Daniels v. Commissioner of Social Security Administration
Filing
22
ORDER the Commissioner's decision is reversed and this matter is remanded for further proceedings. Signed by Judge H Russel Holland on 4/2/2015. (LFIG)
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IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF ARIZONA
DANA H. DANIELS,
)
)
Plaintiff,
)
)
vs.
)
)
COMMISSIONER, SOCIAL SECURITY
)
ADMINISTRATION,
)
)
Defendant.
)
__________________________________________)
No. 2:14-cv-0617-HRH
ORDER
This is an action for judicial review of the denial of disability benefits under Title II
of the Security Act, 42 U.S.C. §§ 401-434. Plaintiff has timely filed his opening brief,1 to
which defendant has responded.2 Oral argument was not requested and is not deemed
necessary.
Procedural Background
Plaintiff is Dana H. Daniels. Defendant is the Commissioner of the Social Security
Administration.
1
Docket No. 18.
2
Docket No. 20.
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On November 15, 2010, plaintiff filed an application for disability benefits under
Title II of the Social Security Act. Plaintiff alleged that he became disabled on September
5, 2009. Plaintiff alleged that he is disabled due to cerebral and cerebellar atrophy and a
left dislocated sacroiliac joint. Plaintiff’s application was denied initially and upon
reconsideration. After a hearing on July 27, 2012, an administrative law judge (ALJ) denied
plaintiff’s claim. On February 27, 2014, the Appeals Council denied plaintiff’s request for
review, thereby making the ALJ’s October 26, 2012 decision the final decision of the
Commissioner. The Appeals Council considered new evidence submitted by plaintiff, but
concluded that it did “not provide a basis for changing the Administrative Law Judge’s
decision.”3 On March 25, 2014, plaintiff commenced this action in which he asks the court
to find that he is entitled to disability benefits.
General Background
Plaintiff was born on June 1, 1960. He was 52 years old at the time of the hearing.
Plaintiff has a high school education. Plaintiff lives in a house with his girlfriend. Plaintiff’s
past relevant work includes work as a paint prepper, laborer, parts manager, and service
parts technician. On September 5, 2009, plaintiff was injured when the light rail car he was
riding in was hit by an SUV. Plaintiff was in good health prior to the light rail accident but
after the accident, he began having chronic headaches, neck pain, back pain, sensory
3
Admin. Rec. at 2.
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abnormalities, and hearing loss and tinnitus.4
The ALJ’s Decision
The ALJ first determined that plaintiff met “the insured status requirements of the
Social Security Act through March 31, 2013.”5 The ALJ then applied the five-step sequential
analysis used to determine whether an individual is disabled.6
4
Admin. Rec. at 404-405 (diagnoses of Dr. Mussomeli, a neurologist who treated
plaintiff after the accident).
5
Admin. Rec. at 29.
6
The five steps are as follows:
Step one: Is the claimant presently engaged in substantial
gainful activity? If so, the claimant is not disabled. If not,
proceed to step two.
Step two: Is the claimant’s alleged impairment sufficiently
severe to limit ... h[is] ability to work? If so, proceed to step
three. If not, the claimant is not disabled.
Step three: Does the claimant’s impairment, or combination of
impairments, meet or equal an impairment listed in 20 C.F.R.,
pt. 404, subpt. P, app. 1? If so, the claimant is disabled. If not,
proceed to step four.
Step four: Does the claimant possess the residual functional
capacity (“RFC”) to perform ... h[is] past relevant work? If so,
the claimant is not disabled. If not, proceed to step five.
Step five: Does the claimant’s RFC, when considered with the
claimant’s age, education, and work experience, allow ... h[im]
to adjust to other work that exists in significant numbers in the
national economy? If so, the claimant is not disabled. If not,
the claimant is disabled.
Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1052 (9th Cir. 2006).
