Ferland v. SSA

District Court, D. New Hampshire
Ferland v. SSA, 2011 DNH 169 (2011)

Ferland v. SSA

Opinion

Ferland v. SSA 11-CV-123-SM 10/31/11 UNITED STATES DISTRICT COURT

DISTRICT OF NEW HAMPSHIRE

Leonard Ferland, Claimant

v. Case No. ll-cv-123-SM Opinion No.

2011 DNH 169

Michael J. Astrue, Commissioner, Social Security Administration, Defendant

O R D E R

Pursuant to

42 U.S.C. § 1383

(c)(3), Claimant, Leonard

Ferland, moves to reverse the Commissioner's decision denying hi

application for Supplemental Security Income Benefits under Titl

XVI of the Social Security Act (the "Act"),

42 U.S.C. § 1381

et

seq. The Commissioner objects and moves for an order affirming

his decision.

Factual Background

I. Procedural History

On June 11, 2008, claimant filed an application for

Supplemental Security Income benefits under Title XVI, alleging

that he had been unable to work since June 11, 2008. He asserts

eligibility for benefits on the basis of physical disabilities.

His application was denied and he requested an administrative

hearing before an Administrative Law Judge ("ALJ"). On June 25, 2010, claimant appeared by video before an ALJ,

who considered claimant's application de novo. An impartial

vocational expert and claimant's attorney also appeared at the

hearing. On September 21, 2010, the ALJ issued his written

decision, concluding that claimant retained the residual

functional capacity to perform light work, subject to additional

limitations. Accordingly, the ALJ concluded that "claimant has

not been under a disability . . . since June 11, 2008," as that

term is defined in the Act. Administrative Record ("Admin.

Rec.") 19. The ALJ's decision became the Commissioners' final

decision on January 13, 2011, after the Decision Review Board

failed to complete a timely review.

Subsequently, claimant filed a timely action in this court,

asserting that the ALJ's decision was not supported by

substantial evidence and seeking a remand for further

administrative proceedings. Doc. No. 1. Claimant then filed a

"Motion for Order Reversing Decision of the Commissioner." Doc.

No. 6. In response, the Commissioner filed a "Motion for Order

Affirming the Decision of the Commissioner." Doc. No. 9. Those

motions are pending.

II. Stipulated Facts

Pursuant to Local Rule 9.1(d), the parties submitted a Joint

Statement of Material Facts which is part of the court record.

2 Doc. No. 10. The facts included in that statement will be

referred to as appropriate.

Standard of Review

I. Properly Supported Findings by the ALJ are Entitled to Deference

Pursuant to

42 U.S.C. § 405

(g), the court is empowered "to

enter, upon the pleadings and transcript of the record, a

judgment affirming, modifying, or reversing the decision of the

Commissioner of Social Security, with or without remanding the

cause for a rehearing." Factual findings of the Commissioner are

conclusive if supported by substantial evidence.1 See

42 U.S.C. §§ 405

(g); Irlanda Ortiz v. Secretary of Health & Human Services,

955 F.2d 765, 769

(1st Cir. 1991). Moreover, provided the ALJ's

findings are supported by substantial evidence, the court must

sustain those findings even when there may also be substantial

evidence supporting the contrary position. See Tsarelka v.

Secretary of Health & Human Services,

842 F.2d 529, 535

(1st Cir.

1988) ("[W]e must uphold the [Commissioner's] conclusion, even if

the record arguably could justify a different conclusion, so long

l Substantial evidence is "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Consolidated Edison Co. v. NLRB,

305 U.S. 197, 229

(1938). It is something less than the weight of the evidence, and the possibility of drawing two inconsistent conclusions from the evidence does not prevent an administrative agency's finding from being supported by substantial evidence. Consolo v. Federal Maritime Comm'n.,

383 U.S. 607, 620

(1966).

