1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 JANET D., 7 Case No. 22-cv-09080-DMR Plaintiff, 8 v. ORDER ON PLAINTIFF'S MOTION 9 TO REMAND KILOLO KIJAKAZI, et al., 10 Re: Dkt. No. 13 Defendants. 11
12 Plaintiff Janet D. seeks review of the Commissioner of the Social Security 13 Administration’s (the “Commissioner’s”) final administrative decision, which found Plaintiff not 14 disabled and therefore denied her application for disability benefits under Title XVI of the Social 15 Security Act, 42 U.S.C. § 401 et seq. She moves to remand for further proceedings. [Docket No. 16 13.] The Commissioner opposes. [Docket No. 17.] For the reasons stated below, Plaintiff’s 17 motion to remand is denied. 18 I. PROCEDURAL HISTORY 19 Plaintiff filed an application for Supplemental Security Income (“SSI”) benefits in March 20 2013, alleging disability beginning January 30, 2009. See Administrative Record (“A.R.”) 105, 21 362. The Social Security Administration (“SSA”) denied her application in December 2013. A.R. 22 13, 126-30. 23 In April 2018, Plaintiff filed a request for review of the December 2013 denial pursuant to 24 the provisions of the Hart v. Colvin class action settlement agreement. A.R. 13-14, 131-36. 25 Under the terms of that settlement, the SSA “agreed to take certain actions on all unfavorable or 26 partially favorable decisions or determinations in which Frank Chen, M.D., performed a 27 consultative examination (CE) between January 1, 2007, and December 31, 2013.” Plaintiff had 1 adjudicated Plaintiff’s claim for the period March 14, 2013 to December 3, 2013 without 2 considering Dr. Chen’s CE. It denied Plaintiff’s claim on re-adjudication on January 7, 2019. 3 A.R. 13-14, 137-40. 4 An Administrative Law Judge (“ALJ”) held a telephonic hearing in May 2021 at which 5 two medical experts and a vocational expert testified. A.R. 30-76. The ALJ issued an unfavorable 6 decision on December 28, 2021. A.R. 10-29 (ALJ Decision). The ALJ determined that Plaintiff 7 has the following severe impairments: bilateral knee degenerative joint disease and obesity. A.R. 8 19. The ALJ found that Plaintiff had the following residual functional capacity (“RFC”):
9 [D]uring the readjudicated period of March 14, 2013, to December 3, 2013, the date of the prior decision, the claimant had the residual 10 functional capacity to perform light work as defined in 20 CFR 416.967(b), except she could stand about six hours of an eight-hour 11 workday; sit for six to seven hours of an eight-hour workday; never climb ladders, ropes or scaffolding; occasionally climb ramps or 12 stairs; occasionally stoop, crouch, crawl, or kneel; and never have exposure to unprotected heights, hazardous work environments, 13 extreme cold, or vibrations, particularly affecting the lower extremities. 14 15 A.R. 20. Relying on the opinion of a vocational expert (“VE”) who testified that an individual 16 with such an RFC could perform Plaintiff’s past relevant work as an interior designer, the ALJ 17 concluded that Plaintiff was not disabled from March 14, 2013 to December 3, 2013. A.R. 16-17. 18 After the Appeals Council denied review, Plaintiff sought review in this court pursuant to 19 42 U.S.C. § 405(g). 20 II. ISSUES FOR REVIEW 21 1. Did the ALJ err in weighing the medical evidence? 22 2. Did the ALJ err in evaluating Plaintiff’s credibility? 23 3. Is the ALJ’s RFC determination supported by substantial evidence? 24 4. Did the ALJ err in finding that Plaintiff could perform her past relevant work as an 25 interior designer? 26 III. STANDARD OF REVIEW 27 Pursuant to 42 U.S.C. § 405(g), this court has the authority to review a decision by the 1 Commissioner’s denial of disability insurance benefits when the ALJ’s findings are based on legal 2 error or are not supported by substantial evidence in the record as a whole.” Tackett v. Apfel, 180 3 F.3d 1094, 1097 (9th Cir. 1999) (citations omitted). Substantial evidence is evidence within the 4 record that could lead a reasonable mind to accept a conclusion regarding disability status. See 5 Richardson v. Perales, 402 U.S. 389, 401 (1971). It is more than a mere scintilla, but less than a 6 preponderance. See Saelee v. Chater, 94 F.3d 520, 522 (9th Cir. 1996) (internal citation omitted). 