CHARLES R. PYLE, Magistrate Judge.
Plaintiff has filed the instant action seeking review of the final decision of the Commissioner of Social Security pursuant to 42 U.S.C. § 405(g). The Magistrate Judge has jurisdiction over this matter pursuant to the parties' consent. See 28 U.S.C. § 636(c). Pending before the Court are Plaintiff's Opening Brief ("Plaintiff's Brief") (Doc. 16), Defendant's Opposition to Plaintiff's Opening Brief ("Defendant's Brief") (Doc. 19), and Plaintiff's Reply (Doc. 20). For the following reasons, the Court remands this matter for an immediate calculation and award of benefits.
Plaintiff was born on January 7, 1978. (Administrative Record ("AR."), 8). In 1993, when Plaintiff was 15 years of age, he attempted suicide by shooting himself in the head. (AR. 146, 823; see also AR. 685 (CT scan reflects "residual fragment in the right frontal lobe."); AR. 817 ("the bullet remains in his skull.")). Since that incident, Plaintiff completed high school at 20 years of age and after having been placed in special education courses. (AR. 21, 87, 468, 479, 511; see also AR. 817 ("he was placed in special education after his gunshot.")).
Plaintiff last worked as a stocker at a Walmart Store from 1999 until 2006. (AR. 69, 84, 106-07). Prior to that, he worked as a cook from 1997 until 1998. (AR. 60, 84). Plaintiff is right-hand dominant. (AR. 21).
In October 2006, Plaintiff filed an applications for disability insurance benefits and supplemental security income alleging inability to work since October 24, 2006 due to: "lots of headaches, left arm/hand gets tired easy, back always hurts, left side disabled.[.] In 1993 [I] was shot in the head, [I] did get [SSI] for a while, but then got a job, for me the job got harder over the years. I was gettin[g] tired of the hard work [I] was going through daily. Partial paralysis on right side/arm." (AR. 53-68, 83). After Plaintiff's applications were denied initially and on reconsideration, he appeared unrepresented for a hearing before Administrative Law Judge ("ALJ") Normal Buls, and the ALJ subsequently issued a decision in January 2009 ("the 2009 Decision") finding Plaintiff was not disabled because although he could not do his past work, he could perform other work. (AR. 6-16, 17-27, 28-25, 37-43). Plaintiff ultimately appealed the ALJ's decision to the District Court for the District of Arizona, and the Court, upon stipulation of the parties, remanded the matter for further proceedings.
Plaintiff then filed the instant action raising the following grounds: (1) the ALJ improperly evaluated opinions from Dr. Petronella, the examining neurologist; (2) the ALJ improperly evaluated opinions form examining physician Dr. Hassman; (3) the ALJ's hypothetical question was not accurate; (4) the ALJ failed to comply with Social Security Ruling ("SSR") 00-4p; (5) substantial evidence did not support the ALJ's credibility finding; (6) substantial evidence did not support the ALJ's evaluation of Plaintiff's education; and (7) substantial evidence did not support the ALJ's evaluation of vocational evaluator Weaver's report.
The Court has the "power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing." 42 U.S.C. §405(g). The factual findings of the Commissioner shall be conclusive so long as they are based upon substantial evidence and there is no legal error. 42 U.S.C. §§ 405(g), 1383(c)(3); Tommasetti v. Astrue, 533 F.3d 1035, 1038 (9th Cir. 2008). This Court may "set aside the Commissioner's denial of disability insurance benefits when the ALJ's findings are based on legal error or are not supported by substantial evidence in the record as a whole." Tackett v. Apfel, 180 F.3d 1094, 1097 (9th Cir. 1999) (citations omitted).
Substantial evidence is "`more than a mere scintilla[,] but not necessarily a preponderance.'" Tommasetti, 533 F.3d at 1038 (quoting Connett v. Barnhart, 340 F.3d 871, 873 (9th Cir. 2003)); see also Tackett, 180 F.3d at 1098. Further, substantial evidence is "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Parra v. Astrue, 481 F.3d 742, 746 (9th Cir. 2007). Where "the evidence can support either outcome, the court may not substitute its judgment for that of the ALJ." Tackett, 180 F.3d at 1098 (citing Matney v. Sullivan, 981 F.2d 1016, 1019 (9
SSA regulations require the ALJ to evaluate disability claims pursuant to a five-step sequential process. 20 C.F.R. §§404.1520, 416.920. To establish disability, the claimant must show he has not worked since the alleged disability onset date, he has a severe impairment, and his impairment meets or equals a listed impairment or his residual functional capacity ("RFC")
In 2011, the ALJ found that Plaintiff "has the following impairments: headache; weakness of the left upper extremity secondary to gunshot wound to the right side of the head; back disorder; affective disorder; and generalized anxiety disorder. . . ." (AR. 391). The ALJ determined that Plaintiff had the RFC to perform the full rage of light work as defined in 20 C.F.R. §§404.1567(a) and 416.967(a) subject to the following:
(AR. 393). Relying on the Medical Vocational Guidelines ("Grids") as a "framework" with VE testimony that Plaintiff could work as a janitor/housekeeper, usher/ticket taker, and escort, the ALJ decided that Plaintiff was not disabled from October 24, 2006 though the date of the decision. (AR. 396).
