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4 5 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON 6 AT SEATTLE 7 WILLIAM G., 8 Plaintiff, CASE NO. C19-5736-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, 1979.1 He has a limited education and only unskilled past 20 relevant work. (AR 29.) 21 Plaintiff filed an application for DIB in 2016 and SSI in 2018, alleging disability beginning 22 March 23, 2011. (AR 13.) The applications were denied at the initial level and on reconsideration. 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 On April 10, 2018, ALJ S. Andrew Grace held a hearing, taking testimony from plaintiff 2 and a vocational expert. (AR 51-96.) On July 24, 2018, the ALJ issued a decision finding plaintiff 3 not disabled from March 23, 2011, through the date of the decision. (AR 13-30.)
4 Plaintiff timely appealed. The Appeals Council denied plaintiff’s request for review on 5 June 10, 2019 (AR 1-3), making the ALJ’s decision the final decision of the Commissioner. 6 Plaintiff appealed this final decision of the Commissioner to this Court. 7 JURISDICTION 8 The Court has jurisdiction to review the ALJ’s decision pursuant to 42 U.S.C. § 405(g). 9 DISCUSSION 10 The Commissioner follows a five-step sequential evaluation process for determining 11 whether a claimant is disabled. See 20 C.F.R. §§ 404.1520, 416.920 (2000). At step one, it must 12 be determined whether the claimant is gainfully employed. The ALJ found plaintiff had not 13 engaged in substantial gainful activity since the alleged onset date. At step two, it must be
14 determined whether a claimant suffers from a severe impairment. The ALJ found plaintiff had the 15 severe impairments of degenerative disc disease; status post cervical fractures and sprains; 16 neurogenic headaches; carpal tunnel syndrome, status post surgical release; epicondylitis; major 17 depressive disorder; generalized anxiety disorder; attention deficit hyperactivity disorder; and 18 adjustment disorder. Step three asks whether a claimant’s impairments meet or equal a listed 19 impairment. The ALJ found that plaintiff’s impairments did not meet or equal the criteria of a 20 listed impairment. 21 If a claimant’s impairments do not meet or equal a listing, the Commissioner must assess 22 residual functional capacity (RFC) and determine at step four whether the claimant has 23 demonstrated an inability to perform past relevant work. The ALJ found plaintiff able to perform 1 light work except he can never crawl or climb ladders, ropes, or scaffolds; can occasionally 2 balance, stoop, kneel, crouch, or climb ramps or stairs. He can reach overhead occasionally, reach 3 in other directions frequently, and handle frequently. He must avoid concentrated exposure to
4 extreme temperatures, vibrations, and hazards. He can perform simple, routine, repetitive tasks 5 consistent with unskilled work. With that assessment, the ALJ found plaintiff unable to perform 6 any 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 a vocational expert, the ALJ found plaintiff capable of 11 performing other jobs, such as work as an order caller, bottling line attendant, or document 12 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 evaluating medical opinions, discounting his testimony, 1 and finding his impairments did not meet or equal a listed impairment. He requests remand for an 2 award of benefits or, in the alternative, for further administrative proceedings. The Commissioner 3 argues the ALJ’s decision has the support of substantial evidence and should be affirmed.
4 Medical Opinion Evidence 5 The ALJ is responsible for assessing the medical evidence and resolving any conflicts or 6 ambiguities in the record. See Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1098 (9th 7 Cir. 2014); Carmickle v. Comm’r of Soc. Sec. Admin., 533 F.3d 1155, 1164 (9th Cir. 2008). When 8 evidence reasonably supports either confirming or reversing the ALJ’s decision, the court may not 9 substitute its judgment for that of the ALJ. Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). 10 In general, more weight should be given to the opinion of a treating doctor than to a non- 11 treating doctor, and more weight to the opinion of an examining doctor than to a non-examining 12 doctor. Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1996). Where doctors’ opinions are 13 contradicted, as in this case, they may only be rejected with “‘specific and legitimate reasons’
14 supported by substantial evidence in the record for so doing.” Id. at 830-31 (quoted source 15 omitted). An ALJ must provide reasons for rejecting a medical opinion, but is not required to 16 provide reasons not for accepting and interpreting a medical opinion. Orteza v. Shalala, 50 F.3d 17 748, 750 (9th Cir. 1995). 18 Mental Impairments 19 Plaintiff’s treating therapist, Richard T.
