Marroquin v. Astrue

Filing 21

MEMORANDUM OPINION AND ORDER. It is therefore ORDERED that the decision of the Commissioner be, and it is hereby, AFFIRMED. Signed by Judge Miguel A. Torres. (scf)

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IN THE UNITED STATES DISTRICT COURT FORTHEWESTERNDISTRICTOFTEXAS 9:58 EL PASO DIVISION rur TEXAS ENRIQUE MARROQUIN, ; § PUT Y § Plaintiff, § § v. NO. EP-12-CV-425-MAT § § CAROLYN W. COLVIN, ACTING COMMISSIONER OF THE SOCIAL SECURITY ADMINISTRATION,1 § § § § Defendant. § MEMORANDUM OPINION AND ORDER Plaintiff appeals This is a civil action seeking judicial review of an administrative decision. ("Commissioner") from the decision of the Commissioner of the Social Security Administration denying his claim for Disability Insurance Benefits ("DIB") under Title Jurisdiction is predicated upon 42 U.S.C. § II of the Social Security Act. 405(g). Both parties having consented to trial on the to this Court for trial and merits before a United States Magistrate Judge, the case was transferred entry of judgment pursuant to 28 U.S.C. § 636(c) and Appendix C to the Local Court Rules of the the Commissioner's decision is Western District of Texas. For the reasons set forth below, AFFIRMED. I. PROCEDURAL HISTORY he alleged disability On August 31, 2007, Plaintiff filed an application for DIB in which Security Administration Carolyn W. Colvin became Acting Commissioner of the Social Rules of Civil Procedure and the on February 14, 2013. Pursuant to Rule 25(d)(1) of the Federal Defendant herein. last sentence of 42 U.S.C. § 405(g), she is substituted as the 1 beginning August 1, 2006 due to diabetes, insomnia, and problems with his shoulders, back, and knees. (R. 205, 231).2 Plaintiff was 35 years old at the time of filing. (R. 205). He attended high school through grade 12, but did not graduate. (R. 73). He later obtained his GED. Id. He has previous work experience as a bus driver from 1991 to 2006. (R. 76, 237). After his application was denied initially and upon reconsideration, Plaintiff requested a hearing before an administrative lawjudge ("AU"). (R. 106-110, 116-118, 119-125). On October 15, 2009, Plaintiff appeared for a hearing. (R. 62-105). For reasons not explained by the parties, Plaintiff appeared for another hearing on May 11, 2011. (R. 32-59). On July 15, 2011, the AU issued a written decision denying benefits on the ground that Plaintiff is able to perform work available in significant numbers in the national economy, and therefore, is not disabled. (R. 13-23). the On August 23, 2012, the Appeals Council denied Plaintiff's request for review, thereby making AU's decision the Commissioner's final administrative decision. (R. 1-6). II. IS SUES PRESENTED Plaintiff presents two issues for review: (1) whether the AU's residual functional capacity ("RFC") assessment is supported by substantial evidence; and, (2) whether the AU committed reversible error by failing to consider whether the claimant was capable of maintaining employment for a significant period of time. III. DISCUSSION A. Standard of Review This Court's review is limited to a determination of whether the Commissioner's final Reference to the record of administrative proceedings is designated by (R. [page number(s)]). 2 2 decision is supported by substantial evidence on the record as a whole and whether the Commissioner applied the proper legal standards in evaluating the evidence. Myers v. Apfel, 238 F.3d 617, 619 (5th Cir. 2001) (citing Greenspan v. Shalala, 38 F.3d 232, 236 (5th Cir. 1994)). Substantial evidence is more than a scintilla, but less than a preponderance, and is such relevant evidence as a reasonable mind might accept to support a conclusion. Ripley v. Chater, 67 F.3d 552, 555 (5th Cir. 1995). A finding of "no substantial evidence" will be made only where there is a "conspicuous absence of credible choices" or "no contrary medical evidence." Abshire v. Bowen, 848 F.2d 638, 640 (5th Cir. 1988). In determining whether there is substantial evidence to support the findings of the evidence Commissioner, the court must carefully examine the entire record, but may not reweigh the v. Sullivan, or try the issues de novo. Newton v. Apfel, 209 F.3d 448, 452 (5th Cir. 2000); Haywood "even if the 888 F.2d 1463, 1466 (5th Cir. 1989). The court may not substitute its own judgment is less evidence preponderates against the [Commissioner's] decision" because substantial evidence than a preponderance. Harrell v. Bowen, 862 F.2d 471, 475 (5th Cir. 1988). Conflicts in the evidence are for the Commissioner and not the courts to resolve. Speliman v. Shalala, 1 F.3d 357, and her findings are 360 (5th Cir. 1993). If the Commissioner applied the proper legal standards supported by substantial evidence, they are conclusive and must be affirmed. Id. B. Evaluation Process and Burden of Proof Disability is defined as the "inability to engage in substantial gainful activity by reason medically determinable physical or mental impairment which. . . has lasted or can be expected to last for a continuous period of not less than 12 months." 