Yeaple v. Commissioner Social Security Administration
Filing
22
OPINION AND ORDER. Signed on 3/30/2017 by Judge Garr M. King. (pvh)
UNITED STATES DISTRICT COURT
DISTRICT OF OREGON
Case No. 6:16-cv-00034-KI
STEVEN YEAPLE,
Plaintiff,
OPINION AND ORDER
v.
NANCY A. BERRYHILL, Acting
Commissioner of Social Security,1
Defendant.
Tim Wilborn, Attorney at Law
Wilborn Law Office, P.C.
P.O. Box 370578
Las Vegas, NV 89137
Attorney for Plaintiff
Billy J. Williams
United States Attorney
District of Oregon
Janice E. Hebert
1
Nancy A. Berryhill is now the Acting Commissioner of Social Security. Pursuant to
Rule 25(d) of the Federal Rules of Civil Procedure, Nancy A. Berryhill is substituted for Acting
Commissioner Carolyn W. Colvin as the defendant in this suit.
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Assistant United States Attorney
1000 SW Third Avenue, Suite 600
Portland, OR 97204-2902
Erin Highland
Special Assistant United States Attorney
Office of the General Counsel
Social Security Administration
701 Fifth Avenue, Suite 2900 M/S 221A
Seattle, WA 98104-7075
Attorneys for Defendant
KING, Judge:
Plaintiff Steven Yeaple brings this action pursuant to section 205(g) of the Social Security
Act, as amended, 42 U.S.C. § 405(g), to obtain judicial review of a final decision of the
Commissioner denying plaintiff’s application for disability insurance benefits (“DIB”) and
supplemental security income benefits (“SSI”). I reverse the decision of the Commissioner and
remand for further proceedings.
BACKGROUND
Yeaple filed applications for SSI and DIB on June 11, 2012, alleging a disability onset
date of June 5, 2008. The applications were denied initially and upon reconsideration. After a
timely request for a hearing, Yeaple, represented by counsel, appeared and testified before an
Administrative Law Judge (“ALJ”) on May 19, 2014.
On July 16, 2014, the ALJ issued a decision finding Yeaple not disabled within the
meaning of the Act and therefore not entitled to benefits. This decision became the final decision
of the Commissioner when the Appeals Council declined to review the decision of the ALJ on
November 10, 2015.
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DISABILITY ANALYSIS
The Social Security Act (the “Act”) provides for payment of disability insurance benefits
to people who have contributed to the Social Security program and who suffer from a physical or
mental disability. 42 U.S.C. § 423(a)(1). In addition, under the Act, supplemental security
income benefits may be available to individuals who are age 65 or over, blind, or disabled, but
who do not have insured status under the Act. 42 U.S.C. § 1382(a).
The claimant must demonstrate an inability to engage in any substantial gainful activity
by reason of any medically determinable physical or mental impairment which can be expected to
cause death or to last for a continuous period of at least twelve months. 42 U.S.C.
§§ 423(d)(1)(A) and 1382c(a)(3)(A). An individual will be determined to be disabled only if his
physical or mental impairments are of such severity that he is not only unable to do his previous
work but cannot, considering his age, education, and work experience, engage in any other kind
of substantial gainful work which exists in the national economy. 42 U.S.C. §§ 423(d)(2)(A) and
1382c(a)(3)(B).
The Commissioner has established a five-step sequential evaluation process for
determining if a person is eligible for either DIB or SSI due to disability. The evaluation is
carried out by the ALJ. The claimant has the burden of proof on the first four steps. Parra v.
Astrue, 481 F.3d 742, 746 (9th Cir. 2007); 20 C.F.R. §§ 404.1520 and 416.920. First, the ALJ
determines whether the claimant is engaged in “substantial gainful activity.” 20 C.F.R. §§
404.1520(b) and 416.920(b). If the claimant is engaged in such activity, disability benefits are
denied. Otherwise, the ALJ proceeds to step two and determines whether the claimant has a
medically severe impairment or combination of impairments. A severe impairment is one
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“which significantly limits [the claimant’s] physical or mental ability to do basic work
activities[.]” 20 C.F.R. §§ 404.1520(c) and 416.920(c). If the claimant does not have a severe
impairment or combination of impairments, disability benefits are denied.