In contrast to the ALJ's 2011Decision finding that Plaintiff could perform the full range of light work subject to the limitations indicated by the ALJ, the ALJ's 2009 Decision assessed an RFC limiting Plaintiff to the full range of sedentary work as defined in 20 C.F.R. §§ 404.1567(a), 416.967(a). (AR. 13).
In reaching his 2009 Decision, the ALJ gave "significant weight" to the opinions of examining psychiatrist Hunter Yost, M.D., examining specialist in family practice and occupational medicine, Susan Courtney, M.D., and examining neurologist Richard Petronella, M.D. (AR. 14-15). The ALJ found the opinions were "well-supported by the medical evidence . . . are not inconsistent with other substantial evidence of record. . . . In addition, these physicians are examining sources who are familiar with Social Security Rules and Regulations and legal standards set forth therein and best able to provide a superior analysis of the claimant's impairments and resulting limitations." (AR. 15).
Significantly, the ALJ did not discuss Dr. Petronella's opinion in 2011 Decision after remand. Plaintiff takes issue with the fact that although the ALJ accorded significant weight to Dr. Petronella's opinion in the 2009 Decision, the ALJ adopted Dr. Hassman's primarily less restrictive findings in the 2011 Decision without specifically rejecting Dr. Petronella's opinion.
Upon examination of Plaintiff in March 2008, Dr. Petronella's impression was left hemiparesis post gunshot wound to the head. (AR. 182). He opined that Plaintiff could: occasionally lift up to 20 pounds; carry up to 20 pounds; sit for 8 hours at one time without interruption; stand for 2 hours at one time without interruption; and walk for 10 minutes at one time without interruption; sit for a total of 8 hours; walk for a total of one hour;
Upon an August 2010 examination of Plaintiff, Jerri Hassman, M.D., diagnosed: "[s]tatus post gunshot wound to the right side of his head, causing hyperreflexia on the left, minimal motor weakness of the left upper extremity, and very minimal weakness at the left ankle, but profound hemisensory loss on the left side, also decreased coordination of the left upper extremity, especially noted for finger-nose-finger and rapid alternating movements." (AR. 825). Dr. Hassman opined that Plaintiff: could occasionally lift and carry 20 pounds and frequently carry 10 pounds; had no limitations in walking, standing or sitting; could occasionally climb ramps and stairs, kneel, crouch, crawl, and reach on the left; never climb ladders, ropes or scaffolds, and handle, finger and feel on the left; was not limited in reaching, handling, fingering, or feeling on the right; and could not work around moving machinery, extremes in temperature, dust, fumes, gases, excessive noise, or work with or around chemicals. (AR. 826-829: see also AR. 823-25).
In his 2011 Decision, the ALJ gave "great weight to. . ." Dr. Hassman's opinion as that opinion together with the examining psychologist's opinion "support the RFC in this decision." (AR. 395). The ALJ's 2011 Decision did not discuss Dr. Petronella's decision. Instead, the ALJ stated in his 2011 Decision that "except as otherwise provided . . . [he] incorporates the exhibits/testimony in the record as well the credibility/weight given that evidence as of January 16, 2009." (AR. 389).
Plaintiff argues that the ALJ improperly rejected Dr. Petronella's opinion-an opinion to which he had given significant weight in 2009. Additionally, the Court's Order remanding this matter specifically instructed that Dr. Petronella's opinion was to be reevaluated on remand. (See AR. 531). Moreover, in vacating the 2009 Decision and remanding the matter to the ALJ for further proceedings pursuant to the Court's remand Order, the Appeals Council stated:
(AR. 534-35) (emphasis added).
