Bonnie Louis Sevier v. Carolyn W. Colvin

Filing 28

MEMORANDUM OPINION AND ORDER by Magistrate Judge Sheri Pym. IT IS THEREFORE ORDERED that Judgment shall be entered REVERSING the decision of the Commissioner denying benefits, and REMANDING the matter to the Commissioner for further administrative action consistent with this decision. (See document for further details.) (iva)

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 BONNIE LOUISE SEVIER, 12 Plaintiff, 13 v. 14 NANCY A. BERRYHILL, Acting 15 Commissioner of Social Security Administration, 16 Defendant. 17 18 ) ) ) ) ) ) ) ) ) ) ) ) ) ) Case No. CV 15-5950-SP MEMORANDUM OPINION AND ORDER 19 I. 20 INTRODUCTION 21 On August 6, 2015, plaintiff Bonnie Louise Sevier filed a complaint against 22 defendant, the Commissioner of the Social Security Administration 23 (“Commissioner”),1 seeking a review of a denial of supplemental security income 24 (“SSI”). Both plaintiff and defendant have consented to proceed for all purposes 25 26 1 Pursuant to Fed. R. Civ. P. 25(d), Nancy A. Berryhill, who is now Acting 27 Commissioner of Social Security Administration, has been substituted as the 28 defendant. 1 1 before the assigned Magistrate Judge pursuant to 28 U.S.C. § 636(c). The court 2 deems the matter suitable for adjudication without oral argument. 3 Plaintiff presents one disputed issue for decision, whether the 4 Administrative Law Judge (“ALJ”) properly considered plaintiff’s credibility. 5 Plaintiff’s Memorandum in Support of Complaint (“P. Mem.”) at 4-12; 6 Defendant’s Memorandum in Support of Answer (“D. Mem.”) at 6-11. 7 Having carefully studied the parties’ moving and opposing papers, the 8 Administrative Record (“AR”), and the decision of the ALJ, the court concludes 9 that, as detailed herein, the ALJ failed to properly consider plaintiff’s credibility. 10 The court therefore remands this matter to the Commissioner in accordance with 11 the principles and instructions enunciated in this Memorandum Opinion and 12 Order. 13 II. 14 FACTUAL AND PROCEDURAL BACKGROUND 15 Plaintiff was forty-nine years old on January 1, 2006, the alleged disability 16 onset date. AR at 81. Plaintiff holds an advanced degree and has past relevant 17 work as a mail carrier, a survey worker, and a case worker. Id. at 43, 59. 18 On January 31, 2012, plaintiff filed an application for SSI, alleging an onset 19 date of January 1, 2006 due to lumbago, restless leg syndrome, and hypertension. 20 Id. at 81. The Commissioner denied plaintiff’s application initially, after which 21 she filed a request for a hearing. Id. at 90-97. 22 Plaintiff, representing herself, appeared at a hearing before the ALJ on May 23 21, 2013. Id. at 64-80. The ALJ granted plaintiff’s request for a postponement in 24 order to provide her time to review her case file. Id. On October 15, 2013, 25 plaintiff, represented by counsel, appeared and testified at a hearing before the 26 ALJ. Id. at 40-63. The ALJ also heard testimony from Frank Corso, a vocational 27 expert. Id. at 58-62. On January 21, 2014, the ALJ denied plaintiff’s claim for 28 2 1 benefits. Id. at 21-36. 2 Applying the well-known five-step sequential evaluation process, the ALJ 3 found, at step one, that plaintiff had not engaged in substantial gainful activity 4 since January 31, 2012, the application date. Id. at 33. 5 At step two, the ALJ found plaintiff suffered from the following severe 6 impairments: cervical spine and lumbar spine disc disease. Id. 7 At step three, the ALJ found plaintiff’s impairments, whether individually 8 or in combination, did not meet or medically equal one of the listed impairments 9 set forth in 20 C.F.R. part 404, Subpart P, Appendix 1 (the “Listings”). Id. The ALJ then assessed plaintiff’s residual functional capacity (“RFC”),2 and 10 11 determined she had the RFC to perform light work, with the limitations that 12 plaintiff could: lift or carry up to ten pounds frequently and twenty pounds 13 occasionally; stand or walk about six hours in an eight-hour workday with normal 14 breaks; sit about six hours in an eight-hour workday with normal breaks; engage in 15 frequent ramp, stair, ladder, rope, and scaffold climbing; and engage in frequent 16 balancing, stooping, kneeling, crouching, and crawling. Id. 17 The ALJ found, at step four, that plaintiff could perform her past relevant 18 work as a survey worker and caseworker. Id. at 35. Consequently, the ALJ 19 concluded plaintiff did not suffer from a disability as defined by the Social 20 Security Act. Id. at 35-36. 