5 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON 6 AT SEATTLE
7 SHILAWNA M.,
8 Plaintiff, CASE NO. C19-1637-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 her appeal of a final decision of the Commissioner of 14 the Social Security Administration (Commissioner). The Commissioner denied plaintiff’s 15 application for Disability Insurance Benefits (DIB) after a hearing before an Administrative Law 16 Judge (ALJ). Having considered the ALJ’s decision, the administrative record (AR), and all 17 memoranda, this matter is AFFIRMED. 18 FACTS AND PROCEDURAL HISTORY 19 Plaintiff was born on XXXX, 1977.1 She completed high school. (AR 44.) She has past 20 relevant work as a medical office manager/administrative assistant and patient account specialist/ 21 collection clerk. (AR 32.) 22 Plaintiff filed for DIB on June 13, 2016, alleging disability beginning December 17, 2015. 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 (AR 18.) The application was denied initially and on reconsideration. ALJ Eric S. Basse held a 2 hearing on April 27, 2018, taking testimony from plaintiff and a vocational expert (VE). (AR 40- 3 103.) On November 9, 2018, the ALJ issued a decision finding plaintiff not disabled. (AR 18-
4 34.) Plaintiff timely appealed. The Appeals Council denied the request for review on September 5 4, 2019 (AR 1-5), making the ALJ’s decision the final decision of the Commissioner. Plaintiff 6 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’s 15 degenerative disc disease; curvature of the spine; disorder of the muscles and ligaments (Ehlrer- 16 Danlos syndrome, hypermobility type); asthma/chronic obstructive pulmonary disease; 17 inflammatory bowel disease; frontal temporal dysfunction; affective disorder; and anxiety disorder 18 severe. The ALJ found plaintiff’s gastro-esophageal reflux disease, postural orthostatic 19 tachycardia syndrome, fibromyalgia, endometriosis, and post-traumatic stress disorder not severe. 20 Step three asks whether a claimant’s impairments meet or equal a listed impairment. The ALJ 21 found plaintiff’s impairments did not meet or equal a listing. 22 If a claimant’s impairments do not meet or equal a listing, the Commissioner must assess 23 residual functional capacity (RFC) and determine at step four whether the claimant demonstrated 1 an inability to perform past relevant work. The ALJ found plaintiff able to perform sedentary work 2 as defined in 20 C.F.R. § 404.1567(a), except with no concentrated exposure to pulmonary 3 irritants, extreme heat, or extreme cold; no exposure to bright light, but moderate light exposure is
4 okay; no more than moderate exposure to noise level that would compare to office type noises; is 5 limited to simple, routine and repetitive tasks and short, simple instructions; should not interact 6 with the general public; needs a routine and stable work environment; and can only handle and 7 finger bilaterally frequently. With this RFC, the ALJ found plaintiff unable to perform her past 8 relevant work. 9 At step five, the burden shifts to the Commissioner to demonstrate the claimant retains the 10 capacity to make an adjustment to work that exists in significant levels in the national economy. 11 With the VE’s assistance, the ALJ found plaintiff able to perform other jobs, such as work as 12 document scanner, final assembler, and bench hand, and therefore not disabled. 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 avers error in the ALJ’s failure to address ankylosing spondylosis and apparent 1 somatoform disorder, and her absenteeism and its effect on her ability to sustain employment. She 2 requests remand for further proceedings. The Commissioner argues the ALJ’s decision has the 3 support of substantial evidence and should be affirmed.
4 Step Two 5 At step two, a claimant must make a threshold showing her medically determinable 6 impairments significantly limit her ability to perform basic work activities. See Bowen v. Yuckert, 7 482 U.S. 137, 145 (1987); 20 C.F.R. §§ 404.1520(c), 416.920(c). An impairment must result from 8 anatomical, physiological, or psychological abnormalities which can be shown by medically 9 acceptable clinical and laboratory diagnostic techniques, and established by medical evidence 10 consisting of signs, symptoms, and laboratory findings, not only by a statement of symptoms. 20 11 C.F.R. § 404.1521. Accord Social Security Ruling (SSR) 96-4p (“under no circumstances may 12 the existence of an impairment be established on the basis of symptoms alone.”); Ukolov v. 13 Barnhart, 420 F.3d 1002, 1005 (9th Cir. 2005) (same). See also Bayliss v. Barnhart, 427 F.3d
14 1211, 1217 (9th Cir. 2005) (finding no error in ALJ’s failure to explicitly address the drowsiness 15 side effect of a claimant’s medications where “[i]n making his RFC determination, the ALJ took 16 into account those limitations for which there was record support that did not depend on [the 17 claimant’s] subjective complaints.”). Nor is a diagnosis alone sufficient to establish a severe 18 impairment. Instead, a claimant must show her medically determinable impairments are severe.
