Hernandez v. Colvin
Filing
23
MEMORANDUM OPINION AND ORDER. Signed by Judge Leon Schydlower. (mc4) Modified on 3/16/2016 (mc4).
FILED
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF TEXAS
F!,
2016
MR
PASfl DIVISIflN
§
L1flC1
§
§
v.
§
CAROLYN W. COL YIN,1
Acting Commissioner of Social Security
Administration,
Defendant.
PH
[:
23
.T;T CCUVT
L,1ERt
GERARDO HERNANDEZ,
Plaintiff,
15
UF TEX A
i pt ii
NO. EP-l4-CY-O391-DCG
(-LS by consent)
§
§
§
§
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 on the merits before a
United States Magistrate Judge, the case was referred to this Court for trial and entry of judgment
pursuant to 28 U.S.C.
§
636(c), and Rule CV-72 and Appendix C of the Local Court Rules for the
Western District of Texas.
Plaintiff appeals from the decision of the commissioner of the Social Security
Administration (commissioner) denying his 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.
BACKGROUND
Plaintiff was born in March of 1956, attended school through the ninth grade, and can
'Carolyn W. Colvin became the Acting Commissioner of the Social Security Administration on
February 14, 2013. Pursuant to Fed. K. Civ. P. 25(d), she is substituted as the defendant in this suit. No
further action need be taken to continue this suit by reason of the last sentence of §205(g) of the Social
Security Act, 42 U.S.C. § 405(g).
communicate in English. (R: 30, 103, 122)2 After working as a parking lot attendant for thirteen
years, Plaintiff discontinued working in December of 2011 due to his medical conditions. (R:30,
123)
ISSUES
Plaintiff presents the following issues for review:
Whether the final decision of the Commissioner denying benefits is supported by
substantial evidence; and
1.
2. Whether the Commissioner applied an incorrect legal standard in determining that Plaintiff
was not disabled.
Plaintiff contends that the Administrative Law Judge's (AU) residual functional capacity
(RFC) determination is not supportedby substantial evidence because she failed to properly consider
Plaintiff's limitations caused by his osteoarthritis, especially his problems standing and/or walking.
Plaintiff contends that the case should be reversed, or in the alternative, remanded for further
administrative proceedings.
PROCEDURAL HISTORY
On January 12, 2012, Plaintiff filed an application for DIB benefits, with an alleged onset
date of December 22, 2011, due to diabetes, asthma, arthritis, hypertension, and high cholesterol.
(R:46, 51, 103) His application was denied initially and upon reconsideration. (R:46, 51) Upon
Plaintiff's written request for a hearing, an administrative hearing was held on April 24,2013. (R:2841) The AU issued a decision on June 7, 2013, finding Plaintiff not disabled, and denying benefits.
(R:12-20) The Appeals Council denied Plaintiff's request for review on July 29, 2014. (R:2-6)
2Reference to the Administrative Record, contained in Docket Entry Number 15, is designated by
an "R" followed by the page number(s).
2
Plaintiff filed the instant cause on October 22, 2014. [ECF Nos.
1, 5]
Defendant filed an
answer and transcript of the administrative proceedings on January 6, 2015. [ECF Nos. 13, 15]
Plaintiff filed a brief in support of his claims on March 9, 2015. {ECF No. 20] On March 25, 2015,
Defendant filed a brief in support of the Commissioner's decision denying benefits. [ECF No. 21]
This case was transferred to United States Magistrate Judge Leon Schydlower on December 8,2015.
{ECF No. 22]
DISCUSSION
I. STANDARD OF REVIEW
This Court's review is limited to a determination of whether the Commissioner's decision
is supported by substantial evidence, and whether the Commissioner applied the proper legal
standards in evaluating the evidence. See 42 U.S.C.
272
(5t1
§
405(g); Masterson v. Barnhart, 309 F.3d 267,
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. A finding of no substantial evidence will be made only where
there is a conspicuous absence of credible choices or no contrary medical evidence. Abshire
v.
Bowen, 848 F.2d 638, 640 (5th Cir. 1988).
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. Masterson, 309 F.3d at 272. Conflicts in the
evidence are for the Commissioner and not the courts to resolve. Id.; Speliman
357, 360 (5th Cir. 1993).
v.
Shalala,
1
F.3d
II. EVALUATION PROCESS
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(s)
meet or equal the severity of an impairment listed in 20 C.F.R. Part 404, Subpart B, 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
Chater, 67 F.3d 558, 564
not disabled. 20 C.F.R.
§
(5th
v.
Cir. 1995). If the claimant can perform his past relevant work, he is
404.1520. However, if the claimant has shown he cannot perform his
previous work, the burden shifts to the Commissioner to show that there is other work available that
(5th Cir. 1999). If the Commissioner
the claimant can perform. Crowley v. Apfel, 197 F.3d 194, 198
establishes other potential employment, the burden shifts back to the claimant to prove he is unable
to perform the alternative work. Id.