21 Plaintiff filed a timely request for review of the ALJ’s decision, which was 22 denied by the Appeals Council. Id. at 1-4. The ALJ’s decision stands as the final 23 24 2 Residual functional capacity is what a claimant can do despite existing 25 exertional and nonexertional limitations. Cooper v. Sullivan, 880 F.2d 1152, 26 1155-56 n.5-7 (9th Cir. 1989). “Between steps three and four of the five-step evaluation, the ALJ must proceed to an intermediate step in which the ALJ 27 assesses the claimant’s residual functional capacity.” Massachi v. Astrue, 486 28 F.3d 1149, 1151 n.2 (9th Cir. 2007). 3 1 decision of the Commissioner. 2 III. 3 STANDARD OF REVIEW 4 This court is empowered to review decisions by the Commissioner to deny 5 benefits. 42 U.S.C. § 405(g). The findings and decision of the Social Security 6 Administration must be upheld if they are free of legal error and supported by 7 substantial evidence. Mayes v. Massanari, 276 F.3d 453, 458-59 (9th Cir. 2001) 8 (as amended). But if the court determines that the ALJ’s findings are based on 9 legal error or are not supported by substantial evidence in the record, the court 10 may reject the findings and set aside the decision to deny benefits. Aukland v. 11 Massanari, 257 F.3d 1033, 1035 (9th Cir. 2001); Tonapetyan v. Halter, 242 F.3d 12 1144, 1147 (9th Cir. 2001). 13 “Substantial evidence is more than a mere scintilla, but less than a 14 preponderance.” Aukland, 257 F.3d at 1035. Substantial evidence is such 15 “relevant evidence which a reasonable person might accept as adequate to support 16 a conclusion.” Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 1998); Mayes, 276 17 F.3d at 459. To determine whether substantial evidence supports the ALJ’s 18 finding, the reviewing court must review the administrative record as a whole, 19 “weighing both the evidence that supports and the evidence that detracts from the 20 ALJ’s conclusion.” Mayes, 276 F.3d at 459. The ALJ’s decision “‘cannot be 21 affirmed simply by isolating a specific quantum of supporting evidence.’” 22 Aukland, 257 F.3d at 1035 (quoting Sousa v. Callahan, 143 F.3d 1240, 1243 (9th 23 Cir. 1998)). If the evidence can reasonably support either affirming or reversing 24 the ALJ’s decision, the reviewing court “‘may not substitute its judgment for that 25 of the ALJ.’” Id. (quoting Matney v. Sullivan, 981 F.2d 1016, 1018 (9th Cir. 26 1992)). 27 28 4 1 IV. 2 DISCUSSION 3 Plaintiff argues the ALJ failed to properly consider her credibility. P. Mem. 4 at 4-12. Specifically, plaintiff contends the ALJ did not provide clear and 5 convincing reasons supported by substantial evidence for discounting her 6 credibility. Id. 7 An ALJ must make specific credibility findings, supported by the record. 8 Social Security Ruling (“SSR”) 96-7p. To determine whether testimony 9 concerning symptoms is credible, an ALJ engages in a two-step analysis. 10 Lingenfelter v. Astrue, 504 F.3d 1028, 1035-36 (9th Cir. 2007). First, an ALJ 11 must determine whether a claimant produced objective medical evidence of an 12 underlying impairment “‘which could reasonably be expected to produce the pain 13 or other symptoms alleged.’” Id. at 1036 (quoting Bunnell v. Sullivan, 947 F.2d 14 341, 344 (9th Cir. 1991) (en banc)). Second, if there is no evidence of 15 malingering, an “ALJ can reject the claimant’s testimony about the severity of her 16 symptoms only by offering specific, clear and convincing reasons for doing so.” 17 Smolen v. Chater, 80 F.3d 1273, 1281 (9th Cir. 1996) (citation omitted); accord 18 Burrell v. Colvin, 775 F.3d 1133, 1136-37 (9th Cir. 2014). 