PILE IN TRE U.S, DISTRICT GOURT EASTERN DISTRICT OF WASHINGTON 1 : JAN 3 1 2020 3 SEAN F. MCAVOY, CLERK EIN 4 YAKIMA, WASHINGTON 5 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WASHINGTON 6 7 ANGELICA E., No. 1:19-CV-03056-LRS 8 Plaintiff, ORDER GRANTING DEFENDANT’S MOTION FOR 9 Vs. SUMMARY JUDGMENT, INTER ALIA 10 |} COMMISSIONER OF SOCIAL SECURITY, I 12 Defendant. 13 BEFORE THE COURT are the Plaintiff's Motion For Summary Judgment 14 (ECF No. 12) and the Defendant's Motion For Summary Judgment (ECF No. 13). 15 16 JURISDICTION 17 Angelica E., Plaintiff, applied for Title XVI Supplemental Security Income 1 benefits (SSD on June 16, 2015. The application was denied initially and on 19 reconsideration. Plaintiff timely requested a hearing which was held on December 20 20, 2017, before Administrative Law Judge (ALJ) Kimberly Boyce. Plaintifftestified 21 at the hearing, as did Vocational Expert (VE) Kimberly Mullinax. On April 4, 2018, 2 33 the ALJ issued a decision finding the Plaintiff not disabled. The Appeals Council
denied a request for review of the ALJ’s decision, making that decision the
Commissioner’s final decision subject to judicial review. The Commissioner’s final
decision is appealable to district court pursuant to 42 U.S.C. §405(g) and §1383(c)(3). 27 28 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 1
1 STATEMENT OF FACTS 2 The facts have been presented in the administrative transcript, the ALJ's 3 || decision, the Plaintiff's and Defendant's briefs, and will only be summarized here. At 4 || the time of her application for SSI benefits, Plaintiff was 35 years old, and at the time 5 || of the administrative hearing, she was 39 years old. She has a high school education 6 || and no past relevant work experience. 7 8 STANDARD OF REVIEW 9 "The [Commissioner's] determination that a claimant is not disabled will be 10 | upheld if the findings of fact are supported by substantial evidence....". Delgado v. 11 || Heckler, 722 F.2d 570, 572 (9th Cir. 1983). Substantial evidence is more than a mere 12 || scintilla, Sorenson v. Weinberger, 514 F.2d 1112, 1119 n.10 (9th Cir. 1975), but less 13 || than a preponderance. McAllister v. Sullivan, 888 F.2d 599, 601-602 (9th Cir. 1989); 14 || Desrosiers v. Secretary of Health and Human Services, 846 F.2d 573, 576 (9th Cir. 15 || 1988). “It means such relevant evidence as a reasonable mind might accept as 16 || adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401, 91 17 | S.Ct. 1420 (1971). "[S]uch inferences and conclusions as the [Commissioner] may 18 || reasonably draw from the evidence" will also be upheld. Beane v. Richardson, 457 19 || F.2d 758, 759 (9th Cir. 1972); Mark v. Celebrezze, 348 F.2d 289, 293 (9th Cir. 1965). 20 || On review, the court considers the record as a whole, not just the evidence supporting 21 || the decision of the Commissioner. Weetman v. Sullivan, 877 F.2d 20, 22 (9th Cir. 22 || 1989); Thompson v. Schweiker, 665 F.2d 936, 939 (9th Cir. 1982). 23 It is the role of the trier of fact, not this court to resolve conflicts in evidence. 24 || Richardson, 402 U.S. at 400. If evidence supports more than one rational 25 || interpretation, the court must uphold the decision of the ALJ. Allen v. Heckler, 749 26 || F.2d 577, 579 (9th Cir. 1984). 27 A decision supported by substantial evidence will still be set aside if the proper ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 2
1 || legal standards were not applied in weighing the evidence and making the decision. 2 || Brawner v. Secretary of Health and Human Services, 839 F.2d 432, 433 (9th Cir. 3 | 1987). 4 5 ISSUES 6 Plaintiff argues the ALJ erred in: 1) failing to find Plaintiff has a “severe” 7 || mental health impairment; 2) not providing specific, clear and convincing reasons for 8 || discrediting Plaintiff's testimony regarding her symptoms and limitations; 3) failing 9 || to provide adequate reasons for rejecting the opinions of treating medical providers; 10 || and 4) presenting a hypothetical to the VE regarding Plaintiff's residual functional 11 || capacity (RFC) that is not supported by substantial evidence in the record. 