Stevens v. Commissioner of Social Security
Filing
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ORDER Regarding Plaintiff's Social Security Complaint And Denying Plaintiff's Request For Court Order (Docs. 20 , 27 ), signed by Magistrate Judge Barbara A. McAuliffe on 3/29/2013. CASE CLOSED.(Fahrney, E)
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UNITED STATES DISTRICT COURT
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EASTERN DISTRICT OF CALIFORNIA
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RYAN CRAIG STEVENS,
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Plaintiff,
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v.
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CAROLYN W. COLVIN, Commissioner
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of Social Security,
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Defendant.
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_____________________________________ )
Case No. 1: 12-cv-00020-BAM
ORDER REGARDING PLAINTIFF’S
SOCIAL SECURITY COMPLAINT AND
DENYING PLAINTIFF’S REQUEST FOR
COURT ORDER
(Docs. 20, 27)
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BACKGROUND
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Plaintiff Ryan Stevens (“Plaintiff”) seeks judicial review of a final decision of the
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Commissioner of Social Security (“Commissioner” or “Defendant”) denying his application for
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disability insurance benefits pursuant to Title XVI of the Social Security Act.1
The matter is
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Carolyn W . Colvin became the Acting Commissioner of Social Security on February 14, 2013.
Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Carolyn W . Colvin should be substituted for Michael
J. Astrue as the defendant in this suit.
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currently before the Court on the parties’ briefs, which were submitted, without oral argument, to
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Magistrate Judge Barbara A. McAuliffe.
FACTS AND PRIOR PROCEEDINGS2
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Plaintiff filed an application for benefits on June 3, 2007, alleging disability beginning June
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28, 2006. AR 169-172, 182-183. Plaintiff’s application was denied initially and on reconsideration.
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AR 93-103. Plaintiff failed to timely file a notice to appear before an Administrative Law Judge
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(ALJ), but showed good cause, and the agency set a hearing for July 29, 2009. AR 43-60, 104-110.
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On July 29, 2009, Plaintiff appeared before ALJ Robert Milton Erickson for a preliminary hearing.
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AR 43-60. On April 21, 2010, a second hearing was held before ALJ Benjamin F. Parks. AR
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43-88. ALJ Parks subsequently issued an order denying benefits on June 18, 2010, finding Plaintiff
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was not disabled. AR 21-30. This appeal followed.
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Medical Record
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Plaintiff’s alleged disability stems from a 2006 on the job injury. While working for a
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construction company, Plaintiff was run over by a forklift which crushed his legs, feet and pelvis.
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The entire medical record was reviewed by the Court. AR 279-480. The medical evidence will be
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referenced below as necessary to this Court’s decision.
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2009 Hearing Testimony
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ALJ Robert Milton Erickson held a preliminary hearing on July 29, 2009 in San Francisco,
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California. AR 45. Plaintiff appeared pro se. AR 43-60. Plaintiff stated that he understood his
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rights as to representation but that he wanted to proceed without a representative. AR 46. The ALJ
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first asked Plaintiff about his 2006 workers’ compensation claim. AR 46. Plaintiff stated that as a
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result of his injury and resulting worker’s compensation claim he has been to over 20 facilities. AR
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47. Plaintiff requested that the ALJ proceed to a full hearing. AR 49. Expressing reluctance to
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question Plaintiff further without the appropriate medical records, the ALJ informed Plaintiff that
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he needed full and complete clinical records supporting Plaintiff’s doctor’s opinions. AR 51.
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The ALJ continued with the hearing and after being duly sworn, Plaintiff testified that he had
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References to the Administrative Record will be designated as “AR,” followed by the appropriate
page number.
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not worked since June 28, 2006. AR 56. Plaintiff testified that he spends the majority of his time
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using his computer to complete workers’ compensation letters. AR 56. Depending on his pain,
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Plaintiff stated that he typically spends only five minutes on the computer before resting. AR 56.
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Plaintiff stated that he lives at home with his parents and the family dog. AR 57. Sometime after
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his accident, Plaintiff would walk the dog but when doing so he experienced severe pain in his feet
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and lower back. AR 58. Plaintiff has been unable to take his dog for a walk for over a year due to
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this pain. AR 57.
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With respect to other daily activities, Plaintiff testified that he drove from Tehachapi to
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Bakersfield for the hearing. AR 58. At the conclusion of the hearing, the ALJ asked Plaintiff to sign
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a release for additional medical records. The ALJ notified Plaintiff that if necessary he would order
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an additional hearing. AR 60.
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2010 Hearing Testimony
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ALJ Benjamin F. Parks held a second hearing on April 21, 2010 in San Francisco, California.
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AR 63. Plaintiff restated he did not want representation. AR 63. Plaintiff testified that at the time
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of the hearing he was 28 years old. He has his high school diploma as well as “quite a few college
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credits.” AR 64. Before his disability onset date, Plaintiff last worked in construction building steel
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buildings. AR 65. Plaintiff stated that he stopped working due to chronic pain in his feet, back, and
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hips. AR 65-73. Plaintiff expressed that his pain stems from a 2006 severe industrial injury. While
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on the job, Plaintiff was run over by a forklift which crushed his legs, feet and hip. AR 66. After
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the accident, Plaintiff was hospitalized for a few months and then spent time in a nursing home. AR
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78-79. Plaintiff testified that one of his physicians has recommended surgery. AR 70. However,
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Plaintiff refuses the procedure because his doctor cannot guarantee that surgery will alleviate his
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pain. AR 70. Plaintiff testified to alleviate his pain the only medication he takes is ibuprofen, stating
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that workers’ compensation would not provide him with a treating physician. AR 73. Plaintiff
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stated that without a primary treating physician, he cannot receive care or medication refills. AR 74.