3 as it is supported by substantial evidence."). See also

Rodriquez v. Secretary of Health & Human Services,

647 F.2d 218, 222

(1st Cir. 1981) ("We must uphold the [Commissioner's]

findings in this case if a reasonable mind, reviewing the

evidence in the record as a whole, could accept it as adequate to

support his conclusion.").

In making factual findings, the Commissioner must weigh and

resolve conflicts in the evidence. See Burgos Lopez v. Secretary

of Health & Human Services,

747 F.2d 37, 40

(1st Cir. 1984)

(citing Sitar v. Schweiker,

671 F.2d 19, 22

(1st Cir. 1982)). It

is "the responsibility of the [Commissioner] to determine issues

of credibility and to draw inferences from the record evidence.

Indeed, the resolution of conflicts in the evidence is for the

[Commissioner], not the courts." Irlanda Ortiz,

955 F.2d at 769

(citation omitted). Accordingly, the court will give deference

to the ALJ's credibility determinations, particularly when those

determinations are supported by specific findings. See

Frustaqlia v. Secretary of Health & Human Services,

829 F.2d 192, 195

(1st Cir. 1987) (citing Da Rosa v. Secretary of Health &

Human Services,

803 F.2d 24, 26

(1st Cir. 1986)).

II. The Parties' Respective Burdens

An individual seeking Social Security disability benefits is

disabled under the Act if he or she is unable "to engage in any

4 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). The Act places a heavy initial burden on

claimant to establish the existence of a disabling impairment.

See Bowen v. Yuckert,

482 U.S. 137, 146-47

(1987); Santiago v.

Secretary of Health & Human Services,

944 F.2d 1, 5

(1st Cir.

1991). To satisfy that burden, claimant must prove that his

impairment prevents him from performing his former type of work.

See Gray v. Heckler,

760 F.2d 369, 371

(1st Cir. 1985) (citing

Goodermote v. Secretary of Health & Human Services,

690 F.2d 5, 7

(1st Cir. 1982)). Nevertheless, claimant is not required to

establish a doubt-free claim. The initial burden is satisfied by

the usual civil standard: a "preponderance of the evidence." See

Paone v. Schweiker,

530 F. Supp. 808, 810-11

(D. Mass. 1982).

If claimant demonstrates an inability to perform his

previous work, the burden shifts to the Commissioner to show that

there are other jobs in the national economy that he can perform.

See Vazquez v. Secretary of Health & Human Services,

683 F.2d 1, 2

(1st Cir. 1982). See also

20 C.F.R. §§ 404.1512

(g). If the

Commissioner shows the existence of other jobs that claimant can

perform, then the overall burden to demonstrate disability

remains with claimant. See Hernandez v. Weinberger,

493 F.2d 5 1120, 1123

(1st Cir. 1974); Benko v. Schweiker,

551 F. Supp. 698, 701

(D.N.H. 1982).

In assessing a disability claim, the Commissioner considers

both objective and subjective factors, including: (1) objective

medical facts; (2) claimant's subjective claims of pain and

disability, as supported by the testimony of claimant or other

witnesses; and (3) claimant's educational background, age, and

work experience. See, e.g., Avery v. Secretary of Health & Human

Services,

797 F.2d 19, 23

(1st Cir. 1986); Goodermote,

690 F.2d at 6

. When determining whether a claimant is disabled, the ALJ

is also required to make the following five inquiries:

(1) whether claimant is engaged in substantial gainful activity;

(2) whether claimant has a severe impairment;

(3) whether the impairment meets or equals a listed impairment;

(4) whether the impairment prevents claimant from performing past relevant work; and

(5) whether the impairment prevents claimant from doing any other work.

20 C.F.R. § 404.1520

. Ultimately, a claimant is disabled only if

his:

physical or mental impairment or impairments are of such severity that he is not only unable to do his previous work but cannot, considering his age, education, and work experience, engage in any other

6 kind of substantial gainful work which exists in the national economy, regardless of whether such work exists in the immediate area in which he lives, or whether a specific job vacancy exists for him, or whether he would be hired if he applied for work.

42 U.S.C. § 423

(d)(2)(A).