If the impairment is severe, the ALJ proceeds to the third step to determine whether the
impairment is equivalent to one of a number of listed impairments that the Commissioner
acknowledges are so severe as to preclude substantial gainful activity. 20 C.F.R. §§ 404.1520(d)
and 416.920(d). If the impairment meets or equals one of the listed impairments, the claimant is
conclusively presumed to be disabled. If the impairment is not one that is presumed to be
disabling, the ALJ proceeds to the fourth step to determine whether the impairment prevents the
claimant from performing work which the claimant performed in the past. If the claimant is able
to perform work she performed in the past, a finding of “not disabled” is made and disability
benefits are denied. 20 C.F.R. §§ 404.1520(f) and 416.920(f).
If the claimant is unable to perform work performed in the past, the ALJ proceeds to the
fifth and final step to determine if the claimant can perform other work in the national economy
in light of his age, education, and work experience. The burden shifts to the Commissioner to
show what gainful work activities are within the claimant’s capabilities. Parra, 481 F.3d at 746.
The claimant is entitled to disability benefits only if he is not able to perform other work. 20
C.F.R. §§ 404.1520(g) and 416.920(g).
STANDARD OF REVIEW
The court must affirm a denial of benefits if the denial is supported by substantial
evidence and is based on correct legal standards. Molina v. Astrue, 674 F.3d 1104, 1110 (9th Cir.
2012). Substantial evidence is “such relevant evidence as a reasonable mind might accept as
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adequate to support a conclusion” and is more than a “mere scintilla” of the evidence but less
than a preponderance. Id. (internal quotation omitted). The court must uphold the ALJ’s
findings if they “are supported by inferences reasonably drawn from the record[,]” even if the
evidence is susceptible to multiple rational interpretations. Id.
THE ALJ’S DECISION
The ALJ identified degenerative disc disease and degenerative joint disease of the
cervical spine, left shoulder impingement, neuropathy secondary to type II diabetes mellitus, and
anxiety disorder as Yeaple’s severe impairments. The ALJ found that these impairments, either
singly or in combination, did not meet or medically equal the requirements of any of the
impairments listed in 20 C.F.R. Part 404, Subpart P, Appendix 1. The ALJ concluded Yeaple
retained the residual functional capacity (“RFC”) to perform medium work. Yeaple can lift and
carry 50 pounds occasionally and 25 pounds frequently, can sit for 6 hours during an eight-hour
workday, and can stand/walk for six hours during an eight-hour workday. Yeaple, however, can
have only occasional public and face-to-face coworker contact, and he cannot work around
crowds or work in a small room (office-sized room or smaller) without windows.
Given this RFC, Yeaple could not perform his past relevant work. Instead, the ALJ
concluded Yeaple could perform jobs in the national economy such as budder, hand packager,
and laundry worker. As a result, the ALJ found Yeaple not disabled under the meaning of the
Act.
FACTS
Yeaple was 52 years old on his alleged disability onset date. He has an eighth grade
education. He worked as a recreational vehicle repairer until he was laid off in June 2008. In
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explaining why his employment came to an end, Yeaple variously explained, “[E]mployers do
not like the problems that I am experiencing and therefore I have been laid off,” that “it is hard to
find work at my age with my problems,” that he had to take breaks because of his diabetes and
the owner “felt that [he] was dispensable,” and that he was “laid off from his last job when the
company went out of business.” Tr. 241, 378, 435. Yeaple also reported he “has not been able
to find work.” Tr. 422.
Yeaple has been evaluated for mental and neurological issues. In October 2008, Michelle
Whitehead, MHNP, PhD, diagnosed Yeaple with anxiety disorder, NOS. She noted Yeaple’s
immediate recall was in the “borderline” range, and his overall functioning was low average.
Yeaple explained to Dr. Whitehead that he had worked as an RV technician for 15 years. He
worked for the last company for five years. Yeaple’s “manager quit and he had to deal with . . .
the owner. [Yeaple] reports that the owner had ADHD and was difficult to deal with. [Yeaple]
reports that [the owner] was hypersensitive about [Yeaple’s] diabetes. He was laid off about five
months ago. [Yeaple] notes that [the owner] recently committed suicide.” Tr. 368.