42 U.S.C. § 423(d)(1)(A). Disability claims are evaluated according to a five-step sequential process: (1) whether the claimant 3 of any is currently engaged in substantial gainful activity; (2) whether the claimant has a severe medically determinable physical or mental impairment or combination of impairments; (3) whether the claimant's in impairment or combination of impairments meets or equals the severity of an impairment listed 20 C.F.R. Part 404, Subpart P, Appendix 1; (4) whether the impairment or combination of whether the impairments prevents the claimant from performing past relevant work; and, (5) any other work. 20 impairment or combination of impairments prevents the claimant from doing C.F.R. § in the process 404.1520. A finding that a claimant is disabled or not disabled at any point is conclusive and terminates the analysis. Greenspan, 38 F.3d at 236. analysis. The claimant bears the burden of proof on the first four steps of the sequential is met, the burden shifts to Leggett v. Chater, 67 F.3d 558, 565 (5th Cir. 1995). Once this burden employment available that the the Commissioner to show that there is other substantial gainful claimant is capable of performing. Anderson v. Sullivan, 887 F.2d 630, 632 (5th Cir. 1989). The of vocational experts or by use Commissioner may meet this burden by the use of opinion testimony 684 F.2d 1144, 1155 of administrative guidelines in the form of regulations. Rivers v. Schweiker, alternative employment, the (5th Cir. 1982). If the Commissioner adequately points to potential perform the alternative work. burden then shifts back to the claimant to prove that he is unable to Id. C. The AU's Decision that Plaintiff met the In his written decision, the AU determined as a threshold matter insured status requirements of the Social Security Act through December31, 2010. (R. 15). At step from the one, the AU found Plaintiff did not engage in substantial gainful activity alleged onset date At step two, the AU of August 1, 2006 through his date last insured of December 31, 2010. Id. ri in determined Plaintiff has severe impairments consisting of bipolar disorder, alcohol dependence of remission, obesity, and low back pain. The AU further determined Plaintiff's impairments The AU diabetes mellitus, sleep apnea, and history of knee surgery are non-severe. (R. 15-16). further noted noted Plaintiff's diabetes was controlled with medication and diet. (R. 15). He when he Plaintiff was not compliant with the use of his NCPAP machine for sleep apnea although determined Plaintiff used it, it provided a significant response. (R. 15-16). At step three, the AU equals one of the listed does not have an impairment or combination of impairments that meets or impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. (R. 16-17). is able to perform Before reaching step four, the AU assessed Plaintiff's RFC and found he 17-2 1). In making this RFC sedentary work3, and is limited to simple one to two stepjob tasks. (R. the intensity, persistence, and assessment, the AU determined Plaintiff's allegations regarding limiting effects of his symptoms were not entirely credible. (R. 18). past relevant work as a At step four, the AU found that Plaintiff was unable to perform his Plaintiff's age, education, work local bus driver. (R. 21). At step five, the AU found, considering experience, and RFC, that there arejobs existing in significant numbers in the national economy that Plaintiff can perform, including final assembler, ink printer, and motor polarizer. (R. 21-22). Thus, the AU concluded at step five that Plaintiff is not disabled. (R. 22). pounds at a time Sedentary work is defined in the regulations as lifting no more than 10 tools. Although a and small and occasionally lifting or carrying articles like docket files, ledgers, amount of walking and standing sedentary job is defined as one which involves sitting, a certain if walking and standing are is often necessary in carrying out job duties. Jobs are sedentary 404.1567(a). required occasionally and other sedentary criteria are met. 20 C.F.R. § D. Analysis of Plaintiff's Claims 1. RFC Assessment is Supported by Substantial Evidence Plaintiff contends the AU's assessment of his RFZ is not supported by substantial evidence because the AU failed to accommodate Plaintiff's limitations in sitting, standing, and walking, and seeing which result from Plaintiff's impairments of diabetes, problems with his knees, shoulder, and and, back, and sleep apnea. In support, Plaintiff relies on: (1) his subjective testimony and reports; (2) medical evidence of his diagnosed conditions. (ECF No. 19, Pl.'s Brief at 4-6). RFC is defined as the most an individual can still do despite his limitations. 