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4 5 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON 6 AT SEATTLE 7 WILLIAM G., 8 Plaintiff, CASE NO. C19-5736-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, 1979.1 He has a limited education and only unskilled past 20 relevant work. (AR 29.) 21 Plaintiff filed an application for DIB in 2016 and SSI in 2018, alleging disability beginning 22 March 23, 2011. (AR 13.) The applications were denied at the initial level and on reconsideration. 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 On April 10, 2018, ALJ S. Andrew Grace held a hearing, taking testimony from plaintiff 2 and a vocational expert. (AR 51-96.) On July 24, 2018, the ALJ issued a decision finding plaintiff 3 not disabled from March 23, 2011, through the date of the decision. (AR 13-30.)
4 Plaintiff timely appealed. The Appeals Council denied plaintiff’s request for review on 5 June 10, 2019 (AR 1-3), making the ALJ’s decision the final decision of the Commissioner. 6 Plaintiff appealed this final decision of the Commissioner to this Court. 7 JURISDICTION 8 The Court has jurisdiction to review the ALJ’s decision pursuant to 42 U.S.C. § 405(g). 9 DISCUSSION 10 The Commissioner follows a five-step sequential evaluation process for determining 11 whether a claimant is disabled. See 20 C.F.R. §§ 404.1520, 416.920 (2000). At step one, it must 12 be determined whether the claimant is gainfully employed. The ALJ found plaintiff had not 13 engaged in substantial gainful activity since the alleged onset date. At step two, it must be
14 determined whether a claimant suffers from a severe impairment. The ALJ found plaintiff had the 15 severe impairments of degenerative disc disease; status post cervical fractures and sprains; 16 neurogenic headaches; carpal tunnel syndrome, status post surgical release; epicondylitis; major 17 depressive disorder; generalized anxiety disorder; attention deficit hyperactivity disorder; and 18 adjustment disorder. Step three asks whether a claimant’s impairments meet or equal a listed 19 impairment. The ALJ found that plaintiff’s impairments did not meet or equal the criteria of a 20 listed impairment. 21 If a claimant’s impairments do not meet or equal a listing, the Commissioner must assess 22 residual functional capacity (RFC) and determine at step four whether the claimant has 23 demonstrated an inability to perform past relevant work. The ALJ found plaintiff able to perform 1 light work except he can never crawl or climb ladders, ropes, or scaffolds; can occasionally 2 balance, stoop, kneel, crouch, or climb ramps or stairs. He can reach overhead occasionally, reach 3 in other directions frequently, and handle frequently. He must avoid concentrated exposure to
4 extreme temperatures, vibrations, and hazards. He can perform simple, routine, repetitive tasks 5 consistent with unskilled work. With that assessment, the ALJ found plaintiff unable to perform 6 any 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 a vocational expert, the ALJ found plaintiff capable of 11 performing other jobs, such as work as an order caller, bottling line attendant, or document 12 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 evaluating medical opinions, discounting his testimony, 1 and finding his impairments did not meet or equal a listed impairment. He requests remand for an 2 award of benefits or, in the alternative, for further administrative proceedings. The Commissioner 3 argues the ALJ’s decision has the support of substantial evidence and should be affirmed.
