Matthews v. Astrue
Filing
20
MEMORANDUM DECISION AND ORDER re: 1 Complaint, Petition for Review filed by Michael T Matthews. Based on the foregoing, Petitioners Petitioner for Review 1 is DENIED, the decision of the Commissioner is AFFIRMED, and this action is DISMISSED in its entirety, with prejudice. Signed by Judge Ronald E Bush. (caused to be mailed to non Registered Participants at the addresses listed on the Notice of Electronic Filing (NEF) by krb)
UNITED STATES DISTRICT COURT
DISTRICT OF IDAHO
MICHAEL T. MATTHEWS,
Case No. CV 10-624-S-REB
Petitioner,
MEMORANDUM DECISION AND
ORDER
vs.
MICHAEL J. ASTRUE, Commissioner of Social
Security,
Respondent.
Now pending before the Court is Petitioner Michael T. Matthews’ Petition for Review
(Dkt. 1), filed December 16, 2010, seeking review of the Social Security Administration’s final
decision to deny his disability benefits. This action is brought pursuant to 42 U.S.C. § 405(g).
Having carefully reviewed the record and otherwise being fully advised, the Court enters the
following Memorandum Decision and Order.
I. ADMINISTRATIVE PROCEEDINGS
On September 4, 2007, Michael T. Matthews (“Petitioner”) applied for Social Security
Disability Insurance Benefits and SSI disability benefits, alleging a disability onset date of July
23, 2005,1 when he was 50 years old. (AR 23, 37). Petitioner’s claim was initially denied and,
again, denied on reconsideration. (AR 23, 95, 99). Petitioner timely filed a Request for Hearing
1
Although Petitioner alleges disability since July 2005, he is ineligible for SSI disability
for any month prior to and including September 2007, the month he filed for SSI disability
benefits application. 20 C.F.R. §§ 416.330, 416.335; SSR 83-20. Similarly, he is ineligible for
DIB benefits for any month preceding September 2006, twelve months before his application.
20 C.F.R. § 404.621.
MEMORANDUM DECISION AND ORDER - 1
before an Administrative Law Judge (“ALJ”). On February 24, 2009, ALJ John C. Arkoosh held
a hearing in Twin Falls, Idaho at which time Petitioner, represented by attorney Nicholas
Huntsman, appeared and testified. (AR 45-81). A vocational expert, Anne Aastum, also
appeared and testified. (AR 45-81). At the time of the hearing, Petitioner’s past relevant work
was as a construction worker and roofer. (AR 36).
On July 24, 2009, the ALJ issued a decision, denying Petitioner’s claims, finding that
Petitioner was not disabled within the meaning of the Social Security Act. (AR 23-38).
Petitioner timely requested review from the Appeals Council on August 19, 2009. (AR 12). The
Appeals Council then denied review on October 22, 2010 (AR 1) rendering the ALJ’s decision
the Commissioner’s final decision. Plaintiff now seeks judicial review of the Commissioner’s
decision to deny benefits. Petitioner contends the ALJ erred by finding that Petitioner was able
to do “regular and continuing” work. The argument advanced by Petitioner would have the
Court draw a conclusion that does not correspond with the record as a whole and treats the ALJ’s
finding as an aberration in an otherwise consistent record and decision. The Court has
scrutinized the ALJ’s decision and the record and finds that Respondent’s position is consistent
with the record and the ALJ’s findings as a whole.
II. STANDARD OF REVIEW
To be upheld, the Commissioner’s decision must be supported by substantial evidence
and based on proper legal standards. 42 U.S.C. § 405(g); Matney ex. rel. Matney v. Sullivan, 981
F.2d 1016, 1019 (9th Cir. 1992); Gonzalez v. Sullivan, 914 F.2d 1197, 1200 (9th Cir. 1990).
Findings as to any question of fact, if supported by substantial evidence, are conclusive. 42
U.S.C. § 405(g). In other words, if there is substantial evidence to support the ALJ’s factual
MEMORANDUM DECISION AND ORDER - 2
decisions, they must be upheld, even when there is conflicting evidence. Hall v. Sec'y of Health,
Educ. & Welfare, 602 F.2d 1372, 1374 (9th Cir. 1979).
