Josette Nicole Thibeaux v. Carolyn W Colvin
Filing
21
MEMORANDUM OPINION by Magistrate Judge Alka Sagar. The decision of the Commissioner is AFFIRMED. (See document for complete details) (afe)
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UNITED STATES DISTRICT COURT
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CENTRAL DISTRICT OF CALIFORNIA – SOUTHERN DIVISION
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JOSETTE NICOLE THIBEAUX,
13
Plaintiff,
v.
14
15
16
NANCY A. BERRYHILL,1
Acting Commissioner of Social
Security,
Defendant.
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) No. SA CV 16-00952-AS
)
) MEMORANDUM OPINION
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PROCEEDINGS
19
20
On
21
May
24,
2016,
Plaintiff
Josette
Nicole
Thibeaux
22
(“Plaintiff”) filed a Complaint seeking review of the Commissioner’s
23
denial of Plaintiff’s application for a period of disability and
24
Disability Insurance Benefits (DIB) and Supplemental Security Income
25
Benefits
26
Defendant
27
1
28
(SSI).
filed
(Docket
an
Answer
Entry
to
No
the
1).
On
Complaint
November
and
the
30,
2016,
Certified
Nancy A. Berryhill is now the Acting Commissioner of Social
Security and is substituted for Acting Commissioner Carolyn W.
Colvin in this case. See 42 U.S.C. § 205(g).
1
1
Administrative
2
parties have consented to proceed before a United States Magistrate
3
Judge.
4
Stipulation
5
their respective positions on Plaintiff’s claims.
6
20).
Record
(“AR”).
(Docket
(Docket Entry Nos. 13, 15).
(“Joint
Stip.”)
on
Entry
Nos.
18-19).
The
The parties filed a Joint
February
28,
2017,
setting
forth
(Docket Entry No.
7
8
SUMMARY OF ADMINISTRATIVE DECISION
9
10
On
February
25,
2014,
Plaintiff,
formerly
employed
as
an
11
information clerk, salesperson, and hostess, (see AR 366), filed an
12
application for DIB and SSI benefits, alleging disability beginning
13
on May 15, 2009.
14
Law Judge (“ALJ”), Joseph Lisieski III, deferred a scheduled hearing
15
because Plaintiff was not aware that her attorney had withdrawn as
16
her representative.
17
the record and heard testimony from Plaintiff who was represented by
18
counsel.
19
to obtain more records from Plaintiff’s treating neurologist, Dr.
20
Michael
21
examined the record and heard testimony from Plaintiff, vocational
22
expert, Corinne Porter (“VE”), and medical expert, Dr. Irvin S.
23
Belzer, M.D.
24
Plaintiff benefits in a written decision.
(AR 255, 262).
(AR 96-97).
(AR 32-46).
Mahdad,
M.D.
On October 1, 2013, Administrative
On April 8, 2014, the ALJ examined
The ALJ continued the second hearing in order
(AR
(AR 47-93).
43-45).
On
July
15,
2014,
the
ALJ
On September 12, 2014, the ALJ denied
(AR 11-31).
25
26
The ALJ applied the five-step process in evaluating Plaintiff’s
27
case.
At
step
one,
the
ALJ
determined
28
engaged in substantial gainful activity after the alleged onset date
2
that
Plaintiff
had
not
1
of May 15, 2009, and that Plaintiff’s date last insured was June 30,
2
2011.
3
following
4
resulting loss of concentration, headaches, and poor vision in the
5
right
6
Plaintiff’s impairments did not meet or equal a Listing found in 20
7
C.F.R. Part 404, Subpart P, Appendix 1.
(AR 16).
At step two, the ALJ found that Plaintiff had the
severe
eye.
(AR
impairments:
16).
At
multiple
step
three,
sclerosis
the
ALJ
(“MS”)
with
determined
that
(AR 16).
8
9
Before proceeding to step four, the ALJ found that, through the
10
date last insured, Plaintiff had the residual functional capacity
11
(“RFC”)2 to do less than a full range of sedentary work, including
12
frequent lifting or carrying ten pounds; standing or walking for 2
13
hours
14
occasional
foot
15
bilateral
upper
16
occasional
postural
17
ladders, scaffolds, or unprotected heights; no job that requires
18
driving a vehicle; no activities that require depth perception; no
19
working
20
moisture and wetness; occasional cold; no concentrated exposure to
21
heat or vibrations; limited to simple tasks with simple work related
22
decisions, object oriented; and no inherently stressful jobs such as
23
taking complaints.
and
in
with
an
8-hour
controls;
workday;
sitting
with
frequent
pushing
and
extremity;
reaching,
limitations;
objects
smaller
no
than
no
pulling
handling,
climbing,
newspaper
limitations;
and
with
feeling;
balancing,
print;
no
the
ropes,
frequent
(AR 18).
24
The ALJ found Plaintiff’s statements regarding the intensity,
25
persistence,
and
limiting
effects
of
her
symptoms
not
credible
26
27
28
2
A Residual Functional Capacity is what a claimant can still
do despite existing exertional and nonexertional limitations.
See
20 C.F.R. § 404.1545(a)(1).
3
1
because (1) the objective medical record did not support Plaintiff’s
2
assertions of debilitating symptoms; (2) Plaintiff made inconsistent
3
statements regarding her ability to work at a low-stress, sedentary
4
job; (3) Plaintiff’s condition remained unchanged when she stopped
5
taking her MS medication while pregnant; (4) although Plaintiff was
6
diagnosed with MS in 2000, she has had several jobs and worked after
7
her May 2009 onset date, until August 2009; and (5) Plaintiff’s
8
daily activities indicated that she could do more than alleged.
9
19-21).
(AR
10
After
making
a
credibility
finding,
the
ALJ
addressed
the
11
opinions of Plaintiff’s treating and examining physicians and the
12
non-examining consultants. (See AR 20-23).
The ALJ gave partial
13
weight to the opinion of nonexamining, medical expert, Dr. Belzer,
14
who testified at the hearing.
(AR 22).
After reviewing the medical
15
record, Dr. Belzer testified that Plaintiff had partial blindness in
16
the
right
eye;
took
Rebif;3
had
headaches,
but
records
did
not
17
indicate how severe or frequent; had good exercise habits; and an
18
October 2012 MRI of the brain showed MS and volume loss, which
19
suggests that Plaintiff was developing dementia on an “early basis,”
20
which may have caused memory problems.
(AR 54-57).
