“We note that it is the responsibility of the [Commissioner] and not the courts to reconcile inconsistencies in the medical evidence.”
How later courts described this case
- “We note that it is the responsibility of the [Commissioner] and not the courts to reconcile inconsistencies in the medical evidence.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NORTH CAROLINA
CHARLOTTE DIVISION
DOCKET NO. 3:21-CV-00105-FDW
TYRONE CHANDLER, )
)
Plaintiff, )
)
vs. )
) ORDER
COMMISSIONER OF SOCIAL )
SECURITY, Social Security Administrator, )
)
Defendant. )
)
)
THIS MATTER is before the Court on Claimant Tyrone Chandler’s Motion for Judgment
on the Pleadings and Memorandum in Support (Doc. Nos. 11, 12), filed November 19, 2021, and
Defendant Acting Commissioner of Social Security Andrew Saul’s (“Commissioner”) Motion for
Summary Judgment and Memorandum in Support (Doc. Nos. 13, 14), filed December 12, 2021.
Claimant, through counsel, seeks judicial review of an unfavorable administrative decision on his
application for Supplemental Security Income. Plaintiff also has a pending consent Motion for
Extension of Time, (Doc. No. 15), which the Court GRANTS and deems the briefs timely filed.
The Court DENIES Defendant’s Motion to file a Surreply, (Doc. No. 17).
Having reviewed and considered the written arguments, administrative record, and
applicable authority, and for the reasons set forth below, Claimant’s Motion for Summary
Judgment is DENIED; the Commissioner’s Motion for Summary Judgment is GRANTED; and
the Commissioner’s decision is AFFIRMED.
I. Background
On December 15, 2016, Claimant filed a Title II application for Supplemental Security
Income (“SSI”), alleging disability beginning May 1, 2015. (Doc. No. 7-3, p. 84). After his
application was denied initially and upon reconsideration (Id.), Claimant requested a hearing by
an Administrative Law Judge (“ALJ”). (Id.). The ALJ held a hearing on November 20, 2018, after
which the ALJ issued an unfavorable decision on April 3, 2019, finding Claimant not disabled
under the Social Security Act. (Id. At 96).
During the five-step sequential evaluation process for determining whether an individual
is disabled under the Social Security Act, the ALJ found at step one that Claimant had not engaged
in substantial gainful activity since May 1, 2015. At step two, the ALJ found Claimant to have the
following severe impairments: “lumbar degenerative disc disease status post laminectomy;
bilateral ankle degenerative joint disease; residuals status post left shoulder arthroscopy; asthma;
obesity and a post-traumatic stress disorder.” (Id. at 86). At step three, the ALJ determined
Claimant did not have an impairment or combination of impairments that met or medically equaled
one of the listed impairments in 20 CFR Part 404, Subpart P, Appendix 1. (Id.). Then, the ALJ
found Claimant had the Residual Functional Capacity (“RFC”) to perform sedentary work as
defined in 20 C.F.R. § 404.1567(a):
[E]xcept: he is limited to never climbing ladders, ropes, or scaffolds; performing
all other postural activities occasionally; occasional overhead reaching with the
non-dominant left upper extremity; no concentrated exposure to extreme of
temperature or respiratory irritants such as gases, fumes or chemicals and no
concentrated exposure to hazard such as heights or moving machinery. In addition,
the claimant is able to maintain concentration up to 2 hours at a time but is limited
to performing simple, routine tasks with occasional decision-making, occasional
changes to the work duties and with no face-to-face contact with general public to
perform work duties.
(Id. at 88).
For step four, in response to a hypothetical factoring in Claimant’s age, education, work
experience, and RFC, the vocational expert (“VE”) testified Claimant could not perform past
relevant work. (Id. at 96). For step five, the ALJ then asked the VE whether jobs exist in the
national economy for an individual with Claimant’s age, education, work experience, and RFC.
