noting that the Title II and the Title XVI definition of “disability” is “verbatim the same” and explaining that “[f]or simplicity sake, we will refer only to the Title II provisions, but our analysis applies equally to Title XVI.”
How later courts described this case
- noting that the Title II and the Title XVI definition of “disability” is “verbatim the same” and explaining that “[f]or simplicity sake, we will refer only to the Title II provisions, but our analysis applies equally to Title XVI.”
- remanding the case due to the potential inconsistency between a limitation that claimant could only “occasionally reach above shoulder level” with the DOT requirement that the cashier's job required frequent reaching
- remanding case due, in part, to apparent conflict between VE testimony and DOT-DOT listed three jobs as requiring frequent reaching but ALJ found that claimant could only occasionally reach upward with nondominant arm
- “In a battle of the experts, the agency decides who wins. The fact that [the claimant] now disagrees with the ALJ’s decision does not mean that the decision is unsupported by substantial evidence.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF TENNESSEE
NORTHEASTERN DIVISION
JOHN THOMAS TROBAUGH, )
)
Plaintiff, )
) No. 2:18-cv-00053
v. ) Chief Judge Crenshaw
) Magistrate Judge Brown
)
ANDREW M. SAUL,1 )
Commissioner of Social Security, )
)
Defendant. )
To: The Honorable Waverly D. Crenshaw, Jr., Chief United States District Judge
REPORT AND RECOMMENDATION
Pending before the court is Plaintiff’s motion for judgment on the administrative record
(Docket Entry No. 16), to which Defendant Commissioner of Social Security (“Commissioner”) filed
a response (Docket Entry No. 22). Upon consideration of the parties’ filings and the transcript of
the administrative record (Docket Entry No. 10),2 and for the reasons given herein, the Magistrate
Judge RECOMMENDS that Plaintiff’s motion for judgment be GRANTED and that the decision
of the Commissioner be REVERSED and REMANDED for further administrative proceedings
consistent with this Report and Recommendation.
I. PROCEDURAL HISTORY
Plaintiff, John Thomas Trobaugh, filed an application for Disability Insurance Benefits
(“DIB”) under Title II and an application for Supplemental Security Income (“SSI”) under Title XVI
1Andrew M. Saul became Commissioner of the Social Security Administration on June 17,
2019, and is therefore substituted as Defendant. See Fed. R. Civ. P. 25(d).
2Referenced hereinafter by page number(s) following the abbreviation “Tr.”
of the Social Security Act on May 20, 2015, alleging disability onset as of April 1, 2014, due to back,
shoulder, carpal tunnel, and diabetes. (Tr. 10, 68, 249, 254). Plaintiff’s claim was denied at the
initial level on September 15, 2015, and on reconsideration on December 10, 2015. (Tr. 10, 128,
138). Plaintiff subsequently requested de novo review of his case by an administrative law judge
(“ALJ”). (Tr. 10, 145). The ALJ heard the case on April 17, 2017, when Plaintiff appeared with
counsel and gave testimony. (Tr. 10, 29-67). Testimony was also received by a vocational expert.
(Tr. 64-66). At the conclusion of the hearing, the matter was taken under advisement until October
31, 2017, when the ALJ issued a written decision finding Plaintiff not disabled. (Tr. 10-24). That
decision contains the following enumerated findings:
1. The claimant meets the insured status requirements of the Social Security Act
through June 30, 2020.
2. The claimant has not engaged in substantial gainful activity since April 1,
2014, the alleged onset date (20 CFR 404.1571 et seq., and 416.971 et seq.).
3. The claimant has the following severe impairments: right shoulder
dysfunction, lumbar degenerative disc disease, bilateral carpal tunnel
syndrome (CTS), diabetes mellitus, obesity, affective disorder, anxiety
disorder, and alcohol abuse disorder (20 CFR 404.1520(c) and 416.920(c)).
4. The claimant does not have an impairment or combination of impairments
that meets or medically equals the severity of one of the listed impairments
in 20 CFR Part 404, Subpart P, Appendix 1 (20 CFR 404.1520(d), 404.1525,
404.1526, 416.920(d), 416.925 and 416.926).
5. After careful consideration of the entire record, the undersigned finds that the
claimant has the residual functional capacity to perform light work as defined
in 20 CFR 404.1567(b) and 416.967(b) except he can only occasional push,
pull, and reach with his right upper extremity and he can only occasionally
climb ladders, ropes, or scaffolds. Mentally, he can perform simple and
detailed, 1-4 step tasks. Additionally, he can sustain occasional contact with
supervisors, coworkers, and the public and he can adapt to gradual and
infrequent changes in the work routine.
2
6. The claimant is unable to perform any past relevant work (20 CFR 404.1565
and 416.965).
7. The claimant was born on June 6, 1972 and was 41 years old, which is
defined as a younger individual age 18-49, on the alleged disability onset date
(20 CFR 404.1563 and 416.963).
8. The claimant has at least a high school education (20 CFR 404.1564 and
416.964).
9. Transferability of job skills is not material to the determination of disability
because using the Medical-Vocational Rules as a framework supports a
finding that the claimant is “not disabled,” whether or not the claimant has
transferable job skills (See SSR 82-41 and 20 CFR Part 404, Subpart P,
Appendix 2).
10. Considering the claimant’s age, education, work experience, and residual
functional capacity, there are jobs that exist in significant numbers in the
national economy that the claimant can perform (20 CFR 404.1569,
404.1569(a), 416.969, and 416.969(a)).
11. The claimant has not been under a disability, as defined in the Social Security
Act, from April 1, 2014, through the date of this decision (20 CFR
404.1520(g) and 416.920(g)).
(Tr. 12, -13, 14-15, 22-23, 24).
On April 24, 2018, the Appeals Council denied Plaintiff’s request for review of the ALJ’s
decision (Tr. 1-5), thereby rendering that decision the final decision of the Commissioner. This civil
action was thereafter timely filed, and the Court has jurisdiction. 42 U.S.C. §§ 405(g) and
1383(c)(3).
II. REVIEW OF THE RECORD
The following summary of the medical record is taken from the ALJ’s decision:
The medical record shows the claimant sought treatment for his right shoulder
following his injury. Initially he reported pain and intermittent burning. However,
on examination he had only mild tenderness with full range of motion, normal
strength, and negative orthopedic signs. An x-ray of his shoulder was also negative
3
(Ex. 3F, p. 31). The claimant also had a magnetic resonance imaging (MRI) scan of
his shoulder that showed his rotator cuff was intact and he had only mild
acromioclavicular degeneration. However, the study also showed a superior labral
abnormality with a lesion and paralabral cyst (Ex. 1F, p. 3). He started physical
therapy but was discharged due to non-compliance (Ex. 4F, pp. 16-17). Subsequently,
he met with an orthopedic surgeon who recommended surgery (Ex. 4F, p. 8).
