Steven D. Cummings v. Carolyn W. Colvin

Filing 22

MEMORANDUM OPINION AND ORDER OF REMAND by Magistrate Judge Alka Sagar. The decision of the Commissioner is reversed, and the matter is remanded for further proceedings pursuant to Sentence 4 of 42 U.S.C. § 405(g). (See Order for complete details) (afe)

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1 2 3 4 5 6 7 8 9 UNITED STATES DISTRICT COURT 10 CENTRAL DISTRICT OF CALIFORNIA-EASTERN DIVISION 11 12 13 14 15 16 17 18 STEVEN D. CUMMINGS, ) ) Plaintiff, ) ) v. ) ) NANCY A. BERRYHILL,1 ) Acting Commissioner of the ) Social Security Administration,) ) Defendant. ) ) Case No. EDCV 17-00056-AS MEMORANDUM OPINION AND ORDER OF REMAND 19 20 Pursuant to Sentence 4 of 42 U.S.C. § 405(g), IT IS HEREBY ORDERED 21 that this matter be remanded for further administrative action 22 consistent with this Opinion. 23 PROCEEDINGS 24 25 26 27 28 On January 12, 2017, Plaintiff filed a Complaint seeking review of the denial of his applications for Disability Insurance Benefits and 1 Nancy A. Berryhill is now the Acting Commissioner of the Social Security Administration and is substituted in for Acting Commissioner Caroyln W. Colvin in this case. See 42 U.S.C. § 205(g). 1 Supplemental Security Income. (Docket Entry No. 1). The parties have 2 consented to proceed before the undersigned United States Magistrate 3 Judge. (Docket Entry Nos. 11-12). On June 7, 2017, Defendant filed an 4 Answer along with the Administrative Record (“AR”). (Docket Entry Nos. 5 15-16). The parties filed a Joint Stipulation (“Joint Stip.”) on 6 December 19, 2017, setting forth their respective positions regarding 7 Plaintiff’s claim. (Docket Entry No. 21). 8 9 The Court has taken this matter under submission without oral 10 argument. See C.D. Cal. L.R. 7-15. 11 12 BACKGROUND AND SUMMARY OF ADMINISTRATIVE DECISION 13 14 On March 26, 2013, Plaintiff, formerly employed as a seamstress (in 15 prison), metal cutter, day laborer (construction), cashier, truck loader 16 (grain elevator), and concrete mixer/pourer (see AR 32-36, 326-32), 17 filed applications for Disability Insurance Benefits and Supplemental 18 Security Income, both alleging a disability since October 15, 2008. (See 19 AR 270-77; but see AR 31, 48-49 [at the administrative hearing, 20 Plaintiff alleged an amended onset date of June 1, 2011]). 21 22 On March 4, 2015, the Administrative Law Judge [“ALJ”], Jesse J. 23 Pease, heard testimony from Plaintiff (represented by counsel) and 24 vocational expert (“VE”) Corinne Porter. (See AR 30-49). On May 8, 25 2015, the ALJ issued a decision denying Plaintiff’s applications. (See 26 AR 11-22). Applying the five-step sequential process, the ALJ found at 27 step one that Plaintiff had not engaged in substantial gainful activity 28 since October 15, 2008, the alleged onset date. (AR 13). At step two, the ALJ determined that Plaintiff had the following severe impairments: 2 1 “a history of thyroid cancer, chronic liver disease secondary to 2 hepatitis, 3 hepatitis hypertension, B and C, a degenerative changes history hypothyroidism, of of the left status knee, post 4 thyroidectomy, depression, anxiety, and posttraumatic stress disorder” 5 (AR 13). At step three, the ALJ determined that Plaintiff did not have 6 an impairment or combination of impairments that met or medically 7 equaled the severity of any of the listings enumerated in the 8 regulations (AR 14-15). 9 10 The ALJ then determined that Plaintiff had the residual functional 11 capacity (“RFC”)2 to perform a full range of medium work3 with the 12 following limitations: can lift and/or carry 25 pounds frequently and 50 13 pounds occasionally; can sit for 6 hours out of 8-hour workday; can 14 stand and/or walk for 6 hours out of an 8-hour workday; can frequently 15 do all postural activities but no climbing of ladders, ropes or 16 scaffolds; cannot be exposed to hazardous machinery and unprotected 17 heights; limited to simple and routine tasks and no work requiring 18 hypervigilance or the safety of others; and needs to work in a non19 public environment with only non-intense interaction with co-workers and 20 supervisors. (AR 15-20). At step four, the ALJ determined that 21 Plaintiff was not able to perform any past relevant work (AR 20). 22 Relying on the testimony of the VE, the ALJ found, at step five, that 23 Plaintiff could perform jobs existing in significant numbers in the 24 25 2 A Residual Functional Capacity is what a claimant can still do See 20 C.F.R. §§ 404.1545(a)(1), 416.945(a)(1). 