Valero v. Commissioner of Social Security
Filing
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ORDER on Plaintiff's Complaint, signed by Magistrate Judge Sheila K. Oberto on 3/16/15. CASE CLOSED. (Verduzco, M)
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UNITED STATES DISTRICT COURT
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EASTERN DISTRICT OF CALIFORNIA
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ERICA VALERO,
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Case No. 1:13-cv-01815-SKO
ORDER ON PLAINTIFF'S COMPLAINT
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Plaintiff,
(Doc. Nos. 1, 15)
v.
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CAROLYN W. COLVIN,
Acting Commissioner of Social Security,
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Defendant.
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____________________________________
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INTRODUCTION
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Plaintiff Erica Valero ("Plaintiff") seeks judicial review of a final decision of the
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22 Commissioner of Social Security (the "Commissioner" or "Defendant") denying her application
23 for Disability Insurance Benefits ("DIB") benefits pursuant to Title II of the Social Security Act.
24 42 U.S.C. § 405(g). The matter is currently before the Court on the parties' briefs, which were
25 submitted, without oral argument, to the Honorable Sheila K. Oberto, United States Magistrate
26 Judge.1
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The parties consented to the jurisdiction of a U.S. Magistrate Judge. (Docs. 7, 8.)
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FACTUAL BACKGROUND
Plaintiff filed an application for DIB on August 19, 2010, alleging disability beginning on
3 December 1, 2007, due to carpal tunnel, depression, anxiety, shoulder problems, neck pain,
4 headaches, insomnia, fatigue, panic attacks, and arthritis. (AR 191.)
5 A.
Relevant Medical Evidence
6
In November 2010, Plaintiff was evaluated by workers' compensation physician, William
7 J. Previte, D.O., regarding Plaintiff's claim for an injury she sustained while working as an office
8 assistant. (AR 718-32.) Dr. Previte completed a detailed history of Plaintiff's medical care and
9 work history. Plaintiff stated she worked as an office assistant approximately 4 to 5 days per
10 week, 8 to 10 hours a day. (AR 718.) She began experiencing symptoms in December 2007
11 which included numbness, tingling, and pain in her wrists that over time radiated to her shoulders.
12 (AR 718.) She went to see her primary care physician, and she was referred for electro diagnostic
13 studies. (AR 718.) Plaintiff reported those studies were abnormal and she filed a workers'
14 compensation claim in January 2008. She continued to work through this time period, but when
15 she began treatment through the workers' compensation system, she was "taken off" work by the
16 doctors, which occurred at some time in early 2008. (AR 718.)
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In January 2008, it was noted that pain was increasing in her left arm and Plaintiff was
18 referred to neurosurgery. (AR 719.) She was also referred for evaluation of a sleep disorder, but
19 the study detected no sleep disorder. (AR 719.)
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In March 2008, Plaintiff was examined by Tomas B. Rios, M.D., as part of her workers'
21 compensation claim, and Plaintiff described hand and neck pain with bilateral hand numbness.
22 Examination showed positive Durkan's, Tinel's, and Phalen's tests, with symptoms greater on the
23 left than the right. She was diagnosed with subacute cervical strain, bilateral wrist tendonitis,
24 bilateral carpal tunnel syndrome, and situational anxiety. (AR 720.) The treatment plan was to
25 request authorization for chiropractic visits, wrist splints on each arm, medication, and cervical X26 rays. (AR 720.)
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In April 2008, Plaintiff underwent a comprehensive medical evaluation with Dr. Rios.
28 (AR 720.) The examination revealed positive carpal tunnel signs and Plaintiff was diagnosed with
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1 cervical strain secondary to cumulative injuries occurring during employment. (AR 720.) The
2 plan was to pursue hand surgery with Dr. Thomas E. Hoyt and to follow up with a magnetic
3 resonance imaging scan ("MRI") of the cervical spine if surgery did not relieve these symptoms.
4 (AR 720.)
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Plaintiff underwent carpal tunnel release surgery on her left hand in April 2008. (AR 322,
6 718.) On April 23, 2008, Dr. Hoyt reported that Plaintiff was seen for follow-up after her left
7 carpal tunnel release surgery, and she was "doing extremely well" following the operation. (AR
8 322.) He noted that her motor and sensory functions were improved "dramatically," and he would
9 see her again for follow-up in the future. (AR 322.)
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On May 15, 2008, Plaintiff followed up with Dr. Hoyt, who noted she was "recovering
11 nicely after her left carpal tunnel release." (AR 297.) Although Plaintiff still had numbness in her
12 median nerve, the pain was "now gone." (AR 297.) Dr. Hoyt also indicated that Plaintiff "still has
13 carpal tunnel symptoms in the right hand, primarily numbness and tingling, but not pain."
14 Although Dr. Hoyt discussed surgery for her right hand, he stated Plaintiff wanted to see "how
15 well the hand therapy works on the left side." (AR 297.) Plaintiff was to follow-up with Dr. Hoyt
16 after completing her therapy. (AR 297.)
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In May 2008, Plaintiff returned to see Dr. Rios and reported persistent left neck and arm
18 pain. (AR 720.) By July 2008, although physical therapy had been completed, Plaintiff still
19 continued to report bilateral hand, neck, and shoulder pain. (AR 720.) She declined carpal tunnel
20 release surgery on her right hand. (AR 720.) She was returned to modified work duty and was
21 noted to be "weaning" off medication. (AR 720.)
In July 2008, Plaintiff followed up with Dr.
22 Hoyt after completing hand therapy. (AR 294.) She no longer had any significant tenderness over
23 the incision on her left hand, and she had good motor and sensory function in the median nerve
24 distribution in the hand. (AR 294.) Plaintiff indicated her right hand was "not bothering her as
25 badly as it once did," and Dr. Hoyt urged her to contact him in the future should the right hand
26 begin to bother her and she could do the right carpal tunnel release. (AR 294.) In August 2008,
27 Plaintiff was released back to full work duty. (AR 720.)
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On August 28, 2008, Plaintiff was examined again by Dr. Rios in connection with her
2 workers' compensation claim. (AR 1182-95.) Dr. Rios reviewed Plaintiff's medical file and
3 conducted an examination. (AR 1182.) At the time of her examination, Plaintiff was four and a
4 half months post-carpal tunnel surgery on her left hand with no further change in her symptoms.
