Mary Ann Richardson v. Carolyn W. Colvin
Filing
21
MEMORANDUM OPINION by Magistrate Judge Alka Sagar. The decision of the Commissioner is affirmed. (See document for complete details) (afe)
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UNITED STATES DISTRICT COURT
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CENTRAL DISTRICT OF CALIFORNIA
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Case No.: CV 16-4154 AS
MARY ANN RICHARDSON,
Plaintiff,
MEMORANDUM OPINION
v.
NANCY A. BERRYHILL1,
Acting Commissioner of Social
Security,
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Defendant.
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PROCEEDINGS
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On June 10, 2016, Plaintiff Mary Ann Richardson filed a
Complaint seeking review of the denial of her application for a
period of disability, Disability Insurance Benefits (“DIB”), and
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Supplemental Security Income (“SSI”).
(Docket Entry No. 1).
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The parties have consented to proceed before a United States
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1
Nancy A. Berryhill is now the Acting Commissioner of the
Social Security Administration and is substituted in for Acting
Commissioner
Carolyn
W.
Colvin
in
this
case.
See 42 U.S.C. § 205(g).
1
Magistrate Judge.
2
2016, Defendant filed an Answer to the Complaint along with the
3
Administrative Record (“A.R.”).
4
The parties filed a Joint Stipulation (“Joint Stip.”) on January
5
19,
6
Plaintiff’s claim.
7
8
2017,
(Docket Entry Nos. 10, 12).
setting
forth
On October 26,
(Docket Entry Nos. 16, 17).
their
respective
positions
(Docket Entry No. 18).
regarding
The Court has taken
this matter under submission without oral argument.
See C.D.
Cal. L.R. 7-15.
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BACKGROUND AND SUMMARY OF ADMINISTRATIVE DECISION
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On June 30, 2012, Plaintiff, formerly employed as an in12
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home care giver as well as in “managing/inventory” at Canvas Art
Painting Company (A.R. 247-249), filed an application for SSI,
14
alleging
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Plaintiff alleged disability due to fibromyalgia, disc disease,
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possible lupus, and depression.
disability
beginning
May
1,
2005.
(A.R.
49).
(Id.).
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18
On January 6, 2015, Administrative Law Judge (“ALJ”) Robert
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A.
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(“VE”) Carmen Roman, and medical expert Dr. Hugh Savage.
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27-48).
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including the October 2012 consultative examination with state
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Evans
heard
testimony
from
Plaintiff,
vocational
expert
(A.R.
Dr. Savage reviewed and summarized the medical record,
agency medical consultant Dr. Elliott Gilpeer.
(Id.).
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25
On February 5, 2015, ALJ Evans issued a decision finding
that Plaintiff was not disabled under the Social Security Act.
26
(A.R. 11–21).
The ALJ found that Plaintiff suffered from the
27
following
medically
determinable
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2
severe
impairments:
a
back
1
disorder, mild lumbar arthritis, hypertension, obesity.
2
13).
3
functional capacity (“RFC”)2 to perform light work as defined in
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20 CFR 416.967(b)3, with the following limitations: no climbing
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ladders/ropes/scaffolds;
frequently
6
crouch,
concentrated
7
(A.R.
The ALJ then determined that Plaintiff had the residual
crawl;
and
no
heights or moving machinery.
climb
stairs/ramps,
exposure
to
stoop,
unprotected
(A.R. 15).
8
Based on Plaintiff’s RFC, as well as her age, education,
9
and work experience, and the finding that Plaintiff had no past
10
relevant work, the ALJ determined that Plaintiff could perform
11
work as a counter clerk (DOT No. 249.366-010), office helper
12
13
(DOT No. 239.567.010), or merchandise marker (DOT No. 209.587034).
(A.R. 19-20).
Accordingly, the ALJ found that Plaintiff
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was not disabled4 within the meaning of The Social Security Act.
15
(A.R. 20).
16
17
18
2
A Residual Functional Capacity is what a claimant can
still
do
despite
existing
exertional
and
nonexertional
limitations. See 20 C.F.R. § 404.1545(a)(1).
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“Light work involves lifting no more than 20 pounds at a
time with frequent lifting or carrying of objects weighing up to
10 pounds. Even though the weight lifted may be very little, a
job is in this category when it requires a good deal of walking
or standing, or when it involves sitting most of the time with
some pushing and pulling of arm or leg controls.
