Rojas v. Astrue
Filing
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ORDER (1) denying 16 Plaintiff's Motion for Summary Judgment and (2) granting 17 Defendant's Cross-Motion for Summary Judgment: This Order concludes the litigation in this matter. The Clerk shall close the file. Signed by Judge Janis L. Sammartino on 3/19/12. (lmt)
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UNITED STATES DISTRICT COURT
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SOUTHERN DISTRICT OF CALIFORNIA
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ELODIA MARTINEZ ROJAS,
Civil No. 10CV2461 JLS (RBB)
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Plaintiff,
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v.
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MICHAEL J. ASTRUE, Commissioner of the )
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Social Security Administration,
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Defendant.
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ORDER (1) DENYING PLAINTIFF’S
MOTION FOR SUMMARY
JUDGMENT; AND (2) GRANTING
DEFENDANT’S CROSS-MOTION FOR
SUMMARY JUDGMENT
(ECF Nos. 16, 17)
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I. PROCEDURAL BACKGROUND
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Plaintiff, Elodia Martinez Rojas, filed an application for disability insurance benefits and
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supplemental security income benefits on August 7, 2008, and August 8, 2008, respectively, alleging
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a disability onset of March 16, 2008. (Admin. R. Attach. #5, 185-191, ECF No. 13; see id. Attach.
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#2, 12.) The Social Security Administration (“SSA”) denied Plaintiff’s claim initially on October
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20, 2008, and upon reconsideration on December 26, 2008. (Id. Attach. #4, 48-51, 54-58; see id.
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Attach. #2, 12.) On February 9, 2009, Rojas submitted a written request for an administrative
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hearing. (Id. Attach. #4, 60.) A hearing was held before Administrative Law Judge (“ALJ”)
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Edward D. Steinman on April 26, 2010. (Id. Attach. #2, 155-57.) ALJ Steinman issued a written
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decision on April 30, 2010, finding that Plaintiff was not disabled. (Id. at 12-18.) The denial of
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benefits became final when the Appeals Council declined to review the decision. (Id. at 1-3.)
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On November 30, 2010, Rojas filed a Complaint for Review of Final Decision of the
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Commissioner of Social Security against Michael J. Astrue, Commissioner of Social Security [ECF
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No. 1]. There, the Plaintiff challenges the denial of her claim for disability insurance benefits and
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supplemental security income. (Compl. 2, ECF No. 1.) Defendant filed an Answer on March 28,
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2011, and filed the Administrative Record the same day [ECF Nos. 12-13].
Rojas filed a Motion for Summary Judgment on April 28, 2011 [ECF No. 16]. On May 23,
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2011, Astrue filed a Cross-Motion for Summary Judgment with a Memorandum of Points and
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Authorities [ECF No. 17] as well as a Response in Opposition to Plaintiff’s Motion for Summary
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Judgment [ECF No. 18]. Plaintiff’s Reply Memorandum was filed on June 7, 2011 [ECF No. 20].
The Motion for Summary Judgment and the Cross-Motion for Summary Judgment were
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originally referred to United States Magistrate Judge Ruben B. Brooks. This Court withdraws its
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referral and will rule on both Motions, which it finds suitable for resolution on the papers. See S.D.
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Cal. Civ. R. 7.1(d)(1). The Court has reviewed the Motion for Summary Judgment, Cross-Motion
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for Summary Judgment, and Reply. For the reasons set forth below, Plaintiff’s Motion is DENIED
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and Defendant’s Cross-Motion is GRANTED.
II. MEDICAL EVIDENCE
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Rojas is a fifty-two-year-old female with a ninth grade education, which she completed in
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Mexico; although she has permanent residency status, her primary language is Spanish and she has a
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limited ability to speak English. (Admin. R. Attach. #5, 196-97, ECF No. 13; id. Attach. #2, 37.)
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The Plaintiff alleges an on-the-job injury that caused lower back pain. (Id. Attach. #2, 15.) Prior to
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her claimed disability onset in March 2008, Rojas worked as an assembly line worker for a
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pharmaceutical company. (Id. at 30.)
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A.
Examining Physicians
On November 15, 2006, Plaintiff had an MRI of her lumbar spine, which revealed a posterior
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annular tear in the interverteral disc at L5-SI with an accompanying three-to-four millimeter
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posterior disc bulge. (Id. Attach. #7, 267-69.) There was no evidence of canal stenosis or neural
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foraminal narrowing. (Id.)
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//
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1.
Dr. Chesler, physical medicine and rehabilitation
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On March 7, 2007, Bradley Chesler, M.D., examined Rojas to address her complaints of
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lumbar back pain with radiation, numbness, and tingling. (Id. at 270.) Dr. Chesler administered
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electromyography and nerve conduction tests on Plaintiff, which did not show any peripheral or
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proximal abnormalities. (Id.) The doctor examined Rojas again on August 6, 2007, for a follow up.
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(Id. at 292; see id. Attach. #2, 16.) The Plaintiff told the doctor that she had been using her
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medications as prescribed and felt they were helping; she stated that she may need to have them
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refilled. (Id. Attach. #7, 292.) Dr. Chesler noted that Rojas had moderate edema in the pelvic
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region as well as moderate tenderness in the SI joint and pelvic areas. (Id.)
Plaintiff returned for a diagnostic ultrasound-guided sacroiliac joint injection on September
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4, 2007, and again on September 18, 2007. (Id. at 294-99.) After conducting a physical
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examination, Dr. Chesler observed that Plaintiff had a full and painless range of motion of the
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thoracic and lumbar spine with normal stability, strength and tone. (Id. at 298.) Her gait was intact,
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her posture was normal, and she did not use any mobility aids. (Id.)
The doctor examined Rojas on several occasions from 2007 through early 2009. (Id. at
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300-31, 352-56, 364-69.) In general, the Plaintiff exhibited pain behaviors and her mobility and
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range of motion were generally reduced. (See generally id.) Although Rojas had moderate
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tenderness of the left SI joint, she also exhibited full and painless range of motion of the thoracic and
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lumbar spine. (See generally id.) As of the October 20, 2008 visit, Rojas was using a cane. (Id. at
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352-53, 355, 365, 368.)
The Plaintiff saw Dr. Chesler again on February 12, 2009, and informed the doctor told that
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Rojas had seen an orthopedic specialist who told her she did not need surgery; Plaintiff did not recall
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the orthopedist’s name. (Id. at 370-72.) Rojas also asked Dr. Chesler for a medication refill and
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stated that the medications had helped her continue to be functional. (Id.) The doctor saw Plaintiff
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regularly for the subsequent months. (See id. at 372- 87.) On September 3, 2009, Dr. Chesler
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conducted a physical examination of Rojas that indicated only mild diffuse edema and mild
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movement restriction in all directions. (Id. at 388-89.)
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2.
Dr. Sabourin, consultative orthopedic evaluation
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Thomas Sabourin, M.D., examined Rojas on October 7, 2008, to assess her complaints of
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pain in her lower back, neck, and right hip. (Id. at 334-38.) X-rays and MRIs revealed that she had
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a disc problem. (Id. at 334.) Dr. Sabourin noted that after Rojas received the two injections in 2007,
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her condition did not improve. (Id.) The Plaintiff was using a cane and indicated the she used it
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regularly. (Id.) Rojas described her pain as a burning pain radiating to the left leg and the feet; she
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told the doctor that the pain was worse with sitting, standing, walking, bending, or lifting. (Id.) Dr.
