Stephens v. Astrue

533 F. Supp. 2d 598, 2008 U.S. Dist. LEXIS 10914, 2008 WL 375982
CourtDistrict Court, E.D. North Carolina
DecidedFebruary 7, 2008
Docket4:06-cv-00153
StatusPublished
Cited by4 cases

This text of 533 F. Supp. 2d 598 (Stephens v. Astrue) is published on Counsel Stack Legal Research, covering District Court, E.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stephens v. Astrue, 533 F. Supp. 2d 598, 2008 U.S. Dist. LEXIS 10914, 2008 WL 375982 (E.D.N.C. 2008).

Opinion

ORDER

TERRENCE W. BOYLE, District Judge.

This matter is before the Court on parties’ Cross-Motions for Judgment on the Pleadings pursuant to Rule 12(c) of the Federal Rules of Civil Procedure. A hearing was held on November 2, 2007, and the matter is now ripe for ruling. For the reasons discussed below, Plaintiffs motion is GRANTED; Defendant’s motion is DENIED; and this matter is REVERSED.

BACKGROUND

On September 26, 2003, Plaintiff applied for a period of disability and disability insurance benefits alleging that he became disabled on April 27, 2002, due to a ruptured disc, surgery, and an “auto accident which complicated the surgery.” Transcript at 113. After Plaintiffs claims were denied both initially and upon review, a hearing was held before an Administrative Law Judge (“ALJ”) on April 12, 2005. The ALJ concluded that Plaintiff was not disabled under the law. The Appeals *600 Council denied Plaintiffs request for review, and Plaintiff filed the instant action.

ANALYSIS

The scope of judicial review of a final decision regarding disability benefits under the Social Security Act is limited to determining whether the findings of the ALJ are supported by substantial evidence and whether the correct law was applied. See Hays v. Sullivan, 907 F.2d 1453, 1456 (4th Cir.1990); 42 U.S.C. § 405(g) (providing that findings of fact shall be conclusive if supported by substantial evidence). Substantial evidence consists of more than a mere scintilla of evidence, but may be less than a preponderance of the evidence. Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 28 L.Ed.2d 842 (1971). The Court must not substitute its judgment for that of the Commissioner’s if the Commissioner’s decision is supported by substantial evidence. Hays, 907 F.2d at 1456.

In evaluating whether a claimant is disabled, an ALJ uses a multi-step process. First, a claimant must not be able to work in a substantial gainful activity. 20 C.F.R. § 404.1520. Second, a claimant must have a severe impact, which significantly limits his or her physical or mental ability to do basic work activities. Id. Third, to be found disabled, without considering a claimant’s age, education, and work experience, a claimant’s impairment must be of sufficient duration and must either meet or equal an impairment listed by the regulations. Id. Fourth, in the alternative, a claimant may be disabled if his or her impairment prevents the claimant from doing past relevant work. Id. Fifth, if a claimant cannot do past relevant work, he or she is disabled if an impairment prevents the claimant from doing other work. Id.

At step one, the ALJ determined that Plaintiff had not engaged in substantial gainful activity during the relevant time period. The ALJ found that Plaintiffs impairments were severe at step two, but did not meet or equal a listing at step three. At step four, the ALJ found that Plaintiff could not perform his past relevant work as a manager and nursery owner, but determined at step five that Plaintiff is able to perform jobs that exist in the national economy.

Plaintiff argues that the ALJ erred by failing to give proper weight to the testimony of Plaintiffs treating physicians. A treating physician’s opinion controls unless it is unsupported by medically acceptable clinical and laboratory diagnostic techniques or if it is inconsistent with other substantial evidence of record. 20 C.F.R. § 404.1527(d); Craig v. Chafer, 76 F.3d 585, 590 (4th Cir.1996). The ALJ states that she failed to give controlling weight to the opinions of Dr. Thigpen and Dr. Wilfong because they opine about Plaintiffs ability to maintain gainful employment and whether Plaintiff is disabled under A.M.A. standards. Transcript at 17. The ALJ correctly notes that whether a claimant is disabled is an issue that is reserved to the Commissioner. However, the ALJ erred by failing to consider the remaining portions of Dr. Thigpen’s and Dr. Wilfong’s opinions. Under Social Security regulations, medical opinions are “statements from physicians ... that reflect judgments about the nature and severity of [the claimant’s] impairment(s), including [the claimant’s] symptoms, diagnosis and prognosis, what [the claimant] can still do despite impairment(s), and [his or her] physical or mental restrictions.” 20 C.F.R. § 404.1527(a)(2).

Dr. Thigpen, Plaintiffs family physician, addresses Plaintiffs diagnosis and symptoms by stating “[t]he patient is post lumbar, post laminectomy, lumbar sacral radi-culopathy, discogenic pain.... The patient has continued to be symptomatic, but none *601 of the interventions that have been done have provided any significant relief.” Transcript at 249. Dr. Thigpen goes on to discuss Plaintiffs prognosis by stating “[r]ight now his prognosis for ever getting back into a 40 work week or 24/7 gainful employment level is pretty much unlikely.... The only options I think at this point-in-time is (sic) ... managing his pain so that he can be a little more functional and end up with less end stage morbidity as this thing continues to progress.” Id.

Dr. Wilfong, Plaintiffs neurosurgeon, states that Plaintiff has “MRI documented spinal stenosis which is well known to produce both severe back pain but also severe leg pain,” which constitutes a judgment about the nature and severity of Plaintiffs condition. Transcript at 234. Dr. Wilfong goes on to state that in his opinion Plaintiff has a “total lumbar spine disability.” Id.

The mere fact that Dr. Thigpen discusses Plaintiffs ability to work and Dr. Wil-fong uses the term “disability” in his opinion, should not, in the opinion of this court, discredit the treating physicians’ opinions in their entirety. As medical professionals, physicians should be entitled to express an opinion about the extent of a patient’s symptoms and the effects of those symptoms on the patient’s quality of life. Clearly, the ALJ is not bound by a medical professional’s opinion that a claimant is “disabled” or that a claimant will be unable to work. However, those statements, when considered in light of the totality of the medical opinion and the evidence in the record, should serve to support the physician’s opinion as to the severity of the claimant’s pain or dysfunction, not to disqualify the statement as a medical opinion.

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Cite This Page — Counsel Stack

Bluebook (online)
533 F. Supp. 2d 598, 2008 U.S. Dist. LEXIS 10914, 2008 WL 375982, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stephens-v-astrue-nced-2008.