Maria M. Barrios v. Carolyn W. Colvin

Filing 21

MEMORANDUM DECISION AND ORDER REVERSING COMMISSIONER by Magistrate Judge Jean P. Rosenbluth. IT IS ORDERED that judgment be entered REVERSING the decision of the Commissioner, GRANTING Plaintiff's request for remand, and REMANDING this action for further proceedings consistent with this Memorandum Decision. IT IS FURTHER ORDERED that the Clerk serve copies of this Order and the Judgment on counsel for both parties. (See Order for Further Details) (kl)

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 MARIA M. BARRIOS, Plaintiff, 12 13 v. 14 CAROLYN W. COLVIN, Acting Commissioner of Social Security, 15 Defendant. 16 ) Case No. EDCV 15-0401-JPR ) ) ) MEMORANDUM DECISION AND ORDER ) REVERSING COMMISSIONER ) ) ) ) ) ) ) 17 18 19 I. PROCEEDINGS Plaintiff seeks review of the Commissioner’s final decision 20 denying her applications for Social Security disability insurance 21 benefits (“DIB”) and supplemental security income benefits 22 (“SSI”). 23 undersigned U.S. Magistrate Judge under 28 U.S.C. § 636(c). 24 matter is before the Court on the parties’ Joint Stipulation, 25 filed December 28, 2015, which the Court has taken under 26 submission without oral argument. 27 the Commissioner’s decision is reversed and this action is 28 remanded for further proceedings. The parties consented to the jurisdiction of the 1 The For the reasons stated below, 1 II. 2 BACKGROUND Plaintiff was born in 1956. 3 155.) 4 moving company. 5 (Administrative Record (“AR”) She completed 12th grade and worked as a secretary for a (AR 191, 218.) On February 6, 2013, Plaintiff filed applications for DIB 6 and SSI (AR 12), alleging that she had been unable to work since 7 January 15, 2013, because of an enlarged heart, diabetes, carpal- 8 tunnel syndrome, poor kidney function, high blood pressure, and 9 shortness of breath. (AR 190.) After her applications were 10 denied initially and on reconsideration, she requested a hearing 11 before an Administrative Law Judge. 12 held on July 9, 2014, at which Plaintiff, who was represented by 13 counsel, testified, as did a vocational expert. 14 a written decision issued September 5, 2014, the ALJ found 15 Plaintiff not disabled. 16 III. STANDARD OF REVIEW 17 (AR 10-21.) (AR 100-01.) A hearing was (AR 23-43.) In This action followed. Under 42 U.S.C. § 405(g), a district court may review the 18 Commissioner’s decision to deny benefits. 19 decision should be upheld if they are free of legal error and 20 supported by substantial evidence based on the record as a whole. 21 See id.; Richardson v. Perales, 402 U.S. 389, 401 (1971); Parra 22 v. Astrue, 481 F.3d 742, 746 (9th Cir. 2007). 23 evidence means such evidence as a reasonable person might accept 24 as adequate to support a conclusion. 25 401; Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007). 26 It is more than a scintilla but less than a preponderance. 27 Lingenfelter, 504 F.3d at 1035 (citing Robbins v. Soc. Sec. 28 Admin., 466 F.3d 880, 882 (9th Cir. 2006)). 2 The ALJ’s findings and Substantial Richardson, 402 U.S. at To determine whether 1 substantial evidence supports a finding, the reviewing court 2 “must review the administrative record as a whole, weighing both 3 the evidence that supports and the evidence that detracts from 4 the Commissioner’s conclusion.” 5 720 (9th Cir. 1996). 6 either affirming or reversing,” the reviewing court “may not 7 substitute its judgment” for the Commissioner’s. 8 IV. 9 Reddick v. Chater, 157 F.3d 715, “If the evidence can reasonably support Id. at 720-21. THE EVALUATION OF DISABILITY People are “disabled” for purposes of receiving Social 10 Security benefits if they are unable to engage in any substantial 11 gainful activity owing to a physical or mental impairment that is 12 expected to result in death or has lasted, or is expected to 13 last, for a continuous period of at least 12 months. 14 § 423(d)(1)(A); Drouin v. Sullivan, 966 F.2d 1255, 1257 (9th Cir. 15 1992). 