Earheart v. Colvin

Filing 15

ORDER re social security disability appeal; this matter is affirmed by Hon. Mary Alice Theiler. (RS)

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01 02 03 04 05 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT SEATTLE 06 07 JEFFREY ALLAN EARHEART, 08 09 10 11 12 13 ) ) Plaintiff, ) ) v. ) ) CAROLYN W. COLVIN, Acting ) Commissioner of Social Security, ) ) Defendant. ) ____________________________________ ) CASE NO. C13-2007-MAT ORDER RE: SOCIAL SECURITY DISABILITY APPEAL Plaintiff Jeffrey Allan Earheart proceeds through counsel in his appeal of a final 14 decision of the Commissioner of the Social Security Administration (Commissioner). The 15 Commissioner denied plaintiff’s application for Disability Insurance Benefits (DIB) after a 16 hearing before an Administrative Law Judge (ALJ). Having considered the ALJ’s decision, 17 the administrative record (AR), and all memoranda of record, this matter is AFFIRMED. 18 19 FACTS AND PROCEDURAL HISTORY Plaintiff was born on XXXX, 1975. 1 He completed the ninth grade of school and did 20 not obtain a GED. (AR 58-59.) Plaintiff previously worked as forklift driver/industrial truck 21 1 Plaintiff’s date of birth is redacted back to the year of birth in accordance with Federal Rule of 22 Civil Procedure 5.2(a) and the General Order of the Court regarding Public Access to Electronic Case Files, pursuant to the official policy on privacy adopted by the Judicial Conference of the United States. ORDER PAGE -1 01 driver, panel builder, material handler, and truss builder. (AR 27, 68.) 02 Plaintiff filed his DIB application in January 2011, alleging disability beginning 03 January 20, 2010. (AR 164-65.) His application was denied initially and on reconsideration, 04 and he timely requested a hearing. 05 ALJ Laura Valente held a hearing on July 13, 2012, taking testimony from plaintiff, a 06 lay witness, and a vocational expert (VE). (AR 33-76.) On August 3, 2012, the ALJ issued a 07 decision finding plaintiff not disabled. (AR 19-29.) Plaintiff timely appealed. 08 On September 24, 2013, the Appeals Council denied plaintiff’s request for review (AR 09 1-6), making the ALJ’s decision the final decision of the Commissioner. Plaintiff appealed 10 this final decision of the Commissioner to this Court. 11 12 JURISDICTION The Court has jurisdiction to review the ALJ’s decision pursuant to 42 U.S.C. § 405(g). 13 14 DISCUSSION The Commissioner follows a five-step sequential evaluation process for determining 15 whether a claimant is disabled. See 20 C.F.R. §§ 404.1520, 416.920 (2000). At step one, it 16 must be determined whether the claimant is gainfully employed. The ALJ found that plaintiff 17 had not engaged in substantial gainful activity since the alleged onset date. At step two, it must 18 be determined whether a claimant suffers from a severe impairment. The ALJ found 19 plaintiff’s ankylosing spondylosis (AS), spondylosis, affective disorder, and anxiety disorder 20 severe. Step three asks whether a claimant’s impairments meet or equal a listed impairment. 21 The ALJ found plaintiff’s impairments did not meet or equal the criteria of a listed impairment. 22 If a claimant’s impairments do not meet or equal a listing, the Commissioner must ORDER PAGE -2 01 assess residual functional capacity (RFC) and determine at step four whether the claimant has 02 demonstrated an inability to perform past relevant work. The ALJ found plaintiff had the RFC 03 to perform light work as defined in 20 C.F.R. § 404.1567(b), with the following exceptions: he 04 can sit for two hours at a time with usual and customary breaks for six hours total; he can 05 stand/walk for one hour at a time after which he needs to change positions for a few minutes, 06 but not away from the workstation, for four hours total; and he can perform all postural 07 activities occasionally except that he can frequently balance. The ALJ also