5 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON 6 AT SEATTLE
7 MARLON JERMAIN C.,
8 Plaintiff, CASE NO. C20-5334-MAT
9 v. ORDER RE: SOCIAL SECURITY 10 ANDREW M. SAUL, DISABILITY APPEAL Commissioner of Social Security, 11 Defendant. 12
13 Plaintiff proceeds through counsel in his appeal of a final decision of the Commissioner of 14 the Social Security Administration (Commissioner). The Commissioner denied plaintiff’s 15 applications for Disability Insurance Benefits (DIB) and Supplemental Security Income (SSI) after 16 a hearing before an Administrative Law Judge (ALJ). Having considered the ALJ’s decision, the 17 administrative record (AR), and all memoranda of record, this matter is AFFIRMED. 18 FACTS AND PROCEDURAL HISTORY 19 Plaintiff was born on XXXX, 1972.1 He has a high school education and previously 20 worked as an extruder operator, tool-crib attendant, car wash attendant, industrial cleaner, and 21 subassembly assembler. (AR 24-25.) 22 Plaintiff filed applications for DIB and SSI in September 2016, alleging disability 23
1 Dates of birth must be redacted to the year. Fed. R. Civ. P. 5.2(a)(2) and LCR 5.2(a)(1). 1 beginning June 24, 2015. (AR 108-09.) The applications were denied at the initial level and on 2 reconsideration. 3 On May 23, 2018, ALJ David Johnson held a hearing, taking testimony from plaintiff and
4 vocational expert (VE) Steve Duchesne. (AR 33-89.) At the hearing, plaintiff amended the alleged 5 onset date to June 25, 2015, the day after a previous application was denied. (AR 37.) On 6 September 13, 2018, the ALJ issued a decision finding plaintiff not disabled from the alleged onset 7 date through the date of the decision. (AR 15-26.) 8 Plaintiff timely appealed. The Appeals Council denied plaintiff’s request for review on 9 February 7, 2020 (AR 1-3), making the ALJ’s decision the final decision of the Commissioner. 10 Plaintiff appealed this final decision of the Commissioner to this Court. 11 JURISDICTION 12 The Court has jurisdiction to review the ALJ’s decision pursuant to 42 U.S.C. § 405(g). 13 DISCUSSION
14 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 must 16 be determined whether the claimant is gainfully employed. The ALJ found plaintiff had not 17 engaged in substantial gainful activity since the alleged onset date. At step two, it must be 18 determined whether a claimant suffers from a severe impairment. The ALJ found plaintiff had the 19 severe impairments of Vitamin B12 deficiency, anemia, liver disease, cirrhosis, short bowel 20 syndrome, Gilbert’s syndrome, edema, postsurgical malabsorption, internal hemorrhoids, 21 degenerative disc disease, history of alcoholism, gastroesophageal reflux disease (GERD), major 22 depressive disorder, rule-out PTSD, and rule-out bipolar disorder. Step three asks whether a 23 claimant’s impairments meet or equal a listed impairment. The ALJ found that plaintiff’s 1 impairments did not meet or equal the criteria of a listed impairment. 2 If a claimant’s impairments do not meet or equal a listing, the Commissioner must assess 3 residual functional capacity (RFC) and determine at step four whether the claimant has
4 demonstrated an inability to perform past relevant work. The ALJ found plaintiff able to perform 5 medium work with occasional interaction where the public is not typically present. With that 6 assessment, the ALJ found plaintiff able to perform his past relevant work. 7 If a claimant demonstrates an inability to perform past relevant work, or has no past 8 relevant work, the burden shifts to the Commissioner to demonstrate at step five that the claimant 9 retains the capacity to make an adjustment to work that exists in significant levels in the national 10 economy. With the assistance of the vocational expert, the ALJ made alternative findings that 11 plaintiff was capable of performing other jobs, such as work as a hand packager, auto detailer, 12 vehicle escort driver, or document preparer. 13 This Court’s review of the ALJ’s decision is limited to whether the decision is in
14 accordance with the law and the findings supported by substantial evidence in the record as a 15 whole. See Penny v. Sullivan, 2 F.3d 953, 956 (9th Cir. 1993). Accord Marsh v. Colvin, 792 F.3d 16 1170, 1172 (9th Cir. 2015) (“We will set aside a denial of benefits only if the denial is unsupported 17 by substantial evidence in the administrative record or is based on legal error.”) Substantial 18 evidence means more than a scintilla, but less than a preponderance; it means such relevant 19 evidence as a reasonable mind might accept as adequate to support a conclusion. Magallanes v. 20 Bowen, 881 F.2d 747, 750 (9th Cir. 1989). If there is more than one rational interpretation, one of 21 which supports the ALJ’s decision, the Court must uphold that decision. Thomas v. Barnhart, 278 22 F.3d 947, 954 (9th Cir. 2002). 23 Plaintiff argues the ALJ erred in finding he did not meet a listed impairment, assessing the 1 frequency of his bowel movements, and evaluating several medical opinions. He requests remand 2 for further administrative proceedings. The Commissioner argues the ALJ’s decision has the 3 support of substantial evidence and should be affirmed.
