Rios v. Colvin
Filing
22
MEMORANDUM OPINION AND ORDER. Signed by Judge Leon Schydlower. (mg2)
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Li
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF TEXAS
ELPASODIVISION
ROSA MAClAS RIOS,
Plaintiff,
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v.
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NO. 1?P-13
:
15
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§
CAROLYN W. COLVIN,
Acting Commissioner of Social Security
Administration,
Defendant.
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MEMORANDUM OPINION AND ORDER
This is a civil action seeking judicial review of an administrative decision. Jurisdiction is
predicated upon 42 U.S.C. § 405(g). Both parties having consented to trial before a United States
Magistrate Judge, the case was transferred to a United Stated Magistrate Judge for trial and entry
of judgment pursuant to 28
u.s.c.
§ 636(c) and Appendix C to the Local Court Rules for the
Western District of Texas. [ECF No. 16]
Plaintiff appeals from the decision of the Commissioner of the Social Security
Administration (Commissioner) denying her application for disability insurance benefits ("DIB")
under Title II of the Social Security Act. For the reasons set forth below, this Court orders that the
Commissioner's decision be AFFIRMED.
I. BACKGROUND
Plaintiff was born in August 1947, completed high school and two years of college, and is
able to communicate in English. (R:25, 107, 125, 127)' She has experience working in quality
assurance inspection and management. (R: 16, 35, 36, 131) Plaintiff discontinued working on
1
Reference to the Administrative Record, contained in Docket Entry Number 15, is designated by
an "R" followed by the page number(s).
1
November 1, 2010, due to her medical conditions of diabetes, back pain, knee problems, blurred
vision, and
shakes.2
(R:1l, 25-26, 126)
II. ISSUES
Plaintiff presents the following issues for review:
1. Whether the final decision of the Commissioner denying benefits is supported by
substantial evidence; and
2. Whether the Commissioner applied an incorrect legal standard in determining that
Plaintiff was not disabled.
Plaintiff contends that the Administrative Law Judge's residual functional capacity
determination is not supported by substantial evidence because she failed to properly consider all
of Plaintiff's limitations. In particular, Plaintiff asserts that the AU failed to properly consider her
non-severe conditions, her limitations standing and walking, her obesity, and her treating
physician's opinion. She contends that the case should be reversed, or in the alternative, remanded
for further administrative proceedings.
III. PROCEDURAL HISTORY
In November 2010, Plaintiff filed an application for DIB benefits, with an alleged onset
date of November 1, 2010. (R:9, 107) Her application was denied initially and upon
reconsideration. (R:9, 40, 41) Upon Plaintiffs written request for a hearing, an administrative
hearing was held on July 9, 2012. (R: 9, 24-39, 56-57) Administrative Law Judge Myriam
Fernandez Rice issued her decision on August 15, 2012, finding Plaintiff not disabled, and denying
benefits. (R:9-17) The Appeals Council denied Plaintiffs request for review on September 30,
2013. (R:1-4)
2
Plaintiff reported that she stopped working due to her conditions and for other reasons, namely,
that she was terminated because of a disagreement with her employer. (R: 126)
2
Plaintiff filed the instant cause on November 21, 2013. [ECF No.
1]
The Court granted her
motion to proceed in forma pauperis, and ordered the complaint filed. [ECF Nos. 4, 5] Defendant
filed an answer and transcript of the administrative proceedings on February 5, 2014. [ECF Nos.
13, 15] Plaintiff filed a brief in support
of her claims on April 4, 2014. [ECF No.
19] On May 2,
2014, Defendant filed a brief in support of the Commissioner's decision denying benefits. {ECF
No. 20] This case was transferred to United States Magistrate Judge Leon Schydlower on
December 8, 2015. {ECF No. 21]
IV. DISCUSSION
A. STANDARD OF REVIEW
The court's review of the Commissioner's decision is limited to two inquiries: whether the
decision is supported by substantial evidence on the record as a whole; and whether the
Commissioner applied the proper legal standard. See Perez
2005); Masterson
v.
Barnhart, 309 F.3d 267, 272
(5t1
v.
Barnhart, 415 F3d 457, 461
(5tl
Cir.
Cir. 2002). Substantial evidence "is more
than a mere scintilla, and less than a preponderance." Masterson, 309 F.3d at 272. The
Commissioner's findings will be upheld if supported by substantial evidence. Id.