5 (AR 1183.) Dr. Rios noted Plaintiff had refused surgery on her right hand, and she was presenting
6 to Dr. Rios for her final examination and disposition of her claim. (AR 1183.) Plaintiff reported
7 that she had an ache in her left hand with dull pain. Plaintiff denied any sensory deficits in her
8 hands at that time, and she indicated her left hand felt weak with grasping and heavy lifting
9 activities. (AR 1183.) Dr. Rios provided the following comments and discussion based on his
10 review of the record and examination findings:
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At this point in time, this patient continues to have ongoing subjective complaints
of bilateral hand pain, which is described as an "ache" increasing to a "dull pain"
with prolonged use (L>R). There is full range of motion about the hands and
wrists. All orthopedic signs and tests were essentially unremarkable. There does
appear to be some sensory deficits in the wrists/hands (R>L), which in my clinical
judgment could be expected. It is my opinion that her ongoing subjective
pain/discomfort is reasonable and proportional to her activity level.
Pursuant to the absence of any further improvement, and her refusal of surgery on
the right hand, it is my opinion that Erica Valero has attained maximum medical
improvement. Her ongoing subjective would be best described as intermittent
mild to slight, and is not labor disabling. She was released [] back to usual and
customary work, effective today, August 28, 2008.
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In April 2009, Plaintiff again saw Dr. Rios and reported increased cervical stiffness and a
21 flare up of the left wrist. Medication was dispensed and the plan was for Plaintiff to continue with
22 full duty work detail. (AR 721.) In July 2009, Plaintiff reported that she was unable to perform
23 her modified work with the right hand, and it was noted she was awaiting surgery. (AR 721.)
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On September 11, 2009, Plaintiff was again examined by Dr. Rios who noted Plaintiff was
25 experiencing an acute flare up of her right wrist and she wished to schedule surgery on her right
26 hand. (AR 1203.) She was fitted with a right-wrist splint, and Dr. Rios noted her employer stated
27 there was modified work she could perform. (AR 1203.)
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In October 2009, an electromyogram and nerve conduction velocity study ("EMG/NCV")
2 study indicated mild to moderate right carpal tunnel syndrome affecting sensory and motor
3 components. (AR 721.) Plaintiff again saw Dr. Rios and complained of persistent right upper
4 extremity pain, but she was instructed to return to work on modified duty and to perform no work
5 with her right hand until November 15, 2009. (AR 721, 1204.)
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In October 2009, Plaintiff was also examined by Catalina Dureza, M.D., who diagnosed
7 Plaintiff with bilateral carpal tunnel syndrome, left-shoulder impingement, and a mood disorder.
8 (AR 722.) The treatment plan included a right-hand carpal tunnel release, MRI testing of the left
9 shoulder, and an EMG/NCV. (AR 722.)
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Upon examination with Dr. Previte in November 2010, Plaintiff reported stiffness and
11 tightness in her neck with pain radiating toward her shoulders bilaterally and headaches. She also
12 continued to note weakness in gripping and grasping with numbness and tingling in both hands
13 and rated her pain as an 8 out of 10. (AR 723-24.) Plaintiff reported her left carpal tunnel release
14 had resulted in only limited benefit, and she was still awaiting her right hand carpal tunnel release
15 surgery. (AR 723.) Although Plaintiff reported independence in her activities of daily living, she
16 noted she required help with such items as laundry and preparation of meals. Dr. Previte noted
17 Plaintiff's non-specialized hand functions such as gripping, grasping, twisting and torqueing were
18 compromised, and Plaintiff was also compromised in her ability to perform fine manipulation such
19 as writing or typing. (AR 724.) Dr. Previte noted Plaintiff appeared to have low-grade bursitis in
20 her shoulders, right side slightly worse than left. (AR 727.) Dr. Previte opined Plaintiff was
21 currently temporarily partially disabled:
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She is precluded from repetitive forceful use of both upper extremities as well as
prolonged fine manipulation with both upper extremities. I would allow her a 5minute break from fine motor skill functions in both upper extremities such as
typing, writing or fingering type movements each hour. Temporary total disability
between [January 2008] and [August 2008] would seem to have been indicated and
appropriate in relationship to this industrial injury.
26 (AR 731.) Dr. Previte also made treatment recommendations:
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I believe that Ms. Valero should undergo right carpal tunnel release surgery. In the
postoperative period, therapeutic intervention with modalities and physical therapy
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for the bilateral upper extremity, wrists and hands as well as the cervicotrapezius
area would appear to be indicated. At an appropriate point as determined by her
Primary Treating Physician, her condition could be considered at maximum
medical improvement, and I would be happy to either reevaluate her for discussion
of permanent impairment issues, or review pertinent information in discussion
such.
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5 (AR 732.)
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On December 27, 2010, Plaintiff underwent right hand/wrist carpal tunnel release surgery.
7 (AR 1099.)
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On January 21, 2011, state agency non-examining physician E. Wong, M.D., evaluated
9 Plaintiff's medical records and assessed her condition. (AR 774-78.) Dr. Wong opined Plaintiff
10 could lift/carry 20 pounds occasionally and 10 pounds frequently; could stand, walk, or sit for
11 approximately six hours in an eight-hour workday; and she could only push or pull with her upper
12 extremities occasionally, secondary to the pain from her shoulder tendinitis and mild
13 osteoarthritis. (AR 775.) Dr. Wong found Plaintiff limited to only occasional balancing and
14 crawling, but that she could frequently climb, stoop, kneel, or crouch. (AR 776.) Plaintiff was
15 also limited in her ability to reach overhead with her left arm, as well as in her ability to perform
16 gross or fine manipulation with her right hand. (AR 776.)
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Kaiser Permanente treating records show Plaintiff sought treatment for depression and
18 anxiety in July 2011. (AR 851.) She reported to her physician that her depression and anxiety
19 stemmed from the pain in her arms and wrists due to her carpal tunnel syndrome. (AR 851.) She
20 also reported that she was released to return to work by her workers' compensation doctor on July
21 18, 2011. (AR 851.) The treatment plan included continued psychotherapy as well as medication
22 management. (AR 853.) It was noted that Plaintiff was already taking Xanax and Celexa as
23 prescribed by her primary care physician. (AR 853.)
24 B.
Administrative Proceedings
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The Commissioner denied Plaintiff's application initially and again on reconsideration;
26 consequently, Plaintiff requested a hearing before an Administrative Law Judge (“ALJ”). (AR 7127 91, 100-07.) A hearing was held on June 15, 2012, before an ALJ where Plaintiff testified with
28 the assistance of counsel, and a Vocational Expert ("VE") also gave testimony. (AR 33-70.)
