holding ALJ properly discredited claimant’s subjective sypmtoms testimony where that testimony was inconsistent with objective medical evidence
How later courts described this case
- holding ALJ properly discredited claimant’s subjective sypmtoms testimony where that testimony was inconsistent with objective medical evidence
- “[W]e review the ALJ’s decision for substantial evidence, but neither make credibility determinations of our own nor re-weigh the evidence.”
- holding ALJ properly discredited claimant’s testimony of disabling neck pain where claimant “often went for months or years between complaining of this pain to his physicians”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF ALABAMA
SOUTHERN DIVISION
CHAD WOOD, )
)
Plaintiff, )
)
v. ) Case No. 2:19-cv-01382-SGC
)
SOCIAL SECURITY )
ADMINISTRATION, Commissioner, )
)
Defendant. )
MEMORANDUM OPINION1
The plaintiff, Chad Wood, appeals from the decision of the Commissioner of
the Social Security Administration (the “Commissioner”) denying his application
for Disability Insurance Benefits (“DIB”). Wood timely pursued and exhausted his
administrative remedies, and the Commissioner’s decision is ripe for review
pursuant to 42 U.S.C §§ 405(g) and 1383(c)(3). For the reasons discussed below,
the Commissioner’s decision is due to be affirmed.
I. Procedural History
Wood completed the tenth grade and previously has been employed as a
screen printer, food assembler, and fish cleaner. (Tr. at 25, 39). In his application
for DIB, Wood alleged he became disabled on May 1, 2016, as a result of a variety
1 The parties have consented to the exercise of full dispositive jurisdiction by a magistrate judge
pursuant to 28 U.S.C. § 636(c). (Doc. 9).
of physical and mental impairments. (Id. at 151, 174). After his claim was denied,
Wood requested a hearing before an administrative law judge (“ALJ”). (Id. at 17).
Following a hearing, the ALJ denied Wood’s claim. (Id. at 14-31). Wood was 51
years old when the ALJ issued his decision. (Id. at 25). After the Appeals Council
denied review of the ALJ’s decision (id. at 1-6), that decision became the final
decision of the Commissioner, see Frye v. Massanari, 209 F. Supp. 2d 1246, 1251
(N.D. Ala. 2001) (citing Falge v. Apfel, 150 F.3d 1320, 1322 (11th Cir. 1998)).
Thereafter, Wood commenced this action. (Doc. 1).
II. Statutory and Regulatory Framework
To establish eligibility for disability benefits, a claimant must show “the
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
twelve months.” 42 U.S.C. §§ 416(i)(1)(A), 423(d)(1)(A); see also 20 C.F.R. §
404.1505(a). Furthermore, a claimant must show he was disabled between his
alleged initial onset date and his date last insured. Mason v. Comm’r of Soc. Sec.,
430 F. App’x 830, 831 (11th Cir. 2011) (citing Moore v. Barnhart, 405 F.3d 1209,
1211 (11th Cir. 2005); Demandre v. Califano, 591 F.2d 1088, 1090 (5th Cir. 1979)).
The Social Security Administration (“SSA”) employs a five-step sequential analysis
to determine an individual’s eligibility for disability benefits. 20 C.F.R. §
404.1520(a)(4).
First, the Commissioner must determine whether the claimant is engaged in
“substantial gainful activity.” Id. at § 404.1520(a)(4)(i). If the claimant is engaged
in substantial gainful activity, the Commissioner will find the claimant is not
disabled. Id. at § 404.1520(a)(4)(i) and (b). At the first step, the ALJ determined
Wood meets the SSA’s insured status requirements through December 31, 2021, and
had not engaged in substantial gainful activity since May 1, 2016, the alleged onset
date of his disability. (Tr. at 19).
If the claimant is not engaged in substantial gainful activity, the
Commissioner must next determine whether the claimant suffers from a severe
physical or mental impairment or combination of impairments that has lasted or is
expected to last for a continuous period of at least twelve months. 20 C.F.R. §
404.1520(a)(4)(ii). If the claimant does not have a severe impairment or
combination of impairments, the Commissioner will find the claimant is not
disabled. Id. at § 404.1520(a)(4)(ii) and (c). At the second step, the ALJ determined
Wood has the following severe impairments: diabetes mellitus with peripheral
neuropathy, dysthymic disorder, depressive disorder, and anxiety disorder. (Tr. at
20).
If the claimant has a severe impairment or combination of impairments, the
Commissioner must then determine whether the impairment or combination of
impairments meets or equals one of the “Listings” found in 20 C.F.R. Part 404,
Subpart P, Appendix 1. 20 C.F.R. § 404.1520(a)(4)(iii). If the claimant’s
impairment or combination of impairments meets or equals one of the Listings, the
Commissioner will find the claimant is disabled. Id. at § 404.1520(a)(4)(iii) and (d).