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At step one, the ALJ found that plaintiff had “not engaged in substantial gainful
activity since September 5, 2009, the alleged onset date....”7
At step two, the ALJ found that plaintiff had “the following severe impairments:
sensorimotor polyneuropathy, left ulnar neuropathy, osteoarthritis and degenerative disc
disease of the cervical spine, lumbar facet arthropathy, right rotator cuff syndrome, right
biceps tenosynovitis, migraine headaches, cerebral atrophy, a balance disorder, and a
cognitive disorder....8 The ALJ considered that “the record reflects that [plaintiff] develops
seborrheic and actinic keratosis lesions ... and that he has patent foramen ovale....”9 The
ALJ found that the lesions were not a severe impairment because “[t]he skin lesions are
benign, many of them have been treated with cryosurgery, and as to the remaining lesions,
the claimant has been advised to monitor them for any unusual changes....”10 “As to the
patent foramen ovale, aspirin therapy has been recommended ..., and the claimant’s
treating physician has placed ‘no cardiac restriction’ on him....”11
At step three, the ALJ found that plaintiff did “not have an impairment or
combination of impairments that meets or medically equals the severity of one of the listed
7
Admin. Rec. at 29.
8
Admin. Rec. at 29.
9
Admin. Rec. at 29.
10
Admin. Rec. at 29.
11
Admin. Rec. at 29.
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impairments in 20 CFR Part 404, Subpart P, Appendix 1....”12 The ALJ considered Listing
11.14 (peripheral neuropathies), Listing 11.04B (a central nervous system vascular accident
with “[s]ignificant and persistent disorganization of motor function in two extremities,
resulting in sustained disturbance of gross and dexterous movements, or gait and station”),
Listing 1.04 (disorders of the spine), Listing 2.07 (disturbance of labyrinthine-vestibular
function); Listing 11.03 (epilepsy), Listing 1.02 (major dysfunction of a joint due to any
cause), Listing 11.17A (degenerative disease not listed elsewhere with a disorganization of
motor function as described in 11.04B), Listing 11.17B (degenerative disease not listed
elsewhere with chronic brain syndrome), and Listing 12.02 (organic mental disorders).13
The ALJ considered whether plaintiff met the “paragraph B” criteria. The ALJ
found that plaintiff had no restriction in activities of daily living; no difficulties with social
functioning; moderate difficulties with regard to concentration, persistence, or pace; and
no episodes of decompensation.14 The ALJ also considered whether plaintiff met the
“paragraph C” criteria, which
require evidence of (1) repeated episodes of decompensation,
each of extended duration; or (2) a residual disease process that
has resulted in such marginal adjustment that even a minimal
increase in mental demands or change in the environment
12
Admin. Rec. at 30.
13
Admin. Rec. at 30.
14
Admin. Rec. at 31.
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would be predicted to cause the individual to decompensate;
or (3) a current history of one or more year’s inability to
function outside a highly supportive living arrangement, with
an indication of continued need for such an arrangement.[15]
The ALJ found that “the evidence fails to establish the presence of any of these ‘paragraph
C’ criteria.”16
“Between steps three and four, the ALJ must, as an intermediate step, assess the
claimant’s RFC.” Bray v. Comm’r Soc. Sec. Admin., 554 F.3d 1219, 1222-23 (9th Cir. 2009).
The ALJ found that plaintiff “has the residual functional capacity to perform light work
as defined in 20 CFR 404.1567(b) except the claimant cannot be exposed to dangerous
machinery and unprotected heights; he can never climb ladders, ropes or scaffolds; and he
is limited to work that is not performed in a fast-paced production environment.”17
The ALJ found plaintiff’s statements about his pain and symptoms less than credible
because his “assertion that he lost his job due to injuries received in the light rail accident
appears inconsistent with the evidence.”18 The ALJ also found plaintiff’s statements less
than credible because they were not supported by the objective medical evidence.19
15
Admin. Rec. at 31-32.
16
Admin. Rec. at 32.
17
Admin. Rec. at 32.
18
Admin. Rec. at 33.
19
Admin. Rec. at 34.
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The ALJ gave great weight20 to the opinion of Dr. Nellis.21 The ALJ also gave great
weight22 to the opinion of Dr. Levinson.23 The ALJ gave partial great weight24 to opinions
of Dr. Jones,25 Dr. Kundin,26 and Dr. Green.27 The ALJ gave little weight28 to the opinion of
20
Admin. Rec. at 34-35.