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With respect to his activities of daily living, Plaintiff testified that on an average day he
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wakes up at 5:30 am, goes to Bakersfield Junior College from Monday through Thursday and spends
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the afternoon doing homework on his laptop in bed. AR 74-76. Plaintiff does his own shopping,
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cooking, and cleaning, and usually goes to bed around 10:00 pm. AR 76-77. Plaintiff stated he no
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longer visits friends because he cannot sit too long. AR 75, 77.
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With respect to his other physical impairments, Plaintiff stated he had problems sleeping.
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AR 77. At the hearing, the ALJ noted that most of Plaintiff’s records stopped in 2007 and requested
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that Plaintiff provide him with copies of any records after May 2007. AR 79-81.
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Thereafter, the ALJ elicited testimony from Vocational Expert, Linda Ferra. AR 81. The
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VE testified that Plaintiff previously worked in positions classified as construction worker (DOT
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869.687-026), machinist (DOT 600.380-18), yard worker (DOT 211.462-014) and cashier/checker
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(DOT 211.462-014). AR 82.
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The VE was asked to consider four hypothetical questions posed by the ALJ. AR 83. First,
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VE Ferra was asked to consider jobs a hypothetical person could complete assuming a hypothetical
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worker of Plaintiff’s age, education, and work experience capable of light work with occasional
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stooping, crawling, bending, no foot pedals and uneven surfaces. VE Ferra indicated such an
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individual could perform Plaintiff’s past relevant work as a cashier/checker. AR 83. Plaintiff could
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also perform work as a cashier II and a packaging line worker. AR 83.
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In a second hypothetical, VE Ferra was asked to consider the same individual, capable of
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light work with occasional stooping, crawling and bending, no foot pedals and uneven surfaces, but
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this person could sit for six hours and stand for two hours. AR 83. VE Ferra indicated such an
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individual could perform the full range of sedentary work including representative jobs as an
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assembler (DOT 734.687-018) and order clerk (DOT 209.567-014).
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In a third hypothetical, VE Ferra was asked to consider the same individual, capable of
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sedentary work with occasional stooping, crawling and bending, no foot pedals and uneven surfaces,
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but this person could sit for six hours and stand and walk less than two hours. AR 83. VE Ferra
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indicated such an individual could not perform any work as it exists in the national economy. AR
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84.
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In the final hypothetical, VE Ferra was asked to consider the same individual, capable of light
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work with occasional stooping, crawling and bending, no foot pedals and uneven surfaces, but this
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person could sit for six hours and stand for two hours with a mental RFC of mild activities of daily
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living, and mild for social functioning and moderately impaired for concentration, persistence and
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pace, and the person would be off task 40 to 50 percent if given detail and complex instructions as
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well as 40 to 50 percent on simple, repetitive tasks and would be incapable of an “on production”
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schedule. AR 84. VE Ferra indicated such an individual could not perform any work as it exists in
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the national economy. AR 85.
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ALJ’s Findings
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Using the Social Security Administration’s five-step sequential evaluation process, the ALJ
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determined that Plaintiff did not meet the disability standard. AR 21-30. See 20 C.F.R. § 404.1520
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(2011). At Step One, the ALJ found that Plaintiff had not worked since the alleged onset date. AR
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24. At Step Two, the ALJ found that Plaintiff had severe impairments including traumatic injury to
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pelvis and lower extremities with residual pelvic nonunion and status post right peroneal nerve
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decompression and transfer and right foot drop. AR 24-25. At Step Three, the ALJ found that
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Plaintiff’s pelvic fracture met the criteria for Listing 1.06, 20 C.F.R. 404.1520(d).
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The ALJ determined that Plaintiff was under a disability, as defined by the Act, from June
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28, 2006 through August 31, 2008. AR 25. However, using the eight-step evaluation process the
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ALJ determined that Plaintiff experienced a medical improvement as of September 1, 2008. Based
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on his review of the entire record, the ALJ determined that beginning September 1, 2008, Plaintiff
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retained the residual functional capacity (RFC) to perform light work limited to occasional stooping,
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crawling, and bending. Plaintiff cannot perform work on uneven surfaces and can only sit for 6
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hours in an 8-hour work day, and stand/walk for 2 hours in an 8-hour work day. AR 26. Given this
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RFC, Plaintiff could perform work as an assembler and order clerk. AR 29. The ALJ therefore found
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that Plaintiff was not disabled under the Social Security Act. AR 29.
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SCOPE OF REVIEW
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Congress has provided a limited scope of judicial review of the Commissioner’s decision to
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deny benefits under the Act. In reviewing findings of fact with respect to such determinations, this
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Court must determine whether the decision of the Commissioner is supported by substantial
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evidence. 42 U.S.C. § 405 (g). Substantial evidence means “more than a mere scintilla,”
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Richardson v. Perales, 402 U.S. 389, 402 (1971), but less than a preponderance. Sorenson v.
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Weinberger, 514 F.2d 1112, 1119, n. 10 (9th Cir. 1975). It is “such relevant evidence as a reasonable
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mind might accept as adequate to support a conclusion.” Richardson, 402 U.S. at 401. The record
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as a whole must be considered, weighing both the evidence that supports and the evidence that
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detracts from the Commissioner’s conclusion. Jones v. Heckler, 760 F.2d 993, 995 (9th Cir. 1985).