12 13 DISCUSSION 14 | SEQUENTIAL EVALUATION PROCESS 15 The Social Security Act defines "disability" as the "inability to engage in any 16 || substantial gainful activity by reason of any medically determinable physical or 17 || mental impairment which can be expected to result in death or which has lasted or can 18 || be expected to last for a continuous period of not less than twelve months." 42 19 || U.S.C. § 1382c(a)(3)(A). The Act also provides that a claimant shall be determined 20 || to be under a disability only if her impairments are of such severity that the claimant 21 || is not only unable to do her previous work but cannot, considering her age, education 22 || and work experiences, engage in any other substantial gainful work which exists in 23 | the national economy. Jd. 24 The Commissioner has established a five-step sequential evaluation process for 25 || determining whether a person is disabled. 20 C.F.R. § 416.920; Bowen v. Yuckert, 26 || 482 U.S. 137, 140-42, 107 S.Ct. 2287 (1987). Step one determines if she is engaged 27 || in substantial gainful activities. If she is, benefits are denied. 20 C.F.R. § ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 3
1 || 416.920(a)(4)(1). If she is not, the decision-maker proceeds to step two, which 2 || determines whether the claimant has a medically severe impairment or combination 3 | of impairments. 20 C.F.R. § 416.920(a)(4)(ii). Ifthe claimant does not have a severe 4 | impairment or combination of impairments, the disability claim is denied. If the 5 || impairment is severe, the evaluation proceeds to the third step, which compares the 6 || claimant's impairment with a number of listed impairments acknowledged by the 7 || Commissioner to be so severe as to preclude substantial gainful activity. 20 C.F.R. 8 | § 416.920(a)(4)(a11); 20 C.F.R. § 404 Subpart P, App. 1. Ifthe impairment meets or 9 || equals one of the listed impairments, the claimant is conclusively presumed to be 10 | disabled. If the impairment is not one conclusively presumed to be disabling, the 11 | evaluation proceeds to the fourth step which determines whether the impairment 12 || prevents the claimant from performing work she has performed in the past. If the 13 | claimant is able to perform her previous work, she is not disabled. 20 C.F.R. § 14 | 416.920(a)(4)(iv). If the claimant cannot perform this work, the fifth and final step 15 || in the process determines whether she is able to perform other work in the national 16 || economy in view of her age, education and work experience. 20 C.F.R. § 17 || 416.920(a)(4)(v). 18 The initial burden of proof rests upon the claimant to establish a prima facie 19 || case of entitlement to disability benefits. Rhinehart v. Finch, 438 F.2d 920, 921 (9th 20 | Cir. 1971). The initial burden is met once a claimant establishes that a physical or 21 || mental impairment prevents her from engaging in her previous occupation. The 22 || burden then shifts to the Commissioner to show (1) that the claimant can perform 23 || other substantial gainful activity and (2) that a "significant number of jobs exist in the 24 || national economy" which claimant can perform. Kail v. Heckler, 722 F.2d 1496, 25 || 1498 (9th Cir. 1984). 26 et 28 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 4
1 || ALJ'S FINDINGS 2 The ALJ found the following: 1) Plaintiff has “severe” medical impairments, 3 || those being obesity, carpal tunnel syndrome, and a hernia; 2) Plaintiff’s impairments 4 | do not meet or equal any of the impairments listed in 20 C.F.R. § 404 Subpart P, 5 || App. 1; 3) Plaintiffhas the RFC to perform “light” work, except she can occasionally 6 | handle with the dominant right upper extremity and can occasionally feel, and she can 7 | perform work in which concentrated exposure to hazards is not present; and 4) 8 || Plaintiff's RFC allows her to perform jobs existing in significant numbers in the 9 || national economy, including furniture rental consultant, bakery worker (conveyor 10 | line), and usher. Accordingly, the ALJ concluded the Plaintiff is not disabled. 