# Smith v. Saul

> District Court, W.D. Missouri · August 6, 2019

URL: https://www.frixlaw.com/law-library/cases/10241207

## Case

- **Court:** District Court, W.D. Missouri
- **Decided:** August 6, 2019
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/10241207

## How later opinions describe it (automated extraction)

- finding that substantial evidence supported the ALJ’s RFC assessment even without any corroborating medical opinion
- finding that the ALJ appropriately considered the claimant’s failure to stop smoking where it directly impacted the severity of his impairments

## Opinion text

IN THE UNITED STATES DISTRICT COURT FOR THE
WESTERN DISTRICT OF MISSOURI
WESTERN DIVISION

DARREN E. SMITH, )
)
Plaintiff, )
)
v. ) No. 4:18-cv-00769-DGK-SSA
)
ANDREW M. SAUL, )
Acting Commissioner of Social Security, )
)
Defendant. )

ORDER AFFIRMING THE COMMISSIONER’S DECISION

Plaintiff Darren E. Smith petitions for review of an adverse decision by Defendant Andrew
M. Saul, the Acting Commissioner of Social Security. Plaintiff applied for disability benefits
under Title II of the Social Security Act, 42 U.S.C. §§ 401-34. The Administrative Law Judge
(“ALJ”) found that although Plaintiff had several severe impairments, he retained the residual
functional capacity (“RFC”) to perform a limited range of sedentary work. After carefully
reviewing the parties’ arguments and the administrative record, the Court finds that the ALJ
committed no clear error and that substantial evidence supports his opinion. The Commissioner’s
decision is therefore AFFIRMED.
Procedural Background
The complete facts and arguments are presented in the parties’ briefs and are repeated here
only to the extent necessary. Plaintiff filed her application for disability benefits on December 23,
2015, alleging a disability onset date of September 15 of that year. The Commissioner denied the
application at the initial-claim level, and Plaintiff appealed the denial to an ALJ. The ALJ issued
an unfavorable decision, and the Appeals Council denied Plaintiff’s request for review, leaving the
ALJ’s ruling as the Commissioner’s final decision. Plaintiff has exhausted all administrative
remedies, so judicial review is now appropriate. See 42 U.S.C. § 1383(c)(3).
Standard of Review
A federal court’s review of the Commissioner’s decision to deny disability benefits is
limited to determining whether the Commissioner’s findings are supported by substantial evidence

on the record as a whole. Chaney v. Colvin, 812 F.3d 672, 676 (8th Cir. 2016). Substantial
evidence is less than a preponderance but enough that a reasonable mind would find it sufficient
to support the Commissioner’s decision. Id. In making this assessment, a court considers evidence
that supports and detracts from the Commissioner’s decision. Id. A court must “defer heavily” to
the Commissioner’s findings and conclusions, Wright v. Colvin, 789 F.3d 847, 852 (8th Cir. 2015),
and may reverse the Commissioner’s decision only if it falls outside of the available zone of choice.
Buckner v. Astrue, 646 F.3d 549, 556 (8th Cir. 2011). A decision is not outside this zone simply
because the evidence also points to an alternate outcome. Id.
Discussion
The Commissioner follows a five-step sequential evaluation process1 to determine whether

a claimant is disabled, that is, unable to engage in any substantial gainful activity by reason of a
medically determinable impairment that has lasted or can be expected to last for a continuous
period of at least twelve months. 42 U.S.C. § 423(d)(1)(A). Plaintiff challenges the ALJ’s
determination at step four, where he found that Plaintiff retained the RFC to perform a limited

1 “The five-step sequence involves determining whether (1) a claimant’s work activity, if any, amounts to substantial
gainful activity; (2) his impairments, alone or combined, are medically severe; (3) his severe impairments meet or
medically equal a listed impairment; (4) his residual functional capacity precludes his past relevant work; and (5) his
residual functional capacity permits an adjustment to any other work. The evaluation process ends if a determination
of disabled or not disabled can be made at any step.” Kemp ex rel. Kemp v. Colvin, 743 F.3d 630, 632 n.1 (8th Cir.
2014); see 20 C.F.R. § 416.920(a)–(g). Through step four of the analysis the claimant bears the burden of showing
that he is disabled. After the analysis reaches step five, the burden shifts to the Commissioner to show that there are
other jobs in the economy that the claimant can perform. King v. Astrue, 564 F.3d 978, 979 n.2 (8th Cir. 2009).
range of sedentary work.2 Plaintiff argues the ALJ erred by deciding his RFC without (1) medical
evidence expressly addressing his physical limitations, (2) a discussion of his obesity, and (3) an
analysis of his depression.
I. Substantial evidence supports the ALJ’s RFC determination.
A claimant’s RFC is the most he can do despite his physical and mental limitations. 20

