risk of future heart attack not disabling
How later courts described this case
- risk of future heart attack not disabling
- diagnosed condition not necessarily severe impairment
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF OHIO
WESTERN DIVISION
CRYSTAL BIGLOW, Case No. 1:18-CV-381
Plaintiff, Black, J.
Bowman, M.J.
v.
COMMISSIONER OF SOCIAL SECURITY,
Defendant.
REPORT AND RECOMMENDATION
Plaintiff Crystal Biglow filed this Social Security appeal in order to challenge the
Defendant’s findings that she is not disabled. Without counsel, Plaintiff presents a
handwritten list of corrections, but identifies no reversible errors. For the reasons
explained below, I conclude that the ALJ’s finding of non-disability should be AFFIRMED,
because it is supported by substantial evidence in the administrative record.
I. Summary of Administrative Record
On April 14, 2015, Plaintiff filed an application disability insurance benefits and
supplemental security income. (Tr. 24). In both applications, Plaintiff alleges disability
beginning January 15, 2009. Plaintiff’s claims were denied initially on October 8, 2015.
Thereafter, Plaintiff filed a written request for a hearing in front of an administrative law
judge (ALJ) on December 21, 2015. (Tr. 24). Plaintiff appeared and testified at a hearing
held on October 10, 2017, in Columbus, Ohio. Carl W. Hartung, an impartial vocational
expert, testified at the hearing as well. Plaintiff was informed of her right to representation,
but chose to appear and testify without an attorney or other representative. Plaintiff’s
husband, Larry Biglow, was also present and testified on Plaintiff’s behalf. On February
1, 2018, the ALJ denied Plaintiff’s application. The Appeals Council denied Plaintiff’s
subsequent request for review. Plaintiff now seeks judicial review of the denial of her
application for benefits.
Plaintiff was 39 years old when she submitted the applications. (Tr. 34). Plaintiff
has a high school education, graduated from a trade school, and has only unskilled past
relevant work. (Tr. 34, 53). Plaintiff testified that she lives in a trailer with her husband and
is responsible for caring for a dog and four cats. (Tr. 50).
Based upon the record and testimony presented at the hearing, the ALJ found that
Plaintiff had the following severe impairments: “degenerative disc disease of the lumbar
spine with Grade 1 spondylolisthesis; degenerative disc disease of the cervical spine;
lupus; morbid obesity; osteoarthritis of the bilateral knees; trochanteric bursitis of the left
hip; and bilateral foot spurs.” (Tr. 27). The ALJ concluded that none of Plaintiff’s
impairments alone or in combination met or medically equaled a listed impairment in 20
C.F.R. Part 404, Subp. P, Appendix 1. The ALJ determined that Plaintiff retains the
following residual functional capacity (“RFC”) to perform light work with the following
limitations:
[T]he claimant can stand and walk 4-hours in an 8-hour workday; can occasionally
use foot controls with the bilateral lower extremities; occasionally climb ramps and
stairs; never climb ladders, ropes and scaffolds; occasionally balance;
occasionally stoop; occasionally kneel; occasionally crouch; never crawl; have
only occasional exposure to extreme cold; and never work at unprotected heights.
(Tr. 30).
Based upon the record as a whole including testimony from the vocational expert,
and given Plaintiff’s age, education, work experience, and RFC, the ALJ concluded that
Plaintiff is unable to perform her past relevant work. Nonetheless, there are jobs that
exist in significant numbers in the national economy that she can perform, including such
jobs as addresser, document preparer, and table worker/spotter. Accordingly, the ALJ
determined that Plaintiff is not under disability, as defined in the Social Security
Regulations, and is not entitled to DIB. Id.
