Martin Herrera v. Carolyn W Colvin

Filing 18

MEMORANDUM OPINION AND ORDER by Magistrate Judge Sheri Pym. IT IS THEREFORE ORDERED that Judgment shall be entered AFFIRMING the decision of the Commissioner denying benefits, and dismissing this action with prejudice. (See document for further specifics) (mrgo)

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O 1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 MARTIN HERRERA, Case No. ED CV 13-1734-SP 14 CAROLYN W. COLVIN, Acting 15 Commissioner of Social Security Administration, 16 Defendant. 17 ) ) ) ) ) ) ) ) ) ) ) ) ) 18 I. 19 INTRODUCTION 12 13 20 Plaintiff, v. MEMORANDUM OPINION AND ORDER On September 30, 2013 , plaintiff Martin Herrera filed a complaint against 21 defendant, the Commissioner of the Social Security Administration 22 (“Commissioner”), seeking review of a denial of Disability Insurance Benefits 23 (“DIB”). Both plaintiff and defendant have consented to proceed for all purposes 24 before the assigned Magistrate Judge pursuant to 28 U.S.C. § 636(c). 25 Plaintiff presents three disputed issues for decision: (1) whether the 26 Administrative Law Judge’s (“ALJ”) assessment of plaintiff’s residual functional 27 capacity (“RFC”) was supported by substantial evidence; (2) whether the ALJ 28 properly assessed plaintiff’s credibility; and (3) whether the ALJ erred at step five 1 1 by, inter alia, improperly deviating from the Dictionary of Occupational Titles 2 (“DOT”). 3 Having carefully studied the parties’ written submissions, the 4 Administrative Record (“AR”), and the decision of the ALJ, the court concludes 5 that, as detailed herein, the ALJ did not err. First, the ALJ properly considered the 6 physicians’ opinions, and rendered an RFC determination that is supported by 7 substantial evidence in the record. Second, the ALJ gave clear and convincing 8 reasons for discounting plaintiff’s subjective complaints. And third, the ALJ 9 properly relied on the testimony of the vocational expert at step five. 10 Consequently, this court affirms the decision of the Commissioner denying 11 benefits. 12 II. 13 FACTUAL AND PROCEDURAL BACKGROUND 14 Plaintiff, who was forty-two years old on his amended alleged disability 15 onset date, has a third grade education. AR 32, 38, 132. He has past relevant 16 work experience as a forklift operator and sheet metal production worker. AR 43. 17 On August 18, 2010, plaintiff applied for DIB, alleging a disability onset 18 date of March 1, 2003 due to spinal disc issues and back pain. AR 106, 132, 148. 19 The alleged onset date was later amended at the hearing to December 1, 2006. AR 20 32. Plaintiff’s claim was denied initially and upon reconsideration, after which 21 plaintiff requested a hearing. AR 51-60. 22 On March 9, 2012, plaintiff, represented by counsel, appeared and testified 23 at a hearing before the ALJ. AR 28-39. Corianne Porter, a vocational expert 24 (“VE”), also testified. AR 39-48. 25 On March 26, 2012, the ALJ denied plaintiff’s claim for benefits. AR 11- 26 21. Applying the well known five-step sequential test, the ALJ found, at step one, 27 that plaintiff had not engaged in substantial gainful activity from December 2, 28 2006 (plaintiff’s amended alleged onset date) to December 31, 2006 (plaintiff’s 2 1 last date insured). AR 13. 2 At step two, the ALJ found plaintiff had the following severe impairments: 3 lumbar spine degenerative disc disease, history of lumbar spine fusion surgery, 4 and peripheral neuropathy. Id. 5 At step three, the ALJ found that plaintiff did not have an impairment or 6 combination of impairments that met or medically equaled one of the listed 7 impairments set forth in 20 C.F.R. Part 404, Subpart P, Appendix 1. Id. The ALJ then assessed plaintiff’s RFC,1 and determined plaintiff could 8 9 perform a full range of sedentary work, with the following limitations: 10 occasionally balance, kneel, crouch, crawl, and climb; no more than rarely stoop; 11 avoid concentrated exposure to extreme cold and vibration; limited to simple 12 repetitive tasks due to possible medication side effects; and the requirement of a 13 sit/stand option. AR 14. 14 At step four, the ALJ found plaintiff was unable to return to his past 15 relevant work. AR 19. 16 At step five, the ALJ concluded that there are jobs that exist in significant 17 numbers in the national economy that plaintiff can perform, including hand 18 bander, table worker, production assembly of artificial flowers, and button 19 assembler. AR 19-20. Consequently, the ALJ found plaintiff not disabled as 20 defined in the Social Security Act. AR 20. 