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Alshimari v. Comm'r of Soc. Sec.

United States District Court, E.D. Michigan, Southern Division

November 21, 2014


For Adward A. Alshimari, Plaintiff: Meredith E. Marcus, Kelie C. Schneider, Daley Disability Law, P.C., Chicago, IL; Thomas J. Bertino, Wyandotte, MI.

For Carolyn W. Colvin, Acting Commissioner, Defendant: Daniel S. Tarabelli, Social Security Administration, Assistant Regional Counsel, Boston, MA; Lynn Marie Dodge, U.S. Attorney's Office, Detroit, MI.



CHARLES E. BINDER, United States Magistrate Judge.


This Court RECOMMENDS that Plaintiff's Motion for Summary Judgment (docket 18) be DENIED, that Defendant's Motion for Summary Judgment (doc. 21) be GRANTED, and the decision of the Commissioner be affirmed.


A. Introduction and Procedural History

Pursuant to 28 U.S.C. § 636(b)(1)(B), E.D. Mich. LR 72.1(b)(3), and by Notice of Reference, this case was referred to this magistrate judge for the purpose of reviewing the Commissioner's decision denying Plaintiff's claim for supplemental security income benefits (SSI). The matter is currently before this Court on cross-motions for summary judgment.[2] (Docs. 18, 21.)

Plaintiff filed an application for SSI on June 1, 2011, alleging that he became unable to work on June 1, 2011. (Transcript, Doc. 12 at 40-41, 83.) Plaintiff's claims were denied at the initial administrative stages. (Tr. 83.) On April 1, 2013, Plaintiff appeared at a hearing before Administrative Law Judge (" ALJ") David F. Neumann, who considered the application for benefits de novo . (Tr. 27, 32-34.) In a decision dated May 24, 2013, the ALJ found that Plaintiff was not under a disability within the meaning of the Social Security Act at any time from June 1, 2011, the date of application, through the date of the ALJ's decision. (Tr. 27.) Plaintiff requested Appeals Council review of this decision. (Tr. 10.)

The ALJ's decision became the final decision of the Commissioner, see Wilson v. Comm'r of Soc. Sec., 378 F.3d 541, 543-44 (6th Cir. 2004), on October 25, 2013, when the Appeals Council denied Plaintiff's request for review. (Tr. 5-9.) On February 19, 2014, Plaintiff filed the instant suit seeking judicial review of the Commissioner's unfavorable decision.

B. Standard of Review

Pursuant to 42 U.S.C. § 405(g), this Court has jurisdiction to review the Commissioner's final decisions. Judicial review of the Commissioner's decisions is limited to determining whether his findings are supported by substantial evidence and whether he employed the proper legal standards. See Walters v. Comm'r of Soc. Sec., 127 F.3d 525, 528 (6th Cir. 1997). Substantial evidence is " more than a scintilla . . . but less than a preponderance; it is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Rogers v. Comm'r of Soc. Sec., 486 F.3d 234, 241 (6th Cir. 2007)(quoting Cutlip v. Sec'y Health and Human Servs., 25 F.3d 284, 286 (6th Cir. 1994)); see also Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 28 L.Ed.2d 842 (1971)(quoting Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229, 59 S.Ct. 206, 83 L.Ed. 126 (1938)); Walters, 127 F.3d at 528. It is not the function of this Court to try cases de novo, resolve conflicts in the evidence or decide questions of credibility. See Brainard v. Sec'y of Health and Human Servs., 889 F.2d 679, 681 (6th Cir. 1989); Garner v. Heckler, 745 F.2d 383, 387 (6th Cir. 1984).

In determining the existence of substantial evidence, the court must examine the administrative record as a whole. See Kirk v. Sec'y of Health and Human Servs., 667 F.2d 524, 536 (6th Cir. 1981), cert. denied, 461 U.S. 957, 103 S.Ct. 2428, 77 L.Ed.2d 1315 (1983). If the Commissioner's decision is supported by substantial evidence, it must be affirmed, even if the reviewing court would decide the matter differently, Kinsella v. Schweiker, 708 F.2d 1058, 1059 (6th Cir. 1983), and even if substantial evidence also supports another conclusion. See Her v. Comm'r of Soc. Sec., 203 F.3d 388, 389-90 (6th Cir. 1999). " The substantial evidence standard presupposes that there is a 'zone of choice' within which the Commissioner may proceed without interference from the courts." Felisky v. Bowen, 35 F.3d 1027, 1035 (6th Cir. 1994)(citing Mullen v. Bowen, 800 F.2d 535, 545 (6th Cir. 1986)(en banc)(citations omitted)).