C.F.R. § 404.1545(a). An ALJ decides a claimant’s RFC based on all relevant evidence, id.,
including medical records, physicians’ opinions, and the claimant’s description of his limitations.
Dunahoo v. Apfel, 241 F.3d 1033, 1039 (8th Cir. 2001). Because a claimant’s RFC is a medical
question, it must be supported by “some medical evidence of [his] ability to function in a
workplace.” Hensley v. Colvin, 829 F.3d 926, 932 (8th Cir. 2016). However, it is ultimately an
administrative decision reserved to the Commissioner, 20 C.F.R. § 416.946, who need not base it
on a specific medical opinion or, for that matter, any medical opinion. Hensley, 826 F.3d at 932
(citations omitted); Stringer v. Berryhill, 700 Fed. Appx. 566, 567 (8th Cir. 2017) (finding that
substantial evidence supported the ALJ’s RFC assessment even without any corroborating medical

opinion).
Sufficient medical evidence supports the ALJ’s RFC determination that Plaintiff could
perform a limited range of sedentary work. Treatment records show that while Plaintiff suffered
from severe orthopedic impairments, including avascular necrosis and degenerative joint disease,

2 Specifically, the ALJ found that Plaintiff had the RFC to

lift/carry up to five pounds frequently and ten pounds occasionally. In an eight-hour workday with
normal breaks, he can sit up to six hours and stand and/or walk up to two hours, but he requires a
cane to ambulate. When seated, he requires the ability to change positions briefly, one minute or
less, every thirty minutes, but he does not need to leave the workstation during those brief changes.
He cannot climb ladders, ropes, or scaffolds, work at unprotected heights or around dangerous
machinery. He can occasionally climb ramps or stairs, balance, stoop, kneel, crouch, and crawl, and
he can frequently handle and finger with the right dominant hand.

R. at 14.
he responded well to surgery. For example, in September 2015 Plaintiff underwent left-hip core
decompression due to pain in his left hip. R. at 389, 406-08. The procedure significantly improved
his condition and largely controlled his pain. R. at 422. A December examination reported that
his motor strength was 5/5 throughout his lower extremities and that the range of motion of his hip
and ankle was without discomfort. R. at 451-52. Surgery also addressed Plaintiff’s pain in his

left knee. R. at 453-54, 490. Plaintiff later injured his left hip and right knee while shoveling
snow, but knee arthroscopy and a hip replacement proved effective. R. at 490-91, 496-97, 499,
527, 608. His physician reported that his knee had a full range of motion and that he had no
mechanical signs, ligamentous laxity, or joint-line pain. R. at 608. Plaintiff also experienced wrist
pain while driving, which was conservatively treated with gel and a brace. R. at 597-99, 680. He
reported increasing pain in his right hip, R. at 91, 130, but, following right-hip core decompression,
was reportedly “doing well,” not taking pain medications, and ambulating with a cane. R. at 81,
84.
The ALJ also noted that although Plaintiff testified that he does little more than lie down

most of the day, no doctor had advised him to do so. R. at 17, 311. Granted, when told about
Plaintiff’s intent to pursue disability, one doctor stated that “he may be disabled from a labor-type
field.” R. at 497. But the ALJ excluded exertional work from Plaintiff’s RFC assessment, and, as
the ALJ correctly observed, the inability to perform labor-intensive work does not qualify one as
disabled under the Social Security Act. R. at 14, 16. Rather, a claimant must be unable to perform
any other work. 20 C.F.R. § 404.1520(g). A different doctor later opined that Plaintiff lacked the
capacity to work due to the pain in his left hip. R. at 116-17. This conclusion predated Plaintiff’s
hip replacement, however, which controlled his left-hip pain and allowed him, for a time, at least,
to mobilize without a cane. R. at 91.
Moreover, Plaintiff continued to regularly drink and smoke, despite physicians’ repeated
warnings that such behavior exacerbates the symptoms of avascular necrosis. See, e.g., R. at 564,
602, 612, 620, 629, and 648. The ALJ properly factored this into his analysis, since “[failing] to
follow a prescribed course of remedial treatment without good reason is grounds for denying an
application an application for benefits.” Kisling v. Chater, 105 F.3d 1255, 125 (8th Cir. 1997);