21 Plaintiff filed a timely request for review of the ALJ’s decision, which was 22 denied by the Appeals Council. AR 1-3, 6-7. The ALJ’s decision stands as the 23 24 1 Residual functional capacity is what a claimant can do despite existing 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 27 evaluation, the ALJ must proceed to an intermediate step in which the ALJ assesses the claimant’s residual functional capacity.” Massachi v. Astrue, 486 28 F.3d 1149, 1151 n.2 (9th Cir. 2007). 25 3 1 final 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 Commissioner 6 must be upheld if they are free of legal error and supported by substantial 7 evidence. Mayes v. Massanari, 276 F.3d 453, 458-59 (9th Cir. 2001) (as 8 amended). But if the court determines that the ALJ’s findings are based on legal 9 error or are not supported by substantial evidence in the record, the court may 10 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 A. The ALJ’s RFC Determination Was Supported by Substantial Evidence 4 Plaintiff first contends that the ALJ’s RFC determination is inconsistent 5 with the objective medical record. See Pl. Mem. at 3-9. In determining plaintiff’s 6 RFC, the ALJ had to properly evaluate and consider both the medical opinions of 7 record and plaintiff’s subjective complaints. The court finds the ALJ did so, and 8 that the RFC determination was supported by substantial evidence. 9 10 1. The ALJ Properly Evaluated the Medical Opinions In evaluating medical opinions, Ninth Circuit case law and Social Security 11 regulations distinguish among the opinions of three types of physicians: (1) those 12 who treat the claimant (treating physicians); (2) those who examine but do not 13 treat the claimant (examining physicians); and (3) those who neither examine nor 14 treat the claimant (non-examining physicians). Lester v. Chater, 81 F.3d 821, 830 15 (9th Cir. 1996); see also 20 C.F.R. § 404.1527(c) (2012) (prescribing the 16 respective weight to be given the opinions of treating sources and examining 17 sources). “As a general rule, more weight should be given to the opinion of a 18 treating source than to the opinion of doctors who do not treat the claimant.” 19 Lester, 81 F.3d at 830 (citation omitted); accord Benton ex rel. Benton v. 20 Barnhart, 331 F.3d 1030, 1036 (9th Cir. 2003). This is so because a treatment 21 provider “is employed to cure and has a greater opportunity to know and observe 22 the patient as an individual.” Sprague v. Bowen, 812 F.2d 1226, 1230 (9th Cir. 23 1987) (citation omitted). “The opinion of an examining physician is, in turn, 24 entitled to greater weight than the opinion of a nonexamining physician.” Lester, 25 81 F.3d at 830 (citations omitted). 26 Where the treating physician’s “opinion is not contradicted by another 27 doctor, it may be rejected only for ‘clear and convincing’ reasons.” Benton, 331 28 F.3d at 1036; see also Andrews v. Shalala, 53 F.3d 1035, 1041 (9th Cir. 1995) 5 1 (“While the ALJ may disregard the opinion of a treating physician, whether or not 2 controverted, the ALJ may reject an uncontroverted opinion of a treating physician 3 only for clear and convincing reasons.” (citation omitted)). “Even if the treating 4 doctor’s opinion is contradicted by another doctor, the [ALJ] may not reject this 5 opinion without providing specific and legitimate reasons supported by substantial 6 evidence in the record for doing so.” Lester, 81 F.3d at 830 (internal quotation 7 marks and citation omitted); accord Reddick, 157 F.3d at 725. The ALJ can meet 8 the requisite specific and legitimate standard “by setting out a detailed and 9 thorough summary of the facts and conflicting clinical evidence, stating his 10 interpretation thereof, and making findings.” Magallanes v. Bowen, 881 F.2d 747, 11 751 (9th Cir. 1989) (internal quotation marks and citation omitted). 12 Plaintiff attacks the ALJ’s evaluation of the physicians’ opinion in this case 13 in three respects. First, he argues the ALJ should not have given great weight to 14 the opinions of Dr. K.R. Mauro, a state agency consultant, since Dr. Mauro has no 15 apparent specialization and only reviewed plaintiff’s records five years after the 16 date last insured. Pl. Mem. at 4. But regardless of whether Dr. Mauro has a 17 particular specialization, he is a state agency medical consultant. As such, as the 18 ALJ noted, Dr. Mauro’s opinion was properly considered in determining 19 plaintiff’s RFC. See AR 18, 20 C.F.R. § 404.1527(e)(2)(I). Further, although Dr. 20 Mauro did not review plaintiff’s medical records until 2011, the records Dr. Mauro 21 reviewed and cited were from 2006 and 2007 and earlier. See AR 287-88. 22 Second, plaintiff attacks the ALJ’s rejection of portions of the opinion of 23 Dr. Donald Kim, an examining physician. Pl. Mem. at 5. In evaluating the 24 medical evidence of record, the ALJ accorded “some weight” to Dr. Kim. AR 18. 