" Both the court of appeals and the district court may look to any evidence in the record, regardless of whether it has been cited by the Appeals Council." Heston v. Comm'r of Soc. Sec., 245 F.3d 528, 535 (6th Cir. 2001). There is no requirement, however, that either the ALJ or the reviewing court discuss every piece of evidence in the administrative record. Kornecky v. Comm'r of Soc. Sec., 167 Fed.Appx. 496, 508 (6th Cir. 2006)(" [a]n ALJ can consider all the evidence without directly addressing in his written decision every piece of evidence submitted by a party")(citations omitted); Van Der Maas v. Comm'r of Soc. Sec., 198 Fed.Appx. 521, 526 (6th Cir. 2006).

C. Governing Law

Disability for purposes of SSI is defined as being:

[U]nable 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. § 1382c(a)(3)(A); 20 C.F.R. § 416.905(a)(SSI). Plaintiff's Social Security disability determination is to be made through the application of a five-step sequential analysis:

Step One: If the claimant is currently engaged in substantial gainful activity, benefits are denied without further analysis.
Step Two: If the claimant does not have a severe impairment or combination of impairments that " significantly limits . . . physical or mental ability to do basic work activities, " benefits are denied without further analysis.
Step Three: If the claimant is not performing substantial gainful activity, has a severe impairment that is expected to last for at least twelve months, and the severe impairment meets or equals one of the impairments listed in the regulations, the claimant is conclusively presumed to be disabled regardless of age, education or work experience.
Step Four: If the claimant is able to perform his or her past relevant work, benefits are denied without further analysis.
Step Five: Even if the claimant is unable to perform his or her past relevant work, if other work exists in the national economy that plaintiff can perform, in view of his or her age, education, and work experience, benefits are denied.

See 20 C.F.R. § 416.920. See also Heston, 245 F.3d at 534. " If the Commissioner makes a dispositive finding at any point in the five-step process, the review terminates." Colvin v. Barnhart, 475 F.3d 727, 730 (6th Cir. 2007).

" Through step four, the claimant bears the burden of proving the existence and severity of limitations caused by [his] impairments and the fact that [he] is precluded from performing [his] past relevant work." Jones v. Comm'r of Soc. Sec., 336 F.3d 469, 474 (6th Cir. 2003)(cited with approval in Cruse v. Comm'r of Soc. Sec., 502 F.3d 532, 540 (6th Cir. 2007)); see also Boyes v. Sec'y of Health & Human Servs., 46 F.3d 510, 512 (6th Cir. 1994)(" [c]laimant bears the burden of proving his entitlement to benefits."). If the analysis reaches the fifth step without a finding that the claimant is not disabled, the burden transfers to the Commissioner. See Combs v. Comm'r of Soc. Sec., 459 F.3d 640, 643 (6th Cir. 2006). At the fifth step, the Commissioner is required to show that " other jobs in significant numbers exist in the national economy that [claimant] could perform given [his] RFC [residual functional capacity] and considering relevant vocational factors." Rogers, 486 F.3d at 241 (citing 20 C.F.R. § 416.920(a)(4)(v), (g)).

D. ALJ Findings

The ALJ applied the Commissioner's five-step disability analysis to Plaintiff's claim and found at step one that Plaintiff had not engaged in substantial gainful activity since June 1, 2011, the application date. (Tr. 18.) At step two, the ALJ found that Plaintiff's early medial compartment arthrosis of the right knee, coronary artery disease status post stent to left anterior descending artery, diabetes mellitus type II, obesity, small herniated disk of the cervical spine, small disk extrusion of the lumbar spine and major depressive disorder are " severe" impairments within the meaning of the second sequential step. (Tr. 18.) At step three, the ALJ found no evidence that Plaintiff's combination of impairments met or equaled one of the listings in the regulations. (Tr. 18-20.) The ALJ found that the Plaintiff had the residual functional capacity (RFC) to perform a range of light work as defined in the Regulations[3] with the following additional limitations:

[T]he claimant could lift or carry 10 pounds frequently and 20 pounds occasionally; could stand and/or walk (with normal breaks) for a total of 2 hours in an 8-hour workday and could sit (with normal breaks) for a total of 6 hours in an 8-hour workday; should avoid frequent ascending and descending of stairs; could perform pushing and pulling motions with his upper and lower extremities within the aforementioned weight restrictions; could occasionally climb ramps and steps, balance, stoop, kneel, crouch, and crawl; would require simple, routine, and repetitive work at an SVP of 1 or 2; occasional contact with supervisors, co-workers, and the public; and would have no need to use, read, or write English. (Tr. 20.)

