Kyler D. W. v. Acting Commissioner of Social Security

District Court, W.D. Washington·Decided June 3, 2026·No. 3:25-cv-05545·Unknown

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON 5 AT TACOMA 6 KYLER D. W., Case No. 3:25-cv-05545-TLF 7 Plaintiff, v. ORDER REVERSING AND 8 REMANDING DEFENDANT’S ACTING COMMISSIONER OF SOCIAL DECISION TO DENY BENEFITS 9 SECURITY, 10 Defendant. 11 12 Plaintiff filed this action pursuant to 42 U.S.C. § 405(g) for judicial review of 13 defendant’s denial of plaintiff’s application for supplemental security income (“SSI”) and 14 disability insurance benefits (“DIB”). Pursuant to 28 U.S.C. § 636(c), Federal Rule of 15 Civil Procedure 73, and Local Rule MJR 13, the parties have consented to have this 16 matter heard by the undersigned Magistrate Judge. Dkt. 2. Plaintiff challenges the ALJ’s 17 decision finding that plaintiff was not disabled. Dkt. 5, Complaint. 18 FACTUAL AND PROCEDURAL BACKGROUND 19 Plaintiff filed her claim for SSI and DIB on May 15, 2023, alleging disability as of 20 August 1, 2022. AR 17. Her application was denied initially and on reconsideration. Id. 21 ALJ Mark Triplett held a hearing on December 4, 2024, and issued a decision later that 22 month finding plaintiff not disabled. AR 17-31. The ALJ found that plaintiff’s deformity of 23 the left lower extremity (club foot), left ankle degenerative joint disease/osteopenia, and 24 obesity were severe impairments. AR 20. Plaintiff had the residual functional capacity to 1 perform light work as defined in 20 C.F.R. §§ 404.1567(b) and 416.967(b) except she 2 could lift and carry 20 pounds occasionally and 10 pounds frequently; stand and walk 3 3 hours in an 8-hour day; sit for 6 or more hours in an 8-hour day; occasionally climb 4 ramps and stairs; never climb ladders, ropes, and scaffolds; occasionally balance,

5 stoop, kneel, crouch, and crawl; and occasionally tolerate exposure to extreme cold, 6 vibration, and workplace hazards such as unprotected heights and exposed, moving 7 machinery. AR 22. 8 The ALJ found plaintiff could perform work existing in the national economy and 9 was accordingly not disabled. AR 29-30. The Appeals Council denied plaintiff’s request 10 for review, making the ALJ’s decision the final decision of the Commissioner. AR 1-3. 11 DISCUSSION 12 Pursuant to 42 U.S.C. § 405(g), this Court may set aside the Commissioner's 13 denial of Social Security benefits if the ALJ's findings are based on legal error or not 14 supported by substantial evidence in the record as a whole. Revels v. Berryhill, 874

15 F.3d 648, 654 (9th Cir. 2017) (internal citations omitted). Substantial evidence is “‘such 16 relevant evidence as a reasonable mind might accept as adequate to support a 17 conclusion.’” Biestek v. Berryhill, 139 S. Ct. 1148, 1154 (2019) (internal citations 18 omitted). The Court must consider the administrative record as a whole. Garrison v. 19 Colvin, 759 F.3d 995, 1009 (9th Cir. 2014). The Court also must weigh both the 20 evidence that supports and evidence that does not support the ALJ’s conclusion. Id. 21 The Court may not affirm the decision of the ALJ for a reason upon which the ALJ did 22 not rely. Id. Rather, only the reasons identified by the ALJ are considered in the scope 23 of the Court’s review. Id.

24 1 1. Medical evidence. 2 Under the applicable regulations, the ALJ was required to articulate how 3 persuasive he found each medical opinion or prior administrative medical finding and 4 explain how he considered supportability and consistency in his analysis. 20 C.F.R. §§

5 404.1520c(b)(2), 416.920c(b)(2). Supportability means the extent to which a medical 6 source supports their opinion by explaining the relevant medical evidence. Woods v. 7 Kijakazi, 32 F.4th 785, 791-92 (9th Cir. 2022). Consistency means the extent to which 8 an opinion is consistent with the evidence from other medical and non-medical sources 9 in the claim. Id. at 792. An ALJ cannot reject an opinion as unsupported or inconsistent 10 without providing an explanation supported by substantial evidence. Id. 11 a. Michael Lundborg, DPM 12 Dr. Lundborg, plaintiff’s treating podiatrist, opined that plaintiff could perform 13 sedentary work involving lifting no more than ten pounds and walking or standing only 14 for brief periods. AR 368. Dr. Lundborg also found that plaintiff’s foot deformity caused a

15 very significant interference with her ability to sit, stand, walk, fit, carry, push, pull, and 16 crouch. AR 366. The ALJ found Dr. Lundborg’s opinion unpersuasive on both 17 supportability and consistency grounds. 18 i. Supportability 19 The ALJ found that Dr. Lundborg’s clinical findings did not support marked 20 functional limitations or any restrictions on lifting or carrying. AR 26 (citing AR 391, 397, 21 400, 403, 406). The ALJ reasoned that such limitations were not warranted because 22 plaintiff had no signs of instability or loss of sensation. Id. The ALJ did not explain why 23

24 1 signs of instability or loss of sensation were required to support marked limitations, and 2 there appears to be no basis in the record for this conclusion. 3 The ALJ’s December 2024 decision concentrated on neutral or non-specific 4 observations in medical records, but overlooked or failed to mention (AR 24, 26-27) a

5 number of other findings. For example, the ALJ’s decision mentions generally some of 6 Dr. Lundborg’s examination findings in April and May 2022, but does not discuss the 7 assessment that plaintiff required surgery for removal of a prominent and palpable 8 screw in the left heel; or that Dr. Lundborg discussed with plaintiff that a long term 9 solution would be surgical reconstruction of the left foot. AR 424. The ALJ’s decision 10 does not discuss findings in September 2023, when Dr. Lundborg again examined 11 plaintiff and suggested surgery -- in January 2024, he performed left foot surgery. AR 12 433, 999-1000. Nor does the ALJ’s decision mention a post-operative appointment in 13 June 2024, when plaintiff reported 6/10 pain, and Dr. Lundborg determined there was 14 muscle weakness in the left ankle for which plaintiff was given an exercise schedule –

15 but with the caveat that if pain persisted or got worse, plaintiff should discontinue the 16 exercises and contact the doctor. AR 1010-1011. In August 2024, plaintiff reported pain 17 of 5/10, and Dr. Lundborg reviewed updated x-rays, noted muscle weakness, gave an 18 exercise recommendation with the same caveat about pain, and found osteoarthritis in 19 both ankles. AR 1019. In later evaluation on August 18, 2024, the pain was reported to 20 be 1/10 and strength was returning to the left foot. AR 1021-1024. Even with this 21 improvement, Dr. Lundborg stated that he discussed with plaintiff a possible need for 22 more left foot surgery, “including fusion of the midfoot”. AR 1024. In October 2024, Dr. 23 Lundborg noted that plaintiff had pain when performing range of motion, and he told

24 1 plaintiff to utilize an ankle brace for a month and return for another evaluation. AR 1035. 2 Thus, the ALJ’s decision that Dr. Lundborg’s opinion lacked support in the record of Dr. 3 Lundborg’s evaluations of plaintiff is unsupported by substantial evidence. 4 It is improper for an ALJ to act as his own medical expert, substituting his opinion

5 for the opinion of a medical doctor. Day v.

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