With those principles in mind, the court reviews claimant's

motion to reverse and the Commissioner's motion to affirm his

decision.

Discussion

I. Background - The ALJ's Findings

The ALJ concluded that claimant was not under a disability

since June 11, 2008. In reaching his decision, the ALJ properly

employed the mandatory five-step sequential evaluation process

described in

20 C.F.R. § 404.1520

. He first determined that

claimant had not been engaged in substantial gainful employment

since his alleged onset of disability. Next, he concluded that

claimant has the severe impairments of "diabetes mellitus-Type II

with diabetic neuropathy and status post fracture of the left

shoulder." Admin. Rec. 14. Nevertheless, the ALJ determined

that those impairments, regardless of whether they were

considered alone or in combination, did not meet or equal one of

the impairments listed in 20 CFR Part 404, Subpart P, Appendix 1.

Admin. Rec. 16.

7 Next, the ALJ concluded that claimant retained the residual

functional capacity to perform "light work . . . except the

claimant cannot climb ladders or scaffolds," and is "limited to

occasional climbing of stairs/ramps and to occasional balancing,

stooping, kneeling and crawling." The ALJ further concluded that

claimant "needs to avoid exposure to extreme cold/heat, vibration

and to hazards including dangerous machinery and unprotected

heights." Admin. Rec. 16. The ALJ concluded, therefore, that

claimant "is unable to perform any past relevant work." Admin.

Rec. 18. He found, however, that "there are jobs that exist in

significant numbers in the national economy that the claimant can

perform," such as fast food worker, counter attendant, cashier,

and sales attendant. Admin. Rec. 18-19.

Consequently, the ALJ concluded that claimant was not

"disabled," as that term is defined in the Act. Admin. Rec. 19.

Claimant, therefore, was deemed ineligible for benefits.

II. The ALJ's RFC Finding is Supported by Substantial Evidence

The central dispute in this case is whether claimant can

stand for six hours in an eight-hour day. An occupational

therapist opined that he cannot do so because of sensory and

balance problems. Admin. Rec. 461. The ALJ, nevertheless, found

as part of his RFC determination that claimant could do "light

work," which includes day-long sitting and/or standing. See

20 C.F.R. §§ 404.1567

(b), 416.967(b) ("light work" entails lifting

10 pounds frequently or 20 pounds occasionally, or sitting most

of the day with pushing or pulling, or, "a good deal of walking

or standing . . . .").

The ALJ patterned his RFC finding on the August 2008

residual functional capacity assessment of the state agency

reviewer. Dr. Fairly. See Dr. Fairly Report, Admin. Rec. 401-08.

In his report. Dr. Fairly checked the box on the form indicating

that claimant can "[s]tand and/or walk (with normal breaks) for a

total of . . . about 6 hours in an 8-hour workday," and noted

that he can "occasionally . . . climb ramps and stairs, balance,

stoop, kneel, crouch, and crawl." Admin. Rec. 402-03. Dr.

Fairly discussed, albeit briefly, the medical support for his

conclusions regarding claimant's postural limitations (which

include balance), noting in particular, that claimant's pain is

"controlled by Oxycodone, Neurontin," and that, despite his

"sensory loss to below knees," "he is otherwise neurologically

intact [and] has normal gait, station, posture." .Id. at 403.

Claimant argues that the ALJ's RFC is not supported by

substantial evidence. Specifically, he contends that the ALJ

should not have relied on Dr. Fairly's assessment because Dr.

Fairly was a non-examining reviewer and because he did not review

more recent medical records. Doc. No. 6-1, pgs. 3, 8.

9 Claimant's arguments are unavailing. First, as a general

matter, an ALJ may place "[glreater reliance" on the assessment

of a non-examining physician where the physician "reviewed the

reports of examining and treating doctors . . . and supported

[his] conclusions with reference to medical findings." Quintana

v. Comm'r of Social Security,

2004 WL 2260103

, at *1 (1st Cir.