42 U.S.C. 16 A. The Five-Step Evaluation Process 17 The ALJ follows a five-step sequential evaluation process to 18 assess whether a claimant is disabled. 19 §§ 404.1520(a)(4), 416.920(a)(4); Lester v. Chater, 81 F.3d 821, 20 828 n.5 (9th Cir. 1995) (as amended Apr. 9, 1996). 21 step, the Commissioner must determine whether the claimant is 22 currently engaged in substantial gainful activity; if so, the 23 claimant is not disabled and the claim must be denied. 24 §§ 404.1520(a)(4)(i), 416.920(a)(4)(i). 20 C.F.R. In the first 25 If the claimant is not engaged in substantial gainful 26 activity, the second step requires the Commissioner to determine 27 whether the claimant has a “severe” impairment or combination of 28 impairments significantly limiting her ability to do basic work 3 1 activities; if not, the claimant is not disabled and her claim 2 must be denied. 3 §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii). If the claimant has a “severe” impairment or combination of 4 impairments, the third step requires the Commissioner to 5 determine whether the impairment or combination of impairments 6 meets or equals an impairment in the Listing of Impairments 7 (“Listing”) set forth at 20 C.F.R. part 404, subpart P, appendix 8 1; if so, disability is conclusively presumed. 9 §§ 404.1520(a)(4)(iii), 416.920(a)(4)(iii). 10 If the claimant’s impairment or combination of impairments 11 does not meet or equal an impairment in the Listing, the fourth 12 step requires the Commissioner to determine whether the claimant 13 has sufficient residual functional capacity (“RFC”)1 to perform 14 her past work; if so, she is not disabled and the claim must be 15 denied. 16 has the burden of proving she is unable to perform past relevant 17 work. 18 burden, a prima facie case of disability is established. §§ 404.1520(a)(4)(iv), 416.920(a)(4)(iv). Drouin, 966 F.2d at 1257. The claimant If the claimant meets that Id. 19 If that happens or if the claimant has no past relevant 20 work, the Commissioner then bears the burden of establishing that 21 the claimant is not disabled because she can perform other 22 substantial gainful work available in the national economy. 23 §§ 404.1520(a)(4)(v), 416.920(a)(4)(v); Drouin, 966 F.2d at 1257. 24 That determination comprises the fifth and final step in the 25 sequential analysis. §§ 404.1520(a)(4)(v), 416.920(a)(4)(v); 26 27 28 1 RFC is what a claimant can do despite existing exertional and nonexertional limitations. §§ 404.1545, 416.945; see Cooper v. Sullivan, 880 F.2d 1152, 1155 n.5 (9th Cir. 1989). 4 1 Lester, 81 F.3d at 828 n.5; Drouin, 966 F.2d at 1257. 2 B. The ALJ’s Application of the Five-Step Process 3 At step one, the ALJ found that Plaintiff had not engaged in 4 substantial gainful activity since January 15, 2013, the alleged 5 onset date. 6 had severe impairments of supermorbid obesity with insulin- 7 dependent diabetes mellitus type II, diabetic peripheral 8 neuropathy, asthma, and essential hypertension. 9 three, he determined that Plaintiff’s impairments did not meet or 10 (AR 14.) equal a listing. At step two, he concluded that Plaintiff (Id.) At step (Id.) At step four, the ALJ found that Plaintiff had the RFC to 11 12 perform sedentary work but must stand and stretch every 15 13 minutes for one minute and use an oxygen tank on wheels. 14 15.) 15 found in an air-conditioned environment, and she could frequently 16 handle and constantly finger. (AR Plaintiff could be exposed to no more air pollutants than (Id.) 17 Based on the VE’s testimony, the ALJ concluded that 18 Plaintiff could perform her past relevant work as a secretary. 19 (AR 17.) 20 V. 21 Accordingly, he found her not disabled. (AR 18.) DISCUSSION Plaintiff claims that the ALJ failed to pose a complete 22 hypothetical question to the VE, properly consider her obesity, 23 and properly assess her credibility. 24 the ALJ’s findings concerning Plaintiff’s credibility were 25 insufficient, the matter must be remanded for further analysis 26 and findings. 