“Resolution of conflicts in the evidence, including conflicting medical opinions and determinations of credibility are not for the courts; such functions are solely within the province of the Secretary.”
How later courts described this case
- “Resolution of conflicts in the evidence, including conflicting medical opinions and determinations of credibility are not for the courts; such functions are solely within the province of the Secretary.”
- “When, however, an incorrect application of the regulations results in harmless error because the correct application would not contradict the ALJ’s ultimate findings, the ALJ’s decision will stand.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
ORLANDO DIVISION
SAMMIE EUGENE ANDERSON,
JR. ,
Plaintiff,
v. Case No.: 6:22-cv-874-KCD
COMMISSIONER OF SOCIAL
SECURITY,
Defendant.
/
ORDER
Plaintiff Sammie Anderson, Jr. sues under 42 U.S.C. §§ 405(g) and
1383(c)(3) for judicial review of the Commissioner of Social Security’s decision
denying his application for disability insurance benefits. (Doc. 1.)1 For the
reasons below, the Commission’s decision is affirmed.
I. Background
The procedural history, administrative record, and law are summarized
in the parties’ briefs (Doc. 16, Doc. 17, Doc. 18) and are not fully repeated here.
Anderson filed for disability benefits claiming he could not work because of
severe arthritis in both knees, hip replacement surgery, back problems, and
1 Unless otherwise indicated, all internal quotation marks, citations, and alterations have
been omitted in this and later citations.
high blood pressure. (Tr. 367, 385.) After his application was initially denied,
Anderson sought review by an administrative law judge (“ALJ”). (Tr. 15.)
Following a hearing, the ALJ agreed that Anderson was not disabled.
(Tr. 15, 138-50.) The Appeals Council granted Anderson’s request for review,
eventually vacating the ALJ’s decision and remanding for further evaluation
of a medical opinion. (Tr. 15-16, 156-60.) Upon reconsideration, the ALJ again
found Anderson not disabled. (Tr. 15-17.) To make this determination, the ALJ
used the multi-step evaluation process established by the Commissioner. See
20 C.F.R. § 404.1520(a).2 The ALJ found that although several of Anderson’s
impairments qualified as severe, he retained the residual functional capacity
(“RFC”) to perform light work with restrictions:
[He can] stand and walk 6 hours in an 8-hour workday, and
sit 6 hours in an 8-hour workday. The claimant can
frequently push and pull with the right lower extremity.
He can frequently climb ramps and stairs, but occasionally
climb ladders, ropes, and scaffolds. The claimant can
frequently stoop, kneel, crouch, and crawl. He can tolerate
only occasional exposure to extreme cold and heat but
cannot tolerate exposure to hazards.
2 An individual claiming Social Security disability benefits must prove that she is
disabled. Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005). “The Social
Security Regulations outline a five-step, sequential evaluation process used to
determine whether a claimant is disabled: (1) whether the claimant is currently
engaged in substantial gainful activity; (2) whether the claimant has a severe
impairment or combination of impairments; (3) whether the impairment meets or
equals the severity of the specified impairments in the Listing of Impairments; (4)
based on a residual functional capacity assessment, whether the claimant can
perform any of his or her past relevant work despite the impairment; and (5) whether
there are significant numbers of jobs in the national economy that the claimant can
perform given the claimant’s RFC, age, education, and work experience.” Winschel v.
Comm’r of Soc. Sec., 631 F.3d 1176, 1178 (11th Cir. 2011).
(Tr. 19.)
After considering the RFC and other evidence, including vocational
expert testimony, the ALJ ultimately concluded that Anderson could perform
his past relevant work as a cook, driver, duct maker, construction worker, and
lumber stacker. (Tr. 26-28.) She also found Anderson could perform other jobs
that exist in significant numbers in the national economy. (Tr. 26-28.) Thus,
Anderson was not disabled as that term is defined in this context. (Tr. 28.)
Anderson further exhausted his administrative remedies, and this
lawsuit timely followed. (Doc. 1; Doc. 16 at 2.)