In applying the substantial evidence standard, the court may not reweigh the evidence, try
the issues de novo, or substitute its own judgment for the Commissioner's, even if it believes the
evidence weighs against the Commissioner's decision. Id. Conflicts in the evidence are for the
Commissioner and not for the courts to resolve. Perez, 415 F.3d at 461.
B. EVALUATION PROCESS
A claimant bears the burden of proving disability, which is defined as any medically
determinable physical or mental impairment lasting at least 12 months that prevents the claimant
3
from engaging in substantial gainful activity. See 42 U.S.C. §
423(d)(1); 20 C.F.R. §
404.1505(a); Masterson, 309 F.3d at 271. The AU evaluates disability claims according to a
sequential five-step process: 1) whether the claimant is currently engaged in substantial gainful
activity; 2) whether the claimant has a severe medically determinable physical or mental
impairment; 3) whether the claimant's impairment meets or equals the severity of an impairment
listed in 20 c.F.R. Part 404, Subpart P, Appendix
1;
4) whether the impairment prevents the
claimant from performing past relevant work; and 5) whether the impairment prevents the
claimant from doing any other work. 20 C.F.R. § 404.1520.
The claimant bears the burden of proof at the first four steps of the analysis. Leggett
v.
Chater, 67 F.3d 558, 564 (5th Cir. 1995). If the claimant can perform her past relevant work, she is
not disabled. 20 C.F.R. § 404.1520. However, if the claimant has shown she cannot perform her
previous work, the burden shifts to the Commissioner to show that there is other work available
that the claimant can perform. Crowley
v.
(5th
Cir. 1999). If the
Apfel, 197 F.3d. 194, 198
Commissioner establishes other gainful employment, the burden shifts back to the claimant to
prove she is unable to perform the alternative work. Id.
The five-step inquiry terminates if the Commissioner finds at any step that the claimant is
or is not disabled. Leggett, 67 F.3d at 564. "The Commissioner's decision is granted great
deference and will not be disturbed unless the reviewing court cannot find substantial evidence in
the record to support the Commissioner's decision or finds that the Commissioner made an error of
law." Id.
The mere presence of an impairment is not disabling per se. See Hames
v.
Heckler, 707
F.2d 162, 165 (5th Cir. 1983). Rather, it is Plaintiffs burden to establish disability and to provide or
4
identify medical and other evidence of her impairments and how they affect her ability to work.
See
20 C.F.R. § 404.1520(c). Her own subjective complaints, without objective medical evidence
of record, are insufficient to establish disability. See 20 C.F.R. § 404.1508, 404.1528, 404.1529.
C. THE AU'S DECISION
In the present case, the AU found that Plaintiff had not engaged in substantial gainful
activity since November 1, 2010, the alleged onset date.3 (R: 11) She determined that Plaintiff had
severe impairments of diabetes mellitus type II, high blood pressure, an abnormal lateral tibial
plateau of the right knee, and mild degenerative disc disease. (R: 11) However, she found
Plaintiff's blurred vision, headaches, heart palpations, and shakiness to be non-severe
impairments. (R:12) She further found that Plaintiff's depression was not a medically
determinable impairment. (R: 12) The AU determined that none of Plaintiff's impairments met or
medically equaled the listing of impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. (R:12)
The AU next determined that Plaintiff retained the functional capacity to perform a wide
range of light work as defined in 20 C.F.R. § 404.1567(b). (R:12) See 20 C.F.R. § 404.1567. She
ruled that Plaintiff could lift up to 20 pounds occasionally and up to 10 pounds frequently, stand or
walk for approximately 6 hours in an 8-hour workday, and sit for approximately 2 hours in an
Plaintiff was found to meet the insured status requirements of the Social Security Act through
June 30, 2013. (R:11)
Light work is defined as work that involves "lifting no more than 20 pounds at a time and 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 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. If
someone can do light work, we determine that he or she can also do sedentary work, unless there are
additional limiting factors such as loss of fine dexterity or inability to sit for long periods of time." 20
C.F.R. § 404.1567(b). The full range of light work involves standing or walking, off and on, for a total of
approximately 6 hours of an 8-hour workday. Social Security Ruling 83-10,
5
8-hour workday. However, she held that Plaintiff could never climb ladders, ropes, or scaffolds,
could occasionally kneel, must avoid concentrated exposure to extreme temperatures, wetness,
humidity, excessive vibration, and unprotected heights, and should avoid concentrated use of
moving machinery. (R: 12)
Based upon vocational expert testimony, the AU ruled that an individual with Plaintiffs
RFC could perform Plaintiffs past relevant work as a quality assurance manager/inspector as
actually and as generally
performed.5
(R: 16) The AU concluded that Plaintiff was not disabled
from her alleged onset date through the date of the AU's decision. (R:16-17)
AU'S RESIDUAL FUNCTIONAL CAPACITY DETERMINATION IS
SUPPORTED BY SUBSTANTIAL EVIDENCE
D. THE
Plaintiff asserts that the AU erred in determining her residual functional capacity by
failing to include limitations related to her non-severe conditions, her ability to stand or walk, and
her obesity, and by failing to give proper weight to the opinion of her treating physician. The
Defendant responds that the AU properly considered Plaintiffs impairments and her treating
physician's opinion, and that substantial evidence supports the AU's decision.
