Brobyskov v. Colvin

Filing 21

ORDER reversing and remanding case by Judge Richard A Jones. (RS)

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01 02 03 04 05 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT SEATTLE 06 07 KARYN BROBYSKOV, 08 09 10 11 12 13 ) ) Plaintiff, ) ) v. ) ) CAROLYN W. COLVIN, Acting ) Commissioner of Social Security, ) ) Defendant. ) ____________________________________ ) CASE NO. C14-1552-RAJ ORDER RE: SOCIAL SECURITY DISABILITY APPEAL Plaintiff Karyn Brobyskov proceeds through counsel in her appeal of a final decision 14 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 REVERSED and 18 REMANDED for further proceedings. 19 20 FACTS AND PROCEDURAL HISTORY Plaintiff was born on XXXX, 1959. 1 She completed high school and one year of 21 22 1 Plaintiff’s date of birth is redacted back to the year of birth in accordance with Federal Rule of Civil Procedure 5.2(a) and the General Order of the Court regarding Public Access to Electronic ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -1 01 college. (AR 377.) She has worked as a waitress, an automotive accessories salesperson, a 02 flagger, and an industrial cleaner. (AR 20, 526.) 03 Plaintiff applied for DIB and Supplemental Security Income (SSI) on September 14, 04 2010. (AR 232-44.) The applications were denied. (AR 65-76, 77-88.) Upon 05 reconsideration, Plaintiff was granted SSI with an onset date established as September 14, 06 2010, which was her filing date. (AR 130.) But, because her date of last insured (DLI) was 07 December 31, 2009, her DIB was again denied. (AR 102-109.) Plaintiff timely requested a 08 hearing. (AR 167-68.) 09 On April 25, 2012, ALJ Ilene Sloan held a hearing in Seattle, Washington taking 10 testimony from Plaintiff, and a vocational expert. (AR 30-62.) On May 11, 2012, the ALJ 11 issued a decision finding that Plaintiff was not disabled prior to her DLI. (AR 11-22.) The 12 Appeals Council denied review. (AR 1-5.) Plaintiff timely appealed. The parties agreed to a 13 stipulated remand. (AR 577.) The Appeals Council vacated the ALJ’s decision and 14 remanded for further proceedings. (AR 590-92.) 15 ALJ Sloan conducted a new hearing on July 16, 2014, but heard no additional 16 testimony. (AR 515, 536-40.) On July 24, 2014, the ALJ issued a decision once again 17 finding Plaintiff not disabled before her DLI. (AR 515-528.) This decision is now the final 18 decision of the Commissioner. 19 20 JURISDICTION The Court has jurisdiction to review the ALJ’s decision pursuant to 42 U.S.C. § 21 Case Files, pursuant to the official policy on privacy adopted by the Judicial Conference of the United 22 States. ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -2 01 405(g). 02 03 DISCUSSION The Commissioner follows a five-step sequential evaluation process for determining 04 whether a claimant is disabled. See 20 C.F.R. §§ 404.1520, 416.920 (2000). At step one, it 05 must be determined whether the claimant is gainfully employed. The ALJ found Plaintiff had 06 not engaged in substantial gainful activity since her amended onset date of May 1, 2009, and 07 established her DLI as December 31, 2009. (AR 518.) At step two, it must be determined 08 whether a claimant suffers from a severe impairment. The ALJ found Plaintiff’s cognitive 09 disorder NOS, degenerative arthritis of the left knee, status-post strokes, and epilepsy to be 10 severe impairments. (AR 518.) Step three asks whether a claimant’s impairments meet or 11 equal a listed impairment. The ALJ found that Plaintiff’s impairments did not meet or equal 12 the criteria of a listed impairment. (AR 518-20.) 