2 004) . See also

20 C.F.R. § 404.1527

(d) (3) ("[B]ecause

nonexamining sources have no examining or treating relationship

with you, the weight we will give their opinions will depend on

the degree to which they provide supporting explanations for

their opinions."). Here, it is clear from his report that Dr.

Fairly relied on the most recent (at the time) medical report

from claimant's treating physician assistant, Mr. Tony Petrillo.

See Admin. Rec. 403. There are no indications as to what

additional records Dr. Fairly reviewed, but claimant has not

argued that Dr. Fairly had an incomplete record before him at the

time of his 2008 assessment.2 In light of this, and because Dr.

Fairly did not merely "check [...] . . . boxes," Berrios Lopez v.

Secretary of Health & Human Services,

951 F.2d 427, 431

(1st Cir.

2 Claimant does take issue with the fact that neither Dr. Fairly nor the ALJ discussed medical records dating back as far as 2003 which show abnormal glucose and creatinine readings. Claimant argues that these readings "are an indication of plaintiff's energy and continuing problems controlling his diabetes." Doc. No. 6-1, pg. 7. But that is an inferential leap which, arguably, is contradicted by the medical evidence. In medical notes from 2008 and 2009, for example, claimant's treating physician assistant, Mr. Petrillo, noted that claimant's diabetes was "stable." Admin. Rec. 428, 432.

10 1991) (per curiam), but also provided a medical-based explanation

for his conclusions regarding postural limitations, the ALJ, as a

general matter, was entitled to rely on his assessment.3

In addition, the fact that Dr. Fairly did not review later

medical records does not necessarily preclude the ALJ from

relying on his RFC assessment. "It can indeed be reversible

error for an administrative law judge to rely on an RFC opinion

of a non-examining consultant when the consultant has not

examined the full medical record." Strout v. Astrue, Civil No.

08-181-B-W,

2009 WL 214576

, at *8 (D. Me. Jan. 28, 2009) (citing

Rose v. Shalala,

34 F.3d 13, 18

(1st Cir. 1994)). However, an

ALJ may rely on such an opinion where the medical evidence post­

dating the reviewer's assessment does not establish any greater

limitations, see id. at *8-9, or where the medical reports of

claimant's treating providers are arguably consistent with, or at

least not "clearly inconsistent" with, the reviewer's assessment.

See Torres v. Comm'r of Social Security, Civil No. 04-2309,

2005 WL 2148321

, at *1 (D.P.R. Sept. 6, 2005) (upholding ALJ's

reliance on RFC assessment of non-examining reviewer where

medical records of treating providers were not "in stark

3 Importantly, the ALJ relied not only on Dr. Fairly's 2008 RFC assessment, but also on the test results from the occupational therapist's 2010 functional capacity evaluation. As discussed infra, the ALJ accepted the test results but rejected the therapist's opinion regarding standing tolerances for an eight- hour day.

11 disaccord" with the RFC assessment). See also McCuller v.

Barnhart, No. 02-30771,

2003 WL 21954208

, at *4 n.5 (5th Cir.

2003) (holding ALJ did not err in relying on non-examining

source's opinion that was based on an incomplete record where he

independently considered medical records dated after the non­

examining source's report). In Strout, the court held that the

ALJ did not err in relying on the opinion of a non-examining

state agency medical reviewer who had not reviewed the full

record. Strout,

2009 WL 214576

, at *8-9. The court upheld the

ALJ's decision because the evidence that was unavailable to the

non-examining source did not reflect a greater degree of

limitation than that assessed by the reviewer. Xd. Here, the

ALJ reviewed the recent medical reports that were not available

to Dr. Fairly at the time of his 2008 assessment — including

later reports from Mr. Petrillo and the 2010 functional capacity

testing of occupational therapist Jeff Abrahamson. See Admin.

Rec. 15-17. The ALJ concluded that Dr. Fairly's assessment was

"consistent" with this "more recent" evidence. Admin. Rec. 17.