"`To reject [the] uncontradicted opinion of a treating or examining doctor, an ALJ must state clear and convincing reasons that are supported by substantial evidence.'" Ryan v. Commissioner of Social Security, 528 F.3d 1194, 1198 (9
Ignoring this standard, Defendant contends that the ALJ "by stating that he carefully considered the entire record in making his findings ([AR.] 391), . . . implicitly rejected . . . [Dr. Petronella's] opinion." (Defendant's Brief, p. 10). Defendant also points out that not all of the ALJ's findings were inconsistent with Dr. Petronella's assessed limitations, and that, in some instances the ALJ's RFC was more restrictive than Dr. Petronella's. (See id. at pp. 10-11). Finally, Defendant presents a host of reasons why Dr. Petronella's opinion should be rejected. (Id. at pp. 11-13).
It is undisputed that the ALJ's 2011 Decision is silent as to Dr. Petronella's 2008 opinion. Accordingly, to the extent that Defendant posits reasons why the ALJ may have rejected Dr. Petronella's opinion, the Ninth Circuit has been clear that "[l]ong-standing principles of administrative law require us to review the ALJ's decision based on the reasoning and actual findings offered by the ALJ—not post hoc rationalizations that attempt to intuit what the adjudicator may have been thinking." Bray v. Commissioner of Social Security Admin., 554 F.3d 1219, 1226-27 (9th Cir.2009) (citations omitted); see also Stout v. Commissioner of Social Security, 454 F.3d 1050, 1054 (9th Cir.2006) ("we cannot affirm the decision of an agency on a ground that the agency did not invoke in making its decision") (citations omitted). Further, even though the ALJ may not have rejected all of Dr. Petronella's opinion, the ALJ's decision is still devoid of his reasons why he rejected some of Dr. Petronella's limitations, and without such an explanation, the Court is unable to assess whether the ALJ's decision was erroneous. This is especially troublesome given that in remanding the matter, the Appeals Council specifically directed the ALJ to consider Dr. Petronella's assessed limitations. Moreover, as Plaintiff persuasively points out, "[i]f the Commissioner did not believe that Dr. Petronella's opinion warranted reevaluation, the Commissioner should not have stipulated in [Plaintiff's] first civil action to that reevaluation. Having agreed to that reevaluation adopted by the court, the Commissioner cannot properly protest." (Plaintiff's Reply, p. 2).
Indeed, "[a]n administrative agency is bound to follow the instructions of the reviewing court on remand." Nolte v. Astrue, 2012 WL 4466558, *2 (D.Ariz. Sept. 27, 2002) (citing Sullivan v. Hudson, 490 U.S. 877, 886 (1989), abrogated on other grounds as discussed in Shalala v. Schafer, 509 U.S. 292 (1993)). Consequently, "[d]eviation from the court's remand order in the subsequent administrative proceedings is itself legal error, subject to reversal on further judicial review." Sullivan, 490 U.S. at 886.
On the instant record, the Court cannot agree with Defendant that any error in rejecting Dr. Petronella's opinion was harmless. First, failure to comply with the remand order can constitute reversible error. See Sullivan, 490 U.S. at 886. Further, an ALJ's error may be only deemed harmless "where it is inconsequential to the ultimate nondisability determination." Molina v Astrue, 674 F.3d 1104, 1115 (9
Because both Drs. Hassman and Petronella opined that Plaintiff was limited to occasional left-arm reaching, (see AR. 175, 828), this limitation does not appear to be contradicted. Yet, the ALJ did not set forth any reason for rejecting it. See Ryan, 528 F.3d at 1198 (the ALJ must set forth clear and convincing reasons for rejecting uncontradicted opinion of examining doctor and must set forth specific and legitimate reasons for rejecting contradicted opinion of examining doctor).
"Reaching" is defined as "extending the hands and arms in any direction." SSR 85-15. As Plaintiff points out, without inclusion of Dr. Hassman's restriction of occasional left-arm reaching, the ALJ's RFC assessment limiting Plaintiff to using his left arm as a guide in any direction means without any limitation as to how often he could do this. The ALJ's failure to address Dr. Hassman's reaching limitation also arguably impacted the VE testimony given that the ALJ's hypothetical posed to the VE included that Plaintiff "can use his left arm but not his left hand."
