“[a]lthough the ALJ must fairly and fully develop the record, [he or she] “is not obliged to investigate a claim not presented at the time of the application for benefits and not offered at the hearing as a basis for disability” (internal quotations and citations omitted
How later courts described this case
- “[a]lthough the ALJ must fairly and fully develop the record, [he or she] “is not obliged to investigate a claim not presented at the time of the application for benefits and not offered at the hearing as a basis for disability” (internal quotations and citations omitted
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT FOR THE
WESTERN DISTRICT OF MISSOURI
ST. JOSEPH DIVISION
PHILLIP JOHN BEAGLEY, )
)
Plaintiff, )
)
v. ) No. 5:17-06079-CV-RK
)
)
NANCY A. BERRYHILL, ACTING )
COMMISSIONER OF SOCIAL )
SECURITY; )
)
)
Defendant. )
ORDER
Before the Court is Plaintiff’s appeal brought under 42 U.S.C. § 405(g) seeking review of
Defendant Social Security Administration’s (“SSA”) denial of disability benefits as rendered in a
decision by an Administrative Law Judge (“ALJ”). For the reasons below, the decision of the ALJ
is AFFIRMED.
Standard of Review
The Court’s review of the ALJ’s decision to deny disability benefits is limited to
determining if the decision “complies with the relevant legal requirements and is supported by
substantial evidence in the record as a whole.” Halverson v. Astrue, 600 F.3d 922, 929
(8th Cir. 2010) (quoting Ford v. Astrue, 518 F.3d 979, 981 (8th Cir. 2008)). “Substantial evidence
is less than a preponderance of the evidence, but is ‘such relevant evidence as a reasonable mind
would find adequate to support the [ALJ’s] conclusion.’” Grable v. Colvin, 770 F.3d 1196, 1201
(8th Cir. 2014) (quoting Davis v. Apfel, 239 F.3d 962, 966 (8th Cir. 2001)). In determining
whether existing evidence is substantial, the Court takes into account “evidence that detracts from
the [ALJ’s] decision as well as evidence that supports it.” Cline v. Colvin, 771 F.3d 1098, 1102
(8th Cir. 2014) (citation omitted). “If the ALJ’s decision is supported by substantial evidence, [the
Court] may not reverse even if substantial evidence would support the opposite outcome or [the
Court] would have decided differently.” Smith v. Colvin, 756 F.3d 621, 625 (8th Cir. 2014) (citing
Davis v. Apfel, 239 F.3d 962, 966 (8th Cir. 2001)). The Court does not “re-weigh the evidence
presented to the ALJ.” Guilliams v. Barnhart, 393 F.3d 798, 801 (8th Cir. 2005) (citing Baldwin v.
Barnhart, 349 F.3d 549, 555 (8th Cir. 2003)). The Court must “defer heavily to the findings and
conclusions of the [ALJ].” Hurd v. Astrue, 621 F.3d 734, 738 (8th Cir. 2010) (citation omitted).
Discussion
By way of overview, the ALJ determined Plaintiff suffers from the following severe
impairments: obesity, diabetes mellitus, degenerative disc disease of the lumbar spine with chronic
pain syndrome, asthma, hypertension, hearing loss, osteoarthritis of the knees, status post left ACL
repair, and status post right knee arthroscopy. The ALJ also determined that Plaintiff has the
following non-severe impairments: sleep apnea, vertigo, eczema, drug-induced constipation and
urinary tract infection, pain from an ingrown toenail, restless leg syndrome, and dermatitis.
However, the ALJ found that none of Plaintiff’s impairments, whether considered alone or in
combination, meet or medically equals the criteria of one of the listed impairments in 20 CFR Pt.
404. Subpt. P, App. 1 (“Listing”). Additionally, the ALJ found that despite his limitations, Plaintiff
retained the residual functional capacity (“RFC”) to perform sedentary work with the following
limitations: Plaintiff cannot operate foot controls, climb, kneel, crouch, or crawl; can occasionally
balance and stoop; cannot tolerate extreme of cold and heat, unprotected heights, and moving
machinery; can tolerate exposure to humidity, vibration, and pulmonary irritants; and cannot
communicate by telephone due to hearing loss. Although the ALJ found Plaintiff unable to
perform any past relevant work, the ALJ found Plaintiff was not disabled, and that considering
Plaintiff’s age, education, work experience, and RFC, there are jobs that exist in significant
numbers in the national economy that the Plaintiff can perform.
On appeal, Plaintiff presents the following arguments: (1) whether the ALJ erred by failing
to order a consultative examination concerning Plaintiff’s physical limitations; (2) whether the
ALJ failed to consider and further develop the record concerning Plaintiff’s learning disability; (3)
whether the ALJ failed to develop the record with regard to Plaintiff’s hearing loss; and (4) whether
the ALJ erroneously assessed Plaintiff’s exertional level before assessing his abilities on a
function-by-function basis.