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Sabourin physically examined Plaintiff and observed that she had limped heavily when not using her
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cane, but she did not limp when she moved to the examination table without her cane. (Id. at 335.)
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In fact, the doctor indicated that Plaintiff was able to get on and off of the examination table without
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any assistance. (Id.) Although Rojas had her cane, she did not use it. (Id.) Dr. Sabourin also noted
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that Rojas declined toe and heel walking, stating that she was unable to do it. (Id.)
Moreover, the doctor observed that despite Plaintiff’s complaints of pain when testing ranges
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of motion of the cervical spine and lumbar spine, she moved around during the examination much
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more freely without apparent pain in the back. (Id. at 336.) Rojas was able to sit on the examination
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table with her leg straight out in front of her. (Id.) Dr. Sabourin opined that Plaintiff’s extremity
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range of motion testing was grossly normal and painless with no tenderness or swelling. (Id.) The
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doctor’s neurological testing revealed “giving way” in the muscle testing of the upper and lower
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extremities, a decreased sensation from the toe tips to the iliac crest, and a nonanatomic presentation
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of numbness. (Id. at 337.) The radiology testing was within normal limits. (Id.)
Dr. Sabourin additionally indicated that Rojas had minimal lumbar spine problems and her
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complaints were disproportionate to the determinable condition. (Id. at 338.) During the
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examination, Rojas had negative straight leg raising and she refused spinal motion more than five
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degrees from the standing position. (Id.) The doctor concluded that there was no medical basis for
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Plaintiff’s cane use. (Id.) He also determined that Rojas could lift and carry fifty pounds
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occasionally, twenty-five pounds frequently, stand and walk for six hours per day, and could sit for
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six hours per day, with frequent climbing, stooping, kneeling, and crouching. (Id.)
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3.
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Rojas visited the Vista Family Clinic various times complaining of pain in her back and leg.
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Vista family health clinic
(Id. at 280-85; 429-42.) Physician’s Assistant Jose Luis Suarez examined Plaintiff. (Id.)
On March 26, 2010, Carlos Oliva, M.D., the primary doctor at the clinic, provided opinion
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evidence for the functional capacity assessment. (Id. at 470-74; Attach. #2, 17, 39; see id. at 41
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(indicating that Dr. Oliva was a treating physician).) Dr. Oliva diagnosed Rojas with low back pain
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with radiculopathy and depression, and indicated that Rojas experiences constant pain and feels
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depressed. (Id. Attach. #7, 470.) As his objective medical evidence, the doctor referenced
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“tenderness to palpation” to Plaintiff’s lower back, buttocks, and legs. (Id.) He opined that Rojas’s
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impairments were reasonably consistent with the symptoms and functional limitations described in
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his evaluation. (Id. at 471.) Dr. Oliva stated that Plaintiff was incapable of even “low stress” jobs
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and that she could only sit for one hour at a time and stand for forty-five minutes at a time. (Id.)
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According to Dr. Oliva, Rojas could sit and stand or walk for less than two hours total in an
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eight-hour workday. (Id. at 472.) The doctor concluded that Plaintiff’s functional capacity is less
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than sedentary. (See id. Attach. #2, 17.)
III. THE ADMINISTRATIVE HEARING
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A hearing was held before ALJ Steinman on April 26, 2010. (Id. at 12; see id. at 23-43.)
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Rojas appeared in person and was represented by counsel. (Id.) An impartial medical expert,
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Malcolm A. Brahms, was also present. (Id.) An impartial vocational expert, Alan E. Cummings,
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was present and testified. (Id.)
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A.
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Rojas’s Testimony
The ALJ began the hearing by examining Plaintiff about her ability to work, her back pain,
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and her medications. (See generally id. at 27-28.) Rojas testified that she could not recall the name
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of her pain medication, but that it does not relieve the pain. (Id. at 27.) She stated that she uses a
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cane because her left leg gives out when she tries to walk. (Id. at 28.) Judge Steinman then asked
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her about her living arrangements and daily activities. (Id. at 29.) Rojas indicated that although she
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cleans the house for twenty minutes per day, she rests approximately four or five times a day for
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forty-five minutes each time because of the pain. (Id. at 29-30; see id. at 35.) Plaintiff testified that
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she regularly drives her car to the store and to visit her granddaughter. (Id. at 30-31.) She also
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testified that she goes to the park and to the beach with her husband. (Id.) Next, the ALJ noted that
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Rojas had told Dr. Chesler that she was going to see an orthopedist, and asked Plaintiff if she in fact
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did; Rojas stated that she never saw an orthopedist. (Id. at 32.) The Plaintiff further indicated that
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she would have to get a job where she could rest every forty minutes. (Id.)
Rojas’s attorney then examined her about her prior job. (Id. at 33.) Plaintiff testified that
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she worked at her job full-time for twelve years, and she tried to work for one year after the injury
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before she could no loner continue due to pain. (Id.) She was in a sitting position all day at her
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previous job and was not allowed to stand if she needed to. (Id. at 34-35.) Rojas said that she could
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do a job now that allowed her to change positions every forty-five minutes throughout the day. (Id.
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at 35.) She also testified that the two spinal injections did not provide any relief and that no doctor
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has recommended surgery. (Id. at 33.)
On reexamination, the ALJ asked Rojas about her prior employment as an assembly worker
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for a pharmaceutical company. (Id. at 36.) At that job, Plaintiff sat for eight hours per day and
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assembled pregnancy test packages that weighed less than ten pounds; the vocational expert testified
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that this amounts to sedentary-level work activity. (Id. at 36-37.)
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B.
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Vocational Expert Testimony
The ALJ presented the vocational expert, Alan E. Cummings, with five hypothetical
scenarios to assess the Plaintiff’s potential for returning to work. (See id. at 37-40.)
For the first hypothetical, Judge Steinman presented Cummings with the DDS analysis,
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which determined that Plaintiff’s impairment was nonsevere and that she was amplifying her
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symptoms. (Id. at 37.) Cummings testified that based on this evaluation, Rojas could return to her
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prior work as an assembly worker. (Id.)
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The ALJ questioned the vocational expert on the second hypothetical dealing with the
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orthopedic examination conducted in October 2008, which showed complaints of back, neck, and
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hip pain, and indicated that the presentation was disproportionate to the findings. (Id. at 37-38.)
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Cummings maintained that Rojas could return to work as an assembly worker under this
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hypothetical. (Id. at 38.)
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The third hypothetical consisted of Dr. Chesler’s assessment that Rojas could not lift more
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than fifteen pounds and indicated partial temporary disability. (Id.) Again, the vocational expert
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testified that Plaintiff could return to her prior work. (Id.)
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Fourth, ALJ Steinman asked Cummings to consider a scenario in which Rojas could perform
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a full range of light work, sit six of eight hours per day, and stand and walk two hours per day. (Id.)
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The vocational expert opined that those limitations would allow Plaintiff to return to her past work
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as an assembly worker. (Id.)
The fifth hypothetical presented Cummings with Rojas’s assessment of her limitations. (Id.)
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The Plaintiff testified that she would need extensive rest periods to be able to work forty-five
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minutes at a time, three or four times per day. (Id.) Cummings explained that under this
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hypothetical, there would not be any full-time work that Rojas could perform. (Id. at 39.)