In July 2014, the claimant had arthroscopic surgery on his right shoulder, including
labral repair with decompression and debridement (Ex. 4F, p. 18). During his follow
up examinations, he showed limited range of motion and residual weakness.
However, his doctor also noted that he had not started physical therapy as advised.
The doctor also noted that his lack of physical therapy was compromising his
recovery (Ex. 4F, p. 10). When the claimant finally started physical therapy, he
showed improvement (Ex. 4F, p. 11).
In February 2015, the claimant attended his last treatment appointment for his right
shoulder. He continued to report residual pain and limited range of motion. However,
he showed no joint instability and he had a negative O’Brien's test. The claimant’s
surgeon also released him to return to work but gave him a permanent lifting
restriction of 35 pounds with only 15 pounds lifting overhead (Ex. 4F, p. 14). The
claimant testified at the hearing that he has not returned to see his surgeon since
February 2015, and he attributed this lack of treatment to financial difficulties
(Hearing Testimony).
In July 2015, Thomas Dake, M.D., an independent consultant, examined the
claimant. The claimant reported residual right shoulder pain, as well as lower back
pain, chronic joint pain, bilateral wrist pain, and elevated blood sugars. However, on
examination, Dr. Dake noted the claimant had good blood pressure, normal
cardiovascular findings, and he admitted he had not taken his diabetes medication for
several months. Dr. Dake also found the claimant had limited range of motion in his
right shoulder but otherwise full range of motion in all extremities. Additionally, the
claimant was missing reflexes, but he had a normal gait, his sensation was normal,
and he had 5/5 motor strength throughout (Ex. 5F, pp. 1-4).
The claimant also started treatment for his back pain in November 2015. An x-ray of
his back showed only mild spondylosis and loss of disc height at the L3-5 vertebra
(Ex. 13F, p. 3). When he started physical therapy he had bilateral radiculopathy and
mild weakness, but his therapist noted he had an excellent prognosis (Ex. 22F, pp.
1-3). The only additional back pain treatment that the claimant has received has been
conservative medication management. He has not required any epidural steroid
injections, emergency room visits, or surgical intervention (Hearing Testimony).
4
In January 2016, he had an MRI scan of his lumbar spine. That study showed disc
degeneration at the L3-5 vertebra with a protrusion at the L4-5 level resulting in mild
to moderate stenosis (Ex. 13F, p. 1).
In March 2016, the claimant reported worsening back pain to his primary care
physician, but he also admitted he was not taking any medication. His doctor
recommended medication and gave him a referral for a surgical consultant (Ex. 16F,
p. 6). The surgeon noted some lumbar tenderness and decreased range of motion, but
also found the claimant had normal sensation, negative straight leg raising, and 5/5
motor strength throughout. He concluded that there was nothing in the radiographic
imaging to correlate to the claimant’s subjective reports of pain. He also declined to
recommend surgery and instead urged weight loss through diet and exercise (Ex. 2F,
p. 1).
Finally, in September 2016, the claimant began treatment with Pushpendra Jain,
M.D. Dr. Jain noted only minor complaints of diffuse joint pain but found no
tenderness, with normal range of motion, motor strength, sensation, and gait (Ex.
14F, pp. 6-8). Furthermore, a computed tomography (CT) scan of the claimant’s
lumbar spine in November 2016 showed only mild degeneration (Ex. l 7F, p. 17).
The claimant also had an electromyogram (EMG) test in April 2017 that confirmed
bilateral L5-S1 radiculopathy (Ex. 27F, p. 6).
In terms of the claimant’s alleged CTS, the record shows the claimant had an EMG
study in May 2012 that showed moderate to severe right CTS but no evidence of
active denervation (Ex. 21F, p. 63). However, he denied ever receiving treatment for
his CTS when he met with Dr. Dake (Ex. 5F). Similarly, the claimant’s recent April
2017 EMG study showed bilateral CTS (Ex. 27F, p. 1). However, the claimant
testified that he has not received any specific treatment for these impairments beyond
his general medication management for his many reported pains (Hearing
Testimony).
The medical record also shows the claimant has a long history of diabetes mellitus.
In June 2013, his hemoglobin A1C level was slightly elevated at 7.9% (Ex. 3F, p.
14). However, by September 2014 his A1C level had climbed to 11.2% (Ex. 3F, p.
79). As noted above, the claimant reported a history of intermittent treatment and
poor compliance when he met with Dr. Dake (Ex. 5F). In March 2016, he had
another blood test that showed his A1C level remained elevated at 11.1% (Ex. 16F,
p. 11). The following month the claimant’s doctor noted that he was in a state of
denial regarding his diabetes. The claimant had not yet attended the recommended
diabetes management classes and he was resistant to treatment (Ex. 16F, pp. 1-3).
Additional treatment records show the claimant had fair compliance with his
treatment in October 2016 (Ex. l7F, p. 15). However, the April 2017 EMG study
5
also confirmed bilateral sural sensory neuropathy, consistent with diabetic peripheral
neuropathy (Ex. 27F, p. 6).
Furthermore, the claimant suffers from obesity. He reported a height of 5'7" and a
weight of 237 pounds when he applied for disability benefits (Ex. 2E, p. 2). This
height and weight combination gives the claimant a body mass index (BMI) of 37,
which is classified as obese. Although obese, Dr. Dake noted that this condition does
not result in any dyspnea or fatigue and does not interfere with the claimant’s ability
to stand, walk, or perform activities of daily living (Ex. 5F, p. 3).
(Tr. 16-17).
III. CONCLUSIONS OF LAW
A. Standard of Review
Review of the Commissioner’s disability decision is narrowly limited to determining
whether the decision is supported by substantial evidence and whether the Commissioner applied
the right legal standards in reaching the decision. Gentry v. Comm’r of Soc. Sec., 741 F.3d 708, 722
(6th Cir. 2014) (citing Rogers v. Comm’r of Soc. Sec., 486 F.3d 234, 241 (6th Cir. 2007)).
“Substantial evidence requires ‘more than a mere scintilla’ but less than a preponderance; substantial
evidence is such ‘relevant evidence as a reasonable mind might accept as adequate to support a
conclusion.’” Miller v. Comm’r of Soc. Sec., 811 F.3d 825, 833 (6th Cir. 2016) (quoting Buxton v.
Halter, 246 F.3d 762, 772 (6th Cir. 2001)). In determining whether substantial evidence supports
the Commissioner’s findings, a court must examine the record as a whole, “tak[ing] into account
whatever in the record fairly detracts from its weight.” Brooks v. Comm’r of Soc. Sec., 531 F. App’x
636, 641 (6th Cir. 2013) (quoting Garner v. Heckler, 745 F.2d 383, 388 (6th Cir. 1984)). A
reviewing court may not try the case de novo, resolve conflicts in evidence, or decide questions of
credibility. See Garner, 745 F.2d at 387 (citing Myers v. Richardson, 471 F.2d 1265, 1268 (6th Cir.