20 C.F.R. § claimant's 404.1545; Social Security Ruling ("SSR") 96-8p4. The responsibility to determine the the AU must RFC belongs to the AU. Ripley, 67 F.3d at 557. In making this determination, and mental consider all the record evidence and determine Plaintiff's abilities despite his physical limitations. 20 C.F.R. § 404.1545. The AU must consider the limiting effects of Plaintiff's impairments, even those that are non-severe, and any related symptoms. See 20 C.F.R. §§ 404.1529, AU' s discretion. 404.1545; SSR 96-8p. The relative weight to be given to the evidence is within the See Chambliss v. Massanari, 269 F.3d 520, 523 n.1 (5th Cir. 2001) (citing Johnson v. Bowen, 864 the RFC that F.2d 340, 347 (5th Cir. 1988)). The AU is not required to incorporate limitations in he did not find to be supported in the record. See Morris v. Bowen, 864 F.2d 333, 336 (5th Cir. 1988). As stated by the AU, the issue of credibility is an integral part of the decision-making and reports process. (R. 20). Plaintiff's argument is based in large part on his subjective complaints Claims, SSR 96-8p, Titles II and XVI: Assessing Residual Functional Capacity in Initial 1996 WL 374184 (July 2, 1996). ofpain and limitations. Contrary to Plaintiffs contention, the AU considered Plaintiffs subjective complaints, and found Plaintiff was not fully credible. (R. 18, 20-2 1). Indeed, the AU opined Plaintiff engaged in exaggeration and material omission. (R. 20). In reaching his determination that Plaintiff was less than credible, the AU noted the following. Plaintiff testified on May 11, 2011 that side effects from his medication constitute one of his two biggest problems. The treatment notes from Dr. Nour dated April 4, 2011, however, indicate Plaintiff denied he was experiencing any medication side effects. (R. 20, 694). Plaintiff also testified he hears voices, however, his treatment notes indicate exactly the opposite. Id. Additionally, he testified he was committed to a mental health hospital by his wife, however, on further questioning Plaintiff admitted his hospitalization was voluntary. (R. 20, 38-39, 40-41). Finally, treatment notes dated February 22,2011 state Plaintiff "also has been trying to maintainjob a activities with construction work, but due to ... [his impairments]... he has not been able to hold job." (R. 20, 651). The AU noted that neither Plaintiffs work history nor his testimony reflected he was "doing any such work. Additionally, one month earlier Plaintiff reported to Dr. Cromer that argues much better" and feeling better after treatments to his back. (R. 20, 653). Although Plaintiff gym he is unable to perform even sedentary work, Dr. Cromer recommended Plaintiff "get a of membership and be routine in terms of working out three times a week." (R. 653). Assessment credibility is the province of the AU, and his credibility determination is entitled to great deference. Greenspan, 38 F.3d at 237; Newton, 209 F.3d at 459. The Court declines to reweigh the subjective This report was prepared by Dr. Barry Cromer of the El Paso Orthopaedic Surgery Group upon Plaintiffs request for an evaluation of complaints of recurrent back pain and told episodes of radiating leg pain for purposes of obtaining disability benefits. Dr. Cromer Plaintiff he did not do disability evaluations and referred Plaintiff to Dr. Mrochek. (R. 651). 7 evidence upon which Plaintiff relies. In addition to his subjective testimony and reports which the AU did not find to be fully which he credible, Plaintiff relies primarily on a recitation of the numerous medical conditions with has been diagnosed at various times, including morbid obesity, obstructive sleep apnea, arthralgias of both knees due to degenerativejoint disease, lumbago with radiculopathy, spondylosis at Ti 2-LI, central canal disc protrusion at L3-L4 and L4-L5 with nerve root impingement and moderate sleep disorder, narrowing, sciatica, migraine headaches, clinical depression aggravated by uncontrolled diabetes mellitus type 2, dyspnea upon exertion and intolerance to physical activity due to deconditioning and suspected pulmonary hypertension with right ventricular visual defect.6 strain, and refractive As (ECFN0. 