(Id). The VE testified given those factors, the individual would be able to perform the requirements
of representative “unskilled,” “sedentary” occupations such as “order clerk (DOT 209.567-014),”
“charge account clerk (DOT 205.367-014),” and “document preparer (DOT 249.587-018).” (Id. at
96). Thus, the ALJ concluded Claimant was not disabled as defined by the Social Security Act
from May 1, 2015, through the ALJ’s decision. (Id.).
Claimant’s subsequent request for review by the Appeals Council was denied, and as a
result the ALJ’s decision became the final decision of the Commissioner. Claimant has exhausted
all administrative remedies and now appeals to this Court pursuant to 42 U.S.C. § 405(g). Claimant
argues the following: (1) the Commissioner denied Chandler a constitutionally valid hearing; (2)
the ALJ failed to properly give the VA rating substantial weight; (3) the ALJ’s step two carpal
tunnel evaluation is not supported by substantial evidence.
II. Standard Of Review
The Social Security Act, 42 U.S.C. § 405(g) and § 1383(c)(3), limits this Court's review of
a final decision of the Commissioner to: (1) whether substantial evidence supports the
Commissioner’s decision, Richardson v. Perales, 402 U.S. 389, 401 (1971); and (2) whether the
Commissioner applied the correct legal standards. Hays v. Sullivan, 907 F.2d 1453, 1456 (4th Cir.
1990); see also Hunter v. Sullivan, 993 F.2d 31, 34 (4th Cir. 1992) (per curiam). The district court
does not review a final decision of the Commissioner de novo. Smith v. Schweiker, 795 F.2d 343,
345 (4th Cir. 1986); King v. Califano, 599 F.2d 597, 599 (4th Cir. 1979); Blalock v.
Richardson, 483 F.2d 773, 775 (4th Cir. 1972). The court must uphold the decision of the
Commissioner, even in instances where the reviewing court would have come to a different
conclusion, so long as the Commissioner’s decision is supported by substantial evidence. Lester
v. Schweiker, 683 F.2d 838, 841 (4th Cir. 1982).
The Fourth Circuit has defined “substantial evidence” as being “more than a scintilla and
do[ing] more than creat[ing] a suspicion of the existence of a fact to be established. It means such
relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Smith
v. Heckler, 782 F.2d 1176, 1179 (4th Cir. 1986) (quoting Richardson, 402 U.S. at 401); see
also Seacrist v. Weinberger, 538 F.2d 1054, 1056–57 (4th Cir. 1976) (“We note that it is the
responsibility of the [Commissioner] and not the courts to reconcile inconsistencies in the medical
evidence.”)
“In order to establish entitlement to benefits, a claimant must provide evidence of a
medically determinable impairment that precludes returning to past relevant work and adjustment
to other work.” Flesher v. Berryhill, 697 F. App’x 212, (4th Cir. 2017) (per curiam) (citing
20 C.F.R. §§ 404.1508, 404.1520(g)). In evaluating a disability claim, the Commissioner uses a
five-step process. 20 C.F.R. § 404.1520(a)(4). Pursuant to this process, the Commissioner asks, in
sequence, whether the claimant: (1) worked during the alleged period of disability; (2) had a severe
impairment; (3) had an impairment that met or equaled the severity of a listed impairment; (4)
could return to his past relevant work; and (5) if not, could perform any other work in the national
economy. 20 C.F.R. § 404.1520(a); see also Lewis v. Berryhill, 858 F.3d 858, 861 (4th Cir. 2017)
(citing Mascio, 780 F.3d at 634); 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4). The claimant bears
the burden of proof at steps one through four, but the burden shifts to the Commissioner at step
five. See Lewis, 858 F.3d at 861; Monroe v. Colvin, 826 F.3d 176, 179–80 (4th Cir. 2016).