27 issues. (J. Stip. at 2-3.) Because The Court therefore does not reach the other two 28 5 1 A. 2 3 The ALJ Failed to Adequately Explain Why He Found Plaintiff Only Partially Credible Plaintiff contends that the ALJ improperly rejected her 4 testimony based solely on a lack of corroborating medical 5 findings. 6 1044, 1049 (9th Cir. 2001).) 7 8 9 (J. Stip. at 16 (citing Vertigan v. Halter, 260 F.3d 1. Applicable law An ALJ’s assessment of symptom severity and claimant credibility is entitled to “great weight.” See Weetman v. 10 Sullivan, 877 F.2d 20, 22 (9th Cir. 1989); Nyman v. Heckler, 779 11 F.2d 528, 531 (9th Cir. 1986). 12 believe every allegation of disabling pain, or else disability 13 benefits would be available for the asking, a result plainly 14 contrary to 42 U.S.C. § 423(d)(5)(A).” 15 F.3d 1104, 1112 (9th Cir. 2012) (citing Fair v. Bowen, 885 F.2d 16 597, 603 (9th Cir. 1989)). 17 “[T]he ALJ is not required to Molina v. Astrue, 674 In evaluating a claimant’s subjective symptom testimony, the 18 ALJ engages in a two-step analysis. 19 at 1035-36. 20 has presented objective medical evidence of an underlying 21 impairment [that] could reasonably be expected to produce the 22 pain or other symptoms alleged.” 23 medical evidence exists, the ALJ may not reject a claimant’s 24 testimony “simply because there is no showing that the impairment 25 can reasonably produce the degree of symptom alleged.” 26 Chater, 80 F.3d 1273, 1282 (9th Cir. 1996) (emphasis in 27 original). 28 See Lingenfelter, 504 F.3d “First, the ALJ must determine whether the claimant Id. at 1036. If such objective Smolen v. If the claimant meets the first test, the ALJ may discredit 6 1 the claimant’s subjective symptom testimony only if he makes 2 specific findings that support the conclusion. 3 Astrue, 622 F.3d 1228, 1234 (9th Cir. 2010). 4 affirmative evidence of malingering, the ALJ must provide “clear 5 and convincing” reasons for rejecting the claimant’s testimony. 6 Brown-Hunter v. Colvin, 806 F.3d 487, 493 (9th Cir. 2015) (as 7 amended); Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 8 1102 (9th Cir. 2014). 9 (1) ordinary techniques of credibility evaluation, such as the See Berry v. Absent a finding or The ALJ may consider, among other factors, 10 claimant’s reputation for lying, prior inconsistent statements, 11 and other testimony by the claimant that appears less than 12 candid; (2) unexplained or inadequately explained failure to seek 13 treatment or to follow a prescribed course of treatment; (3) the 14 claimant’s daily activities; (4) the claimant’s work record; and 15 (5) testimony from physicians and third parties. 16 Comm’r Soc. Sec. Admin., 807 F.3d 996, 1006 (9th Cir. 2015) (as 17 amended); Thomas v. Barnhart, 278 F.3d 947, 958-59 (9th Cir. 18 2002). 19 substantial evidence in the record, the reviewing court “may not 20 engage in second-guessing.” 21 22 Rounds v. If the ALJ’s credibility finding is supported by 2. Thomas, 278 F.3d at 959. Relevant background In reports dated March 25, 2013, Plaintiff wrote that she 23 was unable to stand for more than 20 minutes, bend down, or squat 24 because of painful, swollen legs. (AR 201, 207.) She could not 25 sit “for a long time” and could walk only 30 yards before needing 26 a 10-minute rest. (Id.) Her diabetes affected her eyesight, and 27 she needed to urinate “often on some days.” (AR 207, 209.) 28 daily activities included straightening up around the house, 7 Her 1 watching television, watering the front and back yards with her 2 left hand, and feeding the dog. (AR 202.) She cooked once a 3 week, did laundry twice a week, shopped for groceries in stores 4 once a week for 30 minutes, cared for her seven-year-old 5 granddaughter once a week, and attended her granddaughter’s 6 sports games twice a week. (AR 203-06.) She reported that 7 someone needed to accompany her to the store and her 8 granddaughter’s games. (AR 206.) She had no problems with 9 memory, attention, concentration, ability to complete tasks, 10 personal care, or getting along with others. 