26 despite existing exertional and nonexertional limitations. 27 28 3 “Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds.” 20 C.F.R. §§ 404.1567(c), 416.967(c). 3 1 national economy. (AR 20-21). Accordingly, the ALJ determined that 2 Plaintiff was not under a disability as defined by the Social Security 3 Act, from October 15, 2008, through the date of the decision. (AR 21). 4 5 The Appeals Council denied Plaintiff’s request for review on 6 November 8, 2016. (See AR 1-5, 7). Plaintiff now seeks judicial review 7 of the ALJ’s decision, which stands as the final decision of the 8 Commissioner. 42 U.S.C. §§ 405(g), 1383©. 9 10 STANDARD OF REVIEW 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 This Court reviews the Administration’s decision to determine if it is free of legal error and supported by substantial evidence. Brewes v. Comm’r, 682 F.3d 1157, 1161 (9th Cir. 2012). See “Substantial evidence” is more than a mere scintilla, but less than a preponderance. Garrison v. Colvin, 759 F.3d 995, 1009 (9th Cir. 2014). To determine whether substantial evidence supports a finding, “a court must consider the record as a whole, weighing both evidence that supports and evidence that detracts from the [Commissioner’s] conclusion.” Aukland v. Massanari, 257 F.3d 1033, 1035 (9th Cir. 2001) (internal quotation omitted). As a result, “[i]f the evidence can support either affirming or reversing the ALJ’s conclusion, [a court] may not substitute [its] judgment for that of the ALJ.” Robbins v. Soc. Sec. Admin., 466 F.3d 880, 882 (9th Cir. 2006). // // // 28 4 1 PLAINTIFF’S CONTENTIONS 2 3 4 5 Plaintiff alleges that the ALJ erred in failing to properly evaluate the opinion of consultative psychiatric examiner, Dr. Lorca. (See Joint Stip. at 4-10). 6 7 DISCUSSION 8 9 10 After consideration of the record as a whole, the Court finds that Plaintiff’s claim of error warrants a remand for further consideration. 11 12 A. 13 The ALJ Failed to Consider The Opinion of Examining Psychiatrist, Jeryl Lorca, M.D. 14 15 16 17 18 19 20 Plaintiff asserts that the ALJ failed to provide any reasons, or even specific and legitimate reasons, for rejecting the opinion of examining psychiatrist, Dr. Lorca, concerning certain moderate limitations. (See Joint Stip. at 4-10). Defendant asserts that the ALJ properly interpreted the opinion of Dr. Lorca. (See Joint Stip. at 10- 15). 21 22 23 An ALJ must take into account all medical opinions of record. C.F.R. §§ 404.1527(b), 416.927(b). 20 “Generally, a treating physician’s 24 opinion carries more weight than an examining physician’s, and an 25 examining physician’s opinion carries more weight than a reviewing 26 physician’s.” Holohan v. Massanari, 246 F.3d 1195, 1202 (9th Cir. 27 2001); see also Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995). 28 5 1 2 3 4 5 6 7 8 If a treating or examining doctor’s opinion is not contradicted by another doctor, the ALJ can reject the opinion only for “clear and convincing reasons.” Carmickle v. Comm’r of Soc. Sec. Admin., 533 F.3d 1155, 1164 (9th Cir. 2008); Lester v. Chater, 81 F.3d at 830-31. If the treating or examining doctor’s opinion is contradicted by another doctor, the ALJ must provide “specific and legitimate reasons” for rejecting the opinion. Orn v. Astrue, 495 F.3d 625, 632 (9th Cir. 2007); Lester v. Chater, supra. 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 On October 29, 2013, Jeriel Lorca, M.D., a pschiatrist at Pelican Medical Group, prepared a report following a comprehensive psychiatric evaluation of Plaintiff. complaints and statements (See AR 665-71). concerning his Based on Plaintiff’s present illness, past psychiatric history, medications, family psychiatric history, past medical history, social history, education history, habits, legal history, employment history and activities of daily living (see AR 66567), and the results of a mental status examination (see AR 667-69), Dr. Lorca diagnosed Plaintiff, inter alia, with post-traumatic stress disorder, and assessed a current Global Assessment Functioning Score of 50. Dr. Lorca opined that Plaintiff had the following psychiatric limitations: Plaintiff is mildly limited in his abilities to perform simple and repetitive tasks, to maintain regular attendance, to perform work activities on a consistent basis, and to accept instructions from 24 supervisors; Plaintiff is moderately limited in his abilities to perform 25 detailed 26 additional or special supervision, to complete a normal workday or work and complex tasks, to perform work activities without 27 week without interruptions resulting from any psychiatric conditions, 28 and to deal with the usual stresses encountered in competitive work; and 6 1 Plaintiff is markedly limited in his ability to interact with co-workers 2 and the public. (AR 669-70). 