A finding that a claimant is disabled or not disabledat any point in the process is conclusive
and terminates the Commissioner's analysis. 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 Commission made
an error of law. Id.
III. THE AU'S DECISION
At step one of the sequential analysis, the AU found that Plaintiff has not engaged in
substantial gainful activity since December 22,2011, the alleged onset date. (R:14) At step two, the
AU
found that Plaintiff had severe impairments of: diabetes mellitus, hypertension, and
osteoarthritis. (R: 14) However, at step three, the AU found that none of his impairments met or
equaled the listing of impairments in 20 C.F.R. Part 404, Subpart P, Appendix
1.
(R: 15) The AU
next determined that Plaintiff retained the capacity to perform light work as defined in 20 C.F.R.
404.1567(b),3
§
except that he could occasionally climb and stoop. (R: 16)
At step four, based upon vocational expertt ("yE") testimony, the AU determined that an
individual with Plaintiff's RFC could perform Plaintiff's past relevant work as a parking lot
attendant, as it is normally performed. (R: 19, 39) The AU concluded that Plaintiff was not disabled
from his alleged onset date through the date of the AU's decision. (R:20)
IV. THE AU'S RESIDUAL FUNCTIONAL CAPACITY DETERMINATION IS
SUPPORTED BY SUBSTANTIAL EVIDENCE
Plaintiffas serts that the AU erred in determining his residual functioning capacity by failing
to accommodate the limitations caused by his osteoarthritis, particularly as they relate to his ability
to stand and/or walk. He claims that he is unable to perform the six-hour standing/walking
requirement of light work. The Defendant responds that substantial evidence supports the decision
of the AL and that the AU appropriately discounted Plaintiff's subjective statements.
Residual functional capacity ("RFC") is the most an individual can still do despite his
3Light 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, ajob 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 (SSR) 83-10.
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 his physical and
mental limitations. Perez
v.
Barnhart, 415 F.3d 457, 461-62
(Sth
Cir. 2005); see also 20 C.F.R.
§
404.1545(a). 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.
§
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 (5th Cir. 2001).
Further, the mere presence of an impairment is not disabling per Se. See Hames v. Heckler,
707 F.2d 162, 165 (5t Cir. 1983). Rather, it is Plaintiffs burden to establish disability and to provide
or identify medical and other evidence of his impairments. See 42 U.S.C.
§
423(d)(5); 20 C.F.R.
§
404.1512(c), 416.912(c). His 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.
Plaintiff claims that he is unable to stand or walk for the periods required for light work. As
support for his claim, he states that pain related to his hips, joints, and back, caused by his
osteoarthritis, prevent him from performing the standing and walking requirements of light work.
In response, the Defendant argues that substantial evidence, including the consulting and reviewing
physicians' opinions, Plaintiffs conservative treatment, and his reported activities of daily living,
support the
AU's RFC determination.
Treatment records from December of 2011 through March of 2013 reflect that Plaintiff was
negative for bone/joint symptoms, weakness, gait disturbance, and fatigue. (R:455-96) Physical
examination showed him in no apparent distress, except for a follow-up visit for shingles in January
of 2013 when he appeared in mild distress. (R:489) His musculature was normal, with no skeletal
tenderness or joint deformity, and his extremities appeared normal. In March 2013, upon
examination, a nurse practitioner assessed him as having no physical limitations other than weight
and age. (R:495) In April 2013, he was again noted as negative for gait disturbance, weakness, and
fatigue. (R:497-502) Physical examination showed full range of motion in the right hip and right
knee, and tenderness and mild pain with motion in the left hip and left knee. (R:500). He appeared
in no acute distress, and his extremities appeared normal. (R:500)
In February 2011, an MRI of Plaintiff's lumbar spine showed evidence of multisegmental
degenerative discopathic changes and early lumbosacral spondylosis, but showed no concomitant
spinal canal stenosis, neuroforaminal stenosis, or mechanical compression of the nerve roots. (R:284)
Hip x-rays in January 2011, and a pelvic MRI in May 2011, were normal. (R:213, 221-22)
A consultative examination was performed on March 26, 2012, by Dr. Douglas Payne.
(R:226-3 1) Dr. Payne assessed Plaintiff for problems with diabetes, asthma, hypertension, and
arthritis. Plaintiff reported having problems with performing daily living activities that involved
prolonged standing or lifting. Dr. Payne noted decreased sensation of mild severity in both of
Plaintiff's feet. He found Plaintiff's physical examination to be fairly unremarkable except for
diffuse weakness that appeared to reflect poor effort. Dr. Payne further noted that Plaintiff's left foot
had significant tenderness, but was otherwise normal on examination. An Mifi of the left foot
showed severe osteoarthritis, spurring, and a prior fracture. Dr. Payne opined that these conditions
would likely cause significant pain during walking or standing.