At step four, the ALJ found that Plaintiff has no past relevant work. (Tr. 26.) At step five the ALJ found that Plaintiff was not disabled because he retains the ability to perform jobs that exist in significant numbers in the national economy. (Tr. 26.)

E. Administrative Record

Plaintiff used an interpreter at the hearing. Plaintiff was 49 years old at the time of the hearing. (Tr. 38.) He completed the twelfth grade in Iraq. (Tr. 39.) Plaintiff lives with his wife, two of his daughters and his son. (Tr. 50.) Plaintiff has a driver's license. (Tr. 40.) He testified that he does not drive, his son takes him out once a week, yet he also testified that he drove three days prior to the hearing to get bread. (Tr. 51.)

Plaintiff testified that his back pain started in 1992, he has pain in both legs, with the right worse than that left, he has " strong" neck pain when he gets out of bed, and he has right knee pain. (Tr. 42-44.) Plaintiff testified that he wears compression socks that were prescribed by his doctor. (Tr. 39.) He explained that he takes medication for pain, but it is " not doing anything" for him. (Tr. 45.) He testified that he can make a grocery list in Arabic but not in English. (Tr. 40.) He testified that he does not know how to use a microwave oven. (Tr. 50.) He can take out a small bag of trash, but he does not do other house or yard work. (Tr. 50-52.) He testified that he watches Arabic news on television. (Tr. 52.)

Plaintiff underwent stenting of a subtotally occluded LAD in September 2009. (Tr. 450.) An April 2012 echocardiogram was normal and stress testing was normal, including no arrythmias and negative for myocardial ischemia. (Tr. 445, 450.) A January 5, 2010 MRI of the lumbar spine reveals a " small broad-based disc extrusion in the left foraminal/paracentral region" at L5/S1 " resulting in moderate narrowing of the left neural foramen with possible encroachment on the left L5 nerve root. (Tr. 441.) A January 12, 2010 MRI of the cervical spine revealed a " [s]mall, focal, midline herniated disc at C5-6" and " a cavity within the central portion of the cord at the level of C6 and 7" that " may simply represent a dilated central canal. (Tr. 440.) A March 2012 MRI of the right knee revealed a medial collateral ligament sprain and a " [h]igh-grade partial versus full-thickness tear of the medial patellofemoral ligament." (Tr. 485.)

Plaintiff treated with Pravin Soni, M.D., at ACCESS for his mental health issues. (Tr. 487-90.) ACCESS notes state that Plaintiff had been seen there for individual therapy and medical review since April 25, 2012, had been seen for therapy four times since March 2012, and had seen the psychiatrist twice since March 2012. (Tr. 493.) Dr. Soni completed a Mental Residual Functional Capacity Questionnaire dated March 1, 2013, on which he indicated that he treated Plaintiff every three months for thirty minutes. (Tr. 487, 490.) On the portion of the questionnaire regarding " mental abilities and aptitudes needed to do unskilled work, " the doctor identified all aptitudes as being within the " limited but satisfactory" or " seriously limited, but not precluded" categories and identified no aptitudes as falling within the " unable to meet competitive standards" or " no useful ability to function" categories. (Tr. 489.) He opined that Plaintiff's impairments or treatment would cause him to be absent from work more than four days per month. (Tr. 490.)

The ALJ questioned the vocational expert (VE) at the hearing. The ALJ asked the VE to consider an individual of the Plaintiff's age, education and work experience with the following limitations:

[W]ho would require work which is simple, routine, repetitive work at an SVP: 1 or 2 who could lift or carry 10 pounds frequently and 20 pounds occasionally. Who could stand or walk with normal breaks for a total of six hours in an eight-hour workday, who could sit with normal breaks for a total of six hours in an eight-hour workday, stand and walk six, sit six, avoid frequent ascending and descending stairs, who could perform pushing and pulling motions with their upper extremities within those weight restrictions, who could perform each of the following postural activities occasionally. Climbing ramps and stairs, balancing, stooping, kneeling, crouching and crawling and no need to use, read or write English. (Tr. 57.)