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Plaintiff testified she is 32 years old, single, and has two children ages 5 and 11. (AR 39-
Plaintiff's Hearing Testimony
3 40.) She cares for her children with help from their father as well as Plaintiff's mother who also
4 lives with her. (AR 40.) She has a driver's license and she drives once or twice a day to take her
5 children to school. Her treating physician Dr. Durazo treats her carpal tunnel syndrome, cervical
6 pain syndrome, herniated disc, and her headaches. (AR 42.) She follows up with Dr. Durazo
7 every month to two months. (AR 42.) Plaintiff currently takes prescriptions for Omeprazole,
8 Hydrocodone with acetaminophen, Zoloft, and Xanax. (AR 43.) Her prescription for Risperdal
9 has been replaced with another muscle relaxer. (AR 44.) Plaintiff continues to have pain in her
10 lower back which her doctors attribute to a herniated disc and they have recommended surgery.
11 (AR 44.) The pain in her lower back radiates to her legs all the way down to her feet, and she
12 experiences numbness every day. (AR 44-45.) Her daily pain is an eight on a scale of one to 10,
13 but laying down decreases the pain to a five or a six. (AR 46.)
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Plaintiff also experiences panic attacks, anxiety, and depression.
(AR 46.)
She
15 experiences panic attacks about once a week and they cause her to cry, become irritated,
16 experience dizziness and heavy breathing; they are accompanied by numbness and tingling in her
17 feet and hands. (AR 46-47.) The depression causes her to feel fatigued every day.
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She can stand in one place without moving for about 15 minutes at a time, she can walk for
19 no more than 30 minutes, and in an eight-hour day she can walk or stand no more than two hours
20 total. (AR 47.) She can sit for approximately one hour at a time, but not more than two hours
21 total in an eight-hour day. (AR 47.) She can lift no more than approximately 10 pounds. She is
22 able to dress herself, bath, and cook light meals. (AR 48.) She does some shopping about twice a
23 month, does laundry two to three times per week with help from her daughter, and her mother
24 washes the dishes. (AR 49.) She is able to make her bed, but she cannot vacuum because it is too
25 painful, and she does not take out the garbage or work in the yard. (AR 49.) On a typical day, she
26 takes her children to school, returns home, takes medication, and goes back to sleep. (AR 49.)
27 After napping, she will eat, watch television, pick up the children in the afternoon, take more
28 medication, watch more television, and then make dinner. (AR 49.)
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Plaintiff completed high school and attended approximately 18 months of college; she
2 feels she could not continue her college education due to her anxiety. (AR 50.) Her household
3 income is limited to food stamps. She last worked in October 2009 for "HHSA." She developed
4 carpal tunnel while on the job which she was able to work through until October 2009. (AR 52.)
5 She quit working due to the pain in her hands, arms, and shoulders, headaches, depression, and
6 anxiety. (AR 53.) She feels she cannot work now because she is in pain, and it is difficult to
7 move around. Her depression also causes her fatigue. (AR 54.) She has no motivation to work
8 because her medication makes her sleepy and drowsy – she "can't function when [she's] on
9 medication." (AR 54.)
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Her back pain makes it difficult for her to wake up in the morning – it is still painful and
11 "kind of locks up." (AR 55.) If she dropped a coin, she would not bend over to pick it up; she
12 does not climb stairs because of the pain, and she does no lifting over her head because it causes
13 pain in her shoulders. (AR 56.) She experiences numbness and tingling in her arms, and they
14 become swollen at times. (AR 57.) The pain in her hands is constant and Plaintiff rates her level
15 of pain at a five, but the pain increases when she uses her hands for activities such as combing her
16 hair or eating. (AR 59.)
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Plaintiff spends the majority of her time in bed, and five to six hours each day is spent
18 lying or sitting down with her legs elevated. (AR 59.) She naps about three hours of that time,
19 and she cries about once or twice a week. (AR 60.) About twice a week, Plaintiff's children are
20 taken to school by their father when Plaintiff cannot do it.
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The VE characterized Plaintiff's past relevant work as that of a fast food worker and of a
Testimony of Vocational Expert
23 routine office clerk. (AR 64.) The ALJ then posed several hypothetical questions for the VE's
24 consideration. The ALJ first asked the VE to consider a person of Plaintiff's age, education, and
25 with her work experience. The VE was to assume this person was precluded from repetitive,
26 forceful use of both upper extremities as well as from prolonged fine manipulation with both
27 upper extremities; this person would need a five-minute break from fine motor skill functions in
28 both upper extremities such as typing, writing, or fingering movements each hour. (AR 64.) The
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1 VE testified that such a person could not perform Plaintiff's past relevant work, and there would be
2 no other work that such a person could perform. (AR 65.)
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In a second hypothetical, the VE was asked to assume a person of Plaintiff's age and with
4 her education and work history who was moderately limited in the ability to understand and
5 remember detailed tasks or carry out detailed instructions. The ALJ defined moderate as being 20
6 percent "off task." (AR 65.) The VE testified that such a person would not be able to perform
7 Plaintiff's past relevant work, but could perform other work as a fast food worker. (AR 65.) The
8 ALJ then altered the hypothetical and defined moderate as being off task 10 percent of the time.
9 (AR 65.) The VE testified such a person would retain the ability to be a fast food worker, and
10 could do Plaintiff's past relevant work as an office clerk under the modified definition of
11 moderate. (AR 66.)
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In a third hypothetical, the ALJ asked the VE to consider someone of Plaintiff's age and
13 with her education and work history. This person would also be limited to carrying out simple,
14 repetitive, and routine tasks on a sustained basis, but may have moderate limitations performing
15 detailed or technical instructions. The person could relate with coworkers, supervisors, and the
16 general public and could adapt to common stressors and changes associated with an unskilled
17 work environment. (AR 66.) The VE testified such a person could work as a fast food worker,
18 but could not perform work as a routine office clerk. (AR 66.)
