Saul v. Colvin
Filing
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ORDER - IT IS ORDERED that the Commissioner's disability determination is AFFIRMED. The Clerk of Court is directed to enter judgment accordingly and to terminate this action. (See document for further details). Signed by Magistrate Judge John Z Boyle on 9/29/15. (LAD)
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IN THE UNITED STATES DISTRICT COURT
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FOR THE DISTRICT OF ARIZONA
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Tim Alan Saul,
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No. CV-14-01305-PHX-JZB
Plaintiff,
ORDER
v.
Carolyn W. Colvin,
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Defendant.
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Plaintiff Tim Alan Saul seeks review of the Social Security Administration
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Commissioner’s decision denying his social security benefits under the Social Security
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Act. The Court will affirm the Commissioner’s decision. The ALJ denied disability for
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the entire period of time between January 4, 2011, and December 4, 2012, including
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January 4, 2011 through March 2012, and his decision is supported by substantial
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evidence and free from legal error.
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I.
Background
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On January 22, 2011, Plaintiff filed an Application for a period of disability and
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disability insurance (DI) benefits under Title II of the Social Security Act. (AR1 168-74.)
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In the Application, Plaintiff asserts disability beginning on January 4, 2011. (Id. at 168.)
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Plaintiff’s Application was initially denied on June 1, 2011, and was denied upon
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reconsideration on February 17, 2012. (Id. at 104-07.) Subsequently, the Application
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Citations to “AR” are to the administrative record.
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was set for a hearing.
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In a decision dated December 14, 2012,
Administrative Law Judge (ALJ) Thomas Cheffins denied Plaintiff’s Application for
benefits. (Id. at 13-23.) On May 28, 2014, the Appeals Council denied Plaintiff’s request
for review of the ALJ’s decision, making the ALJ’s decision the final decision of the
Commissioner of the Social Security Administration. (Id. at 1-7.)
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(Id. at 134-57.)
Having exhausted the administrative review process, on June 11, 2014, Plaintiff
sought judicial review of the ALJ’s decision by filing a Complaint in this Court pursuant
to 42 U.S.C. § 405(g). (Doc. 1.) On October 20, 2014, Plaintiff filed an Opening Brief,
requesting the Court vacate the decision of the ALJ and grant his request for a closed
period of benefits. (Doc. 16.) On December 18, 2014, Defendant filed a Response Brief
in support of the Commissioner’s decision. (Doc. 20.) On December 26, 2014, Plaintiff
filed a Reply Brief. (Doc. 21.)
II.
Legal Standards
a. Standard of Review
The Social Security Act, 42 U.S.C. § 405(g), provides for judicial review of the
Commissioner’s disability benefits determinations. The Court may set aside the
Commissioner’s disability determination only if the determination is not supported by
substantial evidence or is based on legal error. Orn v. Astrue, 495 F.3d 625, 630 (9th Cir.
2007); Marcia v. Sullivan, 900 F.2d 172, 174 (9th Cir. 1990). “‘Substantial evidence’
means more than a mere scintilla, but less than a preponderance; it is such relevant
evidence as a reasonable person might accept as adequate to support a conclusion.”
Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007); see also Reddick v. Chater,
157 F.3d 715, 720 (9th Cir. 1998).
In determining whether substantial evidence supports the ALJ’s decision, the
Court considers the record as a whole, weighing both the evidence that supports and that
which detracts from the ALJ’s conclusions. Reddick, 157 F.3d at 720; Tylitzki v. Shalala,
999 F.2d 1411, 1413 (9th Cir. 1993). The ALJ is responsible for resolving conflicts,
ambiguity, and determining credibility. Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir.