Residual functional capacity ("RFC") is the most an individual can still do despite her
limitations. 20 C.F.R. § 404.1545. The responsibility to determine the Plaintiffs RFC belongs to
the AL Ripley v. Chater, 67 F.3d 552, 557 (5 Cir. 1995). In making this determination, the AU
must consider all the record evidence and determine the Plaintiffs abilities despite her physical
and mental limitations. Perez, 415 F.3 d at 461-62. The AU must consider the limiting effects of an
individual's impairments, even those that are non-severe, and any related symptoms. See 20 C.F.R.
See U.S. Dep't of Labor, Dictionary of Occupational Titles ("DOT") § 168.287-0 14 (Inspector,
Quality Assurance) (4th Ed., Rev. 1991).
§ 404.1529, 404.1545. The relative weight to be given the evidence is within the AU's discretion.
Chambliss
v.
Massanari, 269 F.3d 520, 523 n.1
(5th
Cir. 2001). The AU is not required to
incorporate limitations in the RFC that she did not find to be supported in the record. See Morris v.
Bowen, 864 F.2d 333, 336 (5th Cir. 1988).
1.
Medical Evidence
The medical evidence of record demonstrates the following:
On December 6, 2010, Plaintiff was seen by her treating physician Dr. Angela Jones-Allen,
who had been treating her since 2009 primarily for diabetes and hypertension. (R: 185-86, 205-08)
Aside from an upper respiratory infection, Plaintiff complained of right knee pain. She weighed
168 pounds at that time with a BMI
of 29.8.6 Upon examination, the physician found that Plaintiff
had right knee pain upon motion. Dr. Jones-Allen assessed her with knee joint pain, hypertension,
hyperlipidemia, and diabetes uncontrolled, but improved.
On January 12, 2011, a consultative examination was performed by Dr. Gabriela Hunko
for Plaintiff's complaints of right knee pain, vision problems, diabetes, and right shoulder
problems. (R:248-49) Plaintiff also complained of fatigue off and on, and pain with walking or
sitting. However, she reported being able to do housework, chores, drive, cook, and perform
activities of daily living without assistance. She denied any chest pain. She weighed 169 pounds,
was 63.5 inches tall, and had a BMI of 29.46. Upon physical examination, Dr. Hunko found her
eyes, ears, nose, and throat to be within normal limits. Her neck had normal extension, flexion, and
rotation. She was alert and oriented. Dr. Hunko observed that Plaintiff had equal strength in her
6
BMI is the ratio of an individual's weight in kilograms to the square of his or her height in meters
(kg/rn2). For adults, both men and women, the Clinical Guidelines describe a BMI of 25-29.9 as
'overweight' and a BMI of 30.0 or above as 'obesity.' SSR O2-lp.
7
upper and lower extremities of 5/5 with no sensory loss. Plaintiff exhibited a normal gait and was
able to walk heel-to-toe, jump, and squat. Review of her musculoskeletal system showed normal
movements in her joints, although guarded with respect to active range of motion in her right
shoulder. Passive range of motion was full. Plaintiff's left knee was tender to palpation and had
mild
crepitus.7
Dr. Hunko assessed Plaintiff with diabetes mellitus, uncontrolled and in poor
compliance, and with joint pain in the shoulder and lower leg.