“If the claimant fails to demonstrate she has a disability that meets or medically equals a
listed impairment at step three, the ALJ must assess the claimant’s residual functional capacity
(“RFC”) before proceeding to step four, which is ‘the most [the claimant] can still do despite [her
physical and mental] limitations [that affect h[er] ability to work].’” Lewis, 858 F.3d at 861–62
(quoting 20 C.F.R. §§ 404.1545(a)(1), 416.945(a)(1)). In Lewis, the Fourth Circuit explained the
considerations applied before moving to step four:
[The RFC] determination requires the ALJ to “first identify the individual’s
functional limitations or restrictions and assess his or her work-related abilities on
a function-by-function basis, including the functions listed in the regulations.”
Mascio, 780 F.3d at 636 (internal quotations omitted); see also SSR 96-8p, 1996
WL 374184, at *1 (July 2, 1996). Once the function-by-function analysis is
complete, an ALJ may define the claimant’s RFC “in terms of the exertional levels
of work, sedentary, light, medium, heavy, and very heavy.” SSR 96-8p, 1996 WL
374184, at *1. See generally 20 C.F.R. §§ 404.1567, 416.967 (defining “sedentary,
light, medium, heavy, and very heavy” exertional requirements of work).
When assessing the claimant’s RFC, the ALJ must examine “all of [the claimant's]
medically determinable impairments of which [the ALJ is] aware,” 20 C.F.R. §§
404.1525(a)(2), 416.925(a)(2), “including those not labeled severe at step two.”
Mascio, 780 F.3d at 635. In addition, he must “consider all [the claimant’s]
symptoms, including pain, and the extent to which [her] symptoms can reasonably
be accepted as consistent with the objective medical evidence and other evidence,”
20 C.F.R. §§ 404.1529(a), 416.929(a). “When the medical signs or laboratory
findings show that [the claimant has] a medically determinable impairment(s) that
could reasonably be expected to produce [her] symptoms, such as pain, [the ALJ]
must then evaluate the intensity and persistence of [the claimant’s] symptoms so
that [the ALJ] can determine how [her] symptoms limit [her] capacity for work.”
20 C.F.R. §§ 404.1529(c)(1), 416.929(c)(1).
Lewis, 858 F.3d at 862.
Proceeding to step four, the burden remains with the claimant to show he or she is unable
to perform past work. Mascio, 780 F.3d at 635. If the claimant meets their burden as to past work,
the ALJ proceeds to step five.
“At step five, the burden shifts to the Commissioner to prove, by a preponderance
of the evidence, that the claimant can perform other work that ‘exists in significant
numbers in the national economy,’ considering the claimant’s residual functional
capacity, age, education, and work experience.” [Mascio, 780 F.3d at 635 (quoting
20 C.F.R. §§ 416.920(a)(4)(v), 416.960(c)(2), 416.1429)]. “The Commissioner
typically offers this evidence through the testimony of a vocational expert
responding to a hypothetical that incorporates the claimant’s limitations.”
Monroe, 826 F.3d 176, 180 (quoting 20 C.F.R. §§ 416.920(a)(4)(v), 416.960(c)(2), 416.1429). If
the Commissioner meets this burden in step five, the claimant is deemed not disabled and the
benefits application is denied. Id.
III. ANALYSIS
A. Constitutionality of Commissioner’s Decision
As a preliminary matter, the Court concludes the Commissioner’s decision was not
constitutionally defective. The Supreme Court has rejected the proposition that unconstitutional
tenure protection for the head of an agency, without more, voids any agency action. See Collins v.
Yellen, 141 S. Ct. 1761, 1787 (2021). Specifically, the Supreme Court explained, “the
unlawfulness of [a] removal provision does not strip [a federal official] of the power to undertake
the other responsibilities of his office.” Id. at 1788 n.23. After Collins, “courts across the country
have uniformly concluded that the allegedly unconstitutional nature of § 902(a)(3) does not require
remand” absent some causal nexus to the ALJ’s decision not to find a particular claimant disabled.
Katrina R. v. Comm’r of Soc. Sec., 2:21-CV-4276, 2022 WL 190055, at *5 (S.D. Ohio Jan. 21,
2022) (collecting cases); see also Juliana Jolean A. v. Kijakazi, 5:20-CV-1268, 2022 WL 595361,
at *4 (N.D.N.Y. Feb. 28, 2022) (collecting cases). Claimant's apparent argument—that an
unconstitutional delegation of authority from the Commissioner to the ALJ demonstrates harm—
lacks merit under Collins. See Harris v. Kijakazi, No. 21-1853, 2022 WL 2987928, at *3 (4th Cir.
