Alex Solis v. Carolyn W. Colvin

Filing 16

MEMORANDUM OPINION AND ORDER OF REMAND by Magistrate Judge Charles F. Eick. Plaintiff's and Defendant's motions for summary judgment are denied and this matter is remanded for further administrative action consistent with this Opinion. (sp)

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 12 13 14 15 16 ALEX SOLIS, ) ) Plaintiff, ) ) v. ) ) CAROLYN W. COLVIN, Acting ) Commissioner of Social Security, ) ) Defendant. ) ____________________________________) NO. CV 14-8620-E MEMORANDUM OPINION AND ORDER OF REMAND 17 18 Pursuant to sentence four of 42 U.S.C. section 405(g), IT IS 19 HEREBY ORDERED that Plaintiff’s and Defendant’s motions for summary 20 judgment are denied, and this matter is remanded for further 21 administrative action consistent with this Opinion. 22 23 PROCEEDINGS 24 25 Plaintiff filed a complaint on November 13, 2014, seeking review 26 of the Commissioner’s denial of benefits. The parties consented to 27 proceed before a United States Magistrate Judge on December 29, 2014. 28 Plaintiff filed a motion for summary judgment on April 14, 2015. 1 Defendant filed a motion for summary judgment on May 14, 2015. The 2 Court has taken the motions under submission without oral argument. 3 See L.R. 7-15; “Order,” filed November 13, 2014. 4 5 BACKGROUND 6 7 Plaintiff, a former clerk, painter and housekeeper, asserts 8 disability since March 8, 2006, based on exertional and non-exertional 9 impairments (Administrative Record (“A.R.”) 23, 71-92, 189). The 10 Administrative Law Judge (“ALJ”) found Plaintiff suffers from several 11 severe impairments, but retains the residual functional capacity to 12 perform a limited range of light work (A.R. 25-26). 13 Plaintiff’s functional capacity, the ALJ purported to adopt the 14 opinions of Dr. Gregory Lercel, Plaintiff’s treating orthopedist (A.R. 15 29). In defining The ALJ stated: 16 17 I have given great weight to the opinion of Dr. Lercel. He 18 is the claimant’s attending physician. 19 in orthopedics. 20 treatment and objective findings contained in his progress 21 notes. . . . 22 claimant’s maximum sustained residual functional capacity. 23 . . . 24 limits as endorsed by attending orthopedic physician Lercel 25 (A.R. 29). He is a specialist His opinion is supported by his course of I have incorporated his findings into the I have adopted the exertional and non-exertional 26 27 28 In fact, for reasons nowhere specifically explained in the ALJ’s decision, the ALJ did not adopt certain of Dr. Lercel’s opinions 2 1 regarding Plaintiff’s functional limitations, including Dr. Lercel’s 2 opinions that Plaintiff would have to shift positions at will, walk 3 for 10 minutes after every 90 minutes of work, and be absent from work 4 approximately one day per month (Compare A.R. 26 (the residual 5 functional capacity defined by the ALJ) with A.R. 437-38 (the opinions 6 of Dr. Lercel)).1 7 8 9 The ALJ determined that Plaintiff could not perform his past relevant work (A.R. 29). In reliance on the testimony of a vocational 10 expert, however, the ALJ identified other jobs performable by a person 11 having the residual functional capacity the ALJ found to exist (A.R. 12 30-31, 92-93). 13 31). The ALJ therefore denied disability benefits (A.R. The Appeals Council denied review (A.R. 5-7). 14 15 STANDARD OF REVIEW 16 17 Under 42 U.S.C. section 405(g), this Court reviews the 18 Administration’s decision to determine if: (1) the Administration’s 19 findings are supported by substantial evidence; and (2) the 20 Administration used correct legal standards. 21 Commissioner, 533 F.3d 1155, 1159 (9th Cir. 2008); Hoopai v. Astrue, 22 499 F.3d 1071, 1074 (9th Cir. 2007); see also Brewes v. Commissioner, 23 682 F.3d 1157, 1161 (9th Cir. 2012). 24 relevant evidence as a reasonable mind might accept as adequate to See Carmickle v. Substantial evidence is “such 25 26 27 28 1 The residual functional capacity defined by the ALJ also failed to adopt Dr. Lercel’s opinions that Plaintiff can stand and walk “less than 2 hours,” lift 10 pounds only “occasionally” and lift 20 pounds only “rarely” (Compare A.R. 26 with A.R. 437). 