21
22
Dr. Belzer opined that Plaintiff could lift or carry 20 pounds
23
occasionally and 10 pounds frequently; had no sitting limitations;
24
could stand or walk for 4 hours in an 8-hour workday but not on a
25
continuous basis and would need breaks every 4 hours for 5 minutes;
26
could frequently push and pull; could occasionally use foot controls
27
28
3
Rebif is prescribed to reduce symptoms and
associated
with
relapsing-remitting
https://medlineplus.gov/druginfo/meds/a604005.html.
4
episodes
MS.
1
with both feet; could occasionally use the stairs but no ladders or
2
scaffolds; could not do activities that required the ability to
3
assess distance with vision or see small objects; no unprotected
4
heights, moving machinery, or motor vehicles, no frequent exposure
5
to wetness, odors, and dust; occasional exposure to cold; infrequent
6
exposure to heat; and occasional exposure to vibrations.
7
59).
8
Plaintiff’s assertions “the benefit of the doubt,” finding that she
9
had a sedentary RFC.
(AR 58-
The ALJ gave partial weight to Dr. Belzer’s opinion and gave
(AR 21).
The ALJ found that Dr. Belzer’s
10
opinion was based on objective medical evidence.
Plaintiff had a
11
significant vision impairment in the right eye, and an October 2012
12
MRI of Plaintiff’s brain showed MS and volume loss, which suggested
13
that Plaintiff may be developing dementia, but was not conclusive
14
that Plaintiff had severe MS.
(AR 22).
15
The ALJ rejected the opinion of examining physician, Dr. Robert
16
A. Moore, M.D., because Dr. Moore did not have an opportunity to
17
review additional relevant medical evidence.
(AR 22).
The ALJ
18
rejected
the
opinions
of
State
agency
physicians,
Dr.
Nicolas
19
Tsoulas, M.D., and Dr. Keith Wahl, M.D., because their opinions were
20
not “supported by the cumulative evidence.”
(AR 23).
21
22
The ALJ gave no weight to the opinion of Plaintiff’s treating
23
neurologist, Dr. Mahdad.
24
could sit 6 hours and stand or walk 2 hours in an 8-hour workday;
25
needed breaks every 30 to 45 minutes; could not handle low-stress
26
jobs; could lift or carry less than 10 pounds occasionally and 10
27
pounds
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twisting,
rarely;
never
reaching,
(Id.).
climb
and
Dr. Mahdad opined that Plaintiff
ladders;
doing
fine
5
was
limited
manipulations;
in
grasping,
should
avoid
1
exposure to extreme heat, humidity, and hazards; and would likely be
2
absent four days per month.
3
that because of Plaintiff’s gait disturbance, poor coordination,
4
vision and cognitive impairments, and general weakness, Plaintiff
5
was “not employable in any capacity.”
6
weight to Dr. Mahdad’s opinion because (1) while Dr. Mahdad found
7
that Plaintiff could not perform even a low-stress job, Plaintiff’s
8
July 2014 hearing testimony that she could perform a sedentary, low-
9
stress
job
contradicted
(AR 422-27).
Dr.
Mahdad’s
Dr. Mahdad also opined
(AR 463).
The ALJ gave no
opinion;
(2)
the
objective
10
medical record, including Dr. Mahdad’s own treatment notes, lacked
11
support for his opinion; and (3) Dr. Mahdad’s opinion that Plaintiff
12
was
13
alone.
not
employable
is
a
decision
reserved
for
the
Commissioner
(AR 23).
14
The ALJ rejected the opinion of Plaintiff’s treating primary
15
care physician, Dr. Kenneth Horwitz, M.D.
(Id.).
Dr. Horwitz
16
opined that Plaintiff could sit for 4 hours and stand or walk less
17
than
2
hours
in
an
8-hour
workday;
lift
or
carry
20
pounds
18
occasionally and 10 pounds frequently; and was incapable of even a
19
low-stress
job.
(AR
428-33).
The
ALJ
rejected
Dr.
Horwitz’s
20
opinion because Plaintiff’s testimony that she could perform a job
21
that required her to sit for 8 hours in an 8-hour workday day
22
contradicted
Dr.
Horwitz’s
assessment,
and
Dr.
Horwitz’s
own
23
examination
of
Plaintiff
did
not
support
“such
restrictive
24
limitations.”
(AR 23).
25
26
The ALJ rejected the opinion of Plaintiff’s former treating
27
physician, Dr. Thuc Tu, M.D., who opined that Plaintiff could not
28
6
1
work,
2
Commissioner.
because
such
a
finding
is
reserved
solely
for
the
(AR 23, 410).
3
The
ALJ
rejected
the
statements
of
Harriet
Thibeaux,
4
Plaintiff’s mother, because (1) her statements discussed Plaintiff’s
5
symptoms in relation to her abilities, and Ms. Thibeaux was not a
6
medical
professional;
(2)
Ms.
Thibeaux’s
statements
were
biased
7
because of her familial relationship with Plaintiff; and (3) the
8
medical evidence did not support her statements.
(AR 23-24).
9
10
At step four, the ALJ determined that Plaintiff was not able
11
to perform her past relevant work as a policyholder information
12
clerk.
(AR 23).
At step five, the ALJ found Plaintiff was able to
13
perform
jobs
consistent
with
her
age,
education,
and
medical
14
limitations existing in significant numbers in the national economy.
15
The ALJ adopted VE testimony that Plaintiff could perform the jobs
16
of addresser (Dictionary of Occupational Titles (“DOT”) 209.587-010)
17
and order clerk (DOT 209.567-014).
At the hearing, the ALJ asked
18
the VE whether her testimony conflicted with the DOT description for
19
these jobs.
(See AR 91).
Accordingly, the ALJ concluded that
20
Plaintiff was not disabled.
(AR 26).
21
22
On
November
11,
2014,
Plaintiff
requested
that
the
Appeals
23
Council review the ALJ’s Decision, which was denied on March 25,
24
2016.
(AR 1-10).
The ALJ’s Decision then became the final decision
25
of the Commissioner, allowing this Court to review the decision.
26
See 42 U.S.C. §§ 405(g), 1383(c).
27
28
7
1
STANDARD OF REVIEW
2
3
This court reviews the Administration’s decision to determine
4
if it is free of legal error and supported by substantial evidence.
5
See Brewes v. Comm’r of Soc. Sec. Admin., 682 F.3d 1157, 1161 (9th
6
Cir. 2012).
7
but less than a preponderance.
8
1009 (9th Cir. 2014).
9
supports a finding, “a court must consider the record as a whole,
10
weighing both evidence that supports and evidence that detracts from
11
the [Commissioner’s] conclusion.”
12
1033, 1035 (9th Cir. 2001).