1972)). The Commissioner’s decision must be affirmed if it is supported by substantial evidence,
6
“‘even if there is substantial evidence in the record that would have supported an opposite
conclusion.’” Blakley v. Comm’r of Soc. Sec., 581 F.3d 399, 406 (6th Cir. 2009) (quoting Key v.
Callahan, 109 F.3d 270, 273 (6th Cir. 1997)). “This is so because there is a ‘zone of choice’ within
which the Commissioner can act, without the fear of court interference.” Buxton, 246 F.3d at 773
(citations omitted). However, where an ALJ fails to follow agency rules and regulations, the
decision lacks the support of substantial evidence, “even where the conclusion of the ALJ may be
justified based upon the record.” Miller, 811 F.3d at 833 (citation and internal quotation marks
omitted).
B. Administrative Proceedings
The claimant has the ultimate burden of establishing his entitlement to benefits by proving
his or her “inability to engage in any substantial gainful activity by reason of any medically
determinable physical or mental impairment which can be expected to result in death or which has
lasted or can be expected to last for a continuous period of not less than 12 months.” 42 U.S.C. §
423(d)(1)(A); Jones v. Comm’r of Soc. Sec., 336 F.3d 469, 474 (6th Cir. 2003) (“[T]he claimant
bears the burden of proving the existence and severity of limitations caused by her impairments and
the fact that she is precluded from performing her past relevant work.”). The claimant’s “physical
or mental impairment” must “result[] from anatomical, physiological, or psychological abnormalities
which are demonstrable by medically acceptable clinical and laboratory diagnostic techniques.” Id.
§ 423(d)(3). The Commissioner applies a five-step inquiry to determine whether an individual is
disabled within the meaning of the Social Security Act, as described by the Sixth Circuit as follows:
(1) a claimant who is engaging in substantial gainful activity will not be found to be
disabled regardless of medical findings; (2) a claimant who does not have a severe
impairment will not be found to be disabled; (3) a finding of disability will be made
7
without consideration of vocational factors if a claimant is not working and is
suffering from a severe impairment which meets the duration requirement and which
meets or equals a listed impairment in Appendix 1 to Subpart P of the Regulations.
Claimants with lesser impairments proceed to step four; (4) a claimant who can
perform work that he has done in the past will not be found to be disabled; and (5)
if a claimant cannot perform his past work, other factors including age, education,
past work experience and residual functional capacity must be considered to
determine if other work can be performed.
Parks v. Soc. Sec. Admin., 413 F. App’x 856, 862 (6th Cir. 2011) (citing Cruse v. Comm’r of Soc.
Sec., 502 F.3d 532, 539 (6th Cir. 2007)); 20 C.F.R. §§ 404.1520; 416.920. The claimant bears the
burden through step four of proving the existence and severity of the limitations his impairments
cause and the fact that he cannot perform past relevant work; however, at step five, “the burden shifts
to the Commissioner to ‘identify a significant number of jobs in the economy that accommodate the
claimant’s residual functional capacity . . . .” Kepke v. Comm’r of Soc. Sec., 636 F. App’x 625, 628
(6th Cir. 2016) (quoting Warner v. Comm’r of Soc. Sec., 375 F.3d 387, 390 (6th Cir. 2004)).
The Social Security Administration can carry its burden at the fifth step of the evaluation
process by relying on the Medical-Vocational Guidelines, otherwise known as “the grids,” but only
if a nonexertional impairment does not significantly limit the claimant, and then only when the
claimant’s characteristics precisely match the characteristics of the applicable grid rule. See
Anderson v. Comm’r of Soc. Sec., 406 F. App’x 32, 35 (6th Cir. 2010); Wright v. Massanari, 321
F.3d 611, 615-16 (6th Cir. 2003). The grids otherwise only function as a guide to the disability
determination. Wright, 321 F.3d at 615-16; see also Moon v. Sullivan, 923 F.2d 1175, 1181 (6th Cir.
1990). Where the grids do not direct a conclusion as to the claimant’s disability, the Commissioner
must rebut the claimant’s prima facie case by coming forward with proof of the claimant’s individual
vocational qualifications to perform specific jobs, typically through vocational expert (“VE”)
8
testimony. Anderson, 406 F. App’x at 35; see Wright, 321 F.3d at 616 (citing SSR 83-12, 1983 WL
31253, *4 (Jan. 1, 1983)).
When determining a claimant’s residual functional capacity (“RFC”) at steps four and five,
the Commissioner must consider the combined effect of all the claimant’s impairments, mental and
physical, exertional and nonexertional, severe and nonsevere. See 42 U.S.C. § 423(d)(2)(B), (5)(B);
Glenn v. Comm’r of Soc. Sec., 763 F.3d 494, 499 (6th Cir. 2014) (citing 20 C.F.R. § 404.1545(e)).
C. Claims of Error
1. The ALJ erred in rejecting the medical assessment of Mr. Trobaugh’s
treating physician, Dr. P. K. Jain.
Plaintiff argues that the ALJ improperly gave “little weight” to the opinion of Dr. P. K. Jain,
Plaintiff’s treating physician. (Docket Entry No. 17, at 20). Plaintiff argues that in giving Dr. Jain’s
opinion little weight the ALJ improperly relied on older medical records and that, with respect to the
ALJ’s finding that Jain’s opinion was inconsistent with Dr. Dake’s opinion, the ALJ failed to
consider that Plaintiff “had significant testing and treatment by Dr. Jain and other medical
providers” after Dr. Dake’s 2015 opinion. Id. at 23. In response, Defendant contends that the ALJ
properly considered Dr. Jain’s supervising physician relationship with Plaintiff and found it entitled
to little weight and that the ALJ considered later medical treatment in determining Plaintiff’s RFC.
(Docket Entry No. 18, at 8-9).3
Social Security regulations address three classifications of medical sources: treating sources;
examining but non-treating sources; and non-examining sources. 20 C.F.R. §§ 404. 1527, 416.927;
3Plaintiff does not challenge the ALJ’s evaluation of Plaintiff’s mental impairments.
Therefore, the Magistrate Judge only addresses the contention briefed by Plaintiff.
9
20 C.F.R. §§ 404.1502, 416.902.4, 5 A treating source has a history of medical treatment and an
ongoing treatment relationship with the plaintiff consistent with accepted medical practice. Id. §§
404.1527, 416.927. An examining non-treating source has examined the plaintiff, but does not have
an ongoing treatment relationship. Id. A non-examining source is a physician, psychologist, or other
acceptable medical source who has not examined the plaintiff, but provides a medical or other
opinion based upon medical and treatment records. Id. The opinion of an examining non-treating
source is given greater weight than that from a non-examining source, and an opinion from a treating
source is afforded greater weight than an examining non-treating source. Gayheart v. Comm’r of
Soc. Sec., 710 F.3d 365, 375 (6th Cir. 2013) (citing 20 C.F.R. §§ 404.1502, 404.1527(c)(1), (2)).