IV. THE ALJ’S DECISION
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After considering the record, Judge Steinman concluded that Plaintiff suffered from a severe
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impairment of low back pain, but her depression did not constitute a severe impairment. (Id. at 14-
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Judge Steinman also made the following relevant findings:
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1. The claimant meets the insured status requirements of the Social Security Act
through December 31, 2013.
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2. The claimant has not engaged in substantial gainful activity since March 16, 2008,
the alleged onset date (20 CFR 404.1571 et seq., and 416.971 et seq.).
....
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3. The claimant has the following severe impairment: low back pain (20 CFR
404.1520(c) and 416.920(c)).
....
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4. The claimant does not have an impairment or combination of impairments that
meets or medically equals one of the listed impairments in 20 CFR Part 404, Subpart
P, Appendix 1 (20 CFR 404.1520(d), 404.1525, 404.1526, 404.920(d), 416.925 and
416.926).
....
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5. After careful consideration of the entire record, the undersigned finds that the
claimant has the residual functional capacity to perform light work activity,
specifically, the claimant can lift and carry 20 pounds occasionally, 10 pounds
frequently, sit for six hours in an eight hour workday, and stand/walk for two hours in
an eight hour workday, with no other limitations.
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In making this finding, the undersigned has considered all symptoms and the extent to
which these symptoms can reasonably be accepted as consistent with the objective
medical evidence and other evidence, based on the requirements of 20 CFR 404.1529
and 416.929 and SSRs 96-4p and 96-7p. The undersigned has also considered
opinion evidence in accordance with the requirements of 20 CFR 404.1527 and
416.927 and SSRs 96-2p, 96-5p, 96-6p and 06-3p.
....
. . . [C]laimant’s medically determinable impairment could reasonably be expected to
cause the alleged symptoms; however, the claimant’s statements concerning the
intensity, persistence and limiting effects of these symptoms are not credible to the
extent they are inconsistent with the above residual functional capacity assessment.
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The claimant alleges chronic back pain and the need for a cane to ambulate. The
claimant testified that she is unable to work due to the constant back pain,
uncontrolled by medication. She testified that she takes [her] medications as
prescribed, but that they do not relieve her pain sufficiently. However, the claimant
told Dr. Chesler that she had been using her medications as prescribed and that they
had been helping her. She stated [s]he is unable to walk normally, and her left leg
gives out. The claimant tries to clean house for 20 minutes at a time, and she is able
to drive a car to the store on a daily basis, shop and visit her granddaughter. The
claimant testified she never saw an orthopaedist. Even giving the claimant the
benefit of the doubt regarding back pathology leading to less than light functional
capacity, she indicated no problems in the use of upper extremities. Throughout the
records provided by Dr. Chesler, the claimant repeatedly referenced having seen a
neurologist, an orthopaedist, and other specialists, but never provided any clinical
records or other documentation regarding the findings of these physicians, not to Dr.
Chesler, or to the Commissioner, to support her allegations of back pain and radiating
leg pain . . . . Moreover, the claimant’s exaggerated symptomology exhibited during
the consultative evaluation is inconsistent with the claimant’s level of daily
functioning. Consequently, the undersigned finds that the claimant’s allegations of
disabling pain and limitation are inconsistent with the evidence of record, and are,
therefore, not fully credible.
As for the opinion evidence, the functional capacity assessment provided by Carlos
Oliva, M.D., dated March 26, 2010, provides no indication of any frequency or length
of contact with the claimant, and no supporting documentation, clinical signs or
laboratory findings to support his opinions. Dr. Oliva provides diagnoses of low back
pain with radiculopathy and depression and states that the claimant is in constant
pain, and is feeling depressed, but provides as his only objective medical evidence
“tenderness to palpation.” Dr. Oliva opines a less than sedentary functional capacity
which is wholly inconsistent with the evidence of record. Moreover, Dr. Oliva is not
an orthopaedic specialist, but only a generally practitioner. The undersigned finds
that Dr. Oliva appears to be attempting to actively assist the claimant to obtain
benefits rather than provide accurate functional capacity assessment resulting from
ongoing treatment. The undersigned gives the opinions of Dr. Oliva little weight, and
gives great weight to the opinions of the consultative examiner, Dr. Sabourin, who is
a board certified orthopaedic specialist and who is more familiar with the
Commissioner’s regulations for evaluating disability.
In sum, the above residual functional capacity assessment is supported by the
opinions of the consultative examiner.
6. The claimant is capable of performing past relevant work as an assembler,
unskilled sedentary level work activity. This work does not require the performance
of work-related activities precluded by the claimant’s residual functional capacity (20
CFR 404.1565 and 416.965).
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The vocational expert testified that the claimant has past relevant work as an
assembler . . ., which is classified . . . as unskilled, sedentary level work activity.
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In comparing the claimant’s residual functional capacity with the physical and mental
demands of this work, the undersigned finds that the claimant is able to perform it as
actually and generally performed.
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7. The claimant has not been under a disability, as defined in the Social Security Act,
from March 16, 2008, through the date of this decision (20 CFR 404.1520(f) and
416.920(f)).
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(Id. at 14-15, 17-18.)
Based on all of the above, the ALJ concluded that Rojas was not disabled and not entitled to
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supplemental security income. (Id. at 18.)
V. STANDARD OF REVIEW
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To qualify for disability benefits under the Social Security Act, an applicant must show two
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things: (1) he or she suffers from a medically determinable impairment that can be expected to last
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for a continuous period of twelve months or more, or would result in death; and (2) the impairment
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renders the applicant incapable of performing the work that he or she previously performed or any
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other substantially gainful employment that exists in the national economy. See 42 U.S.C.
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§§ 423(d)(1)(A), (2)(A). An applicant must meet both requirements to be classified as “disabled.”
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Id.
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Sections 205(g) and 1631(c)(3) of the Social Security Act allow applicants whose claims
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have been denied by the Social Security Administration to seek judicial review of the
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Commissioner’s final agency decision. 42 U.S.C.A. §§ 405(g), 1383(c)(3). A district court should
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affirm the decision unless “it is based upon legal error or is not supported by substantial evidence.”
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Bayliss v. Barnhart, 427 F.3d 1211, 1214 n.1 (9th Cir. 2005) (citing Tidwell v. Apfel, 161 F.3d 599,
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601 (9th Cir. 1999)).
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“Substantial evidence is such relevant evidence as a reasonable mind might accept as
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adequate to support [the ALJ’s] conclusion[,]” considering the record as a whole. Webb v. Barnhart,
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433 F.3d 683, 686 (9th Cir. 2005) (citing Richardson v. Perales, 402 U.S. 389, 401 (1971)). It
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means “‘more than a mere scintilla but less than a preponderance’” of the evidence. Bayliss, 427
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F.3d at 1214 n.1 (quoting Tidwell, 161 F.3d at 601). “‘[T]he court must consider both evidence that
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supports and the evidence that detracts from the ALJ’s conclusion . . . .’” Frost v. Barnhart, 314
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F.3d 359, 366-67 (9th Cir. 2002) (quoting Jones v. Heckler, 760 F.2d 993, 995 (9th Cir. 1985)).
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To determine whether a claimant is “disabled,” the Social Security regulations use a five-step
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process outlined in 20 C.F.R. § 404.1520. If an applicant is found to be “disabled” or “not disabled”
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at any step, there is no need to proceed further. Ukolov v. Barnhart, 420 F.3d 1002, 1003 (9th Cir.