13
reasonably
14
conclusion, [a court] may not substitute [its] judgment for that of
15
the ALJ.”
16
2006).
“Substantial evidence” is more than a mere scintilla,
support
Garrison v. Colvin, 759 F.3d 995,
To determine whether substantial evidence
either
Aukland v. Massanari, 257 F.3d
As a result, “[i]f the evidence can
affirming
or
reversing
the
ALJ’s
Robbins v. Soc. Sec. Admin., 466 F.3d 880, 882 (9th Cir.
17
PLAINTIFF’S CONTENTIONS
18
19
Plaintiff
20
alleges
that
the
ALJ
(1)
improperly
rejected
the
21
opinions of treating physicians, Dr. Mahdad, Dr. Horwitz, and Dr.
22
Tu, in favor of the opinion of nonexamining medical expert, Dr.
23
Belzer; (2) erred in finding that Plaintiff could perform the jobs
24
of
25
convincing reasons to reject Plaintiff’s subjective pain testimony.
26
(MSP 4-7, 14-18, 21-25, 32-33).
addresser
and
order
clerk;
and
27
28
8
(3)
did
not
give
clear
and
1
DISCUSSION
2
3
After reviewing the record, the Court finds that the ALJ (1)
4
gave
5
treating physicians, Dr. Mahdad, Dr. Horwitz, and Dr. Tu, in favor
6
of the opinion of nonexamining medical expert, Dr. Belzer; (2) did
7
not err at step five in finding that Plaintiff could perform other
8
jobs existing in significant numbers in the national economy; and
9
(3) articulated clear and convincing reasons to find Plaintiff not
10
specific
credible.
and
legitimate
reasons
to
reject
the
opinions
of
The Court therefore AFFIRMS the ALJ’s decision.
11
12
A.
The ALJ Properly Rejected The Opinions Of Treating Physicians,
13
Dr. Mahdad, Dr. Horwitz, And Dr. Tu, In Favor Of Nonexamining
14
Medical Expert, Dr. Belzer
15
16
Plaintiff contends that the ALJ did not provide sufficiently
17
specific reasons to reject the opinion of Dr. Mahdad, Dr. Horwitz,
18
and Dr. Tu, all treating physicians, in favor of the opinion of Dr.
19
Belzer, a nonexamining medical expert.
20
these physicians’ opinions been given proper credit, Plaintiff would
21
22
23
have been found to meet a Listing.
Plaintiff asserts that, had
(Joint Stip. at 4-7, 14-16).
Defendant asserts that the ALJ properly rejected these physicians’
opinions
because
support
their
(1)
the
objective
evidence
of
record
did
not
24
opinions;
(2)
Plaintiff
made
statements
that
25
contradicted Dr. Mahdad and Dr. Horwitz’s opinions; and (3) to the
26
extent that Dr. Tu and Dr. Mahdad opined that Plaintiff could no
27
28
9
1
longer work, such a determination is reserved for the Commissioner
2
alone.
(Joint Stip. at 7-13).
3
4
Social
Security
regulations
require
the
Agency
to
“evaluate
5
every medical opinion we receive,” giving more weight to evidence
6
from a claimant’s treating physician.
7
Where a treating or examining physician's opinion is contradicted by
8
another doctor, the “[Commissioner] must determine credibility and
9
resolve the conflict.”
20 C.F.R. § 404.1527(c).
Valentine v. Comm'r Soc. Sec. Admin., 574
10
F.3d 685, 692 (9th Cir. 2009) (quoting Thomas v. Barnhart, 278 F.3d
11
947, 956–57 (9th Cir. 2002).
12
examining, but non-treating physician, in favor of a non-examining,
13
non-treating physician when he gives specific, legitimate reasons
14
for doing so, and those reasons are supported by substantial record
15
evidence.”
16
amended (Apr. 9, 1996) (quoting Roberts v. Shalala, 66 F.3d at 179,
17
184
18
cannot
19
rejecting the opinion of a treating physician.
20
831.
The
opinions
21
substantial
evidence
22
“independent clinical findings or other evidence in the record.”
23
Thomas, 278 F.3d 947 at 957.
(9th
“An ALJ may reject the testimony of an
Lester v. Chater, 81 F.3d 821, 831 (9th Cir. 1995), as
Cir.
by
1995)).
itself
The
constitute
of
opinion
of
substantial
non-examining
when
the
a
nonexamining
evidence
that
are
justifies
Lester, 81 F.3d at
physicians
opinions
physician
may
serve
consistent
as
with
24
25
26
27
28
Dr. Belzer’s opinion contradicted the opinions of Dr. Mahdad,
Dr. Horwitz, and Dr. Tu.
provide
opinion.
specific
and
Accordingly, the ALJ was required to
legitimate
reasons
to
reject
each
doctor’s
See Ghanim v. Colvin, 763 F.3d 1154, 1161 (9th Cir. 2014).
10
1
1.
Dr. Mahdad
The
ALJ
2
3
4
5
6
7
contradicted
limitations.
1989)
properly
rejected
Plaintiff’s
own
Dr.
Mahdad’s
statements
opinion
regarding
because
her
it
functional
Magallanes v. Bowen, 881 F.2d 747, 751–52 (9th Cir.
(upholding
ALJ's
rejection
of
treating
physician's
opinion
that contradicted the claimant's own testimony); Myers v. Barnhart,
8
2006 WL 1663848, at *6 (C.D. Cal. 2006) (“[A] treating physician's
9
assessment
of
a
claimant's
restrictions
may
be
rejected
to
the
10
extent it ‘appear[s] to be inconsistent with the level of activity’
11
the
claimant
maintains,
or
contradicts
Plaintiff's
testimony.”)
12
13
14
(internal citations omitted).
Dr. Mahdad opined that Plaintiff was
precluded from performing all work and could sit for 6 hours in an
15
8-hour workday.
(AR 424-25).
However, at the July 2014 hearing,
16
Plaintiff testified that she could perform a sedentary, low-stress
17
job where she sat for 8 hours in an 8-hour workday, which directly
18
contradicts Dr. Mahdad’s opinion.
(AR 428-33).
19
20
The
ALJ
also
rejected
Dr.
Mahdad
opinion
because
it
was
21
contradicted by his own treatment notes which indicated somewhat
22
normal findings.
23
2012, examination with Dr. Mahdad, Plaintiff had a normal range of
24
motion, no facial weakness, no nystagmus,4 no involuntary movements,
(See AR 375-78, 388-98).
During a September 13,
25
26
4
27
28
Nystagmus is a vision condition in which the eyes make
repetitive, uncontrolled movements. These movements often result in
reduced vision and depth perception and can affect balance and
coordination.