found plaintiff had 08 sufficient concentration to understand, remember, and carry out simple, repetitive tasks; can 09 maintain concentration, persistence, and pace in two-hour increments with usual and customary 10 breaks in an eight-hour day; can interact occasionally with supervisors; can work superficially 11 and occasionally with the general public; can work in coordination with a small group of 12 coworkers (up to five); and can work in proximity to more than five coworkers. With this 13 RFC, the ALJ found plaintiff unable to perform his past relevant work. 14 If a claimant demonstrates an inability to perform past relevant work, the burden shifts 15 to the Commissioner to demonstrate at step five that the claimant retains the capacity to make 16 an adjustment to work that exists in significant levels in the national economy. With 17 consideration of the Medical-Vocational Guidelines and the assistance of the VE, the ALJ 18 concluded plaintiff could perform other jobs, such as work as a document preparer, final 19 assembler, and hand packager. The ALJ, therefore, concluded plaintiff was not disabled from 20 the alleged onset date through the date of the decision. 21 This Court’s review of the ALJ’s decision is limited to whether the decision is in 22 accordance with the law and the findings supported by substantial evidence in the record as a ORDER PAGE -3 01 whole. See Penny v. Sullivan, 2 F.3d 953, 956 (9th Cir. 1993). Substantial evidence means 02 more than a scintilla, but less than a preponderance; it means such relevant evidence as a 03 reasonable mind might accept as adequate to support a conclusion. Magallanes v. Bowen, 881 04 F.2d 747, 750 (9th Cir. 1989). If there is more than one rational interpretation, one of which 05 supports the ALJ’s decision, the Court must uphold that decision. Thomas v. Barnhart, 278 06 F.3d 947, 954 (9th Cir. 2002). 07 Plaintiff argues the ALJ failed to properly assess medical opinion evidence, implicating 08 the credibility and RFC assessments, the hypothetical proffered to the VE, and the decision at 09 step five. He requests remand for further administrative proceedings. The Commissioner 10 maintains the ALJ’s decision has the support of substantial evidence and should be affirmed. 11 12 Medical Opinion Evidence Plaintiff asserts error in the ALJ’s assessment of medical opinions from treating 13 physician Dr. Curtis Reinke and examining psychiatrist Dr. Daniel Kodner. The ALJ afforded 14 greater weight to the contradictory opinions of examining physician Dr. Peter Pfeiffer, and 15 nonexamining physicians Drs. Norman Staley, Vincent Gollogly, and John Gilbert. In 16 general, more weight should be given to the opinion of a treating physician than to a 17 non-treating physician, and more weight to the opinion of an examining physician than to a 18 non-examining physician. Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1996). In this case, 19 given the existence of contradictory opinion evidence, the ALJ was required to provide specific 20 and legitimate reasons, supported by substantial evidence in the record, for rejecting the 21 opinions of Drs. Reinke and Kodner. Id. at 830-31. 22 An ALJ may reject physicians’ opinions “by setting out a detailed and thorough ORDER PAGE -4 01 summary of the facts and conflicting clinical evidence, stating his interpretation thereof, and 02 making findings.” Reddick v. Chater, 157 F.3d 715, 725 (9th Cir. 1998) (citing Magallanes, 03 881 F.2d at 751). Rather than merely stating her conclusions, the ALJ “must set forth [her] 04 own interpretations and explain why they, rather than the doctors’, are correct.” Id. (citing 05 Embrey v. Bowen, 849 F.2d 418, 421-22 (9th Cir. 1988)). 