To be
considered capable of performing a full or wide range of light
work, you must have the ability to do substantially all of these
activities. If someone can do light work, we determine that he
or she can also do sedentary work, unless there are additional
limiting factors such as loss of fine dexterity or inability to
sit for long periods of time.”
20 C.F.R. §§ 404.1567(b)
and 416.967(b).
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4
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Plaintiff amended her disability onset date to May 1,
2012 at the hearing.
3
1
In
reaching
his
decision,
the
ALJ
found
that
while
2
Plaintiff’s medically determinable impairments could reasonably
3
be
4
statements concerning the intensity, persistence, and limiting
5
effects of these symptoms were not credible to the extent that
6
they
7
8
expected
were
(A.R. 16).
finding
cause
her
inconsistent
alleged
with
the
symptoms,
ALJ’s
RFC
Plaintiff’s
assessment.
The ALJ’s credibility determination was based on his
that
inconsistent
to
Plaintiff’s
with
the
alleged
objective
functional
medical
limitations
evidence
as
were
well
as
9
Plaintiff’s activities of daily living.
(Id.).
10
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The ALJ declined to give substantial weight to the opinion
12
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of
Plaintiff’s
(A.R.
18).
treating
While
physician,
acknowledging
Dr.
that
Thelma
Dr.
T.
Fernandez.
Fernandez
had
the
14
opportunity to examine and treat Plaintiff, the ALJ found that
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Dr. Fernandez’s opinion was “not supported with a rationale or
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an
17
warranting such an opinion” and was not consistent with the
18
medical record as a whole.
19
Dr.
20
“essentially
21
“objectivity or balance”.
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the extent that Dr. Fernandez opined on the ultimate issue of
23
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identification
Fernandez’s
disability,
of
the
and
(Id.).
conclusion
adopt[ed]”
she
signs
Plaintiff
Plaintiff’s
“tread[ed]
on
findings
Instead, the ALJ found that
that
(Id.).
laboratory
was
disabled
statements
without
The ALJ also noted that, to
an
issue
reserved
for
the
Commissioner.” (Id.).
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On March 2, 2015, Plaintiff sought review of the ALJ’s
26
decision before the Appeals Council.
(A.R. 7).
The request was
27
denied on April 15, 2016.
(A.R. 1–3).
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4
The ALJ’s decision then
1
became the final decision of the Commissioner, allowing this
2
Court to review the decision.
See 42 U.S.C. §§ 405(g), 1383(c).
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PLAINTIFF’S CONTENTION
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Plaintiff contends that the ALJ erred in failing to provide
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7
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specific and legitimate reasons for rejecting the opinion of her
treating physician, Dr. Thelma T. Fernandez.
(Joint Stip. 4).
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STANDARD OF REVIEW
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This court reviews the Commissioner’s decision to determine
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if: (1) the Commissioner’s findings are supported by substantial
evidence; and (2) the Commissioner used proper legal standards.
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42 U.S.C § 405(g); see Carmickle v. Comm’r, 533 F.3d 1155, 1159
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(9th Cir. 2008); Hoopai v. Astrue, 499 F.3d 1071, 1074 (9th Cir.
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2007).
17
than a preponderance.”
18
(9th Cir. 1998) (citing Jamerson v. Chater, 112 F.3d 1064, 1066
19
(9th Cir. 1997).
20
person
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Hoopai, 499 F. 3d at 1074; Smolen v. Chater, 80 F.3d 1273, 1279
22
(9th
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“Substantial evidence is more than a scintilla, but less
might
Cir.
Reddick v. Chater, 157 F.3d 715, 720
It is relevant evidence “which a reasonable
accept
1996).
To
as
adequate
determine
to
support
whether
a
conclusion.”
substantial
evidence
supports a finding, “a court must ‘consider the record as a
whole, weighing both evidence that supports and evidence that
detracts
from
Massanari,
257
the
[Commissioner’s]
F.3d
1033,
1035
conclusion.’”
(9th
Cir.
2001)
Aukland
v.
(citation
26
omitted); see Widmark v. Barnhart, 454 F.3d 1063, 1066 (9th Cir.
27
28
5
1
2006)
2
constitute substantial evidence).
(inferences
“reasonably
drawn
from
the
record”
can
3
4
This Court “may not affirm [the Commissioner’s] decision
5
simply by isolating a specific quantum of support evidence, but
6
must
7
8
also
consider
evidence
Commissioner’s] conclusion.”
that
detracts
from
[the
Ray v. Bowen, 813 F.2d 914, 915
(9th Cir. 1987) (citation and internal quotation marks omitted).
