# WHITAKER v. COMMISSIONER OF SOCIAL SECURITY

> District Court, W.D. Pennsylvania · March 29, 2024

URL: https://www.frixlaw.com/law-library/cases/10419590

## Case

- **Court:** District Court, W.D. Pennsylvania
- **Decided:** March 29, 2024
- **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/10419590

## How later opinions describe it (automated extraction)

- affirming the ALJ’s decision and considering the claimant’s conservative treatment history following surgery as a factor that supported the ALJ’s determination to discount claimant’s subjective complaints
- finding evidence showing that a doctor prescribed a cane and claimant used a cane with “no discussion of its medical necessity” is “insufficient to support a finding that his cane was medically necessary.”
- affirming the ALJ’s credibility analysis where the claimant’s daily activities seemed to belie the assertion that the pain was chronic and disabling
- stating the claimant’s failure to seek treatment can be used by an ALJ as part of a valid credibility determination

## Opinion text

IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF PENNSYLVANIA

ANNA LISA WHITAKER, )
)
Plaintiff, )
)
v. ) Civil Action No. 23-535
)
COMMISSIONER OF SOCIAL SECURITY, )
)
Defendant. )
)

O R D E R

AND NOW, this 29th day of March, 2024, upon consideration of the parties’ cross-
motions for summary judgment, the Court, upon review of the Commissioner of Social
Security’s final decision denying Plaintiff’s claim for disability insurance benefits under
Subchapter II of the Social Security Act, 42 U.S.C. §§ 401 et seq., finds that the
Commissioner’s findings are supported by substantial evidence and, accordingly, affirms.
See 42 U.S.C. § 405(g); Biestek v. Berryhill, 139 S. Ct. 1148, 1153-54 (2019); Jesurum v.
Secretary of U.S. Dep’t of Health & Human Servs, 48 F.3d 114, 117 (3d Cir. 1995) (citing
Brown v. Bowen, 845 F.2d 1211, 1213 (3d Cir. 1988)). See also Berry v. Sullivan, 738 F.
Supp. 942, 944 (W.D. Pa. 1990) (if supported by substantial evidence, the Commissioner’s
decision must be affirmed, as a federal court may neither reweigh the evidence, nor reverse,
1
merely because it would have decided the claim differently) (citing Cotter v. Harris, 642
F.2d 700, 705 (3d Cir. 1981)).1

1 Plaintiff raises the following arguments: (1) the Administrative Law Judge (“ALJ”)
failed to adequately evaluate the opinion of Plaintiff’s treating physician and wrongfully
rejected this opinion; (2) the residual functional capacity (“RFC”) finding does not account
for the “total limiting effects” of Plaintiff’s severe impairments; (3) the hypothetical posed
to the vocational expert (“VE”) does not account for Plaintiff’s prescribed use of a walker;
and (4) the ALJ wrongfully rejected Plaintiff’s testimony. (Doc. No. 11). For the
following reasons, the Court disagrees and finds the ALJ’s decision to be supported by
substantial evidence.

Plaintiff first argues the ALJ failed to adequately evaluate the opinion of Plaintiff’s
treating physician, Stacy Bartlett, M.D., and improperly rejected this opinion. (Id., pp.
10-18). Plaintiff specifically takes issue with the ALJ’s comments that Dr. Bartlett’s
opinion was “excessive, exaggerated, and inconsistent with the record as a whole” and that
the opinion presented in a check-box format, with the ALJ’s finding that Dr. Bartlett “gave
no explanation beyond the claimant’s diagnosis to support the findings[,]” and with the
ALJ’s conclusion that Plaintiff’s need for assistive devices was inconsistent with the
notation that she could walk a block at a reasonable pace. (Id., p. 16 (citing R. 25)). The
Court first notes that for cases such as this one, filed on or after March 27, 2017, the
regulations have eliminated the “treating physician rule.” Compare 20 C.F.R. §
404.1527(c)(2) (applying to cases prior to the amendment of the regulations) with 20 C.F.R.
§ 404.1520c(a) (applying to later cases). See also 82 Fed. Reg. 5844-01, at 5853 (Jan. 18,
2017). While the medical source’s treating relationship with the claimant is still a valid
and important consideration, “the two most important factors for determining the
persuasiveness of medical opinions are consistency and supportability.” 82 Fed. Reg. at
5853. See also §§ 404.1520c(b) and (c).