Dr. Hunko ordered x-ray examinations of the right knee, which showed mild medial and
lateral femoral compartment joint space loss. (R:252) She also ordered x-ray exams of the lumbar
spine, which revealed mild to moderate degenerative changes and some mild joint space loss.
(R:250-51)
On February 22, 2011, Dr. Kim Rowlands, a state agency physician, completed a Physical
Residual Functional Capacity evaluation of Plaintiff. (R:260-67) Based upon a review of the
medical records, Dr. Rowlands concluded that Plaintiff could occasionally lift or carry 20 pounds
and frequently lift or carry 10 pounds, could stand or walk about 6 hours in an 8-hour workday, sit
about 6 hours, and push or pull unlimitedly. The physician found Plaintiff's postural movements to
be occasionally limited, but found no manipulative, visual, communicative, or environmental
limitations. Another state agency physician affirmed the findings. (R:268)
Upon referral from Dr. Jones-Allen, Plaintiff underwent x-ray examinations on March 9,
2011, for both knees. The exams produced normal results with no evidence of fracture, meniscal
calcification, or soft tissue abnormality. (R:309)
On June 12, 2012, Dr. Jones-Allen examined Plaintiff during a follow-up visit for diabetes,
Crepitus, or crepitation, refers to a crackling sound produced by the rubbing together of bone
fragments or joint surfaces. Dorland's Illustrated Medical Dictionary, 418 (29th ed. 2000).
8
hypertension, and hyperlipidemia, knee pain, and low back pain. (R:273-75) Plaintiff weighed 181
pounds with a BMI of 32.1. Dr. Jones-Allen observed her to be oriented in time, place, and person,
well developed, and in no acute distress. Examinations of her head, neck, chest, cardiovascular,
and neurological systems were normal. Examination of her musculoskeletal system was normal
except for her knees, which had pain with motion and had tenderness on palpation and ambulation.
Dr. Jones-Allen assessed her with diabetes controlled, hyperlipidemia, hypertension, lumbago,
and knee joint pain.
On the same date, Dr. Jones-Allen completed a Medical Source Statement. (R:269-72) She
determined that Plaintiff could occasionally lift or carry 10 pounds, frequently lift or carry less
than 10 pounds, stand or walk less than 2 hours in an 8-hour workday, sit for less than about 6
hours in an 8-hour workday, and push and pull with her lower extremities in a limited capacity.
She concluded that Plaintiff was functionally limited because of low back pain, sciatica, and
"severe" bilateral knee pain. The physician further determined that Plaintiff could never perform
any postural movements, but could perform manipulative, visual, or communicative movements
without any limitations. Regarding environmental factors, Dr. Jones-Allen concluded that Plaintiff
should avoid temperature extremes, humidity, wetness, vibration, hazardous machinery, and
heights to avoid exacerbating her pain symptoms.
2.
Plaintiff's Non-Severe Impairments
In assessing an individual's RFC, an AU must consider only limitations and restrictions
attributable to medically determinable impairments and must address both exertional and
nonexertional capacities.
See
SSR 96-8p. Plaintiff contends that the AU in this case failed to
consider the limitations related to her non-severe impairments of headaches, heart palpations, and
shakiness in determining her RFC. She makes this assertion based upon the following statement
made by the AU in her decision:
Since I have already determined that her blurred vision, headaches, and shakiness,
are not severe impairments, I will address the remaining impairments in my
decision.
(R: 13) However, review of the decision shows that the AU stated that she considered all of
Plaintiffs symptoms in making her RFC findings. (R:12) Further, she expressly mentioned
Plaintiff's vision problems and shakiness in evaluating limitations assessed by the treating
physician, Dr. Jones-Allen. (R: 15) The AU stated that:
After careful consideration of the evidence, I find that the claimant's medically
determinable impairments could reasonably be expected to cause the alleged
symptoms; however, the claimant's statements concerning the intensity,
persistence and limiting effects of these symptoms are not credible to the extent
they are inconsistent with the above residual functional capacity assessment.
(R: 16) (emphasis added) Thus, because the AU referenced Plaintiff's "medically determinable
impairments" in her findings, she necessarily considered both the severe and non-severe
impairments in her findings.
More importantly, the AU thoroughly examined and discussed the medical evidence to
show the functional limitations resulting from Plaintiff's medically determinable impairments,
both severe and non-severe. The AU stated that despite Plaintiff's complaints of shakiness and
vision problems, her treating physician found no manipulative, visual, or hearing limitations.