Additionally, Yeaple explained to Dr. Whitehead that he cannot lift heavy loads due to a previous
back injury, and that “no one is hiring due to the downturn in the economy. He is receiving
unemployment benefits.” Id. Yeaple spent his days working around his friend’s property or
helping with his church’s construction project. He handed out cards for doing RV repair and
generally had one repair a month. He “mainly works to keep busy.” Tr. 370. He enjoyed hot rod
cars and went to car shows. He enjoyed model railroading. Dr. Whitehead commented that
Yeaple is “now having difficulty finding a new job in the industry he has worked in for many
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years. He reports trying to do RV repair jobs from individuals he knows or is referred to.” Tr.
371.
A few months later, Gary Buchholz, MD, examined Yeaple. He diagnosed Yeaple with
Type II diabetes mellitus, controlled with naturopathic medications. Yeaple told Dr. Buchholz he
had injured his shoulder in 1984 and had surgery on it in 1998; Yeaple thought he could only lift
30 to 40 pounds, but he felt his range of motion was fine. On examination, Dr. Buchholz noted
“normal power and facility of movement” and “[n]o neurologic evidence of ongoing difficulty in
the shoulder.” Tr. 378. Yeaple explained that in his last job, “his regular boss quit and the
owner took over and felt that Mr. Yeaple was dispensable” so he was laid off. Tr. 378. Yeaple
commented that he often had to take breaks and drink water or eat food for his diabetes. Yeaple
did not display any memory difficulties, although Yeaple complained of memory loss. Dr.
Buchholz found no restrictions in standing, walking, or sitting and that Yeaple had been working
“quite satisfactorily” until he was laid off “and it is not clear that he has deteriorated since that
time.” Tr. 379. Dr. Buchholz noted that if Yeaple really had a permanent lifting restriction of 30
pounds, it should be honored, but he noted Yeaple “seems well muscled and it’s not clear that he
would have a specific restriction.” Id.
Yeaple was treated in urgent care in 2010 for symptoms he experienced as a result of
water intoxication. Yeaple reported “loading and unloading a lot of building materials lately. He
says he drinks gallons of water a day.” Tr. 408.
Yeaple established care with Dawna-Marie Fixott, M.D., for treatment of his diabetes,
blood pressure and cholesterol in August 2010. She started Yeaple on Actos for his diabetes.
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Dr. Fixott noted Yeaple’s diabetes and hypertension were in “excellent control” when she
saw him in September. In January 2011, Yeaple reported having stopped taking Actos; the
doctor described Yeaple as a “type 2 diabetic who takes cinnamon and gets a great deal of
exercise.” Tr. 477. After discussing options, Yeaple decided to go back to taking Actos.
Yeaple went to the emergency room in February 2011 for vomiting and elevated blood
pressure. He was given an anti-nausea medication and sent home. Tr. 476.
David Herrin, D.C., began providing chiropractic and massage therapy in March 2011
upon Yeaple’s reports of moderate low and upper back pain, as well as pain in his neck. He
“lifted too much weight and turned the wrong way, lifting wood.” Tr. 514.
Yeaple reported to Dr. Fixott in April 2011 that he was experiencing incontinence at
night; Dr. Fixott severely limited his water intake. Tr. 474. In May 2011, Yeaple returned to Dr.
Fixott and his labs were good.
Yeaple saw Dr. Herrin in May and October 2011 for treatments; in October, he reported
lifting wood again.
Dr. Fixott followed up with Yeaple’s diabetes in February 2012. His diabetes was
controlled on Actos and cinnamon. He also discussed his blood pressure and high cholesterol.
Tr. 469.
The same month, Yeaple told Dr. Herrin that he felt an increase in the severity of pain in
his upper back, but that he felt better after treatment for quite some time until it flared again.
Yeaple returned to Dr. Herrin in May and July 2012 for adjustments.
The possibility of autism spectrum disorder arose in August 2012 and Yeaple was
evaluated by Debra Eisert, PhD. She diagnosed social phobia with features of Asperger
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syndrome. She noted Yeaple “is reportedly quite good mechanically, but has not been able to
find work.” Tr. 422. He had one friend and he enjoyed helping her out with chores on the
property. Dr. Eisert advised Yeaple to contact social security to see if he was eligible for
services.
Yeaple continued to see Dr. Herrin for treatments. In August, Yeaple’s pain in the back
had worsened, but his neck was better.
At the request of the agency, Mike Henderson, D.O., examined Yeaple in October 2012.