13 If a claimant’s impairments do not meet or equal a listing, the Commissioner must 14 assess residual functional capacity (RFC) and determine at step four whether the claimant has 15 demonstrated an inability to perform past relevant work. The ALJ found Plaintiff capable of 16 performing medium work with additional limitations: she would need to take seizure 17 precautions including avoiding exposure to moving parts or blade, unprotected heights, large 18 bodies of water, vats, and liquids, and use of motorized vehicle. She would have the ability to 19 understand, remember, and carry out simple one and two-step instructions, involving no more 20 than SVP 2. She can maintain concentration and attention for two hour intervals before 21 requiring a 15 minute break to refocus. She can accept instruction from supervisors and work 22 with co-workers. However, dealing with the general public should not be an essential element ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -3 01 of the task, although incidental contact would not be precluded. (AR 520.) With that 02 assessment, the ALJ found Plaintiff able to unable to perform her past relevant work. (AR 03 526.) 04 If a claimant demonstrates an inability to perform past relevant work, the burden shifts 05 to the Commissioner to demonstrate at step five that the claimant retains the capacity to make 06 an adjustment to work that exists in significant levels in the national economy. Based on 07 testimony from a vocational expert, the ALJ found Plaintiff able to perform the representative 08 occupations of hand packager, small products assembler, and inspector/hand packager. (AR 09 527.) Therefore, the ALJ found Plaintiff not disabled prior to her DLI of December 31, 2009. 10 (AR 528.) 11 This Court’s review of the ALJ’s decision is limited to whether the decision is in 12 accordance with the law and the findings supported by substantial evidence in the record as a 13 whole. See Penny v. Sullivan, 2 F.3d 953, 956 (9th Cir. 1993). Substantial evidence means 14 more than a scintilla, but less than a preponderance; it means such relevant evidence as a 15 reasonable mind might accept as adequate to support a conclusion. Magallanes v. Bowen, 881 16 F.2d 747, 750 (9th Cir. 1989). If there is more than one rational interpretation, one of which 17 supports the ALJ’s decision, the Court must uphold that decision. Thomas v. Barnhart, 278 18 F.3d 947, 954 (9th Cir. 2002). 19 Plaintiff argues the ALJ erred by (1) improperly evaluating the opinion of examining 20 physician Dan Phan, M.D., (2) failing to properly determine the onset date of her disability, 21 (3) improperly discounting her opinion, and (4) rejecting lay testimony without germane 22 reasons. Dkt 17-1 at 1. According to Plaintiff, these errors should be remedied by a remand ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -4 01 for payment of benefits, not additional proceedings. Dkt. 17-1 at 18. The Commissioner 02 argues that the ALJ’s decision is free of legal error, supported by substantial evidence and 03 should be affirmed. Dkt. 19 at 13. 04 05 Medical Evidence Plaintiff contends that the ALJ failed to properly evaluate the opinion of examining 06 physician Dan V. Phan, M.D. Dr. Phan evaluated Plaintiff in May 2009. (AR 384-86.) In 07 addressing Plaintiff’s functional limitations, Dr. Phan stated, “[w]ith the knee problem, she 08 should avoid works requiring prolonged walking, and frequent kneeling and squatting.” (AR 09 386.) In her first decision, the ALJ gave this opinion “great weight” and assessed the RFC at 10 the medium exertion level. (AR 16-17.) The Appeals Council determined that this 11 assessment was problematic: 12 13 14 The Administrative Law Judge assigned “great weight” to the opinion of Dan V. Phan, M.D. However, the Administrative Law Judge found the claimant capable of performing medium work despite Dr. Phan’s opinion that the claimant should avoid prolonged walking due to her left knee impairment. “Medium” exertional work requires standing or walking, off and on, for a total of approximately six hours in an eight-hour workday. (AR 590.) 15 The Appeals Council directed the ALJ to resolve this inconsistency on remand. (AR 590.) 16 In her second decision, the ALJ accorded “partial” weight to Dr. Phan’s opinion and 17 acknowledged his assessment that Plaintiff needed to avoid prolonged walking. (AR 524.) 