To rebut the VE's testimony that Plaintiff could work as a janitor/housekeeper, escort, and ticket taker, Plaintiff submitted a statement from vocational consultant Tracy Young, MA, CRC, CLCP, who, upon review of the record, opined that Plaintiff would be unable to perform the jobs considering, inter alia, that Plaintiff does not have use of his non-dominant left hand. (AR. 874-80). Young pointed out that the Dictionary of Occupational Titles ("DOT") "did not delineate whether the[] particular demands require on [sic] or both hands. . . ." (AR. 875). Young opined that the jobs of janitor and ticket taker would require use of both hands. (AR. 876). She also stated that the job of escort required frequent reaching and handling and occasional fingering and that the DOT did not delineate between unilateral or bilateral activity. (AR. 877). According to Young, "the reaching, handling, and fingering requirements [of all three jobs] exceed the physical restrictions outlined by Dr. Hassman. In addition, the manner in which the [sic] all the jobs are actually performed require bilateral abilities in handling and fingering." (AR. 878).
Young further stated that the DOT requirements on handling and reaching exceeded the limitations assessed by Dr. Petronella. (AR. 880). Moreover, Dr. Petronella indicated that Mr. Dominguez can only walk for 10 minutes at a time with a total of one hour in an 8 hour day; yet, all three jobs are at the light level per the DOT, and as performed, would require more than one hour total walking. (Id.). Thus, "[i]n individual with the restrictions outlined by Dr. Petronella would not be able to perform these jobs." (Id.).
The ALJ rejected Young's opinion because she "failed to consider the claimant's testimony regarding his ability to use his left upper extremity to guide his right upper extremity for lifting, carrying, reaching or other activities. . . ." (AR. 396). Yet, this rejection of Young's testimony is premised on the ALJ's unsupported rejection of Dr. Petronella's opinion as well as Dr. Hassman's opinion regarding left-arm reaching. Moreover, it baffles the Court as to how Plaintiff's ability to use his left arm as a guide would enable him to perform bilateral hand functions, such as folding, making beds, hanging drapes, and rolling carpets as required by the housekeeping/janitor job (see AR. 246) or to tear tickets or affix admission bracelets in performing duties as a ticket taker as identified by Young. (see AR. 876; see also Plaintiff's Brief, p. 14 (citing Young's opinion)). Although the ALJ may reject a lay witness' testimony "upon giving a reason germane to that witness," Parra, 481 F.3d at 750, the ALJ's reason for rejecting Young's testimony cannot be deemed to be germane to her opinion on this record given that the ALJ's reasoning has no direct correlation to Young's opinion.
At bottom, the Commissioner bears the burden of showing that Plaintiff can do other work. See Tackett, 180 F.3d at 1095. Here, the ALJ relied on an RFC assessment that is not supported by substantial evidence in the record given the ALJ's failure to address Dr. Petronella's opinion and Dr. Hassman's opinion regarding left-arm reaching. See e.g. Pitzer v. Sullivan, 908 F.2d at 506 (where the Commissioner has failed to advance any legitimate reasons for disregarding the examining physician's opinion, "we hold that substantial evidence does not support the [Commissioner's] decision."). Because the ALJ's RFC assessment was unsupported by substantial evidence, it follows that his hypothetical questions posed to the VE relying on the RFC assessment is also unsupported by substantial evidence.
Plaintiff challenges the ALJ's finding that Plaintiff's "testimony with regard to the severity and functional consequences of his symptoms is not fully credible. . . ." (AR. 395).
When assessing a claimant's credibility, the "ALJ is not required to believe every allegation of disabling pain or other non-exertional impairment." Orn v. Astrue, 495 F.3d 625, 635 (9
The ALJ discounted Plaintiff's credibility by finding Plaintiff was not motivated to work, he improved with treatment and no longer takes medication for headaches; "he uses his left upper extremity to guide his right upper extremity. . ." (AR. 394); he "can watch television, grocery shop, vacuum, and help with the dishes[]"; he had very little medical treatment; he did not lose his job because he could not work, but because he was fired for misconduct; and he "believed there were jobs, other than his past relevant work, that he could do." (AR. 13-14).
The credibility assessment is not supported by clear and convincing evidence. For example, the ALJ accorded "great weight" to the opinion of examining psychologist Noelle Rohen who diagnosed: Major Depressive Disorder, Single Episode, Chronic, Moderate to Severe; Generalized Anxiety Disorder; Rule out Mild Cognitive Disorder Secondary to Traumatic Brain Injury; Pain Disorder Associated with Both Psychological Factors and a General Medical Condition. (AR. 395, 819). Dr. Rohen also found that Plaintiff presented "as quite depressed, and complain[ing] of anxiety as well." (AR. 820). She opined that Plaintiff's "depression is expected to impact his ability to work, to the extent that it dampens his motivation and impairs his ability to present himself as somebody who can motivate and get the job done." (AR. 820).