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The ALJ posed a fourth hypothetical assuming someone of Plaintiff's age, and with the
20 same education and work history as Plaintiff who could lift 20 pounds only occasionally and 10
21 pounds frequently; stand and walk six hours out of an eight-hour workday; sit six hours out of an
22 eight-hour day; was limited to pushing and pulling in the left upper extremity to occasionally;
23 could occasionally climb ladders, ropes, or scaffolds, but could frequently climb ramps or stairs,
24 balance, stoop, kneel, crouch, or crawl; limited to occasional overhead reaching in the left upper
25 extremity; and perform basic handling and fingering with the right upper extremity with no
26 limitations in the left upper extremity. (AR 66-67.) The VE testified this person could perform
27 Plaintiff's past relevant work.
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Plaintiff's counsel asked a follow-up question regarding a hypothetical worker who would
2 be moderately limited by being off task 20 percent of the time. (AR 67.) Plaintiff's counsel asked
3 whether there would be work available if this person were to miss four days out of a typical
4 month. The VE testified there would be no work available if a person missed that amount of work
5 each month. (AR 68.)
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Plaintiff's counsel also asked whether a person limited in the manner as posed in
7 hypothetical four who required two additional unscheduled 30-minute breaks every day could
8 perform Plaintiff's past relevant work or any other work. The VE testified such a person could
9 neither perform Plaintiff's past relevant work nor perform any other work. (AR 68.)
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3.
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On August 3, 2012, the ALJ issued a decision, finding Plaintiff not disabled since
The ALJ's Decision
12 December 1, 2007. (AR 12-21.) Specifically, the ALJ found that Plaintiff (1) had not engaged in
13 substantial gainful activity since December 1, 2007 (AR 14); (2) Plaintiff had severe impairments,
14 including bilateral carpal tunnel syndrome, status post carpal tunnel release bilaterally, cervical
15 spine sprain/strain with cervical trapezius myofascial pain syndrome, left shoulder impingement
16 syndrome, L5-SI disc bulge with nerve root compromise, dehydration, possible annulus tear,
17 anxiety, and depression (AR 14); (3) did not have an impairment or combination of impairments
18 that met or medically equaled one of the listed impairments in 20 C.F.R. Part 404, Subpart P,
19 Appendix 1 (AR 15); and (4) had the residual functional capacity (“RFC”) to perform light work
20 with the following modifications: limited to lifting and carrying 20 pounds occasionally, and 10
21 pounds frequently; standing, sitting, and/or walking about six hours of an eight hour workday;
22 occasional push/pulling with the left upper extremity; occasional climbing of ladders, ropes, and
23 scaffolds, and crawling; occasional overhead reaching with the left upper extremity; frequent basic
24 handling/finger with the right upper extremity; able to understand, remember, and carry out simple
25 repetitive routine tasks on a sustained basis; moderate limitations in performing detailed and/or
26 technical instructions; able to relate with co-workers, supervisors, and the general public; and can
27 adapt to common stressors and changes associated with an unskilled work environment (AR 16).
28 The ALJ found that Plaintiff could perform her past relevant work as a fast food worker. (AR 19.)
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1 The ALJ concluded Plaintiff was not disabled as defined by the Social Security Act at any time
2 from December 1, 2007, through the date of decision. (AR 21.)
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Plaintiff sought review by the Appeals Council on August 27, 2012. (AR 5-8.) The
4 Appeals Council denied Plaintiff's request for review on September 12, 2013.
5 Therefore, the ALJ's decision became the final decision of the Commissioner.
(AR 1-4.)
20 C.F.R. §
6 416.1481.
7 C.
Plaintiff's Argument on Appeal
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On November 8, 2013, Plaintiff filed a complaint before this Court seeking review of the
9 ALJ’s decisions. Plaintiff argues the ALJ erred in failing to properly evaluate the opinion of Dr.
10 Previte, accepted testimony from the VE that conflicted with the Dictionary of Occupational Titles
11 ("DOT") with no reasoning, and improperly rejected Plaintiff's lay testimony.
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SCOPE OF REVIEW
The ALJ's decision denying benefits "will be disturbed only if that decision is not
14 supported by substantial evidence or it is based upon legal error." Tidwell v. Apfel, 161 F.3d 599,
15 601 (9th Cir. 1999). In reviewing the Commissioner's decision, the Court may not substitute its
16 judgment for that of the Commissioner. Macri v. Chater, 93 F.3d 540, 543 (9th Cir. 1996).
17 Instead, the Court must determine whether the Commissioner applied the proper legal standards
18 and whether substantial evidence exists in the record to support the Commissioner's findings. See
19 Lewis v. Astrue, 498 F.3d 909, 911 (9th Cir. 2007). "Substantial evidence is more than a mere
20 scintilla but less than a preponderance." Ryan v. Comm'r of Soc. Sec., 528 F.3d 1194, 1198 (9th
21 Cir. 2008). "Substantial evidence" means "such relevant evidence as a reasonable mind might
22 accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401 (1971)
23 (quoting Consol. Edison Co. of N.Y. v. NLRB, 305 U.S. 197, 229 (1938)). The Court "must
24 consider the entire record as a whole, weighing both the evidence that supports and the evidence
25 that detracts from the Commissioner's conclusion, and may not affirm simply by isolating a
26 specific quantum of supporting evidence." Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir.
27 2007) (citation and internal quotation marks omitted).
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APPLICABLE LAW
An individual is considered disabled for purposes of disability benefits if he or she is
3 unable to engage in any substantial, gainful activity by reason of any medically determinable
4 physical or mental impairment that can be expected to result in death or that has lasted, or can be
5 expected to last, for a continuous period of not less than twelve months.
42 U.S.C.
6 §§ 423(d)(1)(A), 1382c(a)(3)(A); see also Barnhart v. Thomas, 540 U.S. 20, 23 (2003). The
7 impairment or impairments must result from anatomical, physiological, or psychological
8 abnormalities that are demonstrable by medically accepted clinical and laboratory diagnostic
9 techniques and must be of such severity that the claimant is not only unable to do her previous
10 work, but cannot, considering her age, education, and work experience, engage in any other kind
11 of substantial, gainful work that exists in the national economy. 42 U.S.C. §§ 423(d)(2)-(3),
12 1382c(a)(3)(B), (D).
13
The regulations provide that the ALJ must undertake a specific five-step sequential
14 analysis in the process of evaluating a disability. In the First Step, the ALJ must determine
15 whether the claimant is currently engaged in substantial gainful activity.
