October 7, 2013
VICKIE MILLER, Plaintiff,
CAROLYN W. COLVIN, Acting Commissioner, Social Security Administration,  Defendant.
DAVID W. HITTLE, Salem, OR, Attorney for Plaintiff.
S. AMANDA MARSHALL. United States Attorney, ADRIAN L. BROWN, Assistant United States Attorney, Portland, OR, DAVID MORADO, Regional Chief Counsel. LEISA A. WOLF, Special Assistant United States Attorney Social Security Administration, Seattle, WA, Attorneys for Defendant.
OPINION AND ORDER
ANNA J. BROWN, District Judge.
Plaintiff Vickie Miller seeks judicial review of a final decision of the Commissioner of the Social Security Administration (SSA) in which she denied Plaintiff's application for Disability Insurance Benefits (DIB) under Title II of the Social Security Act. This Court has jurisdiction to review the Commissioner's final decision pursuant to 42 U.S.C. § 405(g).
For the reasons that follow, the Court AFFIRMS the decision of the Commissioner and DISMISSES this matter.
Plaintiff filed an application for DIB on September 21, 2007, alleging a disability onset date of April 6, 2005. Tr. 96. The application was denied initially and on reconsideration. An Administrative Law Judge (ALJ) held a hearing on April 22, 2010. Tr. 25-55. At the hearing Plaintiff was represented by an attorney. Plaintiff and a vocational expert (VE) testified.
The ALJ issued a decision on July 29, 2010, in which he found Plaintiff was not disabled before her March 31, 2009, date last insured and, therefore, is not entitled to benefits. Tr. 12-20. Pursuant to 20 C.F.R. § 404.984(d), that decision became the final decision of the Commissioner on June 12, 2012, when the Appeals Council denied Plaintiff's request for review.
Plaintiff was born September 10, 1964, and was 45 years old at the time of the hearing. Tr. 33. Plaintiff completed high school. Tr. 33. Plaintiff has past relevant work experience as a shipping clerk and an electronics assembler. Tr. 49.
Plaintiff alleges disability prior to her March 31, 2009, date last insured due to cervical, thoracic, and lumbar-spine degenerative disc disease with stenosis in the lumbar spine. Tr. 14.
Except when noted, Plaintiff does not challenge the ALJ's summary of the medical evidence. After carefully reviewing the medical records, this Court adopts the ALJ's summary of the medical evidence. See Tr. 16-18.
The initial burden of proof rests on the claimant to establish disability. Molina v. Astrue, 674 F.3d 1104, 1110 (9th Cir. 2012). To meet this burden, a claimant must demonstrate her inability "to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which... has lasted or can be expected to last for a continuous period of not less than 12 months." 42 U.S.C. § 423(d)(1)(A). The ALJ must develop the record when there is ambiguous evidence or when the record is inadequate to allow for proper evaluation of the evidence. McLeod v. Astrue, 640 F.3d 881, 885 (9th Cir. 2011)(quoting Mayes v. Massanari, 276 F.3d 453, 459-60 (9th Cir. 2001)).
The district court must affirm the Commissioner's decision if it is based on proper legal standards and the findings are supported by substantial evidence in the record as a whole. 42 U.S.C. § 405(g). See also Brewes v. Comm'r of Soc. Sec. Admin., 682 F.3d 1157, 1161 (9th Cir. 2012). Substantial evidence is "relevant evidence that a reasonable mind might accept as adequate to support a conclusion." Molina, 674 F.3d. at 1110-11 (quoting Valentine v. Comm'r Soc. Sec. Admin., 574 F.3d 685, 690 (9th Cir. 2009)). "It is more than a mere scintilla [of evidence] but less than a preponderance." Id. (citing Valentine, 574 F.3d at 690).
The ALJ is responsible for determining credibility, resolving conflicts in the medical evidence, and resolving ambiguities. Vasquez v. Astrue, 572 F.3d 586, 591 (9th Cir. 2009). The court must weigh all of the evidence whether it supports or detracts from the Commissioner's decision. Ryan v. Comm'r of Soc. Sec., 528 F.3d 1194, 1198 (9th Cir. 2008). Even when the evidence is susceptible to more than one rational interpretation, the court must uphold the Commissioner's findings if they are supported by inferences reasonably drawn from the record. Ludwig v. Astrue, 681 F.3d 1047, 1051 (9th Cir. 2012). The court may not substitute its judgment for that of the Commissioner. Widmark v. Barnhart, 454 F.3d 1063, 1070 (9th Cir. 2006).