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In weighing the evidence and making findings, the Commissioner must apply the proper legal
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standards. E.g., Burkhart v. Bowen, 856 F.2d 1335, 1338 (9th Cir. 1988). This Court must uphold
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the Commissioner’s determination that the claimant is not disabled if the Secretary applied the
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proper legal standards, and if the Commissioner’s findings are supported by substantial evidence.
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See Sanchez v. Sec’y of Health and Human Serv., 812 F.2d 509, 510 (9th Cir. 1987).
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REVIEW
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In order to qualify for benefits, a claimant must establish that he is unable to engage in
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substantial gainful activity due to a medically determinable physical or mental impairment which has
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lasted or can be expected to last for a continuous period of not less than twelve months. 42 U.S.C.
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§ 1382c (a)(3)(A). A claimant must show that he has a physical or mental impairment of such
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severity that he is not only unable to do his previous work, but cannot, considering his age,
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education, and work experience, engage in any other kind of substantial gainful work which exists
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in the national economy. Quang Van Han v. Bowen, 882 F.2d 1453, 1456 (9th Cir. 1989). The
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burden is on the claimant to establish disability. Terry v. Sullivan, 903 F.2d 1273, 1275 (9th Cir.
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1990).
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At the outset, the Court notes that the majority of Plaintiff’s claims are incomprehensible and
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devoid of merit. In a list of twenty-two issues—many unsupported by analysis or legal argument—
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Plaintiff generally argues that the ALJ’s decision is not supported by substantial evidence. Under
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a liberal construction of Plaintiff’s briefing, the Court ascertains that Plaintiff’s individual challenges
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can be separated into four distinct issues. Plaintiff argues that the ALJ erred in (1) evaluating the
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medical evidence in the record supporting the ALJ’s finding of medical improvement; (2) assessing
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his credibility; and (3) relying on the vocational expert’s flawed testimony. Finally, Plaintiff argues
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that his case should be remanded to consider new evidence submitted to the Appeals Council.
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A.
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Plaintiff argues that the ALJ improperly evaluated the medical evidence in the record. (Doc.
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20). Specifically, Plaintiff argues that the ALJ erred in crediting the opinion of his treating physician
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Dr. Gart over the opinion of his other treating physician, Dr. Lewis who opined that Plaintiff must
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lie down to alleviate pain. Defendant responds that the ALJ’s consideration of the medical opinion
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evidence was proper.
Physician’s Opinion Evidence
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Where the issue of continued disability or medical improvement is concerned, “a
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presumption of continuing disability arises” in the claimant’s favor once that claimant has been
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found to be disabled. Bellamy v. Sec’y of Health & Human Servs., 755 F.2d 1380, 1381 (9th Cir.
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1985) (citing Murray v. Heckler, 722 F.2d 499, 500 (9th Cir. 1983)). The Commissioner has the
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“burden of producing evidence sufficient to rebut [the] presumption of continuing disability.” Id.;
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see also Murray, 722 F.2d at 500 (“The Secretary . . . has the burden to come forward with evidence
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of improvement.”). However, a reviewing court will not set aside a decision to terminate benefits
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unless the determination is based on legal error or is not supported by substantial evidence in the
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record as a whole.3 Allen v. Heckler, 749 F.2d 577, 579 (9th Cir. 1984); accord Bellamy, 755 F.2d
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at 1381.
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In this case, the ALJ reviewed the record as a whole and determined that Plaintiff
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experienced a period of disability from June 28, 2006 through August 31, 2008. AR 22. Relying
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on the medical evidence however, the ALJ found that on September 1, 2008, medical improvement
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occurred as it related to the ability for Plaintiff to perform light work, except he could not work with
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foot pedals, or uneven surfaces, could only occasionally stoop, crawl, and bend, could sit for 6 hours
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in an 8 hour day, and could stand and walk for 2 hours in an 8 hour day. AR 26.
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Cases in this Circuit distinguish among the opinions of three types of physicians: (1) those
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“Substantial evidence means more than a mere scintilla but less than a preponderance; it is such
relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Bray v. Comm’r of Soc.
Sec. Admin., 554 F.3d 1219, 1222 (9th Cir. 2009) (quoting Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995));
accord Valentine v. Comm’r of Soc. Sec. Admin., 574 F.3d 685, 690 (9th Cir. 2009). “W here the evidence as a whole
can support either a grant or a denial, [the court] may not substitute [its] judgment for the ALJ’s.” Bray, 554 F.3d at
1222 (citing Massachi v. Astrue, 486 F.3d 1149, 1152 (9th Cir. 2007)); see also Ryan v. Comm’r of Soc. Sec., 528
F.3d 1194, 1198 (9th Cir. 2008) (“‘W here evidence is susceptible to more than one rational interpretation,’ the
ALJ’s decision should be upheld.”) (quoting Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005)).
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who treat the claimant (treating physicians); (2) those who examine but do not treat the claimant
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(examining physicians); and (3) those who neither examine nor treat the claimant (nonexamining
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physicians). As a general rule, more weight should be given to the opinion of a treating source than
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to the opinion of doctors who do not treat the claimant. Winans v. Bowen, 853 F.2d 643, 647 (9th
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Cir. 1987). At least where the treating doctor’s opinion is not contradicted by another doctor, it may
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be rejected only for “clear and convincing” reasons. Baxter v. Sullivan, 923 F.2d 1391, 1396 (9th
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Cir. 1991).