7 When performing this analysis, the court must “consider the entire record as a whole and may not 8 affirm simply by isolating a specific quantum of supporting evidence.” Robbins v. Soc. Sec. 9 Admin., 466 F.3d 880, 882 (9th Cir. 2006) (citation and quotation marks omitted). 10 If the evidence reasonably could support two conclusions, the court “may not substitute its 11 judgment for that of the Commissioner” and must affirm the decision. Jamerson v. Chater, 112 12 F.3d 1064, 1066 (9th Cir. 1997) (citation omitted). “Finally, the court will not reverse an ALJ’s 13 decision for harmless error, which exists when it is clear from the record that the ALJ’s error was 14 inconsequential to the ultimate nondisability determination.” Tommasetti v. Astrue, 533 F.3d 15 1035, 1038 (9th Cir. 2008) (citations and internal quotation marks omitted). 16 IV. DISCUSSION 17 A. The ALJ’s Weighing of the Medical Opinions 18 1. Legal Standard 19 In the Ninth Circuit, during the relevant time period in this case, courts employ a hierarchy 20 of deference to medical opinions based on the relation of the doctor to the patient. Namely, courts 21 distinguish between three types of physicians: those who treat the claimant (“treating physicians”) 22 and two categories of “nontreating physicians,” those who examine but do not treat the claimant 23 (“examining physicians”) and those who neither examine nor treat the claimant (“non-examining 24 physicians”). Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995). A treating physician’s opinion is 25 entitled to more weight than an examining physician’s opinion, and an examining physician’s 26 opinion is entitled to more weight than a non-examining physician’s opinion. Id. 27 The Social Security Act tasks the ALJ with determining credibility of medical testimony 1 Cir. 1998). To reject the opinion of an uncontradicted treating physician, an ALJ must provide 2 “clear and convincing reasons.” Lester, 81 F.3d at 830; see, e.g., Roberts v. Shalala, 66 F.3d 179, 3 184 (9th Cir. 1995) (affirming rejection of examining psychologist’s functional assessment which 4 conflicted with his own written report and test results). If another doctor contradicts a treating 5 physician, the ALJ must provide “specific and legitimate reasons” supported by substantial 6 evidence to discount the treating physician’s opinion. Lester, 81 F.3d at 830. This same standard 7 applies to the rejection of an examining physician’s opinion as well. Id. at 830-31. A non- 8 examining physician’s opinion alone cannot constitute substantial evidence to reject the opinion of 9 an examining or treating physician, Pitzer v. Sullivan, 908 F.2d 502, 506 n.4 (9th Cir. 1990); 10 Gallant v. Heckler, 753 F.2d 1450, 1456 (9th Cir.
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1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 JANET D., 7 Case No. 22-cv-09080-DMR Plaintiff, 8 v. ORDER ON PLAINTIFF'S MOTION 9 TO REMAND KILOLO KIJAKAZI, et al., 10 Re: Dkt. No. 13 Defendants. 11
12 Plaintiff Janet D. seeks review of the Commissioner of the Social Security 13 Administration’s (the “Commissioner’s”) final administrative decision, which found Plaintiff not 14 disabled and therefore denied her application for disability benefits under Title XVI of the Social 15 Security Act, 42 U.S.C. § 401 et seq. She moves to remand for further proceedings. [Docket No. 16 13.] The Commissioner opposes. [Docket No. 17.] For the reasons stated below, Plaintiff’s 17 motion to remand is denied. 18 I. PROCEDURAL HISTORY 19 Plaintiff filed an application for Supplemental Security Income (“SSI”) benefits in March 20 2013, alleging disability beginning January 30, 2009. See Administrative Record (“A.R.”) 105, 21 362. The Social Security Administration (“SSA”) denied her application in December 2013. A.R. 22 13, 126-30. 23 In April 2018, Plaintiff filed a request for review of the December 2013 denial pursuant to 24 the provisions of the Hart v. Colvin class action settlement agreement. A.R. 13-14, 131-36. 