3 4 After summarizing the mental examination component of Dr. Lorca’s 5 report (see AR 18), and after stating that “[a]s for the opinion 6 evidence, in determining the claimant’s residual functional capacity, 7 no single assessment has been completely adopted as the residual 8 functional capacity determined herein” (AR 18), the ALJ addressed Dr. 9 Lorca’s opinion as follows: 10 11 The undersigned has considered and gives great weight to 12 Dr. Lorca who opined mild and moderate limitations (Exhibit 13 11F). 14 objective, 15 diagnostic techniques, the assessment is complete, specific 16 facts are cited upon which the conclusion is based, and is 17 largely consistent with the record as a whole. 18 is given great weight. This was based on an in-person exam, well-supported by medically acceptable clinical and laboratory Therefore, it 19 20 (AR 19-20). 21 22 Although the ALJ claimed to give “great weight” to Dr. Lorca’s 23 opinion, the ALJ appears not to have taken Dr. Lorca’s opinion -- that 24 Plaintiff is moderately limited in his abilities to perform work 25 activities without additional or special supervision, to complete a 26 normal workday or work week without interruptions resulting from any 27 psychiatric conditions, and to deal with the usual stresses encountered 28 in competitive work -- into account when determining Plaintiff’s RFC. 7 1 (See AR 15-20). See Richardson v. Colvin, 2016 WL 4487823, *5 (C.D. 2 Cal. Aug. 23, 2016)(ALJ erred in accepting an examining physician’s 3 opinion that the claimant had a moderate limitation in the ability to 4 respond appropriately to usual work situations and changes in a routine 5 work setting but not incorporating that limitation into the RFC); Gentry 6 v. Colvin, 2013 WL 6185170, *14-*16 (E.D. Cal. Nov. 26, 2013)(ALJ erred 7 in crediting an examining physician’s opinion that the claimant had a 8 moderate limitation in the ability to interact appropriately with co9 workers and supervisors but failing to include such limitation in the 10 RFC or in a hypothetical question to the vocational expert). 11 12 Defendant correctly points out that the ALJ accepted Dr. Lorca’s 13 opinion that Plaintiff was mildly limited in his abilities to perform 14 simple and routine tasks, to accept instructions from supervisors, and 15 to interact with co-workers and the public. (See Joint Stip. at 13). 16 However, contrary to Defendant’s assertion (see Joint Stip. at 13), Dr. 17 Lorca did, in fact, opine that Plaintiff needed additional or special 18 supervision. (See AR 670 [Dr. Lorca stated that Plaintiff was 19 moderately limited in his ability to “[p]erform work activities without 20 additional or special supervision”]). 21 22 Defendant’s reliance on Stubbs-Danielson v. Astrue, 539 F.3d 1169 23 (9th Cir. 2008) (see Joint Stip. at 12-13) is unfounded. In Stubbs- 24 Danielson, the Ninth Circuit found that the ALJ did not err because the 25 ALJ’s assessment of the claimant adequately captured certain 26 restrictions where the assessment was consistent with restrictions 27 identified in the medical testimony. Id. at 1174 (“The ALJ translated 28 Stubbs-Danielson’s condition, including the pace and mental limitations, 8 1 into the only concrete restrictions available to him –- Dr. Eather’s 2 recommended restriction to ‘simple tasks.’”). In contrast, here, the 3 ALJ did not attempt to translate three of the moderate limitations found 4 by Dr. Lorca (performing work activities without additional or special 5 supervision, completing a normal workday or work week without 6 interruptions resulting from any psychiatric conditions, and dealing 7 with the usual 8 Plaintiff’s RFC. stresses encountered Defendant’s attempt in competitive work) into 9 10 Moreover, to support the ALJ’s RFC 11 determination based on the opinion of the State agency review physician, 12 L.O. Mallare, M.D. -- (see AR 20 [“The undersigned has considered and 13 gives great weight to psychiatric State agency review physicians who 14 opined moderate limitations (Exhibits 6A, p. 8; and 7A, p. 8). In the 15 