v.
Nancy A. Berryhill
20 For the reasons discussed below, IT IS HEREBY ORDERED that, pursuant to 21 Sentence Four of 42 U.S.C. § 405(g), this matter is remanded for further 22 administrative action consistent with this Opinion. 23 24 25 26 27 28 1 Andrew M. Saul is now the Commissioner of the Social Security Administration and is substituted in for Acting Commissioner Nancy A. Berryhill in this case. See Fed.R.Civ.P. 25(d). 1 PROCEEDINGS 2 3 On August 2, 2018, Plaintiff filed a Complaint seeking review of 4 the denial of her application for Disability Insurance Benefits and 5 Supplemental Security Income. (Docket Entry No. 1). The parties have 6 consented to proceed before the undersigned United States Magistrate 7 Judge. (Docket Entry Nos. 11-12). On December 13, 2018, Defendant 8 filed an Answer along with the Administrative Record (“AR”). (Docket 9 Entry Nos. 15-16). On June 13, 2019, the parties filed a Joint Stipulation (“Joint Stip.”) setting forth their respective positions regarding Plaintiff’s claims. (Docket Entry No. 25).
The Court has taken this matter under submission without oral argument. See C.D. Cal. L.R. 7-15.
BACKGROUND AND SUMMARY OF ADMINISTRATIVE DECISION
On January 5, 2015, Plaintiff, formerly employed as a salesperson, cashier, stock clerk, driver and dispatcher (see AR 41, 54-58, 288-91), filed an application for Disability Insurance Benefits, alleging an inability to work because of a disabling condition since August 10,
2010. (See AR 203-04). On January 9, 2015, Plaintiff filed an 24 application for Supplemental Security Income, alleging a disability 25 since August 10, 2010. (See AR 205-10). The Commissioner denied 26 Plaintiff’s applications, initially and on reconsideration. (AR 119-27, 27 131-40). On June 27, 2017, the Administrative Law Judge (“ALJ”), 28 Katherine Loo, heard testimony from Plaintiff (represented by counsel) 1 and an impartial vocational expert, Mary Jesko. (See AR 33-62). 2 3 On August 28, 2017, the ALJ issued a decision denying Plaintiff’s 4 applications. (See AR 15-23). Applying the five-step sequential 5 process, the ALJ found at step one that Plaintiff has not engaged in 6 substantial gainful activity since August 10, 2010, her alleged onset 7 date, through June 30, 2014, her date last insured. (AR 17). At step 8 two, the ALJ found that through the date last insured, Plaintiff had the 9 following severe impairments: “obesity, history of atelectasis, degenerative changes of the spine, hepatomegaly with fatty infiltration of the liver, folliculitis, early arthritis of the left knee, major depressive disorder, and substance abuse” (AR 18). At step three, the ALJ determined that Plaintiff did not have an impairment or combination of impairments that met or equaled the severity of any of the listings enumerated in the regulations.[2] (AR 18).
The ALJ then assessed Plaintiff’s residual functional capacity (“RFC”)3 and concluded that she had the capacity to perform medium work4 with the following limitations: can frequently reach, handle, finger and 21 feel; can occasionally climb ramps and stairs, stoop, kneel, crouch, 22 23 2 The ALJ considered whether Plaintiff met the criteria of 24 Listings 1.02, 1.04, 1.05, and 12.04, and concluded that she did not. (AR 18).
25 3 A Residual Functional Capacity is what a claimant can still do 26 despite existing exertional and nonexertional limitations. See 20 C.F.R. §§ 404.1545(a)(1), 416.945(a)(1). 27 4 “Medium work involves lifting no more than 50 pounds at a time 28 with frequent lifting or carrying of objects weighing up to 25 pounds.” 20 C.F.R. §§ 404.1567(c), 416.967(c). 1 crawl and interact with supervisors, coworkers and the public; can never 2 climb ladders or scaffolds or work around hazards such as unprotected 3 heights and moving machinery; can perform only simple, routine tasks; 4 and must avoid concentrated exposure to respiratory irritants. (AR 19- 5 22).
At step four, the ALJ found that Plaintiff was not able to perform any past relevant work (AR 22). Based on Plaintiff’s RFC, age, education, work experience and the VE’s testimony, the ALJ determined, at step five, that through the date last insured, Plaintiff could perform jobs existing in significant numbers in the national economy. (AR 22-23). Accordingly, the ALJ found that Plaintiff was not under a disability as defined in the Social Security Act, from August 10, 2010, the alleged onset date, through the date of the decision. (AR 23).