Plaintiff first argues the medical record lacks a medical opinion addressing Plaintiff’s
functional limitations; therefore, the case should be remanded to obtain a consultative examination.
Plaintiff relies on Combs v. Berryhill in support of his position. 878 F.3d 642 (8th Cir. 2017). In
Combs, the Eighth Circuit held that the ALJ improperly relied on his own inferences from medical
record notations of “no acute distress” and “normal movement of all extremities” to determine the
claimant’s RFC. Id. at 647. The facts of this case, however, are distinguishable because here the
medical evidence of record contains more specific indications of Plaintiff’s limitations. The ALJ
gave “substantial weight” to Plaintiff’s treating primary care physician, Blake Donaldson, D.O.,
because the ALJ found Dr. Donaldson’s statements were consistent with his exam findings and
indicated Plaintiff was able to engage in sedentary work.1 The record further contains treatment
notes documenting Plaintiff’s ability to sit and walk. The ALJ determined the extent of Plaintiff’s
alleged limitations, including Plaintiff’s testimony that he was prescribed a cane for walking, were
not supported by the objective medical evidence or the record as whole. Accordingly, substantial
evidence supports the ALJ’s decision concerning Plaintiff’s physical limitations.
Second, Plaintiff argues the ALJ failed to develop the record with regard to his learning
disability. Plaintiff did not allege, either in his disability paperwork or at the administrative
hearing, that a learning disorder limited his ability to perform work. See Mouser v. Astrue, 545
F.3d 634, 639 (8th Cir. 2008) (“[a]lthough the ALJ must fairly and fully develop the record, [he
or she] “is not obliged to investigate a claim not presented at the time of the application for benefits
and not offered at the hearing as a basis for disability” (internal quotations and citations omitted).
Reversal is not warranted on this ground.
Plaintiff similarly argues the ALJ failed to develop the record concerning his hearing loss.
An ALJ “is required to order medical examinations and tests only if the medical records . . . do not
give sufficient medical evidence to determine whether the claimant is disabled.” Martise v. Astrue,
641 F.3d 909, 926-27 (8th Cir. 2011). At the administrative hearing in this case, Plaintiff only
testified that hearing loss affected his ability to hear on the telephone, and the ALJ included this
limitation in the RFC. Further, Dr. Donaldson’s treatment notes repeatedly documented “no
hearing loss” upon physical examination. Accordingly, substantial evidence supports the ALJ’s
decision to determine Plaintiff’s limitations from hearing loss without ordering audiological
testing.
Last, Plaintiff argues the ALJ failed to provide a function-by-function assessment before
assessing the exertional level when determining Plaintiff’s RFC. However, the omissions of such
1 Dr. Donaldson indicated Plaintiff’s gait was not antalgic, he was able to walk effectively to carry
out daily activities, he did not have any significant difficulty sitting or standing, and that physical
examination findings had been grossly normal except as hindered by Plaintiff’s size.
limitations does not mean the ALJ did not consider the limitations. See Brown v. Astrue, 2010 WL
889835, at *25 (W.D. Mo. Mar. 8, 2010) (“an ALJ who specifically addresses the areas in which
he found a limitation and is silent as to those areas in which no limitation is found is believed to
have implicitly found no limitation in the latter”) (quoting Depover v. Barhnart, 349 F.3d 563,
567-68 (8th Cir. 2003)). Here, consistent with the definition of “sedentary work,” the ALJ found
Plaintiff should be limited to lifting and carrying no more than ten pounds and should be limited
in standing and walking no more than two hours total in an eight-hour workday. The ALJ also
included additional limitations as part of the RFC finding and in the hypothetical question posed
to the vocational expert. See, e.g., Depover, 349 F.3d at 567; Seitz v. Colvin, 2016 WL 3920463,
at *7 (W.D. Mo. July 17, 2018); Althaus-Rosiere v. Astrue, 2012 WL 287314, at *4 (W.D. Mo.
Jan. 31, 2012); Cook v. Astrue, 629 F. Supp. 2d 925, 933 (W.D. Mo. May 12, 2009).
Conclusion
Having carefully reviewed the record before the Court and the parties’ submissions on
appeal, the Court concludes that substantial evidence on the record as a whole supports the ALJ’s
decision.
IT IS THEREFORE, ORDERED that the decision of the ALJ is AFFIRMED.
s/ Roseann A. Ketchmark
ROSEANN A. KETCHMARK, JUDGE
UNITED STATES DISTRICT COURT
DATED: September 24, 2018