“[W]hen the physician is a specialist with respect to the medical condition at issue,” the specialist’s
“opinion is given more weight than that of a non-specialist.” Johnson v. Comm’r of Soc. Sec., 652
F.3d 646, 651 (6th Cir. 2011) (citing 20 C.F.R. § 404.1527([c])(5)).
4The Act and implementing regulations regarding DIB (contained in Title II of the Act and
20 C.F.R. Part 404 of the regulations) and SSI (contained in Title XVI of the Act and 20 C.F.R. Part
416 of the regulations) are substantially identical. Barnhart v. Thomas, 540 U.S. 20, 24 (2003)
(noting that the Title II and the Title XVI definition of “disability” is “verbatim the same” and
explaining that “[f]or simplicity sake, we will refer only to the Title II provisions, but our analysis
applies equally to Title XVI.”). The Magistrate Judge cites to the regulations interchangeably.
5On January 18, 2017, the Social Security Agency published final rules titled “Revisions to
Rules Regarding the Evaluation of Medical Evidence.” 82 Fed. Reg. 5844, 2017 WL 168819 (Jan.
18, 2017). See also 82 Fed. Reg. 15132 (March 27, 2017) (amending and correcting the final rules
published at 82 Fed. Reg. 5844). These final rules became effective March 27, 2017, 20 C.F.R. §§
404.1527 & 416.927, setting forth the rules for evaluating opinion evidence, both medical and
nonmedical, for claims filed before that date. Thus, the Magistrate Judge applies these regulations,
as well as any other regulations, in effect at the time of Plaintiff’s filings on May 20, 2015. See 20
C.F.R. §§ 404.614, 416.325 (generally, an application for benefits is deemed filed on the day it is
received by an SSA employee).
10
“A treating physician’s opinion is normally entitled to substantial deference, but the ALJ is
not bound by that opinion. The treating physician’s opinion must be supported by sufficient medical
data.” Jones, 336 F.3d at 477 (citation omitted). Thus, “[i]f the treating physician’s opinion is not
supported by objective medical evidence, the ALJ is entitled to discredit the opinion as long as he
sets forth a reasoned basis for her rejection.” Id. The ALJ must give treating-source opinions
“‘controlling weight’ if two conditions are met: (1) the opinion ‘is well-supported by medically
acceptable clinical and laboratory diagnostic techniques’; and (2) the opinion ‘is not inconsistent
with the other substantial evidence in [the] case record.’” Gayheart, 710 F.3d at 376 (quoting 20
C.F.R. § 404.1527(c)(2)). If the ALJ does not accord the treating physician’s opinion “controlling
weight,” then the ALJ must weigh the opinion based on a number of factors in 20 C.F.R. §§
404.1527(c), 416.927(c), including: “the length of the treatment relationship and the frequency of
examination, the nature and extent of the treatment relationship, supportability of the opinion,
consistency of the opinion with the record as a whole, and any specialization of the treating
physician.” Blakley, 581 F.3d at 406. “However, in all cases there remains a presumption, albeit
a rebuttable one, that the opinion of a treating physician is entitled to great deference, its
non-controlling status notwithstanding.” Rogers, 486 F.3d at 242 (citing SSR 96-2p, 1996 WL
374188, at *4). “The ALJ need not perform an exhaustive, step-by-step analysis of each factor; she
need only provide ‘good reasons’ for both her decision not to afford the physician’s opinion
controlling weight and for her ultimate weighing of the opinion.” Biestek v. Comm’r of Soc. Sec.,
880 F.3d 778, 785 (6th Cir. 2017). Moreover, the ALJ is not required to reiterate the prior
paragraphs in the ALJ’s decision in support of each conclusion made by the ALJ. See Crum v.
Comm’r of Soc. Sec., No. 15-3244, 2016 WL 4578357, at *7 (6th Cir. Sept. 2, 2016) (“Elsewhere
11
in her decision, the ALJ laid out in detail the treatment records that showed that Crum could return
to normal work activity. . . . No doubt, the ALJ did not reproduce the list of these treatment records
a second time when she explained why Dr. Bell’s opinion was inconsistent with this record. But it
suffices that she listed them elsewhere in her opinion.”) (citing Forrest v. Comm’r of Soc. Sec., 591
F. App’x 359, 366 (6th Cir. 2014)).
The regulations provide that an ALJ must provide “good reasons” for discounting the weight
of a treating source opinion. Wilson v. Comm’r of Soc. Sec., 378 F.3d 541, 544 (6th Cir. 2004).
“Those good reasons must be ‘supported by the evidence in the case record, and must be sufficiently
specific to make clear to any subsequent reviewers the weight the adjudicator gave to the treating
source’s medical opinion and the reasons for that weight.’” Blakley, 581 F.3d at 406-07 (quoting
SSR 96-2p, 1996 WL 374188, at *5). The Sixth Circuit has explained that “a failure to follow the
procedural requirement of identifying the reasons for discounting the opinions and for explaining
precisely how those reasons affected the weight accorded the opinions denotes a lack of substantial
evidence, even where the conclusion of the ALJ may be justified based upon the record.” Rogers,
486 F.3d at 243. Failure to comply with the “good reasons” requirement, however, may be deemed
harmless error. Cole v. Astrue, 661 F.3d 931, 940 (6th Cir. 2011). “If an ALJ rejects a treating
physician’s opinion but gives no reasons for doing so, it is difficult for a reviewing court to conduct
its own analysis and make a judgment as to what the ALJ’s reasons would have been-unless . . . the
treating physician’s opinion is ‘so patently deficient that the Commissioner could not possibly credit
it.’” Rabbers v. Comm’r Soc. Sec. Admin., 582 F.3d 647, 657 (6th Cir. 2009)) (quoting Wilson, 378
F.3d at 547); Watters v. Comm’r of Soc. Sec. Admin., 530 F. App’x 419, 423 (6th Cir. 2013).