19 An ALJ may consider several factors in weighing a claimant’s credibility, 20 including: (1) ordinary techniques of credibility evaluation such as a claimant’s 21 reputation for lying; (2) the failure to seek treatment or follow a prescribed course 22 of treatment; and (3) a claimant’s daily activities. Tommasetti v. Astrue, 533 F.3d 23 1035, 1039 (9th Cir. 2008); Bunnell, 947 F.2d at 346-47. The lack of objective 24 medical evidence to support allegations of limitations is also a factor that may be 25 considered when evaluating credibility, but it may not be the only factor 26 considered. See Rollins v. Massanari, 261 F.3d 853, 856-57 (9th Cir. 2001) (lack 27 of corroborative objective medical evidence may be one factor in evaluating 28 5 1 credibility); Bunnell, 947 F.2d at 345 (an ALJ “may not reject a claimant’s 2 subjective complaints based solely on a lack of objective medical evidence to fully 3 corroborate the alleged severity of pain”). 4 At the first step, without expressly stating so, the ALJ appeared to have 5 found plaintiff’s medically determinable impairments could reasonably be 6 expected to cause the symptoms alleged. See AR at 34. At the second step, 7 because the ALJ did not find any evidence of malingering, the ALJ was required 8 to provide clear and convincing reasons for discounting plaintiff’s credibility. The 9 ALJ provided five reasons for discounting plaintiff’s credibility: (1) her subjective 10 complaints were not supported by objective clinical findings; (2) an interviewer at 11 the Social Security field office did not observe plaintiff experiencing any 12 problems; (3) she received conservative treatment; (4) she failed to follow her 13 treatment plan; and (5) her alleged limitations were inconsistent with her daily 14 activities. Id. at 34-35. The ALJ’s reasons for discounting plaintiff’s credibility 15 were, for the most part, not supported by substantial evidence. 16 A. Lack of Clinical Evidence 17 The first reason cited by the ALJ for finding plaintiff less credible was that 18 her allegations were inconsistent with the objective clinical evidence. Id. at 34; 19 see Rollins, 261 F.3d at 856-57. Specifically, the ALJ noted there were no: 20 clinical findings to support the alleged symptoms of restless leg syndrome; 21 documentation to show plaintiff’s symptoms related to restless leg syndrome were 22 not improving with treatment; documentation to corroborate plaintiff had a sleep 23 disorder due to restless leg syndrome; findings to support functional limitations 24 from the cervical spine and lumbar spine disc disease; and findings to support 25 hand and finger numbness. AR at 28-30. Further, the ALJ noted the treatment 26 notes did not contain mention of any alleged side effects. See id. at 27-29. 27 As an initial matter, the administrative record contains only one medical 28 6 1 record from prior to 2011, a cervical spine x-ray dated December 21, 2009. See 2 AR at 315. This appears to be due to the fact the Social Security Administration 3 only requested medical records from January 1, 2011 though the present. See, e.g., 4 id. at 303. Although plaintiff is only entitled to SSI benefits from the date of her 5 application, her alleged onset date is January 1, 2006 and any records from that 6 date forward would be relevant. As discussed below, the record was ambiguous 7 and incomplete and the ALJ therefore had a duty to further develop it.3 See Webb 8 v. Barnhart, 433 F.3d 683, 687 (9th Cir. 2005) (the Commissioner has a duty to 9 develop the record when it is ambiguous); Mayes, 276 F.3d at 459-60 (ALJ has a 10 duty to develop the record further only “when there is ambiguous evidence or 11 when the record is inadequate to allow for proper evaluation of the evidence”). 12 First, with regard to restless leg syndrome, the treatment notes show a 13 diagnosis and treatment for the condition.4 See AR at 284-85; see also id. at 291. 14 Although the ALJ correctly notes there were no clinical findings consistent with 15 the alleged symptoms of restless leg syndrome, in fact no clinical tests exist for 16 diagnosing restless leg syndrome. See http://www.ninds.nih.gov/disorders/ 17 restless_legs/detail_restless_legs.htm. Instead, physicians rely on patient’s 18 descriptions of the symptoms to make a diagnosis. See id. Therefore, in this 19 instance, the fact that there were no clinical findings to support the restless leg 20 syndrome cannot be a basis for finding plaintiff less credible. Moreover, 21 plaintiff’s restless leg syndrome diagnosis was made prior to 2011, but the Social 22 Security Administration did not request any medical records from prior to 2011. 