"And now we come at last to the nub of the case." Oak Brook

Bank v. Northern Trust Co.,

256 F.3d 638, 640

(7th Cir. 2001)

(Posner, J.). Claimant's arguments come down, primarily, to this

contention: the ALJ's conclusion that Dr. Fairly's assessment is

consistent with the newer evidence is not supported by the

record. According to claimant, the ALJ gave too little weight to

12 portions of recent medical records that were inconsistent with

Dr. Fairly's assessment. Admin. Rec. 17-18. The evidence to

which the ALJ gave little weight consists primarily of (1) that

portion of Mr. Abrahamson's functional capacity evaluation in

which he opines about claimant's ability to stand during an

eight-hour workday and (2) medical records evidencing pain and

fatigue.4 Claimant contends that these pieces of evidence are

entitled to greater weight, and, when properly credited,

undermine Dr. Fairly's assessment. The Commissioner responds

that the ALJ properly exercised his discretion to weigh the

inconsistent evidence against the record as a whole and,

therefore, did not err in finding that that evidence did not

undermine Dr. Fairly's assessment. See Admin. Rec. 17.

The ALJ's decision to give little weight to the opinion

expressed by Mr. Abrahamson in his Functional Capacity Evaluation

and to the medical records containing evidence of pain and

4 Medical records also document other problems relating to claimant's diabetes, such as poor kidney function and poorly controlled blood glucose levels; significant dental issues; hand tremors; and insomnia. As the Commissioner correctly points out, however, claimant has not explained how, for instance, the loss of all lower teeth or insomnia (which is being treated with medication) affects his ability to perform during an eight-hour workday. Moreover, to the extent that these conditions might be said to indirectly support claimant's complaints of fatigue and pain (because they are evidence of the severity of his diabetes), the record, as the ALJ noted, contains evidence contradicting claimant's allegations of disabling pain and fatigue. Admin. Rec. 17-18 .

13 fatigue will be upheld if supported by substantial evidence in

the record. Irlanda Ortiz,

955 F.2d at 769

.

Mr. Abrahamson's Functional Capacity Evaluation

In August, 2010, occupational therapist Jeff Abrahamson

conducted a Functional Capacity Evaluation. Mr. Abrahamson's

evaluation consists of (1) test results and (2) his opinion

regarding claimant's ability to stand during an eight-hour

workday.

With regard to the test results, Mr. Abrahamson found that

claimant "demonstrated an ability to perform light level lifting,

with the exception of overhead lifting" over five pounds. Jt.

Statement of Material Facts," Doc. No. 10, pg. 6. The testing

also showed that claimant "demonstrated an ability to sit for 30

minutes at one time, and 2 hours total in the 3h hour exam; to

stand for 25 minutes at one time, and lh hours total in the 3h

hour exam." Xd. at 7. Mr. Abrahamson further noted that

claimant "was able to complete balance testing with his left leg

and eyes open for 20 seconds with upper body support; used his

upper extremity and left lower extremity in order to balance on

his right leg with eyes open for 20 seconds; and was unable to

take a single step with his eyes closed on the balance beam."

Id. 6-7. Mr. Abrahamson further found that claimant's

performance during testing was "consistent" with the "sensory

14 deficits in his legs . . . a condition well documented in his

medical chart . . . ." Admin. Rec. 461-62.

Mr. Abrahamson also offered his opinion regarding claimant's

standing and sitting tolerances for an eight-hour workday. As

noted, claimant was able to stand for hours during the 3h hour

evaluation. Mr. Abrahamson opined, however, that claimant "could

be expected to have the same sitting and standing tolerance for

an eight-hour day due to balance and sensory issues in his leg."

Jt. Statement of Material Facts, Doc. No. 10, pg. 7; see also

Admin. Rec. 4 61. Mr. Abrahamson's opinion about the limiting

effects of claimant's balance problem was based, at least in

part, on his observation that claimant supported himself "with

both hands during the entire [treadmill] test," Admin. Rec. 469,

and presumably also on the fact that claimant used upper body

support during the balance tests. Admin. Rec. 460-61.

