DONNA CARGILE
v.
COMMISSIONER OF SOCIAL SECURITY
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Even assuming the ALJ erred in failing to find gastroparesis a severe impairment at step two, any such error is harmless because the ALJ found at least one severe impairment and proceeded through the remaining steps of the sequential evaluation process. Although the ALJ did not specifically mention gastroparesis by name in the RFC analysis, the ALJ adequately considered the symptoms and functional limitations arising from gastroparesis when formulating the RFC, as required by regulation.
[1] At step two of the Social Security sequential evaluation process, an Administrative Law Judge need not identify every severe impairment; the finding of at least one sever…
[2] Any error by an Administrative Law Judge in failing to find a particular impairment severe at step two is harmless where the ALJ found at least one severe impairment and…
Previewing 2 of 7 headnotes on this case. FLexlaw’s editorially structured points of law — every proposition, pinpointed — are reserved for members.
Join FLexlaw to unlock all legal intelligence“The finding of any severe impairment, whether or not it results from a single severe impairment or a combination of impairments that together qualify as 'severe,' is enough to satisfy step two.”
Establishes that an ALJ need not identify every severe impairment at step two; finding at least one severe impairment is sufficient to proceed through the remaining steps.
Previewing 1 of 4 key quotes on this case — the court’s exact language, pinpointed for members.
Join FLexlaw to unlock all legal intelligenceDonna Cargile filed an application for Supplemental Security Income on May 12, 2021, alleging disability. The ALJ found that Cargile suffered from sev…
The full statement of facts, procedural history, and disposition for this case are member content.
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On May 12, 2021, Claimant filed an application for SSI, alleging that she became disabled on July 15, 1996. R. 11, 271–77.1 Claimant later amended the disability onset date to May 12, 2021. R. 11, 86. Her claim was denied initially and on reconsideration, and Claimant requested a hearing before an ALJ. R. 135–
38, 140–44, 161, 166, 169. A hearing was held before the ALJ on June8, 2023, at which Claimant appeared with an attorney. R. 79–110. 2 Claimant and a vocational expert (“VE”) testified. Id. After the hearing, the ALJ issued an unfavorable decision finding that Claimant was not disabled. R. 8–27. On
September 10, 2024, the Appeals Council denied Claimant’s request for review. R. 1–7. Claimant now seeks review in this Court. Doc. No. 1.
step evaluation process as set forth in 20 C.F.R. § 416.920(a). R. 11–22.4 The ALJ first found that Claimant had not engaged in substantial gainful activity since the May 12, 2021 application date. R. 13. The ALJ also found that Claimant suffered from the following severe impairments: gastroesophageal reflux disease (GERD), seborrheic dermatitis, bipolar disorder unspecified, and anxiety. R. 14. The ALJ determined that Claimant did not have an impairment or combination of impairments that met or medically equaled a listed impairment in 20 C.F.R. Part
404, Subpart P, Appendix 1. R. 14–15.
R. 15.
The ALJ next found that Claimant was unable to perform any past relevant work, including work as a hairstylist. R. 20–21. However, in considering Claimant’s age, education, work experience, and RFC, as well as the testimony of the VE, the ALJ found that there were other jobs existing in significant numbers in
lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds. Even though the weight lifted may be very little, a job is in this category when it requires a good deal of walking or standing, or when it involves sitting most of the time with some pushing and pulling of arm or leg controls. To be considered capable of performing a full or wide range of light work, you must have the ability to do substantially all of these activities. If someone can do light work, we determine that he or she can also do sedentary work, unless there are additional limiting factors such as loss of fine dexterity or inability to sit for long periods of time.
20 C.F.R. § 416.967(b). the national economy that Claimant could perform, representative occupations to include ticket taker, stocker checker apparel, and marker. R. 21–22. Accordingly,
the ALJ concluded that Claimant was not under a disability, as defined in the Social Security Act, from the application date (May 12, 2021) through the date of the decision. R. 22.
III. STANDARD OF REVIEW.
The Court has jurisdiction to review the decision of the Commissioner pursuant to 42 U.S.C. § 405(g), as adopted by reference in 42 U.S.C. § 1383(c)(3). The scope of the Court’s review is limited to determining whether the
Commissioner applied the correct legal standards and whether the Commissioner’s findings of fact are supported by substantial evidence. Winschel v. Comm’r of Soc. Sec., 631 F. 3d 1176, 1178 (11th Cir. 2011). The Commissioner’s findings of fact are conclusive if they are supported by substantial evidence, 42 U.S.C. § 405(g), which is defined as “more than a scintilla and is such relevant evidence as a reasonable person would accept as adequate to support a conclusion.” Lewis v. Callahan, 125 F. 3d 1436, 1440 (11th Cir. 1997).