23 3 Indeed, at least one medical center indicated that although it had no responsive documents, it had plaintiff’s medical records from prior to 2011. See 25 AR at 299. 26 4 Plaintiff does not raise this as an issue, but the court notes that despite the 27 diagnosis and plaintiff’s complaints, the ALJ, at step two, failed to find plaintiff 28 had the severe impairment of restless leg syndrome. 24 7 1 See, e.g., AR at 303. 2 The ALJ also notes there was no objective evidence of severe disuse muscle 3 atrophy or loss of muscle tone, bulk, mass, or strength that would be consistent 4 with plaintiff’s “alleged inactivity.” AR at 34. But restless leg syndrome does not 5 result in these conditions. Indeed, as the ALJ recognized, plaintiff complained 6 that her restless leg syndrome required her to shift positions, walk, and otherwise 7 move frequently, although she quickly tires. See id. at 23-24, 46-52. It is 8 therefore unclear why the ALJ believed plaintiff alleged inactivity to a degree that 9 one would expect to see muscle atrophy. 10 The ALJ correctly notes that other than two treatment notes from 2011 and 11 2012, plaintiff’s medical record does not document her alleged symptoms related 12 to restless leg syndrome. See AR at 284-85. Nor does the record contain 13 complaints of the medication side effects plaintiff now alleges. Neither of these 14 findings fall under the rubric of lack of objective clinical findings – they would be 15 subjective findings. Nevertheless, the ALJ’s cited reasons are relevant because the 16 omissions demonstrate inconsistencies with plaintiff’s allegations. Presumably, 17 had plaintiff’s symptoms or side effects been as debilitating as alleged, she would 18 have mentioned them to her physicians. 19 Second, the ALJ determined plaintiff’s alleged pain and functional 20 limitations from her cervical and lumbar spine disc disorders were similarly 21 unsupported by objective clinical findings. See AR at 29-31. There is no dispute 22 plaintiff suffered from the impairment of cervical spine disorder and lumbar spine 23 disorder. See id. at 33. The diagnostic images support plaintiff’s complaints of 24 pain. A December 2009 x-ray showed narrowing at C5-6 and noted the possibility 25 of posterior foramen impingement. Id. at 315. A June 2013 MRI revealed multi26 level degenerative disc disease with mild to moderate spinal stenosis, severe 27 discogenic disk disease with loss of disk space height and hydration, and slight 28 8 1 disk bulge. Id. at 358-59. Plaintiff also experienced pain on the left side when 2 performing a straight leg raise. Id. at 382. 3 The question therefore is not whether plaintiff suffered from spine disorders 4 but rather the degree of functional limitations caused by these impairments. The 5 ALJ correctly notes that there were no objective findings of functional limitations, 6 but it appears that no physician ever performed tests to determine plaintiff’s 7 functional limitations. When the record is ambiguous, as it is here, the ALJ has a 8 duty to develop the record, which may include retaining a medical expert or 9 ordering a consultative examination. See Smolen, 80 F.3d at 1288 (“If the ALJ 10 thought he needed to know the basis of [a doctor’s] opinion[ ] in order to evaluate 11 [it], he had a duty to conduct an appropriate inquiry, for example, by subpoenaing 12 the physician[ ] or submitting further questions to [him or her].”); 20 C.F.R. 13 § 416.919a(a). 