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5 UNITED STATES DISTRICT COURT 6 WESTERN DISTRICT OF WASHINGTON AT SEATTLE 7 8 MARK DAVID C., 9 Plaintiff, Case No. C24-1880-MLP 10 v. ORDER 11 COMMISSIONER OF SOCIAL SECURITY, 12 Defendant. 13 I. INTRODUCTION 14 Plaintiff seeks review of the denial of his application for Disability Insurance Benefits. 15 Plaintiff contends that the administrative law judge (“ALJ”) erred in assessing the medical 16 opinion evidence and his testimony. (Dkt. # 7.) The Commissioner filed a response arguing that 17 the ALJ’s decision is free of legal error, supported by substantial evidence, and should be 18 affirmed. (Dkt. # 9.) Plaintiff filed a reply. (Dkt. # 11.) Having considered the ALJ’s decision, 19 the administrative record (“AR”), and all memoranda of record, the Court AFFIRMS the 20 Commissioner’s final decision and DISMISSES the case with prejudice.1 21 22 23
1 The parties consented to proceed before the undersigned Magistrate Judge. (Dkt. # 2.) 1 II. BACKGROUND 2 Plaintiff was born in 1968, has a high school education, and has worked as a licensed 3 practical nurse and medical assistant. AR at 31. Plaintiff was last gainfully employed in July 4 2017. Id. at 24.
5 In February 2019, Plaintiff applied for benefits, alleging disability as of July 2017. AR at 6 22. Plaintiff’s applications were denied initially and on reconsideration, and Plaintiff requested a 7 hearing. Id. After the ALJ conducted a hearing in March 2024, the ALJ issued a decision finding 8 Plaintiff not disabled. Id. 9 Using the five-step disability evaluation process,2 the ALJ found, in pertinent part, 10 Plaintiff did not engage in substantial gainful from July 2017 to his date last insured in December 11 2022. AR at 24. Plaintiff had the severe impairments of degenerative changes of the spine, 12 posttraumatic stress disorder (“PTSD”), major depressive disorder, osteoarthritis of both ankles, 13 and obesity. Id. The ALJ found that Plaintiff had the residual functional capacity (“RFC”) to 14 perform light work with some physical, mental, and social limitations. Id. at 26. Based on
15 Plaintiff’s mental health symptoms he was limited to a low level of work pressure, with only 16 occasional interaction with coworkers, supervisors, and the public. Id. 17 As the Appeals Council denied Plaintiff’s request for review, the ALJ’s decision is the 18 Commissioner’s final decision. AR at 13. Plaintiff appealed the final decision of the 19 Commissioner to this Court. (Dkt. # 1.) 20 III. LEGAL STANDARDS 21 Under 42 U.S.C. § 405(g), this Court may overturn the Commissioner’s denial of social 22 security benefits if the ALJ’s decision rests on legal error or is not supported by substantial 23
2 20 C.F.R. § 404.1520. 1 evidence. Smartt v. Kijakazi, 53 F.4th 489, 494 (9th Cir. 2022). Substantial evidence is defined 2 as “such relevant evidence as a reasonable mind might accept as adequate to support a 3 conclusion.” Biestek v. Berryhill, 587 U.S. 97, 102–03 (2019) (cleaned up). In applying this 4 standard, the Court must consider the record as a whole to determine whether it contains
5 sufficient evidence to support the ALJ’s findings. Id. 6 Although the Court evaluates the record as a whole, it is not permitted to reweigh the 7 evidence or substitute its judgment for that of the ALJ. Ahearn v. Saul, 988 F.3d 1111, 1115 (9th 8 Cir. 2021). The ALJ is tasked with evaluating testimony, resolving conflicts in the medical 9 evidence, and addressing ambiguities in the record. Smartt, 53 F.4th at 494–95. Where the 10 evidence can be interpreted in more than one rational way, the ALJ’s decision must be upheld. 11 Id. Even if the ALJ erred, reversal is not warranted unless the error affected the outcome of the 12 disability determination. Ford v. Saul, 950 F.3d 1141, 1154 (9th Cir. 2020). The party 13 challenging the ALJ’s decision bears the burden of demonstrating harmful error. Shinseki v. 14 Sanders, 556 U.S. 396, 409 (2009).