At the third step, the ALJ determined Wood does not have an impairment or
combination of impairments that meets or medically equals the severity of one of
the Listings. (Tr. at 20-23).
If the claimant’s impairment or combination of impairments does not meet or
equal one of the Listings, the Commissioner must determine the claimant’s residual
functional capacity (“RFC”) before proceeding to the fourth step. 20 C.F.R. §
404.1520(e). At the fourth step, the Commissioner will compare an assessment of
the claimant’s RFC with the physical and mental demands of the claimant’s past
relevant work. Id. at § 404.1520(a)(4)(iv) and (e). If the claimant is capable of
performing his past relevant work, the Commissioner will find the claimant is not
disabled. Id. at § 404.1520(a)(4)(iv).
Before proceeding to the fourth step, the ALJ determined Wood has the RFC
to perform a limited range of light work. (Tr. at 23-25).2 At the fourth step, the ALJ
2 Light work “involves lifting no more than 20 pounds at a time with frequent lifting or carrying
of objects weighing up to 10 pounds” and may require “a good deal of walking or standing . . . or
. . . involve[] sitting most of the time with some pushing and pulling of arm or leg controls.” 20
C.F.R. § 404.1567(b).
determined Wood is not able to perform his past relevant work. (Id. at 25).
If the claimant is unable to perform his past relevant work, the Commissioner
must finally determine whether the claimant is capable of performing other work
that exists in substantial numbers in the national economy in light of the claimant’s
RFC, age, education, and work experience. 20 C.F.R. § 404.1520(a)(4)(v) and
(g)(1). If the claimant is capable of performing other work, the Commissioner will
find the claimant is not disabled. Id. at § 404.1520(a)(4)(v) and (g)(1). If the
claimant is not capable of performing other work, the Commissioner will find the
claimant is disabled. Id. at § 404.1520(a)(4)(v) and (g)(1).
At the fifth step, considering Wood’s age, education, work experience, and
RFC, the ALJ determined there are jobs existing in significant numbers in the
national economy, such as those of small product assembler, bench assembler, and
assembler of hardware/cutlery, that Wood can perform. (Tr. at 26-27). Therefore,
the ALJ concluded Wood is not disabled. (Id. at 27).
III. Standard of Review
Review of the Commissioner’s decision is limited to a determination of
whether that decision is supported by substantial evidence and whether the
Commissioner applied correct legal standards. Crawford v. Comm’r of Soc. Sec.,
363 F.3d 1155, 1158 (11th Cir. 2004). A district court must review the
Commissioner’s findings of fact with deference and may not reconsider the facts,
reevaluate the evidence, or substitute its judgment for that of the Commissioner.
Ingram v. Comm’r of Soc. Sec. Admin., 496 F.3d 1253, 1260 (11th Cir. 2007); Dyer
v. Barnhart, 395 F.3d 1206, 1210 (11th Cir. 2005). Rather, a district court must
“scrutinize the record as a whole to determine if the decision reached is reasonable
and supported by substantial evidence.” Bloodsworth v. Heckler, 703 F.2d 1233,
1239 (11th Cir. 1983) (internal citations omitted). Substantial evidence is “such
relevant evidence as a reasonable person would accept as adequate to support a
conclusion.” Id. It is “more than a scintilla, but less than a preponderance.” Id. A
district court must uphold factual findings supported by substantial evidence, even
if the preponderance of the evidence is against those findings. Miles v. Chater, 84
F.3d 1397, 1400 (11th Cir. 1996) (citing Martin v. Sullivan, 894 F.2d 1520, 1529
(11th Cir. 1990)).
A district court reviews the Commissioner’s legal conclusions de novo. Davis
v. Shalala, 985 F.2d 528, 531 (11th Cir. 1993). “The [Commissioner’s] failure to
apply the correct law or to provide the reviewing court with sufficient reasoning for
determining that the proper legal analysis has been conducted mandates reversal.”
Cornelius v. Sullivan, 936 F.2d 1143, 1145-46 (11th Cir. 1991).
IV. Discussion
On appeal, Wood argues the ALJ erred by discrediting his testimony
regarding his subjective symptoms. (Doc. 14).