14 The ALJ also correctly notes that, as with the medication side effects, 15 plaintiff did not report pain. To the contrary, plaintiff regularly reported she was 16 experiencing no pain to her physicians. See AR at 285-91, 376-80. At first 17 glance, plaintiff’s reports of no pain would appear to support the ALJ’s adverse 18 credibility finding because they were inconsistent with the allegations of pain she 19 made in her application. But the record contains a further contradiction. Although 20 the treatment notes show plaintiff reported no pain, her physicians prescribed pain 21 medication. These ambiguities further demonstrate the need for the ALJ to 22 develop the record. 23 Accordingly, the ALJ’s first reason for discounting plaintiff’s credibility – 24 lack of objective evidence – was not supported by substantial evidence. Although 25 the absence of subjective complaints regarding side effects and pain in the medical 26 records is in part a clear and convincing reason supported by evidence, there is 27 some ambiguity in the record regarding plaintiff’s pain. 28 9 1 B. Lack of Observed Symptoms During Interview 2 The ALJ’s second reason for discounting plaintiff’s credibility was that an 3 SSA employee observed that plaintiff, during an interview, had no problems with 4 hearing, reading, breathing, understanding, coherency, concentrating, talking, 5 answering, sitting, standing, walking, seeing, using her hands or writing, or 6 answering questions. AR at 34; see id. at 216. The ALJ may consider any 7 observations about a claimant recorded by SSA employees during interviews. 8 SSR 96-7p. But here, most of the observations are irrelevant. Plaintiff did not 9 allege any difficulties with any of the observed factors except for sitting, standing, 10 and walking. As for the absence of problems with sitting, standing, and walking 11 during the interview, those observations, by themselves, do not constitute 12 substantial evidence to support the ALJ’s credibility finding. Plaintiff admittedly 13 could sit, stand, and walk for short periods. There is no evidence of the length of 14 the interview. Thus, although the SSA employees’ observations may be a factor to 15 support the ALJ’s credibility finding, without more, the observations do not 16 constitute substantial evidence, and are not a clear and convincing reasons to 17 discount her credibility. 18 C. Conservative Treatment 19 The third reason cited by the ALJ for discounting plaintiff’s credibility was 20 she received conservative treatment. AR at 34; see Parra v. Astrue, 481 F.3d 742, 21 751 (9th Cir. 2007) (“[E]vidence of conservative treatment is sufficient to discount 22 a claimant’s testimony regarding severity of an impairment.”) (internal quotation 23 marks and citation omitted). Plaintiff’s physicians treated her neck and back pain 24 with anti-inflammatory medication and her restless leg syndrome with Gabapentin. 25 See, e.g., AR at 366-68. The physician’s treatment of plaintiff’s neck and back 26 pain constituted conservative treatment. See Tommasetti, 533 F.3d at 1040 27 (describing anti-inflammatory medication as conservative treatment). As for 28 10 1 plaintiff’s restless leg syndrome, there is no non-conservative treatment for the 2 condition. Restless leg syndrome is treated by moving the limbs, lifestyle 3 changes, and medications such as Gabapentin. In short, plaintiff received 4 conservative treatment for her back and neck pain, but not for her restless leg 5 syndrome. Thus, the ALJ’s third reason for finding plaintiff less credible – 6 conservative treatment – is only partially supported by substantial evidence. 7 D. Failure to Follow Treatment 8 The ALJ’s fourth reason for finding plaintiff less credible was her failure to 9 comply with her treatment plan. AR at 34; see Tommasetti, 533 F.3d at 1039 10 (failure to follow a prescribed course of treatment weighs against a claimant’s 11 credibility). The ALJ found plaintiff did not always take her medication as 12 directed, did not always check her blood pressure as directed, and did not follow 13 her doctor’s advice regarding her water intake. AR at 34. 