1 2 3 4 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON 5 AT TACOMA 6 KENNETH S., Case No. C22-5003 TLF 7 Plaintiff, v. ORDER AFFIRMING 8 DEFENDANT’S DECISION TO COMMISSIONER OF SOCIAL SECURITY, DENY BENEFITS 9 Defendant. 10 11 Plaintiff has brought this matter for judicial review of defendant’s denial of his 12 applications for disability insurance (DIB) and supplemental security income (SSI) 13 benefits. 14 The parties have consented to have this matter heard by the undersigned 15 Magistrate Judge. 28 U.S.C. § 636(c); Federal Rule of Civil Procedure 73; Local Rule 16 MJR 13. 17 I. ISSUES FOR REVIEW 18 A. Whether the ALJ Failed to Properly Evaluate Plaintiff’s Subjective Symptom Testimony 19 B. Whether the ALJ Failed to Properly Evaluate Lay Witness Testimony 20 II. BACKGROUND 21 On October 8, 2015, plaintiff filed a Title II application for a period of disability 22 and disability insurance benefits (DIB) and a Title XVI application for supplemental 23 security income (SSI), alleging a disability onset date of March 1, 2015. Administrative 24 1 Record (“AR”) 404-17, 419, 1016, 1078. Plaintiff last met the insured status 2 requirements of the Social Security Act on June 30, 2015. 3 Plaintiff’s application was denied initially and on reconsideration. AR 279-85, 4 291-302. Administrative Law Judge (“ALJ”) Andrew S. Grace held a hearing on 5 December 3, 2017 (AR 154-84), a supplemental hearing on April 9, 2018 (AR 185-212),
6 and issued a decision on August 21, 2018 finding plaintiff not disabled. AR 98-119. On 7 April 17, 2020, the U.S. District Court, Honorable Michelle L. Peterson, ordered that ALJ 8 Grace’s decision be reversed and remanded. AR 1106-17. 9 ALJ Lawrence Lee held a new hearing on remand on September 17, 2021 (AR 10 1052-74) and issued a decision on October 15, 2021 finding plaintiff not disabled. 11 Plaintiff now seeks judicial review of the October 15, 2021 decision. Dkt. 23. 12 III. STANDARD OF REVIEW 13 Pursuant to 42 U.S.C. § 405(g), this Court may set aside the Commissioner’s 14 denial of Social Security benefits if the ALJ’s findings are based on legal error or not
15 supported by substantial evidence in the record as a whole. Revels v. Berryhill, 874 16 F.3d 648, 654 (9th Cir. 2017). Substantial evidence is “such relevant evidence as a 17 reasonable mind might accept as adequate to support a conclusion.” Biestek v. 18 Berryhill, 139 S. Ct. 1148, 1154 (2019) (internal citations omitted). 19 IV. DISCUSSION 20 A. Whether the ALJ Failed To Properly Evaluate Plaintiff’s Symptom Testimony
21 Plaintiff assigns error to the ALJ’s evaluation of his symptom testimony. Dkt. 23, 22 p. 4-8. 23 Plaintiff testified to having seizures – about three per week, if he physically exerts 24 himself too much, such as when chopping wood. AR 1059, 1066-1068. Also, he had 1 experienced seizures in bed while asleep. AR 1063. He stated the seizures had been 2 identified by medical professionals as a “pseudo seizure”, and that he was told to see a 3 psychologist. AR 1059. He stated that initially, after being diagnosed, he took 4 medication, but it did not stop the seizures; then, when it was suggested he should see 5 a psychologist he went to the psychologist’s office and, “the lady at the intake said there
6 was nothing wrong” and he did not need treatment. AR 1059, 1063, 1065. 7 Plaintiff stated he can have three seizures every week, and “typically [he] end[s] 8 up face down on the floor, flopping like a fish, and blacks out.” AR 1062. According to 9 plaintiff, after his seizures, he usually feels “groggy,” “loopy,” or he vomits. AR 1133, 10 1062-63. Plaintiff also testified that after his seizures, he has to take a nap for half an 11 hour to an hour at least because it feels like he has used every single muscle in his 12 body. AR 1133, 1067-68. 13 In weighing a plaintiff's testimony, an ALJ must use a two-step process. Trevizo 14 v. Berryhill, 871 F.3d 664, 678 (9th Cir. 217). First, the ALJ must determine whether
15 there is objective medical evidence of an underlying impairment that could reasonably 16 be expected to produce some degree of the alleged symptoms. Ghanim v. Colvin, 763 17 F.3d 1154, 1163 (9th Cir. 2014). If the first step is satisfied, and provided there is no 18 evidence of malingering, the second step allows the ALJ to reject the claimant's 19 testimony of the severity of symptoms if the ALJ can provide specific findings and clear 20 and convincing reasons for rejecting the claimant's testimony. Id. See Verduzco v. 21 Apfel, 188 F.3d 1087, 1090 (9th Cir. 1999) (inconsistent testimony about symptoms is 22 clear and convincing reason to discount subjective allegations). The ALJ is required to 23 state what testimony he or she determined to be not credible and point to the evidence 24 1 that undermines the plaintiff's credibility. Dodrill v. Shalala, 12 F.3d 915, 918 (9th Cir. 2 1993). 3 Here, the ALJ discounted plaintiff’s testimony, finding it inconsistent (1) with the 4 objective medical evidence, (2) plaintiff’s lack of treatment, and (3) his activities of daily 5 living. AR 1025-31.