July 28, 2022) (rejecting constitutional claim where the claimant failed to demonstrate actual
harm).
Here, Claimant argues that the SSA’s structure is unconstitutional resulting in the denial
of a constitutionally valid adjudication. Claimant, however, offers no evidence to show his case
would have been decided differently but for the removal restriction. Claimant theorizes a general
harm rather than one “particularized to Claimant,” Kaufmann, 32 F.4th at 850, and courts have
found such generalized harms to be insufficient under Collins. Willis v. Kijakazi, No. 4:21-CV-
60-M, 2022 WL 4242523, at *15 (E.D.N.C. Aug. 19, 2022) (collecting cases), report and
recommendation adopted sub nom. Willis v. Kijakazi, No. 4:21-CV-00060-M, 2022 WL 4238060
(E.D.N.C. Sept. 14, 2022). Accordingly, Claimant has failed to show a causal nexus between the
removal restriction and the denial of his application for disability benefits. Therefore, Claimant’s
constitutional arguments fail.
B. The RFC and Veteran’s Association
Claimant argues the ALJ erred by giving little weight to Claimant’s Veterans
Administration (“VA”) disability rating. The ALJ explicitly recognized that the VA assigned
Claimant with “a permanent and total 100 percent disability rating for a combination of residual
lumbosacral strain with residuals, right lower extremity radiculopathy, residual limited range of
motion of the left shoulder, residuals status post right ankle fracture and surgery and post-traumatic
stress disorder.” (Doc. No. 7-3, p. 93). The ALJ also explicitly recognized she must give
substantial weight to that disability rating unless the record clearly demonstrates such a deviation
is appropriate. Id.
In explaining why the ALJ concluded a deviation to be appropriate, she noted that in June
2015, August 2016, October 2017, and July 2018, VA doctors concluded Claimant did not meet
the incapacitated patient criteria based on his physical or mental condition. She further discussed
orthopedic and pain clinic progress notes, which revealed Claimant did better when taking
medications, including Roxicodone and Methadone. See Gross v. Heckler, 755 F.2d 1163, 1166
(4th Cir. 1986) (“If a symptom can be reasonably controlled by medication or treatment, it is not
disabling.”); see also Purdham v. Celebrezze, 349 F.2d 828, 830 (4th Circ. 1965). The ALJ also
concluded that the VA accommodated wheelchair was not medically necessary based on other
evidence demonstrating that Claimant needed no assistive device and was independent with
ambulation.
In addition, VA notes in June 2017 reveal normal examination of the upper extremities (Tr.
1614-1615). Finally, VA disability ratings varied widely and indicated significant improvement
over time, even on occasions where the VA had previously assigned a 100 percent disability rating.
For example, in a July 13, 2017, disability rating, the VA granted only a 10 percent disability for
left lower extremity radiculopathy effective May 22, 2017, and reduced from a 40 percent
disability for right lower extremity radiculopathy to 10 percent effective June 15, 2017.
Moreover, the ALJ found the lack of treatment after Claimant’s back surgery and treatment
for his post-traumatic stress disorder are inconsistent with the disability rating of the VA. In
examining the evidence regarding post-traumatic stress disorder, the ALJ pointed out that Claimant
had not required inpatient treatment or regular, ongoing outpatient psychotherapy for this condition
and that his symptoms had responded well to medication. Substantial evidence supports this
conclusion. Although a VA psychiatrist concluded in March 2017 that Claimant met the criteria
for post-traumatic stress disorder, Claimant denied symptoms of anxiety, post-traumatic stress
disorder or depression in April 2017 and in October 2017. Utilizing a “benefit of the doubt” VA
doctrine, (Tr. 1500), in a VA rating appeals decision dated November 8, 2017, the appellate body
noted that a rating for service-connected PTSD may be granted even though “the Veteran’s service
treatment records are silent as to complaints, treatment, or diagnoses relating to a psychiatric
disorder and/or PTSD.” (Tr. 1498). Therefore, even though “specific stressors have not been
verified in this case,” under VA revised evidentiary standards, the Board assumed the credibility
of Claimant’s testimony about witnessing loss of life attacks in Bosnia and Kosovo. (Tr. 1499).