25 Under the terms of that settlement, the SSA “agreed to take certain actions on all unfavorable or 26 partially favorable decisions or determinations in which Frank Chen, M.D., performed a 27 consultative examination (CE) between January 1, 2007, and December 31, 2013.” Plaintiff had 1 adjudicated Plaintiff’s claim for the period March 14, 2013 to December 3, 2013 without 2 considering Dr. Chen’s CE. It denied Plaintiff’s claim on re-adjudication on January 7, 2019. 3 A.R. 13-14, 137-40. 4 An Administrative Law Judge (“ALJ”) held a telephonic hearing in May 2021 at which 5 two medical experts and a vocational expert testified. A.R. 30-76. The ALJ issued an unfavorable 6 decision on December 28, 2021. A.R. 10-29 (ALJ Decision). The ALJ determined that Plaintiff 7 has the following severe impairments: bilateral knee degenerative joint disease and obesity. A.R. 8 19. The ALJ found that Plaintiff had the following residual functional capacity (“RFC”):
9 [D]uring the readjudicated period of March 14, 2013, to December 3, 2013, the date of the prior decision, the claimant had the residual 10 functional capacity to perform light work as defined in 20 CFR 416.967(b), except she could stand about six hours of an eight-hour 11 workday; sit for six to seven hours of an eight-hour workday; never climb ladders, ropes or scaffolding; occasionally climb ramps or 12 stairs; occasionally stoop, crouch, crawl, or kneel; and never have exposure to unprotected heights, hazardous work environments, 13 extreme cold, or vibrations, particularly affecting the lower extremities. 14 15 A.R. 20. Relying on the opinion of a vocational expert (“VE”) who testified that an individual 16 with such an RFC could perform Plaintiff’s past relevant work as an interior designer, the ALJ 17 concluded that Plaintiff was not disabled from March 14, 2013 to December 3, 2013. A.R. 16-17. 18 After the Appeals Council denied review, Plaintiff sought review in this court pursuant to 19 42 U.S.C. § 405(g). 20 II. ISSUES FOR REVIEW 21 1. Did the ALJ err in weighing the medical evidence? 22 2. Did the ALJ err in evaluating Plaintiff’s credibility? 23 3. Is the ALJ’s RFC determination supported by substantial evidence? 24 4. Did the ALJ err in finding that Plaintiff could perform her past relevant work as an 25 interior designer? 26 III. STANDARD OF REVIEW 27 Pursuant to 42 U.S.C. § 405(g), this court has the authority to review a decision by the 1 Commissioner’s denial of disability insurance benefits when the ALJ’s findings are based on legal 2 error or are not supported by substantial evidence in the record as a whole.” Tackett v. Apfel, 180 3 F.3d 1094, 1097 (9th Cir. 1999) (citations omitted). Substantial evidence is evidence within the 4 record that could lead a reasonable mind to accept a conclusion regarding disability status. See 5 Richardson v. Perales, 402 U.S. 389, 401 (1971). It is more than a mere scintilla, but less than a 6 preponderance. See Saelee v. Chater, 94 F.3d 520, 522 (9th Cir. 1996) (internal citation omitted). 7 When performing this analysis, the court must “consider the entire record as a whole and may not 8 affirm simply by isolating a specific quantum of supporting evidence.” Robbins v. Soc. Sec. 9 Admin., 466 F.3d 880, 882 (9th Cir. 2006) (citation and quotation marks omitted). 10 If the evidence reasonably could support two conclusions, the court “may not substitute its 11 judgment for that of the Commissioner” and must affirm the decision. Jamerson v. Chater, 112 12 F.3d 1064, 1066 (9th Cir. 1997) (citation omitted). “Finally, the court will not reverse an ALJ’s 13 decision for harmless error, which exists when it is clear from the record that the ALJ’s error was 14 inconsequential to the ultimate nondisability determination.” Tommasetti v. Astrue, 533 F.3d 15 1035, 1038 (9th Cir. 2008) (citations and internal quotation marks omitted). 16 IV. DISCUSSION 17 A. The ALJ’s Weighing of the Medical Opinions 18 1. Legal Standard 19 In the Ninth Circuit, during the relevant time period in this case, courts employ a hierarchy 20 of deference to medical opinions based on the relation of the doctor to the patient. Namely, courts 21 distinguish between three types of physicians: those who treat the claimant (“treating physicians”) 22 and two categories of “nontreating physicians,” those who examine but do not treat the claimant 23 (“examining physicians”) and those who neither examine nor treat the claimant (“non-examining 24 physicians”). Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995). A treating physician’s opinion is 25 entitled to more weight than an examining physician’s opinion, and an examining physician’s 26 opinion is entitled to more weight than a non-examining physician’s opinion. Id. 27 The Social Security Act tasks the ALJ with determining credibility of medical testimony 1 Cir. 1998). To reject the opinion of an uncontradicted treating physician, an ALJ must provide 2 “clear and convincing reasons.” Lester, 81 F.3d at 830; see, e.g., Roberts v. Shalala, 66 F.3d 179, 3 184 (9th Cir. 1995) (affirming rejection of examining psychologist’s functional assessment which 4 conflicted with his own written report and test results). If another doctor contradicts a treating 5 physician, the ALJ must provide “specific and legitimate reasons” supported by substantial 6 evidence to discount the treating physician’s opinion. Lester, 81 F.3d at 830. This same standard 7 applies to the rejection of an examining physician’s opinion as well. Id. at 830-31. A non- 8 examining physician’s opinion alone cannot constitute substantial evidence to reject the opinion of 9 an examining or treating physician, Pitzer v. Sullivan, 908 F.2d 502, 506 n.4 (9th Cir. 1990); 10 Gallant v. Heckler, 753 F.2d 1450, 1456 (9th Cir. 1984), though a non-examining physician’s 11 opinion may be persuasive when supported by other factors. See Tonapetyan v. Halter, 242 F.3d 12 1144, 1149 (9th Cir. 2001) (noting that opinion by “non-examining medical expert . . . may 13 constitute substantial evidence when it is consistent with other independent evidence in the 14 record”); Magallanes v. Bowen, 881 F.2d 747, 751-55 (9th Cir. 1989) (upholding rejection of 15 treating physician’s opinion given contradictory laboratory test results, reports from examining 16 physicians, and testimony from claimant). 17 Where, as here, a claimant filed an application for Social Security benefits before March 18 27, 2017, “[t]he medical opinion of a claimant’s treating doctor is given ‘controlling weight’ so 19 long as it ‘is well-supported by medically acceptable clinical and laboratory diagnostic techniques 20 and is not inconsistent with the other substantial evidence in [the claimant’s] case record.’” Revels 21 v. Berryhill, 874 F.3d 648, 654 (9th Cir. 2017) (quoting 20 C.F.R. § 404.1527(c)(2)); see also 20 22 C.F.R. § 416.927(c)(2) (same). 23 2. Analysis 24 Plaintiff contends the ALJ erred in giving the opinions of treating physicians A. Shaba 25 Khan, M.D., Howard E. Denbo, M.D., and Maria Lau, D.O., “little” or “less weight” in favor of 26 the opinions of non-examining, non-treating physicians Steven Golub, M.D., Sergio Bello, M.D., 27 L.A. Woodard, D.O., and Jeffrey Nugent, M.D. Mot. 8. 1 contradicted by the opinions of Drs. Golub, Bello, Woodard, and Nugent, all of whom determined 2 that Plaintiff could perform light work with limitations on her ability to stand and/or walk and sit 3 in an eight-hour workday, among other limitations. See id. at 9; A.R. 13-15; 50 (Golub’s opinion 4 that Plaintiff can sit for 6-7 hours, stand/walk for 6 hours); 116-18 (Bello’s opinion that Plaintiff 5 can sit for 6 hours, stand/walk for 4 hours), 86-88 (Woodard’s opinion that Plaintiff can sit for 6 6 hours, stand/walk for 4 hours), 583-84 (Nugent’s opinion agreeing with Woodard). Accordingly, 7 the ALJ was required to provide “specific and legitimate reasons” supported by substantial 8 evidence to discount the opinions of Drs. Khan, Denbo, and Lau. See Lester, 81 F.3d at 830. 9 Although Plaintiff cites the “specific and legitimate reasons” standard, she does not apply 10 it to the ALJ’s opinion. See Mot. 9. Her argument is brief: she summarizes portions of the 11 assessments of Drs. Khan, Denbo, and Lau and asserts that these opinions “are strongly supported 12 by objective evidence,” describing three MRIs and one X-ray of Plaintiff’s knees. Id. at 9-10. 