present instance, the State Agency consultants’ access to and review of 16 the entire medical evidence render their opinions both current and 17 comprehensive.”]), see Joint Stip. at 14, –- fails. First, it appears, 18 based on the ALJ’s citations, that the ALJ was referring to Dr. 19 Mallare’s findings in the section concerning “B” criteria of the 20 Listings that Plaintiff had moderate difficulties in maintaining social 21 functioning and in difficulties in maintaining concentration, 22 persistence or pace (see AR 110, 127), and not to the moderate 23 limitations found by Dr. Mallare in his mental residual functional 24 capacity assessment. Second, the ALJ only mentioned Dr. Mallare’s 25 opinion regarding moderate limitations. The moderate limitations found 26 by Dr. Mallare in his assessment (and to which the ALJ arguably gave 27 great weight) –- specifically, Plaintiff is moderately limited in his 28 9 1 abilities to understand and remember detailed instructions; to carry out 2 detailed instructions; to maintain attention and concentration for 3 extended periods; to perform activities within a schedule, maintain 4 regular attendance and be punctual within customary tolerances; to 5 complete a normal workday and workweek without interruptions from 6 psychologically based symptoms and to perform at a consistent pace 7 without an unreasonable number and length of rest periods; to interact 8 appropriately with the general public; to respond appropriately to 9 changes in the work setting; to be aware of normal hazards and take 10 appropriate precautions (see AR 115-16) -- are consistent with and/or 11 do not contradict Dr. Lorca’s opinion about Plaintiff’s moderate 12 limitations in his abilities to perform work activities without 13 additional or special supervision, to complete a normal workday or work 14 week without interruptions resulting from any psychiatric conditions, 15 and to deal with the usual stresses encountered in competitive work. 16 17 Here, the ALJ did not provide any reasons, much less “specific and 18 legitimate” reasons or “clear and convincing” reasons, for rejecting Dr. 19 Lorca’s opinion regarding Plaintiff’s moderate limitations in performing 20 work activities without additional or special supervision, in completing 21 a normal workday or work week without interruptions resulting from any 22 psychiatric conditions, and in dealing with the usual stresses 23 encountered in competitive work in determining Plaintiff’s RFC. 24 // 25 // 26 // 27 28 10 1 B. Remand Is Warranted 2 3 The decision whether to remand for further proceedings or order an 4 immediate award of benefits is within the district court’s discretion. 5 Harman v. Apfel, 211 F.3d 1172, 1175-78 (9th Cir. 2000). Where no 6 useful purpose would be served by further administrative proceedings, 7 or where the record has been fully developed, it is appropriate to 8 exercise this discretion to direct an immediate award of benefits. Id. 9 at 1179 (“[T]he decision of whether to remand for further proceedings 10 turns upon the likely utility of such proceedings.”). However, where, 11 as here, the circumstances of the case suggest that further 12 administrative review could remedy the Commissioner’s errors, remand is 13 appropriate. McLeod v. Astrue, 640 F.3d 881, 888 (9th Cir. 2011); 14 Harman v. Apfel, 211 F.3d at 1179-81. 15 16 A remand is appropriate where, as here, the ALJ finds a physician’s 17 opinion credible but then fails to include or address material aspects 18 of that opinion in the RFC determination. See Bagby v. Commissioner, 19 606 Fed. Appx, 888, 890 (9th Cir. 2015). Because outstanding issues 20 must be resolved before a determination of disability can be made, and 21 “when the record as a whole creates serious doubt as to whether the 22 [Plaintiff] is, in fact, disabled within the meaning of the Social 23 Security Act,” further administrative proceedings would serve a useful 24 purpose and remedy defects. Burrell v. Colvin, 775 F.3d 1133, 1141 (9th 25 Cir. 2014)(citations omitted). 26 27 28 11 1 ORDER 2 3 For the foregoing reasons, the decision of the Commissioner is 4 reversed, and the matter is remanded for further proceedings pursuant 5 to Sentence 4 of 42 U.S.C. § 405(g). 6 7 LET JUDGMENT BE ENTERED ACCORDINGLY. 8 9 DATED: February 9, 2018 10 11 12 /s/ ALKA SAGAR UNITED STATES MAGISTRATE JUDGE 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 12

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