1 2 3 4 5 UNITED STATES DISTRICT COURT 6 WESTERN DISTRICT OF WASHINGTON AT SEATTLE 7 8 AMANDA W., 9 Plaintiff, Case No. C19-5598 MLP 10 v. ORDER 11 COMMISSIONER OF SOCIAL SECURITY, 12 Defendant. 13 I. INTRODUCTION 14 Plaintiff seeks review of the denial of her application for Supplemental Security Income. 15 Plaintiff contends the administrative law judge (“ALJ”) erred by discounting medical opinions 16 and her own testimony describing manipulative limitations. (Dkt. # 13 at 1.) As discussed below, 17 the Court AFFIRMS the Commissioner’s final decision and DISMISSES the case with prejudice. 18 II. BACKGROUND 19 Plaintiff was born in 1980, has a ninth-grade education, and has worked as a fast food 20 worker, cook helper, and cleaner. AR at 26, 68. Plaintiff was last gainfully employed in 2010. Id. 21 at 290. 22 In August 2015, Plaintiff applied for benefits, alleging disability as of February 1, 2012. 23 AR at 257-62. Plaintiff’s applications were denied initially and on reconsideration, and Plaintiff 1 requested a hearing. Id. at 140-51, 155-64. After the ALJ conducted a hearing in February 2018 2 (dkt. # 12), the ALJ issued a decision finding Plaintiff not disabled. AR at 15-28. 3 Utilizing the five-step disability evaluation process,1 the ALJ found:
4 Step one: Plaintiff has not engaged in substantial gainful activity since the application date. 5 Step two: Plaintiff’s lumbar spondylosis without myelopathy; mild bilateral carpal tunnel 6 syndrome, status-post left surgical release; status-post left wrist ganglion removal; trochanteric hip bursitis; cervical spine degenerative disc disease; right shoulder 7 impingement and bicipital tenosynovitis; congenital short right clavicle with wide acromioclavicular joint; history of irritable bowel syndrome and gastroparesis; major 8 depressive disorder; posttraumatic stress disorder; borderline personality disorder; borderline intellectual functioning; and somatic symptom disorder are severe 9 impairments.
10 Step three: These impairments do not meet or equal the requirements of a listed impairment.2 11 Residual Functional Capacity: Plaintiff can perform light work with additional 12 impairments: she can occasionally balance, stoop, kneel, and crouch, and never climb or crawl. She can occasionally reach above shoulder level and frequently reach below 13 shoulder level. She can frequently handle and finger bilaterally. She must avoid concentrated exposure to vibration and hazards. She can perform simple, routine tasks 14 and follow short, simple instructions. She can do work that needs little or no judgment and can perform simple duties that can be learned on the job in a short period. She 15 requires a work environment with minimal supervisor contact (i.e. contact that does not occur regularly, but this term does not preclude simple and superficial exchanges or being 16 in proximity to supervisors). She can work in proximity to co-workers, but cannot have more than superficial interactions with co-workers and cannot work in a cooperative or 17 team effort. She requires a work environment that is predictable with few work setting changes and no public contact. 18 Step four: Plaintiff cannot perform past relevant work. 19 Step five: As there are jobs that exist in significant numbers in the national economy that 20 Plaintiff can perform, Plaintiff is not disabled.