The Appeals Council denied Plaintiff’s request for review. Therefore, the ALJ’s
decision stands as the Defendant’s final determination. On appeal to this Court, Plaintiff,
proceeding pro se, has submitted a handwritten list of complaints. Construed liberally,
the undersigned finds that Plaintiff asserts that the ALJ erred by: (1) improperly
formulating her physical RFC; (2) improperly evaluating her mental impairments, and 3)
failing to find her complaints of pain credible. Upon close analysis, I conclude that none
of the asserted errors require reversal or remand.
II. Analysis
A. Judicial Standard of Review
To be eligible for SSI or DIB a claimant must be under a “disability” within the
definition of the Social Security Act. See 42 U.S.C. §§423(a), (d), 1382c(a). The definition
of the term “disability” is essentially the same for both DIB and SSI. See Bowen v. City
of New York, 476 U.S. 467, 469-70 (1986). Narrowed to its statutory meaning, a
“disability” includes only physical or mental impairments that are both “medically
determinable” and severe enough to prevent the applicant from (1) performing his or her
past job and (2) engaging in “substantial gainful activity” that is available in the regional
or national economies. See Bowen, 476 U.S. at 469-70 (1986).
When a court is asked to review the Commissioner’s denial of benefits, the court’s
first inquiry is to determine whether the ALJ’s non-disability finding is supported by
substantial evidence. 42 U.S.C. § 405(g). Substantial evidence is “such relevant
evidence as a reasonable mind might accept as adequate to support a conclusion.”
Richardson v. Perales, 402 U.S. 389, 401 (1971) (additional citation and internal quotation
omitted). In conducting this review, the court should consider the record as a whole.
Hephner v. Mathews, 574 F.2d 359, 362 (6th Cir. 1978). If substantial evidence supports
the ALJ’s denial of benefits, then that finding must be affirmed, even if substantial
evidence also exists in the record to support a finding of disability. Felisky v. Bowen, 35
F.3d 1027, 1035 (6th Cir. 1994). As the Sixth Circuit has explained:
The Secretary’s findings are not subject to reversal merely because
substantial evidence exists in the record to support a different conclusion .
. . . The substantial evidence standard presupposes that there is a ‘zone of
choice’ within which the Secretary may proceed without interference from
the courts. If the Secretary’s decision is supported by substantial evidence,
a reviewing court must affirm.
Id. (citations omitted).
In considering an application for disability benefits, the Social Security Agency is
guided by the following sequential benefits analysis: at Step 1, the Commissioner asks if
the claimant is still performing substantial gainful activity; at Step 2, the Commissioner
determines if one or more of the claimant’s impairments are “severe;” at Step 3, the
Commissioner analyzes whether the claimant’s impairments, singly or in combination,
meet or equal a Listing in the Listing of Impairments; at Step 4, the Commissioner
determines whether or not the claimant can still perform his or her past relevant work;
and finally, at Step 5, if it is established that claimant can no longer perform his or her
past relevant work, the burden of proof shifts to the agency to determine whether a
significant number of other jobs which the claimant can perform exist in the national
economy. See Combs v. Commissioner of Soc. Sec., 459 F.3d 640, 643 (6th Cir. 2006);
20 C.F.R. §§404.1520, 416.920.
A plaintiff bears the ultimate burden to prove by sufficient evidence that he or she
is entitled to disability benefits. 20 C.F.R. § 404.1512(a). Thus, a plaintiff seeking benefits
must present sufficient evidence to show that, during the relevant time period, he or she
suffered impairment, or combination of impairments, expected to last at least twelve
months, that left him or her unable to perform any job in the national economy. 42 U.S.C.
§ 423(d)(1)(A).