15 IV. DISCUSSION 16 A. The ALJ Did Not Err in Evaluating Medical Evidence 17 Under regulations applicable to this case, the ALJ is required to articulate the 18 persuasiveness of each medical opinion, specifically with respect to whether the opinions are 19 supported and consistent with the record. 20 C.F.R. § 404.1520c(a)–(c). These findings must be 20 supported by substantial evidence. Woods v. Kijakazi, 32 F.4th 785, 792 (9th Cir. 2022). 21 Plaintiff argues that the ALJ erred in evaluating Dr. Lead Eric M. Abelgas’s medical 22 opinion. The ALJ considered the opinion of Dr. Abelgas and discounted it as (1) unsupported by 23 his exam findings and (2) inconsistent with record, and (3) inconsistent with Plaintiff’s reported 1 activities. AR at 30. Plaintiff argues that the ALJ “erroneously rejected Plaintiff’s treating 2 source’s opinion by relying on a gross mischaracterization of Plaintiff’s daily living activities.” 3 (Dkt. # 11 at 5.) 4 Plaintiff incorrectly emphasizes the treating relationship between himself and Dr.
5 Abelgas, citing pre-2017 caselaw to argue that “[n]ormally, [t]he opinion of a treating physician 6 is given deference because he is employed to cure and has a greater opportunity to know and 7 observe the patient as an individual.” (Dkt. # 7 at 13 (quoting Morgan v. Comm’r, 169 F.3d 595, 8 600 (9th Cir. 1999)) (internal quotation marks omitted).) Because Plaintiff applied for disability 9 benefits after March 27, 2017, revised regulations apply. 20 C.F.R. § 404.1520c. While the 10 treating relationship is still a factor that ALJs may consider, under the revised regulations there is 11 not an inherent persuasiveness to any source — consistency and supportability are the most 12 important factors. Woods v. Kijakazi, 32 F.4th 785, 791 (9th Cir. 2022); 20 C.F.R. § 13 404.1520c(c)(3). 14 Even if Plaintiff’s argument was correct, the ALJ’s unchallenged findings that Dr.
15 Abelgas’s opinion was unsupported by his exam findings and inconsistent with Dr. Cruz’s medical 16 notes would be sufficient to uphold the ALJ’s reasoning. See Woods, 32 F.4th at 792–94 & n.4 17 (consistency and supportability constitute two distinct factors that should be treated separately); 18 Carmickle v. Comm’r Soc. Sec., 533 F.3d 1155, 1162 (9th Cir. 2008) (reasoning that even if an 19 ALJ errs in a portion of his reasoning, such error is harmless where “the ALJ’s remaining 20 reasoning and ultimate credibility determination were adequately supported by substantial 21 evidence in the record.” (emphasis in original)).
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5 UNITED STATES DISTRICT COURT 6 WESTERN DISTRICT OF WASHINGTON AT SEATTLE 7 8 MARK DAVID C., 9 Plaintiff, Case No. C24-1880-MLP 10 v. ORDER 11 COMMISSIONER OF SOCIAL SECURITY, 12 Defendant. 13 I. INTRODUCTION 14 Plaintiff seeks review of the denial of his application for Disability Insurance Benefits. 15 Plaintiff contends that the administrative law judge (“ALJ”) erred in assessing the medical 16 opinion evidence and his testimony. (Dkt. # 7.) The Commissioner filed a response arguing that 17 the ALJ’s decision is free of legal error, supported by substantial evidence, and should be 18 affirmed. (Dkt. # 9.) Plaintiff filed a reply. (Dkt. # 11.) Having considered the ALJ’s decision, 19 the administrative record (“AR”), and all memoranda of record, the Court AFFIRMS the 20 Commissioner’s final decision and DISMISSES the case with prejudice.1 21 22 23
1 The parties consented to proceed before the undersigned Magistrate Judge. (Dkt. # 2.) 1 II. BACKGROUND 2 Plaintiff was born in 1968, has a high school education, and has worked as a licensed 3 practical nurse and medical assistant. AR at 31. Plaintiff was last gainfully employed in July 4 2017. Id. at 24.