The Appeals Council denied Plaintiff’s request for review on June 18 22, 2018. (See AR 1-5). Plaintiff now seeks judicial review of the 19 ALJ’s decision, which stands as the final decision of the Commissioner. 20 See 42 U.S.C. §§ 405(g), 1383(c). 21 22 STANDARD OF REVIEW 23 24 This Court reviews the Commissioner’s decision to determine if it 25 is free of legal error and supported by substantial evidence. See 26 Brewes v. Comm’r, 682 F.3d 1157, 1161 (9th Cir. 2012). “Substantial 27 evidence” is more than a mere scintilla, but less than a preponderance. 28 1 Garrison v. Colvin, 759 F.3d 995, 1009 (9th Cir. 2014). To determine 2 whether substantial evidence supports a finding, “a court must consider 3 the record as a whole, weighing both evidence that supports and evidence 4 that detracts from the [Commissioner’s] conclusion.” Aukland v. 5 Massanari, 257 F.3d 1033, 1035 (9th Cir. 2001)(internal quotation 6 omitted). As a result, “[i]f the evidence can support either affirming 7 or reversing the ALJ’s conclusion, [a court] may not substitute [its] 8 judgment for that of the ALJ.” Robbins v. Soc. Sec. Admin., 466 F.3d 9 880, 882 (9th Cir. 2006).5
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PLAINTIFF’S CONTENTIONS
12 13
Plaintiff alleges that the ALJ erred in failing to properly: (1) 14 properly develop the medical record, and properly consider the medical 15 evidence of record in assessing Plaintiff’s RFC; and (2) consider 16 Plaintiff’s testimony in assessing Plaintiff’s RFC. (See Joint Stip. 17 at 3-9, 11-17).
18 19
DISCUSSION
20 21
After consideration of the record as a whole, the Court finds that 22 Plaintiff’s second claim of error warrants a remand for further 23 consideration. Since the Court is remanding the matter based on 24 Plaintiff’s second claim of error, the Court will not address 25 26 5 The harmless error rule applies to the review of 27 administrative decisions regarding disability. See McLeod v. Astrue, 640 F.3d 881, 886-88 (9th Cir. 2011); Burch v. Barnhart, 400 F.3d 676, 28 679 (9th Cir. 2005)(An ALJ’s decision will not be reversed for errors that are harmless).
1 Plaintiff’s first claim of error.
A. The ALJ Did Not Properly Assess Plaintiff’s Testimony
Plaintiff asserts that the ALJ did not provide clear and convincing reasons for rejecting Plaintiff’s testimony about her symptoms and limitations. (See Joint Stip. at 11-17). Defendant asserts that the ALJ properly discounted Plaintiff’s testimony, and alternatively contends that any error in discounting Plaintiff’s testimony was harmless. (See Joint Stip. at 17-19).
1 She cannot pay attention on bad days; she can pay attention 2 for about one hour on good days. When she is following hard written instructions, she wants to quit. Sometimes (when 3 stressed) she gets confused following spoken instructions.
She gets along okay with authority figures. She has never been fired or laid off from a job because of problems getting 4 along with other people. She is not able to handle stress well (she does not want to be with people), but she is able 5 to handle changes in routine okay. Her unusual behavior or fear is fear of dying. She uses prescription glasses (last 6 prescribed in 2014). She takes Trazodone, which causes her to suffer dry mouth and gain weight. (See AR 306-07). 7 8 Plaintiff gave the following testimony at the administrative hearing 9 (see AR 37-58):
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She is 53 years old. She went to school until the 9th grade, and obtained her GED in 1989. Since March 2013 she 12 has lived in her friend’s deceased mother’s house which is behind her friend’s house. She helped take care of her 13 friend’s wife (keeping her company, making meals, feeding, administering medication, calling hospice) from October 2012 14 through May 2013 (when her friend’s wife died); she started living at her friend’s deceased mother’s house in March 2013. 15 She helped take care of her friend’s mother (doing the same tasks) until December 2014 (when her friend’s mother died). 16 She helped take care of the two women in exchange for room and board starting in March 2013. She cleaned her friend’s 17 house (two times a month) in exchange for room and board until October 2016, at which time she was no longer able to 18 do the cleaning. She currently gets food stamps and “medical.” Her friend drove her to the hearing. (See AR 37- 19 41).
20 She worked at Walmart for five years, as a cashier (for two years), then in the ladies wear department, the infant 21 department, as an overnight stocker, and in the cosmetics department. She went on medical leave because of a swollen 22 left ankle; a cardiologist did an ultrasound and found a blood clot, and put her on blood thinners and a special diet. 23 She returned to work after a vascular surgeon said the blood clot was gone. She worked until August 2010. She knew she 24 was going to be let go after she failed to show up for work for three days because of an incident (about which she felt 25 bad) in which she asked a cashier about the cashier’s baby (who had died). She applied for other jobs and did not get 26 hired, which caused her to get more and more depressed and to start isolating herself. (See AR 41-43, 54-56). 27 28 1 From 1997 to 2004, she worked as a driver and later as 2 a dispatcher for a railroad. (See AR 56-58). 3 She is not able to work because of her knees (osteoarthritis), her weight, depression, anxiety, high 4 cholesterol, Type 2 diabetes, and mitrovalve regurgitation.