6 With respect to the ALJ’s first reason, “[c]contradiction with the medical record is 7 a sufficient basis for rejecting the claimant’s subjective testimony.” Carmickle v. 8 Comm’r, Soc. Sec. Admin., 533 F.3d 1155, 1161 (9th Cir. 2008) (citing Johnson v. 9 Shalala, 60 F.3d 1428, 1434 (9th Cir.1995)). In this case, the ALJ specifically identified 10 plaintiff’s treatment notes showing largely normal mental status and physical findings. 11 AR 1026, 1031. The notes show plaintiff was often found alert, mentally oriented, in no 12 acute distress, with normal memory, orientation, and insight after his seizures. AR 717, 13 529, 531, 536, 540, 545, 550, 556, 560, 735, 776, 771, 829-30, 934, 954, 967, 987. 14 They show that after plaintiff’s symptoms were resolved, he had normal coordination, he
15 was able to follow commands, he would return to baseline, and there would be no 16 postictal period. AR 105, 127, 763, 826, 878, 883, 968. Further, plaintiff was 17 continuously found to have normal or stable gait, normal range of motion, and full 18 muscle strength. AR 127, 593, 673, 734-36, 800-01, 805, 826-29, 843-46, 850, 858-61, 19 878, 954, 968, 970, 972, 987, 1565-66. Given that the medical evidence shows plaintiff 20 exhibited largely normal mental and physical functioning after his seizures, the ALJ 21 could reasonably discount his testimony regarding the effect of his seizures. 22 Plaintiff argues the cited evidence is irrelevant to his testimony about how his 23 “seizures [are] triggered by effort to the point of shortness of breath with variable 24 1 postictal decompensation.” Dkt. 12, p. 6. Plaintiff also cites findings by several of 2 plaintiff’s treating sources to show that “the psychogenic source of the seizures was well 3 established.” See Dkt. 12, p. 6-7. Plaintiff’s attorney clarified during the administrative 4 hearing that “we are essentially looking at a somatoform conversion disorder. . . .” AR 5 1064, 1069.
6 But plaintiff seems to misunderstand the ALJ’s reasoning.
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1 2 3 4 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON 5 AT TACOMA 6 KENNETH S., Case No. C22-5003 TLF 7 Plaintiff, v. ORDER AFFIRMING 8 DEFENDANT’S DECISION TO COMMISSIONER OF SOCIAL SECURITY, DENY BENEFITS 9 Defendant. 10 11 Plaintiff has brought this matter for judicial review of defendant’s denial of his 12 applications for disability insurance (DIB) and supplemental security income (SSI) 13 benefits. 14 The parties have consented to have this matter heard by the undersigned 15 Magistrate Judge. 28 U.S.C. § 636(c); Federal Rule of Civil Procedure 73; Local Rule 16 MJR 13. 17 I. ISSUES FOR REVIEW 18 A. Whether the ALJ Failed to Properly Evaluate Plaintiff’s Subjective Symptom Testimony 19 B. Whether the ALJ Failed to Properly Evaluate Lay Witness Testimony 20 II. BACKGROUND 21 On October 8, 2015, plaintiff filed a Title II application for a period of disability 22 and disability insurance benefits (DIB) and a Title XVI application for supplemental 23 security income (SSI), alleging a disability onset date of March 1, 2015. Administrative 24 1 Record (“AR”) 404-17, 419, 1016, 1078. Plaintiff last met the insured status 2 requirements of the Social Security Act on June 30, 2015. 3 Plaintiff’s application was denied initially and on reconsideration. AR 279-85, 4 291-302. Administrative Law Judge (“ALJ”) Andrew S. Grace held a hearing on 5 December 3, 2017 (AR 154-84), a supplemental hearing on April 9, 2018 (AR 185-212),