3 1 support a conclusion.” Richardson v. Perales, 402 U.S. 389, 401 2 (1971) (citation and quotations omitted); see also Widmark v. 3 Barnhart, 454 F.3d 1063, 1066 (9th Cir. 2006). 4 5 If the evidence can support either outcome, the court may 6 not substitute its judgment for that of the ALJ. 7 Commissioner’s decision cannot be affirmed simply by 8 isolating a specific quantum of supporting evidence. 9 Rather, a court must consider the record as a whole, But the 10 weighing both evidence that supports and evidence that 11 detracts from the [administrative] conclusion. 12 13 Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999) (citations and 14 quotations omitted). 15 16 DISCUSSION 17 18 Plaintiff contends, inter alia, the ALJ materially erred with 19 respect to the opinions of Dr. Lercel. 20 herein, the Court agrees. 21 For the reasons discussed proceedings is appropriate. Remand for further administrative 22 23 A treating physician’s conclusions “must be given substantial 24 weight.” Embrey v. Bowen, 849 F.2d 418, 422 (9th Cir. 1988); see 25 Rodriguez v. Bowen, 876 F.2d 759, 762 (9th Cir. 1989) (“the ALJ must 26 give sufficient weight to the subjective aspects of a doctor’s 27 opinion. . . . 28 treating physician”) (citation omitted); see also Orn v. Astrue, 495 This is especially true when the opinion is that of a 4 1 F.3d 625, 631-33 (9th Cir. 2007) (discussing deference owed to 2 treating physician opinions). 3 opinions are contradicted,2 “if the ALJ wishes to disregard the 4 opinion[s] of the treating physician he . . . must make findings 5 setting forth specific, legitimate reasons for doing so that are based 6 on substantial evidence in the record.” 7 643, 647 (9th Cir. 1987) (citation, quotations and brackets omitted); 8 see Rodriguez v. Bowen, 876 F.2d at 762 (“The ALJ may disregard the 9 treating physician’s opinion, but only by setting forth specific, 10 legitimate reasons for doing so, and this decision must itself be 11 based on substantial evidence”) (citation and quotations omitted). Even where the treating physician’s Winans v. Bowen, 853 F.2d 12 13 As detailed in the “Background” section, supra, the ALJ’s 14 decision purported to adopt Dr. Lercel’s opinions regarding 15 Plaintiff’s limitations, but actually defined a residual functional 16 capacity inconsistent with those opinions. 17 exist: (1) the ALJ intended to adopt all of Dr. Lercel’s limitations 18 into the residual functional capacity assessment but wrote a decision 19 that failed to implement this intent; or (2) the ALJ intended to 20 reject certain of Dr. Lercel’s limitations, but wrote a decision that: 21 (a) claimed to adopt all of Dr. Lercel’s limitations, and (b) failed 22 to offer any specific explanation for the implicit rejection of 23 certain of Dr. Lercel’s limitations. 24 /// At least two possibilities 25 26 2 27 28 Rejection of an uncontradicted opinion of a treating physician requires a statement of “clear and convincing” reasons. Smolen v. Chater, 80 F.3d 1273, 1285 (9th Cir. 1996); Gallant v. Heckler, 753 F.2d 1450, 1454 (9th Cir. 1984). 5 1 Under the first possibility, the residual functional capacity 2 defined in the ALJ’s decision and incorporated into the hypothetical 3 question posed to the vocational expert would be in factual error. 4 Such an error could be material. 5 to “set out all of the claimant’s impairments,” the vocational 6 expert’s answers to the question cannot constitute substantial 7 evidence to support the ALJ’s decision. 8 Sullivan, 924 F.2d 841, 850 (9th Cir. 1991); Gamer v. Secretary, 815 9 F.2d 1275, 1280 (9th Cir. 1987); Gallant v. Heckler, 753 F.2d at 1456. Where a hypothetical question fails See, e.g., DeLorme v. 10 11 Under the second possibility, the ALJ’s implicit, unexplained 12 rejection of certain of Dr. Lercel’s limitations would constitute 13 legal error. 