Gilbert Grijalva v. Nancy A. Berryhill

Filing 19

MEMORANDUM OPINION AND ORDER REVERSING DECISION OF THE COMMISSIONER OF SOCIAL SECURITY by Magistrate Judge John E. McDermott. IT IS HEREBY ORDERED that Judgment be entered reversing the decision of the Commissioner of Social Security and remanding this case for further proceedings in accordance with this Memorandum Opinion and Order and with law. SEE ORDER FOR DETAILS. (ch) Modified on 8/31/2018 (ch).

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA 9 10 11 12 GILBERT GRIJALVA, Plaintiff, 13 v. 14 NANCY A. BERRYHILL, 15 Acting Commissioner of Social Security, 16 Defendant. 17 ) ) ) ) ) ) ) ) ) ) ) ) Case No. CV 17-06679-JEM MEMORANDUM OPINION AND ORDER REVERSING DECISION OF THE COMMISSIONER OF SOCIAL SECURITY 18 PROCEEDINGS 19 On September 11, 2017, Gilbert Grijalva (“Plaintiff” or “Claimant”) filed a complaint 20 seeking review of the decision by the Commissioner of Social Security (“Commissioner”) 21 denying Plaintiff’s applications for Social Security Disability Insurance benefits and 22 Supplemental Security Income benefits. The Commissioner filed an Answer on December 26, 23 2017. On March 30, 2018, the parties f iled a Joint Stipulation (“JS”). The matter is now ready 24 for decision. 25 Pursuant to 28 U.S.C. § 636(c), both parties consented to proceed bef ore this 26 Magistrate Judge. After reviewing the pleadings, transcripts, and administrative record (“AR”), 27 the Court concludes that the Commissioner’s decision must be reversed and this case 28 1 remanded for further proceedings in accordance with this Memorandum Opinion and Order and 2 law. 3 BACKGROUND 4 Plaintiff is a 49 year-old male who applied for Social Security Disability Insurance 5 benefits on July 3, 2013, and Supplemental Security Income benefits on June 28, 2013, 6 alleging disability beginning March 2, 2012. (AR 29.) The ALJ determined that Plaintiff had not 7 engaged in substantial gainful activity since March 2, 2012, the alleged onset date. (AR 31.) 8 Plaintiff’s claims were denied initially on October 3, 2013, and on reconsideration on 9 January 31, 2014. (AR 29.) Plaintiff filed a timely request for hearing, which was held before 10 Administrative Law Judge (“ALJ”) James P. Nguyen on October 19, 2015, in Norwalk, 11 California. (AR 29.) Plaintiff appeared and testified at the hearing and was represented by a 12 non-attorney representative. (AR 29.) Vocational expert (“VE”) Aida Y. Worthington also 13 appeared and testified at the hearing. (AR 29.) 14 The ALJ issued an unfavorable decision on May 6, 2016. (AR 29-38.) The Appeals 15 Council denied review on July 13, 2017. (AR 1-4.) DISPUTED ISSUES 16 17 As reflected in the Joint Stipulation, Plaintiff only raises the following disputed issue as 18 ground for reversal and remand: 19 20 21 1. Whether the ALJ properly considered the treating physician’s opinion. STANDARD OF REVIEW Under 42 U.S.C. § 405(g), this Court reviews the ALJ’s decision to determine whether 22 the ALJ’s findings are supported by substantial evidence and free of legal error. Smolen v. 23 Chater, 80 F.3d 1273 , 1279 (9th Cir. 1996); see also DeLorm e v. Sullivan, 924 F.2d 841, 846 24 (9th Cir. 1991) (ALJ’s disability determination must be supported by substantial evidence and 25 based on the proper legal standards). 26 Substantial evidence means “‘more than a mere scintilla,’ but less than a 27 preponderance.” Saelee v. Chater, 94 F.3d 520, 521-22 (9th Cir. 1996) (quoting Richardson v. 28 Perales, 402 U.S. 389, 401 (1971)). Substantial evidence is “such relevant evidence as a 2 1 reasonable mind might accept as adequate to support a conclusion.” Richardson, 402 U.S. at 2 401 (internal quotation marks and citation omitted). 3 This Court must review the record as a whole and consider adverse as well as 4 supporting evidence. Robbins v. Soc. Sec. Admin., 466 F.3d 880, 882 (9th Cir. 2006). W here 5 evidence is susceptible to more than one rational interpretation, the ALJ’s decision m ust be 6 upheld. Morgan v. Comm’r of the Soc. Sec. Admin., 169 F.3d 595, 599 (9th Cir. 1999). 