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Commissioner may not reject this opinion without providing “specific and legitimate reasons”
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supported by substantial evidence in the record for so doing. Murray v. Heckler, 722 F.2d 499, 502
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(9th Cir. 1983). This can be done by setting out a detailed and thorough summary of the facts and
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conflicting clinical evidence, stating his interpretation thereof, and making findings. Magallanes v.
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Bowen, 881 F.2d 747, 751 (9th Cir.1989). The ALJ must do more than offer his conclusions. He
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must set forth his own interpretations and explain why they, rather than the doctors’, are correct.
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Embrey v. Bowen, 849 F.2d 418, 421-22 (9th Cir.1988). Therefore, a treating physician’s opinion
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must be given controlling weight if it is well-supported and not inconsistent with the other
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substantial evidence in the record. Lingenfelter v. Astrue, 504 F.3d 1028 (9th Cir. 2007).
Even if the treating doctor’s opinion is contradicted by another doctor, the
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Here, the ALJ gave the opinion of Plaintiff’s treating physician Dr. Gart great weight. Dr.
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Gart, who routinely examined Plaintiff during his recovery, found Plaintiff achieved maximum
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medical improvement as of June 20, 2008. AR 331-332, 350-351, 370-384, 386. As seen below, the
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ALJ’s decision to credit Dr. Gart’s opinion over Dr. Lewis’s opinion is based on substantial
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evidence. See 20 C.F.R. § 404.1527(d)(2) (Treating physician opinions are generally given even
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more weight.)
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On June 21, 2007, treating physician Avrom Gart, M.D., evaluated Plaintiff. AR 331-332.
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Dr. Gart noted Plaintiff has been on total temporary disability. AR 331. On examination, Plaintiff
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had mild tenderness in the thoracic paravertebral region, full range of motion of the lumbar spine and
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weakness in the right ankle. AR 331. Dr. Gart recommended continued physical therapy 3 times
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a week for the next 6 weeks and prescribed Plaintiff Vicodin for pain. AR 331. Dr. Gart
Dr. Avrom Gart
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recommended further testing before deciding on surgical intervention. AR 331-332.
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On August 7, 2007, Dr. Gart wrote another progress report from an evaluation of Plaintiff.
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AR 350-351. Dr. Gart recommended discontinuing physical therapy so Plaintiff could rehabilitate
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with at least a year of exercise at a gym. AR 350. Dr. Gart noted he believed Plaintiff would be
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totally temporarily disabled for another six weeks. AR 350.
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In January and March 2008, Dr. Gart conducted further examinations of Plaintiff. AR
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370-377. Plaintiff had a nerve decompression and transfer performed in November 2007 and
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reported he was doing better. AR 372. Plaintiff’s gait continued to be normal with no tenderness
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in the spine, hips or knees. AR 376. Furthermore, records from March 2008 noted no ankle
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instability or swelling present. AR 376-377.
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A July 29, 2008 examination from Dr. Gart stated that Plaintiff’s orthopedic report of his
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spine was normal, that Plaintiff had a 1 centimeter leg length discrepancy, but he had reached
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maximum medical improvement and could perform sedentary work. AR 384. Dr. Gart noted an
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orthopedists’ recommendation that Plaintiff be released to sedentary work activities but Plaintiff
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wished to make a case for total disability. AR 384. Dr. Gart noted that during his 50-minute visits
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with Plaintiff, Plaintiff was able to sit on the examination table without any complaints with regard
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to his back. AR 384. Giving Plaintiff the benefit of the doubt, Dr. Gart noted that although
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investigative photographs showed Plaintiff carrying a large wooden armoire with another man
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without difficulties, Plaintiff is unable to perform significant lifting in an occupational setting. AR
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382. According to Dr. Gart, Plaintiff could return to work, but should be limited to sedentary jobs.
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AR 384.
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2.
Dr. Marshal Lewis
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After the administrative hearing on April 21, 2010, Plaintiff submitted a May 25, 2010,
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one-page check list report from Marshal S. Lewis, M.D, a treating physician. In the report, Dr.
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Lewis states Plaintiff had limitations including a need to have work requiring that he mostly sit down
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and work that allows him to“lye [sic] down.” AR 265, 467.
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When presented with conflicting medical evidence, including medical opinions, it is solely
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the ALJ’s responsibility to resolve the conflict. See Morgan v. Comm’r, 169 F.3d 595, 601 (9th Cir.
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1999) (“Where medical reports are inconclusive, ‘questions of credibility and resolution of conflicts
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in the testimony are functions solely of the [ALJ]’”); Magallanes, 881 F.2d at 750 (“The ALJ is
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responsible for determining credibility and resolving conflicts in medical testimony”). “[A]n ALJ
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may discredit treating physicians' opinions that are conclusory, brief, and unsupported by the record
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as a whole, or by objective medical findings.” Batson v. Comm’r of the SSA, 359 F.3d 1190, 1195
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(9th Cir. 2004) (citing Tonapetyan v. Halter, 242 F.3d 1144, 1149 (9th Cir. 2001)); See 20 C.F.R.
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§ 404.1527(d)(3) (“The more a medical source presents relevant evidence to support an opinion,
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particularly medical signs and laboratory findings, the more weight we will give that opinion.”).