“Substantial evidence” is defined as such relevant evidence as a reasonable mind might
accept as adequate to support a conclusion. Richardson v. Perales, 402 U.S. 389, 401 (1971);
Tylitzki v. Shalala, 999 F.2d 1411, 1413 (9th Cir. 1993); Flaten v. Sec’y of Health & Human
Servs., 44 F.3d 1453, 1457 (9th Cir. 1995). The standard requires more than a scintilla but less
than a preponderance, Sorenson v. Weinberger, 514 F.2d 1112, 1119 n. 10 (9th Cir.1975);
Magallanes v. Bowen, 881 F.2d 747, 750 (9th Cir. 1989), and “does not mean a large or
considerable amount of evidence.” Pierce v. Underwood, 487 U.S. 552, 565 (1988).
With respect to questions of fact, the role of the Court is to review the record as a whole
to determine whether it contains evidence that would allow a reasonable mind to accept the
conclusions of the ALJ. See Richardson, 402 U.S. at 401; see also Matney, 981 F.2d at 1019.
The ALJ is responsible for determining credibility and resolving conflicts in medical testimony,
Allen v. Heckler, 749 F.2d 577, 579 (9th Cir. 1984), resolving ambiguities, see Vincent ex. rel.
Vincent v. Heckler, 739 F.2d 1393, 1394-95 (9th Cir. 1984), and drawing inferences logically
flowing from the evidence, Sample v. Schweiker, 694 F.2d 639, 642 (9th Cir. 1982). Where the
evidence is susceptible to more than one rational interpretation in a disability proceeding, the
reviewing court may not substitute its judgment or interpretation of the record for that of the
ALJ. Flaten, 44 F.3d at 1457; Key v. Heckler, 754 F.2d 1545, 1549 (9th Cir. 1985).
With respect to questions of law, the ALJ’s decision must be based on proper legal
standards and will be reversed for legal error. Matney, 981 F.2d at 1019. The ALJ’s
construction of the Social Security Act is entitled to deference if it has a reasonable basis in law.
MEMORANDUM DECISION AND ORDER - 3
See id. However, reviewing federal courts “will not rubber-stamp an administrative decision that
is inconsistent with the statutory mandate or that frustrates the congressional purpose underlying
the statute.” Smith v. Heckler, 820 F.2d 1093, 1094 (9th Cir. 1987).
III. DISCUSSION
A.
Sequential Process
In evaluating the evidence presented at an administrative hearing, the ALJ must follow a
sequential process in determining whether a person is disabled in general (see 20 C.F.R. §§
404.1520, 416.920) - or continues to be disabled (see 20 C.F.R. §§ 404.1594, 416.994) - within
the meaning of the Social Security Act.
The first step requires the ALJ to determine whether the claimant is engaged in
substantial gainful activity (“SGA”). 20 C.F.R. §§ 404.1520(a)(4)(I), 416.920(a)(4)(I). SGA is
defined as work activity that is both substantial and gainful. “Substantial work activity” is work
activity that involves doing significant physical or mental activities. 20 C.F.R. §§ 404.1572(a),
416.972(a). “Gainful work activity” is work that is usually done for pay or profit, whether or not
a profit is realized. 20 C.F.R. §§ 404.1572(b), 416.972(b). If the claimant has engaged in SGA,
disability benefits are denied, regardless of how severe her physical/mental impairments are and
regardless of her age, education, and work experience. 20 C.F.R. §§ 404.1520(b), 416.920(b). If
the claimant is not engaged in SGA, the analysis proceeds to the second step. Here, the ALJ
found that Petitioner had not engaged in SGA after July 23, 2005, the alleged onset date. (AR
25).
The second step requires the ALJ to determine whether the claimant has a medically
determinable impairment, or combination of impairments, that is severe and meets the duration
MEMORANDUM DECISION AND ORDER - 4
requirement. 20 C.F.R. § 404.1520(a)(4)(ii), 416.920(a)(4)(ii). An impairment or combination
of impairments is “severe” within the meaning of the Social Security Act if it significantly limits
an individual’s ability to perform basic work activities. 20 C.F.R. §§ 404.1520(c), 416.920(c).
An impairment or combination of impairments is “not severe” when medical and other evidence
establish only a slight abnormality or a combination of slight abnormalities that would have no
more than a minimal effect on an individual’s ability to work. 20 C.F.R. §§ 404.1521, 416.921.
If the claimant does not have a severe medically determinable impairment or combination of
impairments, disability benefits are denied. 20 C.F.R. §§ 404.1520(c), 416.920(c). Here, the
ALJ found that Petitioner had the following severe impairments - mild degenerative disc disease
of the lumbar spine; history of right calcaneal fracture and a left distal fibular fracture;
personality disorder, not otherwise specified (NOS) with narcissistic features and alcohol
dependence. (AR 25).