B. The ALJ’s decision is supported by Substantial Evidence
1. Physical RFC
Plaintiff appears to assert that the ALJ’s RFC assessment is not supported by
substantial evidence. As detailed above, the ALJ determined that Plaintiff retained the
RFC to perform light work if limited to standing no more than 4 hours in an 8-hour workday
with postural limitations, avoidance of hazards, occasional use of foot controls, and only
occasional exposure to cold temperatures. Light work involves lifting no more than 20
pounds at a time and 10 pounds frequently and can require standing or walking for a total
of six hours out of an eight-hour workday. 20 C.F.R. § 404.1567(b); SSR 83-10, 1983 WL
31251, *6 (1983). Plaintiff, however, asserts that she is unable to lift 20 lbs and cannot
sit or stand as required to complete an 8-hour workday. Plaintiff also appears to argue
that the ALJ improperly determined that Plaintiff’s assertions are unavailing.
As noted by the Commissioner, the ALJ’s RFC determination properly considered
the objective medical evidence, the opinion evidence and Plaintiff’s testimony. Notably,
the ALJ thoroughly reviewed the relevant objective evidence of Plaintiff’s physical
impairments and undertook a detailed analysis of the medical records in determining
Plaintiff’s limitations due to those impairments. (Tr. 27) (citing 20 C.F.R. § 404.1520(c)).
The ALJ reasonably concluded that the objective evidence did not establish that any of
Plaintiff’s impairments, alone or in combination, rendered her disabled. (Tr. 30-34). With
respect to Plaintiff’s claims of back and neck pain, the ALJ discussed Plaintiff’s treatment
dating back to 2009 and the x-rays and MRIs of her spine. (Tr. 31-32) (citing Exh. 1F (Tr.
290-328); Exh. 2F (Tr. 329-334); Exh. 4F (Tr. 373-74); Exh. 6F (Tr. 428); Exh. 12F (Tr.
509-53); Exh. 17F (Tr. 599); Exh. 18F (Tr. 616- 42); Exh. 19F (Tr. 645, 648); Exh. 20F
(Tr. 675, 721, 725)). The ALJ noted that although imaging showed some degenerative
changes, she maintained a normal gait, negative straight leg raise tests, and no motor or
sensory deficits. (Tr. 31-32) (citing Exh. 4F (Tr. 374); Exh. 6F (Tr. 428); Exh. 9F (Tr. 451-
458); Exh. 13F (Tr. 554-71); Exh. 18F (Tr. 616-42); Exh. 20F (Tr. 654 748)). Regarding
knee pain, the ALJ noted that imaging was normal and her doctors’ assessments showed
that she was doing well aside from knee pain with activity. (Tr. 32) (citing Exh. 9F (Tr.
448); Exh. 17F (Tr. 599-615); Exh. 19F (Tr. 650-52)).
The ALJ also considered that x-rays showed bilateral heel spurs and that Plaintiff
was treated with heel cups, night splints, and physical therapy. (Tr. 33) (citing Exh. 4F
(Tr. 357, 360); Exh. 8F (Tr. 443-47); Exh. 12F (Tr. 541); Exh. 20F (Tr. 686-89); Exh. 22F
(Tr. 752-71)). The ALJ also considered Plaintiff’s bursitis in her left hip. (Tr. 33) (citing
Exh. 22 (Tr. 761)). He noted that she had tenderness and moderately decreased range
of motion but no other deficits and she was treated with physical therapy and prednisone.
(Tr. 33).
The ALJ’s decision further indicates that he properly considered Plaintiff’s lupus,
noting that her doctors described it as “mild” in November 2013 and observed
improvement by June 2014. (Tr. 32) (citing Exh. 10F (Tr. 460-85); Exh. 13F (Tr. 554-71);
Exh. 16F (Tr. 590-98); Exh. 17F (Tr. 599- 615); Exh. 23F (Tr. 772-94)). The ALJ noted
examinations finding that Plaintiff had normal strength, normal gait, and no atrophy. (Tr.
32-33) (citing Exh. 13F (Tr. 565)). At times, she had tenderness in her back, heels, hips,
or knees, but not consistently so. (Tr. 32-33). The ALJ further noted that Dr. Mikulik had
observed that medication had controlled Plaintiff’s joint pain. (Tr. 32) (citing Exh. 13F (Tr.