He diagnosed Yeaple with diabetic neuropathy with mild neuropathy in the feet. Despite a left
shoulder injury, Yeaple had intact range of motion with a positive impingement sign on the left
side and some atrophy of the left deltoid. Dr. Henderson thought Yeaple would be limited in his
ability frequently to work above shoulder height. There was no evidence of sitting, standing or
walking limitations, although Yeaple should be restricted from working conditions that may
cause trauma to the feet. Dr. Henderson noted Yeaple could feel pressure in his feet, but had
difficulty detecting sharpness and temperature. Nevertheless, Yeaple should be able to go up and
down ladders and work from unprotected heights. He should rarely reach above shoulder height
and he was limited to lifting 75 pounds occasionally. Tr. 427.
In December 2012, Yeaple told Dr. Herrin that he suffered “a severe new complaint of
frequent pain in the left shoulder, with some on the right shoulder as well.” Tr. 519. Yeaple had
felt pain after lifting. Three days later, Yeaple reported a “marked degree [of] improvement
noted in the left shoulder pain. He is able to move it much better.” Tr. 519. He reported
improvement in thoracic, neck and lumbar pain, as well.
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In January and February 2013, however, Yeaple told Dr. Herrin that his shoulder pain had
been slightly more severe, along with neck and back pain.
Dr. Fixott noted Yeaple’s diabetes was well-controlled in February. Yeaple reported
having fallen two days before while carrying a load of wood in his left arm. Hot showers and
cold packs were helping the pain in his arm. His shoulder was warm compared to the right, and
his range of motion was limited. Dr. Fixott recommended warm showers, and gave him a
prescription for meloxicam and Tylenol 3. Tr. 433.
Dr. Whitehead re-examined Yeaple that same month and thought his current symptoms
were more consistent with a social phobia, rather than anxiety. Yeaple reported not being
successful finding work in the past five years. Tr. 434. He reported no longer being able to lift
heavy loads. He displayed normal gait and station, and a stiff left arm. Dr. Whitehead
commented that Yeaple “views himself as having multiple medical problems that prevent him
from working. His presentation of symptoms appears to be beyond what a recent IME has
found.” Tr. 437.
Yeaple returned to Dr. Herrin in April 2013. Yeaple reported pain in his shoulder and
that he could hardly lift. He had been lifting wood and felt pain afterward. Dr. Herrin diagnosed
tendonitis of the shoulders and muscle spasms. Yeaple displayed decreased range of motion in
the shoulders with painful muscle testing.
Yeaple went to the emergency room in June 2013 with tremors, anxiety, and numbness
on the top of his head. He had been working outside and drinking up to 2 gallons of water. He
was treated for water toxicity.
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Yeaple returned to Dr. Fixott In July. He explained that he had been in the hospital after
drinking too much water. He had been working in the hot sun. Yeaple also asked Dr. Fixott to
complete disability paperwork, which she declined to do. She noted that she was not aware he
had been diagnosed with anything that would qualify him for social security, although he
reported anger management, anxiety, and shoulder pain when lifting anything over 50 pounds.
Tr. 561.
Yeaple began counseling with Dan Sheahan, MA, at the end of July 2013, who diagnosed
panic disorder and agoraphobia.
Yeaple was in a car accident in September 2013 and returned to Dr. Herrin for treatment.
He thought his shoulder pain was about the same. His muscle strength tested normal, except for
left bicep testing was 3/5 due to prior/chronic shoulder pain. Dr. Herrin treated Yeaple nine
times in September with adjustments and muscle massage. X-rays revealed mild degenerative
disc disease at C6-7 and C7-T1 and foraminal stenosis at C4-5 and C6-7 on the left.
Dr. Herrin completed a function report for Yeaple in September 2013, after he learned of
Yeaple’s car accident. In it, Dr. Herrin opined that Yeaple’s pain would constantly affect his
attention and concentration, that he could sit for one hour before needing to stand and walk
around, and that he could only sit for a total of four hours. Dr. Herrin opined that Yeaple would
have to elevate both legs to minimize pain, and that he could stand or walk for one hour at a time
for four hours total, and then he would need to lie down. Yeaple could never lift over ten
pounds. He could occasionally reach with either hand.
Dr. Herrin treated Yeaple six times in October, six times in November, and six times in
December 2013, four times in January 2014, three times in February, and twice in March 2014.