4 Listing 5.07 5 Plaintiff bears the burden of proof at step three. Bowen v. Yuckert, 482 U.S. 137, 146 n.5 6 (1987). A mere diagnosis does not suffice to establish disability. Key v. Heckler, 754 F.2d 1545, 7 1549-50 (9th Cir. 1985). “‘[An impairment] must also have the findings shown in the Listing of 8 that impairment.’” Id. at 1549-50 (quoting § 404.1525(d); emphasis added in Key). To meet a 9 listing, an impairment “must meet all of the specified medical criteria.” Sullivan v. Zebley, 493 10 U.S. 521, 530 (1990) (emphasis in original). “To equal a listed impairment, a claimant must 11 establish symptoms, signs and laboratory findings ‘at least equal in severity and duration’ to the 12 characteristics of a relevant listed impairment[.]” Tackett v. Apfel, 180 F.3d 1094, 1099 (9th Cir. 13 1999); § 416.926 (a). See also Sullivan, 493 U.S. at 531(to establish equivalency, claimant “must
14 present medical findings equal in severity to all the criteria” for the listing). 15 Plaintiff contends the ALJ erred by failing to properly evaluate whether his impairments 16 met or medically equaled Listing 5.07 under 20 C.F.R. Part 404, Subpart P, Appendix 1. Listing 17 5.07 requires showing “surgical resection of more than one-half of the small intestine, with 18 dependence on daily parenteral nutrition via a central venous catheter[.]” 20 C.F.R. Pt. 404, Subpt. 19 P, App. 1, § 5.07. 20 Plaintiff erroneously states “it is acknowledged that [plaintiff] had 11 feet of his small 21 intestine removed,” which is more than one-half. (Dkt.
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5 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON 6 AT SEATTLE
7 MARLON JERMAIN C.,
8 Plaintiff, CASE NO. C20-5334-MAT
9 v. ORDER RE: SOCIAL SECURITY 10 ANDREW M. SAUL, DISABILITY APPEAL Commissioner of Social Security, 11 Defendant. 12
13 Plaintiff proceeds through counsel in his appeal of a final decision of the Commissioner of 14 the Social Security Administration (Commissioner). The Commissioner denied plaintiff’s 15 applications for Disability Insurance Benefits (DIB) and Supplemental Security Income (SSI) after 16 a hearing before an Administrative Law Judge (ALJ). Having considered the ALJ’s decision, the 17 administrative record (AR), and all memoranda of record, this matter is AFFIRMED. 18 FACTS AND PROCEDURAL HISTORY 19 Plaintiff was born on XXXX, 1972.1 He has a high school education and previously 20 worked as an extruder operator, tool-crib attendant, car wash attendant, industrial cleaner, and 21 subassembly assembler. (AR 24-25.) 22 Plaintiff filed applications for DIB and SSI in September 2016, alleging disability 23
1 Dates of birth must be redacted to the year. Fed. R. Civ. P. 5.2(a)(2) and LCR 5.2(a)(1). 1 beginning June 24, 2015. (AR 108-09.) The applications were denied at the initial level and on 2 reconsideration. 3 On May 23, 2018, ALJ David Johnson held a hearing, taking testimony from plaintiff and
4 vocational expert (VE) Steve Duchesne. (AR 33-89.) At the hearing, plaintiff amended the alleged 5 onset date to June 25, 2015, the day after a previous application was denied. (AR 37.) On 6 September 13, 2018, the ALJ issued a decision finding plaintiff not disabled from the alleged onset 7 date through the date of the decision. (AR 15-26.) 8 Plaintiff timely appealed. The Appeals Council denied plaintiff’s request for review on 9 February 7, 2020 (AR 1-3), making the ALJ’s decision the final decision of the Commissioner. 10 Plaintiff appealed this final decision of the Commissioner to this Court. 11 JURISDICTION 12 The Court has jurisdiction to review the ALJ’s decision pursuant to 42 U.S.C. § 405(g). 13 DISCUSSION