(R:15, 271) Further, the AU observed that no physician prescribed, nor did Plaintiff use, an
assistive device for stability, and that during the consultative examination she was able to jump,
squat, and walk heel-to-toe. (R: 15) Also, Plaintiff's cardiovascular exams were normal at both the
consultative examination and the most recent treating physician's examination. (R:249, 273) Nor
10
is there any mention by her physicians
of any headache-related symptoms causing any functional
limitations during the relevant period.
With regard to Plaintiff's depression, Plaintiff does not contest the
AU's finding that her
depression was not a medically determinable impairment. To the extent that she argues that the
AU erred by failing to consider her depression, her argument fails. The AU was not required to
consider the effects of any symptoms of depression on her ability to perform work activities
because the record does not establish depression as a medically determinable impairment. See 20
C.F.R. § 404.1508, 404.1528, 404.1529.
Therefore, as shown by the decision, the AU properly considered all of Plaintiff's
medically determinable impairments and incorporated into the RFC those functional limitations
that she found supported by the record. Plaintiff has not demonstrated that her non-severe
impairments caused any additional functional limitations beyond those included in the AU's RFC
determination.
Even assuming the AU failed to properly consider the non-severe impairments, any error
the AU committed would be considered harmless. The Fifth Circuit has held that "[p]rocedural
perfection in administrative proceedings is not required" and a court "will not vacate a judgment
unless the substantial rights of a party have been affected." Mays v. Brown, 837 F.2d 1362, 1364
(5th
Cir. 1988). Errors are considered prejudicial only if they "would cast into doubt the existence
of substantial evidence to support the AU's decision." Morris, 864 F.2d at 335. Plaintiff has not
shown that her non-severe impairments resulted in any functional limitations beyond those
included in the RFC by the AU. Consequently, Plaintiff fails to demonstrate prejudice and her
argument fails.
11
3.
Plaintiffs Ability to Stand and Walk
Plaintiff claims that the AU failed to account for her limited ability to stand or walk in
determining her RFC. She further claims that the evidence shows that she is unable to perform the
6 hour standing/walking requirement of light work. For support, she cites to her testimony
of low
back pain and knee pain and resulting functional limitations, her physical examinations showing
pain with motion of the knee, and the x-rays results showing mild medial and lateral femoral
compartment joint space loss.
The AU in this case carefully considered the medical records of Plaintiff's impairments
and made credibility determinations regarding Plaintiffs self-reported symptoms and limitations.
She weighed the medical source statement of Dr. Jones-Allen, limiting Plaintiff to less than 6
hours of standing, and only gave it partial weight because she found it to be unsupported by the
record. She considered the fact that none of Plaintiff's physicians prescribed, nor did Plaintiff use,
an assistive device to aid in stability. Despite finding right knee and shoulder pain, the consultative
physician assessed no functional limitations. Dr. Jones-Allen found no abnormalities or symptoms
on musculoskeletal and neurological examinations, aside from the joint knee pain and lumbago.
Further, the AU
considered Plaintiffs reported activities of daily living and found them
inconsistent with her alleged functional limitations. Plaintiff reportedly did all of the household
chores.
Plaintiff claims that any alleged error in determining her RFC has prejudiced her because a
faulty RFC taints the remaining steps of the sequential analysis. However, even had the AU erred
in determining Plaintiffs RFC, Plaintiff has not demonstrated how she would be prejudiced in this
regard. In the next step in the sequential analysis, it is Plaintiffs burden to show that she is unable
12
to perform her past relevant work given the RFC found by the AU. The fact that a claimant is
unable to perform certain requirements of her past relevant work does not mean that she is unable
to perform "past relevant work" as that phrase is used in the regulations. See Leggett, 67 F.3d at
564. The AU may consider the description of a claimant's past relevant work either as specifically
performed or as generally performed in the national economy. See Id. at 564-65.
At the hearing, the VE testified that an individual with Plaintiff's RFC could perform her
past relevant work as a quality assurance inspector or manager as that job is defined in the DOT.
