                                                                        F I L E D
                                                                 United States Court of Appeals
                                                                         Tenth Circuit
                      UNITED STATES CO URT O F APPEALS
                                                                       January 4, 2007
                            FO R TH E TENTH CIRCUIT                  Elisabeth A. Shumaker
                                                                         Clerk of Court

    LO N N ITA FLEETWO O D ,

                Plaintiff-Appellant,
                                                          No. 05-6373
    v.                                             (D.C. No. CIV-04-1299-M )
                                                          (W .D. Okla.)
    JO A NN E B. BA RN HA RT,
    Commissioner of Social Security
    Administration,

                Defendant-Appellee.



                             OR D ER AND JUDGM ENT *


Before B ROR B Y and EBEL, Circuit Judges, and KANE, ** District Judge.




         Plaintiff Lonnita G. Fleetwood appeals the district court’s affirmance of the

defendant Social Security Commissioner’s denial of disability and Supplemental

Security Income (SSI) benefits. She argues that (1) the Administrative Law Judge



*
       After examining the briefs and appellate record, this panel has determined
unanimously that oral argument would not materially assist the determination of
this appeal. See Fed. R. App. P. 34(a)(2); 10th Cir. R. 34.1(G). The case is
therefore ordered submitted without oral argument. This order and judgment is
not binding precedent, except under the doctrines of law of the case, res judicata,
and collateral estoppel. It may be cited, however, for its persuasive value
consistent w ith Fed. R. App. P. 32.1 and 10th Cir. R. 32.1.
**
      The Honorable John L. Kane, Senior District Judge, United States District
Court for the District of Colorado, sitting by designation.
(ALJ) failed to recognize all of her diagnosed impairments as severe; (2) the

ALJ’s residual functional capacity (RFC) 1 assessment failed to include all of her

limitations; and (3) the ALJ failed to analyze her credibility properly. W e

conclude that the A LJ failed to properly consider all of M s. Fleetwood’s

impairments and that the ALJ’s RFC findings are not based on substantial

evidence. Accordingly, we reverse the district court’s affirmance of the

Commissioner’s decision, and we remand to the district court with instructions to

remand to the Commissioner to conduct further proceedings addressing all of

M s. Fleetw ood’s impairments and her RFC.

                                 BACKGROUND

      M s. Fleetwood sought disability and SSI benefits, alleging disability as of

December 1, 2000, due to bronchitis, asthma, pulmonary disease, heart problems,

anxiety, and panic attacks. Her requests for disability and SSI benefits were

denied initially and on reconsideration. After holding an evidentiary hearing, the

ALJ denied benefits at step five of the sequential-evaluation process. See

Fischer-Ross v. Barnhart, 431 F.3d 729, 731 (10th Cir. 2005) (describing five

steps). The A LJ found that M s. Fleetwood has the ability to perform sedentary

work. M ore specifically, the A LJ found that she can walk or stand for two hours



1
       RFC is “the maximum degree to which the individual retains the capacity
for sustained performance of the physical-mental requirements of jobs.”
20 C.F.R. pt. 404, subpt. P, app. 2, § 200.00(c).


                                        -2-
out of an eight-hour day; can sit for six hours out of an eight-hour day; should

avoid extreme heat and cold, fumes, odors, and dust; and would have a moderate

level of discomfort and some fatigue and anxiety when working. The ALJ

concluded that M s. Fleetwood could perform the semi-skilled sedentary jobs of a

check cashier or a cafeteria-line cashier. W hen the Appeals Council denied

M s. Fleetwood’s request for review, the ALJ’s decision became the final decision

of the Commissioner. See D oyal v. Barnhart, 331 F.3d 758, 759 (10th Cir. 2003).

On judicial review, the district court adopted the magistrate judge’s

recommendation and affirmed the denials of benefits. M s. Fleetw ood appeals.

                           STANDA RDS OF REVIEW

      Like the district court, we review the ALJ’s decision only to determine

whether the correct legal standards were applied and whether the ALJ’s factual

findings were supported by substantial evidence. Id. at 760.

      Substantial evidence is such relevant evidence as a reasonable mind
      might accept as adequate to support a conclusion. W e consider
      whether the ALJ followed the specific rules of law that must be
      follow ed in weighing particular types of evidence in disability cases,
      but we will not reweigh the evidence or substitute our judgment for
      the Commissioner’s.