5 In February 2019, Plaintiff applied for benefits, alleging disability as of July 2017. AR at 6 22. Plaintiff’s applications were denied initially and on reconsideration, and Plaintiff requested a 7 hearing. Id. After the ALJ conducted a hearing in March 2024, the ALJ issued a decision finding 8 Plaintiff not disabled. Id. 9 Using the five-step disability evaluation process,2 the ALJ found, in pertinent part, 10 Plaintiff did not engage in substantial gainful from July 2017 to his date last insured in December 11 2022. AR at 24. Plaintiff had the severe impairments of degenerative changes of the spine, 12 posttraumatic stress disorder (“PTSD”), major depressive disorder, osteoarthritis of both ankles, 13 and obesity. Id. The ALJ found that Plaintiff had the residual functional capacity (“RFC”) to 14 perform light work with some physical, mental, and social limitations. Id. at 26. Based on
15 Plaintiff’s mental health symptoms he was limited to a low level of work pressure, with only 16 occasional interaction with coworkers, supervisors, and the public. Id. 17 As the Appeals Council denied Plaintiff’s request for review, the ALJ’s decision is the 18 Commissioner’s final decision. AR at 13. Plaintiff appealed the final decision of the 19 Commissioner to this Court. (Dkt. # 1.) 20 III. LEGAL STANDARDS 21 Under 42 U.S.C. § 405(g), this Court may overturn the Commissioner’s denial of social 22 security benefits if the ALJ’s decision rests on legal error or is not supported by substantial 23
2 20 C.F.R. § 404.1520. 1 evidence. Smartt v. Kijakazi, 53 F.4th 489, 494 (9th Cir. 2022). Substantial evidence is defined 2 as “such relevant evidence as a reasonable mind might accept as adequate to support a 3 conclusion.” Biestek v. Berryhill, 587 U.S. 97, 102–03 (2019) (cleaned up). In applying this 4 standard, the Court must consider the record as a whole to determine whether it contains
5 sufficient evidence to support the ALJ’s findings. Id. 6 Although the Court evaluates the record as a whole, it is not permitted to reweigh the 7 evidence or substitute its judgment for that of the ALJ. Ahearn v. Saul, 988 F.3d 1111, 1115 (9th 8 Cir. 2021). The ALJ is tasked with evaluating testimony, resolving conflicts in the medical 9 evidence, and addressing ambiguities in the record. Smartt, 53 F.4th at 494–95. Where the 10 evidence can be interpreted in more than one rational way, the ALJ’s decision must be upheld. 11 Id. Even if the ALJ erred, reversal is not warranted unless the error affected the outcome of the 12 disability determination. Ford v. Saul, 950 F.3d 1141, 1154 (9th Cir. 2020). The party 13 challenging the ALJ’s decision bears the burden of demonstrating harmful error. Shinseki v. 14 Sanders, 556 U.S. 396, 409 (2009).
15 IV. DISCUSSION 16 A. The ALJ Did Not Err in Evaluating Medical Evidence 17 Under regulations applicable to this case, the ALJ is required to articulate the 18 persuasiveness of each medical opinion, specifically with respect to whether the opinions are 19 supported and consistent with the record. 20 C.F.R. § 404.1520c(a)–(c). These findings must be 20 supported by substantial evidence. Woods v. Kijakazi, 32 F.4th 785, 792 (9th Cir. 2022). 21 Plaintiff argues that the ALJ erred in evaluating Dr. Lead Eric M. Abelgas’s medical 22 opinion. The ALJ considered the opinion of Dr. Abelgas and discounted it as (1) unsupported by 23 his exam findings and (2) inconsistent with record, and (3) inconsistent with Plaintiff’s reported 1 activities. AR at 30. Plaintiff argues that the ALJ “erroneously rejected Plaintiff’s treating 2 source’s opinion by relying on a gross mischaracterization of Plaintiff’s daily living activities.” 3 (Dkt. # 11 at 5.) 4 Plaintiff incorrectly emphasizes the treating relationship between himself and Dr.
5 Abelgas, citing pre-2017 caselaw to argue that “[n]ormally, [t]he opinion of a treating physician 6 is given deference because he is employed to cure and has a greater opportunity to know and 7 observe the patient as an individual.” (Dkt. # 7 at 13 (quoting Morgan v. Comm’r, 169 F.3d 595, 8 600 (9th Cir. 1999)) (internal quotation marks omitted).) Because Plaintiff applied for disability 9 benefits after March 27, 2017, revised regulations apply. 20 C.F.R. § 404.1520c. While the 10 treating relationship is still a factor that ALJs may consider, under the revised regulations there is 11 not an inherent persuasiveness to any source — consistency and supportability are the most 12 important factors. Woods v. Kijakazi, 32 F.4th 785, 791 (9th Cir. 2022); 20 C.F.R. § 13 404.1520c(c)(3). 14 Even if Plaintiff’s argument was correct, the ALJ’s unchallenged findings that Dr.