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1995); Magallanes v. Bowen, 881 F.2d 747, 750 (9th Cir. 1989). The Court “must
uphold the ALJ’s decision where the evidence is susceptible to more than one rational
interpretation.” Andrews, 53 F.3d at 1039. “However, a reviewing court must consider
the entire record as a whole and may not affirm simply by isolating a ‘specific quantum
of supporting evidence.’” Orn, 495 F.3d at 630 (quoting Robbins v. Soc. Sec. Admin., 466
F.3d 880, 882 (9th Cir. 2006)). The Court reviews only those issues raised by the party
challenging the ALJ’s decision.
See Lewis v. Apfel, 236 F.3d 503, 517 n.13 (9th Cir.
2001). Similarly, the Court reviews “only the reasons provided by the ALJ in the
disability determination and may not affirm the ALJ on a ground upon which he did not
rely.” Garrison v. Colvin, 759 F.3d 995, 1010 (9th Cir. 2014).
b. Five-Step Evaluation Process
To be eligible for Social Security benefits, a claimant must show an “inability 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 12 months.” 42
U.S.C. § 423(d)(1)(A); see also Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). A
person is under a disability only:
if his physical or mental impairment or impairments are of
such severity that he is not only unable to do his previous
work but cannot, considering his age, education, and work
experience, engage in any other kind of substantial gainful
work which exists in the national economy.
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42 U.S.C. § 423(d)(2)(A).
The ALJ follows a five-step evaluation process to determine whether an applicant
is disabled under the Social Security Act:
The five-step process for disability determinations begins, at
the first and second steps, by asking whether a claimant is
engaged in “substantial gainful activity” and considering the
severity of the claimant’s impairments. See 20 C.F.R. §
416.920(a)(4)(i)-(ii). If the inquiry continues beyond the
second step, the third step asks whether the claimant’s
impairment or combination of impairments meets or equals a
listing under 20 C.F.R. pt. 404, subpt. P, app. 1 and meets the
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duration requirement. See id. § 416.920(a)(4)(iii). If so, the
claimant is considered disabled and benefits are awarded,
ending the inquiry. See id. If the process continues beyond
the third step, the fourth and fifth steps consider the
claimant’s “residual functional capacity” in determining
whether the claimant can still do past relevant work or make
an adjustment to other work. See id. § 416.920(a)(4)(iv)-(v).
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Kennedy v. Colvin, 738 F.3d 1172, 1175 (9th Cir. 2013). “The burden of proof is on the
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claimant at steps one through four, but shifts to the Commissioner at step five.” Bray v.
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Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 1222 (9th Cir. 2009).
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c. The ALJ’s Five-Step Determination
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Applying the five-step evaluation process, the ALJ found that Plaintiff is not
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disabled and is not entitled to benefits. (Id. at 12-23.) At step one, the ALJ found that
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Plaintiff has not engaged in substantial gainful activity since the application date. (Id. at
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15.) At step two, the ALJ found that Plaintiff has the following severe impairments:
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degenerative disc disease of the cervical and lumbar spine, status post fusion of L4-5,
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status post right shoulder surgery, status post transient ischemic attack, hypertension,
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arterial fibrillation, status post heart stent, and coronary artery disease. (Id. at 15.) At
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step three, the ALJ determined that Plaintiff does not have an impairment or combination
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of impairments that meets or medically equals an impairment listed in Appendix 1 to
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Subpart P of 20 C.F.R. Pt. 404. (Id. at 16.)
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At step four, the ALJ found the following:
[Plaintiff] had the residual functional capacity to perform
sedentary work as defined in 20 CFR 404.1567(a) except the
[Plaintiff] can occasionally climb ladders, ropes, or scaffolds,
stoop, crouch, kneel, and crawl; and frequently climb
ramp/stairs. [Plaintiff] can occasionally reach above shoulder
level bilaterally and perform occasional foot control operation
with the left lower extremity. [Plaintiff] should avoid
concentrated exposure to excessive vibration, use of moving
machinery (except motor vehicles) and exposure to
unprotected heights.
