“the determination of the ultimate question of disability is for [the ALJ], not for the doctors or for the courts.”
How later courts described this case
- “the determination of the ultimate question of disability is for [the ALJ], not for the doctors or for the courts.”
- “[T]he resolution of conflicts in the evidence is for the [ALJ], not the courts.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
DISTRICT OF MAINE
KONSTANTIN, A., )
)
Plaintiff )
)
v. ) 2:22-cv-00346-JAW
)
KILO KIJAKAZI, Acting Commissioner )
of Social Security, )
)
Defendant )
REPORT AND RECOMMENDED DECISION
On Plaintiff’s application for disability under Title II of the Social Security Act,
Defendant, the Social Security Administration Commissioner, found that Plaintiff has no
severe impairments. Defendant, therefore, denied Plaintiff’s request for disability
benefits. Plaintiff filed this action to obtain judicial review of Defendant’s final
administrative decision pursuant to 42 U.S.C. § 405(g).
Following a review of the record, and after consideration of the parties’
arguments, I recommend the Court affirm the administrative decision.
THE ADMINISTRATIVE FINDINGS
The Commissioner’s final decision is the September 29, 2021, decision of the
Administrative Law Judge. (ALJ Decision, ECF No. 9-2).1 The ALJ’s decision tracks
the familiar five-step sequential evaluation process for analyzing social security disability
claims, 20 C.F.R. §§ 404.1520, 416.920.
1 Because the Appeals Council found no reason to review that decision (R. 1), Defendant’s final decision
is the ALJ’s decision.
The ALJ found that Plaintiff has two medically determinable impairments,
including peripheral neuropathy. (R. 13.) The ALJ, however, concluded that Plaintiff
does not have a severe impairment that limits his ability to perform basic work activities.
(R. 16.) The ALJ determined, therefore, that Plaintiff was not disabled.
STANDARD OF REVIEW
A court must affirm the administrative decision provided the decision is based on
the correct legal standards and is supported by substantial evidence, even if the record
contains evidence capable of supporting an alternative outcome. Manso-Pizarro v. Sec’y
of HHS, 76 F.3d 15, 16 (1st Cir. 1996) (per curiam); Rodriguez Pagan v. Sec’y of HHS,
819 F.2d 1, 3 (1st Cir. 1987). Substantial evidence is evidence that a reasonable mind
might accept as adequate to support a finding. Richardson v. Perales, 402 U.S. 389, 401
(1971); Rodriguez v. Sec’y of HHS, 647 F.2d 218, 222 (1st Cir. 1981). “The ALJ’s
findings of fact are conclusive when supported by substantial evidence, but they are not
conclusive when derived by ignoring evidence, misapplying the law, or judging matters
entrusted to experts.” Nguyen v. Chater, 172 F.3d 31, 35 (1st Cir. 1999).
DISCUSSION
Plaintiff argues the ALJ erred when she failed to find Plaintiff’s peripheral
neuropathy to be a severe impairment at step 2 of the sequential analysis.
At step 2 of the sequential evaluation process, a social security disability claimant
must establish the alleged conditions are severe, but the burden is de minimus and is
designed merely to screen out groundless claims. McDonald v. Sec’y of HHS, 795 F.2d
1118, 1123-24 (1st Cir. 1986). The ALJ may find that an impairment or combination of
impairments is not severe when the medical evidence “establishes only a slight
abnormality or combination of slight abnormalities which would have no more than a
minimal effect on an individual’s ability to work even if the individuals’ age, education,
or work experience were specifically considered.” Id. at 1124 (quoting Social Security
Ruling 85-28). In other words, an impairment is severe it if has more than a minimal
impact on the claimant’s ability to perform basic work activities on a regular and
continuing basis. Id.
The record reflects that Plaintiff experienced bilateral hand symptoms beginning
2002. (R. 524.) Plaintiff sought treatment in 2014 and subsequently had two related
surgical procedures, one in 2014 and another in 2015. Upon EMG testing in 2018, the
tending physician noted “[m]ild sensory neuropathy bilateral hands,” and “conservative
treatment suggested. Vitamins, stretching, splints.” (R. 650.)
In concluding that Plaintiff’s hand condition did not constitute a severe
impairment, the ALJ relied on the consultative report of Archibald Green, D.O., who in
December 2019 found Plaintiff’s peripheral neuropathy to be non-severe. (R. 79.) The
ALJ reviewed the medical record and concluded the opinion was supported by the record.
The ALJ also cited Plaintiff’s activity level, including the “building [of] an 800 square
foot dwelling involving the use of power tools, lifting boards, and moving scaffolding.”
(R. 16, citing Plaintiff’s Hearing Testimony).2 Plaintiff argues that the ALJ’s description
2 Plaintiff argues that because the work done on his house is not considered “substantial gainful activity”
for purposes of Step 1, it cannot be considered “substantial” for the analysis at Step 2. (Plaintiff’s Brief at
4.) However, the ALJ may consider work at Step 2 even if it is not considered a “substantial gainful
activity.” 20 C.F.R. § 404.1571 (“Even if the work you have done was not substantial gainful activity, it
may show that you are able to do more work than you actually did.”).
of his daily activities is overstated. Plaintiff claims that because of his pain, the work he
does all day is not efficient nor done without consideration of his symptoms. (Plaintiff’s
Brief at 3.) Plaintiff claims that after using his hands for twenty to thirty minutes, he
experiences pain in his wrists. (Plaintiff’s Brief at 2.)
The ALJ supportably relied on Dr. Green’s expert opinion, the medical record, and
the reports of Plaintiff’s activity level. While Plaintiff points to his symptoms and some
of the consequences of his activity level (e.g., pain), he cites no contrary medical opinion
nor any medical evidence that would support his claim of error. The fact that Plaintiff can
cite evidence that might be supportive of his claim does not require a finding of error.
The ALJ acted in accordance with her obligation to weigh the evidence, including the
expert evidence, and to resolve any conflicts in the evidence. See Irlanda Ortiz v. Sec’y
Health & Human Servs., 955 F.2d 765, 769 (1st Cir. 1991) (“[T]he resolution of conflicts
in the evidence is for the [ALJ], not the courts.”); see also Rodriguez, 647 F.2d at 222
(“the determination of the ultimate question of disability is for [the ALJ], not for the
doctors or for the courts.”). The Court is not to re-weigh the evidence, but to determine
whether the ALJ’s decision is supported by substantial evidence on the record. Contrary
to Plaintiff’s argument, the ALJ’s decision is supported by substantial evidence on the
record.
CONCLUSION
Based on the foregoing analysis, I recommend the Court affirm the administrative
decision.
NOTICE
A party may file objections to those specified portions of a
magistrate judge’s report or proposed findings or recommended decisions
entered pursuant to 28 U.S.C. § 636(b)(1)(B) for which de novo review by
the district court is sought, together with a supporting memorandum, within
fourteen (14) days of being served with a copy thereof. A responsive
memorandum shall be filed within fourteen (14) days after the filing of the
objection.
Failure to file a timely objection shall constitute a waiver of the right
to de novo review by the district court and to appeal the district court's
order.
/s/ John C. Nivison
U.S. Magistrate Judge
Dated this 6th day of September, 2023.