13 Plaintiff then concludes by arguing that “the ALJ’s rejection of” the opinions of Drs. Khan, 14 Denbo, and Lau “was not legitimate” based on their direct examinations of Plaintiff and “close 15 familiarity with her longitudinal treatment history.” Id. at 10. She does not address the specific 16 rationales offered by the ALJ in discounting these opinions. See id. at 8-10. Essentially, 17 Plaintiff’s position is that the ALJ should have credited the opinions of her treating physicians 18 over the opinions of non-treating physicians solely based on the treatment relationship alone. This 19 argument is without merit. The ALJ is responsible for resolving conflicts in the medical opinion 20 evidence. See Andrews v. Shalala, 53 F.3d 1035, 1041 (9th Cir. 1995); Reddick, 157 F.3d at 722. 21 A treating relationship alone is not dispositive. 22 Further, even though Plaintiff identifies objective medical evidence that she claims support 23 the opinions of Drs. Khan, Denbo, and Lau, she does not discuss this evidence in any detail. Nor 24 does she address the ALJ’s lengthy discussion of the imaging of Plaintiff’s knees, see A.R. 22, or 25 the ALJ’s statement that even though much of the imaging pre-dates the relevant period, he gave 26 Plaintiff “the benefit of the doubt” given “some evidence of progressive bilateral knee 27 degenerative joint disease in considering the associated exam findings dated somewhat prior to the 1 progressive pain and discomfort” in determining Plaintiff’s “modified light residual functional 2 capacity.” A.R. 23. 3 The court is not required to address conclusory, unsupported arguments. See Carmickle v. 4 Comm’r, 533 F.3d 1155, 1161 n.2 (9th Cir. 2008) (declining to address issue that claimant failed 5 to argue with specificity).1 Nonetheless, the court concludes that the ALJ did not err. As to Dr. 6 Khan, he wrote a March 2013 opinion in which he described 2010 imaging of Plaintiff’s knees and 7 lumbar spine and opined that Plaintiff “has a relative permanent degenerative condition in both 8 knees and lumbar spine for which she may need further treatment” and that “it is certain that she 9 will continue to have limitations . . . both with discomfort as well as activity.” A.R. 676. 10 However, the ALJ gave several reasons for assigning the opinion little weight, including that Dr. 11 Khan last saw Plaintiff in August 2011, did not describe any specific functional limitations, and 12 did not describe “correlating abnormal findings on clinical examination, such as neurological or 13 gait abnormalities.” A.R. 25; see Youngblood v. Berryhill, 734 F. App’x 496, 498 (9th Cir. 2018) 14 (“[a]n ALJ does not err by not incorporating a physician’s opinion when the physician had not 15 ‘assign[ed] any specific limitations on the claimant.’” (quoting Turner v. Comm’r of Soc. Sec., 613 16 F.3d 1217, 1223 (9th Cir. 2010)); Ford v. Saul, 950 F.3d 1141, 1156 (9th Cir. 2020) (finding ALJ 17 could reasonably conclude that doctor’s descriptions of claimant’s ability to work “were 18 inadequate for determining RFC” where the doctor failed to specify claimant’s functional limits). 19 Therefore, the ALJ could reasonably conclude these characterizations were inadequate for 20 determining RFC. 21 Plaintiff does not address any of the ALJ’s reasons and does not contend that they are not 22 supported by substantial evidence. The court concludes that the ALJ’s treatment of Dr. Khan’s 23 opinion was not erroneous. 24 In May 2013, Dr. Denbo wrote that Plaintiff’s “main medical problems at present are 25 degenerative osteoarthritis in the knees and lumbar spine, accentuated by advancing age and 26
27 1 Notably, even though the Commissioner argued in her opposition that Plaintiff “fails to 1 excess weight.” A.R. 1086. He wrote that “[i]n recent years [Plaintiff’s] bilateral knee pain has 2 been almost constant, worse on walking and climbing stairs” which “has made her work as an art 3 teacher almost impossible.” Id. He opined that “[h]er walking ability has been limited to one-half 4 block at a slow pace” and that “[h]er ability to continue teaching is doubtful.” Id. As the ALJ 5 noted, Dr. Denbo cited X-ray imaging evidence and a “remote” 2006 medical workup but “did not 6 mention correlating abnormal findings on physical exam.” A.R. 26. The ALJ also concluded that 7 the “extreme degree of limitations” were “less consistent with and less supportable by the above- 8 discussed largely normal findings,” including “little . . . objectively observed difficulties with gait, 9 range or motion, or mobility on physical examination.” Id.; see also A.R. 596 (12/6/2013 exam 10 note documenting normal balance and gait). Plaintiff does not address these reasons or argue that 11 they are not supported by substantial evidence. The court finds the ALJ did not err with respect to 12 Dr. Denbo’s opinion. 