11 12 | SEVERE IMPAIRMENTS 13 A “severe” impairment is one which significantly limits physical or mental 14 || ability to do basic work-related activities. 20 C.F.R. § 416.920(c). It must result 15 || from anatomical, physiological, or psychological abnormalities which can be shown 16 || by medically acceptable clinical and laboratory diagnostic techniques. It must be 17 || established by medical evidence consisting of signs, symptoms, and laboratory 18 || findings, not just the claimant's statement of symptoms. 20 C.F.R. § 416.908. 19 Step two is ade minimis inquiry designed to weed out non-meritorious claims 20 |] at an early stage in the sequential evaluation process. Smolen v. Chater, 80 F.3d 21 || 1273, 1290 (9" Cir. 1996), citing Bowen v. Yuckert, 482 U.S. 137, 153-54 (1987) 22 || ("[S]tep two inquiry is a de minimis screening device to dispose of groundless 23 || claims"). "[O]nly those claimants with slight abnormalities that do not significantly 24 || limit any basic work activity can be denied benefits" at step two. Bowen, 482 U.S. 25 || at 158 (concurring opinion). "Basic work activities" are the abilities and aptitudes to 26 || do most jobs, including: 1) physical functions such as walking, standing, sitting, 27 || lifting, pushing, pulling, reaching, carrying, or handling; 2) capacities for seeing, ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 5
1 || hearing, and speaking; 3) understanding, carrying out, and remembering simple 2 || instructions; 4) use of judgment; 5) responding appropriately to supervision, co- 3 | workers and usual work situations; and 6) dealing with changes in a routine work 4] setting. 20 C.F.R. § 416.921(b). 5 The Commissioner has stated that “[i]f an adjudicator is unable to determine 6 || clearly the effect of an impairment or combination of impairments on the individual’s 7 || ability to do basic work activities, the sequential evaluation should not end with the 8 || not severe evaluation step.” Webb v. Barnhart, 433 F.3d 683, 687 (9" Cir. 2005), 9} citing S.S.R. No. 85-28 (1985). An ALJ may find that a claimant lacks a medically 10 | Severe impairment or combination of impairments only when his conclusion is 11 “clearly established by medical evidence.” Jd. 12 The ALJ found Plaintiffdid not have a “severe” mental impairment because the 13 | evidence showed that her depression and anxiety symptoms were sufficiently 14 |] managed. The ALJ cited “substantial evidence” in support of this finding. The 15 || medical evidence, as discussed below, “clearly established’ that Plaintiff does not 16 || have a “severe” mental health impairment. 17 Plaintiff was seen at Central Washington Comprehensive Mental Health 18 | (CWCMH) in 2010-11. An issue developed with the Plaintiff keeping her 19 | appointments. (AR at pp. 429-30). In February 2011, Plaintiff indicated she was not 20 || interested in therapy, but wanted to continue medication management. (AR at p. 21 | 433). Plaintiff asserted she did not have coverage for therapy and could not afford 22 |] it. (AR at p. 434). In December 2010, Plaintiffagreed with her therapist that she was 23 || capable of working 21-30 hours per week. (AR at p. 438). She noted she had never 24 || had a full-time job, only part-time jobs, and her dream had always been to be a stay- 25 || at-home mom. (AR at p. 440). 26 In February 2015, Plaintiff underwent a consultative psychological 27 || examination by Roland Dougherty, Ph.D., at the behest of the Commissioner. She ORDER GRANTING DEFENDANT?’S MOTION FOR SUMMARY JUDGMENT- 6