7 “However, a reviewing court must consider the entire record as a whole and may not affirm 8 simply by isolating a ‘specific quantum of supporting evidence.’” Robbins, 466 F.3d at 882 9 (quoting Hammock v. Bowen, 879 F.2d 498, 501 (9th Cir. 1989)); see also Orn v. Astrue, 495 10 F.3d 625, 630 (9th Cir. 2007). THE SEQUENTIAL EVALUATION 11 12 The Social Security Act defines disability as the “inability to engage in any substantial 13 gainful activity by reason of any medically determinable physical or mental impairment which 14 can be expected to result in death or . . . can be expected to last for a continuous period of not 15 less than 12 months.” 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). The Commissioner has 16 established a five-step sequential process to determine whether a claimant is disabled. 20 17 C.F.R. §§ 404.1520, 416.920. 18 The first step is to determine whether the claimant is presently engaging in substantial 19 gainful activity. Parra v. Astrue, 481 F.3d 742, 746 (9th Cir. 2007). If the claimant is engaging 20 in substantial gainful activity, disability benefits will be denied. Bowen v. Yuckert, 482 U.S. 137, 21 140 (1987). Second, the ALJ must determine whether the claimant has a severe impairment or 22 combination of impairments. Parra, 481 F.3d at 746. An impairment is not severe if it does not 23 significantly limit the claimant’s ability to work. Smolen, 80 F.3d at 1290. Third, the ALJ must 24 determine whether the impairment is listed, or equivalent to an impairment listed, in 20 C.F.R. 25 Pt. 404, Subpt. P, Appendix I of the regulations. Parra, 481 F.3d at 746. If the impairment 26 meets or equals one of the listed impairments, the claimant is presumptively disabled. Bowen, 27 482 U.S. at 141. Fourth, the ALJ must determine whether the impairment prevents the 28 claimant from doing past relevant work. Pinto v. Massanari, 249 F.3d 840, 844-45 (9th Cir. 3 1 2001). Before making the step four determination, the ALJ first must determine the claimant’s 2 residual functional capacity (“RFC”). 20 C.F.R. § 416.920(e). The RFC is “the most [one] can 3 still do despite [his or her] limitations” and represents an assessment “based on all the relevant 4 evidence.” 20 C.F.R. §§ 404.1545(a)(1), 416.945(a)(1). T he RFC must consider all of the 5 claimant’s impairments, including those that are not severe. 20 C.F.R. §§ 416.920(e), 6 416.945(a)(2); Social Security Ruling (“SSR”) 96-8p. 7 If the claimant cannot perform his or her past relevant work or has no past relevant work, 8 the ALJ proceeds to the fifth step and must determine whether the impairment prevents the 9 claimant from performing any other substantial gainful activity. Moore v. Apfel, 216 F.3d 864, 10 869 (9th Cir. 2000). The claimant bears the burden of proving steps one through four, 11 consistent with the general rule that at all times the burden is on the claimant to establish his or 12 her entitlement to benefits. Parra, 481 F.3d at 746. Once this prima facie case is established 13 by the claimant, the burden shifts to the Commissioner to show that the claimant may perform 14 other gainful activity. Lounsburry v. Barnhart, 468 F.3d 1111, 1114 (9th Cir. 2006). T o support 15 a finding that a claimant is not disabled at step five, the Commissioner must provide evidence 16 demonstrating that other work exists in significant numbers in the national economy that the 17 claimant can do, given his or her RFC, age, education, and work experience. 20 C.F.R. 18 § 416.912(g). If the Commissioner cannot meet this burden, then the claimant is disabled and 19 entitled to benefits. Id. 20 21 THE ALJ DECISION In this case, the ALJ determined at step one of the sequential process that Plaintiff has 22 not engaged in substantial gainful activity since March 2, 2012, the alleged onset date. (AR 23 31.) 24 At step two, the ALJ determined that Plaintiff has the following medically determinable 25 severe impairments: diabetes mellitus with neuropathy; left carpal tunnel syndrome; disc 26 protrusion with central canal narrowing and scoliotic curvature of the lumbar spine with 27 radiculopathy; scoliosis of the thoracic spine; left elbow/forearm contusion and strain and lateral 28 epicondylitis; left middle finger flexor tenosynovitis and trigger finger; bilateral knee sprain and 4 1 patellofemoral arthralgia with right medial plica; nephrotic syndrome; history of renal 2 insufficiency; and liver abscess with ascites secondary to streptococcus. (AR 31-32.) 