In this matter, the ALJ adequately evaluated Dr. Bartlett’s opinion and properly
found this opinion to be of “little persuasive value.” (R. 25). The ALJ began by noting
that Dr. Bartlett opined that Plaintiff was very limited in that she could only occasionally
carry up to 10 pounds, sit for 1 hour, stand for 15 minutes, and walk for 10 minutes in an
8-hour workday. (Id.). The ALJ properly evaluated this opinion by noting it was
inconsistent with the doctor’s own assessment and was not supported, as Dr. Bartlett
merely checked boxes on her Medical Source Statement indicating limitations and gave no
explanation beyond Plaintiff’s diagnosis to support her findings. (Id.; Ex. 16F). Indeed,
the record supports the ALJ’s analysis as Dr. Bartlett’s opined limitations were inconsistent
with her own assessment, as explained by the ALJ. (R. 25). Moreover, the ALJ was
correct to note that Dr. Bartlett’s Medical Source Statement did not contain explanations
for the limitations she opined on the check-box form. (Id.; Ex. 16F). The ALJ is
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justified in using this as a reason to discount Dr. Bartlett’s opinion as the Third Circuit has
acknowledged that these check-box forms are “weak evidence at best.” Mason v. Shalala,
994 F.2d 1058, 1065 (3d Cir. 1993). Moreover, the ALJ properly noted that Dr. Bartlett
did not state what Plaintiff could do for the remaining hours of the workday unaccounted
for by her sit, stand, and walk limitations. (R. 25; Ex. 16F/2). The ALJ could not
conclude that Dr. Bartlett meant to write that Plaintiff had to remain lying down the rest of
the day, as Plaintiff argues. See Morales v. Apfel, 225 F.3d 310, 317 (3d Cir. 2000)
(quotation omitted) (noting “an ALJ may not make speculative inferences from medical
reports”). Further, while the ALJ did not specifically note that Dr. Bartlett wrote that
Plaintiff could only walk with a walker, (R. 721), the ALJ considered this as he cited Dr.
Bartlett’s Medical Source Statement and included analysis of Plaintiff’s use of a cane and
a walker. (see R. 21, 25). Accordingly, the ALJ’s analysis and rejection of Dr. Bartlett’s
opinion is supported by substantial evidence.

Plaintiff next argues that the RFC finding does not incorporate all of Plaintiff’s
conditions. (Doc. No., pp. 1-10). Specifically, Plaintiff contends the ALJ did not
account for her severe impairments of lupus and chronic pain syndrome and did not account
for her use of assistive devices in the RFC. (Id.). However, the ALJ is permitted to craft
the ultimate RFC assessment; indeed, the Third Circuit Court of Appeals has made clear
that “[t]he ALJ – not treating or examining physicians or State agency consultants – must
make the ultimate disability and RFC determinations.” Chandler v. Comm’r of Soc. Sec.,
667 F.3d 356, 361 (3d Cir. 2011); see also 20 C.F.R. §§ 404.1520b(c)(3), 404.1546(c);
SSR 96-5, 1996 WL 374183 (S.S.A.) (July 2, 1996). Moreover, for the use of an assistive
device to be included in the RFC, the record would have to show that the use was medically
necessary as well as the circumstances under which the device was required. See Drowell
v. Berryhill, Civ. No. 17-795, 2018 WL 3574890, at *2 (W.D. Pa. July 25, 2018) (citations
omitted).

In this case, the ALJ assessed Plaintiff’s RFC as follows:

After careful consideration of the entire record, the undersigned finds that
the claimant has the residual functional capacity to perform sedentary work
as defined in 20 CFR 404.1567(a) except for the following limitations.
The claimant can climb ramps and stairs occasionally, but never climb
ladders, ropes, or scaffolds. She can maintain balance over narrow,
slippery, or erratically moving surfaces occasionally, as well as
occasionally stoop, kneel, and crouch, but never crawl. The claimant can
work at unprotected heights and in close proximity to (i.e., within arm’s
reach of) dangerous moving mechanical parts frequently. She must avoid
concentrated exposure to extreme heat, cold, humidity, vibration, and
excessive levels of dust, noxious odors, fumes, and other pulmonary
irritants.
3
(R. 19-20). Prior to this, the ALJ found that Plaintiff had the severe impairments of
systemic lupus erythematosus (“SLE”), chronic pain syndrome, and osteoarthritis. (R.
17). The ALJ adequately accounted for Plaintiff’s SLE and chronic pain syndrome by
noting many of Plaintiff’s SLE and chronic pain symptoms and coming to the conclusion
that the “medical evidence of record [did] not establish that the [Plaintiff’s] symptoms
would prevent her from performing all work-related activities.” (R. 21). Specifically,
the ALJ noted many of Plaintiff’s physical symptoms, including joint pain and stiffness,
poor sleep, dizzy spells, and balance issues, among others. (R. 20-21). Further, after
surveying the medical evidence and noting many of Plaintiff’s exam findings, the ALJ
again concluded that “the medical records do not document any physical examination
findings that significantly impede the claimant’s functional ability to perform all work-like
activities on a regular and continuing basis.” (R. 22). Additionally, with respect to
assistive devices, the ALJ noted that while Plaintiff alleged a constant need to use a cane,
she was regularly able to ambulate independently without the use of any assistive devices.
(R. 22). While Plaintiff was previously prescribed a walker (R. 749), there is no evidence
that this prescription is current, and the doctor who prescribed it, Dr. Bartlett, even stated
that Plaintiff no longer needed a walker to ambulate a year after it was prescribed. (R.
725). Since there is no evidence that Plaintiff has the medical necessity for use of a
walker, it was reasonable for the ALJ not to include this in the RFC. See Howze v.
Barnhart, 53 Fed. Appx. 218, 222 (3d Cir. 2002) (finding evidence showing that a doctor
prescribed a cane and claimant used a cane with “no discussion of its medical necessity” is
“insufficient to support a finding that his cane was medically necessary.”). In sum, the
ALJ’s analysis and RFC finding are supported by substantial evidence.