I. The Regulatory Sequential Evaluation
The Commissioner has developed a five-step sequential inquiry to determine whether a claimant is disabled within the meaning of the Act. Parra v. Astrue, 481 F.3d 742, 746 (9th Cir. 2007). See also 20 C.F.R. § 404.1520. Each step is potentially dispositive.
At Step One the claimant is not disabled if the Commissioner determines the claimant is engaged in substantial gainful activity. 20 C.F.R. § 404.1520(a)(4)(I). See also Keyser v. Comm'r of Soc. Sec., 648 F.3d 721, 724 (9th Cir. 2011).
At Step Two the claimant is not disabled if the Commissioner determines the claimant does not have any medically severe impairment or combination of impairments. 20 C.F.R. §§ 404.1509, 404.1520(a)(4)(ii). See also Keyser, 648 F.3d at 724.
At Step Three the claimant is disabled if the Commissioner determines the claimant's impairments meet or equal one of the listed impairments that the Commissioner acknowledges are so severe as to preclude substantial gainful activity. 20 C.F.R. § 404.1520(a)(4)(iii). See also Keyser, 648 F.3d at 724. The criteria for the listed impairments, known as Listings, are enumerated in 20 C.F.R. part 404, subpart P, appendix 1 (Listed Impairments).
If the Commissioner proceeds beyond Step Three, she must assess the claimant's residual functional capacity (RFC). The claimant's RFC is an assessment of the sustained, work-related physical and mental activities the claimant can still do on a regular and continuing basis despite his limitations. 20 C.F.R. § 404.1520(e). See also Social Security Ruling (SSR) 96-8p. "A regular and continuing basis' means 8 hours a day, for 5 days a week, or an equivalent schedule." SSR 96-8p, at *1. In other words, the Social Security Act does not require complete incapacity to be disabled. Taylor v. Comm'r of Soc. Sec. Admin., 659 F.3d 1228, 1234-35 (9th Cir. 2011)(citing Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989)).
At Step Four the claimant is not disabled if the Commissioner determines the claimant retains the RFC to perform work she has done in the past. 20 C.F.R. § 404.1520(a)(4)(iv). See also Keyser, 648 F.3d at 724.
If the Commissioner reaches Step Five, she must determine whether the claimant is able to do any other work that exists in the national economy. 20 C.F.R. § 404.1520(a)(4)(v). See also Keyser, 648 F.3d at 724-25. Here the burden shifts to the Commissioner to show a significant number of jobs exist in the national economy that the claimant can perform. Lockwood v. Comm'r Soc. Sec. Admin., 616 F.3d 1068, 1071 (9th Cir. 2010). The Commissioner may satisfy this burden through the testimony of a VE or by reference to the Medical-Vocational Guidelines set forth in the regulations at 20 C.F.R. part 404, subpart P, appendix 2. If the Commissioner meets this burden, the claimant is not disabled. 20 C.F.R. § 404.1520(g)(1).
At Step One the ALJ found Plaintiff had not engaged in substantial gainful activity through her March 31, 2009, date last insured. Tr. 14.
At Step Two the ALJ found Plaintiff, before her date last insured, had the severe impairments of cervical, thoracic, and lumbar-spine degenerative disc disease with stenosis in the lumbar spine. Tr. 14.
At Step Three the ALJ concluded Plaintiff's medically determinable impairments did not meet or medically equal one of the listed impairments in 20 C.F.R. part 404, subpart P, appendix 1, before her March 31, 2009, date last insured. Tr. 22. The ALJ found Plaintiff, through her date last insured, had the RFC to perform light work with the following limitations: Plaintiff could occasionally lift and/or carry 20 pounds and frequently lift and/or carry ten pounds; stand and walk for up to six hours in an eight-hour workday; sit up to six hours in an eight-hour workday; occasionally "handle, push, and pull objects with her upper extremities;" occasionally balance, stoop, kneel, crouch, crawl, "climb stairs/ramps, " and reach overhead bilaterally. Tr. 15. Plaintiff "must avoid concentrated exposure to extreme temperatures, vibration, and hazards." Tr. 15.