21 AR at 15-28. 22 As the Appeals Council denied Plaintiff’s request for review, the ALJ’s decision is the 23 1 20 C.F.R. § 416.920. 2 20 C.F.R. Part 404, Subpart P, Appendix 1. 1 Commissioner’s final decision. AR at 1-6. Plaintiff appealed the final decision of the 2 Commissioner to this Court. (Dkt. # 4.) 3 III. LEGAL STANDARDS 4 Under 42 U.S.C. § 405(g), this Court may set aside the Commissioner’s denial of social 5 security benefits when the ALJ’s findings are based on legal error or not supported by substantial
6 evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 (9th Cir. 2005). As a 7 general principle, an ALJ’s error may be deemed harmless where it is “inconsequential to the 8 ultimate nondisability determination.” Molina v. Astrue, 674 F.3d 1104, 1115 (9th Cir. 2012) 9 (cited sources omitted). The Court looks to “the record as a whole to determine whether the error 10 alters the outcome of the case.” Id. 11 “Substantial evidence” is more than a scintilla, less than a preponderance, and is such 12 relevant evidence as a reasonable mind might accept as adequate to support a conclusion. 13 Richardson v. Perales, 402 U.S. 389, 401 (1971); Magallanes v. Bowen, 881 F.2d 747, 750 (9th 14 Cir. 1989). The ALJ is responsible for determining credibility, resolving conflicts in medical
15 testimony, and resolving any other ambiguities that might exist. Andrews v. Shalala, 53 F.3d 16 1035, 1039 (9th Cir. 1995). While the Court is required to examine the record as a whole, it may 17 neither reweigh the evidence nor substitute its judgment for that of the Commissioner. Thomas v. 18 Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). When the evidence is susceptible to more than one 19 rational interpretation, it is the Commissioner’s conclusion that must be upheld. Id. 20 IV. DISCUSSION 21 A. The ALJ Did Not Err in Discounting Medical Opinions or Plaintiff’s Allegations Regarding Her Manipulative Limitations 22 The ALJ found that Plaintiff could occasionally reach above the shoulder level and 23 frequently reach below the shoulder level, and could frequently handle and finger bilaterally. AR 1 at 20. The ALJ discounted opinions written by Plaintiff’s treating physician, Adrienne Lopata, 2 M.D., and the State agency consultants, along with Plaintiff’s own testimony that she was more 3 limited as to reaching, handling, and fingering than found by the ALJ. Id. at 21. Plaintiff 4 challenges several aspects of the ALJ’s decision, each of which the Court will address in turn. 5 1. State Agency Opinions
6 The State agency consultants opined that Plaintiff was limited to occasional handling and 7 fingering bilaterally, “due to [bilateral carpal tunnel syndrome] pending release.” AR at 116-17, 8 133. Those opinions did not take into account Plaintiff’s condition after her carpal tunnel 9 syndrome release on the left, however: as noted by the ALJ, Plaintiff reported that her numbness, 10 tingling, and cold feeling on the left had resolved with the surgery, and her exam findings were 11 normal thereafter. Id. at 21 (citing id. at 685, 1067). Plaintiff’s providers told her in August 2015 12 that she could come back whenever she desired carpal tunnel surgery on the right, but the record 13 contains no evidence that she ever did seek surgery on the right. Id. at 1067-68. Furthermore, the 14 treatment record contains scant mention of Plaintiff’s wrist issues (on either the left or right)
15 after her recovery from surgery, which is consistent with the ALJ’s interpretation of the 16 evidence.
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1 2 3 4 5 UNITED STATES DISTRICT COURT 6 WESTERN DISTRICT OF WASHINGTON AT SEATTLE 7 8 AMANDA W., 9 Plaintiff, Case No. C19-5598 MLP 10 v. ORDER 11 COMMISSIONER OF SOCIAL SECURITY, 12 Defendant. 13 I. INTRODUCTION 14 Plaintiff seeks review of the denial of her application for Supplemental Security Income. 15 Plaintiff contends the administrative law judge (“ALJ”) erred by discounting medical opinions 16 and her own testimony describing manipulative limitations. (Dkt. # 13 at 1.) As discussed below, 17 the Court AFFIRMS the Commissioner’s final decision and DISMISSES the case with prejudice. 18 II. BACKGROUND 19 Plaintiff was born in 1980, has a ninth-grade education, and has worked as a fast food 20 worker, cook helper, and cleaner. AR at 26, 68. Plaintiff was last gainfully employed in 2010. Id. 21 at 290. 22 In August 2015, Plaintiff applied for benefits, alleging disability as of February 1, 2012. 23 AR at 257-62. Plaintiff’s applications were denied initially and on reconsideration, and Plaintiff 1 requested a hearing. Id. at 140-51, 155-64. After the ALJ conducted a hearing in February 2018 2 (dkt. # 12), the ALJ issued a decision finding Plaintiff not disabled. AR at 15-28. 3 Utilizing the five-step disability evaluation process,1 the ALJ found:
4 Step one: Plaintiff has not engaged in substantial gainful activity since the application date. 5 Step two: Plaintiff’s lumbar spondylosis without myelopathy; mild bilateral carpal tunnel 6 syndrome, status-post left surgical release; status-post left wrist ganglion removal; trochanteric hip bursitis; cervical spine degenerative disc disease; right shoulder 7 impingement and bicipital tenosynovitis; congenital short right clavicle with wide acromioclavicular joint; history of irritable bowel syndrome and gastroparesis; major 8 depressive disorder; posttraumatic stress disorder; borderline personality disorder; borderline intellectual functioning; and somatic symptom disorder are severe 9 impairments.