Plaintiff similarly argues that the hypothetical questions posed to the VE did not
account for Plaintiff’s use of assistive devices. (Doc. No. 17-18). Plaintiff contends she
uses both a cane and a walker and the ALJ was obligated to explicitly consider this by
consulting with the VE about its effect on Plaintiff’s ability to perform jobs at any exertion
level. (Id., pp. 8, 17). Plaintiff’s argument, however, is at odds with her hearing
testimony. Specifically, Plaintiff testified that she only occasionally uses a walker a few
times per month (R. 56), and the ALJ acknowledged this in the decision. (R. 21).
Plaintiff also did not state that she uses a cane or a walker in her function report. (R. 289).
Moreover, while Dr. Bartlett prescribed Plaintiff a walker on December 19, 2020, (R. 749),
Dr. Bartlett stated that Plaintiff no longer needed a walker on January 27, 2021, by checking
“yes” to the question: “can the individual ambulate without using a wheelchair, walker, or
2 canes or 2 crutches?” and handwriting “1 cane” next to this. (R. 725). Therefore, the
ALJ reasonably concluded that Plaintiff did not require a walker and took only Plaintiff’s
use of a cane under consideration in the VE hypothetical. The VE testified that an
individual, such as Plaintiff, who needed a cane for balance and ambulation could still
perform her past relevant work as well as three additional jobs. (R. 69). Accordingly,
the ALJ’s hypothetical questions posed to the VE are supported by substantial evidence.
4
Lastly, Plaintiff posits that the ALJ wrongfully rejected Plaintiff’s subjective
testimony. (Doc. No. 11, pp. 18-24). Specifically, Plaintiff takes issue with the ALJ’s
reasoning for rejecting her testimony, including that her care was “conservative,” that she
did not pursue further physical therapy or orthopedic visits, that there was no evidence of
chronic pain, and that Plaintiff’s daily activities were inconsistent with her testimony.
(Id.) It is important to remember that, while a claimant’s testimony regarding his or her
subjective complaints is certainly relevant, an ALJ is not under an obligation to simply
accept what the claimant said without question. See 20 C.F.R. § 404.1529(c)(4);
Chandler, 667 F.3d at 363.

To the extent that Plaintiff argues that the ALJ gave insufficient consideration to
her testimony about the pain and limiting effects caused by her impairments, the Court
notes that, as a general matter, when an ALJ has articulated reasons supporting a
“credibility” determination, that determination is afforded significant deference. See
Horodenski v. Comm’r of Soc. Sec., 215 Fed. Appx. 183, 188-89 (3d Cir. 2007); Reefer v.
Barnhart, 326 F.3d 376, 380 (3d Cir. 2003). Here, the Court finds that there was
sufficient evidence to support the ALJ’s findings regarding the veracity of Plaintiff’s
subjective complaints. Further, it was within reason for the ALJ to find that Plaintiff’s
care was “conservative” and to note that Plaintiff did not pursue physical therapy or
orthopedic visits as reasons to find her testimony inconsistent with the greater record. See
Phillips v. Barnhart, 91 Fed. Appx. 775, 782 (3d Cir. 2004) (affirming the ALJ’s decision
and considering the claimant’s conservative treatment history following surgery as a factor
that supported the ALJ’s determination to discount claimant’s subjective complaints);
Mason, 994 F.2d at 1068 (stating the claimant’s failure to seek treatment can be used by
an ALJ as part of a valid credibility determination). Similarly, the ALJ acted reasonably
by rejecting Plaintiff’s testimony because there was no objective evidence of chronic pain
and Plaintiff’s daily activities were inconsistent with her testimony. See Burns v.
Barnhart, 312 F.3d 113, 129-30 (3d Cir. 2002) (affirming the ALJ’s credibility analysis
where the claimant’s daily activities seemed to belie the assertion that the pain was chronic
and disabling). Here, the ALJ’s rejection of Plaintiff’s subjective complaints were
supported by objective medical evidence. Namely, Plaintiff’s physical examinations
demonstrated no significant musculoskeletal abnormalities and treatment notes showed
relatively good control and relief of pain symptoms. (R. 23). Further, as the ALJ noted,
the record did not show any signs of chronic pain. (Id.). In sum, the ALJ’s analysis of
Plaintiff’s subjective complaints is supported by substantial evidence.

Accordingly, for the reasons set forth herein, the Court affirms the decision of the
ALJ.
5
Therefore, IT IS HEREBY ORDERED that Plaintiff’s Motion for Summary
Judgment (Doc. No. 10) is DENIED and that Defendant’s Motion for Summary Judgment
(Doc. No. 15) is GRANTED.

s/Alan N. Bloch
United States District Judge

ecf: Counsel of record

6

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10419590. Public record. Not legal advice.