The ALJ considered Mr. Abrahamson's evaluation and gave it

"little weight." Admin. Rec. 17. He credited the test results

which showed claimant "performed at the light to medium level,

except for overhead reaching." Xd. He gave little credence,

however, to Mr. Abrahamson's opinion regarding claimant's ability

to stand during a full workday. I_ci. at 17-18.

15 Under the regulations, Mr. Abrahamson is not an "acceptable

medical source."

20 C.F.R. §§ 404.1513

(d) and 416.913(d).

Nevertheless, his report is "'important and should be evaluated

[by the ALJ] on key issues such as impairment severity and

functional effects.'" Dumensil v. Astrue, Civil No. 10-cv-060-

SM,

2010 WL 3070107

, at * 5 (D.N.H. Aug. 4, 2010) (quoting SSR

06-03 p at *3). The ALJ must, therefore, "discuss at least some

of [the] reasons" for the weight he accorded Mr. Abrahamson's

opinion.

Id.

The ALJ did so, offering several reasons for rejecting Mr.

Abrahamson's opinion that claimant's standing tolerance for an

entire workday would be the same as his tolerance during the 3b

hour evaluation: (1) "Mr. Abrahamson is not an accepted medical

source"; (2) although Mr. Abrahamson found some "minor"

discrepancy between claimant's perception of his abilities and

his actual abilities, he nevertheless accepted claimant's

subjective statements of pain and imbalance; (3) "[t]here is no

support in the record for balance issues, with claimant's medical

providers consistently noting that he has a normal gait and

station." Admin. Rec. 18.5

5 This case is unlike Dumensil,

2010 WL 3070107

, at *5. In that case, the "non-acceptable" medical source — a treating physician assistant — had offered an opinion about claimant's ability to do work-related activities. This court remanded because the ALJ had provided no reasons for rejecting that opinion, other than the fact that the physician assistant was a non-acceptable medical source and because "her opinions are not supported by the medical

16 But claimant says those reasons are largely factually

inaccurate. To the extent that the record contains non-

subjective evidence that claimant suffers from balance problems,

claimant is correct. Mr. Abrahamson's objective testing (to

which the ALJ generally gave credence) shows that claimant used

his upper and lower body to support himself during the twenty-

second one-legged balance tests, and that he was putting in full-

effort during the 3.5 hours of testing. In addition, a 2001

treating physician note indicated some "decrease in balance" and

"slight symptoms of imbalance." Admin. Rec. 202. But the ALJ is

not entirely wrong that Mr. Abrahamson also relied on subjective

evidence in reaching his opinion. Mr. Abrahamson's observation

that claimant held onto the treadmill supports during the entire

treadmill test is an objective finding, but the inference he

draws from that observation, i.e., that claimant supported

himself because of a balance problem is somewhat subjective.

Moreover, the record contains evidence contrary to Mr.

Abrahamson's conclusion about the existence or severity of any

balance problem. As recently as April 2008, claimant's treating

physician assistant, Mr. Petrillo, noted "normal gait and

station." Admin Rec. 17. And in his several reports over the

evidence on record." Jd. Here, the ALJ's reasons are not so conclusory, and thus, are sufficient to allow the court "to determine whether [his] discretion was exercised reasonably." Id. at *5.

17 years, Mr. Petrillo never mentioned any balance problems,

including in his 2008-09 reports. See Rose v. Astrue, No. 3:08-

cv-485,

2009 WL 6093384

, at *6 (S.D. Ohio Oct. 27, 2009) ("[I]n

contrast to the physical therapist's opinion, no other physician

of record indicated that Plaintiff is as limited as the physical

therapist described.").

In addition, claimant's activities of daily living can

reasonably be viewed as inconsistent with a standing or balancing

problem of the severity described by Mr. Abrahamson. Although

claimant testified that during his daily walks he "rest[s] at the

park," and that "his legs g[e]t shaky" after walking a couple of

blocks, he also testified that he "occasionally" takes a second

walk at night; cooks quick meals; shops; does chores including

meal preparation, dishes and laundry; and a few times a year goes

"4-wheeling" with his step-son. Doc. No. 10 pgs. 8-9; Admin.