11 (AR 207.) In a disability report dated May 21, 2013, Plaintiff 12 reported an increase in the severity of her symptoms, including 13 difficulty balancing and gripping with her right hand. (AR 210.) 14 Her listed diagnoses included anxiety, depression, “difficulties 15 with social functioning,” emotional withdrawal, and isolation. 16 (AR 214.) She could not eat without spilling food and needed 17 help with personal care and administering insulin. (AR 210, 18 213.) 19 In an August 18, 2013 function report, Plaintiff reiterated 20 the symptoms from March 2013 and added decreased kidney function, 21 an inability to stand, rashes on both hands and arms, and a 22 tingling sensation in her fingers. (AR 237.) She reported that 23 her illnesses affected her memory, concentration, and ability to 24 complete tasks. (AR 242.) Her daily activities had not 25 significantly changed from the March 2013 function report. 26 238-41.) (AR Plaintiff listed side effects from her prescribed 27 medications, such as numbness, swelling, blurred vision, rash, 28 dizziness, and joint pain. (AR 244.) 8 She had no problem with 1 personal care but could pay attention for only 20 minutes. (AR 2 238, 242.) 3 At the July 2014 ALJ hearing, Plaintiff testified that she 4 had trouble picking things up, as her hands would get numb and 5 heavy. (AR 32-33.) She could not sit for more than 6 approximately 10 minutes, including at the ALJ hearing, without 7 her legs feeling numb and requiring her to stand up, which had 8 led to her losing her balance and falling. (AR 33.) She was 9 able to walk a distance of approximately six house lengths before 10 becoming tired. (AR 34.) Walking that distance and returning 11 home would take between 20 and 45 minutes. (AR 34-35.) Finally, 12 Plaintiff testified that she had used a prescribed oxygen tank 13 since October 2013, after suffering a “mini stroke.” 14 15 3. (AR 28-37.) Analysis The ALJ credited some of Plaintiff’s subjective complaints, 16 such as her asserted inability to stand or walk for prolonged 17 periods, and he therefore limited her to a range of sedentary 18 work. (AR 17.) But the ALJ discredited Plaintiff’s complaints 19 to the extent they were inconsistent with her RFC, finding that 20 although her “medically determinable impairments could reasonably 21 be expected to cause the alleged symptoms[,] . . . [her] 22 statements concerning the intensity, persistence and limiting 23 effects of these symptoms [were] not entirely credible.” 24 16.) 25 (AR As discussed below, the ALJ’s findings were insufficient. The ALJ discounted Plaintiff’s subjective complaints because 26 they were unsupported by the medical record. (AR 17.) As to 27 Plaintiff’s complaints of shortness of breath, foot pain, and 28 hand numbness, the ALJ found “scant evidence of any neurological 9 1 or pulmonary problems when [Plaintiff] was hospitalized for six 2 days at the end of September 2012.” 3 19.) (AR 16; see AR 255-56, 318- Furthermore, “she did not complain of hand numbness until 4 January 2013 with minimal decrease in grip strength bilaterally.” 5 (AR 16; AR 322-23.) Plaintiff first saw a pulmonologist on 6 February 3, 2014; she reported a history of shortness of breath 7 with wheezing, cough and phlegm, and asthma. (AR 16, 367-68.) 8 The ALJ noted that the treatment record was incomplete but showed 9 that Plaintiff was not using a rescue inhaler at the time of the 10 pulmonary consultation, her lungs were clear to auscultation 11 bilaterally, and her breathing was normal. (Id.) The ALJ also 12 noted that on July 5, 2014, Plaintiff was treated in an emergency 13 room for an asthma attack. (AR 16, 352.) The ALJ found that a 14 brain MRI and chest x-ray did not show “anything of medical 15 [significance],” and emergency-room records did not include any 16 physical-examination or laboratory findings. (AR 16, 351-66.) 17 Finally, the ALJ also found that Plaintiff’s poor eyesight had 18 been corrected to “20/20-1” by her optometrist as of April 19, 19 2011. 