14 Plaintiff’s medical records contain no indication of non-compliance with her 15 treatment plan, and nowhere in the record is there reference to any failure by 16 plaintiff to check her blood pressure as directed. At the hearing, however, 17 plaintiff’s testimony reflected other minor non-compliance. Plaintiff testified she 18 did not comply with her doctor’s suggestion she stop drinking liquids after 8:00 19 p.m., in order to avoid using the restroom throughout the night, because her 20 medications made her dehydrated. Id. at 53. Plaintiff testified that she had tried 21 not to take her diuretic because of the side effects. Id. at 53-54. Plaintiff further 22 testified she believed dizziness was a side effect of her blood pressure medication 23 because, on the occasions she skipped her blood pressure medication, she would 24 not feel dizzy. Id. at 56. And because of the side effects of the blood pressure 25 medication, plaintiff took a lower dosage than prescribed. Id. at 57-58. 26 Aside from the lower dosage of blood pressure medication, the other 27 instances of non-compliance were minor or appeared to have been temporary 28 11 1 attempts to curb the side effects of plaintiff’s medications. Thus, the evidence 2 shows plaintiff was not fully compliant with limited aspects of her treatment plan, 3 but it would be a stretch for this evidence to support a finding of non-compliance. 4 E. Activities of Daily Living 5 Finally, the ALJ found plaintiff less credible because her daily activities 6 were inconsistent with her alleged limitations and side effects of her medications. 7 AR at 35; see Thomas v. Barnhart, 278 F.3d 947, 958-59 (9th Cir. 2002) (in 8 making a credibility determination, an ALJ may consider inconsistencies between 9 a claimant’s testimony and conduct). Specifically, the ALJ noted plaintiff could 10 lift light objects and carry them short distances, shop for groceries, drive a car, 11 read, watch television, go to the library, use a computer, go to the park, do 12 laundry, and exercise regularly by walking. AR at 35. This reason is not 13 supported by substantial evidence. 14 In an Exertional Questionnaire dated March 22, 2012, plaintiff reported her 15 back pain affected her ability to sit, stand, walk, and lay down for “reasonable 16 periods of time.” Id. at 231. Plaintiff stated she could walk in fifteen-minute 17 increments, but her back would ache and she would feel exhausted afterwards. Id. 18 Plaintiff explained she would experience dizziness from bending and she could lift 19 light items so long as it did not require bending or stooping. Id. at 232. Plaintiff 20 reported her restless leg medication caused her to be sleepy. Id. at 233. Plaintiff 21 further reported she could drive for very short distances, shop for groceries so long 22 as the items were small, and do housework in fifteen-minute increments. Id. at 23 232-33. 24 At the October 2013 hearing, plaintiff testified she needs to change 25 positions from sitting to standing and walking because of her restless leg 26 syndrome, the restless leg syndrome prevented her from sleeping at night, and the 27 medication for the restless leg syndrome helped her sleep but caused lethargy 28 12 1 during the day. Id. at 47-48. Plaintiff testified she could sit and stand for about 2 ten to fifteen minutes at a time but then needed to change positions, and she could 3 walk about half a block. Id. at 49. Plaintiff further testified she could lift five 4 pounds. Id. at 50. Regarding other activities, plaintiff testified she tried to read, 5 go to the library, use a computer, go to the park, and watch television, but she 6 spent most of the time shifting between laying, standing, and sitting because of her 7 restless leg syndrome. Id. at 51. 8 Inconsistency between a claimant’s alleged symptoms and his daily 9 activities may be a clear and convincing reason to find a claimant less credible. 10 Tommasetti, 533 F.3d at 1039; Bunnell, 947 F.2d at 346. But “the mere fact a 11 [claimant] has carried on certain daily activities, such as grocery shopping, driving 12 a car, or limited walking for exercise, does not in any way detract from her 13 credibility as to her overall disability.” Vertigan v. Halter, 260 F.3d 1044, 1050 14 (9th Cir. 2001). A claimant does not need to be “utterly incapacitated.” Fair v. 15 Bowen, 885 F.2d 597, 603 (9th Cir. 1989). 