The VE testified that there are light exertion, unskilled jobs that fit this category, including cleaners, who clean vacated office buildings or hotel and motel rooms, with 8, 500 jobs in the state, half as many in the southeast Michigan area and a Dictionary of Occupational Titles (DOT) code 323.687-014; hand packagers with 25, 000 jobs in the state and half as many in southeast Michigan, and a representative DOT code 559.687-074; hand assemblers with 25, 000 jobs in the state and half as many in southeast Michigan and representative DOT code 706.684-022; and inspectors and sorters with 15, 000 in Michigan, half as many in southeast Michigan and representative DOT code 222.687-042. (Tr. 58.)

The ALJ then asked the VE to consider the same individual as the first hypothetical with the additional limitations to " occasional contact with supervisors, coworkers and the public and the person could stand or walk with normal breaks for a total of two hours in an eight-hour workday and sit with normal breaks for a total of six hours in an eight-hour workday." (Tr. 58.) The VE clarified that such an individual would need to sit at benches or tables in the performance of light occupations, yet is able to perform the weight requirements for light work. (Tr. 59.) The VE testified that such an individual could perform jobs such as hand packager, reduced to 12, 000 jobs in Michigan, hand assemblers reduced to 10, 000 jobs in Michigan, inspectors and sorters reduced to 8, 000 jobs in Michigan, and half as many jobs in each category in the southeast Michigan area, with the same representative DOT codes as given in response to the prior hypothetical question. (Tr. 59.) The VE based the performance of seated jobs at the light exertional level, which is a variance from the DOT, on her professional work experience. (Tr. 60.)

The ALJ then asked the VE to consider an individual who would miss work four times per month on a consistent basis. (Tr. 59.) The VE testified that such a limitation would be preclusive of full-time competitive work. (Tr. 59.) Finally, the ALJ asked the VE to consider the second hypothetical question, with the addition that the individual would be off task for 20 percent of the workday. (Tr. 60.) The VE called this the " cusp of acceptability, " explained breaks and general tolerances for being off task during the day, and concluded that the prior numbers of jobs would still be available. (Tr. 60.) Plaintiff's representative follow-up with questions to the ALJ regarding the VE testimony and stated her position that neither hypothetical one nor two was supported by the medical record. (Tr. 61.)

F. Analysis

Plaintiff claims that the ALJ's credibility determination was erroneous and that the RFC was not supported by substantial evidence. As an initial matter, the ALJ correctly determined whether Plaintiff was disabled between his June 1, 2011 application date and the date of the ALJ's May 24, 2013 decision, yet considered evidence prior to that time period to the extent it was relevant. See Casey v. Sec'y of Health & Human Servs., 987 F.2d 1230, 1233 (6th Cir. 1993) (" The proper inquiry in an application for SSI benefits is whether the plaintiff was disabled on or after [his] application date.").

Plaintiff argues that the ALJ summarized Plaintiff's medical evidence but " made no specific findings regarding inconsistencies that be (sic) believed to exist" and that it " is not enough for the ALJ to generally state that he did not feel the objective findings were severe enough to cause pain." (Doc. 18 at 16.) The ALJ is required by the Regulations to explain his credibility determination with respect to Plaintiff's symptoms. See 20 C.F.R. § 416.929; see also SSR 96-4p " [A]n ALJ's findings based on the credibility of the applicant are to be accorded great weight and deference, particularly since an ALJ is charged with the duty of observing a witness's demeanor and credibility." Walters, 127 F.3d at 531. Credibility assessments are not insulated from judicial review. Despite deference due, such a determination must nevertheless be supported by substantial evidence and contain specific reasons for the weight the adjudicator assigned to the individual's statements. See id .; SSR 96-7p.