12
On March 16, 2017, Dr. Jain completed a medical source statement (“MSS”) and opined that
Plaintiff could lift ten pounds occasionally and less than ten pounds frequently; could stand and walk
for less than two hours in an eight-hour workday; and sit for about four hours in an eight-hour
workday. (Tr. 21, 855). Pushing and pulling was limited in the upper and lower extremities due to
limited range of motion in the right shoulder, and Plaintiff had difficulty walking, bending over and
sitting due to back pain. (Tr. 856). Plaintiff would need to alternate sitting and standing to relieve
pain or discomfort. (Tr. 856). As to the medical findings supporting this conclusion, Dr. Jain cited
Plaintiff’s rotator cuff injury, as well as carpal tunnel syndrome of the right hand, and degenerative
disc disease of the lumbar spine that caused severe pain to radiate to both legs and feet and in which
sometimes Plaintiff could not feel his lower extremities. (Tr. 856). According to Dr. Jain, Plaintiff
would constantly experience pain severe enough to interfere with attention and concentration, would
be incapable of even low-stress jobs, would need unscheduled rest breaks every 15 to 20 minutes
and then rest for 1 to 2 hours before returning to work, and would be expected absent more than four
times per month. (Tr. 21, 856). Plaintiff could frequently reach, handle, finger and feel, and could
occasionally climb, balance, kneel, crouch, and crawl. (Tr. 857). Environmental restrictions
included avoiding even moderate exposure to extreme cold and heat; noise; dust; vibration; hazards
(machinery, heights, . . .); fumes, odors, dust, gases; perfumes, solvents/cleaners; soldering fluxes;
cigarette smoke; and chemicals; and avoiding concentrated exposure to humidity and wetness. (Tr.
858). The VE testified that there would be no work available for Plaintiff considering these
restrictions. (Tr. 65).
Plaintiff argues that the ALJ’s finding does not take into consideration the fact that after Dr.
Dake’s July 25, 2015 opinion, Plaintiff had significant testing and treatment by Dr. Jain and other
13
medical providers. (Docket Entry No. 17, at 23). Particularly, Plaintiff argues that Dr. Dake “did
not have the benefit of the later MRI and CT studies nor did he have the 2017 EMG studies.” Id.
at 24. Defendant contends that Dr. Jain should not be considered a treating physician, citing Dr.
Jain’s supervising relationship with Plaintiff and that Dr. Jain never examined Plaintiff. (Docket
Entry No. 18, at 8). Defendant further contends that whether or not Dr. Jain is a treating physician,
the ALJ properly weighed the opinion and found it entitled to little weight. Id.
“There is no categorical requirement that the non-treating source’s opinion be based on a
‘complete’ or ‘more detailed and comprehensive’ case record. The opinions need only be ‘supported
by evidence in the case record.’” Helm v. Comm’r of Soc. Sec. Admin., 405 F. App’x 997, 1002 (6th
Cir. 2011) (citation omitted); Schwer v. Comm’r of Soc. Sec., No. 1:16-CV-1110, 2017 WL 6375797,
at *10 (S.D. Ohio Dec. 13, 2017), report and recommendation adopted, No. 1:16CV 1110, 2018 WL
401517 (S.D. Ohio Jan. 12, 2018). “The ALJ may, nonetheless, afford weight to the opinions of
those non-treating physicians who have not reviewed the entire record, but ‘the ALJ must give some
indication that he [or she] at least considered’ that the source did not review the entire record[,]’ i.e.,
‘the record must give some indication that the ALJ subjected such an opinion to scrutiny.’” Powers
v. Comm’r of Soc. Sec., 356 F. Supp. 3d 695, 703 (S.D. Ohio 2018) (citing Kepke v. Comm’r of Soc.
Sec., 636 F. App’x 625, 632 (6th Cir. 2016) (citation and internal quotation marks omitted) (brackets
in original)).
The Sixth Circuit “‘has consistently stated that the Secretary is not bound by the treating
physician’s opinions, and that such opinions receive great weight only if they are supported by
sufficient clinical findings and are consistent with the evidence.’” Combs v. Comm’r of Soc. Sec.,
459 F.3d 640, 652 (6th Cir. 2006) (citation omitted); accord Curler v. Comm’r of Soc. Sec., 561 F.
14
App’x 464, 472 (6th Cir. 2014); see 20 C.F.R. § 404.1527(c)(3) (“The more a medical source
presents relevant evidence to support a medical opinion, particularly medical signs and laboratory
findings, the more weight [the Commissioner] will give that medical opinion. The better an
explanation a source provides for a medical opinion, the more weight [the Commissioner] will give
that medical opinion.”). Here, whether or not Jain is considered a treating physician, the ALJ
sufficiently gave good reasons for discounting Dr. Jain’s opinion as Dr. Jain’s limitations were not
only inconsistent with his own medical findings but also with the medical record cited and
thoroughly discussed by the ALJ as well. See Temples v. Comm'r of Soc. Sec., 515 F. App'x 460,
462 (6th Cir. 2013) (substantial evidence supported ALJ’s decision to accord minimal weight to
treating physician’s opinion where the physician’s “treatment notes did not demonstrate a basis for
concluding that [plaintiff] had marked to extreme limitations in numerous areas of work-related
mental functioning,” and where the treating physician’s “conclusions were contradicted by other
evidence in the record”).
It is the function of the ALJ to resolve the conflicts between the medical opinions. Justice
v. Comm’r of Soc. Sec., 515 F. App’x 583, 588 (6th Cir. 2013) (“In a battle of the experts, the agency
decides who wins. The fact that [the claimant] now disagrees with the ALJ’s decision does not mean
that the decision is unsupported by substantial evidence.”). “The Social Security Act instructs that
the ALJ--not a physician--ultimately determines a claimant’s RFC.” Coldiron v. Comm’r of Soc.
Sec., 391 F. App’x 435, 439 (6th Cir. 2010); see also Nejat v. Comm’r of Soc. Sec., 359 F. App’x
574, 578 (6th Cir. 2009) (“Although physicians opine on a claimant’s residual functional capacity
to work, ultimate responsibility for capacity-to-work determinations belongs to the Commissioner.”);
Luukkonen v. Comm’r of Soc. Sec., 653 F. App’x 393, 402 (6th Cir. 2016) (“Although the ALJ may
15
consider statements by medical experts regarding how a particular symptom affects the claimant,
such statements are neither required nor dispositive of the ultimate issue of disability. Rather, it is
the Commissioner’s prerogative to determine whether a certain symptom or combination of
symptoms renders a claimant unable to work.”) (citations omitted). “[T]he ALJ is charged with the
responsibility of determining the RFC based on [the ALJ’s] evaluation of the medical and
non-medical evidence.” Rudd v. Comm’r of Soc. Sec., 531 F. App’x at 728. Therefore, “[a]n ALJ
does not improperly assume the role of a medical expert by weighing the medical and non-medical
evidence before rendering an RFC finding.” Coldiron, 391 F. App’x at 439. The RFC does not need
to be based on a particular medical opinion. Brown v. Comm’r of Soc. Sec., 602 F. App’x 328, 331
(6th Cir. 2015). Nor does the RFC need to correspond to a physician’s opinion because the
Commissioner has the final authority to make determinations or decisions on disability. Rudd, 531
F. App’x at 728.
Here, the ALJ provided a thorough summary of the medical records pre-dating and
post-dating Dr. Dake’s opinion. In determining Plaintiff’s RFC, the ALJ stated that the assessment
was supported by the medical evidence of record, the medical opinions, and Plaintiff’s testimony at
the hearing. (Tr. 22). In examining the opinion evidence, the ALJ determined that Dr. Jain’s opinion
should be given little weight, stating:
Although a treating source, Dr. Jain is only a supervising physician and does not
regularly meet with the claimant. Dr. Jain also only started treating the claimant in
September 2016 (Ex. 14F). Dr. Jain’s opinion is grossly inconsistent with the
examination findings of Dr. Dake (Ex. 5F). Dr. Jain’s opinion is also inconsistent
with his own treatment notes, which show grossly normal physical examination
findings (Ex. 14F, pp. 6-8). Consequently, the undersigned gives little weight to the
opinion of Dr. Jain.