19, pp. 5-6, R. 329, 376, 492, 500, 502, 522, 527,558, 564, 641-643). determination is not on the pointed out by the Commissioner, the proper focus of a disability Heckler, 738 F.2d 641, 644 diagnoses, but on the resulting functional limitations. See Barajas v. significant functional restrictions (5th Cir. 1984) (mere diagnosis of a condition without resulting is not disabling within the Act). kneeling, Plaintiff also relies on his difficulty performing tandem walking, squatting, stated by the Commissioner, hopping, and climbing at the consultative examination. As correctly would require Plaintiff to perform there is no indication that the sedentary jobs identified by the VE the record Although Plaintiff claims his limitations in seeing were not considered, 329). The diagnosis of shows that on October 26, 2007, Plaintiff underwent an eye test. (R. In a disability report refractive visual defect was based on the eye test results without glasses. reading the newspaper. (R. dated September 10, 2007, however, he reported no difficulty with not be corrected by prescription 245). There is no showing that Plaintiff's vision problems could 1988) (an individual who eyeglasses. See Johnson v. Bowen, 894 F.2d 683, 685 n.4 (5th Cir. 20 C.F.R. § 404.1530; see fails to follow prescribed treatment will not be found to be disabled); controlled or controllable also Epps v. Harris, 624 F.2d 1267, 1270 (5th Cir. 1980) (conditions by treatment are not disabling). 6 any of these activities. Sedentary work involves sitting, but may also require occasional walking and standing. 20 C.F.R. § 404.1567(a). At the consultative examination, Plaintiff was reported to have unremarkable posture, normal gait, no sensory deficits, no significant motor deficits, symmetrical deep tendon reflexes, intact coordination, and no abnormal muscle movements. (R. 328-329). As for the effects of Plaintiff's diabetes, as noted by the AU, the record shows that his with his diabetes is uncontrolled when he is not following a diabetic diet and not compliant diabetes is medication. (R. 15, 392, 393, 396, 486, 517). Conversely, with proper treatment his with [the] controlled, and he "does not experience any problems as long as he remains compliant proper treatment treatment regimen." (R. 15, 555, 566-631). Conditions that can be controlled with are not disabling. 20 C.F.R. § 404.1530; Johnson, 894 F.2d at 685 n.4; Epps, 624 F.2d at 1270. completed by Erik The AU also discussed the medical assessment form regarding diabetes little weight to this Chaparro, a physician's assistant. (R. 19, 663-664). The AU properly gave evidence regarding checklist type of opinion as it was conclusory and was not supported by any Additionally, the AU either the treating relationship or the results of any clinical testing. (R. 19). at the hearing that noted that the assessment was completely inconsistent with Plaintiff's testimony his diabetes is controlled with medication. (R. 19, 46-47). the results Finally, the AU did not ignore Plaintiff's back and leg problems. He discussed 26, 2007, and of the consultative examination performed by Enrique Porras, M.D. on October recognized the findings which included, inter alia, arthralgias of both knees due to degenerative disc the treatment records of disease, lumbago, and spondylosis. (R. 19, 326-329). He also discussed been doing quite well until the El Paso Orthopaedic Surgery Group which noted Plaintiff had recently when he suffered an acute exacerbation of his back and left leg pain. (R. 20, 564, 634-653). The AU noted that the increased pain apparently was caused by discontinuing the treatment pain regimen of physical therapy and steroid injections. (R. 20). The AU found Plaintiff's low back to be severe, and he reduced Plaintiff's RFC to sedentary work. The AU did not ignore the evidence did not regarding any of Plaintiffs back and leg problems. Instead, he determined the evidence support the degree of limitation alleged by Plaintiff. In determining that Plaintiff retained the RFC for sedentary work limited to simple one to two to all of Plaintiffs step job tasks, the AU thoroughly discussed the evidence as it related evidence does not impairments, both severe and non-severe. A review of the objective medical See Anthony v. Sullivan, support Plaintiff's contention that the AU improperly assessed his RFC. by medical findings need 954 F.2d 289, 295 (5th Cir. 1992) (subjective complaints unsubstantiated evidence cited by Plaintiff not be credited over conflicting medical evidence). Simply stated, the assessed by the AU. does not support the need for further limitations in his RFC than those Required 2. No