16 Here, plaintiff’s daily activities were not inconsistent with her alleged 17 symptoms and side effects. Plaintiff’s walking, standing, sitting, and lifting 18 abilities were consistent with her testimony that she fatigued easily and her pain 19 and restless leg syndrome required her to constantly shift positions. The fact that 20 plaintiff tried to read, use a computer, watch television, and engage in other 21 normal activities did not demonstrate that plaintiff’s symptoms were less severe 22 than alleged, particularly when viewed in conjunction with plaintiff’s statement 23 that she had to continuously shift positions when engaged in those activities. As 24 for plaintiff’s exercise, plaintiff’s treatment note dated June 14, 2011 only 25 indicates plaintiff walked for exercise but does not provide any information 26 regarding the frequency, intensity, or duration of the walking. Therefore, 27 plaintiff’s daily activities were not a clear and convincing reason supported by 28 13 1 substantial evidence for an adverse credibility finding 2 In sum, the majority of the ALJ’s reasons for discounting plaintiff’s 3 credibility were not clear and convincing and supported by substantial evidence. 4 Only the omission of any mention by plaintiff of subjective complaints of pain and 5 side effects in the medical records, and the conservative treatment of plaintiff’s 6 neck and back pain, are supported by evidence. Given the absence of plaintiff’s 7 full medical record, and on balance, the ALJ’s reasons were not clear and 8 convincing and supported by substantial evidence. 9 V. 10 REMAND IS APPROPRIATE 11 The decision whether to remand for further proceedings or reverse and 12 award benefits is within the discretion of the district court. McAllister v. Sullivan, 13 888 F.2d 599, 603 (9th Cir. 1989). It is appropriate for the court to exercise this 14 discretion to direct an immediate award of benefits where: “(1) the record has been 15 fully developed and further administrative proceedings would serve no useful 16 purpose; (2) the ALJ has failed to provide legally sufficient reasons for rejecting 17 evidence, whether claimant testimony or medical opinions; and (3) if the 18 improperly discredited evidence were credited as true, the ALJ would be required 19 to find the claimant disabled on remand.” Garrison v. Colvin, 759 F.3d 995, 1020 20 (9th Cir. 2014) (setting forth three-part credit-as-true standard for remanding with 21 instructions to calculate and award benefits). But where there are outstanding 22 issues that must be resolved before a determination can be made, or it is not clear 23 from the record that the ALJ would be required to find a plaintiff disabled if all the 24 evidence were properly evaluated, remand for further proceedings is appropriate. 25 See Benecke v. Barnhart, 379 F.3d 587, 595-96 (9th Cir. 2004); Harman v. Apfel, 26 211 F.3d 1172, 1179-80 (9th Cir. 2000). In addition, the court must “remand for 27 further proceedings when, even though all conditions of the credit-as-true rule are 28 14 1 satisfied, an evaluation of the record as a whole creates serious doubt that a 2 claimant is, in fact, disabled.” Garrison, 759 F.3d at 1021. 3 Here, remand is required because the ALJ failed to properly consider 4 plaintiff’s credibility, and failed to fully develop the record. On remand, the ALJ 5 shall reconsider plaintiff’s subjective complaints and either credit her testimony or 6 provide clear and convincing reasons supported by substantial evidence for 7 rejecting them. The ALJ shall also further develop the record as needed, which 8 may include ordering a consultative examination and obtaining any additional 9 medical records. The ALJ shall then proceed through steps two, three, four, and 10 five to determine what work, if any, plaintiff was capable of performing. 11 VI. 12 CONCLUSION 13 IT IS THEREFORE ORDERED that Judgment shall be entered 14 REVERSING the decision of the Commissioner denying benefits, and 15 REMANDING the matter to the Commissioner for further administrative action 16 consistent with this decision. 17 18 DATED: January 31, 2017 19 20 SHERI PYM United States Magistrate Judge 21 22 23 24 25 26 27 28 15

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