3 At step three, the ALJ determined that Plaintiff does not have an impairment or 4 combination of impairments that meets or medically equals the severity of one of the listed 5 impairments. (AR 32-33.) 6 The ALJ then found that Plaintiff had the RFC to perform medium work as defined in 20 7 CFR §§ 404.1567(c) and 416.967(c) with the following limitations: 8 Claimant can frequently climb ramps and stairs, ladders, ropes, and scaffolds; he 9 can frequently balance, stoop, kneel, crouch, and crawl; he can use the left upper 10 extremity for frequent handling and fingering, but only for occasional forceful 11 gripping, grasping, squeezing, pinching, holding, or activities (i.e., manual 12 screwdrivers, or similar movements to opening jars); he is unable to run or jump; 13 he can use the bilateral upper extremities for frequent overheard reaching; and he 14 is unable to work on uneven surfaces. 15 (AR 33-36.) In determining the above RFC, the ALJ made an adverse credibility determination. 16 (AR 34.) 17 At step four, the ALJ found that Plaintiff is able to perform his past relevant work as a 18 security guard. (AR 36-37.) The ALJ, however, also found that, considering Claimant’s age, 19 education, work experience and RFC, there are jobs that exist in significant numbers in the 20 national economy that Claimant can perform, including the jobs of linen room attendant and 21 marker. (AR 37-38.) 22 Consequently, the ALJ found that Claimant is not disabled within the meaning of the 23 Social Security Act. (AR 38.) 24 25 DISCUSSION The ALJ decision must be reversed. The Commissioner concedes that the ALJ erred in 26 not properly considering the opinion of workers’ compensation treating physician, Dr. Philip 27 Sobol. The Court concludes that the error was not harmless. Accordingly, this case must be 28 reversed and remanded for further proceedings. 5 1 A. Background 2 Plaintiff suffered three workplace injuries when, in performing his job as a security guard, 3 he was struck in the arm by a truck on November 1, 2011, struck by a vehicle in the back of his 4 knees on December 23, 2011, and hit in his back and knees f rom behind by a forklift on 5 January 1, 2012. (AR 34, 1940, 1991.) Plaintif f claims he is in pain all day and has limited 6 ability to stand, sit, and walk. (AR 33.) Plaintiff has a variety of musculoskeletal and other 7 impairments: diabetes mellitus with neuropathy; left carpal tunnel syndrome; disc protrusion 8 with central canal narrowing and scoliotic curvature of the lumbar spine with radiculopathy; 9 scoliosis of the thoracic spine; left elbow/forearm contusion and strain and lateral epicondylitis; 10 left middle finger flexor tenosynovitis and trigger finger; bilateral knees sprain and 11 patellofemoral arthralgia with right medial plica; nephrotic syndrome; history of renal 12 insufficiency; and liver abscess with ascites secondary to streptococcus. (AR 31.) 13 Notwithstanding these impairments, the ALJ assessed Plaintiff with a medium work RFC 14 (AR 33), which entails lifting/carrying 50 pounds occasionally and 25 pounds frequently. (AR 15 481.) The ALJ found Plaintiff can frequently climb ramps and stairs, ladders, ropes and 16 scaffolds; he can frequently balance, stoop, kneel, crouch, and crawl; he can use the left upper 17 extremity for frequent handling and fingering but only for occasional forceful gripping, grasping, 18 squeezing, pinching, holding, or torqueing activities. (AR 33.) The ALJ also found that he can 19 use his bilateral upper extremities for frequent overhead reaching. (AR 33.) The ALJ based 20 his RFC on the findings of a consulting internist (AR 34, 477-482) and two State agency 21 reviewers who did not examine Plaintiff. (AR 35, 88-89, 107-08.) 