One
of
the
causes
of
Nystagmus
is
MS.
11
1
no focal motor weakness with normal sensation, and a normal stance
2
and gait.
3
Plaintiff had no loss of sensation; normal focal motor sensation;
4
and normal attention, concentration, and had an intact short term
5
6
7
(AR 375-77).
memory.
(AR
examination
390-98,
Plaintiff
Subsequent examinations indicated that
411-12).
had
a
During
mild
a
December
antalgic
gait
27,
and
2012,
slight
hyperflexion, which were her most severe physical symptoms.
(AR
8
386).
9
10
Yet,
Plaintiff
asserts
that
the
objective
medical
record
11
supports Dr. Mahdad’s opinion because clinical findings showed that
12
13
14
Plaintiff suffers from exacerbations, ataxia, forgetfulness, blurred
vision, and gait issues.
symptoms
16
walking, and mental limitations that Dr. Mahdad opined.
17
August 10, 2012, examination with consultative examiner, Dr. Moore,
18
Plaintiff had normal ambulation and motor skills, diminished vision
19
in the right eye, a balance problem, abnormal tingling on her right
20
palm, and no indication that Plaintiff could not sit for extended
21
periods or control her upper extremities.
22
2012 MRI showed that Plaintiff had early signs of dementia, but
23
there is no medical evidence that this condition limits Plaintiff
25
not
correlate
to
the
from holding even a low-stress job.
psychological
evaluation
of
restrictive
Such generalized
15
24
do
(Joint Stip. at 5).
lifting,
(AR 379-82).
sitting,
During an
An October
Rather, a February 23, 2013,
Plaintiff
performed
by
clinical
26
27
http://www.aoa.org/patients-and-public/eye-and-visionproblems/glossary-of-eye-and-vision-conditions/nystagmus?sso=y.
28
12
1
psychologist, Dr. H. McGee, Ph.D., showed that Plaintiff had “mild
2
cognitive
3
deficits in processing, speed,” attention, and concentration, but
4
Plaintiff
was
reasoning
capacities
5
6
7
limitations
in
capable
her
of
were
ability
learning
adequate;
regular stress in competitive work.”
same
opinion,
(AR
a
64-68),
and
to
work,
routine,
and
was
ALJ
repetitive
“able
(AR 408).
the
displaying
to
mild
skill;
deal
with
Dr. Belzer held the
adopted
Dr.
Belzer’s
8
reasoning,
which
was
proper
given
the
clinical
findings.
9
Magallanes, 881 F.2d at 747 (an ALJ properly rejects a treating
10
physician’s opinion where the ALJ relies on contrary lab results,
11
examinations findings, and other physicians’ opinions).
12
13
Moreover, the ALJ made multiple attempts to develop the record.
14
15
The ALJ continued the second, April 2014, hearing in order to obtain
16
additional medical evidence from Dr. Mahdad.
17
some new records were submitted, there was still scant evidence to
18
support Dr. Mahdad’s opinion, and when the ALJ offered to schedule
19
another consultative examination, Plaintiff’s attorney rejected the
20
proposition.
(See AR 44-45).
While
(See AR 21, 69-70).
21
22
23
24
25
26
Lastly,
the
ALJ
appropriately
found
that
Dr.
Mahdad’s
speculation that Plaintiff was “unemployable” carried no probative
weight.
an
(AR 23, 463).
issue
reserved
physician's
opinion
Whether a claimant can work competitively is
specifically
on
this
issue
to
is
the
not
Commissioner,
entitled
to
and
a
special
27
significance.
20 C.F.R. § 404.1527(d)(1); Social Security Ruling
28
(“SSR”) 96-5p, 1996 WL 374183 (July 2, 1996) (medical source opinion
13
1
about
2
controlling
3
Barnhart, 420 F.3d 1002, 1004 (9th Cir. 2005) (“Although a treating
4
physician's opinion is generally afforded the greatest weight in
5
6
7
whether
a
claimant
weight
or
is
given
unable
to
special
work
is
not
significance);
entitled
to
Ukolov
v.
disability cases, it is not binding on an ALJ with respect to the
existence
of
disability.”)
an
impairment
(citation
or
omitted).
the
ultimate
Non-medical
determination
opinions
that
of
a
8
plaintiff is disabled or unable to work are not binding on the
9
Commissioner.
See Boardman v. Astrue, 286 Fed. Appx. 397, 399 (9th
10
Cir. 2008) (“[The] determination of a claimant's ultimate disability
11
is reserved to the Commissioner . . . a physician's opinion on the
12
13
matter is not entitled to special significance.”).
14
15
Accordingly, Plaintiff’s own statements regarding her physical
16
limitations which contradicted Dr. Mahdad’s opinion, the fact that
17
Dr. Mahdad’s own treatment notes failed to support his opinion, and
18
the medical record as a whole which showed mild abnormalities, were
19
all specific and legitimate reasons to reject Dr. Mahdad’s opinion.
20
21
2.
Dr. Horwitz
22
23
24
25
26
The ALJ properly rejected Dr. Horwitz’s opinion because it was
also contradicted by Plaintiff’s own statements.
As stated above,
an ALJ may reject the opinion of a treating physician where the
Plaintiff’s statements directly contradict the treating physician’s
27
assessment.
Magallanes, 881 F.2d at 747 (upholding ALJ's rejection
28
of treating physician's opinion that contradicted the claimant's own
14
1
testimony); Here, Dr. Horwitz opined that Plaintiff could only sit
2
for 4 hours in an 8-hour workday and that Plaintiff was incapable of
3
working a low-stress job.
4
could do a low-stress job where she sat for 8 hours in an 8-hour
5
6
7
workday.
(AR
428-33).
regarding
her
physical
However, Plaintiff testified that she
Accordingly,
limitations
Plaintiff’s
own
statements
contradicted
Dr.
Horwitz’s
opinion, which is a legitimate and specific reason to reject his
8
opinion.
9
10
The ALJ also rejected Dr. Horwitz’s opinion because it was not
11
supported by his own examination findings and the objective medical
12
13
14
record.
Magallanes, 881 F.2d at 747.
Although Dr. Horwitz opined
that Plaintiff cannot lift more than 20 pounds occasionally and 10
15
pounds frequently, can sit for 4 hours in an 8-hour workday, or
16
stand for 2 hours in an 8-hour workday, Dr. Horwitz’s examination
17
findings were minimal.
18
normal musculoskeletal system results, normal reflexes, and normal
19
neurological findings, with the exception of loss of sensation in
20
the right thigh and “mild” lack of coordination on the left side.