1 | informed Dr. Dougherty that she had four children, ranging in ages from 5 to 12. (AR 2 || at pp. 276-77). She described how she takes care of her children and her household. 3 | (AR at p. 277). Dr. Dougherty diagnosed Plaintiff with dysthymia and anxiety 4 || disorder, not otherwise specified. (AR at p. 277). He assigned her a current (Global 5 || Assessment of Functioning (GAF) score of 60, at the top end of the range (51-60) 6 || indicating moderate symptoms and moderate difficulty in social, occupational, or 7 || school functioning.' Dr. Dougherty described Plaintiff's depression as “mild to 8 || moderate on her present medication and it fluctuates in severity.” (AR at p. 278). He 9 | indicated Plaintiff “experiences anxiety about once or twice a week, for up to an 10 | hour.” (Ud.). Dr. Dougherty found Plaintiff to be “pleasant and cooperative;” “had 11 || no difficulty in answering my questions;” her social skills appeared to be good; her 12 || thinking was logical and goal directed; and she had the ability to do multiple 13 || household tasks, could use a recipe when cooking, had basic computer skill, drove 14 | acar, and cared for her children. (/d.). As such, Dr. Dougherty opined as follows: 15 I believe [she] has the ability to do detailed and pongplex tasks. She was re to me and completed the tasks she was | 16 asked to. I believe that she has the ability to accept instructions from supervisors and to interact with coworkers and the public. 17 ...1 do not believe that her pee difficulties are likely 18 to make it very difficult for her to maintain regular attendance in the workplace. She may have some difficulty in completing a 19 normal workday/workweek without interruptions from her depression and ee The same conditions may make it at 20 least a difficult for her to deal with the stress encountered in the workplace. 21 (AR at p. 278)(emphasis added). As is apparent, Dr. Dougherty was equivocal as to
whether Plaintiffs mental health issues would have any impact on her ability to 23 24 25 26 American Psychiatric Ass’n, Diagnostic & Statistical Manual of Mental 27 Disorders, (4" ed. Text Revision 2000)(DSM-IV-TR at p. 34). 28 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 7
1 | perform basic work-related activities. 2 In April 2015, Plaintiff resumed treatment at CWCMH. She claimed she 3 || stopped treatment because she no longer had medical coverage. (AR at p. 293). At 4 | that time, she was assigned a GAF score of 37 by therapist William Short, M.S., 5 || indicating major impairment in several areas, such as work or school, family relations, 6 | judgment, thinking or mood. (AR. at p. 297). By November 2015, however, Mr. 7 || Short, in a Washington State Department of Social and Health Services (DSHS) 8 | “WorkFirst Documentation Request Form for Medical or Disability Condition,” 9 | opined that Plaintiff's depression did not limit her ability to work, look for work, or 10 || prepare for work. (AR at p. 609). Short described Plaintiff's treatment plan as 11 || attending weekly individual therapy sessions and working on coping skills at home. 12 || (AR at p. 610). 13 In August 2016, Plaintiff stated her depression was improving and was no 14 || longer “debilitating” (AR at p. 547), and in October 2016, psychiatrist Rafat R. 15 || Zakhary, M.D., reported that he could not find symptoms to support her “major 16 || depression.” (AR at p. 572). 17 In April 2017, Plaintiff was discharged “due to non-adherence to treatment.” 18 || (AR at p. 625). She was discharged “due to her not fulfilling her treatment 19 || recommendations and not coming into her scheduled appointments on a regular 20 || basis.” (AR at p. 665). zi Plaintiff was again seen at CWCMH in June 2017. She stated she “will do 22 || child care and has done this pretty much all her life” and “is not able to keep a job 23 || because her first priority is her children.” (AR at p. 677). She indicated she was 24 || applying for SSI and could not work because if she did, she would have to “start all 25 || over.” (/d.). Plaintiff completed a PHQ-9 Questionnaire and her score was 9 (/d.), 26 Zi 28 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 8