14 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 must 16 be determined whether the claimant is gainfully employed. The ALJ found plaintiff had not 17 engaged in substantial gainful activity since the alleged onset date. At step two, it must be 18 determined whether a claimant suffers from a severe impairment. The ALJ found plaintiff had the 19 severe impairments of Vitamin B12 deficiency, anemia, liver disease, cirrhosis, short bowel 20 syndrome, Gilbert’s syndrome, edema, postsurgical malabsorption, internal hemorrhoids, 21 degenerative disc disease, history of alcoholism, gastroesophageal reflux disease (GERD), major 22 depressive disorder, rule-out PTSD, and rule-out bipolar disorder. Step three asks whether a 23 claimant’s impairments meet or equal a listed impairment. The ALJ found that plaintiff’s 1 impairments did not meet or equal the criteria of a listed impairment. 2 If a claimant’s impairments do not meet or equal a listing, the Commissioner must assess 3 residual functional capacity (RFC) and determine at step four whether the claimant has
4 demonstrated an inability to perform past relevant work. The ALJ found plaintiff able to perform 5 medium work with occasional interaction where the public is not typically present. With that 6 assessment, the ALJ found plaintiff able to perform his past relevant work. 7 If a claimant demonstrates an inability to perform past relevant work, or has no past 8 relevant work, the burden shifts to the Commissioner to demonstrate at step five that the claimant 9 retains the capacity to make an adjustment to work that exists in significant levels in the national 10 economy. With the assistance of the vocational expert, the ALJ made alternative findings that 11 plaintiff was capable of performing other jobs, such as work as a hand packager, auto detailer, 12 vehicle escort driver, or document preparer. 13 This Court’s review of the ALJ’s decision is limited to whether the decision is in
14 accordance with the law and the findings supported by substantial evidence in the record as a 15 whole. See Penny v. Sullivan, 2 F.3d 953, 956 (9th Cir. 1993). Accord Marsh v. Colvin, 792 F.3d 16 1170, 1172 (9th Cir. 2015) (“We will set aside a denial of benefits only if the denial is unsupported 17 by substantial evidence in the administrative record or is based on legal error.”) Substantial 18 evidence means more than a scintilla, but less than a preponderance; it means such relevant 19 evidence as a reasonable mind might accept as adequate to support a conclusion. Magallanes v. 20 Bowen, 881 F.2d 747, 750 (9th Cir. 1989). If there is more than one rational interpretation, one of 21 which supports the ALJ’s decision, the Court must uphold that decision. Thomas v. Barnhart, 278 22 F.3d 947, 954 (9th Cir. 2002). 23 Plaintiff argues the ALJ erred in finding he did not meet a listed impairment, assessing the 1 frequency of his bowel movements, and evaluating several medical opinions. He requests remand 2 for further administrative proceedings. The Commissioner argues the ALJ’s decision has the 3 support of substantial evidence and should be affirmed.