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5 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON 6 AT SEATTLE
7 SHILAWNA M.,
8 Plaintiff, CASE NO. C19-1637-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 her appeal of a final decision of the Commissioner of 14 the Social Security Administration (Commissioner). The Commissioner denied plaintiff’s 15 application for Disability Insurance Benefits (DIB) after a hearing before an Administrative Law 16 Judge (ALJ). Having considered the ALJ’s decision, the administrative record (AR), and all 17 memoranda, this matter is AFFIRMED. 18 FACTS AND PROCEDURAL HISTORY 19 Plaintiff was born on XXXX, 1977.1 She completed high school. (AR 44.) She has past 20 relevant work as a medical office manager/administrative assistant and patient account specialist/ 21 collection clerk. (AR 32.) 22 Plaintiff filed for DIB on June 13, 2016, alleging disability beginning December 17, 2015. 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 (AR 18.) The application was denied initially and on reconsideration. ALJ Eric S. Basse held a 2 hearing on April 27, 2018, taking testimony from plaintiff and a vocational expert (VE). (AR 40- 3 103.) On November 9, 2018, the ALJ issued a decision finding plaintiff not disabled. (AR 18-
4 34.) Plaintiff timely appealed. The Appeals Council denied the request for review on September 5 4, 2019 (AR 1-5), making the ALJ’s decision the final decision of the Commissioner. Plaintiff 6 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’s 15 degenerative disc disease; curvature of the spine; disorder of the muscles and ligaments (Ehlrer- 16 Danlos syndrome, hypermobility type); asthma/chronic obstructive pulmonary disease; 17 inflammatory bowel disease; frontal temporal dysfunction; affective disorder; and anxiety disorder 18 severe. The ALJ found plaintiff’s gastro-esophageal reflux disease, postural orthostatic 19 tachycardia syndrome, fibromyalgia, endometriosis, and post-traumatic stress disorder not severe. 20 Step three asks whether a claimant’s impairments meet or equal a listed impairment. The ALJ 21 found plaintiff’s impairments did not meet or equal a listing. 22 If a claimant’s impairments do not meet or equal a listing, the Commissioner must assess 23 residual functional capacity (RFC) and determine at step four whether the claimant demonstrated 1 an inability to perform past relevant work. The ALJ found plaintiff able to perform sedentary work 2 as defined in 20 C.F.R. § 404.1567(a), except with no concentrated exposure to pulmonary 3 irritants, extreme heat, or extreme cold; no exposure to bright light, but moderate light exposure is
4 okay; no more than moderate exposure to noise level that would compare to office type noises; is 5 limited to simple, routine and repetitive tasks and short, simple instructions; should not interact 6 with the general public; needs a routine and stable work environment; and can only handle and 7 finger bilaterally frequently. With this RFC, the ALJ found plaintiff unable to perform her past 8 relevant work. 9 At step five, the burden shifts to the Commissioner to demonstrate the claimant retains the 10 capacity to make an adjustment to work that exists in significant levels in the national economy. 11 With the VE’s assistance, the ALJ found plaintiff able to perform other jobs, such as work as 12 document scanner, final assembler, and bench hand, and therefore not disabled. 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 avers error in the ALJ’s failure to address ankylosing spondylosis and apparent 1 somatoform disorder, and her absenteeism and its effect on her ability to sustain employment. She 2 requests remand for further proceedings. The Commissioner argues the ALJ’s decision has the 3 support of substantial evidence and should be affirmed.
4 Step Two 5 At step two, a claimant must make a threshold showing her medically determinable 6 impairments significantly limit her ability to perform basic work activities. See Bowen v. Yuckert, 7 482 U.S. 137, 145 (1987); 20 C.F.R. §§ 404.1520(c), 416.920(c). An impairment must result from 8 anatomical, physiological, or psychological abnormalities which can be shown by medically 9 acceptable clinical and laboratory diagnostic techniques, and established by medical evidence 10 consisting of signs, symptoms, and laboratory findings, not only by a statement of symptoms. 20 11 C.F.R. § 404.1521. Accord Social Security Ruling (SSR) 96-4p (“under no circumstances may 12 the existence of an impairment be established on the basis of symptoms alone.”); Ukolov v. 13 Barnhart, 420 F.3d 1002, 1005 (9th Cir. 2005) (same). See also Bayliss v. Barnhart, 427 F.3d
14 1211, 1217 (9th Cir. 2005) (finding no error in ALJ’s failure to explicitly address the drowsiness 15 side effect of a claimant’s medications where “[i]n making his RFC determination, the ALJ took 16 into account those limitations for which there was record support that did not depend on [the 17 claimant’s] subjective complaints.”). Nor is a diagnosis alone sufficient to establish a severe 18 impairment. Instead, a claimant must show her medically determinable impairments are severe. 19 See 20 C.F.R. § 404.1521. Even if an ALJ does err in failing to find an impairment severe at step 20 two, such error is properly deemed harmless where the limitations associated with the impairment 21 are considered at step four. Lewis v. Astrue, 498 F.3d 909, 911 (9th Cir. 2007). 22 A. Ankylosing Spondylosis 23 Plaintiff argues the ALJ erred by failing to consider ankylosing spondylosis at step two of 1 the sequential evaluation, and by failing to consider any impairment that may have been caused by 2 this condition. Her only support for this argument is her hearing testimony she has ankylosing 3 spondylosis. (AR 69-70.) The ALJ acknowledged “somebody mentioned it in the record”, and
4 asked plaintiff if the condition had been “actually diagnosed”. Plaintiff responded, “yes.” (Id.) 5 A medically determinable impairment must be diagnosed by an acceptable medical source. 6 20 C.F.R. § 404.1521. Even if the ALJ had erred in failing to find such an impairment at step two, 7 plaintiff fails to show such finding would have resulted in additional RFC restrictions. See Bray 8 v. Comm’r of Social Sec. Admin., 554 F.3d 1219, 1228-29 (9th Cir. 2009) (“[Plaintiff] posits that 9 a severe impairment, by definition, inhibits a claimant from engaging in “basic work activities,” 10 and the ALJ’s statement of her RFC does not capture that limitation. [Plaintiff] offers no authority 11 to support the proposition that a severe mental impairment must correspond to limitations on a 12 claimant’s ability to perform basic work activities.”). Plaintiff fails to show harmful error in the 13 ALJ’s consideration of the condition of ankylosing spondylosis.