15 Abelgas’s opinion was unsupported by his exam findings and inconsistent with Dr. Cruz’s medical 16 notes would be sufficient to uphold the ALJ’s reasoning. See Woods, 32 F.4th at 792–94 & n.4 17 (consistency and supportability constitute two distinct factors that should be treated separately); 18 Carmickle v. Comm’r Soc. Sec., 533 F.3d 1155, 1162 (9th Cir. 2008) (reasoning that even if an 19 ALJ errs in a portion of his reasoning, such error is harmless where “the ALJ’s remaining 20 reasoning and ultimate credibility determination were adequately supported by substantial 21 evidence in the record.” (emphasis in original)). The Court reviews only “issues which are 22 argued specifically and distinctly,” and “will not manufacture arguments for [either party], and a 23 bare assertion does not preserve a claim.” Childs v. San Diego Family Hous. LLC, 714 F. Supp. 1 3d 1262, 1280 (S.D. Cal. 2024) (alteration in original) (parenthetically quoting Indep. Towers of 2 Wash. v. Washington, 350 F.3d 925, 929 (9th Cir. 2003); Greenwood v. FAA, 28 F.3d 971, 977 3 (9th Cir. 1994)). Accordingly, the ALJ did not err in discounting the opinion of Dr. Abelgas. 4 B. The ALJ Did Not Err in Evaluating Plaintiff’s Testimony
5 Absent evidence of malingering, an ALJ is required to provide clear and convincing 6 reasons for discounting a claimant’s testimony. See Laborin v. Berryhill, 867 F.3d 1151, 1155 7 (9th Cir. 2017). That said, the ALJ is not required to believe every allegation, nor to analyze 8 testimony line by line. See Ahearn, 988 F.3d at 1116; Lambert v. Saul, 980 F.3d 1266, 1277 (9th 9 Cir. 2020). The question is not whether this Court is convinced, but whether the ALJ’s reasoning 10 is clear enough to persuade. Smartt, 53 F.4th at 499. 11 Plaintiff testified that his legs go numb if he drives more than 30 minutes, though he later 12 testified he can only sit for 10 minutes at a time, and he has pain in his feet, ankles, knees, back 13 and shoulders which makes it so he cannot lift or bend. AR at 47–48. He uses a cane to walk, 14 which Veterans Affairs doctors prescribed. Id. at 51. Without the cane he cannot stand more than
15 ten minutes and can only walk approximately 300 feet. Id. He spends most of his days sitting 16 with his feet propped up. Id. at 53. Doctors have not recommended any treatments for his 17 physical disabilities beyond medication. Id. at 49. He also suffers from anxiety and PTSD, which 18 causes him to have difficulty concentrating, getting along with people, “blowing up on people,” 19 memory loss and nightmares which severely limit his sleep. Id. at 48, 52–53. He has a maid who 20 does all his chores for him because he cannot do any of his normal household chores. Id. at 53. 21 He is not in counseling for his mental health issues, but he sees a psychiatrist twice a year and 22 takes his prescribed medications consistently. Id. at 50. 23 1 The ALJ considered Plaintiff’s testimony and discounted it based on (1) inconsistency 2 with the medical evidence, (2) conservative treatment, and (3) inconsistency with his activities of 3 daily living. AR 27–29. Plaintiff argues that the ALJ erred in evaluating his activities of daily 4 living because they do not meet the threshold for transferable work skills. (Dkt. # 7 at 11.)
5 Plaintiff does not challenge the ALJ’s findings that the testimony was inconsistent with the 6 medical record and that he only engaged in conservative treatment. See Birdsong v. Apple, Inc., 7 590 F.3d 955, 959 (9th Cir. 2009) (Courts will not “manufacture arguments for a[] [party], and a 8 bare assertion does not preserve a claim.”). 9 Plaintiff focuses on the transferability of his activities of daily living to work skills and 10 does not address the activities which contradict his testimony. While it is true that the Ninth 11 Circuit has held “disability claimants should not be penalized for attempting to lead normal lives 12 in the face of their limitations,” an ALJ may reject a plaintiff’s testimony based upon daily 13 activities that contradict his testimony. Orn v. Astrue, 495 F.3d 625, 639 (9th Cir. 2007); Reddick 14 v. Chater, 157 F.3d 715, 722 (9th Cir. 1998). Additionally, as stated above, the ALJ provided
15 other reasons for rejecting Plaintiff’s testimony which Plaintiff neither addresses nor challenges, 16 despite the Commissioner raising these arguments. (See dkt. # 9 at 3–5.) As Plaintiff correctly 17 notes, “the burden of showing that an error is not harmless ‘normally falls upon the party 18 attacking the agency’s determination.” (Dkt. # 7 at 3 (quoting Shinseki v. Sanders, 556 U.S. 396, 19 409 (2009)).) Plaintiff had not met that burden here. Accordingly, the ALJ did not err in 20 discounting Plaintiff’s testimony. 21 22 23 1 V. CONCLUSION 2 For the foregoing reasons, the Commissioner’s final decision is AFFIRMED and this 3 case is DISMISSED with prejudice. 4 Dated this 25th day of April, 2025.
5 A 6 MICHELLE L. PETERSON United States Magistrate Judge 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23