The third step requires the ALJ to determine the medical severity of any impairments;
that is, whether the claimant’s impairments meet or equal a listed impairment under 20 C.F.R.
Part 404, Subpart P, Appendix 1. 20 C.F.R. §§ 404.1520(a)(4)(iii), 416.920(a)(4)(iii). If the
answer is yes, the claimant is considered disabled under the Social Security Act and benefits are
awarded. 20 C.F.R. §§ 404.1520(d), 416.920(d). If the claimant’s impairments neither meet nor
equal one of the listed impairments, the claimant’s case cannot be resolved at step three and the
evaluation proceeds to step four. Id. Here, the ALJ concluded that Petitioner does not have an
impairment (or combination of impairments) that meets or medically equals a listed impairment
(AR 25).
The fourth step of the evaluation process requires the ALJ to determine whether the
MEMORANDUM DECISION AND ORDER - 5
claimant’s residual functional capacity is sufficient for the claimant to perform past relevant
work. 20 C.F.R. §§ 404.1520(a)(4)(iv), 416.920(a)(4)(iv). An individual’s residual functional
capacity is her ability to do physical and mental work activities on a sustained basis despite
limitations from her impairments. 20 C.F.R. §§ 404.1545, 416.945. Likewise, an individual’s
past relevant work is work performed within the last 15 years or 15 years prior to the date that
disability must be established; also, the work must have lasted long enough for the claimant to
learn to do the job and be engaged in substantial gainful activity. 20 C.F.R. §§ 404.1560(b),
404.1565, 416.960(b), 416.965. Here, the ALJ determined that Petitioner has the residual
functional capacity to perform light work as defined in 20 C.F.R. § 404.1567(b) and 416.967(b)
except he can alternate sitting, standing and walking and would be able to do those three
activities for at least 30 minutes at a time, with a brief break, and that he should be capable of
doing those for at least 4 to 6 hours in an 8-hour day. Because he is healthy appearing, the ALJ
found his ability to lift and/or carry is minimally limited and he can lift up to 50 pounds at a time
and 30 pounds regularly. Handling objects, hearing, speaking and traveling were not found to be
limited. The ALJ also found that Petitioner can understand, remember and carry out simple and
routine tasks and perform work that is unskilled in nature.
In the fifth and final step, if it has been established that a claimant can no longer perform
past relevant work because of his impairments, the burden shifts to the Commissioner to show
that the claimant retains the ability to do alternate work and to demonstrate that such alternate
work exists in significant numbers in the national economy. 20 C.F.R. §§ 404.1520(a)(4)(v),
416.920(a)(4)(v), 404.1520(f), 416.920(f); see also Matthews v. Shalala, 10 F.3d 678, 681 (9th
Cir. 1993). If the claimant is able to do other work, he is not disabled; if the claimant is not able
MEMORANDUM DECISION AND ORDER - 6
to do other work and meets the duration requirement, he is disabled. Here, the ALJ determined
that Petitioner could not perform past relevant work but that there are jobs that exist in
significant numbers in the national economy that the claimant can perform and therefore, he is
not disabled. (AR 37).
B.
Analysis
1.
Social Security Ruling 96-8p: “Regular and Continuing Basis”
Petitioner contends the ALJ erred at step four, where he found that Petitioner had the
residual functional capacity (RFC) “to alternate sitting, standing and walking and would be able
to do those three activities for at least 30 minutes at a time, with a brief break, and that he should
be capable of doing those for at least 4 to 6 hours in an 8-hour day.” (AR 28). Petitioner argues
that the ALJ’s RFC finding is at odds with Social Security Ruling 96-8p which defines a
claimant’s RFC as “the individual’s maximum remaining ability to do sustained work activities
in an ordinary work setting on a regular and continuing basis . . .” It further defines “regular and
continuing basis” as “8 hours a day, for 5 days a week, or an equivalent work schedule.” SSR
96-8p, available at 1996 WL 374184, at *2. Petitioner claims that because the ALJ determined
he was only capable of sitting, standing and walking for “4 to 6 hours in an 8-hour day,” rather
than the entire 8 hours, the ALJ should have found him disabled. Respondent counters that
Petitioner’s interpretation is inconsistent with the other evidence accepted by both Petitioner and
the ALJ.
While the Court recognizes the wording used by the ALJ is not as transparent as it could
be, the Court does not find it to be ambiguous or problematic as Petitioner contends. When
reviewing the ALJ’s decision in support of the RFC finding, it is clear that the ALJ believed
MEMORANDUM DECISION AND ORDER - 7
Petitioner was capable of performing work on a “regular and continuing basis,” i.e., for 8 hours a
day.