4 Listing 5.07 5 Plaintiff bears the burden of proof at step three. Bowen v. Yuckert, 482 U.S. 137, 146 n.5 6 (1987). A mere diagnosis does not suffice to establish disability. Key v. Heckler, 754 F.2d 1545, 7 1549-50 (9th Cir. 1985). “‘[An impairment] must also have the findings shown in the Listing of 8 that impairment.’” Id. at 1549-50 (quoting § 404.1525(d); emphasis added in Key). To meet a 9 listing, an impairment “must meet all of the specified medical criteria.” Sullivan v. Zebley, 493 10 U.S. 521, 530 (1990) (emphasis in original). “To equal a listed impairment, a claimant must 11 establish symptoms, signs and laboratory findings ‘at least equal in severity and duration’ to the 12 characteristics of a relevant listed impairment[.]” Tackett v. Apfel, 180 F.3d 1094, 1099 (9th Cir. 13 1999); § 416.926 (a). See also Sullivan, 493 U.S. at 531(to establish equivalency, claimant “must
14 present medical findings equal in severity to all the criteria” for the listing). 15 Plaintiff contends the ALJ erred by failing to properly evaluate whether his impairments 16 met or medically equaled Listing 5.07 under 20 C.F.R. Part 404, Subpart P, Appendix 1. Listing 17 5.07 requires showing “surgical resection of more than one-half of the small intestine, with 18 dependence on daily parenteral nutrition via a central venous catheter[.]” 20 C.F.R. Pt. 404, Subpt. 19 P, App. 1, § 5.07. 20 Plaintiff erroneously states “it is acknowledged that [plaintiff] had 11 feet of his small 21 intestine removed,” which is more than one-half. (Dkt. # 20 at 5 (citing AR 21).) Plaintiff cites 22 the ALJ’s statement that plaintiff “reported that he had 11 feet of his small intestine removed[.]” 23 (AR 21 (citing AR 401).) In his reply brief, plaintiff similarly cites no evidence beyond his own 1 report that he has only three feet of small bowel remaining. (See AR 588.) However, meeting 2 Listing 5.07 requires “a copy of the operative report of intestinal resection, . . . including: . . . 3 medically appropriate postoperative imaging studies that reflect the amount of [the claimant’s]
4 residual small intestine, or . . . other medical reports that include details of the surgical findings.” 5 20 C.F.R. Pt. 404, Subpt. P, App. 1, § 5.00F(3). Accordingly, plaintiff’s statements are not 6 sufficient to establish the requirements of Listing 5.07. Plaintiff contends the ALJ should have 7 consulted a medical expert regarding the listing, but an outside medical expert could not supply 8 the information needed to establish Listing 5.07. 9 Moreover, plaintiff concedes there is no evidence of dependence on daily parenteral 10 nutrition. He argues there is evidence of anemia and post-surgical malabsorption, but fails to 11 explain how this could be considered equivalent to the daily need for nutrition via a central venous 12 catheter. Plaintiff and his counsel also failed to raise any issue related to Listing 5.07 at the 13 hearing. (See AR 38-40.) “An ALJ is not required to discuss the combined effects of a claimant’s
14 impairments or compare them to any listing in an equivalency determination, unless the claimant 15 presents evidence in an effort to establish equivalence.” Burch v. Barnhart, 400 F.3d 676, 683 16 (9th Cir. 2005). 17 The Court concludes the ALJ did not err by finding plaintiff’s impairments did not meet or 18 medically equal a listed impairment. 19 Frequency of Bowel Movements 20 Plaintiff testified he has six to eight bowel movements per day, requiring 15 to 25 minutes 21 in the bathroom. (AR 61.) While not challenging the ALJ’s discounting of his testimony, plaintiff 22 contends the ALJ erred by “reject[ing] any significance to” having “multiple bowel movements . 23 . . daily[.]” (Dkt. # 20 at 5.) Plaintiff contends the VE testified any frequency or duration of 1 bathroom visits would preclude all work. (Id. (citing AR 84).) This mischaracterizes the VE’s 2 testimony. He testified needing “to stop and go to the bathroom randomly, . . . if it was outside of 3 a normal schedule, . . . would interfere with” the job of vehicle escort driver. (AR 84.2) However,