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2005) (quoting Schneider v. Comm’r of SSA., 223 F.3d 968, 974 (9th Cir. 2000)). Although the ALJ
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must assist the applicant in developing a record, the applicant bears the burden of proof during the
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first four steps. Tackett v. Apfel, 180 F.3d 1094, 1098 & n.3 (9th Cir. 1999). If the fifth step is
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reached, however, the burden shifts to the Commissioner. Id. at 1098. The steps for evaluating a
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claim are as follows:
Step 1. Is the claimant presently working in a substantially gainful activity?
If so, then the claimant is “not disabled” within the meaning of the Social Security
Act and is not entitled to disability insurance benefits. If the claimant is not working
in a substantially gainful activity, then the claimant’s case cannot be resolved at step
one and the evaluation proceeds to step two.
Step 2. Is the claimant’s impairment severe? If not, then the claimant is “not
disabled” and is not entitled to disability insurance benefits. If the claimant’s
impairment is severe, then the claimant’s case cannot be resolved at step two and the
evaluation proceeds to step three.
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Step 3. Does the impairment “meet or equal” one of a list of specific
impairments described in the regulations? If so, the claimant is “disabled” and
therefore entitled to disability insurance benefits. If the claimant’s impairment
neither meets nor equals one of the impairments listed in the regulations, then the
claimant’s case cannot be resolved at step three and the evaluation proceeds to step
four.
Step 4. Is the claimant able to do any work that he or she has done in the
past? If so, then the claimant is “not disabled” and is not entitled to disability
insurance benefits. If the claimant cannot do any work he or she did in the past, then
the claimant’s case cannot be resolved at step four and the evaluation proceeds to the
fifth and final step.
Step 5. Is the claimant able to do any other work? If not, then the claimant is
“disabled” and therefore entitled to disability insurance benefits. If the claimant is
able to do other work, then the Commissioner must establish that there are a
significant number of jobs in the national economy that claimant can do. There are
two ways for the Commissioner to meet the burden of showing that there is other
work in “significant numbers” in the national economy that claimant can do: (1) by
the testimony of a vocational expert, or (2) by reference to the Medical-Vocational
Guidelines at 20 C.F.R. pt. 404, subpt. P, app. 2. If the Commissioner meets this
burden, the claimant is “not disabled” and therefore not entitled to disability
insurance benefits. If the Commissioner cannot meet this burden, then the claimant is
“disabled” and therefore entitled to disability benefits.
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Id. at 1098-99 (footnotes and citations omitted); see also Bustamante v. Massanari, 262 F.3d 949,
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954 (9th Cir. 2001) (giving an abbreviated version of the five steps).
Section 405(g) permits the court to enter a judgment affirming, modifying, or reversing the
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Commissioner’s decision. 42 U.S.C.A. § 405(g). The matter may also be remanded to the Social
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Security Administration for further proceedings. Id. After a case is remanded and an additional
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hearing is held, the Commissioner may modify or affirm the original findings of fact or the decision.
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Id.
“If the evidence can reasonably support either affirming or reversing the Secretary’s
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conclusion, the court may not substitute its judgment for that of the Secretary.” Flaten v. Sec’y
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Health & Human Servs., 44 F.3d 1453, 1457 (9th Cir. 1995). The court must uphold the denial of
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benefits if the evidence is susceptible to more than one rational interpretation, one of which supports
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the ALJ’s decision. Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005).
VI. DISCUSSION
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A.
Plaintiff’s Argument
Rojas asserts in her Motion for Summary Judgment that the ALJ’s credibility analysis lacks
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the support of substantial evidence. (Mot. Summ. J. 3, ECF No. 16.) Plaintiff contends that the ALJ
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did not set forth legally sufficient reasons for rejecting her subjective medical complaints. (Id. at 4.)
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The medical evidence, in fact, establishes that Plaintiff has medically determinable physical and
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mental impairments that would produce functional limitations. (Id.) Rojas asserts that although the
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ALJ's stated reasons for making his credibility finding were specific, they are not legitimate. (Id. at
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5.)
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Further, Rojas alleges that she submitted medical evidence that “wholly associates her
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subjective symptoms with a clinically demonstrated impairment.” (Id.) Plaintiff submits that the
24
medical records “reveal limited mobility, tenderness, decreased strength in the left lower extremity,
25
decreased reflexes in the right Achilles and guarded movements in the low back.” (Id.) The
26
November 15, 2006 MRI reveals that Plaintiff had a “posterior annular tear in the intervertebral
27
disc” with a three-to-four millimeter posterior disc bulge; she received ultrasound-guided joint
28
injections and was prescribed pain medication. (Id.)
11
10cv02461 JLS(RBB)
1
The Plaintiff alleges that the ALJ discounted her testimony “essentially” because it was not
2
supported by objective evidence—which, by itself, is improper—despite the “abundant” objective
3
findings to support Rojas’s complaints. (Id. at 5-6.) Further, Plaintiff asserts that although the ALJ
4
gave several reasons for his credibility determination, “the gist” of each reason was that Rojas’s
5
complaints were not supported by the objective evidence in the record, which is improper. (Reply 3,
6
ECF No. 20.)
Plaintiff requests that the Court credit her testimony as true and reverse the ALJ’s decision
7
8
and award benefits. (Mot. Summ. J. 6-7, ECF No. 16.) Alternatively, the Court should remand the
9
matter to allow proper consideration of Rojas’s subjective symptoms and to elicit testimony from a
10
vocational expert regarding her nonexertional impairments. (Id. at 7.)
11
B.
12
Defendant’s Argument
In his Cross-Motion for Summary Judgment, the Commisioner contends that the only issue
13
challenged by Plaintiff is the ALJ’s decision to reject Rojsa’s testimony for conflicting with
14
objective evidence. (Cross-Mot. Summ. J. Attach. #1 Mem. P. & A. 2, ECF No. 17.) Yet,
15
Defendant emphasizes that the legally relevant question is whether substantial evidence supports the
16
ALJ’s credibility determination. (Id.) The ALJ gave numerous valid reasons, in addition to finding
17
that Plaintiff’s testimony conflicted with objective evidence, that substantially support a finding that
18
Rojas was not fully credible. (Id.)
19
Defendant maintains that the ALJ’s decision was supported by the following reasons:
20
(1) Rojas’s lack of treatment and failure to provide evidence of disability; (2) Rojas’s conservative
21
treatment plan; (3) Rojas’s own admissions; (4) Rojas’s activities of daily living; (5) evidence of
22
exaggeration; and (6) inconsistencies with the record. (Id.) Defendant asserts that Rojas largely
23
ignores these bases for the ALJ’s credibility determination and instead focuses solely on the ALJ’s
24
reliance on objective medical evidence. (Id.) Even so, according to the Defendant, the objective
25
medical evidence in fact supports the credibility determination. (Id. at 8.) The 2006 scan of
26
Plaintiff’s lumbar spine shows that she had a posterior annular tear, which is alone not enough to
27
establish disability; both Dr. Sabourin and the ALJ analyzed this report before concluding that
28
Plaintiff was not disabled. (Id. at 9.) Astrue contends that the doctor conducted his own imaging
12
10cv02461 JLS(RBB)
1
analysis before finding that Rojas’s lumbar spine was within normal limits and that she could
2
perform medium work. (Id.)
3
Even if Judge Steinman erred on one of his findings, the Commissioner contends, the
4
remaining reasons the ALJ gave to discredit Rojas’s testimony constitute substantial evidence. (Id.
5
at 2.) Therefore, the Defendant argues that the decision should be upheld. (Id.)
