JOHN E. MCDERMOTT, Magistrate Judge.
On February 6, 2018, Cristina Vega ("Plaintiff" or "Claimant") filed a complaint seeking review of the decision by the Commissioner of Social Security ("Commissioner") denying Plaintiff's applications for Social Security Disability Insurance benefits and Supplemental Social Security Income benefits. (Dkt. 1.) The Commissioner filed an Answer on May 23, 2018. (Dkt. 14.) On November 14, 2018, the parties filed a Joint Stipulation ("JS"). (Dkt 20.) The matter is now ready for decision.
Pursuant to 28 U.S.C. § 636(c), both parties consented to proceed bef ore this Magistrate Judge. After reviewing the pleadings, transcripts, and administrative record ("AR"), the Court concludes that the Commissioner's decision must be affirmed and this case dismissed with prejudice.
Plaintiff is a 54 year-old female who applied for Social Security Disability Insurance benefits on July 3, 2014, and Supplemental Social Security Income benefits on July 10, 2014, alleging disability beginning December 20, 2011. (AR 20.) The ALJ determined that Plaintiff had not engaged in substantial gainful activity since December 20, 2011, the alleged onset date. (AR 22.)
Plaintiff's claims were denied initially on October 24, 2014. (AR 20.) Plaintiff filed a timely request for hearing, which was held before Administrative Law Judge ("ALJ") Michael D. Radensky on September 15, 2016, in Norwalk, California. (AR 20.) Plaintiff appeared and testified at the hearing and was represented by counsel. (AR 20.) Vocational expert ("VE") Jeff L. Clark also appeared and testified at the hearing. (AR 20.)
The ALJ issued an unfavorable decision on October 19, 2016. (AR 20-30.) The Appeals Council denied review on December 12, 2017. (AR 1-3.)
As reflected in the Joint Stipulation, Plaintiff only raises the following disputed issue as ground for reversal and remand:
Under 42 U.S.C. § 405(g), this Court reviews the ALJ's decision to determine whether the ALJ's findings are supported by substantial evidence and free of legal error.
Substantial evidence means "`more than a mere scintilla,' but less than a preponderance."
This Court must review the record as a whole and consider adverse as well as supporting evidence.
The Social Security Act defines disability as the "inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or . . . can be expected to last for a continuous period of not less than 12 months." 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). The Commissioner has established a five-step sequential process to determine whether a claimant is disabled. 20 C.F.R. §§ 404.1520, 416.920.
The first step is to determine whether the claimant is presently engaging in substantial gainful activity.
If the claimant cannot perform his or her past relevant work or has no past relevant work, the ALJ proceeds to the fifth step and must determine whether the impairment prevents the claimant from performing any other substantial gainful activity.
In this case, the ALJ determined at step one of the sequential process that Plaintiff has not engaged in substantial gainful activity since December 20, 2011, the alleged onset date. (AR 22.)
At step two, the ALJ determined that Plaintiff has the following medically determinable severe impairments: degenerative disc disease of the lumbar spine; diabetes mellitus with retinopathy; and obesity. (AR 22-24.)
At step three, the ALJ determined that Plaintiff does not have an impairment or combination of impairments that meets or medically equals the severity of one of the listed impairments. (AR 24-25.)
The ALJ then found that Plaintiff had the RFC to perform a range of light work as defined in 20 CFR §§ 404.1567(b) and 416.967(b). In addition, Plaintiff is capable of performing occasional postural activities, but no climbing of ladders, scaffolds, or ropes. Further, Plaintiff is precluded from working around unprotected heights or dangerous machinery, and no jobs requiring fine visual detail. (AR 25-28.) In determining the above RFC, the ALJ made a determination that Plaintiff's subjective symptom allegations were "not entirely consistent" with the medical evidence and other evidence of record. (AR 27.)
At step four, the ALJ found that Plaintiff is not able to perform her past relevant work as a teller, mail clerk, and home attendant. (AR 28.) The ALJ, however, found at step five that, considering Claimant's age, education, work experience, and RFC, there are jobs that exist in significant numbers in the national economy that Claimant can perform, including the jobs of cleaner, food prep worker, and school bus monitor. (AR 28-29.)
Consequently, the ALJ found that Claimant is not disabled, within the meaning of the Social Security Act. (AR 29-30.)
The ALJ decision must be affirmed. The ALJ properly discounted Plaintiff's subjective symptom allegations. The ALJ's restricted light work RFC is supported by substantial evidence.
Plaintiff contends that the ALJ erred in discounting her subjective symptom allegations. The Court disagrees.