06 A. Dr. Curtis Reinke 07 The ALJ assigned little weight to a December 2011 medical source statement in which 08 treating physician Dr. Reinke “checked a box” indicating plaintiff had significant fatigue, was 09 moderately limited in social functioning, markedly limited in completing tasks due to 10 deficiencies in concentration, persistence, or pace, and could not stand, sit, work, lift, bend, or 11 stoop, and would miss work more than three times a month. (AR 26, 349-51.) The ALJ 12 acknowledged Dr. Reinke was a treating source, but did not find the medial source statement 13 persuasive as it was inconsistent with Dr. Reinke’s “own treatment records, which largely 14 showed only medication management with periodic mention of increased pain symptoms.” 15 (AR 26.) She also noted that Dr. Reinke advised “a complete physical evaluation should be 16 done; but . . . was not done at the time” Dr. Reinke completed the form. (Id.) 17 Plaintiff denies inconsistency with Dr. Reinke’s treatment notes, pointing to various 18 observations and notations in the record. (See Dkt. 12 at 6-7.) He maintains the ALJ’s 19 reasoning in relation to Dr. Reinke was conclusory, lacking identification of the facts and 20 conflicting evidence relied upon, or an interpretation and findings from the ALJ. Plaintiff also 21 states Dr. Reinke said the form was completed without plaintiff in attendance and he would do 22 physical capacity testing to get more accurate. (AR 351.) He argues the ALJ impermissibly ORDER PAGE -5 01 rejected Dr. Reinke’s opinion because it was ambiguous or required additional information, and 02 failed in her duty to fully and fairly develop the record. The Court, however, finds no error in 03 the consideration of Dr. Reinke’s opinions. 04 The ALJ accurately described Dr. Reinke’s opinions as consisting of checked boxes, 05 and reasonably discounted the opinions as provided in the absence of a physical examination. 06 20 C.F.R. § 404.1527 (“The more a medical source presents relevant evidence to support an 07 opinion, particularly medical signs and laboratory findings, the more weight we will give that 08 opinion.”); Molina v. Astrue, 674 F.3d 1103, 1111 (9th Cir. 2012) (ALJ may “‘permissibly 09 reject[] . . . check-off reports that [do] not contain any explanation of the bases of their 10 conclusions.’”); Crane v. Shalala, 76 F.3d 251, 253 (9th Cir. 1995) (evaluations permissibly 11 rejected “because they were check-off reports that did not contain any explanation of the bases 12 of their conclusions.”) (citing Murray v. Heckler, 722 F.2d 499, 501 (9th Cir. 1983) (expressing 13 preference for individualized medical opinions over check-off reports)). “The ALJ need not 14 accept the opinion of any physician, including a treating physician, if that opinion is brief, 15 conclusory, and inadequately supported by clinical findings.” Thomas, 278 F.3d at 957. 16 Accord Batson v. Commissioner, 359 F.3d 1190, 1195 (9th Cir. 2004). 17 The ALJ further properly rejected Dr. Reinke’s opinions as inconsistent with his own 18 treatment records. Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005) (rejecting 19 physician’s opinion due to discrepancy or contradiction between opinion and the physician’s 20 own notes or observations is “a permissible determination within the ALJ’s province.”); 21 Morgan v. Commissioner of the SSA, 169 F.3d 595, 603 (9th Cir. 1999) (ALJ appropriately 22 considers internal inconsistencies within and between physicians’ reports). While plaintiff ORDER PAGE -6 01 points to portions of the treatment notes as supporting his claim, the ALJ reasonably and 02 rationally construed the records as largely reflecting medication management with periodic 03 mention of increased pain symptoms. (See AR 237-316, 331-48.) “Where the evidence is 04 susceptible to more than one rational interpretation, it is the ALJ’s conclusion that must be 05 upheld.” Morgan, 169 F.3d at 599 (citing Andrews v. Shalala, 53 F.3d 1035, 1041 (9th Cir. 06 1995)). 