556)). In addition, he considered that Plaintiff saw a kidney specialist in 2017 who
instructed her on weight loss, diet, and exercise. (Tr. 33) (citing Exh. 21F (Tr. 749-51)).
Furthermore, the ALJ appropriately accorded significant weight to the opinions of
reviewing physicians Dr. David Knierim and Dr. Elizabeth Das because their assessments
were “generally consistent with the medical evidence viewed as a whole and with the
claimant’s own description of her activities.” (Tr. 33); 20 C.F.R. § 404.1527(c) (medical
opinions given greater weight when consistent with record as a whole). Both reviewers
opined that with postural limitations Plaintiff could occasionally lift 20 pounds, frequently
lift 10 pounds, and stand, walk, or sit for 6 out of 8 hours in a workday. (Tr. 33). The ALJ
accepted each of these limitations, but determined that Plaintiff had the following
additional limitations: (1) standing or walking for 4 hours out of an 8-hour day, (2)
occasional use of foot controls with both feet, (3) and only occasional exposure to extreme
cold. (Tr. 33). The ALJ reasonably considered the two medical opinions regarding
Plaintiff’s physical abilities and imposed greater limitations than either source identified.
(Tr. 33); see Thompson v. Astrue, No. 1:10-cv-371, 2011 WL 3861693, *15 (S.D. Ohio
July 28, 2011) (ALJ decision supported by substantial evidence where RFC adequately
accommodated established functional limitations).
As noted by the Commissioner, no treating source opined on Plaintiff’s functional
abilities and no medical source opined that Plaintiff had greater limitations than those
found by the ALJ in the RFC.
In light of the foregoing, the undersigned finds that the ALJ’s RFC assessment
relating to Plaintiff’s physical impairments is supported by substantial evidence.
2. Mental Impairments
Plaintiff also argues that the ALJ failed to properly evaluate her mental
impairments. Specifically, the Plaintiff notes that if her depression worsens, it would affect
her ability to concentrate.
The ALJ considered the relevant evidence and determined that Plaintiff’s
depression was not a severe impairment because it caused no “more than minimal
limitation in [Plaintiff’s] ability to perform basic mental work activities.” (Tr. 27-29) (citing
Exh. 4F (Tr. 345, 351, 388); Exh. 7F (Tr. 434-42); Exh. 11F (Tr. 501); Exh. 12F (Tr. 527,
534, 541); Exh. 20F (Tr. 700, 725); Exh. 22F (Tr. 761)). See also Higgs v. Bowen, 880
F.2d 860, 863 (6th Cir. 1988) (diagnosed condition not necessarily severe impairment).
The record evidence indicated that Plaintiff behaved normally in medical appointments,
maintained strong family relationships, and lived independently with normal activities. (Tr.
28-29). No mental status examinations found significant functional limitations. Id.
In 2015, Nurse Haecker diagnosed Plaintiff with depression and prescribed Celexa
(Tr. 355-57). When Plaintiff reported continued irritability the next month, Nurse Haecker
switched Plaintiff’s antidepressant to Zoloft and recommended that she engage in
counseling and daily walks. (Tr. 351-53). One month later, Plaintiff reported that she was
doing well on her medication and had no difficulty functioning. (Tr. 346). Plaintiff attended
two counseling sessions in 2015. In March, Laura Mullikin, LSW, noted Plaintiff’s
depressed mood and flat affect, but otherwise normal mental status; she assessed a
Global Assessment of Functioning (GAF) score of 61.1 (Tr. 489-507). In May, a second
counselor noted Plaintiff’s mood was euthymic (normal). (Tr. 507).
Moreover, the ALJ properly considered the state agency psychologists’ findings
that opinions that Plaintiff’s mental impairment was not severe and caused no more than
mild functional limitations. (Tr. 34).
With respect to Plaintiff’s depression, the ALJ also gave limited weight to Dr.