To the extent that the ALJ found that Plaintiff's statements are not substantiated by the objective medical evidence in the record, the Regulations explicitly provide that " we will not reject your statements about the intensity and persistence of your pain or other symptoms or about the effect your symptoms have on your ability to work . . . solely because the available objective medical evidence does not substantiate your statements." 20 C.F.R. § 416.929(c)(2). In addition to objective medical evidence, the ALJ must consider all the evidence of record in making his credibility determination. See 20 C.F.R. § 416.929(c)(2), (3); see also Felisky, 35 F.3d at 1039-41. Relevant factors to be considered include the following: daily activities, location, duration, frequency and intensity of pain and other symptoms, precipitating and aggravating factors, medicine including the type, dosage, effectiveness and side effects, treatment for relief of pain or other symptoms, any measures used to relieve pain, and " [o]ther factors concerning your functional limitations and restrictions due to pain or other symptoms." 20 C.F.R. § 416.929(c)(3)(i)-(vii).

An ALJ is not precluded from focusing on the objective medical evidence in considering limitations and restrictions related to symptoms. As set forth above, the analysis of symptoms and resultant limitations starts with the " existence of a medically determinable physical or mental impairment, " which " cannot be established in the absence of objective medical abnormalities; i.e., medical signs and laboratory findings." SSR 96-4p, The ALJ properly considered the objective medical evidence of record in his findings, including in the context of Plaintiff's credibility. For example, the ALJ pointed out moderate findings by MRI, Plaintiff's cardiac improvement post-stenting, and a recent cardiac work-up that was essentially normal or negative. (Tr. 22-24, 440-41, 445, 450, 482, 485.)

Contrary to Plaintiff's argument, the ALJ cited specific evidence to support his credibility determination. The ALJ considered Plaintiff's activities of daily living. With respect to activities of daily living, Plaintiff testified that he is able to dress, bathe and take care of his personal needs. (Tr. 21, 25, 48.) He testified that he does not shop. (Tr. 21, 48-49.) Then he clarified that he will go to a small store if he is feeling okay. (Tr. 49.) He testified that if he goes to the store, he pays for his items with a Bridge card and does not pay in cash unless his son gives him cash. (Tr. 49.) He reportedly watches television and reads. (Tr. 21, 220.)

The ALJ pointed out that activities of daily living to which Plaintiff testified were more restricted than those he reported in a Function Report dated June 21, 2011.[4] (Tr. 25, 216-223.) In the Function Report it was reported that he can prepare frozen dinners for 5 to 10 minutes at a time and he is able to pay bills, count change, handle a savings account and use a checkbook or money orders. (Tr. 218, 219.) At the hearing, Plaintiff was asked what kinds of things he cooks and he responded that the food might come out burnt and that he does not know how to use a microwave oven. (Tr. 50.)

The ALJ also pointed out that despite Plaintiff's testimony regarding his walking, sitting and standing ability, approximately 10 minutes each, and reportedly lifting only 3 pounds, evidence of record indicated his performance of greater activities, including Plaintiff's chest pain with walking " fast" and shoveling snow. (Tr. 25, 46, 221, 312.) The ALJ pointed out that the note regarding walking fast and shoveling snow was made in 2009 treatment notes, but found it relevant because Plaintiff alleges his back condition started in the 1990s. (Tr. 25.) At that time, the doctor had suspected exertional angina. (Tr. 313.) While this report predates the relevant period and arguably raises questions as to its relevance, this was just one of many factors the ALJ considered.

The ALJ noted that despite Plaintiff's testimony that he can sit for only ten minutes, he sat throughout the hearing which lasted for over one hour. (Tr. 25.) The ALJ did not err in mentioning his observations, where he relied on a variety of other evidence in the record to discount Plaintiff's pain and limitations. See Weaver v. Sec'y of Health and Hum. Servs., 722 F.2d 310, 312 (6th Cir. 1983)(" While we recognize that observation and credibility are factors in this complicated equation, and as such are material, relevant, and admissible, we cannot allow the dismissal of a claim for pain solely on the ALJ's observations at the hearing. This procedure amounts to the infamous and thoroughly discredited " sit and squirm" test. We do not imply that there was no evidence in the record from which the ALJ could not draw the inference of a lack of pain. However, the ALJ must cite some other evidence for denying a claim for pain in addition to personal observation.") The ALJ's observation that Plaintiff was able to sit through the hearing is entirely consistent with the June 21, 2011 Function Report on which no problems were reported with sitting, despite problems being listed with several other activities. (Tr. 221.) Plaintiff also testified at the hearing that he is able to lift ten pounds. (Tr. 47.)