However,
the
Court
cannot
disturb
findings
supported
by
9
substantial evidence, even though there may exist other evidence
10
supporting Plaintiff’s claim.
See Torske v. Richardson, 484
F.2d 59, 60 (9th Cir. 1973).
“If the evidence can reasonably
support
reversing
11
12
13
either
affirming
or
the
[Commissioner’s]
conclusion, [a] court may not substitute its judgment for that
14
of the [Commissioner].”
15
1998) (citation omitted).
Reddick, 157 F.3d 715, 720-21 (9th Cir.
16
17
DISCUSSION
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After consideration of the record as a whole, the Court
20
finds
21
evidence and is free from material5 legal error.
that
the
ALJ’s
decision
is
supported
by
substantial
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24
25
26
27
5
The harmless error rule applies to the review of
administrative decisions regarding disability.
See McLeod v.
Astrue, 640 F.3d 881, 886-88 (9th Cir. 2011); Burch v. Barnhart,
400 F.3d 676, 679 (9th Cir. 2005) (an ALJ’s decision will not be
reversed for errors that are harmless).
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6
1
A.
The
ALJ
Provided
Specific
And
Legitimate
Reasons
For
Rejecting The Opinion Of Plaintiff’s Treating Physician
2
3
Plaintiff
4
complains
that
the
ALJ
failed
to
provide
any
5
specific and legitimate reasons for rejecting treating physician
6
Dr. Fernandez’s medical opinion. (Joint Stip. at 4).
7
asserts that Dr. Fernandez’s opinion must be accepted as a matter
8
of law, resulting in a finding of disability.
9
6).
Plaintiff
(Joint Stip. at
The Court disagrees.
10
On May 21 and 22, 2012, Dr. Fernandez completed a medical
11
12
form
13
fibromyalgia,
14
15
in
which
she
noted
neuropathy
that
in
Plaintiff
extremities,
disease, and was being tested for lupus.
suffers
from
degenerative
back
(A.R. 370-372).
Dr.
Fernandez also noted that, in an eight-hour workday, Plaintiff
can only sit or stand for fifteen minutes at a time.
(Id.).
16
Dr. Fernandez also checked off boxes on the form indicating that
17
Plaintiff
can
fifteen,
pounds
occasionally
lift
ten,
but
never
more
than
18
19
20
21
and
can
crouch, crawl, or reach.
never
climb,
(A.R. 372).
balance,
stoop,
kneel,
Dr. Fernandez commented
that Plaintiff is disabled in all factors and needs “in home
care.”
(A.R. 371).
22
23
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With respect to Dr. Fernandez’s opinion, the ALJ stated the
following:
25
26
The undersigned gives minimal weight to the claimant’s
27
treating source opinion.
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the opportunity to examine and treat the claimant, the
Although this source did have
7
1
opinions offered are not supported with a rationale or
2
an identification of the signs and laboratory findings
3
warranting such an opinion.
4
not
5
whole.
6
statements without objectivity or balance.
consistent
with
the
Moreover, the opinion is
other
medical
records
as
a
Instead, it essentially adopts the claimant’s
Finally, to
the extent the source opines on the ultimate issue of
7
disability, she treads on an issue reserved for the
8
Commissioner.
Hence, the opinion is not entitled to
9
controlling
weight
under
20
CFR
Sections
404.1527
10
and/or 416.927.
11
12
(A.R. 18).
13
14
In general, “[t]he opinion of a treating physician is given
15
deference because ‘he is employed to cure and has a greater
16
opportunity to know and observe the patient as an individual.’”
17
Morgan v. Comm’r of Soc. Sec. Admin., 169 F.3d 595, 600 (9th
18
Cir. 1999) (quoting Sprague v. Bowen, 812 F.2d 1226, 1230 (9th
19
Cir.
20
necessarily conclusive as to either the physical condition or
21
the ultimate issue of disability.”
22
accept
23
24
25
1987)).
the
physician,
But
opinion
if
inadequately
a
of
that
supported
treating
any
Id.
physician
opinion
by
physician’s
is
clinical
opinion
not
“The ALJ need not
including
brief,
“is
the
treating
conclusory,
findings.”
Thomas
and
v.
Barnhart, 278 F.3d 947, 957 (9th Cir. 2002).
26
When
rejecting
the
uncontroverted
opinion
of
a
treating
27
physician, the ALJ must present “clear and convincing reasons.”
28
8
1
Id.