6
C.
7
Judge Steinman’s Credibility Determination
The ALJ concluded that Rojas has the residual functional capacity to perform light work
8
activity. (Admin. R. Attach. #2, 15, ECF No. 13.) In making this finding, Judge Steinman
9
considered Plaintiff’s symptoms as well as opinion evidence. (Id.)
10
1.
11
As to Rojas’s symptoms, the ALJ followed a two-step process. First, he determined whether
12
Plaintiff had an impairment that could be shown by medically acceptable diagnostic techniques and
13
could reasonably produce the symptoms. (Id.) Second, the ALJ assessed the intensity, persistence,
14
and limiting effects of Rojas’s symptoms to determine the extent to which they limit her ability to
15
function. (Id.) When Rojas’s statements were not substantiated by objective medical evidence, the
16
ALJ made a finding on the credibility of the statements based on a consideration of the record as a
17
whole. (Id.)
18
Plaintiff’s symptoms
As to both inquiries, the ALJ referred to the November 15, 2006, MRI studies showing that
19
Rojas had a posterior annular tear in the intervertebrtal disc with an accompanying posterior disc
20
bulge. (Id.) The ALJ also noted that in March 2007 nerve conduction studies addressed Rojas’s
21
complaints of lumbar back pain; an electromyographic investigation showed no focal abnormality.
22
(Id. at 16.) Dr. Chesler’s August 2007 examination was considered, during which Rojas told the
23
doctor that her medications had helped. (Id.) The ALJ noted the examinations by Dr. Chesler in
24
September 2008, where Plaintiff exhibited a full, painless range of motion of the thoracic and
25
lumbar spine with normal stability, strength, and tone. (Id.)
26
Judge Steinman also contemplated Dr. Sabourin’s October 7, 2008, examination, during
27
which the doctor observed that despite Plaintiff’s heavy limp without the use of a cane, she moved
28
to the examination table without any limp and was able to get on and off the table by herself. (Id.)
13
10cv02461 JLS(RBB)
1
The ALJ considered that Rojas declined toe and heel walking. (Id.) He also noted Dr. Sabourin’s
2
claim that Plaintiff complained of pain with every motion, yet moved around freely without apparent
3
pain during the examination, and was able to sit on the examination table with her leg straight out.
4
(Id.) Plaintiff’s extremity range of motion testing was grossly normal and painless, neurological
5
testing revealed “giving way” in muscle testing, and radiology testing was within normal limits.
6
(Id.) Judge Steinman noted Dr. Sabourin’s opinion that Rojas had minimal lumbar spine problems
7
and that her complaints were disproportionate to the condition. (Id.) The doctor also concluded that
8
there was no medical basis for Plaintiff’s cane use. (Id.)
9
Further, the ALJ contemplated the February 2009 examination by Dr. Chesler. (Id.) At that
10
examination, Rojas told the doctor that she was seen by an orthopedic specialist, but that she could
11
not recall the specialist’s name. (Id.) The specialist had apparently informed Plaintiff that she did
12
not need surgery. (Id.) Plaintiff also told Dr. Chesler that the medications had been helping her
13
function. (Id.) Dr. Chesler’s September 2009 physical examination revealed only mild diffuse
14
edema and mild movement restriction. (Id.)
15
After considering all of this evidence regarding Plaintiff’s symptoms, the ALJ concluded that
16
Rojas’s medically determinable impairment could reasonably be expected to cause the alleged
17
symptoms. (Id. at 17.) Even so, the ALJ determined that Plaintiff’s statements regarding the
18
intensity, persistence, and limiting effects of the symptoms were not credible to the extent they were
19
inconsistent with the residual functional capacity assessment. (Id.) Judge Steinman noted that on
20
the one hand, Rojas testified that she needed a cane to ambulate and that the medication did not
21
relieve her constant back pain; on the other hand, she told Dr. Chesler that her medications had been
22
helping her. (Id.) Similarly, the ALJ noted the discrepancies between Plaintiff’s testimony
23
disclosing that she never saw an orthopedist, and her statements to Dr. Chesler that she saw an
24
orthopedist, a neurologist, and other specialists. (Id.) And moreover, the ALJ recognized that
25
Plaintiff never provided documentation from the specialists to Dr. Chesler or to the Commissioner.
26
(Id.) In sum, the ALJ found that Rojas’s exaggerated symptomology was inconsistent with her daily
27
functioning and that Plaintiff’s allegations of disabling pain were inconsistent with the evidence and
28
were therefore not fully credible. (Id.)
14
10cv02461 JLS(RBB)
1
2.
Opinion Evidence
2
The ALJ considered Dr. Oliva’s functional capacity assessment dated March 26, 2010. (Id.)
3
Judge Steinman noted that the assessment did not indicate the doctor’s frequency or length of
4
contact with Rojas, and lacked supporting documentation, clinical signs, or laboratory findings.
5
(Id.) Although Dr. Oliva opined that Plaintiff was in constant pain and suffered from low back pain
6
with radiculopathy and depression, the only objective medical evidence the doctor provided was
7
“tenderness to palpation.” (Id.) Further, according to Judge Steinman, Dr. Oliva’s assessment that
8
Rojas has a less than sedentary functional capacity was inconsistent with the record. (Id.) The ALJ
9
acknowledged that the doctor is a general practitioner, not an orthopedist specialist. (Id.)
10
Ultimately, the ALJ gave Dr. Oliva’s opinions little weight and stated that the doctor seemed to be
11
attempting to assist Rojas in obtaining benefits as opposed to providing an accurate assessment.
12
(Id.) In contrast, the ALJ gave great weight to the opinions of the consulative orthopedic specialist,
13
Dr. Sabourin, which support the residual functional capacity assessment outlined by the ALJ. (Id.)
14
B.
15
Whether Substantial Evidence Supports the ALJ’s Credibility Determination
“In order for the ALJ to find [claimaint’s] testimony unreliable, the ALJ must make ‘a
16
credibility determination with findings sufficiently specific to permit the court to conclude that the
17
ALJ did not arbitrarily discredit claimant’s testimony.’” Turner v. Comm’r of SSA, 613 F.3d 1217,
18
1224 (9th Cir. 2010) (quoting Thomas v. Barnhart, 278 F.3d 947, 958 (9th Cir. 2002)). In
19
evaluating the credibility of a plaintiff’s testimony regarding subjective pain, the adjudicator must
20
engage in a two-step analysis. Vasquez v. Astrue, 575 F.3d 586, 591 (9th Cir. 2009) (citing
21
Lingenfelter v. Astrue, 504 F.3d 1028, 1035-36 (9th Cir. 2007)); see also Batson v. Comm'r of SSA,
22
359 F.3d 1190, 1196 (9th Cir. 2004). “‘First, the ALJ must determine whether the claimant has
23
presented objective medical evidence of an underlying impairment which could reasonably be
24
expected to produce the pain or other symptoms alleged.’” Vasquez, 575 F.3d at 591 (quoting
25
Lingenfelter, 504 F.3d at 1036). Second, if the claimant meets the first step and there is no evidence
26
of malingering, the ALJ may reject the claimant’s testimony about the severity of the symptoms if
27
he gives “‘specific, clear and convincing reasons’” for the rejection. Id. (quoting Lingenfelter, 504
28
F.3d at 1036); see also Smolen v. Chater, 80 F.3d 1273, 1283-84 (9th Cir. 1996).