6 and issued a decision on August 21, 2018 finding plaintiff not disabled. AR 98-119. On 7 April 17, 2020, the U.S. District Court, Honorable Michelle L. Peterson, ordered that ALJ 8 Grace’s decision be reversed and remanded. AR 1106-17. 9 ALJ Lawrence Lee held a new hearing on remand on September 17, 2021 (AR 10 1052-74) and issued a decision on October 15, 2021 finding plaintiff not disabled. 11 Plaintiff now seeks judicial review of the October 15, 2021 decision. Dkt. 23. 12 III. STANDARD OF REVIEW 13 Pursuant to 42 U.S.C. § 405(g), this Court may set aside the Commissioner’s 14 denial of Social Security benefits if the ALJ’s findings are based on legal error or not
15 supported by substantial evidence in the record as a whole. Revels v. Berryhill, 874 16 F.3d 648, 654 (9th Cir. 2017). Substantial evidence is “such relevant evidence as a 17 reasonable mind might accept as adequate to support a conclusion.” Biestek v. 18 Berryhill, 139 S. Ct. 1148, 1154 (2019) (internal citations omitted). 19 IV. DISCUSSION 20 A. Whether the ALJ Failed To Properly Evaluate Plaintiff’s Symptom Testimony
21 Plaintiff assigns error to the ALJ’s evaluation of his symptom testimony. Dkt. 23, 22 p. 4-8. 23 Plaintiff testified to having seizures – about three per week, if he physically exerts 24 himself too much, such as when chopping wood. AR 1059, 1066-1068. Also, he had 1 experienced seizures in bed while asleep. AR 1063. He stated the seizures had been 2 identified by medical professionals as a “pseudo seizure”, and that he was told to see a 3 psychologist. AR 1059. He stated that initially, after being diagnosed, he took 4 medication, but it did not stop the seizures; then, when it was suggested he should see 5 a psychologist he went to the psychologist’s office and, “the lady at the intake said there
6 was nothing wrong” and he did not need treatment. AR 1059, 1063, 1065. 7 Plaintiff stated he can have three seizures every week, and “typically [he] end[s] 8 up face down on the floor, flopping like a fish, and blacks out.” AR 1062. According to 9 plaintiff, after his seizures, he usually feels “groggy,” “loopy,” or he vomits. AR 1133, 10 1062-63. Plaintiff also testified that after his seizures, he has to take a nap for half an 11 hour to an hour at least because it feels like he has used every single muscle in his 12 body. AR 1133, 1067-68. 13 In weighing a plaintiff's testimony, an ALJ must use a two-step process. Trevizo 14 v. Berryhill, 871 F.3d 664, 678 (9th Cir. 217). First, the ALJ must determine whether
15 there is objective medical evidence of an underlying impairment that could reasonably 16 be expected to produce some degree of the alleged symptoms. Ghanim v. Colvin, 763 17 F.3d 1154, 1163 (9th Cir. 2014). If the first step is satisfied, and provided there is no 18 evidence of malingering, the second step allows the ALJ to reject the claimant's 19 testimony of the severity of symptoms if the ALJ can provide specific findings and clear 20 and convincing reasons for rejecting the claimant's testimony. Id. See Verduzco v. 21 Apfel, 188 F.3d 1087, 1090 (9th Cir. 1999) (inconsistent testimony about symptoms is 22 clear and convincing reason to discount subjective allegations). The ALJ is required to 23 state what testimony he or she determined to be not credible and point to the evidence 24 1 that undermines the plaintiff's credibility. Dodrill v. Shalala, 12 F.3d 915, 918 (9th Cir. 2 1993). 3 Here, the ALJ discounted plaintiff’s testimony, finding it inconsistent (1) with the 4 objective medical evidence, (2) plaintiff’s lack of treatment, and (3) his activities of daily 5 living. AR 1025-31.