Hackett v. Barnhart, 395 F.3d 1168, 1172 (10th Cir. 2005) (quotations and

citations omitted). In addition, an ALJ’s failure to “provide this court with a

sufficient basis to determine that appropriate legal principles have been followed




                                         -3-
is grounds for reversal.” Jensen v. Barnhart, 436 F.3d 1163, 1165 (10th Cir.

2005) (quotation omitted).

                              ISSUES ON APPEAL

1. Severe Im pairments

      M s. Fleetwood argues that the ALJ failed to recognize that her anxiety and

panic attacks are severe impairments under step two. Also, she argues that the

ALJ failed to thoroughly explain why he refused to find these mental impairments

to be severe, inasmuch as he stated only that she did not have a severe mental

impairment and had not had psychiatric treatment.

      The ALJ’s findings concerning the severity of M s. Fleetwood’s mental

impairments are inconsistent. Initially, the ALJ found that the following

impairments are severe: heart valve replacement, asthma, bronchitis, anxiety, and

panic attacks. Aplt. App. Tab 4 at 18 (“The medical evidence shows that the

claimant had heart valve replacement in August 2002. She also has asthma,

bronchitis, and anxiety and panic attacks. Such impairments cause vocationally

relevant limitations and are therefore considered ‘severe’ within the meaning of

the regulations.”). Later, however, the ALJ stated that M s. Fleetwood’s mental

impairments are not severe. Id. at 20 (“The claimant does not have a severe

mental impairment and has not had any psychiatric treatment.”). Due solely to

this inconsistency, we could remand to the ALJ for clarification concerning which

of M s. Fleetwood’s impairments are severe. Even if we assume that the ALJ

                                        -4-
found that her anxiety and panic attack impairments are not severe, which is what

the ALJ ultimately implies in his specific numbered findings, id. at 24, we would

still remand to the ALJ for further proceedings at step two.

      At step two, the claimant must prove she has a medically severe impairment

or combination of impairments that significantly limits her ability to do basic

work activities. 20 C.F.R. §§ 404.1520(c), 404.1521(a), 416.920(c), 416.921(a).

The severity determination is based solely on medical factors. Williamson v.

Barnhart, 350 F.3d 1097, 1100 (10th Cir. 2003). Although step two requires only

a “de minimis” showing of an impairment, a “claimant must show more than the

mere presence of a condition or ailment.” Hinkle v. Apfel, 132 F.3d 1349, 1352

(10th Cir. 1997).

      It is true that M s. Fleetwood has not seen a specialist in the mental health

profession, but we have found no case authority requiring her to obtain medical

treatment from such a specialist before an ALJ can find that she has a severe

mental impairment. The medical evidence, from her treating physician, Dr. James

M cGouran, and from the consulting doctor, Dr. David Seitsinger, repeatedly

refers to her anxiety and panic attacks and to her taking medications for these

problems. This evidence is inconsistent with the ALJ’s finding that

M s. Fleetwood has not had any psychiatric treatment. Indeed, the ALJ notes that

Dr. M cGouran treated M s. Fleetwood for anxiety disorder, among other things,

for nearly two years. Aplt. A pp. Tab 4 at 20.

                                         -5-
      Further, we conclude that the ALJ failed to provide sufficient analysis and

reasoning to support his decision that M s. Fleetwood did not have a severe mental

impairment. His conclusory statement that she does not have a severe mental

impairment and that she has not obtained psychiatric treatment fails to conform to

the Tenth Circuit requirement that the A LJ provide reasoning for his decision so

that judicial review is both possible and meaningful. See Clifton v. Chater,

79 F.3d 1007, 1009 (10th Cir. 1996).

      Due to the ALJ’s inconsistent findings and his failure to conduct analysis

with any specificity or clarity allowing for meaningful review, we remand to the

district court with directions to remand to the ALJ for further proceedings

addressing M s. Fleetwood’s severe impairments.

2. RFC

      M s. Fleetwood argues that the ALJ’s RFC assessment did not accurately

reflect her limitations. She contends that the assessment did not include her

conversational dyspnea, 1 dyspnea with range of motion testing, her several

hospitalizations for chronic obstructive pulmonary disease (COPD ) and asthma,

her breathing impairments, or her obesity. Further, she contends that nothing in

her medical records suggests that she can stand for two hours in an eight-hour

work day or perform work at a sustained level for eight hours a day, five days a



1
      Dyspnea is defined as “breathlessness or shortness of breath; difficult or
labored breathing.” Dorland’s Illustrated M ed. Dictionary 558 (29th ed. 2000).