Defendant defends the ALJ's finding that Plaintiff was not motivated to work, arguing that all of Plaintiff's bills were paid by his girlfriend. (Defendant's Brief, p. 21). Yet, Defendant omits any discussion of Dr. Rohen's opinion, which was afforded great weight by the ALJ. Moreover, Defendant also states, when supporting the ALJ's finding that Plaintiff did not quit work because of disability, that "Plaintiff had looked for other work." (Id. at p. 21). Defendant cannot have it both ways. Regardless, in light of Dr. Rohen's opinion that lack of motivation correlated directly to Plaintiff's depression, the Court finds it was improper for the ALJ to use a symptom of Plaintiff's depression, verified by a psychologist whose opinion the ALJ has accorded great weight, to discount Plaintiff's credibility. This same conclusion also undermines the ALJ's rejection of Plaintiff's credibility based on the fact that Plaintiff relied on others for support.
There is no dispute that Plaintiff experienced improvement with headaches using medication. (See e.g. AR. 830 (Plaintiff's headaches improved with Elavil, Fiorinal, and Amitriptyline)). The ALJ discounted Plaintiff's testimony because Plaintiff was no longer taking the medication. Generally, a plaintiff's failure to "seek treatment or to follow a prescribed course of treatment" is a relevant factor in assessing credibility. See Smolen, 80 F.3d at 1284. However, the ALJ "`must not draw any inferences about an individual's symptoms and their functional effects from a failure to seek or pursue regular medical treatment without first considering any explanations that the individual may provide, or other information in the case record, that my explain infrequent or irregular medical visits or failure to seek medical treatment' including inability to pay. . . ." Orn, 495 F.3d at 638 (quoting SSR 96-7p). Here, Plaintiff testified that he stopped taking headache medication because "my doctor said I am having kidney and liver issues. And I have to cut down." (AR. 512). Further, although the record supports the conclusion that Plaintiff has not had consistent treatment for depression, Dr. Rohen emphasized that Plaintiff was "in true need of treatment." (AR. 820). Yet, despite the provisions of SSR 96-7p, no attempt was made to develop the record as to why Plaintiff had not sought such treatment. That a person with moderate to severe chronic depression (see AR. 819), who has previously attempted suicide by shooting himself in the head, and whose depression results in lack of motivation (AR. 820) may not be motivated to seek mental health treatment can be viewed as entirely consistent with Plaintiff's allegations of depression and Dr. Rohen's assessment of same. Cf. Burch v. Burkhart, 400 F.3d 676, (9
The record supports the conclusion that Plaintiff was terminated from his last job after an incident at work involving a gun. Regardless, "the fact that a person holds down a job doesn't prove that he isn't disabled, because he may have a careless or indulgent employer or be working beyond his capacity out of desperation." Henderson v. Barnhart, 349 F.3d 434, 435 (7
Defendant does not challenge Plaintiff's assertion that the ALJ's rejection of Plaintiff's credibility based on his activities was improper on this record. See e.g. Vertigan v. Halter, 260 F.3d 1044, 1050 (9
For the foregoing reasons, Plaintiff has established that the ALJ's Decision cannot stand. Plaintiff requests remand for an immediate award of benefits or, alternatively remand for further proceedings.
Plaintiff filed his application for benefits in October 2006-almost eight years ago. The Commissioner received two opportunities — once in 2009 and, again, on remand in 2011-to satisfy her step-five burden of establishing that Plaintiff could perform other work, and has twice failed to do so. Not only did the ALJ's 2011 Decision fail to comply with the remand order from the Court and the directions from the Appeals Council, but the ALJ relied on an RFC assessment that is not supported by substantial evidence in the record given the ALJ's failure to address Dr. Petronella's opinion and Dr. Hassman's opinion regarding left-arm reaching. The ALJ also erroneously rejected Young's testimony. The ALJ erroneously discounted Plaintiff's credibility, and a good portion of the ALJ's credibility finding ignored the reality of Plaintiff's life-long, profound depression.
The Ninth Circuit has recognized that "[r]emanding a disability claim for further proceedings can delay much needed income for claimants who are unable to work and are entitled to benefits, often subjecting them to `tremendous financial difficulties while awaiting the outcome of their appeals and proceedings on remand.'" Benecke v. Barnhart, 379 F.3d 587, 595 (9
Accordingly,
IT IS ORDERED that this matter is REMANDED to the Commissioner for immediate calculation and award of benefits.
The Clerk of Court is DIRECTED to enter judgment accordingly and to close its file in this matter.
(AR. 530-31).