20 C.F.R. §§
16 404.1520(b), 416.920(b). If not, in the Second Step, the ALJ must determine whether the claimant
17 has a severe impairment or a combination of impairments significantly limiting her from
18 performing basic work activities. Id. §§ 404.1520(c), 416.920(c). If so, in the Third Step, the ALJ
19 must determine whether the claimant has a severe impairment or combination of impairments that
20 meets or equals the requirements of the Listing of Impairments ("Listing"), 20 C.F.R. 404,
21 Subpart P, App. 1. Id. §§ 404.1520(d), 416.920(d). If not, in the Fourth Step, the ALJ must
22 determine whether the claimant has sufficient residual functional capacity despite the impairment
23 or various limitations to perform her past work. Id. §§ 404.1520(f), 416.920(f). If not, in the Fifth
24 Step, the burden shifts to the Commissioner to show that the claimant can perform other work that
25 exists in significant numbers in the national economy. Id. §§ 404.1520(g), 416.920(g). If a
26 claimant is found to be disabled or not disabled at any step in the sequence, there is no need to
27 consider subsequent steps. Tackett v. Apfel, 180 F.3d 1094, 1098-99 (9th Cir. 1999); 20 C.F.R. §§
28 404.1520, 416.920.
12
1
DISCUSSION
2 A.
The ALJ Failed to Properly Consider Dr. Previte's Opinion
3
The ALJ assigned "little weight" to the opinion of Dr. Previte noting that he had used a
4 different disability standard when he evaluated the claimant and noted that a decision by another
5 government agency about disability is not binding on the Social Security Administration.
6 (AR 19.) Plaintiff contends the ALJ's rejection of Dr. Previte on this ground was impermissible,
7 and the Commissioner disagrees.
8
Plaintiff first argues that Dr. Previte is an orthopedic specialist, and his opinion as a
9 specialist was entitled to deference pursuant to 20 C.F.R. § 404.1527(c)(5). Dr. Previte was the
10 only examining physician who reviewed all of the pertinent medical records in forming his
11 opinion. The opinion the ALJ credited was that of Dr. Wong, a non-examining physician whose
12 opinion does not constitute substantial evidence in the face of Dr. Previte's opinion, particularly
13 because it was completed in a check-box form. Finally, the ALJ's reason for discounting Dr.
14 Previte is not legally sufficient as there is no authority that a physician who renders an opinion for
15 the worker's compensation system cannot be credited. The Commissioner argues the ALJ was
16 entitled to credit the opinions of Drs. Wong and Rios over the opinion of Dr. Previte.
17
"[T]he ALJ may not disregard a physician's medical opinion simply because it was initially
18 elicited in a state workers' compensation proceeding, or because it is couched in the terminology
19 used in such proceedings." Booth v. Barnhart, 181 F. Supp. 2d 1099, 1105 (C.D. Cal. 2002)
20 (citing Coria v. Heckler, 750 F.2d 247, 248 (3d Cir. 1984)). Moreover, "[w]hile the ALJ's
21 decision need not contain an explicit 'translation,' it should at least indicate that the ALJ
22 recognized the differences between the relevant state workers' compensation terminology, on the
23 one hand, and the relevant Social Security disability terminology, on the other hand and took those
24 differences into account in evaluating the medical evidence." Id.
25
Although Dr. Previte's opinion that Plaintiff was "temporarily partially disabled from
26 January 2008 through August 2008" is not binding on the ALJ as it was based on the disability
27 standards of the workers' compensation system, Dr. Previte also gave an opinion specific to
28 Plaintiff's functional abilities. Dr. Previte opined that Plaintiff was precluded from repetitive
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1 forceful use of both upper extremities as well as prolonged fine manipulation with both upper
2 extremities and that Plaintiff was required to take a five-minute break from the fine motor skill
3 functions in both upper extremities, such as typing, writing, or fingering-type movements each
4 hour.
As discussed by the Third Circuit in Coria, 750 F.2d at 247-48, "it is important to
5 distinguish between those portions of the physicians' reports that represent the physician[s]'
6 medical findings and those portions of the reports that represent conclusions as to the claimant's
7 disability for purposes of worker's compensation." Thus, while a physician's conclusions about
8 the ultimate issue of disability under the workers' compensation system can be properly rejected
9 as predicated on a different disability standard, "the physicians' findings, qua findings, do not
10 necessarily suffer from similar defects" and should be weighed by the ALJ like any other medical
11 evidence. Id. Dr. Previte's opinion about Plaintiff's functional limitations was not a conclusion
12 about legal disability as determined under the workers' compensation system -- it was an opinion
13 about Plaintiff's physical limitations. Plaintiff also notes that Dr. Previte's opinion that Plaintiff
14 was precluded from "repetitive" forceful use of both upper extremities is a term of art under the
15 workers' compensation system for which the ALJ was required to account and translate for
16 purposes of determining the analogous limitation under the social security system.
The ALJ
17 rejected Dr. Previte's entire opinion as being predicated on the workers' compensation disability
18 standards, and failed to discuss any of his objective examination findings or his opinion about
19 Plaintiff's physical limitations. Rejecting all of Dr. Previte's report only because it was formulated
20 for the purposes of a workers' compensation claim is not legitimate reasoning.
21
The rejection of Dr. Previte's opinion because it was rendered under the workers'
22 compensation framework is especially arbitrary because the ALJ credited Dr. Rios' opinion that
23 Plaintiff did not "fit the criteria for a medically qualified worker." (AR 18.) Dr. Rios examined
24 Plaintiff for purposes of her workers' compensation claim. The portion of his opinion credited by
25 the ALJ appears to relate to causation under the workers' compensation disability paradigm, which
26 is precisely the type of opinion that has no real value for determining disability under the social
27 security paradigm. Although Dr. Rios made examination findings, none of those were discussed
28 by the ALJ. The ALJ's rejection of Dr. Previte's opinion about Plaintiff's limitations in favor of
14
1 Dr. Rios' ultimate opinion that Plaintiff did not "fit the criteria for a medically qualified worker" is
2 not legitimate or legally sufficient. Moreover, the opinion of Dr. Rios the ALJ credited was
3 formulated over a year before Dr. Previte's November 2010 opinion, and there is some evidence
4 Plaintiff's condition in her arms was worsening between 2009 and 2010, particularly as it related
5 to her right wrist/hand for which she underwent surgery in 2010.
6
The ALJ also gave weight to Dr. Wong's opinion, but Dr. Wong was not an examining
7 physician and it appears he did not review Dr. Previte's November 2010 examination report.