As the ALJ noted, Plaintiff provided testimony at the hearing through an interpreter and answered that he does not understand any English at all, yet other records note that he can speak some, though perhaps minimal, English. (Tr. 35.) One of his treatment notes indicates that " [t]his treatment plan has been explained to me in Arabic." (Tr. 499.) It was also reported that Plaintiff " speaks some English, however, seen in presence of interpreter and reported ongoing problems with depression, anxiety, getting isolative . . . ." (Tr. 503.)

The ALJ properly considered Plaintiff's treatment for pain and response to treatment, noting that treatment was generally conservative. (Tr. 22, 23, 24.) For example in March 2012, orthopedic surgeon Hassan Hammoud, M.D., recommended Plaintiff " perform home exercises, massages, and to continue stretching exercises on a daily basis" and " continue present medication." (Tr. 437.) He was also referred to physical therapy three times a week for six to eight weeks. (Tr. 437.) The ALJ noted an inconsistency where Plaintiff testified that his pain medications do not help, yet there is evidence in the record that he reported pain relief with medication, for example at the March 30, 2012 appointment with Dr. Hammoud, the doctor noted Plaintiff's report that pain increases with activity and he has relief with medications. (Tr. 25, 431-33.) Plaintiff reported that lower back pain increases with walking, standing and heavy lifting. (Tr. 431.) At a February 2013 appointment, it was also noted that Plaintiff had pain relief with medication.[5] (Tr. 439.) As the ALJ noted, Plaintiff attended physical therapy from January to March 2010 for his neck pain and low back pain. (Tr. 386-409.) A January 27, 2010 status report showed that Plaintiff was benefitting from treatment and a March 26, 2010 discharge report showed that Plaintiff's prognosis was " good" and he had met 69% of his physical therapy goals before it was reported that he had plateaued and that his insurance company would not authorize more visits. (Tr. 388, 389.)

In March 2012, Plaintiff was evaluated by an orthopaedic surgeon for his right knee. (Tr. 412.) Richard Valenzuela, M.D., reviewed Plaintiff's MRI and diagnosed " right knee pain secondary to early medial compartment arthrosis" and recommended treatment with Motrin 800 and physical therapy. (Id.) Plaintiff's mental health treatment provider reported that Plaintiff underwent individual therapy and medical review every three months for thirty minute sessions and his symptoms were improving, yet some depression symptoms remained. (Tr. 487.) The ALJ's conclusion that Plaintiff's treatment was conservative was supported by substantial evidence and the records show response to treatment. The ALJ properly considered and explained multiple factors in weighing Plaintiff's credibility and his determination was supported by substantial evidence in the record.

Next, Plaintiff argues that the ALJ's RFC was not " accurate" and therefore the ALJ's finding at step five that Plaintiff can perform a significant number of jobs in the economy is not supported by substantial evidence. (Doc. 18 at 16.) Plaintiff argues that his " medical evidence supports a finding that he is unable to perform even 'sedentary' work." (Doc. 18 at 18.) Plaintiff then included the same multi-paragraph statement of facts that appears in two other portions of the brief. " [I]ssues adverted to in a perfunctory manner, unaccompanied by some effort at developed argumentation, are deemed waived. It is not sufficient for a party to mention a possible argument in the most skeletal way, leaving the court to ... put flesh on its bones." McPherson v. Kelsey, 125 F.3d 989, 995-96 (6th Cir. 1997) (citations omitted); see also Crocker v. Comm'r of Soc. Sec., 2010 WL 882831 at *6 (W.D.Mich. 2010)(" This court need not make the lawyer's case by scouring the party's various submissions to piece together appropriate arguments.")(citations omitted). Plaintiff has failed to develop any arguments specific to the ALJ's RFC findings, yet for the sake of completeness I will address these steps herein.

Pursuant to SSR 96-8p, the ALJ included evidence within his decision which supports the RFC conclusions, discussed Plaintiff's symptoms, explained where Plaintiff's reported limitations could not be found consistent with the other evidence of record and explained his conclusions.[6] The ALJ referenced both the documents of record and the hearing testimony, revealing that all of Plaintiff's limitations which the ALJ found credible were considered in formulating the RFC and the hypothetical question to the VE.


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