15
10cv02461 JLS(RBB)
1
Here, Judge Steinman determined that Rojas’s impairment “could reasonably be expected to
2
cause the alleged symptoms . . . .” (Admin. R. Attach. #2, 17, ECF No. 13.) Neither the Plaintiff
3
nor the Defendant challenge this determination. The first prong of the ALJ’s inquiry regarding the
4
credibility of Plaintiff’s complains is satisfied. See Vasquez, 572 F.3d at 591. Therefore, the issue is
5
whether Judge Steinman provided clear reasons for the adverse credibility finding.
6
The ALJ’s reasons for rejecting a claimant’s testimony must be “clear and convincing.”
7
Reddick v. Charter, 157 F.3d 715, 722 (9th Cir. 1998) (quoting Lester v. Chater, 81 F.3d 821, 834
8
(9th Cir.1996)). To support a lack of credibility finding, the ALJ must point to specific facts in the
9
record that demonstrate that the plaintiff is in less pain than she claims. Vasquez, 572 F.3d at 592
10
(quoting Dodrill v. Shalala, 12 F.3d 915, 918 (9th Cir. 1993)). The ALJ must provide specific
11
findings “stat[ing] which pain testimony is not credible and what evidence suggests the complaints
12
are not credible.” Dodrill, 12 F.3d at 918. A reviewing court should not be forced to speculate as to
13
the grounds for an ALJ’s rejection of a plaintiff’s allegations of disabling pain. Bunnell v. Sullivan,
14
947 F.2d 341, 346 (9th Cir. 1991) (citing Murray v. Heckler, 722 F.2d 499, 502 (9th Cir. 1983)); see
15
also Steele v. Barnhart, 290 F.3d 936, 941 (7th Cir. 2002) (explaining that the ALJ must build an
16
accurate and logical connection between the evidence and the decision).
17
In general, questions of credibility are left to the ALJ to resolve. Sample v. Schweiker, 694
18
F.2d 639, 642 (9th Cir. 1982). Courts should not “second-guess” credibility determinations. Allen
19
v. Heckler, 749 F.2d 577, 580 (9th Cir. 1984). If the evidence is conflicting and could be rationally
20
interpreted more than one way, the court “must uphold the decision of the ALJ.” Id. at 579.
21
Social Security Ruling 96-7p provides the relevant standard:
22
4. In determining the credibility of the individual’s statements, the adjudicator
must consider the entire case record, including the objective medical evidence, the
individual's own statements about symptoms, statements and other information
provided by treating or examining physicians or psychologists and other persons
about the symptoms and how they affect the individual, and any other relevant
evidence in the case record. An individual’s statements about the intensity and
persistence of pain or other symptoms or about the effect the symptoms have on his
or her ability to work may not be disregarded solely because they are not
substantiated by objective medical evidence.
23
24
25
26
27
28
5. It is not sufficient for the adjudicator to make a single, conclusory
statement that ‘the individual's allegations have been considered’ or that ‘the
allegations are (or are not) credible.’ It is also not enough for the adjudicator simply
to recite the factors that are described in the regulations for evaluating symptoms.
16
10cv02461 JLS(RBB)
The determination or decision must contain specific reasons for the finding on
credibility, supported by the evidence in the case record, and must be sufficiently
specific to make clear to the individual and to any subsequent reviewers the weight
the adjudicator gave to the individual's statements and the reasons for that weight.
1
2
3
Soc. Sec. Ruling 96-7p, 1996 SSR LEXIS 4, at *2-4 (July 2, 1996).
4
The Ninth Circuit has articulated the grounds on which an ALJ may properly decide to
5
discredit a claimant’s testimony:
6
In weighing a claimant’s credibility, the ALJ may consider [claimant’s] reputation for
truthfulness, inconsistencies either in his testimony or between his testimony and his
conduct, his daily activities, his work record, and testimony from physicians and third
parties concerning the nature, severity, and effect of the symptoms of which he
complains.
7
8
9
Light v. SSA, 119 F.3d 789, 792 (9th Cir. 1997) (citations omitted). Where the ALJ’s credibility
10
assessment is supported by substantial evidence, it will not be disturbed even where some of the
11
reasons for discrediting a claimant’s testimony were improper. Tonapetyan v. Halter, 242 F.3d
12
1144, 1148 (9th Cir. 2001); see also Carmickle v. Comm’r of SSA, 533 F.3d 1155, 1163 (9th Cir.
13
2008).
14
Here, because there was medical evidence of underlying impairments consistent with Rojas’s
15
complaints and there is no affirmative evidence of malingering, the ALJ’s reasons for rejecting
16
Plaintiff’s testimony must be clear and convincing. Regennitter v. Comm'r of SSA, 166 F.3d 1294,
17
1297 (9th Cir. 1999). Contrary to Plaintiff’s argument, the ALJ did not rely solely on the minimal
18
objective evidence in discrediting Rojas’s testimony. As discussed below, Judge Steinman made
19
additional specific findings to support his credibility determination, such as Rojas’s inconsistent
20
statements, her daily activities, and exaggerated statements.
21
1.
Inconsistent statements
22
In assessing a claimant’s credibility, an adjudicator may consider ordinary methods of
23
credibility determination, such as the claimant’s prior inconsistent statements about her symptoms.
24
Turner, 613 F.3d at 1224 n.3 (quoting Smolen, 80 F.3d at 1284). A claimant’s prior statements that
25
are inconsistent with the alleged pain may be properly taken into account in determining whether the
26
claim of disabling pain should be believed. Fair v. Bowen, 885 F.2d 597, 604 n.5 (9th Cir. 1989).
27
So long as the ALJ makes specific findings that are supported by the record, the ALJ may discredit
28
the claimant’s allegations based on inconsistencies in the testimony. Bunnell, 947 F.2d at 346.
17
10cv02461 JLS(RBB)
1
In his Cross-Motion for Summary Judgment, the Defendant asserts that the ALJ properly
2
considered Plaintiff’s admissions of well-being, particularly when the ALJ noted Plaintiff’s
3
indication that she had no problems in the use of upper extremities and that her medications had
4
been helping her. (Cross-Mot. Summ. J. Attach. #1 Mem. P. & A. 5, ECF No. 17.) Defendant
5
contends the ALJ also properly noted Rojas’s statements that were internally inconsistent. (Id.) For
6
instance, Defendant argues, Judge Steinman considered that Rojas testified that she never saw an
7
orthopedist, yet she told her doctor that she saw an orthopedist who opined that surgery was
8
inappropriate. (Id. at 5-6.) Likewise, Defendant argues that the ALJ properly acknowledged that
9
Plaintiff testified that her medication did not help, although she told her doctor the medications did
10
11
help her. (Id. at 6.) Rojas does not address this argument in her Reply.
The ALJ made specific findings concerning Rojas’s inconsistent statements that are
12
supported by the record. See Bunnell, 947 F.2d at 346. Judge Steinman stated that Plaintiff testified
13
she cannot work because of back pain that is uncontrolled by medication. (Admin. R. Attach. #2,
14
17, ECF No. 13.) The ALJ acknowledged that although Plaintiff testified that the medications do
15
not sufficiently relieve her pain, she told Dr. Chesler that the medications did help her. (Id.)