                                         -6-
week. Finally, M s. Fleetwood submits that the ALJ did not explain how the

evidence supported the conclusion that she could perform sedentary jobs on a

sustained basis in an ordinary work setting. W e agree that the ALJ’s analysis of

her R FC is deficient.

      An ALJ must make specific RFC findings. See Winfrey v. Chater, 92 F.3d

1017, 1023 (10th Cir. 1996). Those findings must be supported by substantial

evidence. See Haddock v. Apfel, 196 F.3d 1084, 1088 (10th Cir. 1999).

      The RFC assessment must include a narrative discussion describing
      how the evidence supports each conclusion, citing specific medical
      facts . . . and nonmedical evidence . . . . In assessing RFC, the
      adjudicator must discuss the individual’s ability to perform sustained
      work activities in an ordinary work setting on a regular and
      continuing basis . . . and describe the maximum amount of each
      work-related activity the individual can perform based on the
      evidence available in the case record. The adjudicator must also
      explain how any material inconsistencies or ambiguities in the
      evidence in the case record were considered and resolved.

Soc. Sec. R. 96-8p, 1996 W L 374184, at *7.

      The ALJ failed to follow these requirements. In reaching his RFC

conclusions that M s. Fleetw ood can do sedentary work; can walk or stand for tw o

hours out of an eight-hour workday; can sit for six hours out of an eight-hour

workday; should avoid extreme heat and cold, fumes, odors, and dust; and would

have a moderate level of discomfort and some fatigue and anxiety when doing

sedentary work, the ALJ stated that he “considered the opinions of the State

agency medical consultant who evaluated [M s. Fleetwood’s RFC] at the initial



                                        -7-
and reconsideration levels of the administrative review process and generally

agree[d] with the determinations made by the State agency.” Aplt. App. Tab 4 at

21. Those agency determinations primarily consisted of check-the-box forms

with little or no explanation for the conclusions reached.

      These check-the-box evaluation forms, “standing alone, unaccompanied by

thorough written reports or persuasive testimony, are not substantial evidence.”

Frey v. Bowen, 816 F.2d 508, 515 (10th Cir. 1987); see also Soc. Sec. R. 96-6p,

1996 W L 374180, at *2 (permitting ALJ to rely on opinions of medical

consultants if opinions are supported by evidence in case record). The record

shows only a two-to-three-month work restriction imposed on M s. Fleetwood

immediately after her mitral valve replacement surgery. But no other medical

evidence in the record specifically addresses her ability to work. Dr. M cGouron

did not address her RFC or her ability to work in any of his treatment notes.

Those notes are therefore insufficient to draw reliable conclusions about her

ability to work. 2 Dr. Seitsinger, the consulting doctor, who actually physically

exam ined her, did not form specific conclusions regarding her ability to work. H e

stated only that she had conversational dyspnea and dyspnea with range of motion

testing, both related to her obesity. Also, he noted that she could walk without




2
       W e do not assume that Dr. M cG ouran’s failure to discuss M s. Fleetwood’s
ability to w ork indicates that she is able to w ork; rather, the conclusion we must
draw is that he focused solely on treating her medical problems.

                                         -8-
assistive devices for short distances and could manipulate fine and gross objects.

He did not state what effect her panic attacks or anxiety, both of which he

assessed, would have on her ability to work. Nor did he indicate her ability to

stand or sit during an eight-hour workday or what effect her assessed shortness of

breath with a history of bronchitis and COPD would have on her ability to work.

To the extent there is very little medical evidence directly addressing

M s. Fleetwood’s RFC, the ALJ made unsupported findings concerning her

functional abilities. W ithout evidence to support his findings, the ALJ w as not in

a position to make an RFC determination.

      The ALJ’s inability to make proper RFC “findings may have sprung from

his failure to develop a sufficient record on which those findings could be based.”

Washington v. Shalala, 37 F.3d 1437, 1442 (10th Cir. 1994). The A LJ must

“make every reasonable effort to ensure that the file contains sufficient evidence

to assess RFC.” Soc. Sec. R. 96-8p, 1996 W L 374184, at *5. Because the

disability hearing is nonadversarial, an ALJ is obligated to develop the record

even where, as here, the claimant is represented by counsel. Thom pson v.