18 According to the ALJ, “[w]hile the claimant may not be able to stand and/or walk for an 19 entire 8-hour day, I find that Dr. Phan’s examination findings support a conclusion that she 20 could stand and/or walk for 6 hours in an 8-hour workday.” (AR 524.) In support of this 21 finding, the ALJ noted that Dr. Phan’s examination showed full flexion and extension of the 22 ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -5 01 knee; no redness, swelling, or deformity; full motor strength, normal gait, and no need for an 02 assistive device; Plaintiff could walk about one mile, and denied any limitations on standing. 03 (AR 524.) 04 The ALJ only gave “partial” weight to Dr. Phan’s opinion in this decision, but failed 05 to provide any reason to discount the opinion. This is error. The ALJ must provide “clear and 06 convincing” reasons for rejecting the uncontradicted opinion of a treating physician. Lester v. 07 Chater, 81 F.3d 821, 830 (9th Cir. 1996). Even when a treating physician’s opinion is 08 contradicted, that opinion “can only be rejected for specific and legitimate reasons that are 09 supported by substantial evidence in the record.” Id. at 830-31. Here, the ALJ failed to 10 provide any reason for giving only “partial” weight to Dr. Phan’s opinion. 11 Furthermore, the ALJ once again found Plaintiff capable of medium work without 12 reconciling that exertion level with Dr. Phan’s opinion. Medium exertion “require[s] the 13 worker to stand or walk most of the time.” Social Security Ruling 83-14. The ALJ provides 14 no explanation as to how an opinion that specifically noted the need to avoid “prolonged” 15 walking supports a medium exertional level requiring six hours of walking/standing. SSR 8316 10. The Commissioner urges the Court that “because medium work involves alternating 17 between walking and standing ‘off and on’ for six hours a day, Plaintiff has not shown that it 18 actually requires ‘prolonged walking.’” Dkt. 19 at 3. But, the ALJ did not differentiate 19 between standing and walking in the RFC. Without additional limitations, “medium exertion” 20 could include a majority of walking over the course of six hours, which would be inconsistent 21 with Dr. Phan’s opinion. Thus, ALJ failed to resolve the inconsistency highlighted by the 22 Appeals Council, and once again established an RFC seemingly at odds with Plaintiff’s ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -6 01 assessed capabilities. This results in an RFC that may not properly reflect Plaintiff’s true 02 capacity and undermines the ALJ’s step five finding that Plaintiff can perform gainful work. 03 The Commissioner bears the burden at step five to show that Plaintiff can perform 04 gainful work. Tackett v. Apfel, 180 F.3d 1094, 1100 (9th Cir. 1999). To meet this burden, the 05 ALJ solicited testimony from a VE through hypothetical questions. Id. at 1100-1101, (AR 5406 55.) “Hypothetical questions posed to the vocational expert must set out all the limitations 07 and restrictions of the particular claimant.” Embrey v. Bowen, 849 F.3d 418, 422-23 (9th Cir. 08 1988). When the hypothetical is not supported by the record and does not include all the 09 limitations, the testimony of the VE has no evidentiary value. Id. In this case, the VE was 10 posed a hypothetical with medium exertion level. (AR 54-55.) Because the VE identified 11 jobs compatible with this RFC, which may not fully account for Plaintiff’s need to avoid 12 prolonged walking, the testimony has no evidentiary value and the case must be reversed. 13 14 Onset Date To receive DIB, a claimant “must prove that she was either permanently disabled or 15 subject to a condition which became so severe as to disable her prior to the date upon which 16 her disability insured status expires.” Johnson v. Shalala, 60 F.3d 1428, 1432 (9th Cir. 1995). 17 In this case, Plaintiff’s DLI was December 31, 2009. (AR 65.) The ALJ found that Plaintiff 18 “retained the cognitive ability to perform simple, 1 to 2-step tasks before December 31, 19 2009,” and she was not disabled prior to her DLI. (AR 526, 528.) Plaintiff alleges legal error 20 because the ALJ failed to call a medical expert to establish her onset date. The Court agrees. 