(Tr. 21).
16
Finding that Dr. Jain’s opinion was inconsistent with his own treatment notes, the ALJ cited
that in September 2016, when Plaintiff began treatment with Dr. Jain, Dr. Jain noted only “minor
complaints” of diffuse joint pain but found no tenderness, with normal range of motion, motor
strength, sensation, and gait. (Tr. 17, 21, 521-23). Plaintiff’s musculoskeletal examination showed
“General Movements-Full range of motion in all joints. Joints and Muscles-Normal joints and
muscles.” (Tr. 522). The ALJ further cited Dr. Jain’s records that showed that a November 2016
CT scan of Plaintiff’s lumbar spine that showed only mild degeneration. (Tr. 17, 585). The ALJ
also specifically noted that Dr. Jain’s records showing that Plaintiff had an EMG test in April 2017
that confirmed bilateral L5-S1 radiculopathy. (Tr. 17, 1090).
As noted by the ALJ, Dr. Dake’s July 2015 examination showed that Plaintiff had good blood
pressure, normal cardiovascular findings, and he admitted he had not taken his diabetes medication
for several months. (Tr. 16, 439-41). Dr. Dake noted that Plaintiff reported using a self-prescribed
walker from time-to-time, but that Plaintiff did not have it with him on the day of the examination
and Dr. Dake did not see any indication for Plaintiff to use a walker that day. (Tr. 19, 440). Dr.
Dake found that Plaintiff’s obesity had no effect on his ability to stand or walk; had limited range
of motion in his right shoulder but otherwise full range of motion in all extremities; was missing
reflexes but had a normal gait; his sensation was normal; and he had 5/5 motor strength throughout.
(Tr. 16, 440-41). The ALJ noted that Plaintiff reported that he had carpal tunnel syndrome (“CTS”),
but that he had not had any treatment for it. (Tr. 17, 439). Dr. Dake’s examination showed that
Plaintiff had full range of motion in his hands; 5/5 grip strength; no thenar atrophy;6 Phalen’s was
6Carpal tunnel syndrome (CTS) is characterized by classic symptoms of paresthesias in the
median distribution and weakness that is sometimes accompanied by thenar atrophy.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4020621/ (last viewed September 12, 2019)
17
negative; and Tinel’s sign7 was negative bilaterally. (Tr. 441). Based upon his examination findings,
Dr. Dake opined that Plaintiff “has ability to lift up to 30 lbs. occasionally and carry up to 30 lbs.
occasionally. This limitation is because of issue with his right shoulder. He has ability to sit
continuous1y. He has ability to stand frequently with breaks and to walk frequently with breaks.”
(Tr. 20, 438, 441).
In assigning great weigh to Dr. Dake’s opinion, the ALJ noted that Dr. Dake was an
independent consultant and an examining source, whereas Dr. Jain was only a supervising physician
and did not meet regularly with Plaintiff. (Tr. 20, 21). Plaintiff was not examined by Dr. Jain, and
Plaintiff testified that the only time that he saw Dr. Jain was when Dr. Jain completed the MSS. (Tr.
42). Plaintiff went to Dr. Jain’s treating office from September 9, 2016 to January 11, 2017. (Tr.
516-23, 569-586). The ALJ found that Dr. Dake’s opinion was consistent with his own examination
findings. (Tr. 20). In assessing Dr. Dake’s opinion, the ALJ considered Plaintiff’s radiographic
imaging and diagnostic testing, subsequent to Dr. Dake’s opinion, conducted in January 2016 and
April 2017, respectively. (Tr. 20, 513-15, 1085-1105). The Imaging from January 2016 showed
“Degenerative disc disease at L3-4, L4-5 with central protruding of the intervertebral disc at L4-5
and mild to moderate spinal stenosis at the L4-5 level. The paraspinous muscles appear normal.”
(Tr. 17, 513). Dr. Khan Li, a neurosurgeon, noted some lumbar tenderness and decreased range of
7Phalen’s, also known as the wrist-flexion test, is a test used to determine if a person has
carpal tunnel syndrome. The test is described as follows: “The doctor will tell you to press the backs
of your hands and fingers together with your wrists flexed and your fingers pointed down. You’ll
stay that way for 1-2 minutes. If your fingers tingle or get numb, you have carpal tunnel syndrome.”
Tinel’s Sign is a test in which a doctor will tap or press on the median nerve in the wrist with a reflex
hammer and if a patient’s fingers tingle or if the patient feels an electric-shock-like sensation, the
test is positive and the patient may have carpal tunnel syndrome.
https://www.webmd.com/pain-management/carpal-tunnel/carpal-tunnel-diagnosis#1 (last viewed
September 12, 2019)
18
motion, but also found Plaintiff had normal sensation, negative straight leg raising, and 5/5 motor
strength throughout. (Tr. 17, 859-60). The ALJ noted that Dr. Li concluded that the radiographic
imaging did not correlate to Plaintiff’s subjective reports of pain, and that Dr. Li declined to
recommend surgery and instead urged weight loss through diet and exercise. (Tr. 17, 860). The ALJ
also specifically considered Plaintiff’s April 2017 EMG study that showed bilateral CTS, but noted
that Plaintiff testified that he had not received any specific treatment for these impairments beyond
his general medication management. (Tr. 17, 54, 1085).
The ALJ also gave “great weight” to the opinions of the State agency medical consultants,
Bill F. Payne, M.D., and Peter Arrowsmith, M.D., finding that they were consistent with the
examination findings of Dr. Dake. (Tr. 20). The ALJ additionally found that the opinions of Drs.
Payne and Arrowsmith were also consistent with Plaintiff’s radiographic imaging and diagnostic
testing, as well. (Tr. 20). “‘State agency medical and psychological consultants . . . are highly
qualified physicians [and] psychologists . . . who are also experts in Social Security disability
evaluation,’ and whose findings and opinions the ALJ ‘must consider . . . as opinion evidence.’” Lee
v. Comm’r of Soc. Sec., 529 F. App’x 706, 712 (6th Cir. 2013) (quoting 20 C.F.R. §
404.1527(e)(2)(i)).