Sullivan, 987 F.2d 1482, 1492 (10th Cir. 1993); accord Hawkins v. Chater,

113 F.3d 1162, 1164, 1168 (10th Cir. 1997). Even though M s. Fleetwood’s

counsel did not request any additional record development, the need for additional

evidence is so clearly established in this record that the ALJ w as obliged to obtain




                                         -9-
more evidence regarding her functional limitations. See Hawkins, 113 F.3d at

1167-68.

      W hen evidence from the claimant’s treating doctor(s) is inadequate to

determine if the claimant is disabled, the Commissioner must contact the treating

doctor(s) to determine if additional needed information is available. See

20 C.F.R. § 404.1512(e)(1) (“W e will seek additional evidence or clarification

from your medical source when the report from your medical source contains a

conflict or ambiguity that must be resolved[ or] the report does not contain all the

necessary information[.]”); id. § 416.912(e)(1) (same); see also White v.

Barnhart, 287 F.3d 903, 905 (10th Cir. 2002) (recognizing ALJ’s obligation to

contact treating physician whenever information received from physician is

inadequate). If recontacting the treating doctor(s) still does not provide

substantial evidence upon which to base an RFC finding, the A LJ may order a

consultative examination. See 20 C.F.R. §§ 404.1512(f), 404.1519a, 416.912(f),

416.919a.

      Because the ALJ’s RFC assessment in this case is not based on substantial

evidence, we must reverse the district court’s affirmance on this issue and remand

to that court with directions to remand to the Commissioner for further

administrative proceedings. On remand, the ALJ may consider obtaining an

evaluation of M s. Fleetwood’s functional limitations from her treating doctor(s)




                                         -10-
and/or a detailed evaluation from a consulting doctor, who personally examines

her.

       Furthermore, the ALJ’s RFC assessment was conclusory and unsupported

with reasoning. There is abundant evidence in the record of Fleetwood’s

breathing impairments and her repeated hospitalizations. As she points out, the

ALJ failed to discuss what effect repeated hospitalizations would have on her

ability to maintain employment. Cf. Rocco v. Heckler, 826 F.2d 1348, 1350-51

(3d Cir. 1987) (recognizing that repeated hospitalizations would hinder

performance of sedentary job assuming claimant could cope with employment).

Nor did the ALJ consider other evidence in the record indicating that she

frequently called in sick w hen she was working and was laid off from her most

recent job because of her absences. See Aplt. App. Tab. 4 at 79. Although the

ALJ noted when setting forth the medical evidence that, in January 2002,

Fleetw ood needed albuterol treatments every four to six hours, id. at 19, the ALJ

did not assess whether those treatments would impact her ability to work or

whether she continues to require albuterol treatments with this frequency.

       Additionally, the ALJ failed to discuss what effect her obesity, in

combination with her other impairments, primarily her breathing problems, would

have on her ability to work. See Salazar v. Barnhart, 468 F.3d 615, 621, 622

(10th Cir. 2006) (failure to consider all impairments, singly and in combination

with other impairments, is reversible error); Soc. Sec. R. 02-01p, 2000 W L

                                         -11-
628049, at *1, *5-*6, *7 (stating that obesity is medically determinable

impairment that ALJ must consider in evaluating disability; that combined effect

of obesity with other impairments can be greater than effects of each single

impairment considered individually; and that obesity must be considered when

assessing RFC). On remand, the ALJ must consider all of the available medical

evidence and assess with a thorough and reasoned analysis the effect of all of

M s. Fleetw ood’s impairments on her RFC.

3. Credibility

      M s. Fleetwood argues that the ALJ erred in analyzing her credibility

because the ALJ failed to provide specific reasons for finding her not credible.

Because we remand for further proceedings to assess the severity of her

impairments and her RFC, we need not decide whether the ALJ’s credibility

analysis is flawed. Instead, we conclude that the ALJ should re-evaluate her

credibility after fully considering her impairments and when evaluating her RFC.

                                 C ON CLU SIO N

      The judgment of the district court is REVERSED, and the case is

REM ANDED with directions to remand to the Commissioner for further

proceedings.
                                                   Entered for the Court


                                                   John L. Kane
                                                   District Judge



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