25 The ALJ noted that as Dr Kim examined plaintiff solely in the context of 26 plaintiff’s California Workers’ Compensation claim, the overall relevance and 27 credibility of his determination was in question. Id. This was a proper 28 consideration in evaluating Dr. Kim’s opinion. See Desrosiers v. Sec’y of Health 6 1 & Human Services, 846 F.2d 573, 576 (9th Cir. 1988). 2 The ALJ found Dr. Kim’s opinion that plaintiff was precluded from heavy 3 work was consistent with the record as a whole. AR 18. But the ALJ rejected the 4 portion of Dr. Kim’s opinion finding a fifty percent loss of plaintiff’s pre-injury 5 capacity for bending, stooping, lifting, pushing, and climbing, finding this opinion 6 was not supported by plaintiff’s treatment notes. Id. The ALJ specifically noted 7 that Dr. Kim performed a March 2006 qualified medical exam and observed: a 8 smooth and steady gait with no abnormalities, normal walking, a negative straight 9 leg raise test, no atrophy or restricted range of motion on plaintiff’s lower 10 extremities, and no abnormalities related to plaintiff’s 2005 spinal fusion. AR 18, 11 202-04. Thus, the ALJ gave a specific and legitimate reason supported by 12 substantial evidence for rejecting a portion of Dr. Kim’s opinion. 13 Finally, plaintiff argues the ALJ erred in giving no weight to the opinion of 14 treating physician Dr. Rick Pospisil, as plaintiff disagrees with the ALJ that the 15 medical evidence is inconsistent with Dr. Pospisil’s opinion. Pl. Mem. at 5-9. The 16 ALJ accorded no weight to Dr. Pospisil who opined plaintiff was to remain off 17 work from December 2006 through July 2007. AR 18, 259-65. The ALJ noted 18 that this assessment contradicted Dr. Pospisil’s own treatment records, which 19 noted plaintiff was improving with his home exercise program and medication 20 during this time. AR 18; see AR 259, 264-65. Consequently, the ALJ found Dr. 21 Pospisil’s assertion that plaintiff had lost seventy-five percent of his previous 22 capacity is contradicted by his own treatment notes, as well as the medical 23 evidence of several negative straight leg raising tests. AR 18. This was a proper 24 basis to reject Dr. Pospisil’s opinion. See Rollins v. Massanari, 261 F.3d 853, 856 25 (9th Cir. 2001) (ALJ may properly reject a physician’s opinion if plaintiff has 26 subsequently improved, but the physician’s original opinion remains unchanged). 27 Accordingly, the ALJ properly noted the objective evidence of record 28 supported Dr. Mauro’s and Dr. Kim’s assessments in part. And as Dr. Pospisil’s 7 1 assessment contradicts these opinions and other medical evidence, and is 2 contradicted by his own treatment notes, the ALJ provided specific and legitimate 3 reasons supported by substantial evidence for rejecting it. 4 2. 5 Plaintiff argues the ALJ’s RFC finding that plaintiff has the capacity for The ALJ Properly Determined Plaintiff’s RFC 6 sedentary work with limitations is not supported by the medical record, and that 7 the ALJ erred in not articulating the basis for this RFC determination.2 See Pl. 8 Mem. at 3-9. The court disagrees. 9 In determining a claimant’s RFC, an ALJ must consider all relevant 10 evidence in the record, including medical records, lay evidence, and the effects of 11 symptoms (including pain) that are reasonably attributed to a medically 12 determinable impairment. Robbins v. Soc. Sec. Admin., 466 F.3d 880, 883 (9th 13 Cir. 2006); see Social Security Ruling (“SSR”) 96-5p,3 1996 WL 374183, at *5 14 (July 2, 1996); 20 C.F.R. § 404.1545(a)(3) (2012) (a claimant’s assessed RFC is 15 based upon all the relevant evidence in the case record). Here, as discussed above, 16 the ALJ properly assessed the medical evidence of record, giving great weight to 17 Dr. Mauro, some weight to Dr. Kim, and no weight to Dr. Pospisil. 18 19 20 21 22 23 24 25 26 27 28 2 “Sedentary work involves lifting no more than 10 pounds at a time and occasionally lifting or carrying articles like docket files, ledgers, and small tools. Although a sedentary job is defined as one which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required occasionally and other sedentary criteria are met.” 20 C.F.R. §§ 404.1567 and 416.967. 3 “The Commissioner issues Social Security Rulings to clarify the Act’s implementing regulations and the agency’s policies. SSRs are binding on all components of the [Social Security Administration]. SSRs do not have the force of law. However, because they represent the Commissioner’s interpretation of the agency’s regulations, we give them some deference. We will not defer to SSRs if they are inconsistent with the statute or regulations.” Holohan v. Massanari, 246 F.3d 1195, 1203 n.1 (9th Cir. 2001) (internal citations omitted). 