Plaintiff's treating physician, Dr. Angela Jones-Allen, completed a Medical Source Statement
on April 26, 2013. (R: 615-18) She found that Plaintiff could lift or carry 20 pounds occasionally, 10
7
pounds frequently, stand or walk less than two hours in an 8-hour workday, sit less than six hours,
and occasionally balance. She determined that Plaintiff's persistent left hip pain and low back pain
affected his ability to stand, walk, sit, kneel, crawl, and stoop, and that his asthma caused shortness
of breath when walking long distances. In June of 2012, Dr. Jones-Allen completed a statement for
Plaintiff's application for a Housing Rehabilitation Loan, assessed him with chronic persistent left
hip pain, and indicated that he was prone to falling. (R:246-47)
A Physical Residual Functional Capacity Assessment was completed on April 19, 2012, by
state-agency medical consultant Laurence Ligon. (R:234-41) He found that Plaintiff could lift or
carry up to 20 pounds occasionally and 10 pounds frequently, could stand or walk about 6 hours in
an 8-hour workday, could frequently balance, kneel, crouch, and crawl, and occasionally climb and
stoop. Upon review of the evidence, he determined that Plaintiff's alleged limitations were not fully
supported. Dr. Ligon' s assessment was affirmed by Dr. Roberta Herman, another state agency
medical consultant, on June 25, 2012. (R:278)
In a Function Report dated January 30, 2012, Plaintiff stated that he could prepare simple
meals like sandwiches and could do light chores such as washing dishes. He indicated that he has
difficulty with personal care, such as dressing and bathing, due to pain. He could drive a car, but did
not go out often. Because of pain, he has difficulty carrying, lifting, bending, walking, and standing.
Also, he cannot stay in one position for long periods of time. He further indicated that he could walk
about one block before needing to stop and rest. (R:134-41)
At the administrative hearing on April 24,2013, Plaintiff testified that he has trouble standing
for long periods of time, feels tired and dizzy, has headaches, and has pain in his joints, especially
his feet. (R:3 1, 32, 35) He also claimed numbness and tingling in his feet and hands. (R:35) When
8
asked about his daily activities, he testified that he showers, prepares breakfast, reads, does puzzles,
and tries to go to church every Sunday. (R:32, 33) His wife does the cooking, cleaning, laundry,
dishes, and shopping. (R:32) He sometimes drives to pick up his grandchildren. (R:33) He further
stated that he could walk 2 blocks, could stand 20 minutes, sit for 20 minutes, and lift 20 pounds.
(R:34) He takes medication for his asthma and diabetes, but has side effects from the medication,
including nausea, dizziness, and stomach pain. (R:35)
Based upon review of the testimony and record evidence, the AU found that Plaintiffs
alleged limitations were not entirely credible. (R: 16-17) She further found Plaintiffs alleged
limitations unsupported by the objective medical evidence. (R: 19) First, the AU found that
Plaintiffs failure to fully comply with treatment recommendations that could improve his medical
conditions, particularly his diabetes and hypertension, detracted from his credibility. On several
occasions, the medical notations reflected instances of non-compliance with treatment
recommendations. (R:455, 484, 490) Also, the AU noted that Dr. Payne's finding of diffuse
weakness appeared to reflect poor effort by Plaintiff. (R:230)
The AU determined that the medical records did not support limitations on Plaintiffs ability
to stand or walk, to the extent found by Dr. Jones-Allen. The record shows that Plaintiff had
generally normal musculature from the date of onset to April 2013, when Plaintiff reported mild pain
upon motion. The AU also concluded that Dr. Jones-Allen's finding that Plaintiff was prone to
falling was not supported elsewhere in the record. There are no other reports of Plaintiff falling or
being prone to falls. Moreover, the hip x-rays and pelvic Mifi indicated normal results.
Review of the record evidence fails to demonstrate limitations on Plaintiffs ability to stand
or walk to the extent alleged by Plaintiff, or beyond those assessed by the AU. Plaintiffs allegations
of functional loss are based primarily on his own subjective reports, rather than objective findings.
By limiting plaintiff to light work with limited climbing and stooping, the AU sufficiently
accommodated Plaintiff's impairments and limitations.
It is apparent from the AU's decision that she considered the entire record and evaluated the
evidence. She considered any functional limitations attributed to Plaintiff's conditions by the
physicians, and incorporated such limitations into her RFC determination. The evidence fails to show
that the limiting effects of Plaintiff's impairments are greater than those assessed by the AU in her
RFC determination.
In making her determinations, the AU assessed Plaintiff's credibility and subjective
complaints of pain. It was within the
credibility determinations.
AU' s broad discretion to weigh the evidence and make
See Newton
v.
Apfel,
209
F.3d
448, 459
(5th
Cir.
2000).
The AU
considered the medical evidence as well as Plaintiff's testimony. Based upon her review of the
evidence, the AU determined that Plaintiff was not as limited as he claimed. Such decision was
within the AU's discretion and is supported by the evidence.
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.
CONCLUSION
Based on the foregoing, the Court hereby ORDERS that the decision of the Commissioner
be AFFIRMED consistent with this opinion.
10
SIGNED and
ENTED on March 15, 2016.
LEON SCHYDLOWER
United States Magistrate Judge
11
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