21
Dr. Nellis was an examining source whose opinion will be discussed in detail
22
Admin. Rec. at 34.
below.
23
On May 10, 2011, Dr. Levinson opined that plaintiff “has some difficulty with
visual processing, but is able to complete simple repetitive routines consistently” and is
able to “maintain adequate” concentration, persistence, and pace; and adequately maintain
a work schedule. Admin. Rec. at 89-90.
24
Admin. Rec. at 35.
25
Dr. Jones examined plaintiff on April 12, 2011. Dr. Jones opined that plaintiff had
no restrictions as to lifting/carrying; no limitations as to walking, standing, or sitting; could
never climb ladders/rope/scaffolds; could frequently finger and feel; had no limitations as
to climbing ramps/stairs, stooping, kneeling, crouching, crawling, reaching, and handling;
and should avoid working around heights and moving machinery. Admin. Rec. at 453-455.
26
On May 10, 2011, Dr. Kundin opined that plaintiff could occasionally lift/carry 50
pounds; frequently lift/carry 25 pounds; stand/walk for 6 hours; sit for 6 hours; could never
climb ladders/ropes/scaffolds; was unlimited as to climbing ramps/stairs, pushing, pulling,
stooping, kneeling, crouching, and crawling; could occasionally balance; was limited as to
reaching overhead; should avoid concentrated exposure to fumes, odors, dusts, gases, and
poor ventilation; and should avoid all exposure to hazards. Admin. Rec. at 87-89.
27
On September 17, 2011, Dr. Green affirmed Dr. Kundin’s RFC. Admin. Rec. at 105-
28
Admin. Rec. at 35.
106.
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Dr. Baker.29 And, the ALJ also gave little weight30 to the opinion of Dr. Brown.31
At step four, the ALJ found that plaintiff was unable to perform any of his past
relevant work.32
At step five, the ALJ found that “there are jobs that exist in significant numbers in
29
Dr. Baker is an orthopedist who began treating plaintiff on December 1, 2011.
Admin. Rec. at 580-585, 601-607 & 628-636. On July 20, 2012, Dr. Baker opined that plaintiff
could sit for 2 hours; stand for 30 minutes; walk for 10 minutes; could occasionally lift/carry
5 pounds; could not use his hands for pushing and pulling arm controls or for fine
manipulation; could not use his feet for repetitive motion; could not bend, squat, crawl,
climb or reach; should not work around unprotected heights and moving machinery;
should not be exposed to marked changes in temperature and humidity; and had a
moderate restriction as to driving automotive equipment and being exposed to dust, fumes,
& gases. Admin. Rec. at 641-642. Dr. Baker opined that plaintiff’s pain, fatigue, drowsiness
and dizziness severely affect his ability to pay attention and/or concentrate on tasks; attend
work; maintain interpersonal relationships with supervisors, co-workers or the public; and
provide consistent work effort. Admin. Rec. at 641-642. Dr. Baker opined that plaintiff
would need a sit/stand option for working, would need to take a 15 minute break every
half hour, and was capable of low stress jobs but would be absent from work more than
four days per month. Admin. Rec. at 644 & 646.
30
Admin. Rec. at 35.
31
Dr. Brown was plaintiff’s PCP. On July 25, 2012, Dr. Brown noted that he had
treated plaintiff since 2009 for his headaches and that plaintiff has a severe headache 1-2
times per day, each of which lasts 2-6 hours. Admin. Rec. at 647. Dr. Brown opined that
when plaintiff has a headache he would be precluded from performing even basic work
activities and would need to take a break; that plaintiff would need to take two such breaks
a day; and that he would need to rest 2 hours before returning to work. Admin. Rec. at
649-650. Dr. Brown also opined that plaintiff would miss more than four days of work per
month due to his headaches. Admin. Rec. at 650.
32
Admin. Rec. at 35.
