uses a five-step process to determine whether an
individual is disabled. See 20 C.F.R. § 404.1520(a)(4). The steps are followed in order, and if at
any step the Commissioner determines that the claimant is disabled or not disabled, the evaluation
does not go on to the next step. Id. The five steps consider: (1) whether the claimant is engaged in
substantial gainful activity; (2) the medical severity of the claimant’s impairments; (3) whether the
claimant’s medical impairment or combination of impairments meets or medically equals the criteria
listed in the Listing of Impairments; (4) the claimant’s residual functional capacity and past relevant
work; and (5) whether the combination of the claimant’s residual functional capacity, age, education,
and work experience allow for adjustments to be made to permit the claimant to work. See id. If
the impairment is severe but does not meet or equal a listed mental impairment, then the
Commissioner must conduct a residual functional capacity assessment. Id. § 404.1520a(d)(3).
The scope of judicial review of a decision under the supplemental security income program
is identical to that of a decision under the social security disability program. Davis v. Heckler, 759
F.2d 432, 435 (5th Cir. 1985). Moreover, the relevant law and regulations governing the
determination of disability under a claim for disability insurance benefits are identical to those
governing the determination under a claim for supplemental security income. See id. Thus, the
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Court may rely on decisions in both areas without distinction in reviewing an ALJ’s decision. See
id.
III.
ANALYSIS
In her appeal from the Commission’s decision, Dennis argues that the ALJ’s decision is not
supported by substantial evidence. Dennis further objects that the ALJ erred in failing to consider
all of the functional limitations resulting from Dennis’s mental impairments, improperly rejected
medical opinion evidence, and failed to consider all of Dennis’s functional limitations in evaluating
her residual functional capacity.
The ALJ has a duty to develop the facts fully and fairly relating to an applicant’s claim for
disability benefits. Smith v. Chater, 962 F. Supp. 980, 983 (N.D. Tex. 1997). In this case, the ALJ
followed the five-step evaluation process, held a hearing, and considered Dennis’s relevant medical
records. Decision, App. 35, ECF No. 12-3. After reviewing the credible evidence, the ALJ found
Dennis is able to return to her past relevant work. Therefore, the ALJ judge found Dennis is not
disabled, as defined in the Social Security Act. Id. at App. 33.
A.
The ALJ’s Decision Is Supported by Substantial Evidence.
The ALJ found that Dennis was not disabled. Id. If the decision is supported by “substantial
evidence,” it must be affirmed. “Substantial evidence is such relevant evidence as a reasonable mind
might accept to support a conclusion. It is more than a mere scintilla and less than a preponderance.”
Newton, 209 F.3d at 452 (quoting Ripley v. Chater, 67 F.3d 552, 555 (5th Cir. 1995)). Dr. Stephen
J. Karten’s (“Karten”) prognosis of Dennis is included in the record as “fair to good, with treatment
for IBS.” Admin. Record, App. 295, ECF No. 12-8. The ALJ considered Dennis’s mental status
examination and GAF (Global Assessment of Functioning), finding that neither supported her
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allegation of disability. Id. at App. 31, ECF No. 12-3. The ALJ noted that Dennis’s failure to
comply with treatment plans suggests her conditions are not as limiting as alleged. Id. at App. 30.
The ALJ’s position is also supported by Dr. Robert Gilliland, M.D.’s (“Gilliland”) Psychiatric
Review Technique and Physical Residual Functional Capacity Assessment of Dennis. Id. at App.
298–315. The ALJ also accepted the testimony of Ms. Humphries, the vocational expert, in finding
Dennis’s “past relevant work as a customer service representative, as it is customarily performed in
the national economy, does not required the performance of work-related activities that are precluded
by the limitations in the foregoing residual functional capacity.” Id. at App 34. Moreover, the ALJ
found good reason to disregard the opinions of Dennis’s treating physicians. This evidence rises
above a mere scintilla and there is not a conspicuous absence of credible evidence to support the
Commissioner’s decision. Johnson, 864 F.2d at 343–44. Moreover, the reviewing Court is not in
a position to re-weigh the evidence, try the issues, or substitute its own judgment. Greenspan, 38
F.2d at 236. Thus, the ALJ’s position is supported by substantial evidence, and Dennis’s objection
is OVERRULED.