13 Finally, Dr. Lau wrote in December 2018 that Plaintiff “experiences recurrent problem 14 walking with knees giving out at times, having problem getting out of car, unable to walk for 15 prolonged period of time all of which affects her activities of daily living. She is unable to sit for 16 prolonged period of time due to sciatica symptoms.” A.R. 590. The ALJ gave several reasons for 17 discounting this opinion, including that it was dated years after the readjudicated period, “does not 18 provide much in the way of specific functional limitations,” and was inconsistent with “largely 19 normal findings on physical exam.” A.R. 27. Again, Plaintiff does not address the ALJ’s reasons 20 or show that they are not supported by substantial evidence. The court finds no error with respect 21 to Dr. Lau’s opinion. 22 B. The ALJ’s Credibility Determination 23 1. Legal Standard 24 In general, credibility determinations are the province of the ALJ. “It is the ALJ’s role to 25 resolve evidentiary conflicts. If there is more than one rational interpretation of the evidence, the 26 ALJ’s conclusion must be upheld.” Allen v. Sec’y of Health & Human Servs., 726 F.2d 1470, 27 1473 (9th Cir. 1984) (citations omitted). An ALJ is not “required to believe every allegation of 1 1989) (citing 42 U.S.C. § 423(d)(5)(A)). However, if an ALJ discredits a claimant’s subjective 2 symptom testimony, the ALJ must articulate specific reasons for doing so. Greger v. Barnhart, 3 464 F.3d 968, 972 (9th Cir. 2006). In evaluating a claimant’s credibility, the ALJ cannot rely on 4 general findings, but “must specifically identify what testimony is credible and what evidence 5 undermines the claimant’s complaints.” Id. at 972 (quotations omitted); see also Thomas v. 6 Barnhart, 278 F.3d 947, 958 (9th Cir. 2002) (stating that an ALJ must articulate reasons that are 7 “sufficiently specific to permit the court to conclude that the ALJ did not arbitrarily discredit 8 claimant’s testimony”). The ALJ may consider “ordinary techniques of credibility evaluation,” 9 including the claimant’s reputation for truthfulness and inconsistencies in testimony, and may also 10 consider a claimant’s daily activities, and “unexplained or inadequately explained failure to seek 11 treatment or to follow a prescribed course of treatment.” Smolen v. Chater, 80 F.3d 1273, 1284 12 (9th Cir. 1996). 13 The determination of whether or not to accept a claimant’s testimony regarding subjective 14 symptoms requires a two-step analysis. Garrison v. Colvin, 759 F.3d 995, 1014 (9th Cir. 2014). 15 First, the ALJ must determine whether or not there is a medically determinable impairment that 16 reasonably could be expected to cause the claimant’s symptoms. 20 C.F.R. §§ 404.1529(b), 17 416.929(b); Smolen, 80 F.3d at 1281-82. “At this step, the medical evidence need not corroborate 18 the severity of the alleged symptoms; the medical evidence need only establish that the 19 impairment could reasonably be expected to cause some degree of the alleged symptoms.” Smith 20 v. Kijakazi, 14 F.4th 1108, 1111 (9th Cir. 2021) (citing Lingenfelter v. Astrue, 504 F.3d 1028, 21 1036 (9th Cir. 2007)). Once a claimant produces medical evidence of an underlying impairment, 22 the ALJ may not discredit the claimant’s testimony as to the severity of symptoms “based solely 23 on a lack of objective medical evidence to fully corroborate the alleged severity of” the symptoms. 24 Bunnell v. Sullivan, 947 F.2d 341, 345 (9th Cir. 1991) (en banc) (citation omitted). 