Groneck’s opinions.2 (Tr. 33). Dr. Groneck recorded a normal mental status exam, save
for a depressed mood with constricted tears and limited energy. (Tr. 437-38). Based upon
his observations, Dr. Groneck opined that Plaintiff could (1) understand and remember
job instructions, (2) maintain concentration, persistence, and pace, (3) conform to social
expectations in a work setting, and (4) adjust to minor workplace pressures. (Tr. 439). He
opined, however, that should Plaintiff’s depression worsen, she might have difficulty
working. Id. The ALJ accepted Dr. Groneck’s opinions, in part, that Plaintiff’s intelligence,
memory, focus, ability to adjust, attention, concentration, persistence, and pace were all
adequate to function in a working environment. (Tr. 33).
1 A GAF of 61 to 70 indicates some mild symptoms (e.g., depressed mood and mild insomnia) or some difficulty in
social, occupational, or school functioning (e.g., occasional truancy, or theft within the household), but generally
functioning pretty well, and has some meaningful interpersonal relationships.
2 In August 2015, Plaintiff saw consultative examining psychologist, Dr. Taylor Groneck. (Tr. 434‐36).
The Commissioner asserts that the ALJ was not required either to find Plaintiff’s
mental impairments “severe” or to adopt more stringent limitations based upon Dr.
Groneck’s statements that Plaintiff’s functional abilities might decline if her depression
worsens. The undersigned agrees. See Bloch v. Richardson, 438 F.2d 1181, 1182 (6th
Cir. 1971) (risk of future heart attack not disabling); see also Quisenberry v. Comm’r of
Soc. Sec., No. 17-2408, 2018 WL 6264566, *11 (6th Cir. Nov. 29, 2018) (proper
procedure when claimant’s condition worsens after final denial of disability benefits is to
file new application).
Furthermore, an ALJ's failure to find an impairment to be severe does not
constitute reversible error where the ALJ determined that a claimant has at least one
other severe impairment and properly considered all of the claimant's impairments, both
severe and non-severe, in determining whether the claimant retained sufficient residual
functional capacity to allow him to perform substantial gainful activity. Maziarz v. Sec'y of
Health & Human Servs., 837 F.2d 240, 244 (6th Cir.1987).
Here, the ALJ found that Plaintiff had the following severe impairments:
“degenerative disc disease of the lumbar spine with Grade 1 spondylolisthesis;
degenerative disc disease of the cervical spine; lupus; morbid obesity; osteoarthritis of
the bilateral knees; trochanteric bursitis of the left hip; and bilateral foot spurs”, and then
proceeded through the five-step sequential analysis. Even if there was an error, then, the
ALJ’s failure to consider any of the three conditions as “severe” at Step 2 of the sequential
analysis will not necessarily require reversal or remand. Notably, the regulations require
that if one “severe” impairment exists, all impairments-severe or otherwise-must be
considered in the remaining steps of the sequential analysis. 20 C.F.R. §§ 404.1523,
416.923, 404.1545(e). Thus, where an ALJ errs in finding a particular impairment “non-
severe” in step two of the analysis, the error is harmless if the ALJ finds at least one
severe impairment and continues to address each impairment in determining the
claimant's RFC. Meadows v. Comm'r of Soc. Sec., No. 1:07cv1010, 2008 WL 4911243,
at *13 (S.D. Ohio 2008) (citing Maziarz v. Secy of Health & Human Servs., 837 F.2d 240,
244 (6th Cir. 1987)). Here, as detailed above, the ALJ's decision indicates that he properly
considered and addressed all of Plaintiff's severe and non-severe impairments in
determining his RFC.
Accordingly, Plaintiff's contention is not well-taken in this regard.
3. Evaluation of Plaintiff’s Subjective Complaints
Plaintiff also claims that the ALJ failed to properly consider her complaints of
disabling pain. In this regard, Plaintiff asserts that the ALJ’s failed to consider Plaintiff’s
complaints of depression and severe back and neck pain.