20 (AR 16; see AR 343.) Although the ALJ’s findings appear to be supported by 21 substantial evidence, the lack of objective medical evidence 22 corroborating Plaintiff’s subjective symptom testimony cannot 23 alone support the ALJ’s adverse credibility finding. See 24 Robbins, 466 F.3d at 883 (explaining that ALJ may not make 25 negative credibility finding “solely because” claimant’s symptom 26 testimony “is not substantiated affirmatively by objective 27 medical evidence”); Burch v. Barnhart, 400 F.3d 676, 681 (9th 28 Cir. 2005) (stating that ALJ may consider “lack of medical 10 1 evidence” as factor in credibility analysis, but it “cannot form 2 the sole basis for discounting pain testimony”). The ALJ did not 3 provide any other reasons for discounting Plaintiff’s 4 credibility.2 5 Thus, even if the Court were to agree that the objective 6 medical evidence did not support Plaintiff’s allegations of 7 disabling pain, remand is still warranted because the ALJ failed 8 to give any other clear and convincing reason for discounting her 9 credibility. See Moisa v. Barnhart, 367 F.3d 882, 885 (9th Cir. 10 2004) (reversing Commissioner when ALJ rejected plaintiff’s pain 11 testimony solely for lack of objective medical evidence); 12 Figueroa v. Colvin, No. CV 14–06522-GJS, 2015 WL 4331300, at *2 13 (C.D. Cal. July 15, 2015) (remanding for further proceedings 14 because ALJ failed to provide clear and convincing reason for 15 discounting plaintiff’s credibility “apart from the lack of 16 objective medical evidence”). 17 The Commissioner argues that “[Plaintiff] testified that she 18 believed that she could return to her former work . . . [which] 19 directly contradicts any claim that she is incapable of working.” 20 21 22 23 24 25 26 27 28 2 The ALJ did note that Plaintiff “has not been prescribed any narcotic medication for pain.” (AR 17.) The Commissioner does not argue that on the basis of this one sentence the ALJ rejected Plaintiff’s credibility because she had received only conservative treatment, which is a legitimate reason. See Parra, 481 F.3d at 751 (evidence of conservative treatment sufficient to discount claimant’s testimony regarding limitations); (see also J. Stip. at 17-19). Moreover, the ALJ made the statement in the context of discussing the lack of objective medical evidence supporting Plaintiff’s subjective pain complaints. Accordingly, the Court does not consider this one sentence to amount to a separate reason upon which the ALJ found Plaintiff only partially credible. 11 1 (J. Stip. at 18-19.) Although this may be a valid reason for 2 discounting Plaintiff’s credibility, see Rounds, 807 F.3d at 1006 3 (ALJ may consider claimant’s inconsistent statements); Verduzco 4 v. Apfel, 188 F.3d 1087, 1090 (9th Cir. 1999) (in assessing 5 credibility, ALJ can consider whether plaintiff’s statements were 6 inconsistent with other statements and evidence), the ALJ did not 7 cite Plaintiff’s testimony that she believed she could do her 8 previous job as a reason for discounting her credibility. 9 AR 16-17.) (See As such, the Court cannot rely on it to affirm the 10 ALJ’s credibility determination. See Burrell v. Colvin, 775 F.3d 11 1133, 1139 (9th Cir. 2014) (rejecting government’s argument that 12 ALJ’s findings concerning claimant’s treatment for headaches 13 supported adverse credibility decision because ALJ “never stated 14 that he rested his . . . credibility determination on those 15 findings”). 16 In sum, the ALJ’s explanation for his adverse credibility 17 determination was insufficient and remand is appropriate to allow 18 him to reevaluate or more fully explain that finding. Plaintiff 19 is entitled to remand on this ground. 20 B. Remand for Further Proceedings Is Appropriate 21 When, as here, an ALJ errs in denying benefits, the Court 22 generally has discretion to remand for further proceedings. See 23 Harman v. Apfel, 211 F.3d 1172, 1175-78 (9th Cir. 2000) (as 24 amended). When no useful purpose would be served by further 25 administrative proceedings, however, or when the record has been 26 fully developed, it is appropriate under the “credit-as-true” 27 rule to direct an immediate award of benefits. See id. at 1179 28 (noting that “the decision of whether to remand for further 12 1 proceedings turns upon the likely utility of such proceedings”); 2 Garrison v. Colvin, 759 F.3d 995, 1019-20 (9th Cir. 2014). 