8 1 Plaintiff’s primary attack on the ALJ’s RFC determination is that the ALJ 2 inexplicably adopted a more restrictive RFC than would be supported by either Dr. 3 Mauro’s or Dr. Kim’s opinions, and that is more consistent with the rejected 4 opinion of Dr. Pospisil. It is true that normally an ALJ must explain deviations 5 from an opinion he or she credits. See Magallanes, 881 F.2d at 753-54 (an ALJ 6 may adopt or accept all, some, or none of a physician’s opinion but must explain 7 why); see also Vertigan v. Halter, 260 F.3d 1044, 1049 (9th Cir. 2001) (“[I]t is the 8 responsibility of the ALJ, not the claimant’s physician, to determine residual 9 functional capacity.”). But this is not a situation in which an ALJ credited a 10 physician’s opinion but then reached a less restrictive RFC. To the contrary, the 11 ALJ made a more restrictive RFC determination to the benefit of plaintiff. See, 12 e.g., Chavez v. Astrue, 2011 WL 3420848, at *2-*3 (C.D. Cal. Aug. 4, 2011) 13 (ALJ’s RFC determination was consistent and arguably more restrictive than the 14 less credited opinion and thus any error was harmless); Nuno v. Astrue, 2010 WL 15 4553440, at *4 (C.D. Cal. Nov. 3, 2010) (ALJ erred on plaintiff’s side in finding a 16 more restrictive RFC than the purportedly improperly rejected opinion); Lasswell 17 v. Astrue, 2008 WL 4330273, at *3 (C.D. Cal. 2008 Sept. 19, 2008) (ALJ did not 18 err because he adopted the physician’s limitations and made them effectively more 19 restrictive). Thus, any error in this regard was harmless. 20 Moreover, plaintiff is simply incorrect in asserting that the ALJ made a 21 more restrictive RFC determination without explanation. First, the ALJ’s RFC 22 determination was largely consistent with Dr. Mauro’s RFC opinion, although 23 more restrictive in certain respects. See AR 14, 18, 283-85. Second, the ALJ 24 explained that, although he found parts of Dr. Kim’s opinion consistent with the 25 record, he imposed certain additional limitations in determining plaintiff’s RFC 26 because he “generously considered the claimant’s subjective complaints.” AR 18. 27 In sum, the ALJ properly assessed the limitations opined by Drs. Mauro and 28 Kim, “generously” considered plaintiff’s subjective complaints, and arrived at an 9 1 RFC that is supported by substantial evidence in the record. To the extent the ALJ 2 may not have fully explained the additional restrictions contained in his RFC 3 determination, such additional restrictions only benefitted plaintiff, making any 4 error in that regard harmless. 5 B. The ALJ Properly Discounted Plaintiff’s Subjective Complaints 6 As noted above, the ALJ considered plaintiff’s subjective complaints in 7 arriving at his RFC. But the ALJ also discounted plaintiff’s subjective complaints 8 of complete disability. AR 15. Plaintiff contends that the ALJ erred in doing so. 9 Pl. Mem. at 10-15. 10 The ALJ must make specific credibility findings, supported by the record. 11 SSR 96-7p. To determine whether testimony concerning symptoms is credible, the 12 ALJ engages in a two-step analysis. Lingenfelter v. Astrue, 504 F.3d 1028, 103513 36 (9th Cir. 2007). First, the ALJ must determine whether a claimant produced 14 objective medical evidence of an underlying impairment “‘which could reasonably 15 be expected to produce the pain or other symptoms alleged.’” Id. at 1036 (quoting 16 Bunnell v. Sullivan, 947 F.2d 341, 344 (9th Cir. 1991) (en banc)). Second, if there 17 is no evidence of malingering, an “ALJ can reject the claimant’s testimony about 18 the severity of her symptoms only by offering specific, clear and convincing 19 reasons for doing so.” Smolen v. Chater, 80 F.3d 1273, 1281(9th Cir. 1996); 20 Benton v. Barnhart, 331 F.3d 1030, 1040 (9th Cir. 2003). The ALJ may consider 21 several factors in weighing a claimant’s credibility, including: (1) ordinary 22 techniques of credibility evaluation such as a claimant’s reputation for lying; (2) 23 the failure to seek treatment or follow a prescribed course of treatment; and (3) a 24 claimant’s daily activities. Tommasetti v. Astrue, 533 F.3d 1035, 1039 (9th Cir. 25 2008); Bunnell, 947 F.2d at 346-47. 26 Here, the ALJ discounted plaintiff’s subjective complaints because: (1) he 27 has not received the type of treatment expected for a totally disabled individual; 28 (2) plaintiff himself reported improvement, and only rated his pain level as three 10 1 out of ten; (3) he indicated in 2007 he was going to look for work; (4) his daily 2 activities are inconsistent with his claimed levels of pain; and (5) the objective 3 medical evidence does not support the severity of his complaints. AR 15, 19. 