1 || indicating “mild” depression.” She also completed a GAD-7 Questionnaire and her 2 || score was 7 (/d.), indicating” mild” anxiety.’ As such, Plaintiff did “not meet medical 3 || necessity as she [was] not reporting significant distress nor [was] she reporting 4 || functional impairment.” (AR at p. 679). Plaintiff agreed she was doing better than 5 || she ever remembered. (/d.). 6 The ALJ did not err in concluding that Plaintiff's mental impairments cause no 7) more than “mild” limitations and therefore, are not “severe.” (AR at p. 19). 8 | “Substantial evidence” in the record supports this conclusion. This is so 9 | notwithstanding the January/February 2016 opinions of state agency psychologists, 10 || Bruce Eather, Ph.D., and Michael L. Brown, Ph.D., that, based on their review of the 11 | record, Plaintiff was “moderately” limited in her ability to maintain attention and 12 || concentration for extended periods and in her ability to complete a normal workday 13 || and workweek without interruptions from psychologically based symptoms and to 14 || perform at a consistent pace. (AR at pp. 66-67; 82-83). Even then, Drs. Eather and 15 || Brown indicated Plaintiff retained “the ability to maintain attention/concentration 16 || sufficient to complete routine tasks over a normal 8-hour workday with customary 17 || breaks.” (/d.). 18 | // 19 | // 20
22 33 The Patient Health Questionnaire (PHQ-9) assesses and monitors depression 24 || severity. 25 ° 26 The Generalized Anxiety Disorder Questionnaire (GAD-7) assesses and 27 ; 08 monitors anxiety severity. ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 9
1 || TESTIMONY RE SYMPTOMS AND LIMITATIONS 2 Where, as here, the Plaintiff has produced objective medical evidence of an 3 || underlying impairment that could reasonably give rise to some degree of the 4 | symptoms alleged, and there is no affirmative evidence of malingering, the ALJ’s 5 || reasons for rejecting the Plaintiffs testimony must be clear and convincing. Burrell 6 || v. Colvin, 775 F.3d 1133, 1137 (9" Cir. 2014); Garrison v. Colvin, 759 F.3d 95, 1014 7 |) (9 Cir. 2014). Ifan ALJ finds a claimant’s subjective assessment unreliable, “the 8 || ALJ must make a credibility determination with findings sufficiently specific to 9 || permit [a reviewing] court to conclude that the ALJ did not arbitrarily discredit [the] 10 | claimant’s testimony.” Thomas v. Barnhart, 278 F.3d 947, 958 □□ Cir. 2002). 11 | Among other things, the ALJ may consider: 1) the claimant's reputation for 12 || truthfulness; 2) inconsistencies in the claimant's testimony or between her testimony 13 | and her conduct; 3) the claimant’s daily living activities; 4) the claimant's work 14 | record; and 5) testimony from physicians or third parties concerning the nature, 15 || severity, and effect of claimant's condition. Id. 16 The ALJ offered clear and convincing reasons for discounting Plaintiffs 17 || testimony. (AR at pp. 21-22). In June 2017, when seen at CWCMH, Plaintiff denied 18 || physical health concerns and although she indicated she experienced some pain, she 19 || stated she was taking ibuprofen for it and had not been seen by a physician for pain. 20 | (AR at p. 675). In October 2017, she acknowledged to Nurse Practitioner (ARNP) 21 || Irma Mejia at Mid-Valley Community Clinic (MVCC) that she had not followed up 22 || with a carpal tunnel specialist in “some time.” (AR at p. 704). 23 Notwithstanding Plaintiff's hearing testimony suggesting she could not 24 || adequately care for her children and take care of household chores, the record, as 25 || noted by the ALJ in her decision, is replete with references to Plaintiff taking care of 26 at 28 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 10
1 || her children and managing her household by herself since 2011. (AR at p. 21). 2 || In June 2017, Plaintiff stated “she will do child care and has done this pretty much 3 || all her life” and indicated she was unable to keep a job because her first priority was 4} her children as they often get sick. (AR at p. 677). 5 Plaintiff underwent hernia repair in August 2016. In September 2016, she 6 | reported her pain had improved to the point that she just had some flairs of pain. She 7 || indicated her primary care physician assistant informed her she should be able to start 8 || looking for work after September 29, 2016, and she was excited about the possibility 9 | of returning to work. (AR at p. 557). In November 2016, Plaintiff informed ARNP 10 |) Mejia that residual pain from her hernia pain was tolerable and she denied any 11 || abdominal pain. (AR at p. 715). 