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Over the course of these treatments, Dr. Herrin noted that Yeaple showed some reduction in
symptoms and responded adequately to treatment. In November, Yeaple reported more pain and
tension after lifting and hauling wood over the weekend. He tried to keep his loads light but he
felt increased symptoms afterward. Similarly, he reported feeling stiff in December after moving
firewood. He continued to have lower back pain, reporting he had been lifting wood every day.
Dr. Herrin suggested using ice after moving wood. Yeaple felt “pretty good” in February 2014.
Tr. 608. By March 2014, Yeaple reported general improvement in cervical pain, less intense
pain in the head, upper back pain not as bad lately, and significant improvement in the lower
back.
Mary Skzrynski, M.D., examined Yeaple in April 2014. She identified muscle wasting in
the entire left shoulder girdle and commented that he “clearly has dysfunction of the left
shoulder.” Tr. 615. Additionally, “[e]xamination of the low back reveals marked guarding and
stiffness and what I believe to be a very poor effort on attempted double inclinometer range of
motion testing, so validity is questionable.” Tr. 616. She diagnosed cervical strain/sprain related
to the car accident, but his”long list of musculoskeletal complaints” were not caused by the
accident.
DISCUSSION
Yeaple challenges the ALJ’s decision on the following grounds: (1) the ALJ failed to
give clear and convincing reasons to question Yeaple’s reports about his symptoms; (2) the ALJ
improperly rejected Dr. Henderson’s opinion; (3) the ALJ improperly rejected Dr. Herrin’s
opinion; and (4) the ALJ failed to give germane reasons for his rejection of the lay witness
observations.
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I.
Yeaple’s Symptom Testimony
Yeaple testified that after he injured his neck and back at work, he found his neck was
always stiff and sore. He mentioned that his shoulder’s condition had deteriorated following
surgery, and that if he tried to lift anything more than 10 or 12 pounds repetitively his shoulder
hurt. In his various function reports, Yeaple reported dizzy spells, needing to use the bathroom
frequently, and an inability to lift more than 20 to 25 pounds repetitively with his left arm. He
mowed the lawn with a tractor, he shopped once a week with someone accompanying him, he
enjoyed model railroads and going for long drives, and he went to church weekly. Yeaple
thought he could walk for ½ mile before needing to stop and rest. He prepared his own meals
three times a day and he could perform household chores.
When deciding whether to accept the subjective symptom testimony of a claimant, the
ALJ must perform a two-stage analysis. In the first stage, the claimant must produce objective
medical evidence of one or more impairments which could reasonably be expected to produce
some degree of symptom. Lingenfelter v. Astrue, 504 F.3d 1028, 1036 (9th Cir. 2007). The
claimant is not required to show that the impairment could reasonably be expected to cause the
severity of the symptom, but only to show that it could reasonably have caused some degree of
the symptom. In the second stage of the analysis, the ALJ must assess the credibility of the
claimant’s testimony regarding the severity of the symptoms. Id. The ALJ “must specifically
identify the testimony she or he finds not to be credible and must explain what evidence
undermines the testimony.” Holohan v. Massanari, 246 F.3d 1195, 1208 (9th Cir. 2001).
General findings are insufficient to support an adverse credibility determination and the ALJ
must rely on substantial evidence. Id. “[U]nless an ALJ makes a finding of malingering based
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on affirmative evidence thereof, he or she may only find an applicant not credible by making
specific findings as to credibility and stating clear and convincing reasons for each.” Robbins v.
Soc. Sec. Admin., 466 F.3d 880, 883 (9th Cir. 2006).2
The ALJ commented that Yeaple’s statements were not entirely credible for the following
reasons: (1) they were unsupported by the medical record; (2) he engaged in greater activity level
than “the level alleged by his efforts to receive disability benefits[;]” (3) Yeaple’s job ended for
reasons other than his disability; (4) and Yeaple’s “focus on disability, rather than objective
medical findings, leads to contrary descriptions of the claimant’s actual abilities.” Tr. 23.
Although Yeaple complains the ALJ’s analysis is too general and fails to offer sufficiently
concrete examples to support his reasoning, I find that the ALJ’s analysis is sufficiently clear and
specific so as to facilitate my review of the record in ensuring the ALJ did not arbitrarily reject
Yeaple’s testimony. See Bunnell v. Sullivan, 947 F.2d 341, 345-47 (9th Cir. 1991).