2
opinions, as is the case here, “the ALJ may reject the opinion
3
of a treating physician in favor of a conflicting opinion of an
4
examining physician if the ALJ makes ‘findings setting forth
5
specific, legitimate reasons for doing so that are based on
6
substantial evidence in the record.’”
7
at
957.
However,
where
there
are
conflicting
medical
Id. (quoting Magallanes
v. Bowen, 881 F.2d 747, 751 (9th Cir. 1989)).
8
The
ALJ’s
decision
thoroughly
summarized
the
medical
9
evidence
in
the
record
(A.R.
15-19),
found
Dr.
Fernandez’s
10
opinion that Plaintiff was disabled to be inconsistent with the
11
medical record as a whole and unsupported by an identification
12
13
14
of signs or lab findings and, as set forth below, specified the
inconsistencies and lack of support for Dr. Fernandez’s opinion.
The ALJ’s decision was supported by the record.
15
16
As
a
threshold
matter,
the
fact
that
Dr.
Fernandez’s
17
opinion was expressed through a standardized, check-the-box form
18
that
19
provides support for affording it minimal weight.
20
Astrue,
21
discounted physician's assistant's opinion when it “consisted
22
primarily of a standardized, check-the-box form in which she
23
24
25
provided
failed
674
to
no
F.3d
provide
supporting
1104,
1111
supporting
reasoning
(9th
Cir.
reasoning
despite being instructed to do so”).
or
clinical
2012)
or
findings
See Molina v.
(ALJ
clinical
properly
findings,
Ultimately, it would be
“error to give an opinion controlling weight simply because it
is the opinion of a treating source if it is not well-supported
26
.
.
.
or
if
it
is
inconsistent
with
27
evidence.”
Social Security Ruling 96-2p.
28
9
the
other
substantial
1
The
ALJ
noted
that
on
the
May
2012
medical
form,
Dr.
2
Fernandez stated that Plaintiff suffers from “fibromyalgia,” but
3
“fibromyalgia” is only once mentioned at a May 26, 2010 exam
4
with
5
laboratory
6
support
7
8
no
follow
up
and
findings
such
a
or
Dr.
Fernandez
objective
diagnosis.
did
evidence
(A.R.
17,
not
in
cite
the
to
any
record
to
The
ALJ
371-372).
summarized and discussed the testimony of medical expert Dr.
Hugh Savage, who stated that he “looked very carefully” through
Plaintiff’s
medical
records
for
anything
alarming
regarding
9
fibromyalgia and stated that he “saw no indication of actual
10
examination which would reveal in any consistent matter, but
11
especially so, the consultative exam ... showed no specifically
12
13
stated, no indication of any type of characteristic pain seen
with
FM.”
(A.R.
32).
Dr.
Savage
also
testified
that
14
Plaintiff’s medical records showed a normal sedimentation rate,
15
meaning that there was no inflammation in her body.
16
32, 477-498).
(A.R. 17,
17
18
Additionally, while Dr. Fernandez indicated that Plaintiff
19
was being tested for lupus (A.R. 371), Dr. Savage testified that
20
Plaintiff’s
21
results,
22
negative.
2012
which
anti-DNA,
are
anti-smooth
“important
for
muscle,
and
assessing
ANA
test
lupus”,
were
(A.R. 17, 32, 488).
23
Moreover, while Dr. Fernandez stated on the medical form
24
25
that
Plaintiff
suffers
from
neuropathy
in
extremities,
degenerative back disease, and is disabled in all factors (A.R.
26
371),
the
results
from
Plaintiff’s
October
2012
consultative
27
examination
with
state
agency
medical
28
10
consultant
Dr.
Elliott
1
Gilpeer indicate that she had “five out of five” muscle strength
2
and a negative straight-leg raising test. (A.R. 19, 34, 68, 70-
3
72).
4
5
The ALJ also considered an October 24, 2012 CT scan of the
6
abdomen and pelvis which revealed mild degenerative changes of
7
8
the lower lumbar spine as well as an August 21, 2010 lumbar
spine MRI showing only mild discogenic disease with no central
spinal stenosis.
(A.R. 18, 401-402, 420-421).
9
10
Thus, the Court finds that the ALJ provided specific and
11
legitimate
12
reasons
for
affording
minimal
weight
to
Dr.
Fernandez’s opinion.
13
14
The ALJ also rejected Dr. Fernandez’s opinion based on his
15
finding that Dr. Fernandez relied on Plaintiff’s statements of
16
her symptoms and limitations “without objectivity or balance.”