10 Step three: These impairments do not meet or equal the requirements of a listed impairment.2 11 Residual Functional Capacity: Plaintiff can perform light work with additional 12 impairments: she can occasionally balance, stoop, kneel, and crouch, and never climb or crawl. She can occasionally reach above shoulder level and frequently reach below 13 shoulder level. She can frequently handle and finger bilaterally. She must avoid concentrated exposure to vibration and hazards. She can perform simple, routine tasks 14 and follow short, simple instructions. She can do work that needs little or no judgment and can perform simple duties that can be learned on the job in a short period. She 15 requires a work environment with minimal supervisor contact (i.e. contact that does not occur regularly, but this term does not preclude simple and superficial exchanges or being 16 in proximity to supervisors). She can work in proximity to co-workers, but cannot have more than superficial interactions with co-workers and cannot work in a cooperative or 17 team effort. She requires a work environment that is predictable with few work setting changes and no public contact. 18 Step four: Plaintiff cannot perform past relevant work. 19 Step five: As there are jobs that exist in significant numbers in the national economy that 20 Plaintiff can perform, Plaintiff is not disabled.
21 AR at 15-28. 22 As the Appeals Council denied Plaintiff’s request for review, the ALJ’s decision is the 23 1 20 C.F.R. § 416.920. 2 20 C.F.R. Part 404, Subpart P, Appendix 1. 1 Commissioner’s final decision. AR at 1-6. Plaintiff appealed the final decision of the 2 Commissioner to this Court. (Dkt. # 4.) 3 III. LEGAL STANDARDS 4 Under 42 U.S.C. § 405(g), this Court may set aside the Commissioner’s denial of social 5 security benefits when the ALJ’s findings are based on legal error or not supported by substantial
6 evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 (9th Cir. 2005). As a 7 general principle, an ALJ’s error may be deemed harmless where it is “inconsequential to the 8 ultimate nondisability determination.” Molina v. Astrue, 674 F.3d 1104, 1115 (9th Cir. 2012) 9 (cited sources omitted). The Court looks to “the record as a whole to determine whether the error 10 alters the outcome of the case.” Id. 11 “Substantial evidence” is more than a scintilla, less than a preponderance, and is such 12 relevant evidence as a reasonable mind might accept as adequate to support a conclusion. 13 Richardson v. Perales, 402 U.S. 389, 401 (1971); Magallanes v. Bowen, 881 F.2d 747, 750 (9th 14 Cir. 1989). The ALJ is responsible for determining credibility, resolving conflicts in medical
15 testimony, and resolving any other ambiguities that might exist. Andrews v. Shalala, 53 F.3d 16 1035, 1039 (9th Cir. 1995). While the Court is required to examine the record as a whole, it may 17 neither reweigh the evidence nor substitute its judgment for that of the Commissioner. Thomas v. 18 Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). When the evidence is susceptible to more than one 19 rational interpretation, it is the Commissioner’s conclusion that must be upheld. Id. 20 IV. DISCUSSION 21 A. The ALJ Did Not Err in Discounting Medical Opinions or Plaintiff’s Allegations Regarding Her Manipulative Limitations 22 The ALJ found that Plaintiff could occasionally reach above the shoulder level and 23 frequently reach below the shoulder level, and could frequently handle and finger bilaterally. AR 1 at 20. The ALJ discounted opinions written by Plaintiff’s treating physician, Adrienne Lopata, 2 M.D., and the State agency consultants, along with Plaintiff’s own testimony that she was more 3 limited as to reaching, handling, and fingering than found by the ALJ. Id. at 21. Plaintiff 4 challenges several aspects of the ALJ’s decision, each of which the Court will address in turn. 5 1. State Agency Opinions