B.
The ALJ Did Not Fail to Consider Functional Limitations from Mental
Impairments.
Dennis contends that the ALJ erred in failing to consider all of the functional limitations
resulting from the Plaintiff’s severe mental impairments. Dennis notes findings from Dr. Darsa, Dr.
Karten, and Dr. Gilliland with respect to Dennis’s mental impairments which include, for example,
social isolation and anxiety disorder. Pl.’s Obj. R&R, App. 1–3, ECF No. 21. 20 C.F.R. §
404.1520a sets forth procedures for evaluating the impact of mental impairments on a claimant. The
regulation identifies “four broad functional areas” in which to rate the degree of a claimant’s
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functional limitation: (1) activities of daily living; (2) social functioning; (3) concentration,
persistence, or pace; and (4) episodes of decompensation. 20 C.F.R. § 404.1520a(c)(3). Based on
these ratings, the impairments will either be deemed “severe” or “not severe.”
Id. §
404.1520a(d)(1)–(2). The regulation also requires the ALJ to make “specific findings as to the
degree of limitation in each of the functional areas” and “the significant history, including
examination and laboratory findings, and the functional limitations that were considered in reaching
a conclusion about the severity of the mental impairments.” Id. § 404.1520a(e).
The ALJ complied with the regulations by detailing Dennis’s significant history, including
examination and laboratory findings, and the functional limitations that were considered in reaching
a conclusion about the severity of her mental impairments. The ALJ found that Dennis is capable
of performing a wide range of daily activities and that her mental impairments have mildly restricted
her activities of daily living. The ALJ further found that Dennis’s mental impairments created mild
difficulties in maintaining social functioning, and moderate deficiencies of concentration,
persistence, or pace. The ALJ noted that Dennis’s mental status was excellent at the time of her
consultative examination and that she never had an episode of decompensation due to her mental
impairments. The ALJ also considered Dennis’s GAF of 60 assessed by Dr. Karten in finding that
Dennis is not disabled. Thus, the ALJ properly evaluated Dennis’s mental impairments and this
objection is OVERRULED.
C.
The ALJ Did Not Err in Assigning “No Weight” to Certain Medical Opinions.
In general, an ALJ may reject the opinion of the treating physician “only if the ALJ performs
a detailed analysis of the treating physician’s views under the criteria set forth in 20 C.F.R. §
404.1527(d)(2).” Newtown, 209 F.3d at 453. “Even though the opinion and diagnosis of a treating
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physician should be afforded considerable weight in determining disability, ‘the ALJ has sole
responsibility for determining a claimant’s disability status.’” Id. at 455 (citing Paul v. Shalala, 29
F.3d 208, 2011 (5th Cir. 1994). “[T]he ALJ is free to reject the opinion of any physician when the
evidence supports a contrary conclusion.” Id. The SSA Regulations list factors an ALJ must
consider before determining that a treating physician’s opinion is not entitled to controlling weight.
See 20 C.F.R. §404.1527(d)(2); Newton, 208 F.3d at 456. “Specifically, this regulation requires
consideration of: (1) the physician’s length of treatment of the claimant; (2) the physician’s
frequency of examination; (3) the nature and extent of the treatment relationship; (4) the support of
the physician’s opinion afforded by the medical evidence of record; (5) the consistency of the
opinion with the record as a whole; and (6) the specialization of the treating physician.” Id.
In reaching his conclusion, the ALJ expressly considered factors for rejecting a treating
source’s opinion. Decision, App. 31, ECF No. 12-3; see Myers v. Apfel, 238 F.3d 617 (5th Cir.
2001). The ALJ noted his responsibility to consider the “length, nature, and extent of the treatment
relationship; the frequency of the examinations; the supportability by other evidence given by the
medical source, such as medical signs and laboratory findings; the extent of his explanation; and the
consistency with the record as a whole,” and that specialists’ opinions are afforded greater weight.
Decision, App. 31, ECF No. 12-3; Newton, 209 F.3d 448. Engaging in this analysis, the ALJ
considered that Dr. Darsa and Dr. Walter have longstanding treating relationships with Dennis, that
Dr. Walter is not a specialist; that there was a lapse in treatment from November 2011 to June 2012;
that the physical examinations are inconsistent with the doctors’ findings of disability; the lack of
objective support for Dennis’s subjective complaints; and the lack of support from the medical signs.