II. Standard of Review
Review of the Commissioner’s (and, by extension, the ALJ’s) decision
denying benefits is limited to whether substantial evidence supports the
factual findings and whether the correct legal standards were applied. 42
U.S.C. § 405(g); see also Wilson v. Barnhart, 284 F.3d 1219, 1221 (11th Cir.
2002). Substantial evidence means “such relevant evidence as a reasonable
mind might accept as adequate to support a conclusion.” Biestek v. Berryhill,
139 S. Ct. 1148, 1154 (2019). It is more than a mere scintilla but less than a
preponderance. Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th Cir. 2005). The
Supreme Court recently explained, “whatever the meaning of ‘substantial’ in
other contexts, the threshold for such evidentiary sufficiency is not high.”
Biestek, 139 S. Ct. at 1154.
When determining whether the decision is supported by substantial
evidence, the court must view the record as a whole, considering evidence
favorable and unfavorable to the Commissioner. Foote v. Chater, 67 F.3d 1553,
1560 (11th Cir. 1995). The court may not reweigh the evidence or substitute its
judgment for that of the Commissioner. And even if the evidence preponderates
against the Commissioner’s decision, the reviewing court must affirm if the
decision is supported by substantial evidence. Bloodsworth v. Heckler, 703 F.2d
1233, 1239 (11th Cir. 1983). Finally, “[u]nder a substantial evidence standard
of review, [the claimant] must do more than point to evidence in the record that
supports [his] position; [he] must show the absence of substantial evidence
supporting the ALJ’s conclusion.” Sims v. Comm’r of Soc. Sec., 706 F. App’x
595, 604 (11th Cir. 2017).
III. Analysis
Anderson argues the ALJ erred by failing to “provide an adequate
justification for rejecting [his] testimony about his pain.” (Doc. 16 at 1.) The
Eleventh Circuit recently reiterated the standard used to address an argument
such as this, based on “pain or other subjective symptoms”:
A claimant may establish that [s]he has “a disability
through [her] own testimony of pain or other subjective
symptoms.” Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th
Cir. 2005). In such a case, the claimant must show evidence
of an underlying medical condition and either “objective
medical evidence that confirms the severity of the alleged
pain arising from that condition” or “that the objectively
determined medical condition is of such a severity that it
can be reasonably expected to give rise to the alleged pain.”
Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991).
Once a claimant has made this showing, the Commissioner
“must then evaluate the intensity and persistence of [the
claimant’s] symptoms” in light of “all available evidence,”
including the claimant’s testimony. 20 C.F.R. §
404.1529(c)(1). The Commissioner “will not reject” a
claimant’s statements “solely because the available
objective medical evidence does not substantiate” the
statements. Id. § 404.1529(c)(2). Instead, the ALJ considers
several “[o]ther factors concerning [the claimant’s]
functional limitations and restrictions due to pain and
other symptoms.” Id. § 404.1529(c)(3)(i)-(vii).
If a claimant provides subjective testimony on the severity
of his symptoms, as [the claimant] did here, the ALJ “must
articulate explicit and adequate reasons” for rejecting the
complaints. Foote v. Chater, 67 F.3d 1553, 1561-62 (11th
Cir. 1995). The ALJ’s “credibility determination does not
need to cite particular phrases or formulations[,] but it
cannot merely be a broad rejection” that fails to consider a
claimant’s “medical condition as a whole.” Dyer, 395 F.3d
at 1210-11 (cleaned up). We will not disturb “[a] clearly
articulated credibility finding with substantial supporting
evidence in the record.” Foote, 67 F.3d at 1562.
Taylor v. Comm’r of Soc. Sec., No. 21-12804, 2022 WL 1634086, at *5-6 (11th
Cir. May 24, 2022).