25 Then, absent affirmative evidence that the claimant is malingering, the ALJ must provide 26 “specific, clear and convincing” reasons for rejecting the claimant’s testimony. Vasquez v. Astrue, 27 572 F.3d 586, 591 (9th Cir. 2009). The Ninth Circuit has reaffirmed the “specific, clear and 1 See Burrell v. Colvin, 775 F.3d 1133, 1136 (9th Cir. 2014); see Smith, 14 F.4th at 1112 (noting 2 that the “specific, clear and convincing” standard “is the most demanding required in Social 3 Security cases” (citation and quotation marks omitted)). Under this standard, the ALJ must 4 “specify which testimony she finds not credible, and then provide clear and convincing reasons, 5 supported by evidence in the record, to support that credibility determination.” Smith, 14 F.4th at 6 1112 (quoting Brown-Hunter v. Colvin, 806 F.3d 487, 489 (9th Cir. 2015)). 7 2. Discussion 8 The ALJ found that Plaintiff’s “medically determinable impairments could reasonably be 9 expected to cause the alleged symptoms; however, [Plaintiff’s] statements concerning the 10 intensity, persistence and limiting effects of these symptoms are not entirely consistent with the 11 medical evidence and other evidence in the record for the reasons explained in this decision.” 12 A.R. 22. He did not find that Plaintiff was malingering. The ALJ then discussed the objective 13 medical evidence, including imaging of Plaintiff’s knees and “largely normal” clinical 14 examination findings, as well as Plaintiff’s “relatively intact activities of daily living,” including 15 her ability “to complete a small staging job” in 2013 “while sitting, reasonably consistent with the 16 capacity to sit for six hours in an eight-hour workday.” Id. at 22-24. He found that “[t]he 17 documented objective medical evidence, including general normal clinical findings, and the 18 claimant’s noncompliance with recommended medical treatment are inconsistent with functional 19 limitations to the degree alleged,” describing a treating record that indicated that Plaintiff refused 20 treatment because she “wanted disability.” A.R. 24. The ALJ described previous effective 21 treatment with injections as well as the facts that Plaintiff took no pain medications other than 22 Tylenol or Advil during the period at issue and was able to continue working in 2006 while she 23 was experiencing similar symptoms. Id. at 24. 24 Plaintiff’s challenge to the ALJ’s credibility finding centers on a single medical record, a 25 July 2013 note. Mot. 13 (discussing A.R. 579). For context, the ALJ wrote:
26 I note that treating records from July 2013 stated the claimant had significant degenerative joint disease in her knees, and she was 27 recommended for total arthroplasty, which was expected to allow her injections, and the orthopedic clinic referred her back to her primary 1 care provider because she was not interested in surgery but wanted disability. 2 3 A.R. 24 (citing A.R. 579). Plaintiff challenges the ALJ’s finding by citing a note in the medical 4 record from July 2013:
5 Your patient has significant degenerative joint disease in his knees. Unless he is interested in total knee arthroplasty, there is no need to 6 see him. We would not place him on disability when there is a surgery to offer him. And, depending on his occupatient [sic], he could likely 7 return to work in six months. It does not even sound as though your patient is interested in nonoperative treatment, considering he did not 8 agree to the steroid injecitons [sic]. When we see patients with [degenerative joint disease] who are not interested in surgery but who 9 want disability, we refer them back to their PCP. 10 A.R. 579. According to Plaintiff, “it is unclear that the note the ALJ refers to [A.R. 579] is even 11 about Ms. Darcey because it consistently refers to the patient as ‘he’ and ‘him.” Plaintiff argues 12 that “[g]iven the uncertainty” that the note refers to Plaintiff, the reason the ALJ gave for 13 discounting her testimony about her symptoms “is not convincing, and therefore based on legal 14 error.” Mot. 12. 15 The court agrees that it is not clear whether the note at A.R. 579 is about Plaintiff. 