Decision, App 31, ECF No. 12-3. The ALJ determined that the doctor’s ultimate conclusion that
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Dennis cannot work is “not consistent with the record as a whole or with any one physician’s
treatment records.” Id. Dennis did not appear for treatment from Dr. Darsa from March 2010 until
March 2011. Admin. Record, App. 328, ECF No. 12-8. Therefore, the ALJ rejected these opinions.
“Good cause may permit an ALJ to discount the weight of a treating physician relative to
other experts where the treating physician’s evidence is conclusory, is unsupported by medically
acceptable clinical, laboratory, or diagnostic techniques, or is otherwise unsupported by the
evidence.” Newton, 209 F.3d at 456. The ALJ’s stated reasons for rejecting the Dr. Darsa and Dr.
Walter’s opinions included lack of speciality, lapse in treatment, failure to explain discrepancies
between findings and objective evidence, the opinions of other experts, and over-reliance on
Dennis’s complaints without corroborating objective evidence. See Newton, 209 F.3d at 455–56.
Therefore, the ALJ found good reason to disregard Dennis’s treating physicians’ opinions and this
objection is OVERRULED.
D.
The ALJ Did Not Fail to Consider Functional Limitations in Determining
Residual Functional Capacity.
Residual functional capacity is defined as: “the most you can still do despite your
limitations.” 20 C.F.R. § 404.1545(a)(1). Residual functional capacity is based on all relevant
evidence, including the medical records, observations by treating physicians and others, and an
individual’s own description of his limitations. Id. Here, Dennis objects to the “ALJ’s failure to
fully consider all the functional limitations resulting medical impairments which he acknowledged
to exist.” Pl’s Obj. R&R 6, ECF No. 21. Specifically, Dennis complains that the ALJ failed to
consider Dennis’s recurrent episodes of diarrhea. However, as noted by the Magistrate, “it is wellestablished that an ALJ can consider all the evidence in the record without directly addressing each
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peice of evidence in his opinion.” R&R 12, ECF No. 20; accord Ramirez v. Colvin, 2:12-cv-262,
2014 WL 1293888, at *10 (N.D. Tex. Mar. 28, 2014) (citing McFadden v. Astrue, 465 Fed. App’x.
557, 559 (7th Cir. 2010); Loral Defense Sys.-Askron v. NLRB, 200 F.3d 436, 453 (6th Cir. 1999)
(“An ALJ can consider all the evidence without directly addressing in his written decision every
piece of evidence submitted by a party.”).
The ALJ concluded that Dennis “can lift, carry, push, and pull twenty pounds occasionally
and ten pounds frequently; stand, walk, and sit (individually or in combination) through an eighthour workday; and otherwise perform the full range of light work, except she can performed detailed,
but not complex, instructions.” Decision, App. 32, ECF No. 12-3. This determination is supported
by substantial evidence, particularly Gilliland’s Psychiatric Review and Physical Residual Functional
Capacity Assessment. Admin Record, App. 300–315, ECF No. 12-8. The ALJ took note of
Dennis’s reported physical and mental limitations, including Dennis’s recurrent episodes of diarrhea,
the need to take two sets of clothing to work, and the fact that Dennis has to wear diapers due to her
condition. Id. at App. 28–31. Thus, the ALJ fully developed the record including all relevant
evidence in making his determination regarding residual functional capacity. The ALJ is not
obligated to recite every single piece of evidence or the way each piece of evidence affects a residual
functional capacity analysis. Because the ALJ did not commit legal error in determining Dennis’s
residual functional capacity and because the ALJ’s determination is supported by substantial
evidence, Dennis’s objection to the ALJ’s determination of her residual functional capacity is
OVERRULED and the Magistrates Report and Recommendation is AFFIRMED on this issue.
IV.
CONCLUSION
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Based on the foregoing analysis, the Court finds that the Magistrate Judge’s Report and
Recommendation in this case should be and is hereby ACCEPTED and the Plaintiff’s case is
DISMISSED.
SO ORDERED on this 17th day of September, 2015.
_____________________________________
Reed O’Connor
UNITED STATES DISTRICT JUDGE
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