A claimant may establish disability through testimony of pain or other
subjective symptoms. Brown v. Sullivan, 921 F.2d 1233, 1236 (11th Cir. 1991). To
do so, he must satisfy the three-part “pain standard” by showing (1) evidence of an
underlying medical condition and either (2) objective medical evidence that
confirms the severity of the alleged pain or other subjective symptoms arising from
that condition or (3) that the objectively determined medical condition is of such a
severity that it can reasonably be expected to give rise to the alleged pain or other
subjective symptoms. Id.; see also Taylor v. Acting Comm’r of Soc. Sec. Admin.,
2019 WL 581548, at *2 (11th Cir. 2019) (citing Dyer, 395 F.3d at 1210); 20 C.F.R.
§ 404.1529; SSR 16-3p. A claimant’s subjective testimony supported by medical
evidence that satisfies the pain standard is sufficient to support a finding of disability.
Brown, 921 F.2d at 1236 (citing Hale v. Bowen, 831 F.2d 1007, 1011 (11th Cir.
1987); MacGregor v. Bowen, 786 F.2d 1050, 1054 (11th Cir. 1986); Landry v.
Heckler, 782 F.2d 1551, 1552 (11th Cir. 1986)).
An ALJ may discredit a claimant’s testimony regarding his subjective
symptoms provided he or she clearly articulates explicit and adequate reasons for
doing so. Brown, 921 F.2d at 1236; Taylor, 2019 WL 581548, at *2 (citing Dyer,
395 F.3d at 1210). In evaluating a claimant’s testimony regarding the intensity,
persistence, and limiting effects of his symptoms, an ALJ considers all available
evidence. 20 C.F.R. § 404.1529(c); SSR 16-3p.
Wood testified he is unable to work because his diabetes causes peripheral
neuropathy in his feet, which manifests as “hot spots” and constant tingling that is
aggravated by standing, walking, and heat, and because his anxiety and depression
prevent him from dealing with work-related stress and tolerating social interaction.
(Tr. at 24, 45, 47-48, 52-54). He further testified his diabetes and peripheral
neuropathy have gotten progressively worse. (Id. at 45). The ALJ determined that
while Wood’s medically determinable impairments reasonably could be expected to
cause some of his subjective symptoms, Wood’s statements concerning the intensity,
persistence, and limiting effects of those symptoms were not entirely consistent with
the evidence of record. (Id. at 24).
The ALJ articulated multiple reasons for discrediting Wood’s testimony,
including that (1) Wood’s testimony of debilitating physical symptoms associated
with diabetes and peripheral neuropathy was not consistent with the medical
evidence of record, (2) the record did not include any treatment notes recommending
work-related restrictions for Wood, and (3) the opinions of Dr. William B.
Beidleman, a consultative psychologist who performed a comprehensive
psychological evaluation of Wood in August 2016, and Dr. Robert Estock, a state
agency psychiatrist who reviewed Wood’s claim, do not support the existence of
debilitating limitations resulting from Wood’s mental impairments. Together, these
were appropriate reasons to discredit Wood’s subjective symptoms testimony. See
20 C.F.R. § 404.1529(c)(2) and (3); SSR 16-3p; Duval v. Comm’r of Soc. Sec., 628
F. App’x 703, 711-12 (11th Cir. 2015) (holding ALJ properly discredited claimant’s
subjective sypmtoms testimony where that testimony was inconsistent with
objective medical evidence); Couch v. Astrue, 267 F. App’x 853, 855 (11th Cir.
2008) (holding ALJ properly rejected treating physician’s opinion that claimant’s
mental impairment rendered her disabled where physician’s treatment notes did not
suggest or impose any restrictions on claimant’s activities or otherwise indicate
claimant was precluded from working due to her mental impairment); Charpentier
v. Comm’r of Soc. Sec., 2016 WL 4523903, at *14-15 (M.D. Fla. Aug. 30, 2016)
(holding ALJ properly discredited claimant’s subject symptoms testimony where
that testimony was inconsistent with findings of consultative examiner).
Moreover, each reason is supported by substantial evidence. Dr. J. Rodolfo
Vargas, an endocrinologist, treated Wood’s diabetes during the relevant period. In
June 2016, shortly after Wood’s alleged onset date of disability, Dr. Vargas noted
Wood’s diabetes was under “good control.” (Tr. at 316). While he did note Wood’s
diabetes was “out of control” in late 2017 and early 2018, by the end of July 2018,
it was again under “fairly good control.” (Id. at 353, 357, 363). Additionally,
systems reviews and physical examinations of Wood performed by Dr. Vargas
between June 2016 and July 2018 were largely unremarkable. (Id. at 316-17, 341-
42, 347, 353, 357, 363).3 Neither Dr. Vargas’ treatment records, nor records of
mental health treatment Wood received during the relevant period, document any
work-related or other restrictions recommended for Wood. (Id. at 316-17, 341-42,
347, 353, 357, 363, 351, 359-61).