6 The State agency consultants opined that Plaintiff was limited to occasional handling and 7 fingering bilaterally, “due to [bilateral carpal tunnel syndrome] pending release.” AR at 116-17, 8 133. Those opinions did not take into account Plaintiff’s condition after her carpal tunnel 9 syndrome release on the left, however: as noted by the ALJ, Plaintiff reported that her numbness, 10 tingling, and cold feeling on the left had resolved with the surgery, and her exam findings were 11 normal thereafter. Id. at 21 (citing id. at 685, 1067). Plaintiff’s providers told her in August 2015 12 that she could come back whenever she desired carpal tunnel surgery on the right, but the record 13 contains no evidence that she ever did seek surgery on the right. Id. at 1067-68. Furthermore, the 14 treatment record contains scant mention of Plaintiff’s wrist issues (on either the left or right)
15 after her recovery from surgery, which is consistent with the ALJ’s interpretation of the 16 evidence. 3 17 Plaintiff argues that the ALJ failed to explain why he rejected the State agency opinions 18 as to Plaintiff’s manipulative capabilities on the right, because the ALJ’s reasoning only pertains 19 to her improvement on the left after surgery. (Dkt. # 13 at 5.) But, as explained above, the ALJ 20 found that the treatment record does not contain references to complaints or abnormal test results 21 on the left or right post-surgery, and thus the ALJ’s findings of improvement at the time of 22
23 3 The ALJ acknowledged that an examining physical therapist recorded complaints and abnormal test results in June 2016, but the ALJ found this to be inconsistent with the contemporaneous treatment record. AR at 24. Plaintiff has not assigned error to the ALJ’s assessment of this evaluation. 1 surgery apply to Plaintiff’s manipulative capabilities bilaterally. Therefore, Plaintiff has failed to 2 establish error in the ALJ’s assessment of the State agency opinions. 3 2. Dr. Lopata 4 Dr. Lopata opined in February 2017 that inter alia Plaintiff was limited to occasional 5 reaching, handling, and fingering on the right. AR at 706-07. The ALJ summarized this opinion
6 and other opinions provided by Dr. Lopata, and discounted them as inconsistent with the 7 longitudinal treatment, “including physical exams noted above.” Id. at 23. Earlier in the decision, 8 the ALJ had described the objective evidence pertaining to Plaintiff’s hands/wrists and found 9 that it showed “some signs of reduced functioning, but not to the full extent alleged.” Id. at 21. 10 The ALJ also found that Plaintiff’s activities were inconsistent with Dr. Lopata’s opinions. Id. at 11 23-24. 12 Both of the ALJ’s lines of reasoning are legally sufficient reasons to discount Dr. 13 Lopata’s opinion regarding Plaintiff’s manipulative limitations. As explained above, substantial 14 evidence supports the ALJ’s finding that the treatment record contradicts Dr. Lopata’s
15 description of Plaintiff’s manipulative limitations. Plaintiff points to objective evidence that she 16 contends corroborates Dr. Lopata’s opinion, namely a 2016 physical capacities examination 17 performed by occupational therapist Julie Milasich, OTR/L. See AR at 1134-38. But, as 18 mentioned supra, the ALJ discussed this examination report and explained why he found it to be 19 inconsistent with the contemporaneous testing (id. at 24), and Plaintiff did not challenge the 20 ALJ’s discounting of Ms. Milasich’s opinion. Given that the ALJ discounted Ms. Milasich’s 21 opinion, and Plaintiff has not challenged that assessment, that Ms. Milasich’s opinion 22 corroborates Dr. Lopata’s opinion is unavailing to Plaintiff here. 23 Plaintiff also suggests that findings from an orthopedist corroborate Dr. Lopata’s opinion 1 (dkt. # 13 at 10 (citing AR at 820)), but she fails to acknowledge that the orthopedist’s notes 2 were written before Plaintiff’s carpal tunnel surgery. In light of this timing, these notes do not 3 establish error in the ALJ’s assessment of Dr. Lopata’s opinion or the medical record, because 4 the ALJ found that Plaintiff’s condition improved after surgery. Accordingly, to the extent that 5 Plaintiff contends that the ALJ cherry-picked evidence, this argument is not persuasive because