The ALJ's assessment of symptoms, formerly referred to as the “credibility”
determination in SSR 96-7p, was clarified in SSR 16-3p to remove the word “credibility”
and refocus the ALJ’s attention on the “extent to which the symptoms can reasonably be
accepted as consistent with the objective medical and other evidence in the individual’s
record.” SSR 16-3p, 2017 WL 5180304 at *2 (October 25, 2017) (emphasis added). The
new ruling emphasizes that “our adjudicators will not assess an individual’s overall
character or truthfulness in the manner typically used during an adversarial court
litigation.” See id. at *11. Under SSR 16-3p, an ALJ is to consider all of the evidence in
the record in order to evaluate the limiting effects of a plaintiff’s symptoms, including the
following factors:
1. Daily activities;
2. The location, duration, frequency, and intensity of pain or other symptoms;
3. Factors that precipitate and aggravate the symptoms;
4. The type, dosage, effectiveness, and side effects of any medication an
individual takes or has taken to alleviate pain or other symptoms;
5. Treatment, other than medication, an individual receives or has received for
relief of pain or other symptoms;
6. Any measures other than treatment an individual uses or has used to relieve
pain or other symptoms (e.g., lying flat on his or her back, standing for 15 to 20
minutes every hour, or sleeping on a board); and
7. Any other factors concerning an individual's functional limitations and
restrictions due to pain or other symptoms.
Id., 2017 WL 5180304, at *7–8; see also 20 C.F.R. §§ 404.1529(c), 416.929(c) and
former SSR 96–7p.
Despite clarifying the basis for the analysis of subjective complaints and
corresponding elimination of the term “credibility” from the text in order to avoid “character
analysis,” SSR 16-3p was not intended to substantially change existing law. See Banks
v. Com’r of Soc. Sec., Case No. 2:18-cv-38, 2018 WL 6060449 at *5 (S.D. Ohio Nov. 20,
2018) (quoting explicit language in SSR 16-3p stating intention to “clarify” and not to
substantially “change” existing SSR 96-7p), adopted at 2019 WL 187914 (S.D. Ohio Jan.
14, 2019). Thus, it remains the province of the ALJ and not the reviewing court, to assess
the consistency of subjective complaints about the impact of a claimant’s symptoms with
the record as a whole. See generally Rogers v. Com'r, 486 F.3d 234, 247 (6th Cir. 2007).
As stated, the primary distinction between SSR 16-3p and the former SSR 96-7p
is the elimination of the word “credibility” and clarifying that the focus of the evaluation
should be on the “consistency” of subjective complaints with the record as a whole. The
elimination of the word “credibility” from SSR 16-3p is semantically awkward in applying
prior case law, insofar as virtually all of the case law interpreting the former SSR 96-7p
uses the catchphrase “credibility determination.” Nevertheless, the essence of the
regulatory framework remains unchanged. Therefore, courts agree that the prior case
law remains fully applicable to the renamed “consistency determination” under SSR 16-
3p, with few exceptions. See Duty v. Com’r of Soc. Sec., 2018 WL 4442595 at *6 (S.D.
Ohio Sept. 18, 2018) (“existing case law controls to the extent it is consistent with the
clarification of the rules embodied in SSR 16-3p’s clarification.”).
Turning to that case law, an assertion of error in a credibility/consistency
determination requires a particularly strong showing by a plaintiff. Like the ultimate non-
disability determination, the assessment of subjective complaints must be supported by
substantial evidence, but “an ALJ's findings based on the credibility of the applicant are
to be accorded great weight and deference, particularly since an ALJ is charged with the
duty of observing a witness's demeanor and credibility.” Walters v. Com'r of Soc.