Separate Finding Regarding Ability to Maintain Employment to make a separate Plaintiff contends the AU committed reversible legal error by failing finding regarding his ability to maintain employment as required by Singletary v. Bowen, 798 F.2d not required in every case. Frank v. 818 (5th Cir. 1 986). Plaintiff concedes that such a finding is such a finding is required Barnhart, 326 F.3d 618, 619 (5th Cir. 2003). He argues, however, that in his case because the medical evidence shows he experiences to his severe impairment intermittent periods of incapacity due of bipolar disorder which causes him to experience intermittent mood fluctuations. support a finding that the In Singletary, the Court held that substantial evidence did not indicated that he was never claimant "could maintain employment" because his "personal history Id. at 822-23. able to hold ajob for long periods of time" due to mental problems. 10 In support, Plaintiff relies on his testimony at the administrative hearing that he was hospitalized in July 2010 for about a month for behavioral issues, uncontrollable anger, and depression, and afterward he was seen on frequent visits which were eventually reduced to once sad, every three months. (R. 38-39). Plaintiff also relies on his various subjective reports of feeling dealing moody, impatient, angry, betrayed, tired, useless, physically broken, and having problems with stress, pressure, criticism, and changes in routine. (R. 263, 265, 266, 267). Plaintiff further relies on the observation of Dr. Porras that Plaintiff had a pervasive sense (R. 327). A of sadness, was emotionally labile, easily angered, and had frequent crying spells. subjective report of review of this cited page shows that Dr. Porras was summarizing Plaintiff's about his bariatric symptoms. Id. Dr. Porras noted Plaintiff became emotional when talking surgery. a score that indicates Id. He also noted the Zung Self-Rating Depression questionnaire revealed in all spheres, with severe depression. Id. Dr. Porras further noted Plaintiff was alert and oriented would indicate Plaintiff's appropriate affect. (R. 329). There is nothing in Dr. Porras' report that would prevent him from mental symptoms wax and wane with a frequency and severity that jobs at the sedentary level. performing maintaining employment performing simple one to two step Guido Barrientos, Plaintiff also relies on the report of the consultative mental examiner, Dr. Plaintiff was not receiving dated December 6, 2007. (R. 334-337). At the time of the examination, (R. 335). In fact, he reported mental health treatment and was not taking psychiatric medication. professional. Id. Although Dr. he had never been evaluated or treated by any mental health care Plaintiff was well-oriented, Barrientos stated Plaintiff had poor judgment and insight, he also found Plaintiff was relaxed and and able to focus on questions and provide rational answers. (R. 336). his mood was low, he did not quiet, and did not appear to be under stress or agitated. Id. Although 11 appear to be clinically depressed. Id. Although his cognitive functions seemed dull, he had no memory problems. Id. Dr. Barrientos observed Plaintiff's educational level was low, and he appeared to be of low average intelligence, with poor understanding of his medical problems. Id. While Plaintiff points the report out that Dr. Barrientos recommended he receive psychiatric care and psychotherapy, a job within clearly indicates that with treatment and vocational rehabilitation, Plaintiff could find can not maintain his limitations. Id. The report contains no information that indicates Plaintiff employment. GAP of 458 Plaintiff relies on the October 2009 diagnosis of major depressive disorder and Muniz is a licensed by Dr. Muniz. (R. 425). As pointed out by the Commissioner, however, that after the October professional counselor, not a medical doctor. (R. 418). The record shows April2010. (R. 478). 2009 evaluation, Plaintiff did not return for his follow up appointments until was even, his affect was By early June 2010, shortly after resuming therapy, Plaintiff's mood congruent, his motor activity was good, his thought process was good, his thought content was good, Plaintiff stated he had his attention was appropriate, and his appearance was appropriate. (R. 481). clinicians and The Global Assessment of Functioning Scale is used by mental health and occupational physicians to rate an individual's overall level of psychological, social, DIAGNOSTIC AND functioning on a scale of 0 to 100. American Psychiatric Association, 2000). A GAF of 41-50 indicates STATISTICAL MANUAL OF MENTAL DISORDERS 32-34 (4th ed. or school