see also Mouser v. Astrue, 545 F.3d 634, 638 (8th Cir. 2008) (finding that the ALJ appropriately
considered the claimant’s failure to stop smoking where it directly impacted the severity of his
impairments). Thus, considering the record as a whole, the Court finds the ALJ’s RFC
determination supported by substantial evidence, including Plaintiff’s extensive medical records.
See Dykes v. Apfel, 223 F.3d 865, 866 (8th Cir. 2000) (“To the extent [claimant] is arguing that
residual functional capacity may be proved only by medical evidence, we disagree.”).
II. The ALJ sufficiently considered Plaintiff’s obesity.
Social Security Ruling 02-1p3 requires an ALJ to consider a claimant’s obesity in
determining his RFC. SSR 02-1p (S.S.A.), 2000 WL 628049; 20 C.F.R. § 402.35(b)(2) (providing

that such rulings bind all components of the agency). So long as an ALJ specifically takes a
claimant’s obesity into account in the claim-evaluation process, he has complied with this
requirement. Heino v. Astrue, 578 F.3d 873, 881-82 (8th Cir. 2009) (citing Brown ex rel. William
v. Barnhart, 388 F.3d 1150, 1153 (8th Cir. 2004)). Here, the ALJ discussed Plaintiff’s weight at
the hearing and identified obesity as one of Plaintiff’s severe impairments. R. at 12, 136. He also
described Plaintiff’s obesity in finding that it did not equal a listed impairment. R. at 13.
Plaintiff contends that the ALJ should have specifically described the effect of Plaintiff’s
obesity on his work limitations. But an ALJ need not break down its analysis of a claimant’s RFC

3 Although the Commissioner rescinded SSR 02-1p, the Court applies the rule in effect at the time the agency issued
its decision. SSR 19-2P (S.S.A.), 2019 WL 2374244.
on a condition-by-condition basis. Dean v. Astrue, No. 4:11-cv-00001-ODS, 2011 WL 3837963,
at *5 (W.D. Mo. Aug 29, 2011) (explaining that an ALJ assesses a claimant’s RFC “based on all
of the limitations found to exist regardless of the medical cause for those limitations”); Mink v.
Berryhill, No. 5:17-cv-06088-DGK, 2018 WL 3474087, at *2 (W.D. Mo. July 19, 2018) (citations
omitted). The ALJ found that Plaintiff had the RFC to perform only sedentary work, and that he

could only occasionally climb stairs, stoop, kneel, and crouch. R. at 14. Such limitations are
consistent with Plaintiff’s obesity. See SSR 02-1p (stating that obesity may affect a claimant’s
ability to stand, climb, balance, stoop, and crouch). Plaintiff, furthermore, does not point to record
evidence supporting greater limitations that those the ALJ identified.
III. The ALJ was not required to consider Plaintiff’s depression.
Although an ALJ must base his RFC determination on all relevant evidence, he 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.” Gregg v. Barnhart, 354 F.3d 710, 713 (8th Cir.
2003) (quoting Pena v. Chater, 76 F.3d 906, 909 (8th Cir. 1996)). Plaintiff contends that the ALJ

failed to consider his depression, but he did not list depression or any other mental impairment on
his disability application or supplemental questionnaire. R. at 239, 242, 289. Nor did he raise the
issue at his hearing. R. at 143, 147. Plaintiff’s argument is therefore without merit.
IV. The ALJ properly found that Plaintiff could perform other work.
Because the ALJ did not err in formulating Plaintiff’s RFC, the hypothetical questions
posed to the vocational expert were not flawed. Consequently, the vocational expert’s answers
serve as substantial evidence that Plaintiff could perform jobs that exist in significant numbers in
the national economy. See Martise v. Astrue, 641 F.3d 909, 927 (8th Cir. 2011) (quoting Lacroix
v. Barnhart, 465 F.3d 881, 889 (8th Cir. 2006)).
Conclusion
Substantial evidence supports the ALJ’s determination that Plaintiff was not disabled.
Accordingly, the Commissioner’s decision denying benefits is AFFIRMED.
IT IS SO ORDERED.
Date: August 6, 2019 /s/ Greg Kays
GREG KAYS, JUDGE
UNITED STATES DISTRICT COURT

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10241207. Public record. Not legal advice.