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Baylis v. Colvin, EDCV 15-857 JC. (2016)

Court: District Court, C.D. California Number: infdco20160526826 Visitors: 26
Filed: May 25, 2016
Latest Update: May 25, 2016
Summary: MEMORANDUM OPINION AND ORDER OF REMAND JACQUELINE CHOOLJIAN , Magistrate Judge . I. SUMMARY On May 1, 2015, Eric Lee Baylis ("plaintiff") filed a Complaint seeking review of the Commissioner of Social Security's denial of plaintiff's applications for benefits. The parties have consented to proceed before the undersigned United States Magistrate Judge. This matter is before the Court on the parties' cross motions for summary judgment, respectively ("Plaintiff's Motion") and ("Defendant's M
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MEMORANDUM OPINION AND ORDER OF REMAND

I. SUMMARY

On May 1, 2015, Eric Lee Baylis ("plaintiff") filed a Complaint seeking review of the Commissioner of Social Security's denial of plaintiff's applications for benefits. The parties have consented to proceed before the undersigned United States Magistrate Judge.

This matter is before the Court on the parties' cross motions for summary judgment, respectively ("Plaintiff's Motion") and ("Defendant's Motion"). The Court has taken both motions under submission without oral argument. See Fed. R. Civ. P. 78; L.R. 7-15; May 6, 2015 Case Management Order ¶ 5.

Based on the record as a whole and the applicable law, the decision of the Commissioner is REVERSED AND REMANDED for further proceedings consistent with this Memorandum Opinion and Order of Remand.

II. BACKGROUND AND SUMMARY OF ADMINISTRATIVE DECISION

In May 2011, plaintiff filed applications for Supplemental Security Income and Disability Insurance Benefits alleging disability on December 31, 2010 (which was later amended to October 31, 2009) due to impairments related to plaintiff's wrists, right elbow, right knee, and left shoulder, as well as "problems with reading and understanding." (Administrative Record ("AR") 13, 72-73, 291, 302). The Administrative Law Judge ("ALJ") examined the medical record and heard testimony from plaintiff (who was represented by counsel) and a vocational expert on February 22, 2013. (AR 68-122). At a supplemental hearing on August 16, 2013, the ALJ heard additional testimony from plaintiff (who was again represented by counsel), and testimony from a different vocational expert ("Second VE") and a medical expert. (AR 29-67).

On September 26, 2013, the ALJ determined that plaintiff was not disabled through the date of the decision. (AR 13-24). Specifically, the ALJ found: (1) plaintiff suffered from the following severe impairments: left shoulder adhesive capsulitis, left shoulder lipoma, obesity, and bilateral knee degenerative joint disease (mild) (AR 15); (2) plaintiff's impairments, considered singly or in combination, did not meet or medically equal a listed impairment (AR 16); (3) plaintiff retained the residual functional capacity to perform a range of light work (20 C.F.R. §§ 404.1567(b), 416.967(b)) with additional limitations1 (AR 16); (4) plaintiff could perform his past relevant work of commercial cleaner as actually performed, but not as the occupation is customarily performed in the national economy (AR 22); (5) alternatively, there are jobs that exist in significant numbers in the national economy that plaintiff could perform, specifically paramutual [sic] ticket cashier, ticket taker, and sales attendant (AR 22-23); and (6) plaintiff's statements regarding the intensity, persistence, and limiting effects of subjective symptoms were not credible to the extent those statements are inconsistent with the ALJ's residual functional capacity assessment (AR 17-18).

The Appeals Council denied plaintiff's application for review. (AR 1).

III. APPLICABLE LEGAL STANDARDS

A. Sequential Evaluation Process

To qualify for disability benefits, a claimant must show that the claimant is unable "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 which has lasted or can be expected to last for a continuous period of not less than 12 months." Molina v. Astrue, 674 F.3d 1104, 1110 (9th Cir. 2012) (quoting 42 U.S.C. § 423(d)(1)(A)) (internal quotation marks omitted). The impairment must render the claimant incapable of performing the work the claimant previously performed and incapable of performing any other substantial gainful employment that exists in the national economy. Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999) (citing 42 U.S.C. § 423(d)(2)(A)).