Neither Dr. Beidleman nor Dr. Estock found Wood’s mental impairments to
cause debilitating limitations. (Id. at 68-73, 333-35).4 The ALJ gave significant
weight to the opinions of Dr. Beidleman and Dr. Estock and accounted for the less-
than-debilitating limitations each endorsed in formulating Wood’s RFC. (Id. at 23,
25). More specifically, the ALJ determined Wood can understand, remember, and
carry out only simple instructions and tasks for two-hour blocks of time; Wood can
have only occasional work-related interaction with the public, co-workers, and
supervisors; and that workplace changes should be infrequent and gradually
introduced. (Id. at 23).5
3 The undersigned also notes that while Wood did complain of burning and swelling in his feet in
June 2016 (Tr. at 316), Dr. Vargas’ subsequent treatment notes do not document additional
complaints of symptoms associated with peripheral neuropathy. Dyer, 395 F.3d at 1211 (holding
ALJ properly discredited claimant’s testimony of disabling neck pain where claimant “often went
for months or years between complaining of this pain to his physicians”).
4 Dr. Beidleman concluded Wood “appears to be able to function independently at a fair level” and
“should be able to understand and remember simple instructions” but “is likely to have difficulty
responding appropriately to fellow employees and supervisors” and to have “problems coping with
significant work pressures.” (Tr. at 335). Dr. Estock concluded Wood has no more than moderate
limitations in various areas of mental functioning. (Id. at 71-72).
5 The undersigned also notes Dr. Beidleman found it “important to note [] Wood emphasize[d]
diabetes and physical problems as being primary work barriers.” (Tr. at 335). This statement
made by Wood to Dr. Beidleman undermines Wood’s testimony his mental impairments cause
debilitating limitations. See Flowers v. Comm’r of Soc. Sec., 441 F. App’x 735, 743 (11th Cir.
2011) (holding ALJ properly discredited claimant’s subjective symptoms testimony where that
Wood spends much of his brief citing evidence he claims supports his
allegations of disabling subjective symptoms and claims the ALJ impermissibly
cherry-picked evidence to support his own conclusion. (Doc. 10 at 7-12). However,
as stated, the relevant question is not whether evidence support Wood’s argument
but whether substantial evidence supports the AJL’s determination. See Moore, 405
F.3d at 1213 (discussing “narrowly circumscribed” nature of appellate review);
Henry v. Comm’r of Soc. Sec., 802 F.3d 1264, 1268 (11th Cir. 2015) (“[W]e review
the ALJ’s decision for substantial evidence, but neither make credibility
determinations of our own nor re-weigh the evidence.”). Because the ALJ clearly
articulated explicit and adequate reasons for discrediting Wood’s testimony
regarding his subjective symptoms and those reasons are supported by substantial
evidence, the ALJ did not commit error.6
testimony was inconsistent with her own report to consulting psychologist that she performed
various household chores and regularly attended church and socialized).
6 Within his argument regarding the ALJ’s decision to discredit his testimony, Wood claims the
ALJ should have applied Grid Rule 201.10. (Doc. 14 at 10). The “Grids,” also known as the
Medical-Vocational Guidelines, are found at 20 C.F.R. Part 404, Subpart P, App. 2. An ALJ may
use them to determine at the fifth step whether other work exists in substantial numbers in the
national economy that a claimant is capable of performing. Phillips v. Barnhart, 357 F.3d 1232,
1239 (11th Cir. 2004).
The [G]rids provide for adjudicators to consider factors such as age, confinement
to sedentary or light work, inability to speak English, educational deficiencies, and
lack of job experience. Each of these factors can independently limit the number
of jobs realistically available to an individual. Combinations of these factors yield
a statutorily-required finding of “Disabled” or “Not Disabled.”
Id. at 1240. Grid Rule 201.10 directs a finding of disability for a claimant who meets certain age,
education, and previous work experience requirements and is limited to sedentary work. 20 C.F.R.
V. Conclusion
Having reviewed the administrative record and considered all the arguments
presented by the parties, the undersigned finds the Commissioner’s decision is due
to be AFFIRMED. A separate order will be entered.
DONE this 25th day of March, 2021.
STACI G. CORNELIUS
U.S. MAGISTRATE JUDGE
Part 404, Subpart P, App. 2, § 201.10. The ALJ determined Wood has the RFC to perform a
limited range of light work. (Tr. at 23). That determination is supported by substantial evidence,
including the evidence discussed above. Therefore, Grid Rule 201.10 does not apply to Wood.
12