As Yeaple correctly asserts, the ALJ’s statement about Yeaple’s activity level being
“greater than the level alleged by his efforts to receive disability benefits” is nonsensical. Tr. 23.
It is true that daily activities might contradict a claim of debilitating impairment (if that is what
the ALJ meant), but the ALJ here failed to articulate any inconsistency between Yeaple’s
testimony and his stated activities. The other possible rationale daily activities may be relevant
would be to show Yeaple could perform medium work, but the Commissioner concedes the ALJ
2
The Commissioner urges the clear and convincing standard need not control the analysis,
encouraging application of the more deferential regulatory requirement for specific reasons
supported by substantial evidence. Def.’s Br. 4, n.2. The Ninth Circuit has rejected her
argument. See Burrell v. Colvin, 775 F.3d 1133 (9th Cir. 2014) (reasserting that the ALJ must
provide “specific, clear and convincing reasons” to support a credibility analysis).
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did not rely on these activities for that reason.3 Further exploration of Yeaple’s activities,
however, may very well demonstrate both inconsistency with testimony and capacity to perform
medium work. See Tr. 408 (loading and unloading a lot of building materials lately), 477 (gets a
great deal of exercise), 514 (lifting wood), 422 (chores on property).
The ALJ could properly rely on the fact that Yeaple’s job ended because he was laid off.
While there is some suggestion in the record that Yeaple’s most recent employer did not like that
Yeaple had diabetes, and may have considered Yeaple’s condition when deciding who to lay off,
the record could also support the ALJ’s conclusion that Yeaple himself did not stop working
because he could no longer perform the work. Tr. 378, 435. The specific evidence the ALJ cited
in support of his reasoning, however, is not substantial enough to support his conclusion. He
relied solely on Dr. Whitehead’s report, which suggests Yeaple was laid off because of his
diabetes–one of Yeaple’s impairments.
The ALJ’s statement that Yeaple’s “focus on disability, rather than objective medical
findings,” as “lead[ing] to contrary descriptions of the claimant’s actual abilities” is, again,
nonsensical. Tr. 23. It appears the ALJ attempted to point out inconsistencies in Yeaple’s
presentation and statements, and his questionable effort on tests. Lack of cooperation during an
evaluation and efforts to impede accurate testing of limitations are valid reasons to find that a
claimant lacks credibility, Thomas v. Barnhart, 278 F.3d 947, 959 (9th Cir. 2002), as is a
tendency to exaggerate symptoms. Tonapetyan v. Halter, 242 F.3d 1144, 1148 (9th Cir. 2001). It
is possible the ALJ could read the medical reports of Dr. Whitehead, Dr. Henderson, Dr.
3
It appears both parties agree Yeaple would be deemed disabled even if he could perform
the full range of sedentary and light exertion work based on the medical-vocational rules. See 20
C.F.R. Pt. 404, Subpt. P, App. 2, Rules 201.02, 201.10, and 202.02.
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Skrzynski, and Dr. Fixott and find support for such reasoning. Since I am reversing and
remanding for further hearing, the ALJ may reconsider the value of the observations made by
Yeaple’s treating and examining physicians.
That leaves only the ALJ’s reliance on lack of corroborating medical evidence to support
his credibility analysis. The ALJ, however, cannot reject subjective pain testimony solely
because it was not fully corroborated by objective medical evidence. Rollins v. Massanari, 261
F.3d 853, 857 (9th Cir. 2001).
In sum, the ALJ failed to provide sufficient clear and convincing reasons to support his
credibility determination.
II.
Medical Evidence
Yeaple charges the ALJ with failing to give reasons for rejecting portions of Dr.
Henderson’s opinion, and erring in his rejection of Dr. Herrin’s opinion.
A.
Dr. Henderson
The ALJ accepted Dr. Henderson’s opinion–giving “significant weight” to his
conclusions. The ALJ failed, however, to ask the vocational expert (“VE”) whether Dr.
Henderson’s upper left extremity reaching restriction, and requirement that Yeaple avoid jobs
that could cause trauma to his feet, could be accommodated by the jobs the VE identified.