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(Id. at 16.) The ALJ further found that Plaintiff is unable to perform any of his past
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relevant work. (Id. at 21.) At step five, the ALJ found that jobs exist in significant
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numbers in the national economy that Plaintiff could perform. (Id. at 22.) Given that
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finding, the ALJ concluded that Plaintiff “has not been under a disability, as defined in
the Social Security Act, from January 4, 2011, through the date of [the] decision.” (Id. at
23.)
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III.
The ALJ did not err because he sufficiently considered evidence in the closed
period.
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Plaintiff argues that the ALJ’s decision is defective for two reasons: (1) the ALJ
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misinterpreted the evidence to the detriment of Plaintiff; and (2) the ALJ did not comply
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with 20 C.F.R. § 404.315.2 Both of Plaintiff’s arguments hinge on the same issue—
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whether the ALJ failed to evaluate or discuss Plaintiff’s condition in the limited period
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between January 4, 2011 (Plaintiff’s alleged onset of disability), and March 2012
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(Plaintiff’s alleged closed period of disability).3 (Doc. 16 at 5-6.) Plaintiff contends that
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because the ALJ did not explicitly deny Plaintiff’s disability for the closed period, he
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therefore misinterpreted the evidence. (Id.)
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As an initial matter, Plaintiff fails to cite to any specific evidence the ALJ
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neglected to address, improperly weighed, or mischaracterized. (Doc 16.) Additionally,
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Plaintiff does not challenge the ALJ’s assessment of Plaintiff’s credibility. (Id.) Absent
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other allegations, Plaintiff’s appeal is limited to the claim that the ALJ misinterpreted
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record evidence because he did not explicitly deny the closed period of disability. See
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Lewis v. Apfel, 236 F.3d 503, 517 n.13 (9th Cir. 2001) (noting that only issues raised by
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the Plaintiff are reviewed by the Court); Independent Towers of Wash. v. Wash., 350 F.3d
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925, 929 (9th Cir. 2003) (“Our circuit has repeatedly admonished that we cannot
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manufacture arguments for an appellant and therefore we will not consider any claims
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that were not actually argued in appellant’s opening brief”) (internal quotations omitted)).
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20 C.F.R. § 404.315 establishes that a person is entitled to disability benefits
while disabled if they meet certain criteria. These requirements include: “(1) You have
enough social security earnings to be insured for disability, as described in § 404.130;
(2) You apply; (3) You have a disability, as defined in § 404.1505, or you are not
disabled, but you had a disability that ended within the 12–month period before the
month you applied.” 20 C.F.R. § 404.315. Plaintiff does not discuss how the ALJ failed
to comply with this regulation.
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The Court’s references to “closed period” mean the period of time between
January 4, 2011 and March 2012.
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Therefore, the issue before the Court is limited to whether the ALJ misinterpreted the
evidence by not offering a separate denial for the closed period.
The ALJ found that “[t]he claimant has not been under a disability, as defined in
the Social Security Act, from January 4, 2011, through the date of this decision
[December 14, 2012].”
(AR at 23.)
Earlier in his decision, the ALJ explained,
“[d]isability is defined as the inability to engage in any substantial gainful activity by
reason of any medically determinable physical or mental impairment or combination of
impairments that can be expected to result in death or that has lasted or can be expected
to last for a continuous period of not less than 12 months.”4 (Id. at 13.) The ALJ’s
decision explicitly found that at no time during the entire period of January 4, 2011
through December 14, 2012, which includes January 4, 2011, through March 2012, was
the Plaintiff disabled for a continuous 12-month period. (Id. at 23.) Because the closed
period is contained within the period of time explicitly identified by the ALJ, the ALJ
implicitly denied Plaintiff’s disability during the closed period. The ALJ is not required
to parse his decision into a separate denial of the closed period and a denial for the entire
period. See Lockwood v. Comm’r. Soc. Sec. Admin., 616 F.3d 1068, 1071-73 (9th Cir.