The Court must view the evidence as a whole, taking into account evidence favorable as well as unfavorable to the Commissioner’s decision, when determining whether the decision is supported by substantial evidence. Foote v. Chater, 67 F. 3d
1553, 1560 (11th Cir. 1995) (per curiam). The Court may not reweigh evidence or substitute its judgment for that of the Commissioner, and, even if the evidence preponderates against the Commissioner’s decision, the reviewing court must affirm if the decision is supported by substantial evidence. Bloodsworth v. Heckler, 703 F. 2d 1233, 1239 (11th Cir. 1983).
IV. ANALYSIS.
Claimant raises one assignment of error in this appeal: the ALJ erred in failing to find that Claimant’s condition of gastroparesis was a severe impairment at step two of the sequential evaluation process and, even if non-severe, the ALJ erred in failing to address Claimant’s gastroparesis in formulating the RFC. Doc.
No. 16. Accordingly, this is the only issue that the Court will address. At step two of the sequential evaluation process, the ALJ must determine whether the claimant has a medically determinable impairment that is severe or a combination of impairments that are severe. 20 C.F.R. § 416.920(a)(4)(ii), (c). Claimant first argues error in the ALJ’s failure to find Claimant’s gastroparesis to be a severe impairment. However, the ALJ found that Claimant suffered from several other severe impairments, to include GERD, seborrheic dermatitis, bipolar disorder unspecified, and anxiety. R. 14. The ALJ then proceeded through the next steps of the required sequential evaluation process. R. 14–22. Therefore, and as Claimant recognizes, Doc. No. 16, at 4, even assuming that the ALJ’s failure to find gastroparesis was a severe impairment at step two was error (which the Court does not so find), any error would be harmless. See Hearn v. Comm’r, Soc. Sec. Admin., 619 F. App’x 892, 895 (11th Cir. 2015) (“[T]he finding of any severe impairment, whether or not it results from a single severe impairment or a combination of impairments that together qualify as ‘severe,’ is enough to satisfy step two.” (citing Jamison v. Bowen, 814 F. 2d 585, 588 (11th Cir. 1987)));6 Tuggerson-
Brown v. Comm’r of Soc. Sec., 572 F. App’x 949, 951 (11th Cir. 2014) (“Based on our precedent and the regulations, . . . it is apparent that there is no need for an ALJ to identify every severe impairment at step two. Accordingly, even assuming that [the claimant] is correct that her additional impairments were ‘severe,’ the ALJ’s recognition of that as a fact would not, in any way, have changed the step-two analysis, and she cannot demonstrate error below.”); Roberson v. Berryhill, No. 8:17- cv-1225-T-CPT, 2019 WL 968400, at *3 (M.D. Fla. Feb. 28, 2019) (“Because the ALJ determined that Plaintiff suffered from at least one severe impairment at step two and thereafter proceeded beyond that stage as he did, any error he committed in failing to find that Plaintiff suffered from other severe impairments at step two is rendered harmless.” (citations omitted)).
“severe.” Id. § 416.945(a)(2); Schink v. Comm’r of Soc. Sec., 935 F. 3d 1245, 1268–69 (11th Cir. 2019); see also Estelle v. Comm’r of Soc. Sec., No. 6:13-cv-1490-Orl-GJK, 2015 WL 1035258, at *4 (M.D. Fla. Mar. 10, 2015) (“In reaching an RFC determination, the regulations unequivocally require that the ALJ consider all limitations from the Claimant’s impairments, including those limitations from impairments that the ALJ found non-severe at step-two. This makes sense because a claimant’s impairments, even if non-severe, may still impose limitations on a claimant’s functional ability.” (citations omitted)). Here, in the decision, the ALJ mentions Claimant’s gastroparesis as listed in application documents. R. 16. But the ALJ does not otherwise mention gastroparesis in the decision by name. See R. 11–22. Claimant argues that she has a long history of gastroparesis, which is different from her GERD diagnosis (although there can be an overlap in symptoms),7 and that gastroparesis “can cause symptoms of nausea and vomiting, loss of appetite, constipation, upper abdominal pain, acid reflux, and heartburn.” Doc. No. 16, at 4, 5. Claimant points to her testimony that:
[S]he had frequent episodes of having to “throw up a lot” (T. 88) She advised that during the time when she was throwing up and she also experienced diarrhea. She stated it took a couple days for her to stop vomiting and to stop having diarrhea. (T 88) She advised that this happened at least twice a month (T. 88).