16 However, the same medical record contains a different note that Plaintiff does not challenge: “64 17 y/o obese female with knee > back pain . . . Refer to Ortho for disability eval as pt requesting SSI. 18 not sure pain is permanent disability and will defer to Ortho exam of this. declines knee injections 19 or refer to PT for pain control.” A.R. 579. This portion of the medical record supports the ALJ’s 20 observation that Plaintiff did not follow “recommended medical treatment” and took only Tylenol 21 or Advil for pain. See A.R. 24. The ALJ’s reliance on the ambiguous note in the medical record 22 is the only portion of the ALJ’s credibility determination that Plaintiff’s motion addresses with 23 any specificity. See Mot. 12. She does not address any of the other reasons he gave to discount 24 her statements about her symptoms. Even setting aside the ALJ’s statement that Plaintiff “was not 25 interested in surgery but wanted disability,” the court finds that the ALJ provided clear and 26 convincing reasons that were supported by evidence to discount Plaintiff’s testimony. 27 C. The ALJ’s RFC Determination 1 reject Dr. Khan’s opinion that Plaintiff’s bilateral degenerative joint disease was “relatively 2 permanent” and stated that he “give[s] the claimant the benefit of the doubt in light of some 3 evidence of progressive bilateral knee degenerative joint disease.” Mot. 14 (citing A.R. 23). 4 However, she argues, the ALJ did not “significantly modify an RFC for light work,” because 5 pursuant to the applicable regulation, light work may “require a good deal of walking or standing,” 6 and her RFC states that she can stand “for about six hours in an eight-hour workday.” Id. (quoting 7 20 C.F.R. § 416.967(b)). Plaintiff’s argument appears to be that a limitation to six hours of 8 standing is not consistent with a finding of degenerative joint disease. She does not cite any 9 authority for that proposition. 10 Additionally, Plaintiff argues that the RFC does not “take into account all of [her] 11 limitations” because it allows standing “for about six hours in an eight-hour workday.” Id. “[A]n 12 RFC that fails to take into account a claimant’s limitations is defective.” Valentine v. Comm’r. of 13 Soc. Sec. Admin., 574 F.3d 685, 690 (9th Cir. 2009). However, Plaintiff does not identify any 14 specific limitations that are inconsistent with the assessed RFC. To the extent that this argument 15 relies on limitations assessed by her treating physicians, the court has already found that the ALJ 16 did not err in his treatment of those limitations. The court finds no error with respect to the RFC. 17 D. The Determination that Plaintiff Could Perform Past Relevant Work 18 Finally, Plaintiff argues that the ALJ’s determination that she could perform her past 19 relevant work as an interior designer was in error and not supported by substantial evidence. This 20 argument is based on her previous contention that the ALJ erred with respect to Dr. Denbo’s 21 opinion. See Mot. 16 (“If Ms. Darcey had been found limited to significantly less than the full 22 range of sedentary work, as per Dr. Denbo’s assessment, that would prevent her from doing her 23 past relevant work as an interior designer”). Since the court finds that the ALJ did not err in that 24 respect, it finds no error in his determination that she could perform her past relevant work. 25 Plaintiff also argues that the ALJ should have credited her statements in a 2013 work 26 history report over her testimony during the May 2021 hearing about the number of hours she 27 spent standing during her interior design job. Mot. 16. In 2013, she described the job as requiring 1 testified that she stood one to two hours. A.R. 60. Plaintiff argues that if the ALJ had accepted 2 || her 2013 estimates and used them in a hypothetical to the VE, “the vocational expert may have 3 || testified differently regarding [her] ability to do that job.” Mot. 16. Setting aside the speculative 4 || nature of this argument, the ALJ was entitled to rely upon Plaintiff's 2021 hearing testimony, 5 which was taken under oath, regarding the requirements of her work as an interior designer. The 6 || court finds no error. 7 WY. CONCLUSION 8 For the foregoing reasons, Plaintiff's motion to remand is denied. 9 KS DISTR IG> s 10 IT IS SO ORDERED. Ky ON 11 || Dated: February 26, 2024 □□□ ORDEREP □ 2[\xr 18 S© 4 hon aM. Ryu = Chie VAM e 1 Zz yy M. Ryu | □□ O Toe Donna □□ Puce D> ~y © “y) 15 OX Oy
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