17
(A.R. 18).
18
this
19
whatsoever that would cast doubt on the treating physician’s
20
professionalism or objectivity.”
21
ALJ made this finding after a thorough discussion of the fact
22
that Dr. Fernandez did not cite to any objective evidence to
23
24
25
Plaintiff argues that the ALJ did not elaborate on
conclusory
statement
by
“identifying
any
(Joint Stip. 5).
evidence
However, the
support her opinion and, therefore, reasonably concluded that
Plaintiff’s
statements
were
the
source
of
Dr.
Fernandez’s
opinion.
26
“An ALJ may reject a treating physician’s opinion if it is
27
based to a large extent on a claimant’s self-reports that have
28
11
1
been properly discounted as incredible.”
Tommasetti v. Astrue,
2
533
see
3
Shalala, 53 F.3d 1035, 1043 (9th Cir. 1995) (“[A]n opinion of
4
disability premised to a large extent upon the claimant’s own
5
accounts of his symptoms and limitations may be disregarded,
6
once those complaints have been properly discounted.”)
F.3d
1035,
1041
(9th
Cir.
2008);
also
Andrews
v.
7
Moreover, the ALJ also found Plaintiff’s credibility to be
8
at issue because her pain allegations were not supported by
9
objective evidence and were inconsistent with her activities of
10
daily living.
(A.R. 15-19).
11
12
13
Although
a
claimant’s
subjective
complaint
“cannot
be
rejected on the sole ground that it is not fully corroborated by
14
objective
15
relevant factor . . .” Rollins v. Massanari, 261 F.3d 853, 857
16
(9th Cir. 2001).
17
is a consideration for the ALJ in evaluating credibility.
18
20
19
disability, an ALJ will evaluate a claimant’s statements about
20
the intensity, persistence and limiting effects of her symptoms
21
“in
22
evidence”).
23
24
medical
C.F.R.
evidence,
the
to
evidence
is
still
a
Lack of supporting objective medical evidence
§§ 404.1529(c)(4),
relation
medical
the
416.929(c)(4)
objective
medical
(in
evidence
See
determining
and
other
Here, after reviewing the medical record, the ALJ
found that the objective medical evidence did not fully support
Plaintiff’s complaints of total disability.
25
Plaintiff’s pain allegations were also inconsistent with
26
statements
regarding
her
daily
living.
For
instance,
while
27
Plaintiff testified that she uses her walker “90 percent of the
28
12
1
time” as well as from “room to room” in her home (A.R. 18, 33,
2
43), Dr. Savage testified that there is no mention of a walker
3
from her October 2012 consultative exam with the state agency
4
consultant.
5
Plaintiff’s
6
activities of daily living including dressing, preparing simple
7
8
meals,
(A.R. 18, 34, 70-72).
claims
paying
of
bills,
total
The ALJ also found that
disability
counting
change,
conflicted
handling
with
a
her
savings
account, using a checkbook/money order, shopping, swimming (to
relieve pain), talking with her daughter, making phone calls,
9
reading the bible, and attending bible study.
(A.R. 16, 252-
10
267).
The ALJ further found that Plaintiff’s testimony that she
11
“can’t do laundry” but that she has a neighbor that helps her
12
13
14
lift her laundry into his truck, drives her across the street,
and unloads it for her so that she can do a “couple loads at a
time,” lacked credibility.
(A.R. 16, 42).
15
16
Similarly, while Plaintiff testified that she suffers side
17
effects
18
dizziness (A.R. 38), the ALJ noted that “the treatment notes
19
reflect that the medication was adjusted or changed” in response
20
to side effects.
from
her
medications,
including
vertigo
and
extreme
(A.R. 16).
21
22
23
24
25
Accordingly, the ALJ’s finding that Dr. Fernandez’s opinion
was unpersuasive to the extent that it relied on Plaintiff’s
subjective symptoms was also a specific and legitimate reason
for rejecting Dr. Fernandez’s opinion about the limiting effects
of Plaintiff’s symptoms.
26
27
28
13
1
ORDER
2
3
4
For
all
of
the
foregoing
reasons,
the
decision
of
the
Commissioner is affirmed.
5
6
LET JUDGMENT BE ENTERED ACCORDINGLY.
7
8
9
10
Dated: March 30, 2017.
___________/s/ ______________
ALKA SAGAR
UNITED STATES MAGISTRATE JUDGE
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15
16
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18
19
20
21
22
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24
25
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27
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