In assessing whether a claimant is disabled, an ALJ is required to use the following five-step sequential evaluation process:

(1) Is the claimant presently engaged in substantial gainful activity? If so, the claimant is not disabled. If not, proceed to step two. (2) Is the claimant's alleged impairment sufficiently severe to limit the claimant's ability to work? If not, the claimant is not disabled. If so, proceed to step three. (3) Does the claimant's impairment, or combination of impairments, meet or equal an impairment listed in 20 C.F.R. Part 404, Subpart P, Appendix 1? If so, the claimant is disabled. If not, proceed to step four. (4) Does the claimant possess the residual functional capacity to perform claimant's past relevant work? If so, the claimant is not disabled. If not, proceed to step five. (5) Does the claimant's residual functional capacity, when considered with the claimant's age, education, and work experience, allow the claimant to adjust to other work that exists in significant numbers in the national economy? If so, the claimant is not disabled. If not, the claimant is disabled.

Stout v. Commissioner, Social Security Administration, 454 F.3d 1050, 1052 (9th Cir. 2006) (citing 20 C.F.R. §§ 404.1520, 416.920).

The claimant has the burden of proof at steps one through four, and the Commissioner has the burden of proof at step five. Bustamante v. Massanari, 262 F.3d 949, 953-54 (9th Cir. 2001) (citing Tackett, 180 F.3d at 1098); see also Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005) (claimant carries initial burden of proving disability).

B. Standard of Review

Pursuant to 42 U.S.C. section 405(g), a court may set aside a denial of benefits only if it is not supported by substantial evidence or if it is based on legal error. Robbins v. Social Security Administration, 466 F.3d 880, 882 (9th Cir. 2006) (citing Flaten v. Secretary of Health & Human Services, 44 F.3d 1453, 1457 (9th Cir. 1995)). Federal courts may review only the reasoning in the administrative decision itself, and may affirm a denial of benefits only for those reasons upon which the ALJ actually relied. Garrison v. Colvin, 759 F.3d 995, 1010 (9th Cir. 2014) (citation omitted); see also Molina, 674 F.3d at 1121 (citing Securities and Exchange Commission v. Chenery Corp., 332 U.S. 194, 196 (1947)) ("[courts] may not uphold an agency's decision on a ground not actually relied on by the agency").

Substantial evidence is "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401 (1971) (citations and quotations omitted). It is more than a mere scintilla but less than a preponderance. Robbins, 466 F.3d at 882 (citing Young v. Sullivan, 911 F.2d 180, 183 (9th Cir. 1990)). To determine whether substantial evidence supports a finding, a court must "`consider the record as a whole, weighing both evidence that supports and evidence that detracts from the [Commissioner's] conclusion.'" Aukland v. Massanari, 257 F.3d 1033, 1035 (9th Cir. 2001) (quoting Penny v. Sullivan, 2 F.3d 953, 956 (9th Cir. 1993)). A denial of benefits must be upheld if the evidence could reasonably support either affirming or reversing the ALJ's decision. Robbins, 466 F.3d at 882 (a court may not substitute its judgment for that of the ALJ) (citing Flaten, 44 F.3d at 1457); see also Molina, 674 F.3d at 1111 ("Even when the evidence is susceptible to more than one rational interpretation, we must uphold the ALJ's findings if they are supported by inferences reasonably drawn from the record.") (citation omitted).

Even when an ALJ's decision contains error, it must still be affirmed if the error was harmless. Treichler v. Commissioner of Social Security Administration, 775 F.3d 1090, 1099 (9th Cir. 2014). An ALJ's error is harmless if (1) it was inconsequential to the ultimate nondisability determination; or (2) the ALJ's path may reasonably be discerned, even if the ALJ explains the ALJ's decision with less than ideal clarity. Id. (citation, quotation marks, and internal quotations marks omitted).