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“Generally, the more consistent an opinion is with the record as a whole, the more weight [the ALJ]
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will give to that opinion.” 20 C.F.R. § 404.1527(d)(4).
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In his opinion, the ALJ weighed Dr. Lewis’s opinion as follows:
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The undersigned gives less weight to the opinion of Dr. Lewis. In a report dated May
25, 2010, Dr. Lewis states the claimant can do mostly sit-down work, and needs to
be able to recline as needed to alleviate pain. However, Dr. Lewis’ opinion that the
claimant needs to recline is not supported by any treatment notes, and is inconsistent
with the overall evidence of record. The undersigned therefore gives this opinion
little weight.
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AR 27.
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In this case, there were conflicting opinions regarding Plaintiff’s capacity to work. The ALJ
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gave the greatest weight to the opinion of Dr. Gart, who had treated Plaintiff, and examined Plaintiff
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on numerous occasions. AR 27, 331-332, 350-351, 370-384, 386. Dr. Gart’s opinion that Plaintiff
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at least could perform sedentary work was consistent with Plaintiff’s orthopedist, consultative
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examiner Dr. Gurvey, and agency D.D.S. physicians. Unlike Dr. Gart’s opinion, the form report from
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Dr. Lewis failed to show support for the opinion. AR 27. Dr. Lewis’s opinion is also inconsistent
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with the medical evidence in the record as Plaintiff failed to present any other treatment records
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establishing treatment after August 2008.
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The ALJ was entitled to discredit Dr. Lewis’s medical opinion because it was not supported
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by medical findings and it was inconsistent with the medical record. These were appropriate
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reasons, and the ALJ was entitled to resolve the conflict between Dr. Lewis opinion and those of
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every other doctor in favor of the conclusion supported by the bulk of the objective evidence,
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including Plaintiff’s primary treating physician. Therefore, it was appropriate for the ALJ to find
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Dr. Lewis’s opinion unsupported by the treatment notes and inconsistent with the overall evidence
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of the record. Accordingly, the Court will not reverse the ALJ’s decision for failure to properly
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weigh medical opinion testimony.
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B.
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Plaintiff’s next set of arguments surrounds the ALJ’s credibility assessment. According to
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Plaintiff, the ALJ improperly rejected his testimony about the limitations caused by his impairments.
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(Doc. 20 at 24). Defendant responds that the ALJ’s credibility finding is supported by substantial
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evidence. (Doc. 24 at 10).
The ALJ Properly Found that Plaintiff was not Credible
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The ALJ made an adverse credibility finding because: (1) Plaintiff was prescribed only
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conservative medical treatment; (2) Plaintiff’s activities of daily living were inconsistent with his
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alleged degree of impairments; and (3) the objective medical evidence did not support Plaintiff’s
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subjective statements. AR 27. An ALJ must make specific findings and state clear and convincing
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reasons to reject a claimant’s symptom testimony unless affirmative evidence of malingering is
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suggested in the record. Smolen v. Chater, 80 F.3d 1273, 1283-84 (9th Cir. 1993); see also Valentine
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v. Comm’r Soc. Sec. Admin., 574 F.3d 685, 693 (9th Cir. 2009). A two step analysis applies at the
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administrative level when considering a claimant’s subjective symptom testimony. Smolen v.
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Chater, 80 F.3d at 1281. First, the claimant must produce objective medical evidence of an
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impairment that could reasonably be expected to produce some degree of the symptom or pain
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alleged. Id. at 1281-1282. If the claimant satisfies the first step and there is no evidence of
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malingering, the ALJ may reject the claimant’s testimony regarding the severity of his symptoms
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only if he makes specific findings that include clear and convincing reasons for doing so. Id. at
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1281. The ALJ must “state which testimony is not credible and what evidence suggests the
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complaints are not credible.” Mersman v. Halter, 161 F.Supp.2d 1078, 1086 (N.D. Cal. 2001) (“The
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lack of specific, clear, and convincing reasons why Plaintiff’s testimony is not credible renders it
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impossible for [the] Court to determine whether the ALJ’s conclusion is supported by substantial
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evidence”); Social Security Ruling (“SSR”) 96-7p (ALJ’s decision “must be sufficiently specific to
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make clear to the individual and to any subsequent reviewers the weight the adjudicator gave to the
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individual’s statements and reasons for that weight”).
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An ALJ can consider many factors when assessing the claimant’s credibility. See Light v.
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Soc. Sec. Admin., 119 F.3d 789, 792 (9th Cir. 1997). The ALJ can consider the claimant’s reputation
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for truthfulness, prior inconsistent statements concerning his symptoms, other testimony by the
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claimant that appears less than candid, unexplained or inadequately explained failure to seek
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treatment, failure to follow a prescribed course of treatment, claimant’s daily activities, claimant’s
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work record, or the observations of treating and examining physicians. Smolen v. Chater, 80 F.3d
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at 1284; Orn v. Astrue, 495 F.3d 625, 638 (9th Cir. 2007).
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The first step in assessing Plaintiff’s subjective complaints is to determine whether Plaintiff’s
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condition could reasonably be expected to produce the pain or other symptoms alleged. Lingenfelter,
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504 F.3dat 1036. Here, the ALJ identified several of Plaintiff’s impairments as severe impairments.
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AR 25. He further found that:
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After careful consideration of the evidence, the undersigned find that the claimant’s
medically determinable impairments could reasonably be expected to produce the
alleged symptoms; however the claimant’s statements concerning the intensity,
persistence, and limiting effects of these symptoms are not credible beginning on
September 1, 2008, to the extent they are inconsistent with the residual functional
capacity assessment.