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the national economy that the claimant can perform.”33 This finding was based on the
vocational expert’s testimony that plaintiff could work as a office helper or a food service
worker.34
Thus, the ALJ concluded that plaintiff had “not been under a disability, as defined
in the Social Security Act, from September 5, 2009, through the date of this decision....”35
Standard of Review
Pursuant to 42 U.S.C. § 405(g), the court has the “power to enter, upon the pleadings
and transcript of the record, a judgment affirming, modifying, or reversing the decision of
the Commissioner....” The court “properly affirms the Commissioner’s decision denying
benefits if it is supported by substantial evidence and based on the application of correct
legal standards.” Sandgathe v. Chater, 108 F.3d 978, 980 (9th Cir. 1997). “Substantial
evidence is ‘more than a mere scintilla but less than a preponderance; it is such relevant
evidence as a reasonable mind might accept as adequate to support a conclusion.’” Id.
(quoting Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995)). “‘To determine whether
substantial evidence supports the ALJ’s decision, [the court] review[s] the administrative
record as a whole, weighing both the evidence that supports and that which detracts from
33
Admin. Rec. at 36.
34
Admin. Rec. at 36. George Bluth testified as the vocational expert. Admin. Rec.
at 69-74.
35
Admin. Rec. at 37.
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the ALJ’s conclusion.’” Id. If the evidence is susceptible to more than one reasonable
interpretation, the court must uphold the Commissioner’s decision.
Id.
But, the
Commissioner’s decision cannot be affirmed “‘simply by isolating a specific quantum of
supporting evidence.’” Holohan v. Massanari, 246 F.3d 1195, 1201 (9th Cir. 2001) (quoting
Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999)).
Discussion
Plaintiff first argues that the ALJ erred because she did not consider the opinions of
Drs. Fife and Schultz. Dr. Fife began treating plaintiff at the Barrow Neurology Clinic on
June 14, 2011. On that day, Dr. Fife noted that plaintiff reported “depression and wide
mood swings that seem to intrude upon his thoughts, and he has rushing thoughts at times
that he cannot control fully.”36 One of Dr. Fife’s diagnostic impressions on June 14, 2011
was “[p]rogressing imbalance” and the plan was to “obtain some further functional studies
of the cerebral cortex by means of neuropsychological testing and an EEG.”37 On August
23, 2011, Dr. Schultz did the neuropsychological testing that Dr. Fife recommended. Dr.
Schultz noted that plaintiff had “a severe level of depressive symptoms” and “substantial
daytime sleepiness” and that these may contribute to plaintiff’s reported functional
36
Admin. Rec. at 461.
37
Admin. Rec. at 462.
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limitations.38 Plaintiff argues that these were “opinions” of treating physicians that the ALJ
was required to consider, which she failed to do because she did not mention either of these
“opinions” in her decision.
“Because treating physicians are employed to cure and thus have a greater
opportunity to know and observe the patient as an individual, their opinions are given
greater weight than the opinions of other physicians.” Smolen v. Chater, 80 F.3d 1273, 1285
(9th Cir. 1996). “Therefore, an ALJ may not reject treating physicians’ opinions unless [s]he
‘makes findings setting forth specific, legitimate reasons for doing so that are based on
substantial evidence in the record.’” Id. (quoting Magallanes v. Bowen, 881 F.2d 747, 751
(9th Cir. 1989)). “[A]n ALJ cannot avoid these requirements simply by not mentioning the
treating physician’s opinion and making findings contrary to it.” Lingenfelter v. Astrue,
504 F.3d 1028, 1038 n. 10 (9th Cir. 2007).
However, neither Dr. Schultz nor Dr. Fife offered an opinion about plaintiff’s
functional limitations. Rather, Dr. Fife made an observation about plaintiff’s depression
while treating plaintiff and Dr. Schultz made observations about plaintiff’s depression and
daytime sleepiness while performing psychoneurological testing.
“opinions” which the ALJ was required to consider.
These were not
Dr. Fife’s and Dr. Schultz’s
observations were simply part of the medical evidence of record. The ALJ is not required
38
Admin. Rec. at 470.
