JOHN E. McDERMOTT, Magistrate Judge.
On October 7, 2014, Michelle L. Johnson ("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 for Supplemental Security Income ("SSI") benefits. The Commissioner filed an Answer on January 12, 2015. On June 19, 2015, the parties filed a Joint Stipulation ("JS"). The matter is now ready for decision.
Pursuant to 28 U.S.C. § 636(c), both parties consented to proceed before 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 44-year-old female who applied for Social Security Disability Insurance benefits and for Supplemental Security Income benefits on August 30, 2011, alleging disability beginning December 15, 2007. (AR 11.) The ALJ determined that Plaintiff has not engaged in substantial gainful activity since December 15, 2007, the alleged onset date. (AR 14.)
Plaintiff's claims were denied initially on January 25, 2012, and on reconsideration on April 23, 2012. (AR 11.) Plaintiff filed a timely request for hearing, which was held before Administrative Law Judge ("ALJ") Christine Long on January 17, 2013, in Orange, California. (AR 11.) Claimant appeared and testified at the hearing and was represented by counsel. (AR 11.) Vocational Expert ("VA") Alan Boroskin and Patricia Ewing, a witness for Plaintiff, also appeared and testified at the hearing. (AR 11.)
The ALJ issued a decision on March 12, 2013, concluding that Claimant was not disabled prior to October 1, 2012, but became disabled on that date and has continued to be disabled through the date of the ALJ's decision. (AR 11.) Plaintiff challenged the ALJ's denial decision for the period prior to October 1, 2012. The Appeals Council denied review on September 4, 2014. (AR 1-3.)
As reflected in the Joint Stipulation, Plaintiff raises the following disputed issues as grounds 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 15, 2007, the alleged onset date. (AR 14.)
At step two, the ALJ determined that since the alleged onset date of December 15, 2007, Plaintiff has had the following medically determinable severe impairments: herniated C6-7 cervical spine disc-status post cervical fusion in 2011; history of herniated L5-S1 lumbar disc-status post microdiscectomy and fusion in 2007; chronic pain syndrome; and major depressive disorder. Beginning on the established onset date of disability, October 1, 2012, Claimant has had the following severe impairments: herniated C6-7 cervical spine disc, status post cervical fusion in 2011; history of herniated L5-S1 lumbar disc, status post microdiscectomy and fusion in 2007; chronic pain syndrome; and schizoaffective disorder with history of major depressive disorder. (AR 14.)
At step three, the ALJ determined that since the alleged onset date of disability, December 15, 2007, Plaintiff has not had an impairment or combination of impairments that meets or medically equals the severity of one of the listed impairments. (AR 14-16.)
The ALJ then found that prior to October 1, 2012, the date Plaintiff became disabled, Plaintiff had the RFC to perform sedentary work as defined in 20 C.F.R. §§ 416.1567(a) and 416.967(a) with the following limitations:
(AR 16-20.) In determining the above RFC, the ALJ made an adverse credibility determination, which Plaintiff does not challenge here. (AR 17, 19-20.)
At step four, the ALJ found that since December 15, 2007, Plaintiff has been unable to perform her past relevant work as a surgical technician. (AR 21-22.) The ALJ, however, also found that prior to October 1, 2012, considering Claimant's age, education, work experience, and RFC, there were jobs that existed in significant numbers in the national economy that Claimant could have performed, including the jobs of addresser and office document preparer. (AR 22.)
Consequently, the ALJ found that within the meaning of the Social Security Act, Claimant was not disabled prior to October 1, 2012, but became disabled on that date and has continued to be disabled through March 12, 2013, the date of the ALJ's decision. (AR 29.)
The ALJ decision must be affirmed. The ALJ properly considered the medical evidence and properly rejected the lay witness testimony of Plaintiff's mother as to the period prior to October 1, 2012.
The ALJ's RFC as to the period before October 1, 2012, is supported by substantial evidence. The ALJ's nondisability determination for the period prior to October 1, 2012, is supported by substantial evidence and free of legal error.
Plaintiff contends that the ALJ failed to provide specific, legitimate reasons for rejecting the opinion of Dr. Laja Ibraheem, or germane reasons for rejecting the opinion of nurse Laura Drancea. 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. See SSR 96-5p; 20 C.F.R. § 1527(e). In determining a claimant's RFC, an ALJ must consider all relevant evidence in the record, including medical records, lay evidence, and the effects of symptoms, including pain reasonably attributable to the medical condition. Robbins, 446 F.3d at 883.
In evaluating medical opinions, the case law and regulations distinguish among the opinions of three types of physicians: (1) those who treat the claimant (treating physicians); (2) those who examine but do not treat the claimant (examining physicians); and (3) those who neither examine nor treat the claimant (non-examining, or consulting, physicians).
Where a treating doctor's opinion is not contradicted by another doctor, it may be rejected only for "clear and convincing" reasons.
Plaintiff challenges only the mental portion of the ALJ's RFC for the period prior to October 1, 2012. The ALJ found Plaintiff "can understand and remember simple routine tasks; can carry out short and simple instructions, may be detailed but not complex; can make judgments and decisions that are consistent with simple routine duties; unable to perform work with high production quotas or rapid assembly line work; and only occasional contact with coworkers and the public." (AR 16.)