Id. at 4. She argues that this testimony is consistent with hospital records as follows: For example, on March6, 2023, the claimant was seen in an emergency room with complaints of abdominal pain, nausea with gastric content vomiting since the previous day. (T. 52) On May 10, 2023. The claimant again was seen with complaints of vomiting and diarrhea. (T 39) Her medical history included a diagnosis of gastroparesis.
Id. at 5. Because the ALJ did not mention gastroparesis in formulating the RFC, Claimant contends that the ALJ reversibly erred. Id. 5–6. As the Commissioner points out, however, the ALJ discussed this evidence— including the records identified by Claimant—in formulating the RFC. The ALJ discussed Claimant’s hearing testimony, including that her impairments cause
“[w]hen vomiting, [Claimant] is unable to stand straight,” that Claimant “goes to the emergency room when vomiting and nausea symptoms are out of control”; and that Claimant’s prior treatment for gastrointestinal issues included prescribed medications, although she was not taking any medications at that time. R. 16.8 The ALJ also addressed in detail the March6, 2023 emergency room visit where Claimant was seen for abdominal pain, vomiting, and nausea, R. 17–18 (citing Exhibit 7F),9 as well as Claimant’s emergency room visit on May 10, 2023 for complaints of vomiting and nausea. R. 18 (citing Exhibit 6F). The Court notes
Thus, although true that the ALJ does not specifically mention gastroparesis by name in the RFC analysis, it is clear that the ALJ addressed the symptoms of that condition in assessing Claimant’s RFC. The ALJ further acknowledged that in assessing Claimant’s RFC, the ALJ must “consider all of [Claimant’s] impairments,
including impairments that are not severe,” and the ALJ also stated that he considered “all symptoms” in assessing Claimant’s RFC. See R. 13, 15. And Claimant points to no records that the ALJ allegedly failed to consider, nor any functional limitations resulting therefrom, that she contends the ALJ failed to address. See Doc. No. 16, at 4–5. Accordingly, the Court finds no reversible error because Claimant has not established that the ALJ failed to consider all of her impairments, and any resulting functional limitations resulting therefrom, in determining the RFC or finding that Claimant was not disabled. See, e.g., Tuggerson-Brown, 572 F. App’x at 952 (no error in consideration of non-severe impairments in RFC assessment where the ALJ specifically discussed evidence of those conditions and symptoms related thereto, sufficiently demonstrating that the ALJ considered all of the impairments in finding the claimant not disabled); Kelley v. Comm’r of Soc. Sec., No. 8:22-cv-1560-JSS, 2023
WL 5273571, at *10 (M.D. Fla. Aug. 16, 2023) (finding no error in consideration of non-severe impairments in assessing RFC where “the decision includes a detailed discussion of the record evidence sufficient to demonstrate that the ALJ properly considered all of Plaintiff’s impairments in combination when determining whether she was disabled”); Johnson v. Comm’r of Soc. Sec., No. 8:21-cv-164-DNF, 2022 WL 3500441, at *5 (M.D. Fla. Aug. 18, 2022) (finding no error where the ALJ failed to mention a diagnosis where the ALJ thoroughly considered the claimant’s reported symptoms and alleged limitations, and even assuming there was error for failure to mention the diagnosis, it was harmless because the record demonstrated that the ALJ considered all severe and non-severe impairments in determining the RFC);
Clowdus v. Comm’r of Soc. Sec., No. 6:20-cv-1098-DCI, 2021 WL 1909634, at *2–3 (M.D. Fla. May 12, 2021) (finding no error in ALJ’s failure to mention impairment at both step two and step four of the sequential evaluation process because it was apparent from the decision that the ALJ considered all medical evidence in combination, and the claimant failed to demonstrate that there were any further functional limitations supported by the record that the ALJ failed to consider); see also Azpeitia v. Saul, No. CIV-19-810-SM, 2020 WL 3105415, at *3 (W.D. Okla. June 11, 2020) (finding that although the ALJ did not specifically reference the claimant’s gastroparesis in the decision, the ALJ needed only to consider the resultant functional limitations arising from that condition in formulating the RFC, and noting that the claimant did not point to any such limitations). Vv. CONCLUSION. Based on the foregoing, it is ORDERED that:
1. The final decision of the Commissioner is AFFIRMED.
2. The Clerk of Court is DIRECTED to enter judgment in favor of the Commissioner and thereafter CLOSE the case. DONE and ORDERED in Orlando, Florida on October7, 2025.
LESLIE AN PRICE
UNITED STATES MAGISTRATE JUDGE
Copies furnished to: Counsel of Record
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