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to discuss every piece of medical evidence. Howard ex rel. Wolff v. Barnhart, 341 F.3d
1006, 1012 (9th Cir. 2003). Thus, the ALJ’s failure to mention Dr. Fife’s and Dr. Schultz’s
observations was not error.
Plaintiff next appears to argue that the ALJ erred in giving Dr. Nellis’ opinion great
weight. Amanda Nellis, Ph.D., LPC, did a psychological evaluation of plaintiff on April 8,
2011. Dr. Nellis opined that plaintiff
did not demonstrate difficulty remembering instructions. At
the current time, he does not appear to be impaired in this area.
He would likely understand work-like procedures. A memory
assessment was not conducted on Mr. Daniels, which was his
reported concern. He appeared to have some difficulty at
times retrieving information/words, but was able to remember
instructions provided to him on all subtests of today’s administration. Mr. Daniels is able to concentrate and persist through
tasks that are difficult for him and did not require any encouragement to do so. He did not appear to have difficulty
carrying out instructions. He was able to concentrate throughout today’s administration. Regular attendance and persistence may be more of a concern for Mr. Daniels. Attendance
and persistence concerns would be associated with chronic
pain and headaches, however, and less likely from his cognitive abilities or his ability to concentrate on tasks. Mr. Daniels
appears to get along well with his peers and was cordial and
social during his evaluation. He maintains several close
friendships. He would likely get along with co-workers and
respond appropriately to supervision. His chronic pain may
interfere with socially appropriate behavior at times, for
example he would likely withdraw from social situations when
pain is elevated. He was groomed and would be able to
adhere to the basic standards of neatness. Mr. Daniels would
likely respond to direction in the work setting and would be
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aware of and responsive to normal hazards.[39]
Dr. Nellis also noted that plaintiff “reported difficulty with memory and retrieval of
information; however, today’s evaluation did not fully encompass measuring these
abilities.”40
The ALJ gave Dr. Nellis’ opinion great weight because it was “in accord with
[plaintiff’s] cognitive testing[.]”41 In considering what weight to give a medical opinion,
regardless of its source, the ALJ considers the “length of the treatment relationship and the
frequency of examination, nature and extent of the treatment relationship, supportability,
consistency, specialization, and other factors that tend to support or contradict the
opinion[.]” Garrison v. Colvin, 759 F.3d 995, 1012 n.11 (9th Cir. 2014) (internal citations
omitted). The opinion of an examining source who conducts an independent investigation
can constitute substantial evidence supporting the ALJ’s decision. Tonapetyan v. Halter,
242 F.3d 1144, 1149 (9th Cir. 2001).
It is somewhat troubling that the ALJ gave great weight to Dr. Nellis’ opinion even
though she expressly stated that her evaluation did not encompass plaintiff’s reported
issues with memory and retrieval of information. The point of Dr. Nellis’ evaluation was
39
Admin. Rec. at 446.
40
Admin. Rec. at 443.
41
Admin. Rec. at 34-35.
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to do a cognitive assessment; yet she did not evaluate the primary cognitive problem of
which plaintiff complained. The court’s concern as to Dr. Nellis’ opinion is elevated by the
Appeals Council’s treatment of Dr. Geary’s opinion.
On December 21, 2012, which was after the ALJ had rendered her decision, Brent
Geary, Ph.D., did a psychological examination of plaintiff. Dr. Geary opined that plaintiff
appears to meet criteria for impairment under 12.02 Organic
Mental Disorders. He demonstrated significant memory
impairment[.] Dana discussed changes in his personality since
the light rail accident, and he produced impaired range
performance on both the Trail Making Test and Booklet
Category Test. He also seems to demonstrate impairment
under 12.04 Affective Disorders. Dana is troubled by pervasive
loss of interest, sleep disturbance, psychomotor retardation,
feelings of worthlessness, and difficulties concentrating and
thinking. The Panic Disorder seems to meet criteria under
12.06 Anxiety-Related Disorders. Dana has apprehensive
expectation when he leaves his home and in particular, when
he is a passenger in a motor vehicle. He has recurrent panic
attacks as well as intrusive recollections of reminders related
to the light rail accident. These impairments appear to cause
marked limitations in Dana’s activities of daily living, maintenance of social functioning, and in his ability to sustain
concentration and pace. The prognosis in this case is poor at
present. Mr. Daniels requires assistance managing benefits.[42]
As for functional limitations, Dr. Geary opined that plaintiff’s ability to understand,
remember, and carry out short and simple instructions; make simple work-related
decisions; maintain socially appropriate behavior and adhere to basic standards of neatness
42
Admin. Rec. at 674.