8 Specifically, Dr. Wong marked a box indicating there was no treating or examining source
9 statement regarding the claimant's physical capacities in the file.2 (AR 778.) Because his opinion
10 was apparently not predicated on a review of Plaintiff's pertinent medical evidence – i.e., Dr.
11 Previte's opinion – it does not constitute substantial evidence. See Campbell v. Astrue, 627 F.3d
12 299, 309 (7th Cir. 2010) (non-examining physician reviewed only a portion of the record in
13 reaching opinion and thus was not entitled to greater weight than the treating psychiatrist). In
14 crediting Dr. Wong's opinion, the ALJ noted that the "medical record also contains evidence that
15 the claimant was permitted to return to work, which verifies [Dr. Wong's] opinion." (AR 18.)
16 However, the notation to which the ALJ referred was a report made by Plaintiff to another
17 physician that she had been released to work in July 2011. (AR 851.) The actual examination
18 report releasing Plaintiff to work is not in the record. As a result, there is no evidence what work
19 modifications or limitations, if any, were contained in Plaintiff's July 2011 work release. The
20 mere fact that Plaintiff was released back to work does not support Dr. Wong's specific opinions
21 about Plaintiff's ability to use her hands and arms for reaching, fingering (fine manipulation), and
22 handling (gross manipulation). (See AR 776.) Although the release back to work in 2011
23 suggests Plaintiff had improved after her December 2010 carpal tunnel release surgery, there is
24 nothing showing her physical capacity in July 2011, particularly as it related to her ability to use
25 her hands and arms.3
26
27
28
2
This box is also checked if there is an examining or treating physician opinion in the file, but it does not provide any
specific opinion about the claimant's limitations. Dr. Previte's opinion contained evidence about the degree of
Plaintiff's limitation in her arms.
3
It is worth noting, however, that Plaintiff stated she refused to return to work not because of pain or limitation in her
arms, but because she felt she suffered too much anxiety, depression, and panic to return to work.
15
1
While Defendant argues the ALJ was entitled to credit the opinions of Drs. Rios and Wong
2 over the opinion of Dr. Previte, there was no legitimate basis stated by the ALJ for doing so. The
3 Commissioner argues the ALJ was entitled to weigh Dr. Rios' opinion more heavily because the
4 ALJ noted that after Plaintiff underwent carpal tunnel release on her right wrist, she was deemed
5 to have been "doing extremely well" when she was examined by Dr. Hoyt, corroborating Dr. Rios'
6 opinion. (AR 17 (citing Exhibit 4F, p. 40); AR 322.) However, Dr. Hoyt's report referenced by
7 the ALJ was made on April 23, 2008, after Plaintiff's left carpal tunnel release surgery (AR 322),
8 and not after her December 2010 carpal tunnel surgery on her right hand/wrist. The ALJ's
9 reference to Dr. Hoyt's 2008 opinion does not show that Plaintiff was doing extremely well after
10 her December 2010 surgery or after Dr. Previte's November 2010 examination and opinion.
11
Plaintiff also argues the ALJ erred in not "translating" Dr. Previte's opinion that Plaintiff is
12 precluded from repetitive forceful use of both upper extremities as well as prolonged fine
13 manipulation of both upper extremities into terminology that is applicable in the Social Security
14 Context. (See AR 1067.) According to Plaintiff, the word "repetitive" is a term of art used in the
15 workers' compensation setting which means that a claimant has lost 50 percent of her pre-injury
16 capacity. Brooks v. Astrue, No. CV 11-8645-JEM, 2012 WL 2373628, *5 (C.D. Cal. June 22,
17 2012) (citing California Department of Industrial Relations, Division of Workers' Compensation,
18 Schedule for Rating Permanent Disabilities under the Provisions of the Labor Code of the State of
19 California 1-13, 2-14 (1997), available at http://www.dir.ca.gov/dwc/PDR1997.pdf). Assuming
20 Plaintiff had 100 percent use of her upper extremities prior to her carpal tunnel injury, Dr.
21 Previte's preclusion on repetitive use prohibits Plaintiff from using both her upper extremities
22 more than 50 percent of the time.
23
Although the terms of art used by physicians rendering opinions within the California
24 workers' compensation cases are not equivalent to Social Security disability terminology, the ALJ
25 is required to consider physician's opinions from a workers' compensation case. Booth, 181 F.
26 Supp. 2d at 1104; see also Desrosiers v. Sec'y of Health & Human Services, 846 F.2d 573, 576
27 (9th Cir. 1988) (noting differences between workers' compensation system and Social Security
28 disability scheme). Under the Social Security disability framework, the amount of time spent on
16
1 various tasks/movements in a job are characterized as "constant," "frequent," and "occasional."
2 Frequent is a duration that Social Security defines as occurring over one-third to two-thirds of the
3 time – thus, Dr. Previte's opinion that Plaintiff is precluded from repetitive use of her arms appears
4 to indicate she can perform activities with her hands and arms, such as handling and reaching, on a
5 less-than-frequent basis. The VE testified that a person precluded from repetitive, forceful use of
6 both upper extremities as well as from prolonged fine manipulation with both upper extremities
7 would not be able to perform Plaintiff's past relevant work. (AR 64-65.) Her past relevant work
8 requires frequent or constant handling, fingering, and reaching with the upper extremities. Aside
9 from not stating legitimate reasons for rejecting Dr. Previte's opinion, Dr. Previte's opinion bears
10 on Plaintiff's ability to use both her arms. In undertaking renewed consideration of Dr. Previte's
11 opinion, the ALJ should consider the terminology used by Dr. Previte to determine how it impacts
12 Plaintiff's ability to use her upper extremities. Moreover, as there are no examination records of
13 Plaintiff's hands and wrists following her right carpal tunnel surgery in December 2010, the ALJ
14 may be required to obtain a compensation examination to determine her limitations following her
15 surgery – particularly in view of the fact that she was apparently returned to work by her workers'
16 compensation physicians in July 2011.
17 B.
Apparent Conflict Between the VE Testimony and the DOT
18
Plaintiff argues the ALJ's RFC assessment limited Plaintiff to only occasional overhead
19 reaching, which conflicts with the VE's testimony that Plaintiff can perform her past relevant work
20 as a fast food worker which requires "constant" reaching under the DOT.
Thus, the VE's
21 testimony that Plaintiff could perform her past relevant work as a fast food worker is in apparent
22 conflict with the DOT description of that job. Plaintiff contends the VE and the ALJ failed to
23 account for this inconsistency.