At Step Four the ALJ concluded Plaintiff was unable to perform her past relevant work through her March 31, 2009, date last insured. Tr. 19.
At Step Five the ALJ found Plaintiff could perform jobs that exist in significant numbers in the national economy through her March 31, 2009, date last insured. Tr. 20. Accordingly, the ALJ found Plaintiff was not disabled through her date last insured.
Plaintiff contends the ALJ erred when he (1) improperly gave great weight to the opinion of DeWayde Perry, M.D., examining orthopedist; (2) improperly rejected lay-witness statements; and
(3) assessed Plaintiff's RFC without including all of Plaintiff's limitations.
I. The ALJ did not err when he gave "great weight" to the opinion of Dr. Perry.
As noted, Plaintiff contends the ALJ erred when he gave great weight to the opinion of Dr. Perry, examining orthopedist, because Dr. Perry rendered his opinion without the benefit of Plaintiff's full medical file.
An ALJ may reject an examining physician's opinion when it is inconsistent with the opinions of other treating or examining physicians if the ALJ makes "findings setting forth specific, legitimate reasons for doing so that are based on substantial evidence in the record." Thomas v. Barnhart, 278 F.3d 947, 957 (9th cir. 2002)(quoting Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir. 1989)). When the medical opinion of an examining physician is uncontroverted, however, the ALJ must give "clear and convincing reasons" for rejecting it. Thomas, 278 F.3d at 957. See also Lester v. Chater, 81 F.3d 821, 830-32.
On October 20, 2007, Dr. Perry examined Plaintiff and concluded Plaintiff could stand and walk for more than six hours in an eight-hour work day while using a cane, sit for six hours in an eight-hour work day, lift and carry ten pounds frequently, and did not have any "manipulative limitations." Tr. 189-90. Dr. Perry stated Plaintiff did not have any evidence of "foot drop bilaterally, " she could "grip and hold objects securely, " and she had "5/5 [strength] in the upper and lower extremities bilaterally." Tr. 188-89. Dr. Perry noted he did not have Plaintiff's medical records before him at the time of his examination of Plaintiff, but Dr. Perry completed a thorough examination and his opinion was based on objective measurements.
In addition, Dr. Perry's opinion was consistent with other doctors' opinions in the record. For example, on November 8, 2007, Maureen Carney, M.D., examining physician, reported Plaintiff had "muscle strength... 5/5 bilaterally in the upper and lower extremities with the exception of the gluteus medius which was approximately 4-5 on the left, 4 on the right." Tr. 243. Dr. Carney recommended Plaintiff engage in weight training on the gluteus medius on both legs and to "adjust her neck posture as [Plaintiff] tends to lean forward and this is going to aggravate her neck symptoms."
Tr. 243. Dr. Carney noted even though Plaintiff stated "sometimes that her left leg is dragging, ... no evidence of foot drop was noted." Tr. 243.
Similarly, Social Security Agency Medical Consultant Neal Berner, M.D., developed a Physical Residual Functional Capacity (PFRC) of Plaintiff in February 2008 in which he concluded Plaintiff could stand and walk for six hours in an eight-hour work day while using a cane; sit for six hours in an eight-hour work day; lift and carry ten pounds frequently; and occasionally climb, stoop, kneel, crouch, and crawl. Tr. 205-06.
The Court concludes on this record that the ALJ did not err when he gave great weight to the opinion of Dr. Perry because the ALJ provided legally sufficient reasons supported by evidence in the record for doing so.
II. The ALJ did not err when he rejected lay-witness testimony.
Plaintiff contends the ALJ erred when he rejected the laywitness statements of Plaintiff's husband Barry Miller, Plaintiff's mother Patsy Shine, Plaintiff's step-daughter Natasha Miller, and Plaintiff's friend Virgilia Balso.
Lay-witness testimony regarding a claimant's symptoms is competent evidence that the ALJ must consider unless he "expressly determines to disregard such testimony and gives reasons germane to each witness for doing so." Lewis v. Apfel, 236 F.3d 503, 511 (9th Cir. 2001). See also Merrill ex rel. Merrill v. Apfel, 224 F.3d 1083, 1085 (9th Cir. 2000)("[A]n ALJ, in determining a claimant's disability, must give full consideration to the testimony of friends and family members."). The ALJ's reasons for rejecting lay-witness testimony must also be "specific." Stout, 454 F.3d at 1054. Nevertheless, an ALJ is not required to address each lay witness's statement or testimony on an "individualized, witness-by-witness basis. Rather if the ALJ gives germane reasons for rejecting testimony by one witness, the ALJ need only point to those reasons when rejecting similar testimony by a different witness." Molina v. Astrue, 674 F.3d 1104, 1114 (9th Cir. 2012)(quotation omitted).