21 The ALJ relied heavily upon a May 2009 psychological evaluation conducted by 22 Rodger I. Meinz, Ph.D. (AR 525, 376-82.) Dr. Meinz reported that Plaintiff was anxious, ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -7 01 fearful, and embarrassed about her memory problems. (AR 379.) Plaintiff was oriented, but 02 had to look at her referral sheet to remember the day of the month. (AR 379.) She could 03 recall three out of three objects after five minutes; recall six digits forward but only three 04 digits backward; and slowly completed serial threes from 20 by using her fingers to count. 05 (AR 380.) Her memory scores ranged between average, borderline, and extremely low. (AR 06 380.) These scores “corroborate her self-report” of poor memory since suffering the two 07 strokes. (AR 381.) Dr. Meinz concluded that Plaintiff “might be capable of light bench 08 assembly…where any memory problems could be accommodated by the routine nature of the 09 work. Whether she could perform at a competitive rate at such work is unknown.” (AR 382.) 10 The ALJ summarized Dr. Meinz’ opinion: 11 12 13 Dr. Meinz opined in May absorb and perform simple that the claimant might be memory problem could be (AR 525.) 2009 that the claimant could retain the ability to sets of auditory and visual data. Dr. Meinz added capable of light bench assembly work, where her accommodated by the routine nature of her work. 14 The ALJ accorded this opinion significant weight because Dr. Meinz conducted psychometric 15 and mental status testing in addition to an interview. (AR 525.) 16 The ALJ accepted Dr. Meinz’ opinion over Plaitniff’s treating physician, Sam 17 Eggertsen, M.D. Dr. Eggertsen began seeing Plaintiff in November 2009. (AR 489.) He 18 completed a physical evaluation on January 25, 2010 in which he asserted that her main issues 19 were cognitive. (AR 425-28.) He opined that her cognitive deficits are “marked” and rated 20 them as severe. (AR 427.) He arrived at this conclusion based on results showing her unable 21 to remember three objects after three minutes, draw a clock face accurately, and subtract 22 seven from one hundred. (AR 426.) The ALJ gave minimal weight to Dr. Eggertsen’s ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -8 01 opinion because he based it on an abridged mental status examination. (AR 525.) 02 Generally, medical opinions of treating physicians are accorded special weight. 03 Embrey v. Bowen, 849 F.2d 418, 421 (9th Cir. 1988). “The ALJ must either accept the 04 opinions of…treating physicians or give specific and legitimate reasons for rejecting them.” 05 Id. at 422 n.3. Here, the ALJ gave greater weight to Dr. Meinz’ opinion, because he 06 conducted significantly more testing and “considered claimant’s work history and vocational 07 certifications after her last stroke.” (AR 525.) But, Dr. Eggertsen conducted objective 08 testing, in the form of the abbreviated mental status exam, and provided the results. Dr. 09 Eggertsen gave his assessment and specifically noted the objective results that led to his 10 conclusions. (AR 425-28.) Dr. Eggertsen gave his opinion eight months after Dr. Meinz opined that Plaintiff 11 12 could possibly perform light bench work, and less than one month after her DLI. (AR 382, 13 425.) Given the progressive nature of Plaintiff’s dementia and the proximity in time to her 14 DLI, Dr. Eggertsen’s assessment was the most relevant to her actual functional level at her 15 DLI. The timing of the opinion and the nature of the treating physician relationship give 16 weight to Dr. Eggertsen’s assessment. 17 As a result of the opinions given by Drs. Meinz and Eggertsen, Plaintiff’s onset date is 18 unclear. When evidence of the onset of mental impairment is ambiguous, “the ALJ should 19 determine the date based on an informed inference. Such an inference is not possible without 20 the assistance of a medical expert.” Morgan v. Sullivan, 945 F.2d 1079, 1082-83 (9th Cir. 21 1991). Under Social Security Regulation (“SSR”) 83-20, determination of an onset date 22 requires a “legitimate medical basis” which is established by calling a medical advisor at the ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -9 01 hearing. 