4 Medical Opinion Evidence 5 The ALJ is responsible for assessing the medical evidence and resolving any conflicts or 6 ambiguities in the record. See Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1098 (9th 7 Cir. 2014); Carmickle v. Comm’r of Soc. Sec. Admin., 533 F.3d 1155, 1164 (9th Cir. 2008). When 8 evidence reasonably supports either confirming or reversing the ALJ’s decision, the court may not 9 substitute its judgment for that of the ALJ. Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). 10 In general, more weight should be given to the opinion of a treating doctor than to a non- 11 treating doctor, and more weight to the opinion of an examining doctor than to a non-examining 12 doctor. Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1996). Where doctors’ opinions are 13 contradicted, as in this case, they may only be rejected with “‘specific and legitimate reasons’
14 supported by substantial evidence in the record for so doing.” Id. at 830-31 (quoted source 15 omitted). An ALJ must provide reasons for rejecting a medical opinion, but is not required to 16 provide reasons not for accepting and interpreting a medical opinion. Orteza v. Shalala, 50 F.3d 17 748, 750 (9th Cir. 1995). 18 Mental Impairments 19 Plaintiff’s treating therapist, Richard T. Kennedy, Psy.D., opined in December 2014 that 20 plaintiff’s “current symptoms may be potentially interfering at this time with his successfully 21 returning to work or successfully participating in any retraining program.” (AR 443.) The ALJ 22 discounted Dr. Kennedy’s opinion because plaintiff successfully completed a retraining program, 23 and because Dr. Kennedy did not provide a function-by-function assessment. (AR 27.) Plaintiff 1 contends he needed substantial accommodations in order to complete the retraining. But plaintiff 2 has not identified any mental accommodations he required, and thus has not established a need for 3 any restriction beyond the RFC limitation to simple, routine, repetitive work. The ALJ did not err
4 by discounting Dr. Kennedy’s opinion as inconsistent with plaintiff’s ability to complete a 5 retraining program. The lack of functional limitations was an additional valid reason to discount 6 Dr. Kennedy’s opinions. See Morgan v. Comm’r of Soc. Sec. Admin., 169 F.3d 595, 601 (9th Cir. 7 1999). 8 Philip Gibson, Ph.D., examined plaintiff in August 2016 and opined he had no work-related 9 psychiatric limitations. (AR 906.) The ALJ gave Dr. Gibson’s opinion “partial weight,” but 10 imposed limitations to simple, routine, repetitive tasks. (AR 27, 18.) Plaintiff argues Dr. 11 Kennedy’s opinion better accords with the longitudinal record than Dr. Gibson’s. Because the 12 ALJ permissibly discounted Dr. Kennedy’s opinion, however, it does not provide a reason to 13 discount Dr. Gibson’s opinion.
14 The ALJ did not err in addressing the opinions on mental impairments. 15 Physical Impairments 16 In April 2018 plaintiff’s treating physician, Robert G.R. Lang, M.D., approved plaintiff for 17 “modified duty” work and opined he could sit for three to four hours per day. (AR 979.) The ALJ 18 accepted much of Dr. Lang’s opinion but gave this portion limited weight because Dr. Lang 19 provided no supporting explanation and related medical findings were mild. (AR 26.) Plaintiff 20 does not appear to challenge the ALJ’s reasoning, but argues that Dr. Lang’s opinion did not 21 incorporate the effects of plaintiff’s mental impairments, or of headaches that cause “difficulty … 22 in performing his activities of daily living.” (Dkt. 11 at 10.) Headaches and mental impairments 23 have no bearing on sitting limitations. Plaintiff has shown no error in the ALJ’s handling of Dr. 1 Lang’s opinion. 2 Symptom Testimony 3 Absent evidence of malingering, an ALJ must provide specific, clear, and convincing
4 reasons to reject a claimant’s subjective symptom testimony. Burrell v. Colvin, 775 F.3d 1133, 5 1136-37 (9th Cir. 2014). “General findings are insufficient; rather, the ALJ must identify what 6 testimony is not credible and what evidence undermines the claimant’s complaints.” Lester, 81 7 F.3d at 834. In considering the intensity, persistence, and limiting effects of a claimant’s 8 symptoms, the ALJ “examine[s] the entire case record, including the objective medical evidence; 9 an individual’s statements about the intensity, persistence, and limiting effects of symptoms; 10 statements and other information provided by medical sources and other persons; and any other 11 relevant evidence in the individual’s case record.” Social Security Ruling (SSR) 16-3p. 2 12 The ALJ here found plaintiff’s statements concerning the intensity, persistence, and 13 limiting effects of his symptoms not entirely consistent with the medical and other evidence in the