The ALJ's RFC is not a medical determination but an administrative finding or legal decision reserved to the Commissioner based on consideration of all the relevant evidence, including medical evidence, lay witnesses, and subjective symptoms.
In determining Plaintiff's RFC, the ALJ concluded that Plaintiff's medically determinable impairments reasonably could be expected to cause the alleged symptoms. (AR 27.) The ALJ, however, also found that Plaintiff's statements regarding the intensity, persistence and limiting effects of these symptoms are "not entirely consistent" with the medical evidence and other evidence of record. (AR 27.) Because the ALJ did not make any finding of malingering, he was required to provide clear and convincing reasons supported by substantial evidence for discounting Plaintiff's subjective symptom allegations.
First, the ALJ found that Plaintiff's subjective symptom allegations were not consistent with the medical evidence. (AR 27.) An ALJ is permitted to consider whether there is a lack of medical evidence to corroborate a claimant's alleged symptoms so long as it is not the only reason for discounting a claimant's subjective symptoms.
The ALJ did find that Plaintiff had the medically determinable severe impairment of degenerative disc disease. (AR 22.) The ALJ, however, also found that, although X-rays of Plaintiff's cervical lumbar spine showed some degenerative changes and some limited range of motion, her seated straight leg raise test was negative, and her gait was within normal limits. (AR 25.) In January 2016, Claimant reported no back or neck pain with normal range of motion. (AR 25.) The ALJ found that the objective medical evidence does not warrant limitations beyond those in the ALJ's assessed light work RFC. (AR 25.)
The ALJ also found that Plaintiff has the medically determinable severe impairment of diabetes with retinopathy. (AR 22, 26.) Plaintiff is on insulin and had a toe removed. (AR 26.) Nonetheless, the ALJ noted that a September 2014 examination showed that, while Plaintiff has decreased sensation in her lower extremities, it was grossly intact in the upper extremities. (AR 26.) Reflexes were normal, and her motor strength was good. (AR 26.) Her vision was noted to be grossly intact as well. (AR 26.) Additional records from January 2016 also showed no evidence of blurry vision. (AR 26.) While some records speak of decreased vision, it does not appear to be very severe. (AR 26.) Plaintiff's vision issue is accommodated in the ALJ's RFC limitation of "no jobs requiring fine visual detail." (AR 25.)
The medical opinion evidence also supported the ALJ's RFC. In 2014, Dr. John Sedgh, a consulting internist, indicated Claimant was capable of light exertional work with occasional kneeling, crouching, and stooping. (AR 26.) The ALJ also gave weight to the opinion of State agency reviewing physician Dr. F. L. Williams, who found Plaintiff was capable of light exertional work. (AR 26.) A workers' compensation physician indicated Claimant was precluded from heavy lifting, prolonged weight bearing, no repetitive use of stairs, and other limitations consistent with light work. (AR 26.)
The only physician who provided a contrary opinion was Dr. Kevin Shiramizu, who indicated Plaintiff was legally blind and unable to take care of her activities of daily living. (AR 27.) The ALJ gave little weight to this statement because no objective findings were provided for Dr. Shiramizu's check the box findings. (AR 27.) Indeed, Dr. Shiramizu's assessment is inconsistent with other limitations documented in his treatment notes that merely limited Plaintiff to no heavy lifting and no strenuous exercise — limitations consistent with light work. (AR 27.) An ALJ may reject a treating physician's opinion that is brief, conclusory, in the form of a checklist, inadequately supported by clinical findings, does not have supportive evidence, is contradicted by other assessments, is unsupported by the record as a whole, and is unsupported by or inconsistent with his or her treatment notes.
A second reason the ALJ gave for discounting Plaintiff's subjective symptom allegations is that her daily activities are inconsistent with disabling limitations, which is a legitimate consideration in evaluating credibility.
Third, since her workers' compensation claim closed, she has not been treated with specialists or undergone any physical therapy and has generally received conservative treatment. (AR 27.) An ALJ may consider conservative treatment in evaluating subjective symptoms.
Plaintiff barely discusses the medical evidence and other evidence, and simply disagrees with the ALJ's interpretation of the record. It is the ALJ's responsibility, however, to resolve conflicts in the medical evidence and ambiguities in the record.
The ALJ rejected Plaintiff's subjective symptom allegations for clear and convincing reasons supported by substantial evidence.
The ALJ's RFC is supported by substantial evidence. The ALJ's non-disability determination is supported by substantial evidence and free of legal error.
IT IS HEREBY ORDERED that Judgment be entered affirming the decision of the Commissioner of Social Security and dismissing this case with prejudice.