21
Plaintiff’s chief complaint for the visit was headaches.
22
37).
23
treatment notes only list Plaintiff’s medications.
24
25
26
The
A March 2014 examination of Plaintiff showed
(AR 436-
Plaintiff attended a follow-up visit with Dr. Horwitz, but
record
Horwitz.
does
not
otherwise
contain
treatment
(AR 478-79).
notes
from
Dr.
Thus, the severe limitations that Dr. Horwitz’ found were
not supported by the medical record and the mild irregularities that
27
were documented.
Accordingly, the ALJ gave specific and legitimate
28
reasons to reject the opinion of Dr. Horwitz.
15
1
3.
Dr. Tu
2
3
The ALJ appropriately found Dr. Tu’s opinion that Plaintiff
4
cannot work carried no probative weight.
5
Whether a claimant can work is an issue reserved specifically for
6
the Commissioner, and a physician's opinion on this issue is not
7
entitled
to
8
Ukolov,
420
9
Accordingly, the ALJ gave a specific and legitimate reason to reject
10
Dr. Tu’s opinion where Dr. Tu opined only that Plaintiff could not
11
work.
special
F.3d
significance.
at
1004;
20
Boardman,
(AR 23, 410, 413, 416-20).
C.F.R.
286
§
404.1527(d)(1);
Fed.
Appx.
at
399.
12
13
14
B.
The ALJ Properly Found That Plaintiff Could Perform The Job Of
Addresser
15
16
Plaintiff contends that the ALJ erred in finding that she could
17
perform the occupations of addresser (DOT 209.587-010) and order
18
clerk (DOT 209.567-014), because Plaintiff’s RFC conflicts with the
19
the required level of reasoning for both jobs as described in the
20
DOT. (Joint Stip. at 16-18, 21).
21
performing “simple tasks with simple work related decisions,” (AR
22
18), which precludes her from performing jobs that require level 2
23
or 3 reasoning skills.
24
description for addresser and order clerk require level 2 and 3
25
reasoning
26
jobs.
27
recognize and then reconcile the conflict between these jobs and
28
Plaintiff’s RFC, the ALJ committed reversible error.
skills
(Id.).
Plaintiff’s RFC limits her to
(Joint Stip. at 17-18).
respectively,
Plaintiff
Plaintiff
asserts
16
that
could
because
Because the DOT
not
perform
the
ALJ
(Id.).
these
did
not
1
In
considering
potential
occupations
that
a
claimant
could
2
perform, the ALJ relies on the DOT and VE testimony.
3
416.966(e); Zavalin v. Colvin, 778 F.3d 842, 845-46 (9th Cir. 2015);
4
Valentine, 574 F.3d at 689.
“When there is an apparent conflict
5
between
and
6
testimony that a claimant can perform an occupation involving DOT
7
requirements that appear to be more than the claimant can handle —
8
the ALJ is required to reconcile the inconsistency.”
9
F.3d at 846 (citing Massachi v. Astrue, 486 F.3d 1149, 1153–54 (9th
the
[VE’s]
testimony
the
DOT
—
for
20 C.F.R. §
example,
expert
Zavalin, 778
10
Cir. 2007).
An ALJ's failure to inquire into an apparent conflict
11
is harmless where there is no actual conflict between the RFC and
12
the DOT.
13
(citing Massachi, 486 F.3d at 1154 n. 19).
Ranstrom v. Colvin, 622 F. App'x 687, 689 (9th Cir. 2015)
14
Here,
15
the
of
VE
testified
addresser
that
209.567-014),
18
conflicted with the DOT.
19
testimony did not conflict with the DOT.
20
the VE’s testimony.
21
requires Level 25 Reasoning and the DOT description for order clerk
22
requires Level 36 Reasoning.
asked
whether
(AR 89-90).
(See AR 25).
the
order
VE’s
clerk
the
17
ALJ
and
perform
occupations
the
209.587-010)
could
16
and
(DOT
Plaintiff
(DOT
testimony
The VE responded that her
(AR 90).
The ALJ adopted
The DOT description for addresser
See ADDRESSER, DOT 209.587-010; ORDER
23
24
25
26
27
28
5
The DOT defines Level 2 Reasoning as “[a]pply[ing] commonsense
understanding to carry out detailed but uninvolved written or oral
instructions. Deal with problems involving a few concrete variables
in or from standardized situations.” ADDRESSER, DICOT 209.587-010.
6
The DOT defines Level 3 Reasoning as “[a]pply[ing] commonsense
understanding to carry out instructions furnished in written, oral,
or diagrammatic form. Deal with problems involving several concrete
17
1
CLERK,
2
Plaintiff
3
object oriented and no inherently stressful jobs such as taking
4
complaints.”
FOOD
to
AND
BEVERAGE,
“simple
tasks
DOT
209.567-014.
with
simple
The
work
ALJ
related
limited
decisions,
(AR 18).
5
6
Plaintiff relies on Rounds v. Comm’r of Soc. Sec. Admin., 807
7
F.3d 996, 1002 (9th Cir. 2015) to assert that a person who is
8
limited to performing “simple tasks” cannot perform jobs, such as
9
addresser, which require Level 2 reasoning.
the
holding
10
However,
11
represents.
12
performing “one to two-step tasks,” not “simple tasks.”
13
Rounds, 807 F.3d at 1001; with (AR 18).
14
“there was an apparent conflict between Round’s RFC, which limited
15
her to performing one -and two-step tasks, and the demands of Level
16
[2]
17
understanding to carry out detailed but uninvolved written or oral
18
instructions.’”
19
1991 WL 688702).
20
Level 1 reasoning, which requires a person to apply “commonsense
21
understanding to carry out simple one – or two-step instructions,”
22
supported the court’s finding that Rounds could only perform jobs
23
that require Level 1 reasoning.
24
perform simple tasks, instead of only one and two-step tasks, which
In
in
Rounds,
reasoning, which
Rounds
the
requires
is
(Joint Stip. at 17).
narrower
plaintiff’s
a
RFC
than
Plaintiff
limited
her
to
Compare
The court concluded that
person
to
‘[a]pply
commonsense
Rounds, 807 F.3d at 1003 (citing DOT, App. C, § 3,
The “obvious similarity” between Round’s RFC and
Id.
Here, Plaintiff is able to
25
26
27
variables in or from standardized situations.”
AND BEVERAGE, DICOT 209.567-014.
28
18
ORDER CLERK, FOOD
1
distinguishes Plaintiff’s mental limitations from the claimant in
2
Rounds.