12 Plaintiff's statement that she could not work because if she did so, she would 13 || have to “start all over” for SSI purposes reasonably suggests, as found by the ALJ, 14 |] that she was not working for reasons unrelated to a mental or physical impairment. 15 16 | MEDICAL OPINIONS 17 It is settled law in the Ninth Circuit that in a disability proceeding, the opinion 18 || of a licensed treating or examining physician or psychologist is given special weight 19 || because of his/her familiarity with the claimant and his/her condition. Ifthe treating 20 || or examining physician's or psychologist’s opinion is not contradicted, it can be 21 || rejected only for clear and convincing reasons. Reddick v. Chater, 157 F.3d 715,725 22 || (9" Cir. 1998); Lester v. Chater, 81 F.3d 821, 830 (9" Cir. 1996). If contradicted, the 23 || ALJ may reject the opinion if specific, legitimate reasons that are supported by 24 25 26 See discussion infra as to what Plaintiff told Dr. Opara about her daily
living activities. ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 11
1 || substantial evidence are given. /d. “[W]hen evaluating conflicting medical opinions, 2 | an ALJ need not accept the opinion of a doctor if that opinion is brief, conclusory, 3 || and inadequately supported by clinical findings.” Bayliss v. Barnhart, 427 F.3d 1211, 4 || 1216 (9th Cir. 2005). . The opinion of a non-examining medical advisor/expert need 5 || not be discounted and may serve as substantial evidence when it is supported by other 6 || evidence in the record and consistent with the other evidence. Andrews v. Shalala, 7 || 53 F.3d 1035, 1041 (9th Cir. 1995). 8 Nurse practitioners, physicians’ assistants, and therapists (physical and mental 9 || health) are not “acceptable medical sources” for the purpose of establishing if a 10 || claimant has a medically determinable impairment. 20 C.F.R. § 416.913(a). Their 11 || opinions are, however, relevant to show the severity of an impairment and how it 12 || affects a claimant’s ability to work. 20 C.F.R. § 416.913(d). In order to discount the 13 | opinion of a non-acceptable medical source, the ALJ must offer germane reasons for 14 || doing so. Turner v. Comm’r of Soc. Sec., 613 F.3d 1217, 1224 (9" Cir. 2010).° 15 In October 2014, Mary Pine, a certified physician’s assistant (PA-C) with 16 || MVCC, completed a DSHS form in which she indicated Plaintiff could not lift over 17 || 10 pounds because she was right-handed and had undergone carpal tunnel surgery on 18 || her that hand which left her with scar tissue and resulting numbness and pain, 19 || rendering her unable to write and fill out job applications. (AR at p. 252). Pine 20 || checked a box indicating Plaintiff was “severely” limited, that being “[u]nable to lift 21 || at least 2 pounds or unable to stand or walk.” (AR at p. 253). 22 The Commissioner sent Plaintiff to James Opara, M.D., for a consultative 23 || physical evaluation in February 2015. In his report, Dr. Opara offered a description 24 25 ° 26 For claims filed on or after March 27, 2017, physician assistants are now considered “acceptable medical sources.” 82 Fed. Reg. 5844 (Jan. 18, 2017). ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 12
1 || of Plaintiffs daily living activities: 2 When she wakes eS in the momunel.| she take care of her children and takes them to school. She comes back 3 and takes her breakfast. She washes dishes and does. other house chores, like cleaning, sweeping, and mopping. 4 She gets her children back from school in the early afternoon and then does cleaniie of the house and goes 5 Les pincety shoppe wren needed. She takes care of her children, éspecially their personal needs and makes dinner 6 for them and after that she goes to bed. She takes care of her personal needs. 7 (AR at p. 281). Based on his examination, he diagnosed Plaintiff with obesity, but “with no 9 associated diminished range of motion of the joints;” bilateral carpal tunnel syndrome 10 “with no weakness of grip and no wasting of the muscle of the hand;” and a large 11 5 incisional hernia in the suprapubic area, “tender to touch but reducible.” (AR at p. 1 283). He opined that Plaintiff had no limitation with regard to her capacity to stand, 13 walk or sit, and that she was limited to lifting/carrying 20 pounds occasionally and 14 10 pounds frequently due to her hernia. (/d.). He opined that there was no limitation