16
Similarly, the ALJ described that despite Rojas’s repeated assertions that she had seen an
17
orthopedist, nuerologist, and other specialists, she never provided clinical records or other
18
documentation from these physicians to Dr. Chesler or to the Commissioner. (Id.) Judge Steinman
19
properly considered internal contradictions in Rojas’s testimony as well as evidence indicating that
20
Plaintiff was not being candid. Light, 119 F.3d at 792 (noting that an ALJ may rely on a claimant’s
21
internal contradictions when weighing credibility); see also Fair, 885 F.2d 604 n.5 (permitting
22
adjudicators to judge a claimant’s credibility based on evidence that the claimant is not being
23
candid). These are specific and clear examples of inconsistencies in Rojas’s testimony that could
24
weigh against her credibility. The reasoning is supported by substantial evidence. See Flaten., 44
25
F.3d at1457 (discussing that if the evidence can reasonably support affirming or reversing the ALJ’s
26
conclusion, the court may not substitute its judgment for that of the ALJ); Burch, 400 F.3d at 679
27
(finding that the court must uphold the denial of benefits when the evidence may be subject to more
28
than one rational interpretation).
18
10cv02461 JLS(RBB)
1
As to Rojas’s admissions of well-being, the ALJ referred to Plaintiff’s statement that her
2
medications had been helping her, but he did not do so in the context of establishing admissions of
3
well-being; rather, he did so to illustrate instances in which her testimony was inconsistent. (See
4
Admin. R. Attach. #2, 17, ECF No. 13 (citing to events in the record revealing inconsistencies
5
between Rojas’s testimony or her testimony and conduct).) The Court’s inquiry is limited to
6
whether the reasons articulated by the ALJ in making his credibility determination were clear and
7
convincing and supported by the record. Vasquez, 575 F.3d at 591. Judge Steinman did not state
8
that he was relying on Rojas’s admissions of well-being as a basis for the adverse credibility finding,
9
and the Court will not consider the evidence in this context. See SEC v. Chenery Corp., 332 U.S.
10
194, 196 (1947) (clarifying that the “fundamental rule of administrative law” is that “a reviewing
11
court, in dealing with a determination or judgment which an administrative agency alone is
12
authorized to make, must judge the propriety of such action solely by the grounds invoked by the
13
agency”); Connett v. Barnhart, 340 F.3d 871, 874 (9th Cir. 2003) (constraining its review to the
14
reasons asserted by the ALJ).
15
2.
Exaggerated symptomology
16
To determine whether the claimant’s testimony is credible, an ALJ may consider typical
17
techniques of credibility assessment, such as testimony by the claimant “that appears less than
18
candid.” Turner, 613 F.3d at 1224 n.3 (internal quotation marks omitted). Specifically, the ALJ
19
may find that a claimant is not credible if she has made exaggerated statements about the intensity
20
and persistence of her physical impairments. Id. at 1225; Tonapetyan, 242 F.3d at 1148 (indicating
21
that the ALJ properly considered plaintiff’s tendency to exaggerate); Maounis v. Heckler, 738 F.2d
22
1032, 1034 (9th Cir. 1984) (“The ALJ can disregard a claimant’s self-serving statements if they are
23
unsupported by objective findings.”)
24
In his Cross-Motion for Summary Judgment, Defendant argues that the ALJ’s consideration
25
of Rojas’s exaggerated statements was proper. (Cross-Mot. Summ. J. Attach. #1 Mem. P. & A. 7,
26
ECF No. 17.) Judge Steinman found that Rojas had exaggerated her “symptomology” based in part
27
on Dr. Sabourin’s October 7, 2008, orthopedic examination. (Id.) Defendant asserts that Dr.
28
Sabourin observed that although Plaintiff limped to favor her left leg, she was later able to move to
19
10cv02461 JLS(RBB)
1
the examination table without a limp or exhibition of pain. (Id.) Likewise, the doctor noted that
2
Rojas complained of pain when trying to move back during the lumbar spine exam, but she moved
3
around without apparent pain after the formal exam. (Id.) According to the Commissioner, Dr.
4
Sabourin found that Rojas’s limp was disproportionate to the “determinable condition” and that
5
Plaintiff did not need a cane. (Id.) The Plaintiff does not address this argument in her Reply to
6
Defendant’s Cross-Motion for Summary Judgment.
7
Here, in making his credibility determination, Judge Steinman found that Rojas displayed
8
“exaggerated symptomology” during the consultative evaluation. (Admin. R. Attach. #2, 17, ECF
9
No. 13.) During the October 7, 2008 evaluation referenced by Judge Steinman, Dr. Sabourin noted
10
that although Rojas limped heavily without her cane, she was able to move to the examination table
11
without limping; she had her cane but did not use it. (Id. Attach. #7, 335.) After his evaluation, Dr.
12
Sabourin concluded that there was no medical basis for Plaintiff’s cane use and that her complaints
13
were disproportionate to the determinable condition. (Id. at 338.) The ALJ gave great weight to the
14
observations noted by Dr. Sabourin because, as a board certified orthopedic specialist, Dr. Sabourin
15
is familiar with the regulations for evaluating disability. (Id. Attach. #2, 17.)
16
The ALJ properly considered the exaggerated symptomology Rojas exhibited during the
17
October 7, 2008, evaluation with Dr. Sabourin. Turner, 613 F.3d at 1225; Tonapetyan, 242 F.3d at
18
1148. Judge Steinman stated clear and convincing reasons for discrediting Rojas’s testimony on this
19
ground by citing specific examples of this evidence. Moreover, the record supports the finding that
20
Plaintiff exaggerated her statements. She stated she needed to use a cane regularly even though an
21
orthopedist opined there was no medical basis for any cane use. Rojas limped heavily in some
22
instances but walked without a limp or a cane at other times. This evidence is sufficient to support
23
Judge Steinman’s conclusion that Plaintiff was exaggerating, and therefore, not fully credible.
24
3.
Activities of daily living
25
Indeed, a claimant need not be “utterly incapacitated” to obtain disability benefits. Fair, 885
26
F.2d at 603. Nonetheless, the ALJ may consider the claimant’s daily activities and may reject
27
excess pain allegations where the activities contradict the claimant’s other testimony, or where the
28
20
10cv02461 JLS(RBB)
1
activities meet the threshold for transferable work skills. Orn v. Astrue, 495 F.3d 625, 639 (9th Cir.
2
2007).
Defendant argues in his Cross-Motion that Judge Steinman properly considered Rojas’s daily
3
4
living activities in his credibility analysis. (Cross-Mot. Summ. J. Attach. #1 Mem. P. & A. 6, ECF
5
No. 17.) Plaintiff testified during the hearing that she engaged in various activities, such as going to
6
the beach and park, driving to the store and to visit her granddaughter, and cleaning her house for
7
twenty minutes at a time. (Id.) Defendant maintains that the ALJ correctly took these activities into
8
account before concluding that Rojas’s exaggerated symptomology was inconsistent with her daily
9
living activities. (Id.) The Plaintiff argues in reply that by taking these activities into account, the
10
ALJ improperly rejected her subjective complaints. (Reply 4, ECF No. 20.) According to Rojas,
11
Judge Steinman did not adequately explain how these activities translate into her ability to perform
12
work on a full-time basis. (Id.)
In his decision, the ALJ rendered an adverse credibility finding by considering, in part,
13
14
Plaintiff’s daily activities. (See Admin. R. Attach. #2, 17, ECF No. 13.) Judge Steinman discussed
15
that Rojas testified she could not work and could not walk normally due to constant back pain, and
16
that her leg gives out. (Id.) Yet, Plaintiff also testified that she was able to clean her house twenty
17
minutes per day, drive her car to the store, shop, and visit her granddaughter. (Id.; id. Attach. #2,
18
29-30.)