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AR 27.
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This finding satisfied step one of the credibility analysis. Smolen v. Chater, 80 F.3d at 1281-1282.
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Second, “in order to disbelieve a claim of excess pain, an ALJ must make specific findings
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justifying that decision.” Fair v. Bowen, 885 F.2d 597, 601 (9th Cir. 1989). The findings must
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convincingly justify the ALJ’s rejection of the plaintiff’s excess pain testimony. Id. at 602.
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However, an ALJ cannot be required to believe every allegation of disabling pain. “This holds true
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even where the claimant introduces medical evidence showing that he has an ailment reasonably
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expected to produce some pain.” Id. at 603.
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Specifically, here ALJ Parks made the following findings:
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The claimant states that he takes ibuprofen because workers’ compensation will not
allow him other medication. The claimant states that his workers’ compensation case
is still open but they are not giving him any more medical treatment.
...
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27
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The claimant testified that on a typical day he fixes breakfast and goes to school at
a junior college. He wants to work in agribusiness. After school he goes home and
does homework on a laptop while lying down on his bed. He does all of this own
shopping, cooking, and housecleaning. He has difficulty sleeping at night. The
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1
claimant stated that he has [been] see[ing] doctor[s] since 2007.
2
After careful consideration of the evidence, the undersigned finds that the claimant’s
medically determinable impairments could reasonably be expected to produce the
alleged symptoms; however the claimant’s statements concerning the intensity,
persistence, and limiting effects of these symptoms are not credible beginning on
September 1, 2008, to the extent they are inconsistent with the residual functional
capacity assessment.
3
4
5
6
7
8
9
In terms of the claimant’s alleged functional limitations due to pain, the undersigned
notes that claimant’s statements of disability are inconsistent with claimant’s stated
activities of daily living. The claimant has noted that he was able to hang Christmas
tree lights from the eaves of his house. He has also been able to carry a bucket of hay
to feed his horse. The claimant testified to doing his own shopping, cooking, and
housecleaning. All these activities are inconsistent with a finding that the claimant
is significantly limited in his ability to sit, stand, and walk. In addition, the claimant
is taking classes at junior college, which indicated the ability to sit, for a period of
time, maintain attention and concentration, and follow through on instructions.
10
11
12
13
14
The undersigned notes that at the hearing the issue of more recent medical treatment
was discussed, as the file has no evidence of treatment after August 2008. At the
hearing, the claimant states that he had had further medical treatment and would
provide those records. The undersigned notes that the record was held open for 30
days. During that time the claimant submitted only one item of evidence, which was
a treating physician’s opinion. No records of treatment were submitted.
AR 26, 27. (Citations omitted).
15
The ALJ provided a number of clear and convincing reasons that are supported by the record
16
when concluding Plaintiff’s subjective symptom testimony was not credible. First, the ALJ noted
17
that Plaintiff currently receives only conservative treatment, which involves taking ibuprofen when
18
he is in pain. AR 26, 73. Plaintiff testified he was not taking any prescription pain medication or
19
undergoing any other treatment for pain beyond September 2008, which casts serious doubt on his
20
allegations of disabling pain. Such conservative treatment is evidence that Plaintiff’s claims of
21
disability are not credible. See Meanel v. Apfel, 172 F.3d 1111, 1113 (9th Cir. 1999) (subjective pain
22
complaints properly discredited where claimant received “minimal” and “conservative” treatment);
23
Burch, 400 F.3d at 681 (finding lack of consistent treatment “powerful evidence” that a plaintiff’s
24
claims of disability are not credible). While Plaintiff stated his workers’ compensation would not
25
give him any more treatment other than ibuprofen, (AR 26, 73) when the ALJ asked Plaintiff why,
26
Plaintiff did not have an explanation. AR 73-74. To the contrary, the record here shows Plaintiff
27
was given substantial treatment through his workers’ compensation. Indeed, Plaintiff testified at the
28
hearing that he has been to over 20 facilities. AR 55. Plaintiff was only treated with ibuprofen even
13
1
though he testified the workers’ compensation process was still ongoing. AR 26, 74. Despite having
2
an open workers’ compensation case where Plaintiff had received treatment from numerous doctors,
3
since August 2008, the record shows Plaintiff receives only conservative treatment for his
4
impairment. This evidence is sufficient to sustain the ALJ’s conclusion that Plaintiff’s claims of
5
disability are not credible.
6
Second, Plaintiff’s daily activities during the relevant time period were inconsistent with his
7
allegations of disabling symptoms. See 20 C.F.R. § 404.1529(c)(3)(i); Rollins v. Massanari, 261
8
F.3d 853, 857 (9th Cir. 2001) (allegation of disability undermined by testimony about daily
9
activities). The ALJ found Plaintiff’s significant daily activities, including going to school 4 days
10
a week, inconsistent with Plaintiff’s claims that he could only sit for 10-15 minutes. AR 27. See
11
Molina v. Astrue, 674 F.3d 1104, 1112-1113 (9th Cir. 2012) (ALJ may consider “whether the
12
claimant engages in daily activities inconsistent with the alleged symptoms”). The ALJ also found
13
Dr. Gart’s observation that Plaintiff could sit at the examination table for 50 minutes without back
14
complaints inconsistent with Plaintiff’s claims of disability. AR 27, 384. The ALJ rationally
15
inferred that this evidence was inconsistent with disabling symptoms. AR 27; See Burch v.