2010) (regulatory requirement to consider an issue does not impose a duty for the ALJ to
provide a detailed explanation of that consideration).
Moreover, not only did the ALJ deny the closed period, it is clear from the record
that the ALJ gave significant consideration to evidence and medical records regarding
Plaintiff’s alleged disability within the closed period. For example, the ALJ reviewed
and discussed the April 2011 record of a consultative examination from within the closed
period. The report indicated that Plaintiff “is still working when he can find work as a
ceramic tile, natural stone, shower, countertop, floor installer,” and adding, Plaintiff
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The impairment and the inability to perform substantial gainful activity must
meet the 12-month durational requirement. Barnhart v. Walton, 535 U.S. 212, 217
(2002) (“[T]he Agency has interpreted this regulation to mean that the claimant is not
disabled if within 12 months after the onset of an impairment … the impairment no
longer prevents substantial gainful activity”) (quotations omitted).
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“states he worked last earlier this month.” (AR at 498.) While Plaintiff reported to the
doctor in this examination that he ceased working due to back problems, as the ALJ
notes, the report also indicates “but really he cannot find much work.” (Id.) Although
the specific reason Plaintiff ceased working in April 2011 is in question, it is clear
Plaintiff was working just a month prior, within the closed period.
The ALJ also reviewed reports from Dr. Robert Waldrip, Plaintiff’s treating
physician. The January 26, 2012 report limits the occasions where Plaintiff is required to
wear lumbosacral support only to when he was working as a tile setter. (Id. at 709.)
Waldrip’s instructions did not impose any work limitations, such as restricting Plaintiff to
no work, part-time work, or even suggested “no lifting.” (Id.) The ALJ interpreted this
instruction to support Plaintiff’s ability to work. (Id. at 21.)
Additionally, the ALJ considered the May 31, 2011, and February 16, 2012,
opinions of State-agency reviewing physicians who found that Plaintiff, in light of his
improvement with surgery, normal physical exams, and activities reported in evidence,
was capable of medium work. (Id.) Both of these disability determinations were done
within the closed period. (Id. at 80-89, 91-103.)
The ALJ also evaluated several additional sources of evidence regarding
Plaintiff’s physical condition within the closed period. Specifically, the ALJ cited to
Plaintiff’s testimony regarding his back surgery in September 2011 (id. at 18); records
from the Core Institute, post-op from Plaintiff’s right shoulder surgery in October 2011
(id.); and, Plaintiff’s medical report from November 2011 that provides “he is doing
much better” and currently has no leg or back pain. (Id.)
The ALJ’s analysis included many examples from the administrative record that
alone would be sufficient to establish a proper evaluation of the disability claim within
the closed period. In fact, Plaintiff concedes that the medical records do not support the
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conclusion of disability for a continuous 12-month period.5
(Doc. 16) (“Although not
specifically indicated by the medical records, the need for care, surgery, and
convalescence clearly exceeded 12 months.”). Accordingly, the Court finds the ALJ
sufficiently considered the entire period at issue, including the closed period from
January 4, 2011, through March 2012, in deciding Plaintiff is not disabled, and his
decision is supported by substantial evidence and free from legal error.
IV.
Conclusion
As set forth above, the Court finds that the ALJ’s opinion is supported by
substantial evidence in the record and is free from harmful legal error.
Accordingly,
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IT IS ORDERED that the Commissioner’s disability determination is
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AFFIRMED. The Clerk of Court is directed to enter judgment accordingly and to
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terminate this action.
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Dated this 29th day of September, 2015.
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Honorable John Z. Boyle
United States Magistrate Judge
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Plaintiff’s Opening Brief merely expounds his interpretation of the medical
records, which is insufficient to show legal error. Andrews v. Shalala, 53 F.3d 1035,
1039-40 (9th Cir. 1995) (“We must uphold the ALJ’s decision where the evidence is
susceptible to more than one rational interpretation”).
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