A claimant’s residual functional capacity is the most he can do despite his limitations. 20
C.F.R. § 404.1545(a). First off, the Court notes that a residual functional capacity finding
necessarily incorporates the determination that a claimant is capable of working for 8 hours. The
very definition of “residual functional capacity” includes doing sustained work “on a regular and
continuing basis,” meaning 8 hours a day for 5 days a week. See SSR 96-8p.
Further, from a review of the ALJ’s decision, it is clear the ALJ found Petitioner capable
of working on a “regular and continuing basis.” He states: “while the claimant can no longer
perform his past relevant work which involved work that was medium to heavy in exertional
demand, he can perform work activity that does not involve heavy lifting, and walking or
standing for long periods of time.” (AR 29). The ALJ provides a thorough review of the
medical records with discussion on which medical records are afforded greater weight and why,
discusses Petitioner’s daily living activities, and provides a credibility assessment of Petitioner.
There is nothing in the ALJ’s discussion that indicates Petitioner is capable of less than an 8hour day.
The ALJ repeatedly mentions that the record reflects Petitioner is ambulatory and has
normal gait and station. (AR 32, 35). The ALJ relies heavily on the medical records of Dr.
Retmier who treated Petitioner following his accident in July 2005 and indicated that he was
“doing great” just a couple months after his accident. Although he appeared to aggravate his
injury in October 2005, Dr. Retmier found Petitioner’s fracture was healing and he had good
strength in all planes and good overall alignment. (AR 30). Of Petitioner’s failure to follow Dr.
MEMORANDUM DECISION AND ORDER - 8
Retmier’s recommendations or follow-up with him until a year later, the ALJ noted that this
“suggests that the symptoms may not have been as serious as has been alleged with this
application and appeal . . . claimant did not seek orthopedic care or complain of lower extremity
difficulties until he returned to Dr. Retmier on September 20, 2006.” (AR 31). The ALJ further
found:
The objective medical evidence is fully consistent with the above
residual functional capacity and inconsistent with disabling levels
of pain and functional limitations . . . There was no abnormal
uptake in his feet or ankles. Dr. Retmier reiterated to the claimant
good shoe wear, strengthening, range of motion, and stretch. He
referred him to physical therapy for lower extremity exercises and
a spinal stabilization program. Dr. Retmier did not think he was a
surgical candidate.
(AR 31).
The ALJ gave great weight to the opinion of Dr. Wiggins and indeed, his RFC finding
appears to incorporate her opinion which stated Petitioner would “probably have a little bit of
limitations with sitting, standing and walking. However, I expect he should be able to do these
for at least 30 minutes at a stretch with a brief break and should be to [sic] so for at least 4-6
hours in an 8-hour day.” (AR 303). With regard to her opinion, the ALJ recited that Dr.
Wiggins had found that “[Petitioner] did not appear to be limited by pain. His gait was within
normal limits, and he was able to tandem walk. . . [Dr. Wiggins’ findings] were actually
essentially normal . . . There was no decreased range of motion noted in the ankles . . . [and] less
than optimal effort given forth on manual muscle testing.” (AR 32). The ALJ gave Dr.
Wiggins’ opinion great weight, finding:
[she performed a] relatively thorough consultative examination of
the claimant, as well as review[ed] the longitudinal history of his
medical conditions from his other treating sources at the time of
her examination. Her opinions are consistent with the claimant’s
MEMORANDUM DECISION AND ORDER - 9
course of treatment and the findings made by her on consultative
examination of the claimant. Her opinions are further consistent
with the findings of Dr. Retmier who is a specialist in orthopedics
and had treated the claimant following his work-related accident.
(AR 32-33).
The ALJ gave proper reasons for the weight given to the opinions of Dr. Long and Dr.
Holman, both whom assessed Petitioner to have greater limitations. With respect to Dr. Long,
the ALJ noted that his opinions were based only on the one visit with claimant and relied “quite
heavily on the subjective report of symptoms and limitations provided by the claimant, and
seemed to uncritically accept as true most, if not all, of what the claimant reported . . .Yet . . .
there exists good reasons for questioning the reliability of claimant’s subjective complaints.”
(AR 33). The ALJ also noted that Dr. Long did not have the benefit of reviewing other medical
reports in the record and that the claimant underwent the examination for disability purposes, not
for treatment. (AR 33). See Meanel v. Apfel, 172 F.3d 1111, 1113-1114 (9th Cir. 1999) (opinion
that is conclusory and inconsistent with the rest of the evidence is properly rejected). Likewise,
the ALJ gave little weight to the opinions of Dr. Holman because “they are not supported by his
own medical records, i.e., there is no evidence of inability to ambulate effectively, nor is there
any evidence that the claimant was unable to stand or walk.” (AR 35).