Sec., 127 F.3d 525, 531 (6th Cir. 1997). Further, a credibility/consistency determination
cannot be disturbed “absent a compelling reason.” Smith v. Halter, 307 F.3d 377, 379
(6th Cir. 2001). Thus, it is proper for an ALJ to discount the claimant's testimony where
there are inconsistencies and contradictions among the medical records, her testimony,
and other evidence. Warner v. Com'r of Soc. Sec., 375 F.3d 387, 392 (6th Cir. 2004).
Here, the ALJ properly set forth several specific reasons in support of his finding
that Plaintiff’s statements regarding the intensity, persistence and limiting effects of her
symptoms were not entirely consistent with the medical evidence and other evidence in
the record. (Tr. 31). See 20 C.F.R. § 416.929 (c)(4) (in evaluating the extent to which
symptoms, such as pain, limit a claimant’s ability to perform work activities, the ALJ will
compare a claimant’s reported symptoms with the objective medical evidence and other
evidence to see if there are conflicts or inconsistencies between the two). As detailed by
the Commissioner, the ALJ reasonably determined that Plaintiff’s complaints of disability
were unsupported by the objective evidence. See 20 C.F.R. § 416.929(c)(2) (considering
objective evidence in weighing claimant’s statements regarding the intensity and
persistence of symptoms). The ALJ also properly considered Plaintiff’s report that
standing aggravated her back pain and accounted for that in the RFC by limiting her to
standing no more than 4 hours per workday, a stricter limitation than offered by any
medical source. (Tr. 30-33); 20 C.F.R. § 404.1529(c)(3)(iii).
The ALJ also considered that Plaintiff’s medications had helped her conditions and
allowed her to work within her RFC. (Tr. 31-32); 20 C.F.R. § 404.1529(c)(3)(iv); see Holt
v. Astrue, No. 1:10- cv-439, 2011 WL 3861891, *6 (S.D. Ohio July 6, 2011) (“an
impairment that is controlled with medication is not disabling”) (citing Casey v. Sec’y of
Health & Human Servs., 987 F.2d 1230, 1234 (6th Cir. 1993)). Additionally, the ALJ
reasonably considered that Plaintiff attended two counseling sessions and reported
stopping because it had improved her symptoms. (Tr. 31, 67); 15 C.F.R. §
404.1529(c)(3)(v) (other treatments relevant to subjective symptom assessment);
Dahlinghaus v. Comm’r of Soc. Sec., No. 1:13-cv-447, 2014 WL 12577009, *9 (S.D. Ohio.
Aug. 29, 2014) (ALJ reasonably discounted Plaintiff’s subjective report of symptoms
where evidence showed that treatments had been effective).
The ALJ reasonably took into account Plaintiff’s daily activities, noting that Plaintiff
drove, cared for her pets, picked up trash outside, cooked, shopped, and knitted. (Tr. 30-
31); see 20 C.F.R. § 404.1529(c)(3)(i); Meyer v. Comm’r of Soc. Sec., 2011 WL 1124698,
No. 1:09-cv-814, *11 (S.D. Ohio Feb. 11, 2011) (ALJ’s credibility analysis supported by
substantial evidence where Plaintiff’s daily activities included driving, household chores,
going to the store, and attending appointments).
Based on the foregoing, the undersigned finds that the ALJ's decision adequately
sets forth the reasons for his evaluation of Plaintiff’s subjective complaints. In light of the
ALJ's opportunity to observe Plaintiff's demeanor, the ALJ's finding in this regard is
entitled to deference and should not be discarded lightly. Kirk v. HHS, 667 F.2d 524, 538
(6th Cir. 1981). See also Cruse v. Commissioner, 502 F.3d 532, 542 (6th Cir. 2007);
Walters v. Commissioner, 127 F.3d 525, 531 (6th Cir. 1997); Gaffney v. Bowen, 825 F.2d
98, 101 (6th Cir. 1987). Accordingly, the Court finds substantial evidence supports the
ALJ's evaluation of Plaintiff’s subjective complaints.