Indeed, Yeaple points out that all of the jobs the VE named require reaching in excess of
occasional. DOT #405.684-010 (budder requires constant reaching); DOT #920.587-018 (hand
packager requires constant reaching); DOT #361.684-014 (laundry worker requires frequent
reaching).
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The Commissioner concedes that the ALJ neglected to include these restrictions in the
RFC, but insists the error is harmless because the DOT does not indicate that both arms are
required for the reaching task. Yeaple’s limitation on reaching is restricted to his left side only.
Yeaple points out that the Commissioner’s argument misses the mark. Since the ALJ
neglected to ask the VE about Yeaple’s lifting limitation, there is no evidence at all supporting
the ALJ’s finding that Yeaple can perform the jobs the VE identified. The burden is on the
Commissioner to prove there are other jobs Yeaple can perform in the national economy.
Hypothetical questions posed to a vocational expert must specify all of the limitations and
restrictions of the claimant. Edlund v. Massanari, 253 F.3d 1152, 1160 (9th Cir. 2001). If the
hypothetical does not contain all of the claimant’s limitations, the expert’s testimony has no
evidentiary value to support a finding that the claimant can perform jobs in the national economy.
Id. Remand is necessary for additional testimony from the VE to clarify the issue.
Since I find a remand is necessary to resolve the issue of Yeaple’s reaching limitation, I
also direct the ALJ to address Dr. Henderson’s comment about the need for Yeaple to avoid
working conditions that could cause trauma to the feet. Dr. Henderson’s statement appears
ambiguous to me–and appears to be directed at dangerous working conditions where he would
have “difficulty detecting sharpness” or difficulty sensing temperature. Tr. 427. The ALJ should
address the ambiguity and take evidence from a VE to determine whether Yeaple can perform
other work in the national economy.
B.
Dr. Herrin
The ALJ found Dr. Herrin’s opinion about Yeaple’s weight lifting limitation was not
supported by objective medical findings. He also noted Dr. Herrin “is not an acceptable medical
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source” and gave his opinion little weight for that reason as well. The ALJ rejected Dr. Herrin’s
opinion as to Yeaple’s anxiety and Asperger’s syndrome, when Dr. Herrin had no expertise to
give an opinion on such diagnoses. Additionally, the ALJ criticized Dr. Herrin for failing to
support his statements that Yeaple’s pain would interfere with his attention and concentration,
and ability to deal with work stress. The ALJ noted that Dr. Herrin’s opinion about Yeaple’s
need to elevate his legs was unsupported by any other medical source. Finally, the ALJ
commented that Dr. Herrin’s opinion was “overly sympathetic to the claimant’s efforts to receive
disability benefits” and “inconsistent with the opinions of more qualified medical physicians and
psychologists.” Tr. 26.
Dr. Herrin is not considered an acceptable medical source, but this is not a sufficient
reason to reject his opinion with respect to the severity of Yeaple’s impairments. 20 C.F.R. §§
404.1513(d) and 416.913(d) (other sources may be considered when evaluating severity of
impairments). Instead, in considering the opinions of other medical sources, the ALJ should
consider: (1) how long the source has known the claimant and how frequently the source has
seen the claimant; (2) whether the opinion is consistent with other evidence; (3) the degree to
which the source presents relevant evidence supporting an opinion; (4) how well the source
explains the opinion; and (5) whether the source has a specialty or area of expertise related to the
claimant’s impairments. SSR 06-03p, available at 2006 WL 2329939 (Aug. 9, 2006). The ALJ
may reject the opinions of such sources by giving reasons that are “germane” to that source.
Turner v. Comm’r of Soc. Sec. Admin., 613 F.3d 1217, 1224 (9th Cir. 2010).
The ALJ neglected to address Dr. Herrin’s opinions about Yeaple’s sitting, standing and
walking limitations. Additionally, his reason for rejecting Dr. Herrin’s opinion about Yeaple’s
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weight lifting limitation is not a germane reason as Dr. Herrin made multiple objective findings
as to Yeaple’s shoulder in his chart notes, although notably not until December 2012. Tr. 519
(describing “new complaint of frequent pain in left shoulder”). Further, there is no support in the
record for the ALJ’s conclusion that Dr. Herrin was “overly sympathetic” to Yeaple’s disability
claim, and inconsistency with medical physicians is not a germane reason to reject the opinion of
Yeaple’s chiropractor even though he is not an “acceptable medical source” under the regulations
when he is the only one who evaluated the effect of Yeaple’s cervical spine impairment. SSR
06-03p.