The ALJ noted claimant’s descriptions of daily activities are not as limited as one would
expect “given the complaints of disabling symptoms and limitations,” noting Petitioner cared for
his own personal hygiene, prepared simple meals, mowed the lawn, performed household chores
and went shopping for groceries and cleaning supplies. (AR 33-34). In assessing Petitioner’s
credibility, the ALJ noted that the claimant never looked for lighter work or pursued vocational
MEMORANDUM DECISION AND ORDER - 10
rehabilitation and that his allegations that he is incapable of all work activity are not credible
“because of significant inconsistencies in the record as a whole.” (AR 29). See Thomas v.
Barnhart, 278 F.3d 947, 958-59 (9th Cir. 2002) (delineating what the ALJ may consider in
evaluating a claimant’s credibility).
Upon review of the ALJ’s discussion in support of the RFC finding, it is evident that the
ALJ found Petitioner capable of performing work on a “regular and continuing basis,” i.e., for 8
hours a day, 5 days a week. There are numerous notations to the record supporting the finding
that Petitioner was not severely limited in his walking and standing. Further, the ALJ relied
heavily on Dr. Wiggins’ opinion. Dr. Wiggins stated that her findings were essentially normal.
The ALJ’s findings support a conclusion that the RFC allows for Petitioner to sustain work on a
“regular and continuous basis.”
Also of note are the hypotheticals posed to the vocational expert during the hearing.
When the ALJ asked about job opportunities allowed by Dr. Long’s RFC assessment, which
placed severe limitations on Petitioner’s abilities,2 the vocational expert testified it would
“preclude substantial gainful employment” because it “provides for less than an eight hour day
of work essentially.” (AR 77). When the ALJ proffered Dr. Wiggins’ RFC to the vocational
expert, she testified as to three light level jobs that existed in the national economy. (AR 78-79).
The vocational expert’s consideration of Dr. Wiggins’ RFC assessment, which was subsequently
adopted by the ALJ, did not account for Petitioner being capable of less than an 8-hour day.
The ALJ’s findings in support of his residual functional capacity assessment indicate that
2
Dr. Long’s RFC assessment opined that Petitioner could only sit for 5 minutes at one
time and stand/walk for 0 minutes and could only sit for 1 hour in an 8-hour workday and
stand/walk for 0 hours. (AR 330).
MEMORANDUM DECISION AND ORDER - 11
he found Petitioner capable of sustaining an 8-hour work day. While his actual RFC could have
been stated more clearly, the Court does not find that reason alone to be sufficient to remand.
There is substantial evidence in the record to support the ALJ’s conclusion that Petitioner could
sustain work on a “regular and continuing basis.” See Richardson v. Perales, 402 U.S. 389, 401
(1971); Magallanes v. Bowen, 881 F.2d 747, 750 (9th Cir. 1989).
IV. CONCLUSION
The ALJ is the fact-finder and is solely responsible for weighing and drawing inferences
from facts and determining credibility. Allen, 749 F.2d at 579; Vincent ex. Rel. Vincent, 739
F.2d at 1394; Sample, 694 F.2d at 642. If the evidence is susceptible to more than one rational
interpretation, one of which is the ALJ’s, a reviewing court may not substitute its interpretation
for that of the ALJ. Key, 754 F.2d at 1549.
The evidence upon which the ALJ relied can reasonably and rationally support his wellformed conclusions, despite the fact that such evidence may be susceptible to a different
interpretation. Accordingly, the ALJ’s decision as to Petitioner’s alleged disability is based on
proper legal standards and supported by substantial evidence. Therefore, I conclude that the
Commissioner’s determination that Petitioner is not disabled within the meaning of the Social
Security Act is supported by substantial evidence in the record and is based upon an application
of proper legal standards.
Accordingly, the Commissioner’s decision is affirmed.
MEMORANDUM DECISION AND ORDER - 12
V. ORDER
Based on the foregoing, Petitioner’s Petitioner for Review (Dkt. 1) is DENIED, the
decision of the Commissioner is AFFIRMED, and this action is DISMISSED in its entirety, with
prejudice.
DATED: February 28, 2012
Honorable Ronald E. Bush
U. S. Magistrate Judge
MEMORANDUM DECISION AND ORDER - 13
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?