3 Under the credit-as-true framework, three circumstances must 4 be present before a court may remand to the ALJ with instructions 5 to award benefits: 6 (1) the record has been fully developed and further 7 administrative proceedings would serve no useful purpose; 8 (2) the ALJ has failed to provide legally sufficient 9 reasons for rejecting evidence, whether claimant 10 testimony or medical opinion; and (3) if the improperly 11 discredited evidence were credited as true, the ALJ would 12 be required to find the claimant disabled on remand. 13 Garrison, 759 F.3d at 1020; Treichler, 775 F.3d at 1100-01. 14 When, however, the ALJ’s findings are so “insufficient” that a 15 court cannot determine whether the rejected testimony should be 16 credited as true, the court has “some flexibility” in applying 17 the credit-as-true rule. Connett v. Barnhart, 340 F.3d 871, 876 18 (9th Cir. 2003); see also Garrison, 759 F.3d at 1020 (noting that 19 Connett established that credit-as-true rule may not be 20 dispositive in all cases); Treichler, 775 F.3d at 1101 (noting 21 that remand for benefits is inappropriate when “there is 22 conflicting evidence, and not all essential factual issues have 23 been resolved”). 24 Here, remand for further proceedings is appropriate because 25 the ALJ erred in assessing Plaintiff’s credibility. It may well 26 be that the ALJ had adequate reasons to find Plaintiff’s 27 statements not credible but simply failed to express them. 28 Indeed, as the Commissioner notes (J. Stip. at 18-19), Plaintiff 13 1 herself believed she could work; moreover, several of her 2 statements regarding her symptoms and abilities were 3 inconsistent. (Compare AR 213 (May 2013, alleging need for help 4 with dressing and caring for hair) with AR 238 (Aug. 2013, 5 alleging “no problem” with personal care including dressing and 6 caring for hair); compare AR 190 (Mar. 2013, alleging that 7 conditions became severe enough to preclude work in Jan. 2013) 8 and AR 100 (Oct. 2013, alleging total disability and inability to 9 work) with AR 31 (July 2014, alleging ability to work at previous 10 job); compare AR 214 (May 2013, alleging “diagnoses” of anxiety, 11 depression, “[d]ifficulties with social functioning,” and 12 “[e]motional withdrawal and isolation”) with AR 237-46 (Aug. 13 2013, failing to mention any problems with anxiety, depression, 14 social functioning, and emotional withdrawal) and AR 242-43 (Aug. 15 2013, alleging that she had no “unusual behavior or fears” and 16 could handle stress well, get along with others, handle changes 17 in routine well, and follow written and spoken instructions 18 well).) Thus, remand for further credibility analysis and 19 findings is appropriate. 20 Upon remand, the ALJ may, if warranted, make further 21 findings regarding Plaintiff’s obesity and solicit additional VE 22 testimony regarding Plaintiff’s use of an oxygen tank in the 23 workplace. 24 25 26 27 28 14 1 VI. CONCLUSION 2 Consistent with the foregoing and under sentence four of 42 3 U.S.C. § 405(g),3 IT IS ORDERED that judgment be entered REVERSING 4 the decision of the Commissioner, GRANTING Plaintiff’s request 5 for remand, and REMANDING this action for further proceedings 6 consistent with this Memorandum Decision. IT IS FURTHER ORDERED 7 that the Clerk serve copies of this Order and the Judgment on 8 counsel for both parties. 9 10 11 DATED: July 6, 2016 12 ______________________________ JEAN ROSENBLUTH U.S. Magistrate Judge 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 3 That sentence provides: “The [district] court shall have power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing.” 15

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