14 record. The ALJ discounted plaintiff’s testimony on the grounds that allegations of disabling 15 limitations were inconsistent with his activities, including working, as well as the medical record. 16 Plaintiff contends the ALJ erred by discounting testimony that he has back problems, carpal 17 tunnel problems with his hands, long-term and short-term memory impairment, mental health 18 impairments, and three or four 45-minute headaches times per week. (Dkt. 11 at 13-14.) Plaintiff 19 fails to establish any work-related limitations that the ALJ erred in excluding from the RFC. 20 Plaintiff testified his back hurts if he sits longer than two hours, a limitation that is accommodated 21 22 2 Effective March 28, 2016, the Social Security Administration (SSA) eliminated the term “credibility” from its policy and clarified the evaluation of a claimant’s subjective symptoms is not an 23 examination of character. SSR 16-3p. The Court continues to cite to relevant case law utilizing the term credibility. 1 by normal work breaks. (AR 70.) The ALJ properly discounted testimony of hand problems 2 because in March 2016 plaintiff told a treatment provider he was “no longer having any carpal 3 tunnel symptoms.” (AR 633.) See Tonapetyan v. Halter, 242 F.3d 1144, 1148 (9th Cir. 2001)
4 (inconsistent statements are a clear and convincing reason to discount claimant’s testimony). The 5 ALJ properly discounted testimony of memory problems because objective testing documented 6 “intact” immediate, recent, and remote memory. (AR 904-05.) See Carmickle, 533 F.3d at 1161 7 (contradiction with the medical record is a sufficient basis for rejecting claimant’s subjective 8 testimony). Plaintiff testified he was depressed due to not having a job or income; he did not 9 testify to any work-related limitations due to depression or other mental impairments. (AR 75.) 10 As for other impairments, the ALJ reasonably discounted allegations that plaintiff’s 11 impairments render him incapable of work, because the record shows plaintiff performed work 12 activities during the relevant period.3 See Gregory v. Bowen, 844 F.2d 664, 666-67 (9th Cir. 1988) 13 (affirming denial of benefits where “substantial evidence indicated that the condition of Gregory’s
14 back had remained constant for a number of years and that her back problems had not prevented 15 her from working over that time.”). An April 2018 treatment note shows plaintiff was working as 16 a mechanic. (AR 973.) At the April 2018 hearing, plaintiff testified he was working eight hours 17 per day in a retraining program. (AR 76.) The ALJ reasonably concluded plaintiff was capable 18 of full-time work. 19 The ALJ did not err by discounting plaintiff’s testimony. 20 Listings 12.04 and 12.06 21 At step three, the ALJ considers whether one or more of a claimant’s impairments meet or 22
3 Although the work was full time, the wages did not rise to the level of substantial gainful activity. 23 (AR 16 (“Although the claimant performed work activities in connection with his Labor and Industries job retraining program, he did not earn wages consistent with substantial gainful activity levels.”).) 1 medically equal an impairment listed in Appendix 1 to Subpart P of the regulations. “The listings 2 define impairments that would prevent an adult, regardless of his age, education, or work 3 experience, from performing any gainful activity, not just ‘substantial gainful activity.’” Sullivan
4 v. Zebley, 493 U.S. 521, 532 (1990) (emphasis in original; citations omitted). 5 Plaintiff contends his impairments satisfy the “paragraph B” criteria for listing 12.04 or 6 12.06 because he has marked limitations in two areas of functioning. See 20 C.F.R. Pt. 404, Subpt. 7 P, App. 1, §§ 12.04, 12.06. Plaintiff contends his cognitive impairments, headaches, anxiety, and 8 depression together cause “marked” impairments in his ability to concentrate and maintain pace 9 and his ability to understand, remember, and apply information. (Dkt. 11 at 7 (citing AR 427).) 10 Plaintiff has been assessed with these conditions, but plaintiff points to no evidence in the record 11 establishing they cause the marked limitations he asserts. Plaintiff simply posits a different 12 interpretation of the record to support a step-three finding of equivalence. “Where the evidence is 13 susceptible to more than one rational interpretation, it is the ALJ’s conclusion that must be upheld.”
14 Morgan, 169 F.3d at 599. Here, the ALJ’s at least equally rational interpretation of the evidence 15 will not be disturbed. The ALJ reasonably found plaintiff had “moderate” limitations in both of 16 these functional areas but rejected further limitations because plaintiff was able to work as a 17 mechanic and because objective medical evidence showed intact memory and concentration. (AR 18 17; AR 973, 904-05.) 19 The ALJ did not err by finding plaintiff’s impairments did not meet or equal a listed 20 impairment at step three. 21 Step Five 22 Plaintiff contends error at step five based on an inaccurate RFC and incomplete 23 hypothetical to the vocational expert. However, because the Court finds no error in the assessment 1 of the medical evidence and assessed RFC and, therefore, the corresponding hypothetical to the 2 vocational expert, this restating of plaintiff’s argument fails to establish error at step five. Stubbs- 3 Danielson v. Astrue, 539 F.3d 1169, 1175-76 (9th Cir. 2008).
4 CONCLUSION 5 For the reasons set forth above, this matter is AFFIRMED. 6 DATED this 6th day of April, 2020.
7 A 8 Mary Alice Theiler 9 United States Magistrate Judge
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