16
Barnhart, 400 F.3d 676, 680-81 (9th Cir. 2005) (“[a]lthough the evidence of Burch’s daily activities
17
may also admit of an interpretation more favorable to Burch,” the ALJ’s decision must be upheld
18
where the evidence is susceptible to more than one rational interpretation).
19
Finally, the ALJ noted that there was sparse objective medical evidence to support Plaintiff’s
20
claims of disabling pain. An ALJ is entitled to consider whether there is a lack of objective medical
21
evidence to corroborate a claimant’s subjective symptoms, so long as it is not the only reason for
22
discounting the claimant’s credibility. Bunnell v. Sullivan, 947 F.2d 341, 345 (9th Cir. 1991). Here,
23
the ALJ noted that “the file has no evidence of treatment after August 2008.” AR 27. The ALJ
24
further stated that even after holding the record open for 30 days, Plaintiff only submitted one
25
additional report from Dr. Lewis, which contained no treatment records. AR 27. In examining the
26
objective evidence, the ALJ detailed that all of the medical evidence for the relevant time period with
27
the exception of Dr. Lewis’s report indicated that Plaintiff was capable of performing at least
28
sedentary work, including Plaintiff’s treating physician, Dr. Gart.
14
1
Given the considerations made by the ALJ, the ALJ properly made “a credibility
2
determination with findings sufficiently specific to permit the court to conclude the ALJ did not
3
arbitrarily discredit [the] claimant’s testimony.” Thomas v. Barnhart, 278 F.3d 947, 958 (9th Cir.
4
2002). Consequently, the adverse credibility determination was proper.
5
C.
6
Next, Plaintiff attempts to challenge the ALJ’s step five determination asserting that the VE’s
7
testimony conflicts with the ALJ’s RFC. The ALJ found that Plaintiff could stand/walk for 2 hours
8
in an 8 hour day, and he could perform the requirements of representative jobs such as assembler,
9
DOT 734.687-018 and order clerk, DOT 209.567-014.4 Plaintiff disagrees, arguing that the
10
“packing line worker” job involves occasional standing and walking (up to one-third of the time).
11
According to Plaintiff, it was error for the ALJ to find that he could complete the “packing line” job
12
because occasional standing and walking would require more walking/standing than 2 hours in an
13
8 hour day.
14
two words available for the ALJ’s use in an RFC to describe the ability of a claimant to perform
15
“exertional activities:” occasionally and frequently. See 1983 SSR LEXIS 30. The word
16
“occasionally” is defined as “occurring from very little up to one-third of the time,” while
17
“frequently” is defined as “occurring from one-third to two-thirds of the time.” 1983 SSR LEXIS
18
30; see also Sparkman v. Astrue, 2009 U.S. Dist. LEXIS 70968, at * 8-9, n.1 (E.D. Cal. Aug. 12,
19
2009). The ALJ found that Plaintiff had the ability to stand/walk for 2 hours in a day—an amount
20
well within the range covered by the word “occasionally.” Further, it is well established that an
21
ability to stand and walk for 2 hours is equivalent to sedentary work. AR 338. See, e.g., Blair v.
22
Astrue, 2013 U.S. Dist. LEXIS 11954 (C.D. Cal. 2013) (finding ability to walk for no more than two
23
hours of an eight-hour day, is not inconsistent with a sedentary RFC); Cortes v. Astrue, 2013 U.S.
24
Dist. LEXIS 15658 (E.D. Cal. 2013) (same). The VE listed two jobs that exist in significant
25
numbers in the national economy. AR 83-84. A review of these jobs show they are consistent with
26
the ALJ’s RFC as they mostly consist of sitting. Id. See DOT 209.567-014, 734.687-018. Given
The ALJ Did Not Err at Step Five
Plaintiff’s argument is unpersuasive. Excluding “constantly” or “never,” there are
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28
4
Both jobs are classified in the Dictionary of Occupational Titles as sedentary.
15
1
Plaintiff’s RFC, the ALJ did not err by relying on the vocational expert’s testimony concerning
2
Plaintiff’s ability to perform other work. Remand is not warranted on this issue.
3
D.
4
Finally, Plaintiff argues that the Appeals Council erred by failing to provide any analysis or
5
relevant comment to the new evidence Plaintiff submitted after the ALJ rendered his decision.
6
Plaintiff alleges that because the Appeals Council did not properly “articulate its rational for denying
7
the request for review,” it cannot be determined whether substantial evidence supports the denial of
8
benefits.” (Doc. 20 at 14). Plaintiff also argues that his new evidence is material and warrants
9
remand of the ALJ’s decision.
Additional Evidence Submitted to the Appeals Council
10
After the ALJ denied Plaintiff’s application for benefits, Plaintiff submitted to the Appeals
11
Council documentation from Drs. Moon and Schleusner. Plaintiff’s new evidence consists of a letter
12
from Dr. Moon recommending that Plaintiff be allowed to lie down periodically while working in
13
order to alleviate pain, and a letter from Plaintiff’s treating physician Dr. Schleusner again stating
14
that Plaintiff must lie down throughout the day. (Doc. 20 at 15). The Appeals Council “found no
15
reason under our rules to review the Administrative Law Judge’s decision” and denied Plaintiff’s
16
request for review. AR 10. The Council noted that it had “considered the reasons [Plaintiff]
17
disagrees with the decision and the additional evidence,” but it did not otherwise discuss the
18
evidence. See AR 10.