3
4
Moreover, courts have found that a person who is limited to
5
“simple tasks” can perform jobs that require Level 2 reasoning.
6
See, e.g., Hackett v. Barnahart, 395 F.3d 1168, 1176 (10th Cir.
7
2005) (“[L]evel-[2] reasoning appears
8
Plaintiff's [residual functional capacity]” to perform “simple and
9
routine work”); Meissl v. Barnhart, 403 F. Supp. 2d 981, 984 (C.D.
2005)
(finding
consistent
Cal.
11
“simple tasks . . . that had some element of repetitiveness to them”
12
indicated a reasoning level of 2); Bowman v. Colvin, __ F.Supp.3d
13
__, 2017 WL 66390, at *15 (D. Or. 2017) (“Level [2] allows for the
14
performance
15
complex . . . when the RFC [limiting someone to simple tasks] is
16
compared
17
reasoning, it is clear that the RFC here aligns with Level [2] and
18
not
19
simple
20
Plaintiff could perform the job of addresser, a Level 2 reasoning
21
occupation.
to
Level
detailed
the
definitions
[3].”).
tasks,
but
the
plaintiff's
simple
of
ALJ
properly
instructions
both
Accordingly,
ability
Level
because
adopted
to
with
10
of
that
more
which
[2]
and
Plaintiff
the
VE’s
perform
are
Level
could
not
[3]
perform
testimony
that
22
The ALJ erred in adopting the VE’s testimony that Plaintiff
23
24
could
perform
25
occupation.
26
between
27
repetitive tasks, and the demands of Level 3 Reasoning”).
28
failed to resolve this conflict.
the
the
job
of
order
clerk,
a
Level
3
reasoning
Zavalin, 778 F.3d at 847 (finding “an apparent conflict
residual
functional
capacity
(See AR 25).
19
to
perform
simple,
The ALJ
However, this error
1
was harmless because the ALJ also identified a Level 2 reasoning job
2
— addresser — that Plaintiff could perform.
3
Sec., 454 F.3d 1050, 1055 (9th Cir. 2006) (ALJ errors are harmless
4
when they are inconsequential to a non-disability finding); Burch v.
5
Barnhart, 400 F.3d 676, 679 (9th Cir. 2005) (an ALJ's decision will
6
not be reversed for harmless error); Curry v. Sullivan, 925 F.2d
7
1127, 1131 (9th Cir. 1991) (harmless error rule applies to review of
8
ALJ decisions regarding disability).
Stout v. Comm'r of Soc.
9
10
C.
The
ALJ
Articulated
Clear
And
Convincing
Reasons
To
Find
Plaintiff Not Credible
11
12
Plaintiff
13
asserts
that
the
ALJ
improperly
found
her
not
14
credible for the following reasons: (1) the medical record suggests
15
that Plaintiff has a disabling condition because she had a visiting
16
nurse come to her home; (2) the ALJ exhibited a gender bias in
17
finding that Plaintiff was not credible because she did not take MS
18
medication while pregnant; and (3) the ALJ gave too much weight to
19
Plaintiff’s
20
supporting Plaintiff’s credibility.
daily
activities
when
compared
to
other
factors
(Joint Stip. at 22-25, 32-33).
21
Defendant contends that the ALJ provided the following clear
22
23
and
convincing
reasons
24
objective
25
Plaintiff made inconsistent statements regarding the severity of her
26
condition;
27
physical
28
considered
record
(3)
did
to
not
Plaintiff’s
ability
than
Plaintiff’s
she
find
Plaintiff
support
daily
Plaintiff’s
activities
claimed;
failure
to
20
not
and
take
MS
(1)
statements;
demonstrated
(4)
her
credible:
the
ALJ
the
(2)
greater
properly
medication
while
1
pregnant because an ALJ may consider the medications a claimant
2
takes when making a credibility determination.
3
30).
(Joint Stip. at 25-
4
5
A claimant initially must produce objective medical evidence
6
establishing a medical impairment reasonably likely to be the cause
7
of his subjective symptoms.
8
(9th Cir. 1996); Bunnell v. Sullivan, 947 F.2d 341, 345 (9th Cir.
9
1991).
Smolen v. Chater, 80 F.3d 1273, 1281
Once a claimant produces objective medical evidence of an
10
underlying impairment that could reasonably be expected to produce
11
pain
12
malingering, the ALJ may reject the claimant’s testimony regarding
13
the severity of his pain and symptoms only by articulating specific,
14
clear, and convincing reasons for doing so.
15
806 F.3d 487, 492-93 (9th Cir. 2015) (citing Lingenfelter v. Astrue,
16
504 F.3d 1028, 1036 (9th Cir. 2007)).
17
of malingering, the “clear and convincing reasons” standard applies.
or
other
symptoms
alleged,
and
there
is
no
evidence
of
Brown-Hunter v. Colvin,
Because there is no evidence
18
In
19
her
disability
application,
Plaintiff
asserted
that
she
20
cannot work because she has MS that causes debilitating symptoms,
21
including
22
right
23
Information form that she needs help showering and bathing; has no
24
energy
25
standing; and either stays at home or walks to the park with her
26
daughter.
27
hearing
28
forgetfulness, and a loss of appetite, which makes her weak and
seizures,
eye.
to
(AR
clean
288).
but
(AR 325).
that
she
severe
migraines,
Plaintiff
can
cook
and
blurred
stated
easy
meals
in
that
vision
an
do
in
Updated
not
the
Work
require
Plaintiff testified at the third, July 2014,
suffers
from
dizzy
21
spells
on
a
daily
basis;
1
causes headaches; needs help to clean and cook; on a normal day,
2
lays and watches television; and leaves the house once every other
3
day to go to church or the grocery store.
(AR 70-72, 75-76).
4
The ALJ found Plaintiff not credible for the following reasons:
5
6
(1)
the
objective
7
assertions of debilitating symptoms; (2) Plaintiff made inconsistent
8
statements regarding her ability to work at a low-stress, sedentary
9
job; (3) Plaintiff did not take her MS medication while pregnant and
condition
medical
remained
record
support
11
diagnosed with MS in 2000, she had several jobs and worked after her
12
May 2009 onset date, until August 2009; and (5) Plaintiff’s daily
13
activities
14
alleged.
she
had
although
Plaintiff’s
her
that
(4)
not
10
indicated
unchanged;
did
greater
Plaintiff
abilities
than
was
she
(AR 19-21).
15
16
First, the ALJ properly found that the medical evidence did not
17
support Plaintiff’s statements.
The ALJ noted that “[c]learly, the
18
claimant has MS,” but “the record does not show severity . . . ”
19
(AR 21).
