Ferguson v. Commissioner of Social Security

District Court, W.D. Washington·Decided May 3, 2024·No. 3:23-cv-05716·Unknown

Opinion

WESTERN DISTRICT OF WASHINGTON JAYNE F., Case No. 3:23-cv-5716-TLF Plaintiff, v. ORDER REVERSING AND REMANDING DEFENDANT’S COMMISSIONER OF SOCIAL DECISION TO DENY BENEFITS Defendant. Plaintiff filed this action pursuant to 42 U.S.C. § 405(g) for judicial review of defendant’s denial of plaintiff’s application for Disability Insurance Benefits (DIB). The parties have consented to have this matter heard by the undersigned Magistrate Judge. Dkt. 2. Plaintiff challenges the Commissioner’s decision finding her not disabled. Dkt. 4, Complaint. A. Procedural History Plaintiff filed her application for DIB on November 30, 2020, alleging an onset date of November 22, 2020. AR 17, 286–87. For the purposes of her DIB eligibility, her date last insured is December 31, 2024. AR 17. After her application was denied initially and upon reconsideration (AR 127, 173), hearings were held before the ALJ on January 31, 2023 (AR 75–105), and April 7, 2023 (AR 106–26). The ALJ issued a decision on May 25, 2023, finding plaintiff not disabled. AR 14– 35. The ALJ found plaintiff had the following severe impairments: post-traumatic stress disorder (PTSD); depressive disorder; anxiety disorder; arthritis; obesity; lupus; cubital tunnel syndrome; carpal tunnel syndrome; stenosis; radiculopathy; headaches; degenerative disc disease; degenerative joint disease; and fibromyalgia. AR 19. The ALJ found plaintiff had the Residual Functional Capacity (RFC)

to perform sedentary work, as defined in 20 CFR 404.1567(a), that does not require climbing of ladders, ropes, or scaffolds; that does not require more than occasional balancing, stooping, kneeling, crouching, crawling, or climbing of ramps or stairs; that does not require more than frequent handling or fingering; that does not require concentrated exposure to hazards or pulmonary irritants; that allows a break after 2 hours of work; and that involves predictable work settings and processes.

AR 22. Based on hypotheticals the ALJ posed to the Vocational Expert (VE) at the hearing, the ALJ concluded that plaintiff could not perform her past work but could work as an appointment clerk, reception clerk, or telephone solicitor. AR 28. B. Analysis Pursuant to 42 U.S.C. § 405(g), this Court may set aside the Commissioner's denial of Social Security benefits if the ALJ's findings are based on legal error or not supported by substantial evidence in the record. Revels v. Berryhill, 874 F.3d 648, 654 (9th Cir. 2017) (internal citations omitted). Substantial evidence is “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Biestek v. Berryhill, 139 S. Ct. 1148, 1154 (2019) (internal citations omitted). The Court must consider the administrative record as a whole. Garrison v. Colvin, 759 F.3d 995, 1009 (9th Cir. 2014). Where the evidence would reasonably support affirming or reversing the decision of the ALJ, the Court may not substitute its judgment for Commissioner's. Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005). The Court must weigh both the evidence that supports and evidence that does not support the ALJ's conclusion. Id. The Court may not affirm the decision of the ALJ for a reason upon which the ALJ did not rely. Id. Rather, only the reasons identified by the ALJ are considered in the scope of the Court's review.

1. Medical Opinions Plaintiff argues the ALJ failed to adequately consider the medical opinions of PA Lynette McLagan and Terilee Wingate, Ph.D. Dkt. 9 at 3–5. Under the regulations applicable to claims, like plaintiff’s, filed on or after March 27, 2017, an ALJ need not “defer or give any specific evidentiary weight . . . to any medical opinion(s) . . . including those from [the claimant’s] medical sources.” 20 C.F.R. § 404.1520c(a). Rather, the ALJ must explain how he or she considered the factors of supportability and consistency in evaluating the medical opinions. Id. § 404.1520c(a)– (b). “[A]n ALJ cannot reject an examining or treating doctor’s opinion as unsupported or inconsistent without providing an explanation supported by substantial evidence.”

Woods v. Kijakazi, 32 F.4th 785, 792 (9th Cir. 2022). A. PA McLagan Consulting psychological examiner PA McLagan submitted an evaluation of plaintiff in April 2021. AR 467–75. She opined plaintiff had fair limitations—defined as “more than a slight limitation” but one in which a claimant is “still able to function satisfactorily” in the given area—in several of her abilities, including in her ability to interact with coworkers, supervisors, and the public, and adapt to the usual stresses of a workplace environment. AR 474. She also wrote that plaintiff’s overall prognosis was

“poor,” and that “she would most likely struggle with the usual stressors of a typical workplace environment.” AR 474. The ALJ found PA McLagan’s opinion persuasive. AR 26. He noted that “any difficulties that the claimant may have with concentration, persistence, pace, and

adaptation are addressed with limitations in timing of breaks, as well as predictability of settings and processes.” Id. Plaintiff argues the ALJ failed to adequately address PA McLagan’s statement that plaintiff’s prognosis was “poor” and that she would “struggle with the usual stressors of a typical workplace environment.” Dkt. 9 at 4. The Court disagrees. PA McLagan’s statement that plaintiff’s prognosis was “poor” was not an opined limitation the ALJ was required to discuss. See 20 C.F.R. § 1513(a)(3) (a “prognosis” is “other medical evidence” and not part of a “medical opinion”). PA McLagan’s statement that plaintiff would struggle with the usual stressors of a work environment did not specify a precise limitation, and PA McLagan indicated

elsewhere plaintiff’s ability to “adapt to the usual stresses of a workplace environment” was “fair” and thus that plaintiff was “able to function satisfactorily” in that area. AR 474. See Ford v. Saul, 950 F.3d 1141, 1156 (9th Cir. 2020) (certain parts of opinion were “not useful because they failed to specify [the plaintiff's] functional limits” and thus “the ALJ could reasonably conclude these characterizations were inadequate for determining RFC”). Because the RFC “is the most [a claimant] can still do despite [her] limitations,” 20 C.F.R. § 1545(a)(1), PA McLagan’s opinion that plaintiff was able to “satisfactorily” adapt to the stresses of the workplace environment did not require any additional limitations in the RFC.

B. Dr. Wingate Consulting psychologist Dr. Wingate completed an evaluation of plaintiff in October 2022. AR 1713–17. She opined plaintiff had several moderate and marked limitations, but that these limitations would last only six to eight months. See AR 1715–

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