(R: 37) Based on the VE testimony, the AU found that Plaintiff could perform her past work as a
quality assurance manager/inspector both as actually and as generally performed. (R: 16) This
finding is supported not only by the VE testimony and medical evidence cited above, but also by
Plaintiff's reported daily living activities. Despite reporting being able to walk only two blocks
before having to stop and rest, Plaintiff reported that she did light chores, went grocery shopping,
did laundry, cleaned, drove, and attended church. (R: 160-67)
Moreover, the AU considered Plaintiff's testimony that she collected unemployment
benefits after she stopped working until May 2012 as "essentially holding herself out for work."
(R:28) A claimant's receipt of unemployment benefits is considered inconsistent with a claim for
disability and is therefore an appropriate factor for an AU to consider in weighing credibility. See
Jamison
v.
Colvin, No. SA-15-CA-166-JWP, 2015 WL 5822592 at *5 (W.D. Tex. Oct. 5, 2015)
(citations omitted) (finding plaintiff's efforts to obtain employment and receipt of unemployment
benefits appropriate factors for AU to consider in weighing credibility); accord Thibodeaux
v.
Astrue, 324 Fed. Appx. 440, 445 (5th Cir. 2009) (fact that plaintiff met conditions for
unemployment benefits during relevant time period was factor contributing to substantial evidence
13
in support of AU's findings).
Thus, despite Plaintiff's assertion that she cannot stand or walk the 6 hours required for
light work, she has not shown that she cannot perform her past relevant work as generally
performed. Consequently, she fails to demonstrate prejudice and her argument fails.
4. Obesity
Plaintiff contends that the AU failed to consider the effects of obesity in making her RFC
determination. Social Security Ruling 02-ip requires an AU to consider the effects of obesity
when assessing RFC, including the fact that "the combined effects of obesity with other
impairments can be greater than the effects of each of the impairments considered separately."
SSR 02-1 p. An AU may "not make assumptions about the severity or functional effects of obesity
combined with other impairments," but must instead "evaluate each case based on the information
in the case record." Id.
For the relevant time period, the medical evidence of record reflects that Plaintiffs weight
ranged from 168 pounds to 181 pounds, and that her body mass index or BMI ranged from 29.8 to
32.1. (R:273, 277, 282, 291) Aside from the weight and BMI notations, however, Plaintiff fails to
demonstrate how obesity affected her functioning level beyond that assessed by the AU. The
record is silent as to any diagnosis of obesity, or any findings by Plaintiffs doctors attributing any
functional limitations due to obesity. Beyond her own subjective complaints, Plaintiff fails to
produce evidence of any functional limitations due to obesity beyond the RFC determined by the
AU.
Although the AU did not specifically address Plaintiffs obesity, there is no evidence in the
record that this condition limited Plaintiff more than is reflected in the AU's RFC.
14
See Hobbs
v.
Astrue, 627 F.Supp.2d 719, 727 (W.D. La. 2009) (although the AU did not mention claimant's
obesity or discuss the impact of her obesity on her ability to work, he "did, in effect, consider the
impact of claimant's obesity on her ability to work when he considered the impact of the physical
symptoms caused or aggravated by her obesity."). By considering the symptoms of Plaintiffs other
impainnents, all of which may be aggravated by obesity, the AU, in effect, considered the impact
of any alleged obesity on her ability to work.
Even assuming that the AU's failure to address obesity constitutes non-compliance with
S SR 02-1 p,
Plaintiff has failed to demonstrate prejudice by such failure. See Mays, 837 F.2d at
1364; see also Beggs v. Colvin, Civ. No. 4:14-CV-129-O, 2015 WL 5542540 at *6 (N.D. Tex.
Aug.31, 2015), adopted by2015 WL 5547010 (N.D. Tex. Sept.15, 2015) (AU's failure to address
obesity did not require remand where Plaintiff failed to show obesity affected her functioning, and
thus failed to show prejudice). Consequently, Plaintiff's contention fails.
5.
Treating Physician's Opinion
Lastly, Plaintiff contends that the AU failed to attribute proper weight to the Medical
Source Statement from Dr. Jones-Allen, Plaintiffs treating physician. In her decision, the AU
stated that she afforded partial weight to the physician's opinion. However, Plaintiff claims that the
opinion is entitled to greater weight because there is no conflicting opinion in the record and the
findings are not based solely on subjective complaints. Defendant responds that Dr. Jones-Allen's
opinion is inconsistent internally and with other substantial evidence in the record, and therefore,
is not entitled to any greater weight.