The ALJ further gave partial weight to the opinion of Dr. W. Blake Garside, Jr., an
orthopedic surgeon and a treating source, who gave Plaintiff a permanent lifting restriction of 35
pounds and 15 pounds overhead. (Tr. 21, 431). The ALJ noted that Dr. Garside’s opinion was
consistent with Dr. Dake’s examination findings and with his own treatment notes. (Tr. 431).
Further, the ALJ cited that the record showed that Plaintiff received only conservative
treatment for his impairments. See Branon v. Comm’r of Soc. Sec., 539 F. App’x 675, 678 (6th Cir.
19
Oct. 2, 2013) (stating that a “conservative treatment approach suggests the absence of a disabling
condition”). The ALJ noted that Plaintiff’s therapist noted that Plaintiff’s rehabilitation and
discharge potential had an excellent prognosis and that the only additional back pain treatment that
Plaintiff received was conservative medication management. (Tr. 16, 817). Plaintiff testified that
he has not required any epidural steroid injections, emergency room visits, or surgical intervention.
(Tr. 16, 19, 45). Instead, Plaintiff relied on over-the-counter medications through March 2016. (Tr.
559). Although Plaintiff attributed this lack of treatment to financial difficulties, (Tr. 16, 44),
Plaintiff did not show that he sought free or low-cost treatment options or that he was denied medical
treatment due to an inability to pay. Moore v. Comm’r of Soc. Sec., No. 14-1123-T, 2015 WL
1931425, at *3 (W.D. Tenn. Apr. 28, 2015) (“Plaintiff argues that his lack of treatment is because
he did not have medical insurance. However, there is no evidence that he ever sought treatment
offered to indigents or was denied medical treatment due to an inability to pay.”); Brown v. Comm’r
of Soc. Sec., No. 4:12-CV-80, 2014 WL 835193, at *12 (E.D. Tenn. Mar. 014).
The ALJ further noted Plaintiff’s noncompliance with treatment and medication. (Tr. 16,
17). Plaintiff attempted a few sessions of physical therapy, but was discharged due to
non-compliance. (Tr. 16, 434). The ALJ also noted that in March 2016, Plaintiff admitted that he
was not taking his medication. (Tr. 17, 559). The ALJ further noted that Plaintiff had a history of
intermittent treatment and poor compliance when he met with Dr. Dake. (Tr. 17). Dr. Dake noted
that he suggested to Plaintiff “that he go to the Putnam County Health Department on Monday
morning regarding his type 2 diabetes,” and that Plaintiff “realizes that this is his responsibility not
of the DDS or this physician.” (Tr. 441). Moreover, the ALJ noted that in April 2016, Plaintiff’s
doctor noted that Plaintiff was in a state of denial regarding his diabetes and that Plaintiff had not
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yet attended the recommended diabetes management classes and he was resistant to treatment.” (Tr.
17, 554-56). See Popp v. Comm'r of Soc. Sec. Admin., No. 2:15-CV-2977, 2017 WL 73943, at *6
(S.D. Ohio Jan. 9, 2017), report and recommendation adopted sub nom. Popp v. Colvin, No.
2:15-CV-2977, 2017 WL 815101 (S.D. Ohio Mar. 2, 2017) (an ALJ may rely on noncompliance as
a factor when determining disability); Robertson v. Colvin, No. 4:14-CV-35, 2015 WL 5022145, at
*6 (E.D. Tenn. Aug. 24, 2015); Ranellucci v. Astrue, No. 3:11-cv-00640, 2012 WL 4484922, *10
(M.D. Tenn. Sept. 27, 2012).
Accordingly, based upon the reasons discussed above, the Magistrate Judge concludes that
the ALJ’s is supported by substantial evidence and that this claim is without merit.
2. The ALJ failed to ask the VE whether her testimony was consistent with the
Dictionary of Occupational Titles ("DOT"), as required by SSR 00-4p.
Plaintiff essentially argues that Defendant cannot meet its burden under step 5 because the
VE’s testimony conflicts with the Dictionary of Occupational Titles (“DOT”) as to the three jobs
the Agency concluded that Plaintiff could perform and that the ALJ did not attempt to obtain any
explanation for this conflict. (Docket Entry No. 17, at 24). Specifically, Plaintiff contends that the
jobs of housecleaner, mail sorter and inspector, all require frequent reaching, while the hypothetical
posed to the VE and the RFC included limitations to “occasional” reaching with the right upper
extremity. Id. Plaintiff therefore asserts that “[b]ecause the ALJ’s hypothetical included a limitation
that precluded more than occasional reaching with the right upper extremity, the ALJ cannot rely on
the vocational expert’s testimony to support her conclusion that [Plaintiff] retains the ability to
perform work which exists in significant numbers in the national economy without resolving the
apparent conflict.” Id. at 24-25.
21
SSR 00-4p provides, in relevant part, the following:
When a VE or VS provides evidence about the requirements of a job or occupation,
the adjudicator has an affirmative responsibility to ask about any possible conflict
between that VE or VS evidence and information provided in the DOT. In these
situations, the adjudicator will:
Ask the VE or VS if the evidence he or she has provided conflicts with information
provided in the DOT; and
If the VE’s or VS’s evidence appears to conflict with the DOT, the adjudicator will
obtain a reasonable explanation for the apparent conflict.
2000 WL 1898704, at *4 (S.S.A. December 4, 2000). An ALJ’s duty is satisfied “if he or she asks
the VE whether his or her testimony is consistent with the DOT.” Johnson v. Comm’r of Soc. Sec.,
535 F. App’x 498, 508 (6th Cir. 2013) (citing Martin v. Comm’r of Soc. Sec., 170 F. App’x 369, 374
(6th Cir.2006)).
An ALJ complies with SSR 00-4p when the ALJ asks the VE if there are any discrepancies
between the ALJ’s opinions and the DOT standards even if the VE did not disclose a conflict.
Lindsley v. Comm’r of Soc. Sec., 560 F.3d 601, 606 (6th Cir. 2009). “[T]he ALJ is under no
obligation to investigate the accuracy of the VE’s testimony beyond the inquiry mandated by SSR
00-4p. This obligation falls to the plaintiff’s counsel, who ha[s] the opportunity to cross-examine
the VE and bring out any conflicts with the DOT.” Beinlich v. Comm’r of Soc. Sec., 345 F. App’x
163, 168 (6th Cir. 2009) (citation omitted). A plaintiff’s counsel’s failure to do so is not grounds
for relief. Id. at 168-69.