A reviewing court may not make independent findings based on the evidence before the ALJ to conclude that the ALJ's error was harmless. Brown-Hunter v. Colvin, 806 F.3d 487, 492 (9th Cir. 2015) (citations omitted); see also Marsh v. Colvin, 792 F.3d 1170, 1172 (9th Cir. 2015) (district court may not use harmless error analysis to affirm decision on ground not invoked by ALJ) (citation omitted). Where a reviewing court cannot confidently conclude that an error was harmless, a remand for additional investigation or explanation is generally appropriate. See Marsh, 792 F.3d at 1173 (remanding for additional explanation where ALJ ignored treating doctor's opinion and court not could not confidently conclude ALJ's error was harmless); Treichler, 775 F.3d at 1099-1102 (where agency errs in reaching decision to deny benefits and error is not harmless, remand for additional investigation or explanation ordinarily appropriate).

IV. DISCUSSION

Plaintiff contends that the ALJ inadequately evaluated the credibility of his subjective complaints. (Plaintiff's Motion at 3-6). Plaintiff testified that he (i) was unable to carry even a gallon of milk without pain; (ii) could not carry more than 10 pounds with his left (dominant) arm, and 15 pounds with his right arm; (iii) could not sit for more than one hour due to severe back pain; (iv) was unable to reach above shoulder height with his left arm, and could not reach above his head with his right arm; (v) could not use his hands for more than an hour without them locking up and his arms going numb; (vi) would fall downstairs because both knees would "give out"; (vii) could only "occasionally" drive; (viii) experienced constant pain — on average "seven or eight" out of 10; (ix) had problems sleeping due to pain; and (x) on a "typical day" would just sit in the garage and mostly listen to music or "rearrang[e] some stuff." (AR 92-101).

As discussed below, this Court concludes that the ALJ erred in evaluating the credibility of plaintiff's complaints. As the Court cannot find the ALJ's error harmless, a remand is warranted.

A. Pertinent Law

When a claimant provides "objective medical evidence of an underlying impairment which might reasonably produce the pain or other symptoms alleged," and there is no affirmative finding of malingering, the ALJ may discount the credibility of the claimant's subjective complaints only by "providing specific, clear and convincing reasons for doing so." Brown-Hunter, 806 F.3d at 488-89 (citation and internal quotation marks omitted). This requirement is very difficult to meet. See Garrison, 759 F.3d at 1015 (citation and internal quotation marks omitted).

An ALJ's credibility determination must be specific enough to permit a reviewing court to conclude that the ALJ did not arbitrarily discredit the claimant's subjective complaints. Brown-Hunter, 806 F.3d at 493 (citation and quotation marks omitted). Consequently, an ALJ must identify the specific testimony he or she finds not credible, provide "clear and convincing reasons" why that particular testimony lacks credibility, and identify the specific evidence which undermines the claimant's subjective complaints. See id. at 489, 493-94 (citation omitted). "General findings are insufficient[.]" Id. at 493 (citations and quotation marks omitted). Nonetheless, if the ALJ's interpretation of the claimant's testimony is reasonable and is supported by substantial evidence, it is not the court's role to second-guess it. See Thomas v. Barnhart, 278 F.3d 947, 959 (9th Cir. 2002); see also Greger v. Barnhart, 464 F.3d 968, 972 (9th Cir. 2006) (evaluation of claimant's credibility and resolution of conflicts in testimony are solely functions of Commissioner) (citation omitted).