07 Also, the proper support and explanation for the ALJ’s reasoning is apparent upon 08 review of the decision as a whole, which includes a detailed description of a number of 09 treatment records from Dr. Reinke. (See AR 24.) While the ALJ included that description 10 earlier in the decision, “[a]s a reviewing court, we are not deprived of our faculties for drawing 11 specific and legitimate inferences from the ALJ’s opinion.” Magallanes, 881 F.2d at 755. 12 Finally, plaintiff fails to support his contention that the ALJ failed in her duty to develop 13 the record. An ALJ has an obligation to recontact a treating physician or psychologist when 14 the evidence received is inadequate for a determination of disability. 20 C.F.R. § 404. 15 1512(e). See also Widmark v. Barnett, 454 F.3d 1063, 1068 (9th Cir. 2006) (“[T]he ALJ 16 should not be ‘a mere umpire’ during disability proceedings. Rather, the ALJ has ‘a special duty 17 to fully and fairly develop the record and to assure that the claimant’s interests are 18 considered.’”) (quoted sources omitted). The “ALJ’s duty to develop the record further is 19 triggered only when there is ambiguous evidence or when the record is inadequate to allow for 20 proper evaluation of the evidence.” Mayes v. Massanari, 276 F.3d 453, 459-60 (9th Cir. 21 2001). See also Tonapetyan v. Halter, 242 F.3d 1144, 1150 (9th Cir. 2001) (“Ambiguous 22 evidence, or the ALJ’s own finding that the record is inadequate to allow for proper evaluation ORDER PAGE -7 01 of the evidence, triggers the ALJ’s duty to ‘conduct an appropriate inquiry.’”) (quoted source 02 omitted). 03 In this case, the opinion evidence from Dr. Reinke was not ambiguous; Dr. Reinke 04 clearly found plaintiff incapable of work. (See AR 350.) Cf. McLeod v. Astrue, 640 F.3d 881, 05 885 (9th Cir. 2011) (“Rejection of the treating physician’ opinion on ability to perform any 06 remunerative work does not by itself trigger a duty to contact the physician for more 07 explanation.”) He also appeared to concede that physical capacity testing would provide a 08 more accurate picture of plaintiff’s abilities. (See AR 351.) It is unclear why Dr. Reinke did 09 not conduct such testing, at that time or at any point during his treatment of plaintiff. 10 However, the Court is not convinced this observation rendered the record inadequate to allow 11 for proper evaluation of the evidence, or otherwise triggered the ALJ’s duty to develop the 12 record. Instead, the ALJ reasonably relied on opinion evidence from examining physician Dr. 13 Pfeiffer (AR 26, 317-20) and nonexamining physician Dr. Staley (AR 26, 95-97) in finding 14 plaintiff capable as assessed in the RFC. See, e.g., Bayliss, 427 F.3d at 1217 (finding no duty 15 to recontact where doctor’s opinion was not supported by clinical evidence and was based on 16 claimant’s subjective complaints and the ALJ found the record adequate to make a 17 determination as to disability). For this reason, and for the reasons stated above, plaintiff fails 18 to demonstrate error in the ALJ’s consideration of the evidence from Dr. Reinke. 19 B. Dr. Daniel Kodner 20 The ALJ gave great weight to the opinions of examining psychiatrist Dr. Kodner that 21 plaintiff is able to perform simple and repetitive tasks, finding it consistent with his 22 contemporaneous mental evaluation, and found his opinions that plaintiff was able to accept ORDER PAGE -8 01 instructions from supervisors and interact with coworkers and the public not inconsistent with 02 the assessed RFC. (AR 27, 325.) However, the ALJ did not accept other opinions of Dr. 03 Kodner, including that plaintiff would be unlikely to perform work activities on a constant basis 04 without special or additional instruction because of his mental disorder and would not be able to 05 maintain regular attendance in the workplace. (Id.) The ALJ assigned these opinions little 06 weight in concluding they rested heavily on plaintiff’s subjective complaints, which the ALJ 07 found to be of questionable reliability. (Id.) 08 In asserting error, plaintiff denies that Dr. Kodner’s opinions were brief, conclusory, or 09 inadequately supported by clinical findings. See Tonapetyan, 242 F.3d at 1150. However, 10 the ALJ did not find as such. Instead, the ALJ assigned the opinions little weight upon 11 concluding Dr. Kodner relied heavily on plaintiff’s subjective reports, which the ALJ found not 12 credible. “An ALJ may reject a treating [or examining] physician’s opinion if it is based ‘to a 13 large extent’ on a claimant’s self-reports that have been properly discounted as incredible.” 