02 03 04 How long the disease may be determined to have existed at a disabling level of severity depends on an informed judgment of the facts in a particular case. This judgment, however, must have a legitimate medical basis. At a hearing, the administrative law judge (ALJ) should call on the services of a medical advisor when onset must be inferred. 05 SSR 83-20 has been interpreted to require a medical advisor if the “medical evidence is not 06 definite concerning the onset date and medical inferences need to be made.” Delorme v. 07 Sullivan, 924 F.2d 841, 848 (9th Cir. 1991). In such cases, the ALJ must call a medical 08 expert to assist in determining the onset date. Armstrong v. Comm’r of Soc. Sec. Admin., 160 09 F.3d 587, 590 (9th Cir. 1998). 10 In this case, the onset date is unclear. In May 2009, Dr. Meinz opined that Plaintiff 11 “might” be capable of light bench assembly, but was unsure if she could perform at a 12 competitive rate. (AR 382.) By January 2010, less than one month after DLI, Plaintiff’s 13 treating physician found her to have severe cognitive deficiencies. In a case, such as this, 14 where onset date is ambiguous but critical to the claim, the ALJ was required to call a medical 15 expert to make the necessary medical inferences and establish the onset date. Failure to 16 obtain assistance from a medical expert was legal error. Because onset date is central to the 17 DIB determination, the error in establishing that date was harmful and requires reversal. 18 Plaintiff’s Credibility 19 The ALJ found that Plaintiff’s statements concerning the intensity, persistence, and 20 limiting effects of her symptoms were not entirely credibility. (AR 521.) The ALJ cited the 21 Plaintiff’s activities of daily living, work history, and lack of objective medical evidence as 22 ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -10 01 reasons to discount her testimony. (AR 522-23.) Plaintiff contends that the ALJ improperly 02 rejected her testimony. 03 The ALJ is responsible for determining credibility. Andrews v. Shalala, 53 F.3d 04 1035, 1039 (9th Cir. 1995). Unless there is affirmative evidence showing that the claimant 05 is malingering, the ALJ must provide clear and convincing reasons for rejecting the 06 evidence. Lester v. Chater, 81 F.3d 821, 834 (9th Cir. 1995). The ALJ “may not discredit 07 the claimant’s testimony as to subjective symptoms merely because they are unsupported by 08 objective evidence.” Id. However, “[in] determining credibility, an ALJ may engage in 09 ordinary techniques of credibility evaluation, such as considering claimant's reputation for 10 truthfulness and inconsistencies in claimant's testimony.” Burch v. Barnhart, 400 F.3d 676, 11 680 (9th Cir. 2005). Additionally, the ALJ may consider a claimant’s work record and 12 observations of physicians and other third parties regarding the nature, onset, duration, and 13 frequency of symptoms. Smolen v. Chater, 80 F.3d 1273, 1285 (9th Cir. 1996). The ALJ stated that Plaintiff’s activities of daily living prior to her DLI are not 14 15 consistent with her allegations of disability. “[T]he claimant told Dr. Phan and Dr. Meinz that 16 she lived alone and that she was able to independently perform her activities of daily living, 17 including showering daily, preparing her own meals, and keeping her apartment clean.” (AR 18 523.) Plaintiff contends that these activities do not support an adverse credibility 19 determination. 20 “Daily activities may be grounds for an adverse credibility finding ‘if a claimant is 21 able to spend a substantial part of his day engaged in pursuits involving the performance of 22 physical functions that are transferable to a work setting.’” Orn v. Mastrue, 495 F.3d 625, ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -11 01 639 (9th Cir. 2007)(citing Fair v. Bowen, 885 F.2d 597, 603 (Cir. 9th 1989)). Daily activities 02 may also have bearing on credibility if they are inconsistent with claimed limitations. 03 Reddick v. Chater, 157 F.3d 715, 722 (9th Cir. 1998). In this case, Plaintiff’s ability to 04 perform the basic tasks of showering, preparing her meals, and keeping her house clean is not 05 inconsistent with her knee pain or mental impairments. Nor are these activities transferable to 06 a work setting. Orn, 495 F.3d at 639. 