4. New Evidence
Plaintiff’s statement of errors attached new medical records that were not reviewed
by the ALJ. Because these records were not presented to the ALJ, they cannot be
considered part of the record for purposes of a substantial evidence review. Foster v.
Halter, 279 F.3d 348, 357 (6th Cir. 2001). To consider these documents, Plaintiff must
establish that she is entitled to a remand under sentence six of 42 U.S.C. § 405(g). A
court can remand for consideration of new evidence only if the plaintiff establishes that
the evidence is both new, that it was “not in existence or available to the claimant at the
time of the administrative proceeding,” and “material,” meaning there is “a reasonable
probability that the Secretary would have reached a different disposition.” Foster v. Halter,
279 F.3d 348, 357 (6th Cir. 2001) (internal quotations and citations omitted); see also
Hollon ex rel. Hollon v. Com'r of Soc. Sec., 447 F.3d 477, 483 (6th Cir. 2006). Moreover,
the plaintiff must also establish good cause for her failure to earlier present the evidence
to the ALJ. See Bass v. McMahon, 499 F.3d 506 (6th Cir. 2007).
Here, Plaintiff included with her Statement of Errors the results of an August 2018
MRI of her neck, a December 2018 MRI of her lower back, and a December 2018 sleep
study. Additionally, she submitted to the Appeals Council ten pages of treatment notes
from the Wilmington Physicians Group from March 2016 documenting treatment of her
heel spurs as well as an August 2017 letter from Dr. Mikulik stating only that Plaintiff had
lupus and degenerative disc disease and “[s]he has difficulty standing, prolong [sic]
sitting.” (Tr. 7-16, 92); see also Tr. 37-41 (list of exhibits submitted to ALJ, which does not
include these documents).
As noted by the Commissioner, this evidence is not new or material. The heel spur
records and Dr. Mikulik’s letter—dated March 2016 and August 4, 2017, respectively—
predate the October 2017 hearing; they thus are not “new” and Plaintiff has no good cause
for her failure to present them before the hearing. See Rider, 2018 WL 1250029 at *9
(evidence not “new” if available to claimant at time of hearing and no good cause where
no valid justification for failure to present evidence to ALJ). Furthermore, none of the
records are “material” because there is no reasonable probability that they would have
changed the ALJ’s decision. The newly submitted MRI results were consistent with the
MRI results from January 2011 and December 2015 that the ALJ already considered. (Tr.
311-12; Tr. 31-32).
Accordingly, the undersigned finds that the records do not constitute “new and
material” evidence warranting remand pursuant to Sentence Six of 42 U.S.C. § 405(g).
III. Conclusion and Recommendation
For the reasons explained herein, IT IS RECOMMENDED THAT Defendant’s
decision be found to be SUPPORTED BY SUBSTANTIAL EVIDENCE, and AFFIRMED,
and that this case be CLOSED.
s/Stephanie K. Bowman
Stephanie K. Bowman
United States Magistrate Judge
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF OHIO
WESTERN DIVISION
CRYSTAL BIGLOW, Case No. 1:17-CV-381
Plaintiff, Black, J.
Bowman, M.J.
v.
COMMISSIONER OF SOCIAL SECURITY,
Defendant.
NOTICE
Pursuant to Fed. R. Civ. P. 72(b), any party may serve and file specific, written
objections to this Report & Recommendation (“R&R”) within FOURTEEN (14) DAYS of
the filing date of this R&R. That period may be extended further by the Court on timely
motion by either side for an extension of time. All objections shall specify the portion(s)
of the R&R objected to, and shall be accompanied by a memorandum of law in support
of the objections. A party shall respond to an opponent’s objections within FOURTEEN
(14) DAYS after being served with a copy of those objections. Failure to make objections
in accordance with this procedure may forfeit rights on appeal. See Thomas v. Arn, 474
U.S. 140 (1985); United States v. Walters, 638 F.2d 947 (6th Cir. 1981).