In May 2016, she saw an orthopedic surgeon and then waited 5 for seven months to get surgery on her left knee (which did not happen on December 15, 2016 because she was sick). In 6 May 2017, she began to see another orthopedist, who does not want to do surgery. She has received one injection in her 7 left knee (June 2017), and she is going to receive an injection in her right knee (July 2017). The injection in 8 her left knee helped for one day; her knees are still bubbled and she still has sharp pains. She has been prescribed, and 9 is, taking a new pain medication. (See AR 43-49). 10 For almost five years she has seen a clinical therapist and a psychologist for depression and anxiety, and she takes 11 extra classes (such as a class on mindfulness). She sees her psychologist for therapy every 4 to 6 weeks, sees a clinical 12 therapist every other week, and sees another mental health professional every 14 weeks. She takes her psychiatric 13 medications faithfully; the one time she stopped taking her medications for three days she did not want to do anything. 14 Therapy and medication keep her stable. However, most of the time, she is depressed. (See AR 47-48, 50). 15 She has a history of acute bronchitis, but she does not 16 have asthma. She has to use an inhaler twice a day. This past year, she went to the emergency room once due to 17 shortness of breath, and in the past she has had to go to the emergency room a lot due to shortness of breath. She does 18 not take insulin for her diabetes; she only has had to change her diet. She has not yet seen a cardiologist for the 19 mitroal valve regurgitation. (See AR 49-50). 20 With respect to her daily activities, she can shower and 21 take care of herself. She eats microwavable food. She mostly stays in her pajamas because of her depression. She 22 can walk one block without a cane; with a cane she can walk one more block after resting for 2 to 3 minutes. With or 23 without a cane, she is able to walk while carrying a little purse weighing about 5 pounds. After walking that second 24 block, she goes home, goes into her room, turns on the television, and gets into bed. She can stand for about 15 25 minutes without a cane, and then has to lie down. She has difficulty sitting because of her knees. She cannot bend. 26 (See AR 49-53).
27 She does not smoke, she drinks one beer a week, and she does not use illegal drugs. She took methamphetamine for 28 about four years, and has been clean for more than one year (with only one relapse). (See AR 50-51). 1 After summarizing Plaintiff’s testimony (see AR 19-20)7 and 2 Plaintiff’s friend’s testimony (see AR 20), the ALJ wrote: “After 3 careful consideration of the evidence, the undersigned finds that the 4 claimant’s medically determinable impairments could reasonably be 5 expected to cause the alleged symptoms; however, the claimant’s 6 statements concerning the intensity, persistence and limiting effects 7 of these symptoms are not entirely consistent with the medical evidence 8 and other evidence in the record for the reasons explained in this 9 decision.” (AR 20). Following a discussion about the evidence of 10 Plaintiff’s psychiatric impairments, including the opinion of the State 11 Agency psychiatric consultant (see AR 20), the ALJ wrote: “However, the 12 evidence does not support more than moderate limitations in mental 13 functioning. The claimant repeatedly reported doing better on 14 15 7 The ALJ wrote:
16 The claimant was born on February 18, 1964, has a GED 17
(according to her testimony and Ex. 5F54), stands 5 feet and 4 inches tall, and weighs 253 pounds (Ex. 3E2). [¶] In or 18 about January 2015, the claimant identified manic depression, a lung condition, and a heart problem as the conditions that 19 caused her to stop working on the alleged onset date (Ex. 3E2). [¶] On December 20, 2015, the claimant reported 20 depression, anxiety, a blood clot in her leg, and respiratory problems for which she used an inhaler (Ex. 11E1) and no 21 problems with personal care (Ex. 11E2). She prepared her own meals, did light housework including laundry and vacuuming 22 (Ex. 11E4), walked and drove for transportation, could go out alone, shopped in stores for groceries once every 2 weeks for 23 45 minutes, could handle money (Ex. 11E5), watched television all day, cared for her dog, did not spend time with others, 24 did not go anywhere on a regular basis (Ex. 11E6), had problems with squatting, bending, walking, kneel[ing], 25 climbing stairs, concentration, understanding, following instructions, and getting along with others (Ex. 11E7), and 26 did not want to be around people (Ex. 11E8). She allegedly needed a friend to fill out the report because she felt 27 stressed and overwhelmed (Ex. 11E9). [¶] . . . [¶] The claimant’s breathing problems and foot swelling allegedly 28 worsened in July 2015 pursuant to which she could not walk long distances (Ex. 8E2).
1 medication and was able to manage her own daily living.” Following a 2 discussion about the evidence of Plaintiff’s physical impairments, 3 including the opinion of the State Agency medical consultant (see AR 21- 4 22), the ALJ wrote that “a limitation to a wide range of medium work is 5 warranted as a prophylactic measure.” (AR 22) 6 7