14 Tommasetti v. Astrue, 533 F.3d 1035, 1041 (9th Cir. 2008) (quoting Morgan, 169 F.3d at 602). 15 Plaintiff also challenges the ALJ’s conclusion that Dr. Kodner relied on his subjective 16 complaints by pointing to portions of Dr. Kodner’s report. He notes the fact that, on testing, he 17 was unable to recall three objects after five minutes and had errors in performing “serial 7s, ” 18 and that Dr. Kodner observed he “appear[ed] to be in physical pain” and “also appear[ed] 19 significantly depressed, more so than he actually endorse[d].” (AR 324-25.) However, Dr. 20 Kodner’s report can also reasonably be construed as relying significantly on plaintiff’s 21 subjective complaints. (See, e.g., AR 325 (stating plaintiff “feels overwhelmed by his 22 depression and anxiety and he cannot visualize himself working at this time[,]” and basing ORDER PAGE -9 01 opinion that plaintiff would not be able to maintain regular attendance/would have severe 02 difficulties completing a normal workday/week without interruptions “because of his severe 03 depression and anxiety at this time.”)) Because the ALJ’s interpretation of Dr. Kodner’s 04 report was rational, his decision should be upheld. Morgan, 169 F.3d at 599. 05 In addition, the ALJ also reasonably relied on contradictory opinion evidence from 06 non-examining physicians Drs. Gollogly and Gilbert. (AR 26-27, 81-88, 90-95.) The ALJ is 07 responsible for resolving conflicts in the medical record, Carmickle v. Comm’r of SSA, 533 F.3d 08 1155, 1164 (9th Cir. 2008), and when evidence reasonably supports either confirming or 09 reversing the ALJ’s decision, we may not substitute our judgment for that of the ALJ, Tackett 10 v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). In this case, plaintiff fails to demonstrate error 11 in the ALJ’s consideration of the opinions of Dr. Kodner. Other Alleged Errors 12 13 Plaintiff maintains the errors alleged in the consideration of the medical opinion 14 evidence implicate the ALJ’s RFC and credibility assessments, the hypothetical proffered to the 15 VE, and the conclusion at step five. However, the Court finds no error in the ALJ’s 16 consideration of the medical opinion evidence, and plaintiff raises no other separate and 17 specific assignments of error for the Court to address. See generally Carmickle, 533 F.3d at 18 1161 n.2 (declining to address issues not argued with any specificity) (citing Paladin Assocs., 19 Inc. v. Mont. Power Co., 328 F.3d 1145, 1164 (9th Cir. 2003) (the court “ordinarily will not 20 consider matters on appeal that are not specifically and distinctly argued in an appellant’s 21 opening brief”).) The ALJ need not include in the RFC assessment, or hypothetical to the VE, 22 properly discounted opinion evidence or claimant testimony. ORDER PAGE -10 See Bayliss, 427 F.3d at 01 1217-18; Batson, 359 F.3d at 1197. Nor does the mere restating of plaintiff’s arguments 02 suffice to demonstrate error at steps four or five. See Stubbs-Danielson v. Astrue, 539 F.3d 03 1169, 1175-76 (9th Cir. 2008). Plaintiff, as such, fails to demonstrate any error in the ALJ’s 04 decision. 05 CONCLUSION 06 For the reasons set forth above, this matter is AFFIRMED. 07 DATED this 2nd day of May, 2014. 08 09 A 10 Mary Alice Theiler Chief United States Magistrate Judge 11 12 13 14 15 16 17 18 19 20 21 22 ORDER PAGE -11

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