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Gregg v. Commissioner of Social Security

United States District Court, D. Oregon

July 21, 2014

SANDRA GREGG, Plaintiff,


THOMAS M. COFFIN, Magistrate Judge.

Plaintiffbrings this proceeding to obtain judicial review of the Commissioner's final decision denying plaintiffs application for disability insurance benefits and supplemental security income benefits.

Plaintiff asserts disability beginning July 20, 2008, due to left shoulder arthritis, degenerative disc disease, left knee osteoarthritis, obesity, depression, and pain disorder. After a hearing, an administrative law judge (ALJ) determined that plaintiff is not disabled. Plaintiff contends the ALJ erred in his overall determination of plaintiffs residual functional capacity in that he improperly rejected two examining physicians and improperly rejected limitations associated with obesity. Plaintiff also contends that the ALJ erred in providing an incomplete hypothetical to the vocational expert and in relying on erroneous vocational expert testimony.

A. Examining Physician Opinion and Hypothetical to the Vocational Expert

1. Dr. Douglas Lieuallen

Plaintiff argues that the ALJ erred in rejecting the opinion of Dr. Lieuallen. Dr. Lieuallen examined plaintiff on November 22, 2011, at the request of the Social Security Administration. He opined that plaintiff is

disabled from many kinds of gainful employment. She cannot, sit, stand [or] walk for any distance. She has to frequently change position. Her shoulder problems limit her ability to work in her chosen field of employment as a hairdresser. Her back problems and left leg problems preclude work in any other kind of an occupation.

Tr. 500. Dr. Lieuallen further opined that plaintiff could only lift and carry.l 0 pounds occasionally, requires the use of cane to ambulate and can never perform reaching activities. Tr. 501-03.

The ALJ rejected Dr. Lieuallen's opinion for a number of reasons: (1) he did not review the entire medical record which, the ALJ found, shows plaintiff misled him about the kind and frequency of pain in her lumbar spine;[1] (2) he was unaware of plaintiffs extensive vigorous activities including intermittent work; (3) he failed to resolve an inconsistency in his own report of, on the one hand, pronounced limitations in plaintiffs lumbar spine and bilateral lower extremities and, on the other hand, findings of non-anatomical signs or possible volitional weakness; and (4) an examining psychologist also found plaintiff to exhibit excessive pain behavior at about the same time as Dr. Lieuallen's exam. Tr. 20; 499 (Lieuallen states whether left side weakness is due to pain or actual weakness is unclear); 16 (ALJ lists inconsistencies in plaintiffs reported work activity indicating work as late as November of 2011); 18-19 (ALJ lists vigorous activities engaged in by plaintiff such as jacking up her car and removing studded tires, feeding goats and trimming hooves, operating a fence post driver, walking to the emergency room two days after suffering an ankle injury, carrying sheets of plywood, fishing and climbing on a haystack); 512 (examining psychologist Dr. Michelle Whitehead notes that plaintiffhas excessive pain behavior). As plaintiff suggests, the ALJ has a duty to develop the record and does not explain if plaintiffs medical records were provided for Dr. Lieuallen's review. But, the ALJ does provide other clear and convincing reasons for rejecting Dr. Lieuallen's opinion especially in light of the substantial evidence of plaintiffs exaggerated pain behavior and vigorous physical activity. See, e.g., Morgan v. Commissioner of Social Sec. Admin. , 169 F.3d 595, 602 (lack of substantial evidence to support physician opinion in light of contrary work abilities provided sufficient reasoning for rejecting the opinion).

2. Dr. Michelle Whitehead

Dr. Whitehead opined that plaintiff struggles with concentration and focus, but has adequate persistence with average pace. Tr. 514. Dr. Whitehead thus found plaintiff to have moderate limitations with respect to understanding, remembering and carrying out complex instructions as well as moderate limitations on the ability to make judgments on complex work-related decisions. Tr. 515. The ALJ accepted Dr. Whiteheads assessment, but plaintiff argues that the ALJ failed to account for the limitations regarding complex work-related decisions in the hypothetical to the vocational expert. However, the ALJ did limit plaintiffto only remembering and carrying out simple instructions (Tr. 20) and the hypothetical to the vocational expert, thus limited, resulted in an opinion of an ability to do unskilled jobs. Tr. 25. Unskilled work is work which needs little or no judgment to do simple duties that can be learned on the job in a short period of time. 20 C.F.R. ยง 416.958(a). Accordingly, the ALJ did account for the limitations noted by Dr. Whitehead.

B. Obesity

Plaintiff asserts the ALJ failed to account for her obesity despite finding it to be a severe impairment at step two of the evaluation. Plaintiff, however, conflates the ALJ's finding of some limitation associated with obesity at step two with his asserted limitations in ambulation. While it is true that Dr. Whitehead did state, after a psychological evaluation, that plaintiffs capabilities of ambulation "are affected" due to chronic pain and obesity[2](Tr. 516), the record does not demonstrate the extent of such limitation. The ALJ appropriately considered limitations related to plaintiffs obesity and determined that no medical source found a need to aggressively treat plaintiffs obesity beyond simply recommending weight loss. Tr. 23. The ALJ found no evidence to suggest that obesity limits plaintiffs range of motion or reduces her physical or ...

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