6 With respect to the ALJ’s first reason, “[c]contradiction with the medical record is 7 a sufficient basis for rejecting the claimant’s subjective testimony.” Carmickle v. 8 Comm’r, Soc. Sec. Admin., 533 F.3d 1155, 1161 (9th Cir. 2008) (citing Johnson v. 9 Shalala, 60 F.3d 1428, 1434 (9th Cir.1995)). In this case, the ALJ specifically identified 10 plaintiff’s treatment notes showing largely normal mental status and physical findings. 11 AR 1026, 1031. The notes show plaintiff was often found alert, mentally oriented, in no 12 acute distress, with normal memory, orientation, and insight after his seizures. AR 717, 13 529, 531, 536, 540, 545, 550, 556, 560, 735, 776, 771, 829-30, 934, 954, 967, 987. 14 They show that after plaintiff’s symptoms were resolved, he had normal coordination, he
15 was able to follow commands, he would return to baseline, and there would be no 16 postictal period. AR 105, 127, 763, 826, 878, 883, 968. Further, plaintiff was 17 continuously found to have normal or stable gait, normal range of motion, and full 18 muscle strength. AR 127, 593, 673, 734-36, 800-01, 805, 826-29, 843-46, 850, 858-61, 19 878, 954, 968, 970, 972, 987, 1565-66. Given that the medical evidence shows plaintiff 20 exhibited largely normal mental and physical functioning after his seizures, the ALJ 21 could reasonably discount his testimony regarding the effect of his seizures. 22 Plaintiff argues the cited evidence is irrelevant to his testimony about how his 23 “seizures [are] triggered by effort to the point of shortness of breath with variable 24 1 postictal decompensation.” Dkt. 12, p. 6. Plaintiff also cites findings by several of 2 plaintiff’s treating sources to show that “the psychogenic source of the seizures was well 3 established.” See Dkt. 12, p. 6-7. Plaintiff’s attorney clarified during the administrative 4 hearing that “we are essentially looking at a somatoform conversion disorder. . . .” AR 5 1064, 1069.
6 But plaintiff seems to misunderstand the ALJ’s reasoning. The ALJ did not 7 discount the fact that plaintiff experienced psychogenic seizures, how his seizures were 8 triggered, or the frequency of his seizures. Rather, the ALJ discounted the plaintiff’s 9 statements about the severity of the seizures’ “limiting effects”. AR 1025. As explained 10 above, the ALJ reasonably did so because plaintiff’s medical record undermined his 11 statements about his mental and physical functioning after his seizures. Accordingly, the 12 Court finds the ALJ did not err in discounting plaintiff’s testimony due to its 13 inconsistency with the objective medical evidence. 14 Having found that the ALJ did not err discounting plaintiff’s testimony for its
15 inconsistency with the objective medical evidence, the Court need not address whether 16 the ALJ erred evaluating his testimony for the other reasons provided above. Even if the 17 ALJ committed error on those grounds, those errors would be harmless because the 18 ALJ has provided a specific and legitimate reason for discounting plaintiff’s testimony. 19 See Carmickle, Carmickle v. Comm’r, Soc. Sec. Admin., 533 F.3d 1155, 1161 (9th Cir. 20 2008). 21 B. Whether the ALJ Failed to Properly Evaluate Lay Witness Evidence
22 Plaintiff also assigns error to the ALJ’s evaluation of lay witness testimony. Dkt. 23 23, p. 8-10. 24 1 Plaintiff’s wife testified that after plaintiff chops wood, or if the temperature is too 2 hot outside, plaintiff has seizures. AR 176-76. She also testified that after his seizures, 3 he vomits at times and needs to be in bed for one to two days to recover. AR 176. 4 When evaluating opinions from non-acceptable medical sources such as a 5 therapist or a family member, an ALJ may expressly disregard such lay testimony if
6 the ALJ provides “reasons germane to each witness for doing so.” Turner v. Comm'r of 7 Soc. Sec., 613 F.3d 1217, 1224 (9th Cir. 2010). But when lay witness testimony 8 includes similar limitations as the claimant’s testimony, an “ALJ’s well-supported 9 reasons for rejecting the claimant's testimony apply equally well to the lay witness 10 testimony.” See Molina v. Astrue, 674 F.3d 1104, 1117 (9th Cir. 2012). 11 Here, information provided by plaintiff’s wife substantially mirrors plaintiff’s 12 testimony. AR 172-78. And because the Court found that the ALJ properly rejected 13 plaintiff’s testimony due to its inconsistency with objective medical evidence, it follows 14 that this same reason is sufficient to properly reject the lay witness testimony. See
15 Molina, 674 F.3d at 1117. Accordingly, the Court finds the ALJ did not err in rejecting lay 16 witness testimony. 17 18 19 20 21 22 23 24 1 CONCLUSION 2 Based on the foregoing discussion, the Court finds the ALJ properly determined 3 plaintiff to be not disabled. Defendant’s decision to deny benefits therefore is 4 AFFIRMED. 5 Dated this 23rd day of September, 2022.
6 7 A 8 Theresa L. Fricke 9 United States Magistrate Judge
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