functioning "[s]erious symptoms ... OR any serious impairment in social, occupational, 8 Id. at 34. See Hill v. GAF scores are not entitled to significant weight as an indicator of disability. GAF scale, while Astrue, 2009 WL 2901530, at *7(s.D. Tex. Sept. 1, 2009) (noting the ability or inability to work). potentially relevant, does not directly correlate to an individual's for use in the disability The Commissioner has specifically declined to endorse the GAF scale Disorders and Traumatic Brain programs. See Revised Medical Criteria for Evaluating Mental 2000). Injury, 65 Fed. Reg. 50,746, 50,764-65, 2000 WL 1173632 (Aug.21, 12 better control of his moods, and felt hopeful about the future. Id. Plaintiff also cites to treatment records from his psychiatric hospitalization at University Behavioral Health ("UBH") from May 6, 2010 to May 18, 2010. (R. 460-476). As noted by the AU, the notes show that upon admission to UBH, he was placed on the alcohol dependence withdrawal protocol as he admitted to regularly drinking two bottles of wine three times a week and reported hallucinations and sensations of spiders crawling on his body. (R. 20, 460-46 1). At the time of his discharge from UBH, Plaintiff was diagnosed by Dr. Nour with schizoaffective disorder (bipolar type) and alcohol dependence. His GAF was reported to be 60. (R. 460). Plaintiff further relies on Dr. Nour's April 2011 assessment of schizoaffective disorder (bipolar type), alcohol dependence in remission, and a OAF score of 6065.b0 (R. 694). As noted by the Commissioner, the treatment records indicate Plaintiff improved with treatment and medication compliance. (R. 471474). The mental health treatment records fail to support Plaintiff's claim that he is unable to maintain employment. The Court notes the AU properly gave little weight to Dr. Nour's medical source statement dated March 5,2011 that showed Plaintiff has marked limitation in a wide variety of functional areas and would suffer a high rate of absenteeism. The AU discounted Dr. Nour's opinion due to a combination of factors, including inconsistency with Dr. Nour' s own treatment notes from the A GAF of 51-60 indicates "[m]oderate symptoms ... OR moderate difficulty in social, occupational, or school functioning ... ." American Psychiatric Association, DIAGNOSTIC AND STATISTICAL MANuAL OF MENTAL DISORDERS 34 (4th ed. 2000). A GAF of 61-70 indicates "[s]ome mild symptoms ... OR some difficulty in social occupational, or school functioning ..., but generally functioning pretty well. Has some meaningful interpersonal relationships. American Psychiatric Association, DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS 34 (4th ed. 2000). 10 13 following month, as well as unresolved inconsistencies in the nature and frequency of the treating relationship. (R. 18, 656-660). When good cause is shown, an AU may give less weight, little weight, or even no weight to any physician's opinion. Greenspan, 38 F.3d at 237 (citing Scott v. Heckler, 770 F.2d 482, 485 (5th Cir. 1985)). Finally, Plaintiff relies on the vocational expert's affirmative response to the AU's hypothetical question of whether a person who is unable to maintain concentration, persistence and pace for up to two hours at a time and is unable to complete a normal 40-hour work week is typically unsuitable for competitive employment. (R. 57). As the AU did not find Plaintiff was unable to maintain concentration, persistence and pace for up to two hours at a time and/or unable to complete a 40-hour work week, the VE's testimony on this point is irrelevant. Owens v. Heckler, 770 F.2d 1276, 1282(5th Cir. 1985) (When hypothetical testimony by the VE is unsupported by the evidence, the AU may properly disregard that testimony). A reading of the opinion shows the AU considered both Plaintiffs subjective complaints regarding his mental status and his psychiatric admission in reaching his conclusion that Plaintiffs mood disorder has shown dramatic improvement over time. Based on his evaluation of the record as a whole, the AU opined that the most serious of Plaintiff s symptoms were temporary in nature and were largely attributable to substance abuse, now in remission. There is no showing that the AU committed legal error by failing to make a separate finding regarding Plaintiffs ability to maintain employment. As substantial evidence supports the 14 AU's decision, it must be affirmed. CONCLUSION It is therefore ORDERED that the decision of the Commissioner be, and it is hereby, AFFIRMED. SIGNED and ENTERED this ( day of March, 2016. TORRES MIGUEL UNITED STATES MAGISTRATE JUDGE 15

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