20
showed largely normal results regarding Plaintiff’s motor strength
21
and ability to ambulate.
(AR 20).
22
“small to large areas of
abnormal
23
throughout . . . ” the brain, “consistent with history of MS and
24
moderate degree of diffuse generalized volume loss, advanced for
25
patient’s age,” but the MRI did not correlate to the severity of the
26
condition,
27
indicated that Plaintiff had mild optic neuritis in the left eye and
28
neuritis
Examinations with Dr. Mahdad, Dr. Moore, and Dr. Horwitz
just
in
the
its
presence.
right
eye,
The October 2012 MRI showed
T2/flair
(Id.).
which
22
left
hyper
intensities
Ophthalmologist
Plaintiff’s
records
right
eye
1
significantly
2
asserts, she was seen by a visiting nurse, but “just because one has
3
a visiting nurse, it does not mean one is disabled.”
impaired
and
left
eye
normal,
and,
as
Plaintiff
(AR 20-21).
4
The ALJ’s summary of the evidence reflects the record as a
5
6
whole.
A MRI of Plaintiff’s brain showed MS and early signs of
7
dementia, but a psychological evaluation concluded that Plaintiff
8
had
9
regular
only
mild
cognitive
stress
that
limitations
requires
using
and
a
could
routine,
hold
a
job
repetitive
with
skill.
10
(See AR 388, 408).
11
visual
12
perception, but it does not preclude her from all work.
13
Moreover,
14
encompassed examinations conducted by Dr. Horwitz and Dr. Mahdad,
15
had
16
intermittently complained of dizziness and headaches, but not to the
17
constant degree that Plaintiff asserts.
18
of
19
physical
20
Plaintiff was not credible.
21
lack of objective medical evidence cannot form the sole basis for
22
discounting pain testimony, it is a factor that the ALJ can consider
23
in his credibility analysis.”).
impairment
the
normal
As the ALJ noted, Plaintiff has a significant
in
her
objective
findings.
objective
and
medical
mental
right
eye,
medical
Nurse
evidence
limitations
which
affects
evidence,
records
her
(AR 64-65).
which
show
that
(See AR 470-79).
regarding
supports
Plaintiff’s
the
ALJ’s
depth
primarily
Plaintiff
The lack
disabling
finding
that
Burch, 400 F.3d at 680-81 (“Although
24
Moreover, the mere fact that Plaintiff was seen by a visiting
25
26
nurse
does
not
constitute
27
Plaintiff’s
28
clinical findings, physical examinations, or tests done by a medical
allegations.
objective
Objective
23
medical
medical
evidence
evidence
supporting
includes
1
source,
2
supporting
3
evidence,
4
notes.
5
2004) (treating physician notes did not provide objective medical
6
evidence of alleged limitation); Thomas, 278 F.3d at 957 (ALJ need
7
not accept treating physician's opinion if inadequately supported
8
by clinical findings).
9
with Plaintiff’s statements.
which
a
establishes
finding
an
ALJ
may
of
give
a
condition
disability.
no
weight
and
related
Without
to
a
symptoms
such
objective
physician’s
treatment
See Batson v. Comm’r, 359 F.3d 1190, 1195 n. 3 (9th Cir.
Accordingly, the record is not consistent
10
Second, the ALJ properly found Plaintiff’s testimony that she
11
12
could
do
13
allegations
14
regarding a Plaintiff’s functional limitations provide a clear and
15
convincing reason to find a plaintiff not credible.
16
at
17
credibility
18
statements to her doctors); see also Brown v. Astrue, 405 F. App'x
19
230, 233 (9th Cir. 2010).
20
sedentary job, “if easy and repetitive, and not stressful.”
21
21).
22
is lay and watch television because of constant, severe headaches
23
and dizzy spells. (AR 70-72, 75-76, 325).
24
contradicts her previous statements.
25
clear
26
credible where Plaintiff testified that she could hold a sedentary,
27
low-stress job.
1284;
a
low-stress,
of
See
sedentary
disabling
Thomas,
finding
symptoms.
278
in
job
F.3d
part
at
due
to
inconsistent
Inconsistent
959
a
with
her
statements
Smolen, 80 F.3d
(upholding
claimant's
an
adverse
inconsistent
Plaintiff testified that she could do a
(AR
Yet, Plaintiff also stated that on a normal day all she can do
and
convincing
reason
to
find
28
24
Plaintiff’s testimony
Accordingly, the ALJ gave a
Plaintiff’s
statements
not
1
Third, the ALJ improperly found Plaintiff not credible because
2
she did not take her MS medication, Rebif, while pregnant.
3
21).
4
(a)
5
Plaintiff’s
6
Plaintiff’s condition was not as severe as claimed.
7
address both interpretations.
(See AR
It is not clear whether the ALJ provided this reason because
Plaintiff
failed
condition
to
follow
remained
prescribed
unchanged,
treatment,
or
indicating
(b)
that
The Court will
8
9
It is improper to discount a claimant's credibility on the
10
basis of failure to pursue medical treatment when the claimant “has
11
a good reason for not” doing so.
12
Security Admin., 533 F.3d 1155, 1162 (9th Cir. 2008); see also SSR
13
96–7p, 1996 WL 374186, at *7 (ALJ must not draw inferences about
14
claimant's symptoms and their functional effects from failure to
15
follow
16
explanations provided or other information in the record that may
17
explain that failure).
18
stopped taking Rebif while pregnant and did not make any objections
19
in his treatment notes. (See AR 375).
20
pregnancy was an explanation for Plaintiff to not take Rebif for a
21
period of time.
prescribed
treatment,
Carmickle v. Commissioner, Social
without
first
considering
any
Here, Dr. Mahdad was aware that Plaintiff
Accordingly, Plaintiff’s
22
23
Alternatively, the ALJ improperly substituted his judgment for
24
that of the medical evidence in interpreting Plaintiff’s physical
25
condition while she was not taking Rebif.
26
medical evidence with his own judgment, and such speculation cannot
27
support an inference on which an ALJ’s credibility determination
28
depends.
An ALJ cannot substitute
Day v. Weinberger, 522 F.2d 1154, 1156 (9th Cir. 1975)
25
1
(an ALJ who is not qualified as a medical expert cannot make “his
2
own
3
condition”); see also Rohan v. Chater, 98 F.3d 966, 970–71 (7th Cir.
4
1996) (ALJ may not rely on his own lay opinion regarding medical
5
matters); Ferguson v. Schweiker, 765 F.2d 31, 37 (3d Cir. 1995)
6
(same); Miller v. Astrue, 695 F. Supp. 2d 1042, 1048 (C.D. Cal.