19
The Court “[does] not have jurisdiction to review a decision of the Appeals Council denying
20
a request for review of an ALJ’s decision, because the Appeals Council decision is a non-final
21
agency action.” Brewes v. Comm’r of Soc. Sec. Admin., 682 F.3d 1157, 1161 (9th Cir. 2012) (citing
22
Taylor v. Comm’r of Soc. Sec. Admin., 659 F.3d 1228, 1231 (9th Cir. 2011)). Thus, to the extent
23
Plaintiff asks this Court to reverse the Appeals Council’s denial of review because the Council failed
24
to provide its own independent discussion of the new evidence, the Court lacks jurisdiction to do so.
25
To the extent Plaintiff argues that the new evidence by itself warrants remand of the ALJ’s
26
decision, it does not. “New and material evidence” that is “submitted to and considered by the
27
Appeals Council is not new but rather is part of the administrative record properly before the district
28
court.” Brewes, 682 F.3d at 1164; see also Tackett v. Apfel, 180 F.3d 1094, 1097-98 (9th Cir. 1999).
16
1
The Court therefore “must” consider that evidence “when reviewing the Commissioner’s final
2
decision for substantial evidence.” Brewes, 682 F.3d at 1163 (citing Tackett, 180 F.3d at 1097-98).
3
The additional letter’s from Drs. Moon and Schleusner were made part of the record by the Appeals
4
Council, and therefore the Court must consider it in “determin[ing] whether, in light of the record
5
as a whole, the ALJ’s decision was supported by substantial evidence.” Brewes, 682 F.3d at 1163.
6
The additional evidence from Plaintiff is not supported by treatment notes and is inconsistent
7
with the overall evidence of the record. Most critically, neither letter from Drs. Moon or Schleusner
8
indicate that Plaintiff was examined after August 2008. This evidence is insubstantial for the same
9
reason that the ALJ rejected the opinion of Dr. Lewis, in favor of Plaintiff’s treating physician, Dr.
10
Gart. The ALJ rejected Dr. Lewis’s opinion as follows:
11
The undersigned gives less weight to the opinion of Dr. Lewis. In a report dated May
25, 2010, Dr. Lewis states that the claimant can do mostly sit-down work, and needs
to be able to recline as needed to alleviate pain. However, Dr. Lewis’ opinion that
the claimant needs to recline is not supported by any treatment notes, and is
inconsistent with the overall evidence of the record. The undersigned therefore gives
this opinion little weight.
12
13
14
AR 27.
15
There are no treatment records from Drs. Moon or Schleusener after August 2008 supporting
16
these opinions. Both opinions simply state that it would be ideal if Plaintiff could lie down
17
throughout the work day. Due to the lack of objective evidence supporting their opinions, the ALJ
18
was free to rely on the opinion of Plaintiff’s treating physician. The ALJ noted that Dr. Gart had
19
seen Plaintiff numerous times and agreed that after June 2008, Plaintiff could return to work.
20
Based on the review of the entire record, including the additional documents given to the
21
Appeals Council, the Court finds the ALJ’s decision is based on substantial evidence. The new
22
evidence before the Appeals Council does not indicate whether it relates to the relevant time period,
23
and more importantly it is not supported by objective clinical findings or treatment records.
24
Therefore, the evidence does not provide a basis for reversing the ALJ’s decision.
25
E.
26
On February 14, 2013, Plaintiff filed a “Motion for the Court to Order Dr. Gart to restate his
27
final opinion regarding Plaintiff’s work restrictions as it is unprofessional.” (Doc. 27). According
28
to Plaintiff, he has asked Dr. Gart to restate his July 31, 2008 opinion, but Dr. Gart has failed to do
Plaintiff’s Request for Court Order
17
1
so. (Doc. 27 at 2). Plaintiff’s motion is DENIED. The ALJ made no finding that the evidence was
2
ambiguous or that the record was inadequate to allow for proper evaluation. See Mayes v.
3
Massanari, 276 F.3d 453, 459-60 (9th Cir. 2001) (“An ALJ’s duty to develop the record further is
4
triggered only when there is ambiguous evidence or when the record is inadequate to allow for
5
proper evaluation of the evidence.”). In addition, as noted above, the ALJ kept the record open for
6
30 days to allow Plaintiff to submit additional evidence. AR 27; see Tonapetyan, 242 F.3d at 1150
7
(ALJ satisfies duty to develop record by keeping the record open to allow supplementation). Further,
8
plaintiff has not shown that this Court has jurisdiction over Dr. Gart. Here, even assuming the Court
9
has jurisdiction over Dr. Gart, the record has been fully developed, and there is no need for
10
additional clarification from Dr. Gart. For these reasons, Plaintiff’s Motion for a court order re Dr.
11
Gart is DENIED. (Doc. 27).
12
CONCLUSION
13
Based on the foregoing, the Court finds that the ALJ’s decision is supported by substantial
14
evidence in the record as a whole and is based on proper legal standards. Accordingly, this Court
15
DENIES Plaintiff’s appeal from the administrative decision of the Commissioner of Social Security.
16
The Clerk of this Court is DIRECTED to enter judgment in favor of Defendant Carolyn W. Colvin,
17
Commissioner of Social Security and against Plaintiff, Ryan Stevens.
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19
IT IS SO ORDERED.
Dated:
10c20k
March 29, 2013
/s/ Barbara A. McAuliffe
UNITED STATES MAGISTRATE JUDGE
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