22 B. Workers’ Compensation Physician Evidence 23 Dr, Philip Sobol, an orthopedic surgeon, treated Plaintiff from December 15, 2014, 24 through April 2015. (AR 1940-1989.) He conducted a physical examination, which revealed a 25 decrease in the lumbar lordotic curvature, decreased lumbar range of motion, low back pain 26 radiating into the lower extremities, diminished range of motion of the knees, and a guarded 27 gait. (AR 35, 1978-1980.) He also ordered a neurological examination and an MRI. In March 28 2015, an EMG/NCS neurological test indicated evidence of moderate to severe diabetic 6 1 peripheral neuropathy affecting the upper and lower extremities, and of carpal tunnel syndrome 2 superimposed on the diabetic peripheral neuropathy. (AR 35, 1967, 1977.) An MRI of the 3 lumbar spine in March 2015 showed scoliotic curvature and a disc protrusion resulting in 4 abutment of nerve roots. (AR 35, 1973, 1977.) Plaintiff has been provided with physical 5 therapy, chiropractic treatment, and acupuncture treatment. (AR 1986.) Dr. Sobol also 6 discussed lumbar steroid injections but this treatment option was declined because of Plaintiff’s 7 diabetes and liver issues. (AR 1977.) 8 Dr. Sobol prepared a thorough permanent and stationary report in April 2015 that 9 contradicts the ALJ’s RFC in several significant respects. (AR 1974-1989.) For the lumbar 10 spine, Dr. Sobol precluded Plaintiff from heavy lifting,1 repetitive bending, and stooping. (AR 11 36, 1987.) For the bilateral knees, Dr. Sobol precluded Plaintif f from repetitive squatting, 12 stooping, kneeling, and from prolonged weight-bearing (which would preclude six hours of 13 standing). (AR 36, 1987.) For the left wrist and hand, Plaintiff is precluded from repetitive, 14 forceful gripping, grasping and squeezing, pinching, holding, and torqueing activities. Possible 15 future medical treatment would include injections (if possible) and surgery. (AR 1986-1987.) 16 The ALJ accorded “some weight” to Dr. Sobol’s report because it “appears largely 17 consistent with the objective evidence as a whole.” (AR 36.) The ALJ, however, did not give 18 great weight to Dr. Sobol’s opinion because it was “rendered in the workers’ compensation 19 context . . . and the terms he used in describing the Claimant’s work restrictions may not 20 21 22 23 24 25 26 27 28 1 Plaintiff explained that in workers’ compensation proceedings a preclusion of “heaving lifting” means loss of half of pre-injury capacity of lifting. See Table II, “Guideline for Work Capacity in the Schedule for Rating Permanent Disabilities,” Workers’ Compensation Laws of California; Glass v. Workers’ Compensation Appeals board, 105 Cal. App. 3d 297, 302 n.1 (1980). Plaintiff’s past work required lifting of 5 to 15 pounds. (AR 1987.) Properly translated, Plaintiff is limited to seven and a half pounds, far less than the 50 pounds for medium work. Plaintiff also explained that Dr. Sobol’s preclusion of prolonged weight-bearing would limit him to standing and walking four hours instead of six required of a medium work RFC. (JS 11.) Further, the ALJ’s RFC required Plaintiff to stoop and kneel more than Dr. Sobol’s preclusion of repetitive squatting, stooping and kneeling. (JS 10.) The Commissioner did not disagree with or discuss Plaintiff’s “translations.” 7 1 necessarily be compatible with Social Security’s defined terms for disability determinations.” 2 (AR 36.) 3 The ALJ’s treatment of Dr. Sobol’s opinion plainly is contrary to law, as the 4 Commissioner concedes. Workers’ compensation disability ratings are not controlling in 5 disability cases decided under the Social Security Act and the terms of art used in California 6 workers’ compensation are not equivalent to Social Security disability terminology. Desrosiers 7 v. Secretary of Health & Human Services, 846 F.2d 573, 576 (9th Cir. 1988); Macri v. Chater, 8 93 F.3d 540, 544 (9th Cir. 1996); Booth v. Barnhart, 181 F. Supp. 2d 1099, 1104 (C.D. Cal. 9 2002); see also 20 C.F.R. § 404.1504. An ALJ, how ever, may not ignore a physician’s 10 medical opinion from a workers’ compensation proceeding. Booth, 181 F. Supp. 2d at 1105. 11 The ALJ must “translate” terms of art contained in workers’ compensation medical reports and 12 opinions into corresponding Social Security terminology in order to assess that evidence for 13 Social Security disability determinations. Id. at 1106. 