4 First, the ALJ found plaintiff “has not generally received the type of medical 5 treatment one would expect for a totally disabled individual.” AR 15. Evidence 6 of conservative treatment constitutes a clear and convincing reason for discounting 7 plaintiff’s subjective complaints. See Parra v. Astrue, 481 F.3d 742, 750-51 (9th 8 Cir. 2007) (“evidence of 'conservative treatment” is sufficient to discount a 9 claimant's testimony regarding severity of an impairment"); see also Meanel v. 10 Apfel, 172 F.3d 1111, 1114 (9th Cir. 1999). Plaintiff correctly notes that between 11 2003 and 2005, he received nerve root blocks, ultimately undergoing surgery for 12 his lower back, and that, during this time, plaintiff’s treatment was not 13 conservative. Pl. Mem. at 11. But between 2006 and 2007, plaintiff only 14 underwent home therapy exercises and medications, which constitute conservative 15 treatment. AR 199, 259, 264-65; see Tommasetti v. Astrue, 533 F.3d 1035, 1040. 16 (9th Cir. 2008). Notably, however, Dr. Pospisil recommended plaintiff be 17 considered for facet or selective nerve root block or epidural treatment, but his 18 insurance carrier did not authorize such treatments. AR 259, 264-65. “[A] 19 disabled claimant cannot be denied benefits for failing to obtain medical treatment 20 that would ameliorate his condition if he cannot afford that treatment.” Gamble v. 21 Chater, 68 F.3d 319, 321 (9th Cir. 1995). Thus, while the ALJ here was not 22 wrong about the conservative nature of plaintiff’s treatment, given the role the 23 insurance company played in determining that treatment, this is not a convincing 24 reason for discounting plaintiff’s subjective complaints. 25 Second, the ALJ noted plaintiff “reported improvement with his home 26 exercise program and medication,” and rated his pain level three out of ten. AR 27 15; see AR 199, 259, 264-65. Improvement in plaintiff’s medical condition is a 28 clear and convincing reason for discounting his subjective complaints of total 11 1 disability. See Morgan v. Comm’r of Soc. Sec. Admin., 169 F.3d 595, 599-600 2 (9th Cir. 1999) (plaintiff’s medical improvement is a sufficient ground to discount 3 his claims of total disability). Plaintiff’s own statements of improvement and of a 4 relatively moderate pain level contradicted his claims of total disability. This was 5 a clear and convincing reason to discount plaintiff’s subjective complaints. 6 Third, the ALJ noted that on July 3, 2007, plaintiff “indicated he was going 7 to look for work within the restrictions provided him due to financial reasons.” 8 AR 15; see AR 265. The ALJ recognized this attempt to work was primarily 9 motivated by financial desperation, and for this reason alone, this is a dubious 10 reason to discount plaintiff’s complaints. Further, nothing in the record suggests 11 plaintiff was successful in this pursuit. A willingness to work, or a brief, 12 unsuccessful attempt to work, is not a clear and convincing reasons to discount 13 plaintiff’s subjective complaints. See Lingenfelter v. Astrue, 504 F.3d 1028, 14 1038-39 (9th Cir. 2007) (brief, unsuccessful attempts to work are not inconsistent 15 with disability). Consequently, this was not a clear and convincing reason. 16 Fourth, the ALJ found plaintiff “described activities of daily living, which 17 are not limited to the extent one would expect, given the complaints of disabling 18 symptoms and limitations.” AR 15. The ALJ noted plaintiff’s ability to: cook, 19 perform personal grooming activities, shop, drive, read, attend church, take walks, 20 and visit with relatives and friends.” Id. Given plaintiff claims a total disability 21 and an inability to stand or walk for long periods of time, plaintiff’s daily 22 activities, particularly taking walks, contradict his claimed limitations. 23 Fifth, the ALJ found plaintiff’s allegations regarding the severity of his 24 symptoms were greater than expected in light of the objective medical evidence. 25 AR 19. An ALJ “may not reject a claimant’s subjective complaints based solely 26 on a lack of objective medical evidence to fully corroborate the alleged severity of 27 pain,” but lack of objective medical evidence may be one factor used to evaluate 28 credibility. Bunnell, 947 F.2d at 345; see also Rollins, 261 F.3d at 856. Here, as 12 1 noted above, plaintiff’s treatment notes reveal improvement in his medical 2 condition. AR 199, 259, 264-65. Plaintiff’s improvement with his conservative 3 treatment of home exercises and medication, and his low self reported level of 4 pain indicate that his subjective complaints are greater than expected in light of 5 the objective evidence. Furthermore, Dr. Kim’s qualified medical exam revealed 6 no complications with plaintiff’s 2005 spinal fusion, and negative 7 electrodiagnostic findings of plaintiff’s lower extremities. AR 209, 250. Neither 8 Dr. Kim’s nor Dr. Mauro’s opinions supports a finding of total disability as 9 plaintiff alleges. Accordingly, this was a clear and convincing reason to discount 10 plaintiff’s subjective complaints. 