14 1990) (implicit rejection of treating physician’s opinion cannot 15 satisfy Administration’s obligation to set forth “specific, legitimate 16 reasons”); see also Lingenfelter v. Astrue, 504 F.3d 1028, 1038 n.10 17 (9th Cir. 2007) (the ALJ cannot avoid the requirement of setting forth 18 “specific legitimate reasons” by failing to mention the treating 19 physician’s opinion and making findings contrary to it).3 20 error also could be material. 21 (9th Cir. 2011) (error not harmless where “the reviewing court can 22 determine from the ‘circumstances of the case’ that further 23 administrative review is needed to determine whether there was See Salvador v. Sullivan, 917 F.2d 13, 15 (9th Cir. Such an McLeod v. Astrue, 640 F.3d 881, 887 24 25 26 27 28 3 Defendant suggests reasons allegedly supporting the implicit rejection of certain of Dr. Lercel’s opinions (Defendant’s Motion at 6-7). However, the Court “cannot affirm the decision of an agency on a ground that the agency did not invoke in making its decision.” Pinto v. Massanari, 249 F.3d 840, 847 (9th Cir. 2001). 6 1 prejudice from the error”); see also Garcia v. Commissioner, 768 F.3d 2 925, 932-34 (9th Cir. 2014) (a failure to develop the record is not 3 harmless unless it is “clear from the record” that the error was 4 “inconsequential to the ultimate nondisability determination”; citing 5 Tommasetti v. Astrue, 533 F.3d 1035 (9th Cir. 2008)). 6 7 Remand is appropriate because the circumstances of this case 8 suggest that further administrative review could remedy the ALJ’s 9 errors. McLeod v. Astrue, 640 F.3d at 888; see also INS v. Ventura, 10 537 U.S. 12, 16 (2002) (upon reversal of an administrative 11 determination, the proper course is remand for additional agency 12 investigation or explanation, except in rare circumstances); Treichler 13 v. Commissioner, 775 F.3d 1090, 1101 n.5 (9th Cir. 2014) (remand for 14 further administrative proceedings is the proper remedy “in all but 15 the rarest cases”); Garrison v. Colvin, 759 F.3d 995, 1020 (9th Cir. 16 2014) (court will credit-as-true medical opinion evidence only where, 17 inter alia, “the record has been fully developed and further 18 administrative proceedings would serve no useful purpose”); Harman v. 19 Apfel, 211 F.3d 1172, 1180-81 (9th Cir.), cert. denied, 531 U.S. 1038 20 (2000) (remand for further proceedings rather than for the immediate 21 payment of benefits is appropriate where there are “sufficient 22 unanswered questions in the record”); Rodriguez v. Astrue, 2011 WL 23 1103119, at *9 (E.D. Cal. March 22, 2011) (“remand for further 24 proceedings is proper due to the ambiguity of the ALJ’s decision 25 . . .”); Mingo v. Apfel, 1998 WL 373411, at *2 (D. Kan. July 1, 1998) 26 (remand necessary where the Administration conceded the ALJ’s findings 27 were internally inconsistent). 28 required to find Plaintiff disabled for the entire claimed period of It is not clear that the ALJ would be 7 1 disability even if the rejected medical opinions were fully credited. 2 See Luna v. Astrue, 623 F.3d 1032, 1035 (9th Cir. 2010); see also 3 Garcia v. Commissioner, 768 F.3d at 932. 4 5 CONCLUSION 6 7 For all of the foregoing reasons,4 Plaintiff’s and Defendant’s 8 motions for summary judgment are denied and this matter is remanded 9 for further administrative action consistent with this Opinion. 10 11 LET JUDGMENT BE ENTERED ACCORDINGLY. 12 13 DATED: May 26, 2015. 14 15 ______________/S/_________________ CHARLES F. EICK UNITED STATES MAGISTRATE JUDGE 16 17 18 19 20 21 22 23 24 25 26 27 28 4 The Court has not reached any other issue raised by Plaintiff except insofar as to determine that reversal with the directive for the immediate payment of benefits would not be appropriate at this time. “[E]valuation of the record as a whole creates serious doubt that [Plaintiff] is in fact disabled.” See Garrison v. Colvin, 759 F.3d at 1021. 8

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