07 Furthermore, the ALJ mischaracterizes Plaintiff’s activities of daily living from the 08 period after her DLI. The ALJ found that “claimant’s more recent activities suggest that her 09 functioning was likely greater than alleged prior to her date last insured.” (AR 523.) The 10 ALJ elaborated: 11 12 13 14 she reported living with a disabled friend, whom she helped get dressed and reminded to take medications. She stated that she could care for her personal hygiene and grooming, prepare simple meals, attends appointments, go out alone, take the bus, and shop for groceries. At the hearing she testified that she was able to do her own grocery shopping, but limited her shopping to one store that was close to her home. She testified that she lives alone and is able to care for herself and her apartment. (AR 523.) 15 But, this description of Plaintiff’s ability to care for herself omits several key details. For 16 example, Plaintiff limited her shopping to a single location because she knew how to walk to 17 that store and back and would not get lost. (AR 43.) At the store, she often had difficulty 18 remembering what she needed to purchase, so she would buy “a little bit of everything. Like 19 lots of soups.” (AR 43.) She cooked only basic foods using the microwave because she 20 would forget that she had put food in the oven. (AR 41.) And, although Plaintiff took the bus, 21 she would become confused and need to call someone or get assistance from the bus driver. 22 (AR 42.) She would forget which bus she needed or get off at the wrong location. (AR 42.) ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -12 01 As seen by these examples, Plaintiff ability to perform basic activities was hampered 02 by her mental impairment. Her recent functioning does not demonstrate greater capacity prior 03 to her DLI. The ALJ’s finding that her ability to accomplish these activities negated her 04 credibility was not supported by substantial evidence in the record. 05 Similarly, the ALJ’s depiction of Plaintiff’s prior work history is unsupported by the 06 evidence in the record. The ALJ cited Plaintiff’s work history to discredit her testimony. 07 08 09 10 [A]fter her second stroke, the claimant was able to return to substantial fanciful activity as a sales person at Sears, where she worked from 1996 through 2002…She later worked at Labor Ready, doing temporary jobs as a flagger and performing pickup and cleanup, from 2006 through 2008. At the hearing, she testified that she was able to follow simple instructions and to perform simple tasks without any issues when she worked at Labor Ready. Her struggles were primarily with performing jobs that required her to follow and perform complex instructions. (AR 523) 11 But, this description of Plaintiff’s work history ignored that Plaintiff had difficulty performing 12 and keeping several jobs. In 2003, she lost her long-time job at Sears automotive because she 13 could not perform her tasks quickly enough, despite trying her hardest. (AR 40.) She was 14 fired from a restaurant hostess position and a retail job because she could not remember 15 important codes. (AR 39-40.) And when performing temporary work with Labor Ready, 16 employers often sent her back because she became disoriented at job sites. (AR 38-39.) “I 17 was just supposed to clean certain rooms before they got into another project of that room, 18 and then I’d get lost in the room trying to get back to the main place we all met. And I’d just 19 be wandering.” (AR 39.) Plaintiff testified that she could perform the clean up tasks 20 assigned, but anything more complicated and the employers “would get nervous” and send 21 her back to Labor Ready. (AR 39, 47.) All of these employment struggles occurred prior to 22 ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -13 01 Plaintiff’s DLI. Rather than support the ALJ’s credibility determination, the record 02 demonstrates significant functional difficulties consistent with Plaintiff’s alleged disability. 