14 B. Somatoform Disorder 15 Similarly, plaintiff argues the ALJ failed to consider “an apparent somatoform disorder, or 16 somatic concerns of [plaintiff’s] treating physicians”. (Dkt. 17 at 6.) Despite plaintiff’s attempts 17 at construing certain portions of the medical record as corroborative of this condition, no medical 18 source has made this diagnosis. Furthermore, as discussed above, the mere presence of a diagnosis 19 is insufficient to establish a severe impairment. Plaintiff fails to show the ALJ erred by not finding 20 a severe somatoform disorder at step two. 21 Step Four 22 At step four, the ALJ must identify plaintiff’s functional limitations or restrictions, and 23 assess her work-related abilities on a function-by-function basis, including a narrative discussion. 1 See 20 C.F.R. §§ 404.1545, 416.945; SSR 96-8p. RFC is the most a claimant can do considering 2 his or her limitations or restrictions. See SSR 96-8p. 3 Plaintiff first points to her testimony about taking leave from work on multiple occasions,
4 noting her termination from her last job for taking leave. (Dkt. 17 at 9.) Plaintiff does not cite any 5 record evidence, other than her own testimony, that establishes the medical necessity for these 6 absences. The ALJ did not fully credit plaintiff’s testimony about her difficulties, and no medical 7 opinion corroborates the need for an accommodation for absenteeism. (AR 23-24.) An ALJ need 8 not include in the RFC assessment properly discounted opinion evidence or claimant testimony. 9 Batson v. Comm’r of the SSA, 359 F.3d 1190, 1197 (9th Cir. 2004). 10 Plaintiff argues the ALJ erred by failing to consider the impact of absenteeism on her ability 11 to sustain employment. She cites the neuropsychological evaluation by Evelyn Reilly, Psy.D., 12 who concluded plaintiff would be “likely to experience continued work performance difficulties 13 if she returned to her position at this time”. (Dkt 17 at 9.) As plaintiff acknowledges, however,
14 the ALJ found Dr. Reilly’s opinion “generally well-supported … and thus entitled to significant 15 weight”, and accordingly adopted limitations on plaintiff’s functional capacity such as “simple, 16 routine, repetitive tasks involving short, simple instructions in a routine and stable work 17 environment and should not be required to interact with the general public.” (AR 31.) Consistent 18 with Dr. Reilly’s opinion plaintiff would have difficulty “if she returned to her position at this 19 time” (id.), the ALJ found plaintiff unable to perform past relevant work. (AR 32.) The ALJ did 20 not specifically adopt Dr. Reilly’s “advice and guidance to the claimant in regard to improving her 21 functioning” such as minimizing distractions or taking attention breaks with brief physical activity. 22 (AR 31, 859-60.) In giving Dr. Reilly’s overall opinion significant weight, the ALJ did not err in 23 omitting recommendations described by the psychologist as “strategies. . . to maximize 1 cognition.” (id.) Carmickle v. Comm’r, SSA, 533 F.3d 1155, 1165 (9th Cir. 2008) (An ALJ may 2 reasonably decline to adopt the opinion of a physician “offered as a recommendation, not an 3 imperative.”) Plaintiff, in sum, does not show the ALJ committed error in evaluating plaintiff’s
4 RFC. 5 CONCLUSION 6 For the reasons set forth above, this matter is AFFIRMED. 7 DATED this 3rd day of April, 2020.
8 A 9 Mary Alice Theiler 10 United States Magistrate Judge
11 12 13 14 15 16 17 18 19 20 21 22 23