Rec. 17. In addition, when asked by the ALJ whether he had "any

problems being on [his] feet standing or walking," claimant

mentioned that his legs get shaky when he walks, but did not

mention any problems with balance. Admin. Rec. 35.

The ALJ was entitled to resolve these evidentiary conflicts.

Irlanda Ortiz,

955 F.2d at 769

. In short, although the record

reasonably supports claimant's allegation of a disabling

limitation on his ability to stand, it also contains substantial

18 evidence supporting the ALJ's conclusion that Mr. Abrahamson's

opinion regarding the severity of the limitation is not wholly

credible. See Evangelista v. Secretary of Health & Human

Services ,

826 F.2d 136, 144

(1st Cir. 1987) ("We must affirm the

Secretary's [determination], even if the record arguably could

justify a different conclusion, so long as it is supported by

substantial evidence.") (quotation omitted) (alteration in

original).

Medical Reports Containing Statements of Pain and Fatigue

Claimant argues that statements in medical records post­

dating Dr. Fairly's assessment regarding the severity of his pain

and his level of fatigue are inconsistent with Dr. Fairly's

assessment, and therefore, the ALJ's RFC finding. Those

statements are claimant's self-reported complaints to physician

assistant, Mr. Petrillo. The ALJ considered claimant's

allegations of the severity of his symptoms and found them not

fully credible in light of the totality of the medical evidence

and evidence of claimant's daily activities. Admin. Rec. 17-18.6

The ALJ's resolution of these evidentiary conflicts is entitled

to deference, Irlanda Ortiz,

955 F.2d at 769

, and his

6 Both Dr. Fairly and the ALJ considered claimant's allegations of fatigue. Dr. Fairly noted a secondary diagnosis of fatigue. Admin. Rec. 401, and the ALJ noted that claimant reported fatigue to his primary care provider, physician assistant Petrillo, in August 2 008. Admin. Rec. 15.

19 determination that claimant's complaints are not fully credible

is supported by substantial evidence. Accordingly, to the extent

that Dr. Fairly's assessment is inconsistent with more recent

medical records containing claimant's complaints of pain and

fatigue, it is not undermined, and the ALJ did not err in relying

on it.

For these reasons, the court finds that the ALJ's RFC

finding is supported by substantial evidence.

III. ALJ's Hypothetical to the ALJ

Claimant's remaining argument — that the ALJ's hypothetical

to the vocational expert failed to include all of his limitations

— is easily rejected. Because substantial evidence supports the

ALJ's RFC finding, his hypothetical to the vocational expert,

which included all of the limitations articulated in his RFC, was

based on relevant "inputs." See Arocho v. Secretary of Health &

Human Services,

670 F.2d 374, 375

(1st Cir. 1982) ("[IJnputs into

[the] hypothetical must correspond to conclusions that are

supported by the outputs from the medical authorities."). See

also Swanick v. Apfel, No. Civ. 99-293-M,

2000 WL 1507421

, at *9

(D.N.H. July 25, 2000) ("Since the ALJ did not err in discounting

claimant's subjective complaints of fatigue, his failure to

include that limitation in his hypothetical question to the

vocational expert does not constitute error.").

20 Accordingly, the court finds that the ALJ did not err in

relying on the vocational expert's answer to the hypothetical

posed.

Conclusion

Claimant's motion to reverse the decision of the

Commissioner (document no. 6_) is denied. The Commissioner's

motion to affirm his decision (document no. 9_) is granted. The

Clerk of Court shall enter judgment in accordance with this order

and close the case.

SO ORDERED.

Smeven McAuliffe Chief Judge

October 31, 2011

cc: Bennett B. Mortell, Esq. Gretchen L. Witt, Esq.

21

Reference

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