14 The Commissioner concedes that Dr. Sobol’s opinion that Plaintiff was precluded from 15 heavy lifting and was thus unable to do his work as a security guard, which required lifting of 16 items weighing between 5 to 15 pounds, was incompatible with the ALJ’s medium work RFC. 17 (JS 13.) The Commissioner states that, to the extent the ALJ gave “some weight” to Dr. 18 Sobol’s opinion, the ALJ should have explained this discrepancy between Dr. Sobol’s opinion 19 and the ALJ’s RFC. (JS 13.) 20 Plaintiff is correct that the ALJ erred in his consideration of Dr. Sobol’s workers’ 21 compensation findings and opinions. 22 C. Harmless Error 23 The Commissioner contends that the ALJ’s error in failing to explain the weight given to 24 Dr. Sobol’s testimony is harmless error. The Court disagrees. 25 An error is harmless when it is “inconsequential to the ultimate nondisability 26 determination.” Stout v. Comm’r, 454 F.3d 1050, 1055 (9th Cir. 2006). A reviewing court 27 cannot consider an error harmless “unless it can confidently conclude that no reasonable ALJ, 28 when fully crediting the testimony, could have reached a different disability determination.” Id. 8 1 at 1056. The burden of showing that an error is harmful normally falls on the party attacking 2 the agency’s determination. Shinseki v. Sanders, 556 U.S. 396, 409-10 (2009), discussed at 3 length in Molina v. Astrue, 674 F.3d 1104, 1111, 1117-22 (9th Cir. 2012). A claim ant must 4 show a “substantial likelihood of prejudice.” Ludwig v. Astrue, 681 F.3d 1047, 1054 (9th Cir. 5 2012). 6 The Commissioner argues that the ALJ’s error is harmless because the ALJ rejected a 7 similar opinion by another workers’ compensation orthopedic surgeon, Dr. Sam Bakshian. (AR 8 36, 1990-1997). See Kelly v. Colvin, 669 F. App’x 401, 401-02 (9th Cir. 2016) (failure to 9 discuss medical opinion harmless where ALJ discounted other medical opinions that claimant 10 had more limitations than reflected in RFC finding). On October 22, 2014, Plaintiff underwent a 11 treating orthopedic examination with Dr. Bakshian. (AR 1991.) Dr. Bakshian stated his opinion 12 that Plaintiff “may return back to work with modified light work duties of no repeated bending, 13 stooping, prolonged sitting, standing or lifting greater than 10 pounds with regard to his left 14 upper extremities.” (AR 36, 1996.) He also indicated Plaintiff should avoid “repeated gripping, 15 grasping, vibrating and torquing as well for his lower extremities he should avoid kneeling, 16 squatting, stooping and walking on uneven surfaces.” (AR 36, 1996.) 17 The ALJ gave Dr. Bakshian’s opinion little weight because “the work restrictions appear 18 overly restrictive in light of the evidence as a whole.” (AR 36.) The ALJ particularly noted that 19 “he does not find any support for a lifting restriction of 10 pounds.” (AR 36.) The ALJ 20 maintained that the objective evidence is more consistent with the lifting and carrying capacity 21 defined in medium work, i.e., 50 pounds occasionally and 25 pounds frequently. (AR 36.) 22 The ALJ’s rejection of Dr. Bakshian’s opinion founders for several reasons. The 23 assertion that there is no support for a lifting restriction of 10 pounds is plainly inaccurate. 24 Dr. Sobol precluded Plaintiff from heavy lifting, including 5 to 15 pounds in his work as a 25 security guard. (AR 36, JS 13.) These two treating physician opinions are consistent with and 26 reinforce each other, are close in time (October 22, 2014 and April 2015), and later in tim e than 27 other medical opinions relied on by the ALJ. Both physicians are orthopedic surgeons, the 28 relevant specialty. See Molina, 674 F.3d at 1112 (opinion of a doctor who specialized in the 9 1 relevant field is entitled to greater weight). The ALJ, moreover, opined that Dr. Sobol’s 2 functional assessment is “largely consistent with the objective evidence as a whole.” (AR 36.) 3 The objective evidence cited in the ALJ decision includes Dr. Sobol’s and Dr. Bakshian’s 4 findings. (AR 35, 36.) 5 The ALJ’s assertion that Dr. Bakshian’s work restrictions are “overly restrictive in light of 6 the evidence as a whole” (AR 36) is similarly inaccurate. Both Dr. Bakshian and Dr. Sobol 7 precluded repeated bending, stooping, kneeling, prolonged sitting, and standing. (AR 36, 8 1986-1987, 1996.) Both Dr. Bakshian and Dr. Sobol precluded repeated g ripping, grasping, 9 and torqueing. (Id.) The ALJ’s RFC does not include these restrictions. 