Here, the ALJ reiterated this formula, followed it, and cited evidence to
support her findings. (Tr. 20-26.) She noted Anderson has “medically
determinable impairments [that] could reasonably be expected to cause the
alleged symptoms.” (Tr. 20.) Then, “after careful consideration of the evidence,”
the ALJ concluded Anderson’s “statements concerning the intensity,
persistence and limiting effects of these symptoms are not entirely consistent
with the medical evidence and other evidence in the record.” (Tr. 20-21.) Thus,
the question is whether the ALJ’s explanation for this credibility finding is
“clearly articulated . . . with substantial supporting evidence in the record.”
Foote, 67 F.3d at 1562.
The ALJ could not have been clearer:
As for the claimant’s statements about the intensity,
persistence, and limiting effects of his or her symptoms,
they are inconsistent because the claimant has not
generally received the type of medical treatment one would
expect for a disabled individual. Although the claimant has
received treatment for the allegedly disabling
impairments, that treatment has been essentially routine
and/or conservative in nature.
(Tr. 21.) She then cited the supporting evidence. For example, the ALJ pointed
out that in lieu of a more invasive surgery on his left hip, a conservative
treatment course was explored: Physical therapy, “corticosteroid injection and
stretching were discussed with the claimant as treatment options for his left
hip pain.” (Tr. 22.)
As for Anderson’s right hip, the ALJ recognized that he had surgery but
noted that he responded well and was able to control pain sufficiently to
perform his usual activities of daily living, including physical therapy. (Tr. 22.)
Anderson was reportedly “pleased with the progress,” and within a few months
was ambulating independently, had a satisfactory range of motion, and had
continued improvement in pain and function. (Tr. 22.) The ALJ pointed out
that despite an internally inconsistent medical source opinion, Anderson’s
physical examinations were generally positive:
the claimant’s subsequent physical examinations
performed since February 2020 reflect no signs of edema of
the extremities, normal unassisted gait, and shows that his
low back pain and hip pain are stable with treatment,
which reveals that the treatment has been generally
successful in controlling those symptoms.
(Tr. 23.) And more than a year after the surgery, Anderson’s primary care
physician noted that “examination of the claimant’s hip was within normal
limits.” (Tr. 24.) The ALJ concluded, “[o]verall, the record shows the claimant’s
allegations were not fully consistent with the medical evidence record. The
claimant was able to see to his personal care. His right-hip pain improved after
his surgery.” (Tr. 24.)
Still, Anderson contends this is not substantial evidence to support the
ALJ’s finding of inconsistency with the medical evidence. (Doc. 16 at 3, 5.) He
points to facts in the record that support his position, including pain and his
need to take strong pain medication. (Id. at 3, 9.) At best, this shows conflicting
evidence in the record. But it is the ALJ’s job to resolve conflicts by weighing
the evidence—not the Court’s. Payne v. Weinberger, 480 F.2d 1006, 1007 (5th
Cir. 1973) (“Resolution of conflicts in the evidence, including conflicting
medical opinions and determinations of credibility are not for the courts; such
functions are solely within the province of the Secretary.”).
Anderson also points out what he believes to be errors in the reasoning.
For example, he asserts the ALJ was wrong to hold his decision to forgo left
hip surgery against him. (Id. at 6.) Even taking his claim at face value, this
was merely one piece of evidence the ALJ noted in support of her decision. And
she did so by referring to Anderson’s ability to undergo more conservative
treatment instead—not that he wouldn’t be disabled but for the choice to forgo
the surgery. Moreover, Anderson does not show how this error was prejudicial.
See Denomme v. Comm’r, Soc. Sec. Admin., 518 F. App’x 875 (11th Cir. 2013)
(“When, however, an incorrect application of the regulations results in
harmless error because the correct application would not contradict the ALJ’s
ultimate findings, the ALJ’s decision will stand.”).
IV. Conclusion
Considering the record as a whole, substantial evidence supports the
ALJ’s findings and the correct standards were applied. Accordingly, the Court
AFFIRMS the Commissioner’s decision and directs the Clerk to enter
judgment for the Commissioner and against Sammie Anderson, Jr. and close
the file.
ENTERED in Fort Myers, Florida this July 31 20238.
Me. Jai
Kile C. Dudek”
United States Magistrate Judge
Copies: All Parties of Record