The Appeal Board made this assumption even though Claimant had “not engag[ed]in direct
combat” and was “not in receipt of any combat-related awards or decorations.” (Tr. 1498). Based
upon a medical opinion, the Board simply concluded Claimant’s allegation about suffering from
PTSD due to military service “is at least as likely as not (50 percent or greater probability)” of
having happened. (Tr. 1499). The “benefit of the doubt” doctrine is not applicable in Social
Security disability proceedings. Nevertheless, the ALJ noted that as a result of Claimant’s PTSD,
he should be able to maintain concentration up to 2 hours at a time with limitations to performing
simple, routine tasks with occasional decision-making, occasional changes to the work duties, and
with no face-to-face contact with the general public to perform work duties.
Finally, other substantial evidence supports the ALJ’s decision and explanation for
assigning little weight to the VA’s disability rating. The ALJ noted that Claimant continued to
engage in activities associated with the production of plays as a hobby, which included a significant
amount of typing by Claimant. Furthermore, the ALJ noted that in 2108, Claimant was helping
his daughter move from one home to another, and in October 2017, Claimant did not require help
or have difficulty dressing, attending to personal needs, preparing meals, performing housework,
shopping, or managing medications and finances.
In DeLoatche v. Heckler, 715 F.2d 148, 150 (4th Cir. 1983), the Fourth Circuit held that
an ALJ must consider as evidence the disability determination of another governmental agency.
An ALJ's decision that ignores such a determination fails to provide the requisite findings to allow
judicial review. In Bird v. Commissioner, 699 F.3d 337, 343 (4th Cir. 2012), the Fourth Circuit
held that the Social Security Administration must give substantial weight to a VA disability
determination. The Fourth Circuit later clarified that the ALJ may afford less than substantial
weight to another governmental agency's disability determination, but only if he provides
“persuasive, specific, and valid reasons” for doing so. Woods v. Berryhill, 888 F.3d 686, 692 (4th
Cir. 2018) (quoting McCartey v. Massanari, 298 F.3d 1072, 1076 (9th Cir. 2002)). For the reasons
stated above, the ALJ explained “persuasive, specific, and valid” reasons for affording less than
substantial weight to the VA, and substantial evidence supports that determination.
C. Substantial evidence of carpal tunnel
Claimant also argues the ALJ erred by discrediting Claimant’s symptoms pursuant to an
incorrect legal standard and improperly increased his burden of proof. The Fourth Circuit has
“reiterate[d] long-standing [Circuit] law . . . that disability claimants are entitled to rely exclusively
on subjective evidence to prove the severity, persistence, and limiting effects of their symptoms,”
Arakas v. Commissioner, 983 F.3d 83, 98 (4th Cir. 2020). Long-standing precedent containing
the substance of that holding clarify that, “Although a claimants allegations about her pain may
not be discredited solely because they are not substantiated by objective evidence of the pain itself
or its severity, they need not be accepted to the extent they are inconsistent with the available
evidence, including objective evidence of the underlying impairment, and the extent to which that
impairment can reasonably be expected to cause the pain the claimant alleges she suffers . . . .”