A. Barry Miller
On March 26, 2010, Barry Miller drafted a statement in which he notes it has been difficult for Plaintiff "to do her every day tasks and [to] take care of herself" for the past five years. Tr. 175. Barry Miller notes Plaintiff can only walk for 20 to 30 minutes and then needs to sit down due to "pain and numbness." Tr. 175. Barry Miller also notes the pain medications Plaintiff receives from her doctors "only help so long and make [Plaintiff] tired." Tr. 175. Barry Miller states he "fear[s] in years to come [Plaintiff] will probably lose the movement in her legs because I see her having more difficult [ sic ] walking, standing, sitting, and climbing stairs." Tr. 175. Finally, Barry Miller states he does not "see how [Plaintiff] would be able to work even if it was only standing or sitting down due to her chronic pain and muscle spasms throughout her body." Tr. 175.
The ALJ "accept[ed] that [Barry Miller's] statement [is] descriptive of [his] perceptions." Tr. 17. The ALJ found, however, that "the behavior observed by [Barry Miller] is not consistent with the overall objective medical evidence." Tr. 17. The ALJ, therefore, found Barry Miller's statement was not "fully credible" and that it did not "provide sufficient support to alter the [RFC]." Tr. 17. In assessing Plaintiff's RFC, the ALJ considered the October 20, 2007, opinion of Dr. Perry that Plaintiff could stand and walk for six hours in an eight-hour work day, sit for six hours in an eight-hour work day, lift and carry ten pounds frequently, and did not have any "manipulative limitations." Tr. 189-90. The ALJ also noted Dr. Perry's report that Plaintiff did not have any evidence of "foot drop bilaterally, " Plaintiff could "grip and hold objects securely, " and Plaintiff had "5/5 [strength] in the upper and lower extremities bilaterally." Tr. 188-89.
The ALJ also considered the November 8, 2007, report of Dr. Carney in which she noted Plaintiff had "muscle strength... 5/5 bilaterally in the upper and lower extremities with the exception of the gluteus medius which was approximately 4-5 on the left, 4 on the right." Tr. 243. Dr. Carney recommended Plaintiff engage in weight training on the gluteus medius on both legs and "adjust her neck posture as [Plaintiff] tends to lean forward and this is going to aggravate her neck symptoms." Tr. 243. Dr. Carney noted although Plaintiff stated "sometimes that her left leg is dragging, ... no evidence of foot drop was noted." Tr. 243.
The ALJ also pointed out that in August 2005 Janet Neuburg, M.D., treating physician, noted Plaintiff had "successfully returned to regular duty" after an on-the-job injury in June 2005. Tr. 250. Plaintiff reported she was "usually doing fine." Tr. 250. Dr. Neuburg concluded Plaintiff was "medically stationary, with no impairment from [her] injury" and "no further treatment" was required. Tr. 250.
In addition, the ALJ found Plaintiff's testimony "concerning the intensity, persistence and limiting effects of [her] symptoms are not credible to the extent they are inconsistent with the" RFC. Tr. 17. Plaintiff, however, does not allege the ALJ erred in that finding.
The Court concludes on this record that the ALJ did not err because he provided legally sufficient reasons for finding Barry Miller's statement not to be fully credible.
B. Patsy Shine, Natasha Miller, and Virgilia Baldo
On April 4, 2010, Patsy Shine provided a statement in which she notes in "[t]he past few years [Shine has] noticed [Plaintiff] having more troubles getting around." Tr. 176. Shine states Plaintiff complains of numbness in her arms and hands and of pain "running down her legs, " shoulders and back. Tr. 176. Shine notes Plaintiff has difficulty walking or sitting for more than 30 minutes and spends four to five hours per day lying down "to relieve her pain and fatigue." Tr. 176.