on Plaintiff's postural and manipulative activities. (/d.). 1 4 In November 2016, ARNP Mejia completed a DSHS form in which she, like PA-C Pine in October 2014, checked a box indicating Plaintiff “severely limited” 1 in that she was “[u]nable to lift at least 2 pounds or unable to stand or walk.” (AR at p. 718). In October 2017, however, ARNP Mejia checked the box for “sedentary” work indicating ability to lift 10 pounds maximum and frequently lift or carry articles such as files and small tools. (AR at p. 708). 33 The ALJ provided “germane” reasons for discounting the opinions of PA-C 04 Pine and ARNP Mejia, and giving greater weight to the opinion of Dr. Opara. There 0s is “substantial evidence” in the record, as discussed above, which supports the ALJ’s conclusion that the opinions of PA-C Pine and ARNP Mejia are not consistent with the record evidence. The ALJ accurately noted as follows:
0s While the [Plaintiff] has moderate carpal tunnel syndrome ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 13
1 in the right hand and some reduced strength in the hand, she otherwise has full strength throughout the extremities. In 2 addition, the claimant has had limited follow-up treatment for her carpal tunnel syndrome and pain, which suggests that 3 her mae ps are not as severe as she claims. The [Plainutf also has not exhibited gait abnormalities that would prevent 4 her from standing or walking for six hours during the workday. The claimant also remains quite active cana tor her children, 5 which is inconsistent with sedentary or less than sedemlary work. She performs all aspects of care for her children by herself 6 including getting them up in the morning, assisting with personal care, transporting them to school, and cooking them meals. 7 (AR at p. 22). 9 CONCLUSION 10 ‘Substantial evidence” in the record supports the ALJ’s RFC determination that 11 Plaintiffcan perform “light” work, subject to occasional handling using her dominant 12 3 right upper extremity.° This determination is consistent in all relevant aspects with 1 the January/February 2016 opinions of state agency physicians, Howard Platter, 14 M.D., and Greg Saue, M.D., who reviewed the medical record. (AR at pp. 64-66;80- IS 82). Based on the RFC as determined by the ALJ, the VE identified jobs existing in 16 significant numbers in the national economy which the Plaintiff would be capable of
performing. 1 The ALJ rationally interpreted the evidence and “substantial evidence”- more
than a scintilla, less than a preponderance- supports her decision that Plaintiff is not
21 | 22 23 20 C.F.R. §416.967(b) defines “light” work as involving lifting no more 24 8 than 20 pounds, with frequent lifting and carrying of objects weighing up to 10 26 || pounds. It may require a good deal of walking or standing, or sitting most of the 27 08 time with some pushing or pulling of arm or leg controls. ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT- 14
1 || disabled. 2 Defendant’s Motion For Summary Judgment (ECF No. 13) is GRANTED and 3 | Plaintiff's Motion For Summary Judgment (ECF No. 12) is DENIED. The 4 || Commissioner's decision is AFFIRMED. 5 IT IS SO ORDERED. The District Executive shall enter judgment 6 || accordingly, forward copies of the judgment and this order to counsel of record, and 7 || close this file. 8 DATED this _.3/ Pn of January, 2020. 9 Kxhe bo 11 ONNY R. SUKO Senior United States District Judge 13 14 15 16 17 18 19 20 21 22 23 24
26 27 28 ORDER GRANTING DEFENDANT?’S MOTION FOR SUMMARY JUDGMENT- 15