11 In sum, not all of the reasons the ALJ gave for discounting plaintiff’s 12 credibility were clear and convincing. But such error is harmless, as the ALJ had 13 sufficient other clear and convincing reasons to discredit plaintiff, including his 14 self-reported medical improvement and inconsistent daily activities. See Batson, 15 359 F.3d at 1195-97 (ALJ erred in relying on one of several reasons in support of 16 an adverse credibility determination, but such error was harmless because the 17 ALJ’s remaining reasons and ultimate credibility determination were adequately 18 supported by substantial evidence in the record). The ALJ’s error would not 19 “negate the validity” of his ultimate credibility finding, and the ALJ’s decision 20 remains “legally valid, despite such error.” See Carmickle v. Comm’r, 533 F.3d 21 1155, 1162 (9th Cir. 2008) (internal quotation marks and citation omitted). 22 C. The ALJ’s Did Not Err at Step Five 23 Plaintiff contends that the ALJ erred at step five. Pl. Mem. at 16-19. 24 Specifically, plaintiff contends that: (1) the ALJ failed to properly address the 25 eroding effect of a sit/stand option on the number of existing jobs plaintiff can 26 perform; (2) the ALJ erred in accepting the VE’s testimony that contradicted the 27 Dictionary of Occupational Titles without explanation by failing to account for 28 plaintiff’s illiteracy and inability to communicate in English; and (3) the total 13 1 number of jobs in the national economy that plaintiff can perform as determined 2 by the ALJ is 27,300, which is not a “significant number.” Id. 3 At step five, the burden shifts to the Commissioner to show that the 4 claimant retains the ability to perform other gainful activity. Lounsburry v. 5 Barnhart, 468 F.3d 1111, 1114 (9th Cir. 2006). To support a finding that a 6 claimant is not disabled at step five, the Commissioner must provide evidence 7 demonstrating that other work exists in significant numbers in the national 8 economy that the claimant can perform, given his or her age, education, work 9 experience, and RFC. 20 C.F.R. §§ 404.1512(g), 416.912(g). 10 ALJs routinely rely on the DOT “in evaluating whether the claimant is able 11 to perform other work in the national economy.” Terry v. Sullivan, 903 F.2d 1273, 12 1276 (9th Cir. 1990) (citations omitted); see also 20 C.F.R. §§ 404.1566(d)(1) 13 (DOT is source of reliable job information), 416.966(d)(1) (same). The DOT is 14 the rebuttable presumptive authority on job classifications. Johnson v. Shalala, 60 15 F.3d 1428, 1435 (9th Cir. 1995). An ALJ may not rely on a VE’s testimony 16 regarding the requirements of a particular job without first inquiring whether the 17 testimony conflicts with the DOT, and if so, the reasons therefor. Massachi, 486 18 F.3d at 1152-53 (citing SSR 00-4p). But failure to so inquire can be deemed 19 harmless error where there is no apparent conflict or the VE provides sufficient 20 support to justify deviation from the DOT. Id. at 1154 n.19. In order for an ALJ 21 to accept a VE’s testimony that contradicts the DOT, the record must contain 22 “persuasive evidence to support the deviation.” Id. at 1153 (citing Johnson, 60 23 F.3d at 1435). Evidence sufficient to permit such a deviation may be either 24 specific findings of fact regarding the claimant’s residual functionality, or 25 inferences drawn from the context of the expert’s testimony. Light v. Soc. Sec. 26 Admin., 119 F.3d 789, 793 (9th Cir. 1997) (citations omitted). 27 1. 28 First, plaintiff contends the ALJ erred in not properly considering the effect Sit/Stand Option 14 1 of plaintiff’s sit/stand option in his RFC. Pl. Mem. at 16. The ALJ posed the 2 requirement that plaintiff have a sit/stand option in his hypothetical to the VE. AR 3 45. The VE identified four jobs plaintiff could perform with this and the other 4 limitations posed by the ALJ. AR 45-46. The VE also testified that her testimony 5 was consistent with the DOT. AR 46-47. Plaintiff nonetheless contends that the 6 VE deviated from the DOT without explanation in testifying plaintiff could 7 perform the jobs identified even with the limitation of a sit/stand option. 8 In order for an ALJ to accept a VE's testimony that contradicts the 9 DOT, the record must contain “persuasive evidence to support the deviation.” 