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and cleanliness; and be aware of normal hazards and take appropriate precautions was
mildly impaired.43 Dr. Geary opined that plaintiff’s ability to sustain an ordinary routine
without special supervision; work in coordination with or proximity to others without
being distracted by them; and interact appropriately with the general public was
moderately impaired.44 Dr. Geary opined that plaintiff’s ability to carry out detailed
instructions; maintain attention and concentration for extended periods; respond
appropriately to changes in the work setting; and travel to unfamiliar places or use public
transportation was moderately severely impaired.45 And, Dr. Geary opined that plaintiff’s
ability to understand and remember detailed instructions; perform activities within a
schedule, maintain regular attendance, and be punctual within customary tolerances;
respond to customary work pressures; complete a normal workday and workweek without
interruptions from psychologically based symptoms and to perform at a consistent pace
without an unreasonable number and lengths of rest periods; and set realistic goals or
make plans independently of others was severely impaired.46
Dr. Geary’s assessment and opinion were submitted to the Appeals Council, which
43
Admin. Rec. at 677-678.
44
Admin. Rec. at 677-678.
45
Admin. Rec. at 677-678.
46
Admin. Rec. at 677-678.
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considered this evidence. Because the Appeals Council considered this new evidence, it
became “part of the administrative record, which the district court must consider when
reviewing the Commissioner’s final decision for substantial evidence.” Brewes v. Comm'r
of Soc. Sec. Admin., 682 F.3d 1157, 1163 (9th Cir. 2012).
Although defendant “concedes that if credited, the materials from Dr. Geary suggest
the possibility that [p]laintiff is mentally disabled,”47 defendant argues that does not mean
that there is still not substantial evidence to support the ALJ’s decision. Defendant argues
that a reasonable ALJ would not have credited Dr. Geary’s opinion and that Dr. Nellis’
opinion provides an adequate basis for rejecting Dr. Geary’s opinion.
Dr. Geary’s analysis of plaintiff’s nonexertional functional limitations was more
exhaustive than that of Dr. Nellis. As discussed above, Dr Nellis’ evaluation did not
address plaintiff’s reported issues with memory and retrieval of information. Thus, Dr.
Nellis’ opinion, by itself, would not have been an adequate basis for rejecting Dr. Geary’s
opinion. If Dr. Geary’s opinion is credited, the ALJ’s decision is not supported by
substantial evidence. Dr. Geary’s opinion might have led to a disability determination had
that opinion been before the ALJ.
Finally, plaintiff argues that the ALJ erred in finding his pain and symptom
statements less than credible. “An ALJ engages in a two-step analysis to determine
47
Defendant’s Brief at 7, Docket No. 14.
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whether a claimant’s testimony regarding subjective pain or symptoms is credible.”
Garrison, 759 F.3d at 1014. “‘First, the ALJ must determine whether the claimant has
presented objective medical evidence of an underlying impairment which could reasonably
be expected to produce the pain or other symptoms alleged.’“ Id. (quoting Lingenfelter,
504 F.3d at 1035-36). “In this analysis, the claimant is not required to show ‘that h[is]
impairment could reasonably be expected to cause the severity of the symptom []he has
alleged; []he need only show that it could reasonably have caused some degree of the
symptom.’” Id. (quoting Smolen, 80 F.3d at 1282). “Nor must a claimant produce
‘objective medical evidence of the pain or fatigue itself, or the severity thereof.’” Id.