10 The ALJ’s reliance on other evidence to reject the opinions of Dr. Sobol and Dr. 11 Bakshian is misplaced. The ALJ’s medium work RFC and other restrictions are based primarily 12 on the September 16, 2013 opinion of the consulting Board eligible internist, Dr. Rocely Ella13 Tamayo. (AR 34, 477-82.) On examination, Dr. Tamayo found Plaintiff in no acute distress, 14 gait slow but normal, and range of motion within normal limits. (AR 480.) She opined that 15 Plaintiff could pick up 50 pounds occasionally and 25 pounds frequently, stand and walk six 16 hours in an 8 hour workday, and kneel and squat and sit without restriction. (AR 481.) 17 There are several problems with the ALJ’s reliance on Dr. Tamayo’s report. First, the 18 report is well before the opinions of Dr. Bakshian in 2014 and Dr. Sobol in 2015, which she 19 obviously did not review. Second, she is an internist, not an orthopedic surg eon like 20 Dr. Bakshian and Dr. Sobol. The relevant specialty here is orthopedics. The opinions of the 21 orthopedic surgeons are entitled to greater weight than non-orthopedists. Molina, 674 F.3d at 22 1112. Third, Dr. Tamayo stated in her report that “there are no medical records available for 23 review.” (AR 477.) The Ninth Circuit gives limited weight to an opinion based on a one-time 24 examination without review of medical records. Reddick v. Chater, 157 F.3d 715, 727 (9th Cir. 25 1998). Fourth, Dr. Tamayo acknowledged Plaintiff’s insulin-dependent diabetes mellitus but did 26 not mention or test for possible diabetic neuropathy. A March 2015 EMG/NCS test ordered by 27 Dr. Sobol, however, indicated moderate to severe diabetic neuropathy affecting the upper and 28 lower extremities. (AR 1967, 1983.) Dr. Tamayo obviously was unaware of this finding, which 10 1 the ALJ credited as a severe impairment. (AR 31.) This finding also was cited as part of the 2 objective evidence. (AR 35.) 3 The ALJ also relied on the October 2, 2013 m edium work RFC of State agency 4 reviewing physician Dr. V. Phillips. (AR 86-90.) This report, however, is based on 5 Dr. Tamayo’s report and was issued well before the opinions of Dr. Bakshian and Dr. Sobol. 6 Similarly, State agency reviewing physician Dr. Jacinto De Borja’s January 30, 2014 report 7 gave great weight to the earlier consulting examination, noting that Plaintiff’s normal gait and 8 normal motor strength were not consistent with heavy lifting limitations. (AR 108-109.) Neither 9 of these physicians examined or treated Plaintiff. Their evaluations precede the EMG/NCS and 10 MRI tests and the opinions of Dr. Bakshian and Dr. Sobol. There is no indication the State 11 agency reviewers are orthopedists. 12 This Court cannot confidently conclude that no reasonable ALJ, when fully crediting the 13 testimony, could have reached a different disability determination. Stout, 454 F.3d at 1056. 14 The ALJ did not provide specific, legitimate reasons for rejecting the opinions of Dr. Sobol and 15 Dr. Bakshian. Crediting those opinions would require rejection of the ALJ’s medium work RFC 16 and preclude the ability to perform medium work occupations and even the light work security 17 guard as generally performed in the national economy. (AR 37.) The alternative occupations 18 of linen room attendant and marker also are medium work occupations precluded by the 19 restrictions imposed by Dr. Sobol and Dr. Bakshian. (AR 38.) The Court finds the ALJ’s error 20 regarding Dr. Sobol creates a “substantial likelihood of prejudice.” Ludwig, 681 F.3d at 1054. 21 The ALJ’s error is not inconsequential to the ALJ’s nondisability determination. The case must 22 be reversed and remanded for further proceedings. 23 /// 24 /// 25 /// 26 /// 27 /// 28 11 1 ORDER 2 IT IS HEREBY ORDERED that Judgment be entered reversing the decision of the 3 Commissioner of Social Security and remanding this case for further proceedings in 4 accordance with this Memorandum Opinion and Order and with law. 5 6 DATED: August 31, 2018 7 /s/ John E. McDermott JOHN E. MCDERMOTT UNITED STATES MAGISTRATE JUDGE 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 12

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