At the hearing, the ALJ asked the VE to identify jobs that Plaintiff could perform with the
work-related limitations supported by the evidence that included “no more than occasional reaching
22
with the right upper extremity.” (Tr. 64). The VE identified the occupations of cleaner (DICOT
323.687-014, 1991 WL 672783), mail sorter (DICOT 209.687-026, 1991 WL 671813), and
inspector (DICOT 559.687-074, 1991 WL 683797). (Tr. 65). The ALJ failed to question the VE
whether the VE’s testimony was consistent with the DOT.
Defendant contends that the DOT does not state that reaching must be performed bilaterally,
and that the ALJ found that Plaintiff had no limitations in reaching with his left arm. (Docket Entry
No. 18, at 13). However, as noted by the district court in Swearengin v. Berryhill, No.
3:17-CV-32-DCP, 2018 WL 5045216 (E.D. Tenn. Oct. 17, 2018)“[a] review of other Social Security
disability cases nationwide reveals conflicting approaches as to whether a conflict exists between
a DOT job description requiring frequent reaching, and a VE’s testimony that a claimant limited in
only one extremity could perform the listed job.” Id. at *12 (collecting cases). Noting that other
courts presented “have refused to discern a conflict between the requirement of frequent reaching
and a vocational expert's testimony that a person restricted in one extremity could perform the job,”
the Swearengin court concluded, “‘because at best it is unclear whether the [listed job positions]
require[ ] frequent bilateral reaching,’ the Court finds that an apparent conflict exists between the
VE's testimony and the information provided in the DOT description.” Id. at *13. (citing Snyder
v. Comm'r of Soc. Sec., No. 17-12147, 2018 WL 4016971, at *6 (E.D. Mich. July 24, 2018), report
and recommendation adopted by, 2018 WL 4005777 (E.D. Mich. Aug. 22, 2018); Pearson v. Colvin,
810 F.3d 204, 211 (4th Cir. 2015); Bobo v. Berryhill, 2017 WL 7051997, at *23 (N.D. Ohio Sept.
21, 2017), report and recommendation adopted by, 2018 WL 562933 (N.D. Ohio Jan. 24, 2018)).8
8Im Bobo, the district court noted:
Indeed, as another court within this District recently explained:
23
Based upon the authority cited, the Magistrate Judge concludes that the ALJ failed to satisfy
the ALJ’s affirmative responsibility under SSR 00-4p to ask the VE regarding possible conflicts
Most courts analyzing this issue have found a potential or apparent conflict between
a DOT job description requiring frequent reaching and a claimant's limitation of no
overhead reaching or occasional reaching with one arm. See Pearson v. Colvin, 810
F.3d 204, 211 (4th Cir. 2015) (remanding case due, in part, to apparent conflict
between VE testimony and DOT-DOT listed three jobs as requiring frequent reaching
but ALJ found that claimant could only occasionally reach upward with nondominant
arm); Prochaska v. Barnhart, 454 F.3d 731, 736 (7th Cir. 2006) (remanding the case
due to the potential inconsistency between a limitation that claimant could only
“occasionally reach above shoulder level” with the DOT requirement that the
cashier's job required frequent reaching); Kemp ex rel. Kemp v. Colvin, 743 F.3d 630,
633 (8th Cir. 2014) (finding a conflict between DOT job listing requiring constant
reaching and RFC limitation that claimant could reach overhead only occasionally);
Jones v. Colvin, No. 4:15–CV–00072–F, 2016 WL 4491764, at *2 (E.D.N.C. Aug.
26, 2016) (found conflict between RFC restriction of no overhead reaching with left
arm and DOT requirement that housekeeping job includes frequent reaching);
Marquez v. Astrue, No. CV–11–339–TUC–JGZ–DT, 2012 WL 3011778, at *3 (D.
Ariz. May 2, 2012), report and recommendation adopted, No. CV
11–339–TUC–JGZ, 2012 WL 3011779 (D. Ariz. July 23, 2012) (finding a conflict
between VE testimony that claimant limited in overhead reaching can perform
particular jobs requiring frequent reaching in any direction.); Jordan v. Astrue, No.
09–CV1559–MMA, 2010 WL 2816234 (S.D.Cal. May 4, 2010) (finding conflict
between VE testimony, that claimant limited to occasional overhead reaching with
right shoulder could perform particular jobs, and DOT descriptions that jobs required
frequent reaching); Silvera v. Astrue, No. CV–09–1935–JC, 2010 WL 3001619
(C.D.Cal. July 29, 2010) (finding that frequent reaching requirement in the DOT
description potentially conflicts with claimant's restriction to perform only occasional
overhead reaching because DOT does not distinguish overhead from other reaching);
Robertson v. Astrue, No. 1:09CV87–SRW, 2010 WL 3488637, at *3 (M.D. Ala.
Aug. 31, 2010); Beeler v. Astrue, No. 2:09–CV–649–GZS, 2010 WL 4791836, at *4
(D. Me. Nov. 17, 2010), aff'd, No. 09–CV–649–P–S, 2010 WL 5070889 (D. Me.
Dec. 7, 2010) (DOT jobs requiring occasional reaching were inconsistent with a
limitation of no overhead work with right arm) ...
Bennett v. Comm'r of Soc. Sec., No. 1:16-CV-227, 2016 WL 7395795, at *6 (N.D.
Ohio Dec. 2, 2016), report and recommendation adopted, No. 1:16CV227, 2016 WL
7396707 (N.D. Ohio Dec. 21, 2016).
Bobo, 2017 WL 7051997, at *21-22.
24
between the VE’s testimony and the DOT, and in doing so, failed to resolve any potential conflicts.
Accordingly, because the ALJ did not make the inquiry required by SSR 00–4p, and because the
error is not harmless, the Magistrate Judge recommends that this action be remanded for further
proceedings on this issue.
IV. CONCLUSION AND RECOMMENDATION
For the reasons explained above, the Magistrate Judge RECOMMENDS that Plaintiff's
motion for judgment on the administrative record (Docket Entry No. 16) be GRANTED, and the
Commissioner’s decision be REVERSED and REMANDED for further administrative proceedings
consistent with this Report and Recommendation. The parties have fourteen (14) days of being
served with a copy of this Report and Recommendation to serve and file written objections to the
findings and recommendation proposed herein. A party shall respond to the objecting party’s
objections to this Report and Recommendation within fourteen (14) days after being served with a
copy thereof. Failure to file specific objections within fourteen (14) days of receipt of this Report
and Recommendation may constitute a waiver of further appeal. Thomas v. Arn, 474 U.S. 140, 142,
reh’g denied, 474 U.S. 111 (1986); see Alspaugh v. McConnell, 643 F.3d 162, 166 (6th Cir. 2011).
ENTERED this 13th day of September, 2019.
/s/ Joe B. Brown
JOE B. BROWN
United States Magistrate Judge
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