Craig v. Chater, 76 F.3d 585, 595 (4th Cir. 1996). In other words, under the appropriate
circumstances, an ALJ may choose to rely exclusively on a claimant’s subjective symptom reports
to find disabling symptoms; however, Arakas does not compel ALJs to consider only subjective
evidence, as such a requirement would conflict with the regulations, which plainly require ALJs
to consider a variety of factors, including objective medical evidence, in evaluating the intensity,
persistence, and limiting effects of symptoms. See 20 C.F.R. § 404.1529(c) (directing ALJs to
assess a claimant’s medical history, medical signs and laboratory findings, daily activities,
testimony about nature and location of pain, medication and other treatment used to alleviate pain,
along with medical opinions from examining and non-examining sources); see also 42 U.S.C. §
423(d)(5)(A) (“Objective medical evidence of pain . . . established by medically acceptable clinical
or laboratory techniques (for example, deteriorating nerve or muscle tissue) must be considered in
reaching a conclusion as to whether [an] individual is under a disability.” (Emphasis added)).
Here, in compliance with controlling law, the ALJ considered the objective medical
evidence as one part of her evaluation of the intensity, persistence, and limiting effects of
Claimant’s alleged symptoms. As detailed in the ALJ’s decision, the ALJ also considered the
opinion evidence of record and Claimant’s daily activities. Overall, the ALJ’s assessed residual
functional capacity was consistent with Claimant’s medical history and takes into account her
symptoms and likely sources of exacerbation. The ALJ’s assessment shows that she did not require
objective evidence to support Claimant’s allegations (or otherwise use it to undermine Claimant’s
complaints), but that it was properly assessed as part of her consideration of all evidence of record.
The ALJ concluded:
The claimant . . . also has alleged carpal tunnel syndrome; however, [e]xamination
showed normal sensation in both hands with only mild delayed response at digits
1-2. The claimant has reported good response when compliant with paraffin wax,
gloves, home exercises and wrist splint. Exhibits 22F/10-17, 30; 25F/62-64. In fact,
the VA denied granting service-connected disability for carpal tunnel syndrome
because the medical evidence of record failed to show such disability was
diagnosed. Exhibit 17F/12.
(Doc. No. 7-3, p. 87). Substantial evidence supports this conclusion.
Claimant argues the ALJ failed to consider other objective medical evidence from the VA
in November 2017 establishing carpal tunnel syndrome as a diagnosis. Claimant also argues that
the ALJ’s failure to account for Claimant’s functional limitations caused by his carpal tunnel is
not harmless in light of the VE’s testimony that if Claimant was limited to “frequent but not
constant bilateral manipulation,” then jobs would remain, but if the limitation was “occasional,”
then there would be no jobs at light or sedentary.
Here, substantial evidence supports the ALJ’s conclusion that Claimant’s carpel tunnel
syndrome was nonsevere. For example, in 2017, VA records indicated the medical evidence of
record failed to show any clinical diagnosis for carpal tunnel syndrome, and—without a current
diagnosis of that disability—the VA denied Claimant’s disability claim for service-connected
carpal tunnel syndrome. (Doc. No. 7-9, p. 309). Claimant has failed to show how other VA records
compel a different conclusion than that reached by the ALJ. The ALJ properly considered all the
evidence, and substantial evidence supports the ALJ’s finding that Claimant’s carpal tunnel
syndrome was nonsevere.
IV. CONCLUSION
Claimant has failed to show a constitutional defect in the ALJ’s adjudication of his claim.
To the extent Claimant’s arguments identify inconsistencies in the evidence, the ALJ’s decision
logically explains how she resolved those inconsistencies, and the decision is consistent with
applicable law and supported by substantial evidence in the record. Claimant has failed to provide
a basis for reversal or remand of the ALJ’s decision.
IT IS THEREFORE ORDERED that Plaintiff’s Motion for Extension of Time, (Doc. No.
15), is GRANTED, and Defendant’s Motion to file a Surreply, (Doc. No. 17), is DENIED.
IT IS FURTHER ORDERED for the reasons above, Claimant’s Motion for Summary
Judgment, (Doc. No. 11), is DENIED; the Commissioner’s Motion for Summary Judgment, (Doc.
No. 13), is GRANTED; and the Commissioner’s decision is AFFIRMED.
IT IS SO ORDERED.
Signed: September 20, 2022
Frank D. Whitney é +3
United States District Judge Begs?
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