24
In determining whether appropriate jobs exist for the claimant, the ALJ generally will refer
25 to the DOT. Light v. Social Sec. Admin., 119 F.3d 789, 793 (9th Cir. 1997). The procedural
26 requirements of Social Security Ruling ("SSR") 00-4p ensure that the record is clear as to why an
27 ALJ relied on a vocational expert’s testimony, particularly in cases where the expert’s testimony
28 conflicts with the DOT. In making disability determinations, the ALJ may rely on VE testimony
17
1 that contradicts the DOT, but only insofar as the record contains persuasive evidence to support
2 the deviation. Light, 119 F.3d at 793; Johnson v. Shalala, 60 F.3d 1428, 1435 (9th Cir. 1995);
3 Massachi v. Astrue, 486 F.3d 1149, 1153 (9th Cir. 2007). Although evidence provided by a VE
4 "generally should be consistent" with the DOT, "[n]either the DOT nor the VE . . . evidence
5 automatically 'trumps' when there is a conflict." SSR 00-4p at *2. Thus, the ALJ must first
6 determine whether a conflict exists, and if it does, must then determine whether the VE's
7 explanation for the conflict is reasonable and whether a basis exists for relying on the expert rather
8 than the DOT. Id. at *2-3.
9
Only after determining whether the VE has deviated from the DOT, and whether any
10 deviation is reasonable, can an ALJ properly rely on the VE’s testimony as substantial evidence to
11 support a disability determination. Massachi, 486 F.3d at 1152-54. Evidence sufficient to support
12 a deviation from the DOT may be either specific findings of fact regarding plaintiff’s ability to
13 perform particular jobs, or inferences drawn from the context of the expert’s testimony. See
14 Johnson, 60 F.3d at 1435 n. 7 (ALJ provided sufficient support for deviation by noting that the VE
15 described characteristics and requirements of jobs in the local area consistent with claimant’s
16 RFC); Terry v. Sullivan, 903 F.2d 1273, 1279 (9th Cir. 1990) (ALJ may infer support for deviation
17 where VE’s understanding of applicable legal standards is clear from context).
18
The distinction between a claimant's limitation for overhead reaching and the DOT's
19 description of jobs requiring reaching in general was addressed by the district court in Winder v.
20 Astrue, No. 12-CV-1048, 2013 WL 489611 (C.D. Cal. Feb. 6, 2013). In Winder, the claimant
21 ("Winder") was limited to occasional overhead reaching. Id. at *2. The VE testified that Winder
22 could perform the jobs of assembler -- small products, information clerk, and office helper and
23 that this testimony was consistent with the DOT. Id. Each job identified by the VE, however,
24 required "frequent" reaching pursuant to the DOT description. Id. The district court held there
25 was unresolved potential inconsistency between the VE's testimony and the DOT description
26 requiring frequent reaching. Id. The court reasoned it was not clear whether the DOT's general
27 reaching limitation included reaching above shoulder level, which was exactly the sort of
28 ambiguity and inconsistency the ALJ should have resolved with expert testimony. Id. at *3. The
18
1 court concluded that the record did not contain any basis for the VE's deviations from the DOT's
2 general reaching requirements, and the court was unable to determine whether the ALJ properly
3 relied upon the VE's testimony.
Id.
Accordingly, the matter was remanded for further
4 consideration.
5
Similarly, in Richardson v. Astrue, the claimant was precluded from overhead reaching.
6 11-CV-1593-SP, 2012 WL 1425130, at *3 (C.D. Cal. Apr. 25, 2012). All the alternative work
7 identified by the VE required reaching pursuant to the DOT descriptions, but there was nothing
8 that indicated whether bilateral overhead reaching was a subset of reaching in general. Id. at *3.
9 As discussed by the court in Winder, the court noted that reaching is defined by the DOT as
10 extending the hands in any direction and that reaching in any direction plainly encompasses
11 overhead reaching. Thus, the court concluded the VE's testimony deviated from the DOT, and the
12 ALJ failed to obtain an explanation for the deviation or even to identify it. Id. at *4. To accept
13 VE testimony that deviated from the DOT, the ALJ was required to obtain "persuasive evidence to
14 support the deviation," but the record was "utterly devoid of such evidence . . . or any explanation
15 by the ALJ how she resolved the conflict." Id. at *5. The court found the ALJ erred in failing to
16 obtain such an explanation for the deviation, and remanded the matter for further consideration.
17 Id. at 6.
18
The Commissioner argues that Plaintiff is only limited to overhead reaching with her left
19 arm, and the DOT does not state that jobs requiring reaching necessarily involves the use of both
20 hands absent evidence to the contrary. Thus, there is no actual conflict as Plaintiff is not restricted
21 from reaching at any level with her right arm.
22
Here, Plaintiff's past relevant work requires constant handling and reaching – i.e., more
23 than two-thirds of the time. DICOT 3.11.471-010. The reasoning of Winder and Richardson
24 persuades the Court that, at a minimum, there is a potential conflict between the VE's testimony
25 about Plaintiff's ability to perform her past work and the DOT description of that work. On its
26 face, the DOT description requiring "constant reaching" is at odds with Plaintiff’s limitation of
27 only "occasional overhead reaching" with her left arm because overhead reaching is a specific
28 subset of reaching. Further, Plaintiff is limited to only frequent handling with her right arm, while
19
1 her past relevant work requires constant handling, although it is not clear there is a need for
2 bilateral handling.
In other words, testimony that a claimant who is limited to occasional
3 overhead reaching on the left and only frequently handling on the right can nonetheless perform
4 constant reaching and handling generally is the type of deviation that requires explanation and
5 testimony from an expert. Prochaska v. Barnhart, 454 F.3d 731, 736 (7th Cir. 2006).
6
While Defendant is correct that a VE is a competent expert who can resolve such potential
7 conflicts with an explanation, no explanation was offered in this case nor did the ALJ solicit an
8 explanation. Instead, the record contains only the VE's conclusion that Plaintiff can perform work
9 requiring "constant reaching" and "constant handling" despite that she can only perform
10 "occasional overhead reaching" with her left arm and can only frequently handle with her right
11 arm. Where an ALJ fails to obtain an explanation for and resolve an apparent conflict – even
12 where the VE did not identify the conflict – the ALJ errs. Richardson, 2012 WL 1425130, at * 5
13 (citing Hernandez v. Astrue, No. CV 10-3142, 2011 WL 223595, at *2-5 (C.D. Cal. Jan 21,
14 2011)).