03 Finally, the ALJ insinuated that the lack of objective medical evidence undermined 04 Plaintiff’s testimony. (AR 521-23.) But, as noted above, the ALJ “may not discredit the 05 claimant’s testimony as to subjective symptoms merely because they are unsupported by 06 objective evidence.” Lester, 81 F.3d at 834. Here, the ALJ’s reliance on Plaintiff’s 07 activities of daily living and work history is unsupported by the record. The dearth of 08 medical evidence is the only remaining reason to discount Plaintiff’s testimony and does not 09 provide legally sufficient reason to discredit Plaintiff. The ALJ failed to provide clear and 10 convincing reasons based on substantial evidence in the record to reject Plaintiff’s 11 testimony. Reversal is required. 12 Lay Witness Testimony 13 Plaintiff’s mother, Margaret Faltys, provided a third party function report in 14 November 2010 that detailed Plaintiff’s difficulties. (AR 312-19.) “Descriptions by friends 15 and family members in a position to observe a claimant's symptoms and daily activities have 16 routinely been treated as competent evidence.” Sprague v. Bowen, 812 F.2d 1226, 1232 (9th 17 Cir. 1987). A germane reason is required to reject such evidence. Dodrill v. Shalala, 12 F.3d 18 Plaintiff alleges that the ALJ improperly rejected this testimony because Plaintiff had 19 demonstrated a functional ability to work, and Ms. Faltys did not differentiate between 20 Plaintiff’s functioning before and after her DLJ. Dkt. 17-1 at 18. However, this argument 21 references the reasoning provided in the first ALJ decision, since vacated by the Appeals 22 Council. (AR 20, 590-92.) Plaintiff’s argument is inapplicable to the current decision. ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -14 01 Disposition 02 This case is rife with harmful errors requiring reversal. Plaintiff asserts that the proper 03 remedy is remand for award of benefits. The Court may remand for an award of benefits 04 where: 05 the record has been fully developed and further administrative proceedings would serve no useful purpose; (2) the ALJ has failed to provide legally sufficient reasons for rejecting evidence, whether claimant testimony or medical opinion; and (3) if the improperly discredited evidence were credited as true, the ALJ would be required to find the claimant disabled on remand. 06 07 08 Garrison v. Colvin, 759 F.3d 995, 1020 (9th Cir. 2014). The Court abuses its discretion by 09 remanding for further proceedings where the record establishes no basis for serious doubt that 10 the claimant is in fact disabled. Id. at 1023. However, remand for award of benefits occurs in 11 rare circumstances. Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1099 (9th Cir. 12 2014). 13 Although this case has already been remanded once and has been pending for several 14 years, this is not the rare circumstance requiring remand for benefits. The main issue remains 15 whether Plaintiff was disabled prior to her DLI. As discussed earlier, a medical expert is 16 required when “medical evidence is not definite concerning the onset date and medical 17 inferences need to be made.” Delorme, 924 F.2d at 848. This Court is no more capable than 18 the ALJ of making the required medical inferences necessary to properly establish Plaintiff’s 19 onset date. 20 The case must be remanded for further proceedings. On remand, the ALJ should take 21 medical expert testimony to assist in the establishment of Plaintiff’s disability onset date. 22 ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -15 01 Additionally, the ALJ should reconsider Dr. Phan’s opinion, give weight to Plaintiff’s 02 testimony, further develop the record as necessary, reassess the RFC, and proceed with steps 03 four and five of the sequential evaluation process as needed. 04 05 CONCLUSION For the reasons set forth above, this matter is REVERSED and REMANDED for 06 further proceedings. 07 DATED this 27th day of July, 2015. 08 A 09 10 The Honorable Richard A. Jones United States District Judge 11 12 13 14 15 16 17 18 19 20 21 22 ORDER RE: SOCIAL SECURITY DISABILITY APPEAL PAGE -16

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