19
To the extent the ALJ considered Rojas’s daily activities because they contradicted her other
20
testimony, this is a proper ground for considering the evidence. Orn, 495 F.3d at 639 (discussing
21
that the first ground for using daily activities to form the basis of an adverse credibility finding is
22
when an ALJ considers the activities because they contradict the claimant’s other testimony). Judge
23
Steinman provided clear and convincing reasons for considering the contradiction between
24
Plaintiff’s testimony—that she could not walk normally and her leg gives out—and her daily
25
activities involving cleaning, shopping, driving, and visiting family. The record substantially
26
supports this contradiction, as Rojas also testified that she went to the park and to the beach with her
27
husband, despite her assertion that she could not walk normally. (See Admin. R. Attach. #2, 28-32,
28
ECF No. 13.) The ALJ properly considered Rojas’s activities in this respect. See Webb, 433 F.3d at
21
10cv02461 JLS(RBB)
1
686 (noting that substantial evidence is evidence that a reasonable mind might accept as adequate to
2
support the ALJ’s conclusion).
3
Yet, to the extent Judge Steinman relied on the daily activities as proof that they are
4
transferable to a work setting, he improperly considered the evidence. Id. (noting that the second
5
ground for using daily activities in an adverse credibility finding is when the claimant can spend a
6
substantial part of the day doing activities that are transferable to a work setting). An ALJ may
7
consider the claimant’s daily activities in this manner when the claimant “is able to spend a
8
substantial part of her day performing household chores or other activities that are transferable to a
9
work setting.” Smolen, 80 F.3d at 1284 n.7; see also Burch, 400 F.3d at 681. Many home activities,
10
however, may not be easily transferable to a work environment where it might be impossible to rest
11
periodically or take medication. Smolen, 80 F.3d at 1284 n.7 (citing Fair, 885 F.2d at 603)). In
12
Vertigan v. Halter, 260 F.3d 1044 (9th Cir. 2001), the plaintiff shopped for groceries, socialized,
13
walked at the mall, and swam; the court still found her complaints credible because some of these
14
activities were not transferable to a work setting, and she did not engage in them for a substantial
15
part of the day. Id. at 1049-50.
16
Here, Judge Steinman did not attempt to correlate Rojas’s daily activities to a particular type
17
of job. Burch, 400 F.3d at 681; Vertigan, 260 F.3d at 1050 (“[A]ctivities such as walking in the
18
mall and swimming are not necessarily transferable to the work setting with regard to the impact of
19
pain.”). Moreover, the ALJ did not discuss whether Rojas engaged in these physical activities for a
20
substantial part of the day; in fact, he acknowledged that she only cleaned her house for twenty
21
minutes at a time. Vertigan, 260 F.3d at 1050 (“A patient may do these activities despite pain for
22
therapeutic reasons, but that does not mean she could concentrate on work despite the pain or could
23
engage in similar activity for a longer period given the pain involved.”); Reddick, 157 F.3d at 722
24
(holding that sporadic activities followed by periods of rest are not inconsistent with subjective
25
complaints of severe pain). In this respect, the ALJ’s reference to Rojas’s daily activities was not a
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proper reason to discredit Plaintiff’s subjective pain testimony. But because the credibility
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determination is still supported by substantial evidence, the ALJ’s assessment will not be disturbed.
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Tonapetyan, 242 F.3d at 1148.
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4.
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“[T]he adjudicator may not discredit a claimant’s testimony of pain and deny disability
3
benefits solely because the degree of pain alleged by the claimant is not supported by objective
4
medical evidence.” Bunnell, 947 F.2d at 346-47 (emphasis added). Nonetheless, “[w]hile subjective
5
pain testimony cannot be rejected on the sole ground that it is not fully corroborated by objective
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medical evidence, the medical evidence is still a relevant factor in determining the severity of the
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claimant’s pain and its disabling effects.” Rollins v. Massanari, 261 F.3d 853, 857 (9th Cir. 2001).
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Symptoms inconsistent with evidence of record
In his Cross-Motion for Summary Judgment, Defendant contends that the ALJ appropriately
acknowledged that Plaintiff’s allegations of disabling pain were inconsistent with the evidence in the
10
record. (Cross-Mot. Summ. J. Attach. #1 Mem. P. & A. 8, ECF No. 17.) While objective medical
11
evidence is part of the “evidence of record,” Defendant maintains, so is Rojas’s conflicting
12
testimony about Dr. Sabourin’s non-medical observations of Rojas’s effort and exaggerations. (Id.)
13
According to Astrue, the ALJ’s credibility determination was consistent with the record, including
14
the opinions of two state agency physicians who reviewed the record and concluded that Rojas
15
lacked credibility. (Id.) In her Reply, Rojas argues that despite the multiple bases given by the ALJ
16
for his credibility determination, the “gist” of all of them was that her testimony conflicted with the
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objective medical evidence, which is an improper ground for discrediting her testimony. (Reply 3,
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ECF No. 20.)
19
In this case, ALJ Steinman concluded that Rojas’s allegations of disabling pain and
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limitation were inconsistent with the evidence of record and were therefore not fully credible.
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(Admin. R. Attach. #2, 17, ECF No. 13.) If this was the sole basis for the adverse credibility
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determination, it would be improper to the extent the ALJ did not give clear and convincing reasons
23
supported by the record. As discussed, Judge Steinman properly provided other specific, convincing
24
reasons for discrediting Rojas’s testimony, such as the inconsistencies in Plaintiff’s testimony or
25
between her testimony and her conduct, her exaggerated statements, and conflicts between Rojas’s
26
daily activities and testimony. Where, as here, the ALJ’s determination is otherwise supported by
27
substantial evidence, it will not be disturbed even if some of the reasons for discrediting a claimant’s
28
testimony were improper. See Tonapetyan, 242 F.3d at 1148.
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10cv02461 JLS(RBB)
1
5.
Other factors
2
In his Cross-Motion, the Defendant alludes to other factors that the ALJ considered when
3
making his credibility finding. Specifically, the Commissioner argues that the ALJ properly took
4
into account Rojas’s self-limiting behaviors, her lack of consistent treatment, and her conservative
5
treatment plan. (See Cross-Mot. Summ. J. Attach. #1 Mem. P. & A. 3-5, 7-8, , ECF No. 17.)
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Although the ALJ recounted evidence relating to these issues as part of the general record, he did
7
not directly state he was relying on her self-limiting behaviors, lack of consistent treatment, or
8
conservative treatment plan as bases for discrediting Plaintiff’s testimony. See Chenery Corp., 332
9
U.S. at 196 (noting that a reviewing court must limit its analysis to the grounds invoked by the
10
administrative agency); Vasquez, 575 F.3d at 591; Connett, 340 F.3d at 874. The inquiry is whether
11
the reasons articulated by the ALJ in making the credibility determination were clear and supported
12
by substantial evidence, and the Court finds that they were.
VII. CONCLUSION
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Accordingly, the Court hereby (1) DENIES Plaintiff’s Motion for Summary Judgment, and
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(2) GRANTS Defendant’s Cross-Motion for Summary Judgment. This Order concludes the
16
litigation in this matter. The Clerk shall close the file.
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IT IS SO ORDERED.
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DATED: March 19, 2012
Honorable Janis L. Sammartino
United States District Judge
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