Ordinarily the opinions of a treating physician who is familiar with the claimant's
conditions should be accorded considerable weight in determining disability. Greenspan
15
v.
Shalala, 38 F.3d 232, 237 (5th Cir. 1994) (citation omitted). If the treating physician's opinion on
the nature and severity of an impairment is well supported by objective medical evidence and not
inconsistent with other substantial evidence, it will be given controlling weight. 20 C.F.R. §
404.1 527(c)(2).
If not given controlling weight, a treating source's medical opinion should be
weighed in light of certain factors including: (a) the length of the treatment relationship and the
frequency of examination; (b) the nature and extent of the treating relationship; (c) the
supportability of the source's opinions in light of the relevant medical evidence and explanation
provided by the source; (d) the consistency of the opinion with the record as a whole; (e) the
specialization of the medical source; and (f) any other relevant factors. 20 C.F.R. §
404.1527(c)(2)-(6). "[A}lthough the opinion of an examining physician is generally entitled to
more weight than the opinion of a non-examining physician, the AU is free to reject the opinion of
any physician when the evidence supports a contrary conclusion." Bradley
v.
Bowen, 809 F.2d
1054, 1057 (5th Cir. 1987) (quotation omitted).
Review of the evidence shows that Dr. Jones-Allen treated Plaintiff from 2009 to 2012. In
June 2012, Dr. Jones-Allen provided a Medical Source Statement finding that Plaintiff could lift
and carry no more than ten pounds, could stand and walk less than two hours, and sit less than six
hours in an 8-hour work day. (R:269-70) In support of her conclusions, she stated that Plaintiff had
low back pain, sciatica, and severe bilateral knee pain. (R:270) She further found that Plaintiff
could never perform any postural activities, and found certain environmental factors affecting her
impairments, including extreme temperatures, humidity/wetness, vibration, and hazardous
machinery or heights. (R:272)
The AU attributed only partial weight to Dr. Jones-Allen's statement because the record
did not support the extent of limitations found by the physician. In her treatment notes dated June
12, 2012, Dr. Jones-Allen found no abnormalities or symptoms on musculoskeletal and
neurological system examinations, aside from finding joint knee pain and lumbago. The x-ray
examinations done at her request were normal. Consultative examiner Dr. Hunko assessed no
functional limitations, despite finding right knee and shoulder pain. During the consultative exam,
Plaintiff walked with a normal gait and was able to walk heel-to-toe, jump, and squat.
As described above, the AU noted that no physician had prescribed, nor did Plaintiff use,
an assistive device for stability. The AU also considered the fact that Dr. Jones-Allen did not refer
Plaintiff to physical therapy or to a specialist, restrict her activities, or prescribe any pain
medications for her neck, knee, or low back pain. In fact, Plaintiff testified that she did not take any
pain medications. (R:26)
Dr. Jones-Allen's findings of essentially less than sedentary functional capacities are also
inconsistent with other record evidence considered by the AU. For example, during Plaintiff's
application interview the Field Officer observed no physical limitations or signs of disability.
(R: 123) Additionally, the AU reviewed Plaintiff's reported activities of daily living and found
them to be inconsistent with her alleged functional limitations. In her most recent Functional
Report, Plaintiff reportedly did household chores, laundry, cleaning, prepared light meals, went
grocery shopping, and attended church.
Thus, the Court finds that the AU properly weighed Dr. Jones-Allen's medical source
statement and explained the basis for the weight given. It was within the
AU's authority
to
attribute only partial weight to Dr. Jones-Allen's opinion and greater weight to the state agency
physicians' opinions, finding them to be more consistent with the record evidence. Consequently,
17
the Court finds no error in the
AU' s consideration of the medical source statement. Moreover,
because substantial evidence supports the
AU' s RFC determination, Plaintiff
is unable to
demonstrate prejudice. Plaintiff's contention is, therefore, without merit.
V. CONCLUSION
Accordingly, based upon a review of the evidence, the Court finds that the AU's RFC
determination comports with relevant legal standards and is supported by substantial evidence.
Therefore, Plaintiff's assertions of error are without merit. Based on the foregoing, the Court
hereby ORDERS that the decision of the Commissioner be AFFIRMED consistent with this
opinion.
SIGNED and ENTERED on May 6, 2016.
/
6IIi
LEON SCHYDLOWER
UNITED STATES MAGISTRATE JUDGE
18
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