6 Plaintiff has not shown that the record contains probative evidence that the ALJ failed to account 7 for. 8 In addition, Plaintiff’s ability to drive, shop, cook, and clean also contradict the 9 limitations described by Dr. Lopata, as found by the ALJ. AR at 23-24. Even if other cited 10 activities, such as childcare, do not necessarily contradict Plaintiff’s allegations of manipulative 11 limitations, the ALJ reasonably found Plaintiff’s ability to drive, shop, cook, and clean to be 12 inconsistent with the manipulative limitations she described. See Rollins v. Massanari, 261 F.3d 13 853, 856 (9th Cir. 2001) (affirming an ALJ’s rejection of a treating physician’s opinion that was 14 inconsistent with the claimant’s level of activity). Although Plaintiff suggests that her ability to
15 drive, shop, cook, and clean is not inconsistent with the limitations described by Dr. Lopata 16 because there is no evidence that she engaged in those activities for more than one-third of a 17 workday (dkt. # 13 at 11), this argument is not supported by the record, which documents reports 18 that although she experienced pain in her wrists, inter alia, she was able to complete her 19 activities of daily living. See, e.g., AR at 283-84, 331-32, 680, 691, 840, 1048, 1084. Thus, the 20 ALJ did not err in discounting Dr. Lopata’s opinion based on inconsistency with Plaintiff’s 21 activities. 22 3. Plaintiff’s Allegations 23 The ALJ noted that Plaintiff alleged bilateral hand/wrist numbness and pain even after 1 her carpal tunnel surgery on the left, and that she has problems opening things, dropping things, 2 and cannot reach or lift/carry much weight. AR at 21. The ALJ discounted Plaintiff’s alleged 3 manipulative limitations in light of objective medical evidence showing she was less limited than 4 described, citing the lack of evidence of muscle wasting, the indication that her carpal tunnel 5 syndrome was mild (see id. at 577), the reports of improvement after surgery, and the normal
6 examination findings in the treatment record post-surgery. Id. at 21-22 (citing id. at 685, 820, 7 825, 883, 1067). 8 Plaintiff argues that the ALJ erred in discounting her testimony solely on lack of support 9 in the objective medical record. See Rollins, 261 F.3d at 857 (“While subjective pain testimony 10 cannot be rejected on the sole ground that it is not fully corroborated by objective medical 11 evidence, the medical evidence is still a relevant factor in determining the severity of the 12 claimant’s pain and its disabling effects.”). But the ALJ did not rely on a lack of corroboration in 13 the medical record; he cited medical evidence that contradicts Plaintiff’s allegations of severe 14 limitations. An ALJ is permitted to discount a claimant’s testimony based on contradiction with
15 the objective medical record. See Carmickle v. Comm’r of SSA, 533 F.3d 1155, 1161 (9th Cir. 16 2008) (“Contradiction with the medical record is a sufficient basis for rejecting the claimant’s 17 subjective testimony.”). Thus, Plaintiff has not established error in the ALJ’s finding that her 18 alleged manipulative limitations were contradicted by the objective treatment record. 19 // 20 // 21 // 22 // 23 1 V. CONCLUSION 2 For the foregoing reasons, the Commissioner’s final decision is AFFIRMED and this 3 case is DISMISSED with prejudice. 4 Dated this 16th day of March, 2020. 5
6 A 7 MICHELLE L. PETERSON United States Magistrate Judge 8
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