(quoting Smolen, 80 F.3d at 1281). “If the claimant satisfies the first step of this analysis,
and there is no evidence of malingering, ‘the ALJ can reject the claimant's testimony about
the severity of her symptoms only by offering specific, clear and convincing reasons for
doing so.’” Id. at 1014-15 (quoting Smolen, 80 F.3d at 1281). “This is not an easy
requirement to meet: ‘The clear and convincing standard is the most demanding required
in Social Security cases.’” Id. at 1015 (quoting Moore v. Comm’r of Soc. Sec. Admin., 278
F.3d 920, 924 (9th Cir. 2002)). “In evaluating the claimant’s testimony, the ALJ may use
‘ordinary techniques of credibility evaluation.’” Molina v. Astrue, 674 F.3d 1104, 1112 (9th
Cir. 2012) (quoting Turner v. Comm’r of Social Sec., 613 F.3d 1217, 1224 n.3 (9th Cir. 2010)).
“For instance, the ALJ may consider inconsistencies either in the claimant’s testimony or
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between the testimony and the claimant’s conduct, unexplained or inadequately explained
failure to seek treatment or to follow a prescribed course of treatment, and whether the
claimant engages in daily activities inconsistent with the alleged symptoms[.]”
Id.
(internal citations omitted).
The ALJ gave two reasons for finding plaintiff’s pain and symptom statements less
than credible. First, the ALJ found his “assertion that he lost his job due to injuries
received in the light rail accident” to be “inconsistent with the evidence.”48 Second, the ALJ
found plaintiff’s statements less than credible because they were not supported by the
objective medical evidence.49
As for the first reason, the ALJ explained that plaintiff’s assertion that he stopped
working because of the light rail accident was inconsistent with his earning records, which
showed earnings only in the first quarter of 2009 and no earnings in 2008.50 However,
plaintiff submitted evidence to the Appeals Council that shows that he was working
beyond the first quarter of 2009.51 This evidence shows that plaintiff worked in May, June,
July, and August of 2009. Plaintiff’s accident was in September 2009. The evidence put
48
Admin. Rec. at 33.
49
Admin. Rec. at 34.
50
Admin. Rec. at 33.
51
Admin. Rec. at 255-258.
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before and considered by the Appeals Council negates the ALJ’s first reason for finding
plaintiff’s testimony less than credible.
As for the second reason, “subjective pain testimony cannot be rejected on the sole
ground that it is not fully corroborated by objective medical evidence[.]” Rollins v.
Massanari, 261 F.3d 853, 857 (9th Cir. 2001). Because the first reason given by the ALJ has
been negated, the lack of corroborating medical evidence by itself cannot constitute
substantial evidence supporting the ALJ’s credibility finding.
Because the ALJ’s decision is not supported by substantial evidence, the court must
determine whether to remand this matter for an award of benefits or for further
proceedings. “Remand for further administrative proceedings is appropriate if enhancement of the record would be useful.” Benecke v. Barnhart, 379 F.3d 587, 593 (9th Cir. 2004)
(emphasis omitted). “Conversely, where the record has been developed fully and further
administrative proceedings would serve no useful purpose, the district court should
remand for an immediate award of benefits.” Id.
More specifically, the district court should credit evidence that
was rejected during the administrative process and remand for
an immediate award of benefits if (1) the ALJ failed to provide
legally sufficient reasons for rejecting the evidence; (2) there
are no outstanding issues that must be resolved before a
determination of disability can be made; and (3) it is clear from
the record that the ALJ would be required to find the claimant
disabled were such evidence credited.
Id.
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Plaintiff argues that a remand for an award of benefits is appropriate here if his
testimony and Dr. Geary’s testimony is credited as true. But there is no testimony in this
case from the vocational expert that someone with the limitations described by plaintiff
would be precluded from work or that someone who had the limitations opined by Dr.
Geary would be precluded from all work. Further development of the record is thus
required.
Conclusion
Based on the foregoing, the Commissioner’s decision is reversed and this matter is
remanded for further proceedings.
DATED at Anchorage, Alaska, this 2nd day of April, 2015.
/s/ H. Russel Holland
United States District Judge
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