7
2010) (same); cf. Rudder v. Colvin, 2014 WL 3773565, at *12 (N.D.
8
Ill. 2014) (“The ALJ may be correct that disabling limitations from
9
multiple sclerosis would result in more frequent treatment or need
exploration
and
assessment
as
to
[the]
claimant's
physical
10
for medication.
However, the ALJ must include evidence to support
11
such a conclusion in his opinion because he is not qualified, on his
12
own, to make such determinations”).
13
14
Here, the ALJ viewed Plaintiff’s apparent stabilized condition
15
while she was pregnant and not taking Rebif as a reason to discredit
16
Plaintiff’s MS symptoms.
17
whether
18
whether Plaintiff’s symptoms should have been worse while not on
19
Rebif.
20
the need for such medications or opine on how stable a claimant’s
21
condition should be.
22
was not credible because she did not take her MS medication while
23
she was
24
Plaintiff not credible.
25
Plaintiff’s
Yet, the medical record does not address
condition
was
stable
during
this
time,
or
Because the ALJ is not a medical expert, he cannot assess
Accordingly, the ALJ’s finding that Plaintiff
pregnant was not a clear and convincing reason to find
Fourth,
the
ALJ
improperly
found
that
Plaintiff
was
not
26
credible because she had a failed work attempt after her onset date.
27
(AR 21).
28
distinguished
A failed work attempt versus the ability to work is
under
42
USC
§
422(c);
26
SSR
84-25.
A
plaintiff's
1
unsuccessful work attempt is not a clear and convincing reason to
2
conclude that her symptoms would not preclude consistent employment.
3
Lingenfelter, 504 F.3d at 1028 (ALJ erred in relying on period of
4
work
5
Accordingly,
6
convincing reason to reject Plaintiff’s pain testimony.
as
proof
that
a
Plaintiff’s
claimant’s
attempt
to
pain
work
was
is
not
not
disabling).
a
clear
and
7
Fifth, the ALJ properly found that Plaintiff’s daily activities
8
9
undermined her credibility.
claimant
10
found
11
that she was quite functional).
12
fatigue, headaches, dizziness, and lack of coordination.
13
76).
14
Plaintiff
15
washing dishes; sometimes cleaning; going to church, the grocery
16
store, and the beach; and babysitting her friend’s children four
17
times
18
Plaintiff had good exercise habits and did normal activities of
19
daily living.
20
was a clear and convincing reason to find Plaintiff not credible.
Yet,
not
during
reported
per
credible
Burch, 400 F.3d at 680 (ALJ properly
month.
a
(AR 436).
her daily
activities suggested
Plaintiff describes having severe
February
reading;
(AR
where
2013
cooking;
405).
Dr.
consultative
using
a
Horwitz
(AR 70-74,
examination,
computer;
also
sometimes
reported
that
Accordingly, Plaintiff’s daily activities
21
22
In sum, the ALJ articulated clear and convincing reasons to
23
find Plaintiff not credible: the medical evidence did not support
24
Plaintiff’s statements; Plaintiff testified that she could perform a
25
low-stress,
26
living
27
asserted.
28
not credible in citing Plaintiff’s decision to not take Rebif while
sedentary
revealed
that
job;
and
Plaintiff
Plaintiff’s
had
greater
activities
abilities
of
daily
than
she
The ALJ also provided improper reasons to find Plaintiff
27
1
pregnant and her failed work attempt.
2
such
3
convincing reasons to find Plaintiff not credible.
4
F.3d at 1162.
error
harmless,
since
the
However, the Court finds any
ALJ
provided
other
clear
and
Carmickle, 533
5
6
D.
The ALJ Properly Found Lay Witness Testimony Not Credible
7
Plaintiff
8
9
asserts
that
the
Plaintiff’s mother’s testimony.
contends
that
the
ALJ
failed
to
properly
consider
(See Joint Stip. at 24-25, 33).
10
Defendant
ALJ
provided
11
rejecting Plaintiff’s mother’s testimony.
12
germane
reasons
for
32).
(See Joint Stip. at 30-
13
14
The ALJ is required to give germane reasons for rejecting lay
15
witness
testimony.
See
Carmickle,
533
F.3d
at
1164;
Greger
v.
16
Barnhart, 464 F.3d 968, 972 (9th Cir. 2006); Lewis v. Apfel, 236
17
F.3d 503, 511 (9th Cir. 2001); Smolen, 80 F.3d at 1288-89.
18
19
Here, the ALJ gave a germane reason for rejecting Plaintiff’s
20
mother’s testimony because it was inconsistent with the objective
21
medical evidence.
22
Cir. 2015) (inconsistency with the medical evidence is a germane
23
reason for discrediting the testimony of a lay witness); Lewis, 236
24
F.3d at 511 (“One reason for which an ALJ may discount lay testimony
25
is that it conflicts with medical evidence.”); Vincent v. Heckler,
26
739 F.2d 1393, 1395 (9th Cir. 1984) (“The ALJ properly discounted
27
lay witness testimony that conflicted with the available medical
28
evidence.”).
See Bayliss v. Barnhart, 427 F.3d 1211, 1218 (9th
28
1
2
However,
the
ALJ
erred
in
discrediting
Plaintiff’s
mother’s
3
statements
4
bias. “[L]ack of medical expertise and family bias are not germane
5
reasons to reject lay witness testimony.
6
1113, 1116 (9th Cir. 2009) (ALJ cannot reject law witness testimony
7
because of lack of medical training or family bias).
8
error was harmless because he provided another germane reason to
9
reject
because
Plaintiff’s
she
lacks
mother’s
medical
testimony
expertise
and
has
familial
Bruce v. Astrue, 557 F.3d
in
finding
The ALJ’s
that
it
was
10
inconsistent with the medical record.
11
F.3d 1035, 1038 (9th Cir. 2008) (citation and quotation omitted)
12
("The court will not reverse an ALJ's decision for harmless error,
13
which exists when it is clear from the record that the ALJ's error
14
was inconsequential to the ultimate nondisability determination.").
15
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16
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17
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18
19
20
21
22
23
24
25
26
27
28
29
Tommasetti v. Astrue , 533
1
CONCLUSION
2
3
4
For the foregoing reasons, the decision of the Commissioner is
AFFIRMED.
5
6
LET JUDGMENT BE ENTERED ACCORDINGLY.
7
8
Dated: May 10, 2017
9
10
11
12
_____________/s/______________
ALKA SAGAR
UNITED STATES MAGISTRATE JUDGE
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