10 Johnson, 60 F.3d at 1435. Evidence sufficient to permit such a deviation may be 11 either specific findings of fact regarding the claimant's residual functionality, or 12 inferences drawn from the context of the expert's testimony. Light v. Soc. Sec. 13 Admin., 119 F.3d 789, 793 (9th Cir. 1997). With respect to the jobs identified by 14 the VE here, the DOT is silent as to whether they can accommodate a sit/stand 15 option. See DOT 920.687-030 (hand bander); DOT 739.687-182 (table worker); 16 DOT 734.687.018 (button assembler).4 But the VE’s testimony supplemented the 17 DOT in this regard. 18 In testifying to which jobs plaintiff can perform with the limitations posed 19 by the ALJ, the VE specifically stated she was “contemplating sitting and standing 20 at will,” and that, as to the hand bander and table worker jobs she had identified 21 22 4 In addition to the three jobs listed here, the VE also identified a fourth job, 23 “production assembly of artificial flowers, [DOT] 725.684-018.” AR 46. 24 Although not raised by either party, the DOT job number listed by the VE, 725.684-018, is that of the position of stem mounter – as in forming the mounts 25 for electric light bulbs – not production assembly of artificial flowers. Presumably 26 this was simply a matter of an error in by the VE in reciting the DOT number or by 27 the court reporter in transcribing the number. In any event, there appears to be no dispute that this position, like the other positions identified, is silent as to whether 28 it can accommodate a sit/stand option. 15 1 before the ALJ included the sit/stand option, with the sit/stand option there would 2 be no erosion in the number of positions. AR 45-46. She then went on to identify 3 two more jobs plaintiff could perform with that added limitation. AR 46. The VE 4 thus rendered an expert opinion on the lack of occupational erosion caused by the 5 sit/stand option as to the hand bander and table worker jobs. While the VE did not 6 detail the reasons for this determination, she was not required to. See Bayliss v. 7 Barnhart, 427 F.3d 1211, 1218 (9th Cir. 2005) (“A VE’s recognized expertise 8 provides the necessary foundation for his or her testimony.”). Accordingly, the 9 ALJ met his burden for obtaining persuasive evidence to support the deviation. 10 See Johnson, 60 F.3d at 1436 (upholding ALJ’s determination that claimant 11 limited to sedentary work could nonetheless perform jobs classified as light by 12 DOT where VE testified those jobs in fact have sit/stand options and demands that 13 do not exceed claimant’s abilities as found by ALJ). 14 2. 15 Plaintiff contends that the ALJ erred in relying on DOT occupations that Plaintiff’s Illiteracy in English 16 require a language skill beyond plaintiff’s ability. Pl. Mem. at 17. Plaintiff is a 17 native Spanish speaker with little to no ability to communicate in English. 18 Plaintiff contends that as he is illiterate in English, he lacks the ability to perform 19 the occupations identified by the VE and adopted by the ALJ, as all of those 20 occupations require a basic ability to read, write, and speak. Id. Without citing 21 any authority, plaintiff asserts: “Presumably, these language skill requirements are 22 in the English language.” Id. Plaintiff’s presumption that English language skills 23 are required is contrary to the Social Security regulations. 24 All of the positions identified by the VE at the hearing as positions plaintiff 25 could perform require language skills of GED-L-1. See DOT 920.687-030 (hand 26 27 28 16 1 bander); DOT 739.687-182 (table worker); DOT 734.687.018 (button assembler).5 2 This is the lowest level of language development contemplated by the DOT. 3 DOT, App. C – Components of the Definition Trailer, 1991 WL 688702; see 4 Donahue v. Barnhart, 279 F.3d 441, 445 (7th Cir. 2002) (noting that every job in 5 the DOT requires at least this basic literacy level). Nothing in the level one 6 language skills description requires that such skills be in English rather than some 7 other language. To read such a requirement into the DOT would effectively mean 8 that every non-English-speaking claimant is per se disabled. This is not the law. 9 See 20 C.F.R. Pt. 404, Subpt. P, App. 2, § 201.00(I) (“While illiteracy or the 10 inability to communicate in English may significantly limit an individual’s 11 vocational scope . . . at the unskilled level, literacy or ability to communicate in 12 English has the least significance. . . . . Thus, the functional capability for a full 13 range of sedentary work represents sufficient numbers of jobs to indicate 14 substantial vocational scope for those individuals age 18-44 even if they are 15 illiterate or unable to communicate in English.”). As another court found: 16 [T]o find that Plaintiff could not perform her past relevant work as a 17 factory helper because it requires level-one language development . . . 