Plaintiff relies on the December 2011 consulting opinion of psychiatrist Dr. Laja Ibraheem, who diagnosed major depressive disorder with psychotic features. (AR 17, 509-12.) Dr. Ibraheem opined that the Claimant "would not be able to focus attention adequately, follow one and two part instructions in a job setting, or interact appropriately with supervisors, coworkers, and the general public on a constant basis, and would have significant difficulty being able to remember and complete even simple tasks, maintain regular attendance, or work without supervision." (AR 17.)
The ALJ gave little weight to Dr. Ibraheem's RFC because it is "overly restrictive and inconsistent with the substantial evidence" in the record. (AR 17.) In particular, the ALJ relied on the opinion of Plaintiff's pain management physician Dr. Chiwai Chan, who treated her from 2009 to 2011. (AR 17-18, 515-581.) On December 21, 2011, only one week after her visit to Dr. Ibraheem, Dr. Chan found Plaintiff to be normal, "pleasant, cooperative, without any evidence of mood disorder." (AR 18, 581.) Dr. Chan made similar observations on a monthly basis in 2009, 2010 and 2011. (AR 515-581.)
The ALJ also relied on the July 13, 2009, consulting psychiatric opinion of Dr. Ernest Bagner who opined Plaintiff only had mild limitations. (AR 14-15, 17, 481-484.) Dr. Bagner noted Plaintiff performed activities of daily living (AR 482) and "appears to have normal reality contact. There was no evidence of auditory or visual hallucinations." (AR 15, 483.) Dr. Bagner reported no evidence of paranoid or grandiose illusions. (AR 483.) He opined that, if Plaintiff takes anti-depressant medications, she should be significantly better in less than six months. (AR 15, 483.) Dr. Bagner assessed Plaintiff with zero to mild limitations in interacting with supervisors, peers and coworkers, and in maintaining concentration, and completing simple tasks, and mild to moderate limitations in completing a normal work week. (AR 15, 16, 484.)
The medical evidence also included a similar assessment in 2009 (AR 15, 468-478) from Dr. P. M. Balson, a State agency reviewer, who found no objective medical evidence of severe mental functional impairment with her depressive disorder well managed with medication. (AR 15, 478.) Also, the progress notes of Dr. Iman, Plaintiff's treating physician, rarely document abnormal findings. (AR 19.)
Further evidence supporting the ALJ's rejection of Dr. Ibraheem's opinion is the ALJ's adverse credibility determination. (AR 17, 19-20.) The ALJ properly may disregard a medical opinion based to a large extent on claimant's self-reports that have been discredited.
Plaintiff disputes the ALJ's rejection of Dr. Ibraheem's opinion but it is the ALJ's responsibility to resolve conflicts in the medical evidence and ambiguities in the record.
The ALJ also rejected the opinion of Laura Drancea, a nurse who began providing medications to Plaintiff in 2011. (AR 17.) She reported that Plaintiff had extreme limitations and was unable to meet competitive standards. (AR 15.) The ALJ gave little weight to Ms. Drancea's opinion (AR 15, 17) because her progress notes did not support her assessment of extreme functional limitations or even document significant findings. (AR 15.) She also rarely noted auditory or visual hallucinations. (AR 15.) The ALJ also observed that Ms. Drancea is not an acceptable medical source. (AR 15.) Plaintiff correctly contends that Ms. Drancea's opinions nonetheless should be treated as lay witness testimony that can be rejected only for germane reasons.
The ALJ properly considered the medical evidence.
Plaintiff contends that the ALJ improperly rejected the lay witness opinion of her mother Patricia Diane Ewing who testified at the hearing. The Court disagrees.
Ms. Ewing testified that Claimant has been living with her for about five years. (AR 18.) She testified Plaintiff is unable to do any work around the house, she tries to cook, and do laundry, and shops only when Ms. Ewing is with her. (AR 19.) Ms. Ewing testified that, because Plaintiff is forgetful, she gives Plaintiff her medications. (AR 19.) She also testified Plaintiff drives her son to school and picks him up. (AR 19.)
The ALJ found Ms. Ewing's testimony credible as of October 2012 but not before. (AR 19.) The ALJ found that the evidence does not support Ms. Ewing's assertions that Claimant has been extremely limited since 2008. (AR 19.) In particular, Claimant herself indicated to several examining physicians in 2009 that she was capable of performing a wide variety of daily activities such as shopping, cooking, driving herself, running errands, doing household chores, and managing money. (AR 19.) Plaintiff contends that these daily activities do not prove that she can work but they do suggest that Claimant had greater functional abilities before October 1, 2012, than Ms. Ewing or Plaintiff alleges.
Plaintiff argues that the ALJ erred by not addressing a third party questionnaire submitted by Ms. Ewing on September 15, 2011. (AR 279-286.) Any error, however, was harmless.
Second, the information on Claimant's limitations presented by Ms. Ewing in the questionnaire also has been alleged and presented by the Claimant which the ALJ has discounted. An ALJ is not required to address lay witness statements that report the same symptoms alleged by a claimant and rejected by the ALJ.
The ALJ discounted Ms. Ewing's testimony prior to October 1, 2012, for germane reasons supported by substantial evidence.
The ALJ's RFC as to the period before October 1, 2012, is supported by substantial evidence. The ALJ's nondisability determination for the period prior to October 1, 2012, 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.