Cynthia M. Dore v. Andrew Saul, Commissioner Social Security Administration

2019 DNH 154
CourtDistrict Court, D. New Hampshire
DecidedSeptember 17, 2019
Docket18-cv-950-PB
StatusPublished
Cited by3 cases

This text of 2019 DNH 154 (Cynthia M. Dore v. Andrew Saul, Commissioner Social Security Administration) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cynthia M. Dore v. Andrew Saul, Commissioner Social Security Administration, 2019 DNH 154 (D.N.H. 2019).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Cynthia M. Dore

v. Case No. 18-cv-950-PB Opinion No. 2019 DNH 154 Andrew Saul, Commissioner Social Security Administration

MEMORANDUM AND ORDER

Cynthia Dore challenges the denial of her applications for

disability insurance benefits and supplemental security income

pursuant to 42 U.S.C. § 405(g). She contends that the

Administrative Law Judge (“ALJ”) improperly evaluated medical

opinions in her record. The Commissioner, in turn, moves for an

order affirming the ALJ’s decision. I deny Dore’s motion and

affirm the Commissioner’s decision.

I. BACKGROUND

A. Procedural Facts

Dore is a 64-year-old woman with 11th grade education. She

worked a variety of jobs in the retail industry, including as a

retail manager and a convenience store cashier. She alleged

disability as of November 2014, due to degenerative disc disease

of the spine, anxiety disorder, and depressive disorder.

Dore’s applications were initially denied in October 2015,

and on reconsideration in February 2016. On November 2, 2017,

she testified at a hearing before ALJ Paul Martin, who ultimately denied Dore’s claims. See Tr. 18-32. The Appeals

Council denied her request for review in August 2018, rendering

the ALJ’s decision the final decision of the Commissioner. See

Tr. 7-9. Dore now appeals.

B. Medical Opinion Evidence

In September 2015, Dr. Robert Phelps, an orthopedic

surgeon, performed a consultative examination of Dore. She

exhibited impaired ability to perform postural changes, abnormal

posture with elevation of the left shoulder and the left pelvis,

limited range of motion of the lumbosacral spine, increased left

leg pain with lumbar flexion, left thigh pain with strength

testing on the left, sensory impairment of the left foot,

impaired sharp-dull discrimination of the right foot, and

increased low-back pain with straight leg raising on the left.

Dr. Phelps diagnosed her with neck pain, left upper extremity

weakness, ruptured discs in the lower back, mobility impairment

with degenerative disc disease, and a right thoracic left lumbar

scoliosis. He opined that Dore had markedly limited abilities

to lift and carry even occasionally, stand, walk, and push or

pull at the left lower extremity, as well as markedly to

severely limited abilities to bend, climb, balance, stoop,

kneel, crouch, and crawl. Tr. 342.

The following month, Dr. Donald Trumbull, a state agency

physician, reviewed Dore’s record, including Dr. Phelps’ report.

2 He opined that Dore’s degenerative disc disease was a severe

impairment, but that she retained the residual functional

capacity (“RFC”) to perform the requirements of light work.

Specifically, she could lift 20 pounds occasionally and 10

pounds frequently, stand or walk for 6 hours, and sit for 6

hours in an 8-hour workday. Dr. Trumbull also indicated that

Dore was limited to frequent stooping and climbing of ramps or

stairs and occasional kneeling, crouching, crawling, and

climbing of ladders, ropes, or scaffolds. Tr. 44-46.

In February 2016, another state agency physician, Dr.

Sharon Hogan, reviewed the medical record and likewise opined

that Dore could perform light work. According to Dr. Hogan,

Dore was limited to occasional balancing, stooping, kneeling,

crouching, crawling, and climbing of ramps, stairs, ladders,

ropes, or scaffolds. Tr. 69-71.

Orthopedic surgeon Dr. Frank Graf examined Dore and

reviewed her medical records in July 2017. He diagnosed her

with chronic lumbosacral musculoskeletal pain with left lower

extremity radiculopathy in an L5 dermatomal pattern, as well as

sensory and motor system disorder with abnormal cranial nerve

examination and abnormal reflex activity. Dore reported

frequent falls due to loss of coordination and balance. Dr.

Graf opined that her pain symptoms would constantly interfere

with the attention and concentration needed to perform even

3 simple work tasks. According to Dr. Graf, Dore was limited to

less than 2 hours of sitting, standing, or walking in an 8-hour

workday, could stand only for 5 minutes and sit for 10 minutes

at a time, would require the ability to shift positions at will

and frequent unscheduled breaks, was advised to use a cane, was

not capable of lifting more than 10 pounds, and was likely to

miss more than 4 days of work every month. Tr. 739-47.

On November 2, 2017, Dr. John Kwock, an orthopedic surgeon,

testified at the administrative hearing after reviewing Dore’s

medical file, including all the opinion evidence. Dr. Kwock

opined that Dore had degenerative disc disease of the cervical,

lumbar, and thoracic spine, but that these impairments did not

meet or equal the criteria of any listed impairment. According

to Dr. Kwock, Dore retained the capacity to perform light work,

that is, she could lift and carry 20 pounds occasionally and 10

pounds frequently, sit for 6 hours, and stand or walk for 6

hours in an 8-hour workday. He further testified that she could

frequently balance and kneel, occasionally stoop, crouch, and

climb stairs or ramps, and could never crawl or climb ladders or

scaffolds. Tr. 897-900.

Dr. Kwock dismissed greater restrictions to Dore’s RFC as

based on subjective reporting that was not consistent with

imaging results and other objective medical evidence.

Specifically, he disagreed with Dr. Graf’s opinion because the

4 imaging studies in the record, including cervical and lumbar

spine X-rays done in June and August 2014 and MRIs done in May

2015 and August 2017, indicated that Dore’s degenerative changes

remained generally mild. Although the 2017 MRI included a

finding of chronic severe degenerative disc disease at L5-S1,

Dr. Kwock explained that there was no significant spinal

stenosis and no significant disc herniation. Dr. Kwock

acknowledged that there were positive examination findings in

the record, such as reduced range of motion, slow gait, positive

straight leg raise, decreased sensation, muscle weakness, and

hyperactive reflexes. But he noted that those findings were not

consistent from one exam to the next and that the record also

reflected many negative findings in those same areas. Finally,

Dr. Kwock testified that Dore’s use of a cane was not medically

necessary given general findings of no significant motor

weakness in her upper or lower extremities. Tr. 901-11.

C. The ALJ’s Decision

The ALJ assessed Dore’s claim under the five-step,

sequential analysis required by 20 C.F.R. §§ 404.1520 and

416.920. At step one, he found that Dore had not engaged in

substantial gainful activity since November 26, 2014, her

alleged disability onset date. Tr. 21. At step two, the ALJ

found that Dore’s degenerative disc disease of the spine was a

severe impairment, but that her anxiety disorder and depressive

5 disorder were not severe. Tr. 21-23. At step three, the ALJ

determined that none of Dore’s impairments, considered

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2019 DNH 154, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cynthia-m-dore-v-andrew-saul-commissioner-social-security-administration-nhd-2019.