Nevertheless, there are ample reasons to question Dr. Herrin’s opinion, making remand
for rehearing appropriate. For example, Dr. Herrin’s chart notes arguably do not support his
opinions about Yeaple’s walking, standing and sitting limitations, and Yeaple reported “new”
shoulder pain in December 2012. As the Commissioner points out, Dr. Herrin encouraged
walking and did not tell Yeaple to reduce his activity. Additionally, the fact that Dr. Herrin
commented on Yeaple’s mental health impairments, and identified limitations such as the need to
elevate legs, arguably puts the remainder of Dr. Herrin’s opinion of Yeaple’s positional and
lifting limitations into question. Finally, Dr. Herrin completed the form right after Yeaple’s car
accident, when Yeaple improved over the course of the following few months.
The ALJ should reassess Dr. Herrin’s opinion.
III.
Lay Testimony
Yeaple’s wife offered her opinion that Yeaple could not lift over 20 pounds, was easily
confused, and could not focus. She thought he could not deal with people, that he heard things
that were not there, that he was forgetful, and regularly dropped items from his hands. Yeaple
PAGE 19 - OPINION AND ORDER
complains that the ALJ addressed only the conflict between Williams-Yeaple’s reports about his
nonexertional limitations and neglected to give a germane reason to reject her opinion about
Yeaple’s exertional limitations.
Lay testimony about a claimant’s symptoms is competent evidence which the ALJ must
take into account unless he gives reasons for the rejection that are germane to each witness.
Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1053 (9th Cir. 2006).
The Commissioner does not address Yeaple’s argument that the ALJ failed to give
germane reasons to reject Williams-Yeaple’s opinion about Yeaple’s exertional limitations, and
the reasons the ALJ gave for rejecting the nonexertional limitations are not equally applicable to
the exertional limitations. See, e.g. Dale v. Colvin, 823 F.3d 941, 944-45 (9th Cir. 2016)
(discussing how “germane” reasons may apply to the entirety of a witness’ testimony). The ALJ
commented that Yeaple’s “activity level has a greater consistency with an ability to perform
work, rather than indicating an inability to work,” but the examples he provided–preparing food,
loading the dishwasher, mowing the lawn using a riding mower, shopping, engaging in hobbies,
and attending church–are not inconsistent with Williams-Yeaple’s opinion that Yeaple could
only lift 20 pounds and that he dropped things. Tr. 26. It is error to discredit a lay witness’ entire
testimony on the basis of reasoning which applies to only a portion of the report. Dale, 823 F.3d
at 946.
Nevertheless, there are reasons that an ALJ could give. For example, Williams-Yeaple’s
opinion about Yeaple’s weight limitation is contradicted by statements Yeaple himself made. Tr.
378 (claims to have 30 pound weight restriction), 561 (told Dr. Fixott he could not lift over 50
pounds).
PAGE 20 - OPINION AND ORDER
IV.
Remedy
The court has the discretion to remand the case for additional evidence and findings or to
award benefits. McCartey v. Massanari, 298 F.3d 1072, 1076-77 (9th Cir. 2002). The court has
discretion to credit evidence and immediately award benefits if the ALJ failed to provide legally
sufficient reasons for rejecting the evidence, there are no issues to be resolved before a
determination of disability can be made, and it is clear from the record that the ALJ would be
required to find the claimant disabled if the evidence is credited. Garrison v. Colvin, 759 F.3d
995, 1020 (9th Cir. 2014). Alternatively, the court can remand for further proceedings “when the
record as a whole creates serious doubt as to whether the claimant is, in fact, disabled within the
meaning of the Social Security Act.” Id. at 1021.
This is not the rare case warranting a remand for a finding of disability. Based on the
errors described above, remand for further proceedings to reassess Yeaple’s testimony, the
medical evidence, and the lay witness statement is appropriate.
CONCLUSION
The decision of the Commissioner is reversed. This action is remanded to the
Commissioner under sentence four of 42 U.S.C. § 405(g) for rehearing to further develop the
record as explained above. Judgment will be entered.
Dated this 30th
day of March, 2017.
/s/ Garr M. King
Garr M. King
United States District Judge
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