18 and she does not speak or understand English would be to find that 19 every illiterate or non-English-speaking plaintiff is per se disabled 20 regardless of their work history. Such a result is both “illogical and 21 in direct contradiction to Social Security regulations.” 22 Landeros v. Astrue, 2012 WL 2700384, at *5 (C.D. Cal. Jul. 6, 2012) (quoting 23 Meza v. Astrue, 2011 WL 11499, at *21 (N.D. Cal. Jan. 4, 2011)); see also Pinto v. 24 Massanari, 249 F.3d 840, 847 (9th Cir. 2001) (“A claimant is not per se disabled 25 if he or she is illiterate.”). 26 5 As discussed above in footnote four, the DOT number listed by the VE for the production assembly of artificial flowers job was incorrect. But there is no 28 dispute that this job too required language skills at GED-L-1. 27 17 1 Although plaintiff’s inability to communicate in English did not make him 2 per se disabled, it was nonetheless a factor the ALJ had to consider. “The ability 3 to communicate is an important skill to be considered when determining what jobs 4 are available to a claimant.” Pinto, 249 F.3d at 846. As with any other deviation, 5 the ALJ must account for any deviation between the language requirement of the 6 DOT and plaintiff’s language abilities. See id. at 847 (“[I]n order for an ALJ to 7 rely on a job description in the Dictionary of Occupational Titles that fails to 8 comport with a claimant's noted limitations, the ALJ must definitively explain this 9 deviation.”). The ALJ met his burden here. 10 The ALJ specifically asked the VE to “identify other jobs within those 11 limitations that a younger individual that is either illiterate . . . and unable to 12 effectively communicate in English could perform,” and the VE did so. AR 45-46. 13 The VE further stated that her testimony was consistent with the DOT. AR 46-47. 14 As just discussed, the DOT does not specify that language level one skills be in 15 English, so there is no explicit deviation from the DOT. Further, as with the 16 sit/stand option, the VE considered plaintiff’s English limitations in rendering her 17 expert opinion regarding the jobs plaintiff could perform. Thus, the ALJ met his 18 obligation to investigate potential conflicts with the DOT, and his reliance on the 19 VE’s testimony was proper. 20 3. 21 Plaintiff contends that the occupations identified by the ALJ do not exist in Work Existing in Significant Numbers 22 significant numbers in the national or regional economies. Pl. Mem. at 19. The 23 VE testified that the occupations of hand bander, table worker, production 24 assembly of artificial flowers, and button assembler combine to constitute 27,300 25 jobs nationally and 1,950 jobs regionally.6 AR 45-46. Plaintiff contends this does 26 27 6 As discussed in footnote four above, there was an error in the VE’s 28 identification of the DOT number for the production assembly of artificial flowers 18 1 not constitute a significant number of positions. 2 There is no bright line rule in the Ninth Circuit for determining what 3 constitutes a “significant number” of jobs. Gutierrez v. Comm'r of Soc. Sec., 740 4 F.3d 519, 528 (9th Cir. 2014). Instead, this is a question of fact left to the ALJ to 5 determine. Martinez v. Heckler, 807 F.2d 771, 775 (9th Cir. 1986). The ALJ’s 6 finding here that 27,300 jobs nationally is a significant number is consistent with 7 what other courts have held. See Gutierrez, 740 F.3d at 529 (upholding ALJ’s 8 finding that 25,000 jobs nationally is a significant number); see also Barker v. 9 Sec’y of Health & Human Servs., 882 F.2d 1474, 1478-79 (9th Cir. 1989) (citing 10 approvingly decisions that have found several hundred jobs in local economy 11 “significant”). Therefore, the ALJ’s determination that there are “jobs that exist in 12 significant numbers in the national economy that plaintiff can perform” is 13 supported by substantial evidence. 14 V. 15 CONCLUSION 16 IT IS THEREFORE ORDERED that Judgment shall be entered 17 AFFIRMING the decision of the Commissioner denying benefits, and dismissing 18 this action with prejudice. 19 20 Dated: July 21, 2014 21 22 SHERI PYM UNITED STATES MAGISTRATE JUDGE 23 24 job. Although plaintiff does not challenge the inclusion of the number of jobs in this position in the combined total, the court notes that even if one were to subtract 25 the number of positions the VE testified exist in production assembly of artificial 26 flowers, it would not materially alter the ALJ’s analysis, for the VE did not testify 27 to very many such jobs existing. For the remaining three jobs, the VE testified a total of 1,760 positions exist in the regional economy, and a total of 24,300 28 positions exist in the national economy. AR 45-46. 19

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