15
Additionally, Dr. Previte opined Plaintiff was precluded from repetitive use of both her
16 arms. Because the ALJ must reconsider the opinion of Dr. Previte on remand, any limitations
17 accepted from Dr. Previte's opinion may impact the testimony of the VE regarding Plaintiff's
18 ability to perform her past relevant work.
19 C.
Plaintiff's Credibility Was Adequately Considered
20
Plaintiff contends the ALJ failed to provide clear and convincing reasons for discrediting
21 her lay testimony.
22
The ALJ offered several reasons for refusing to credit Plaintiff's lay statements regarding
23 her limitations and pain. First, the ALJ noted that at Plaintiff's initial interview with Social
24 Security, her answers were "evasive and vague at times" and left the impression that Plaintiff
25 "may have been less than entirely candid." (AR 18, 188.) Plaintiff asserts the Social Security
26 employee conducting the interview never expressly found Plaintiff to be evasive. The interviewer
27 noted Plaintiff did not "exhibit any difficulty other than she would seem to take a while to answer
28 simple questions as though she was thinking of the 'right' answer. Or she would go back and add
20
1 to her answer after we had already discussed the issue and moved on to other questions." (AR
2 188.)
While the interviewer did not expressly indicate Plaintiff was evasive in answering
3 questions, the ALJ's interpretation of the interview note is reasonable. The note is susceptible to
4 the inference that because Plaintiff was taking too long to answer questions and she appeared to be
5 trying to think of the "right" answer, Plaintiff was answering in a less-than-candid manner. This is
6 the type of credibility factor the ALJ is entitled to consider. Although Plaintiff argues the ALJ had
7 no express basis for his opinion about the veracity of her answers to the interview questions, the
8 ALJ's interpretation controls so long as it is reasonable and supported by substantial evidence.
9 Batson v. Comm'r of Soc. Sec. Admin., 359 F.3d 1190 (9th Cir. 2004) ("[T]he Commissioner's
10 findings are upheld if supported by inferences reasonably drawn from the record, and if evidence
11 exists to support more than one rational interpretation, we must defer to the Commissioner's
12 decision."). As the interviewer notes are susceptible to the interpretation the ALJ offered, the
13 ALJ's reasoning is given deference. Id.
14
Second, the ALJ noted Plaintiff informed one of her physicians that she had been released
15 back to work in July 2011. (AR 851.) Plaintiff argues that even though a physician recommended
16 she return to work, Plaintiff stated she could not return to work because of symptoms of
17 depression, anxiety, and panic. (Doc. 12, 14:12-15 (citing AR 851).) In July 2011, Plaintiff was
18 seen at Kaiser Permanente for depression, panic, and anxiety. (AR 851.) She reported her mental
19 health issues stemmed from the pain in her hands, wrists, arms, and shoulders. (AR 851.)
20 Plaintiff also indicated she had been released to return to work by a workers' compensation doctor
21 on July 18, 2011, but she had not returned to work because of her symptoms of depression,
22 anxiety, and panic. (AR 851.) While Plaintiff's release to work by her workers' compensation
23 physician may have no bearing on her mental health symptoms, it does have relevance to the pain
24 and limitation Plaintiff alleged resulted from her hands, wrists, and shoulders following her two
25 carpal tunnel release surgeries in 2008 and 2010.
This was a basis to reject Plaintiff's lay
26 statements about the extent of her pain and limitation stemming from her carpal tunnel syndrome
27 in both arms.
28
21
1
Third, the ALJ also deemed Plaintiff less than fully credible in claiming complete inability
2 to work due to pain and mental health symptoms by noting that she is able to care for young
3 children at home, which can be "quite demanding both physically and emotionally." (AR 18
4 (citing AR 212).) Plaintiff argues that in considering her daily activity of caring for her children,
5 the ALJ did not consider how this activity translates to work activities eight hours a day, five days
6 a week.
7
While the ALJ did not expressly translate Plaintiff's activity in caring for her children into
8 a workplace setting, the Court does not perceive any error in considering this as an element of
9 Plaintiff's credibility. Rollins v. Massanari, 261 F.3d 853, 857 (9th Cir. 2001) (caring for needs of
10 children proper credibility consideration). Caring for young children with whom one lives can be
11 demanding in terms of scheduling, transporting children to school, helping with homework, and
12 assisting the children in their own personal care. Although Plaintiff testified that her mother lived
13 with her (AR 40-41) and provided her some assistance with her children (ages five and eleven at
14 the time of the hearing (AR 40)), she nonetheless maintained activities with the children including
15 feeding them (AR 211-12), doing their laundry, and taking them to and from school or the bus
16 stop (AR 41). While Plaintiff was not specific about how regularly she performed these activities,
17 the ALJ's interpretation is reasonable, supported by substantial evidence, and is thus entitled to
18 deference. Rollins, 261 F.3d at 857.
19
These reasons together offer clear and convincing explanations why the ALJ did not find
20 Plaintiff entirely credible.
The ALJ's conclusion, while potentially at odds with another's
21 interpretation of that same evidence, is reasonable and supported by substantial evidence.
22 D
Remand is Appropriate
23
As a general rule, remand is warranted where additional administrative proceedings could
24 remedy the defects in the Commissioner's decision. See Harmon v. Apfel, 211 F.3d 1172, 1179
25 (9th Cir. 2000). In this case, remand is appropriate for renewed consideration of Dr. Previte's
26 opinion and for the ALJ to consider whether an examination as to Plaintiff's physical limitations is
27 warranted. To the extent Dr. Previte's opinion is not credited, the ALJ must obtain testimony from
28 a VE to resolve the apparent conflict between the VE's testimony and the DOT's description of a
22
1 fast food worker's reaching and handling requirements. The ALJ is instructed to take whatever
2 further action is deemed appropriate and consistent with this decision.
3
4
CONCLUSION
Based on the foregoing, the Court finds that the ALJ's decision is not supported by
5 substantial evidence and is, therefore, VACATED and the case is REMANDED to the ALJ for
6 further proceedings consistent with this order. The Clerk of this Court is DIRECTED to enter
7 judgment in favor of Plaintiff Erica Valero and against Defendant Carolyn W. Colvin, Acting
8 Commissioner of Social Security.
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11
IT IS SO ORDERED.
Dated:
March 16, 2015
/s/ Sheila K. Oberto
UNITED STATES MAGISTRATE JUDGE
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