On April 5, 2010, Natasha Miller provided a statement noting Plaintiff "has been in pain in results of [ sic ] her scoliosis" for the last fourteen years. Tr. 179. Miller notes Plaintiff "had problems with her hands and arms going numb" and sitting for more than 30 minutes due to fatigue and stress. Tr. 179. Miller notes Plaintiff can stand for only 20 minutes and Plaintiff "needs to take meds and lay down and rest from pain throughout her body" after grocery shopping with assistance. Tr. 179.
On April 5, 2010, Virgilia Baldo provided a statement in which she notes she has been Plaintiff's neighbor for five years and is an "energy healer in the modality of Reiki." Tr. 178. Baldo notes Plaintiff "has come to see [Baldo] for healing many times." Tr. 178. Baldo notes Plaintiff "has a problem with her spine that becomes very painful when sitting or standing too long and also in walking and lifting any kind of weight." Tr. 178. Baldo "fear[s] [Plaintiff's] condition is chronic and her level of activities will become more and more restricted as time goes by." Tr. 178.
The ALJ "accept[ed] that these statements are descriptive of the witnesses' perceptions." Tr. 17. The ALJ found, however, that the behavior observed by the witnesses is not consistent with the overall objective medical evidence." Tr. 17. The ALJ, therefore, found these statements not to be "fully credible" and that they did not "provide sufficient support to alter the [RFC]." Tr. 17.
For the reasons noted above, the Court concludes on this record that the ALJ did not err because he provided legally sufficient reasons for finding these statements not to be fully credible.
III. New evidence submitted to the Appeals Council.
Plaintiff also relies on evidence submitted for the first time to the Appeals Council to support her assertion that the ALJ erred when he found her not to be disabled. Specifically, Plaintiff points to a May 14, 2010, MRI of her lumbar spine; a physical-work performance evaluation from September 27, 2010; and treatment records dated October 4, 2010. The Appeals Council concluded the new evidence "does not affect the decision about whether [Plaintiff was] disabled at the time [she was] last insured for disability benefits" because the ALJ "decided [Plaintiff's] case through March 31, 2009, the date [Plaintiff was] last insured for disability benefits." Tr. 2.
The Court may properly evaluate all of the evidence in the record, including new evidence submitted to the Appeals Council after the ALJ has issued his opinion. Ramirez v. Shalala, 8 F.3d 1449, 1452 (9th Cir. 1993). See also 20 C.F.R. § 404.970(b)(the Appeals Council shall consider new relevant evidence on review of the ALJ's opinion). In regard to such evidence, the Ninth Circuit has held: "[W]e properly may consider the additional evidence presented to the Appeals Council in determining whether the Commissioner's denial of benefits is supported by substantial evidence." Harman v. Apfel, 211 F.3d 1172, 1180 (9th Cir. 2000).
"To justify remand [on the ground of new evidence submitted to the Appeals Council, a plaintiff] must show that the [new evidence] is material to determining her disability." Mayes v. Massanari, 276 F.3d 453, 462 (9th Cir. 2001)(citing 42 U.S.C. § 405(g)). "To be material... the new evidence must bear 'directly and substantially on the matter in dispute'" and that "there is a reasonable probability that the new evidence would have changed the outcome of the administrative hearing." Id. (quoting Ward v. Schweiker, 686 F.2d 762, 764 (9th Cir. 1982)).
As noted, the new evidence Plaintiff relies on post-dates her March 31, 2009, date last insured. In addition, the evidence does not contain any indication or opinion that it relates to the period before March 31, 2009. Accordingly, the Court concludes Plaintiff's new evidence does not bear "directly and substantially on" whether Plaintiff was disabled before her March 31, 2009, date last insured and there is not a "reasonable probability that the new evidence would have changed the outcome of the administrative hearing."
IV. The ALJ properly assessed Plaintiff's RFC.
Plaintiff contends the ALJ's assessment of Plaintiff's RFC was inadequate because it did not contain all of Plaintiff's work-related limitations. The Court has concluded the ALJ did not err when he gave great weight to the opinion of Dr. Perry and rejected the lay-witness statements. In addition, the records before the Appeals Council do not effect the ALJ's determination. Accordingly, the Court concludes the ALJ included all of the limitations in Plaintiff's RFC that were supported on this record.
For these reasons, the Court AFFIRMS the decision of the Commissioner and DISMISSES this matter.
IT IS SO ORDERED.