4 the ALJ identified several other jobs plaintiff could perform. (AR 24-26.) The VE testified 5 bathroom visits would interfere with all competitive employment only if they led to being off task 6 over 10% of the time. (AR 80.) Plaintiff does not contend he needs to be in the bathroom for over 7 10% of his work day, outside of regular break times. 8 The Court concludes the ALJ did not harmfully err in evaluating bowel movement 9 frequency. 10 RFC Assessment 11 “The RFC assessment must first identify the individual’s functional limitations or 12 restrictions and assess his or her work-related abilities on a function-by-function basis . . . . Only 13 after that may RFC be expressed in terms of the exertional levels of work, sedentary, light,
14 medium, heavy, and very heavy.” SSR 96-8p. Consistent with this ruling, the ALJ assessed all 15 functional limitations at issue, and then determined plaintiff had the RFC to perform medium work. 16 (See AR 20-24.) 17 Citing SSR 96-8p, Plaintiff contends the ALJ erred by failing to address in the RFC his 18 ability to sit, stand, walk, push, and pull. Plaintiff asserts, without citation to any legal authority, 19 that the failure “constitutes reversible error.” (Dkt. # 24 at 4.) Plaintiff points to no evidence of 20 limitations in any of these areas. In fact, he concedes “short bowel syndrome is not necessarily 21 reflected in the ability to lift, carry, sit, stand or other physical abilities.” (Dkt. #24 at 3.) When 22
23 2 The Court notes plaintiff testified that he needs the bathroom not randomly, but predictably 45 minutes after eating. (See AR 53.) 1 asked at the hearing why he could not work, plaintiff did not mention any limitations in these 2 abilities. (See AR 60-61 (cannot work due to constant bowel movements, depression and anxiety, 3 and medical appointments).) Plaintiff thus fails to show that the ALJ’s failure to explicitly discuss
4 sitting, standing, walking, pushing, or pulling resulted in any harmful error. See Molina v. Astrue, 5 674 F.3d 1104, 1115 (9th Cir. 2012) (An ALJ’s error may be deemed harmless where it is 6 “‘inconsequential to the ultimate nondisability determination.’” The Court looks to “the record as 7 a whole to determine whether the error alters the outcome of the case.”) (quoted source omitted). 8 The Court concludes the ALJ did not harmfully err in assessing the RFC. 9 Period of Disability 10 Plaintiff contends the ALJ should have considered a period of disability because, prior to 11 November 2017, several medical sources opined he was limited to sedentary work. (See AR 3903, 12 412-14, 563-65, 596-99.) However, the ALJ discounted these opinions, and plaintiff does not 13 identify any error in the ALJ’s analysis. (See AR 23-24.)
14 Past Relevant Work 15 Plaintiff contends the ALJ erred in evaluating his past work. Plaintiff refers vaguely to 16 “limitations expressed by Dr. Staley” but fails to identify what limitations he is referring to or how 17 the ALJ erred in rejecting or interpreting them. (Dkt. # 20 at 8.) Plaintiff fails to even provide any 18 citation to the record. The Court finds this argument, made without elaboration, explanation, or 19 citation to supportive evidence, waived. See Indep. Towers of Wash. v. Wash., 350 F.3d 925, 929 20 (9th Cir. 2003) (the bare assertion of an issue does not preserve a claim; “We require contentions 21 to be accompanied by reasons.”). 22
23 3 While the ALJ did not mention the 2013 opinion of Myna Palasi, M.D., in the current decision, this Court affirmed rejection of that opinion on appeal from a prior ALJ decision. (See AR 390, 163.) 1 Occasional Interaction 2 Plaintiff argues, without citation to any authority, that the limitation in the RFC to only 3 occasional interaction precludes all employment because “no employer would tolerate” an
4 employee’s inability to interact with supervisors two-thirds of the time. (Dkt. # 20 at 9.) At the 5 hearing, the VE testified a person limited to occasional interaction could perform plaintiff’s past 6 relevant work in addition to several other jobs. (AR 79-80.) Plaintiff’s unfounded speculation to 7 the contrary fails to establish error. 8 CONCLUSION 9 For the reasons set forth above, this matter is AFFIRMED. 10 DATED this 30th day of March, 2021.
11 A 12 Mary Alice Theiler 13 United States Magistrate Judge 14 15 16 17 18 19 20 21 22 23