B. Analysis

First, the Court addresses the ALJ's determination to discount the credibility of plaintiff's subjective complaints based on findings that plaintiff had "a somewhat normal level of daily activity and interaction" and that plaintiff had admitted to engaging in "activities of daily living including mowing the lawn, watering plants, making repairs around the house, preparing his own meals, and going grocery shopping once a month." (AR 18) (citing Exhibits 5E at 7-8 [AR 340-41], 6E at 4 [AR 349]). The ALJ concluded that "[plaintiff's] ability to participate in such activities undermined the credibility of [plaintiff's] allegations of disabling functional limitations," noting "[s]ome of the physical and mental abilities and social interactions required in order to perform [plaintiff's daily] activities [were] the same as those necessary for obtaining and maintaining employment." (AR 18). The ALJ did not, however, specify which of plaintiff's daily activities purportedly conflicted with which of plaintiff's subjective complaints. A general finding that plaintiff's collective daily activities are inconsistent with the alleged severity of some or all of plaintiff's subjective complaints is not sufficiently specific to permit the Court to determine whether the ALJ discounted plaintiff's credibility on permissible grounds. See Brown-Hunter, 806 F.3d at 494 (legal error where ALJ failed to identify specific testimony found not credible and failed to "link that testimony to the particular parts of the record supporting [ALJ's] non-credibility determination") (citation omitted); see, e.g., Burrell v. Colvin, 775 F.3d 1133, 1138-39 (9th Cir. 2014) (rejecting Commissioner's argument that conflicts between claimant's complaints of headaches and treatment records for such headaches was a specific, clear, and convincing reason to support ALJ's credibility finding, where the ALJ never stated that rejection of plaintiff's allegations regarding headaches specifically rested on a finding that claimant's treatment records for such headaches were inadequate).

Moreover, substantial evidence does not support the ALJ's conclusion that plaintiff engaged in "a somewhat normal level of daily activity and interaction." For example, the ALJ said plaintiff admitted in a function report that his activities generally included "mowing the lawn." (AR 18) (citing, in part, Exhibit 5E at 7 [AR 340]). More precisely, however, the function report reflects that plaintiff would mow the lawn only "every [three] week[s]." (AR 340). The ALJ also said plaintiff admitted to "making repairs around the house." (AR 18) (citing, in part, Exhibit 5E at 7 [AR 340]). Although the function report reflects that plaintiff initially circled "repairs" as one of the "household chores" he was "able to do," it later explains that the extent of his ability to engage in any household chores was essentially limited to cleaning his room and bathroom (rather than making repairs around the house on a regular basis as the ALJ's opinion suggests). (AR 340-41). The ALJ also noted that plaintiff admitted that he was able to prepare his own meals. (AR 18, 340). In the function report, however, plaintiff clarified that such ability was very limited — i.e., he would make very simple foods (i.e., "hot dogs" and "microwave stuff"), he took only a "few minutes" to do so, and he was unable to "do things that take a lot of time" when preparing meals. (AR 340).

Nonetheless, even assuming that plaintiff retained the ability to carry on certain minimal activities of daily living, the ALJ did not find, nor does the record reflect, that such activities "consume[d] a substantial part of [plaintiff's] day," and thus such evidence does not constitute a clear and convincing reason for discounting plaintiff's credibility. See Vertigan v. Halter, 260 F.3d 1044, 1050 (9th Cir. 2001) (citing Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989)); see also Vertigan, 260 F.3d at 1049 ("One does not need to be `utterly incapacitated' in order to be disabled.") (citation omitted).

Second, the ALJ also discounted plaintiff's credibility stating that "[t]he treatment records reveal the [plaintiff] received routine and conservative treatment since the alleged onset date." (AR 18). An ALJ may properly consider evidence of a claimant's conservative treatment as undermining subjective complaints of debilitating pain. See Parra v. Astrue, 481 F.3d 742, 751 (9th Cir. 2007) (citation omitted), cert. denied, 552 U.S. 1141 (2008). Here, however, substantial evidence does not support characterizing all of plaintiff's treatment as "routine and conservative" since plaintiff's medical records reflect that on multiple occasions plaintiff was prescribed strong narcotic medication to treat "severe pain" (i.e., Vicodin2 or Tramadol3). (AR 441, 480, 484, 487, 506-07); see, e.g., Aguilar v. Colvin, 2014 WL 3557308, *8 (C.D. Cal. July 18, 2014) (remanding for new credibility determination where ALJ discredited plaintiff based on "his observation that treating physicians had responded with limited and conservative treatment," but the record reflected that the plaintiff "[had] been prescribed [strong] narcotic pain medications, such as Vicodin since his knee surgery"); Brunkalla-Saspa v. Colvin, 2014 WL 1095958, *1 (C.D. Cal. March 18, 2014) (questioning ALJ's determination that plaintiff was less credible based on finding that "[p]laintiff had been conservatively treated with Vicodin[,]" noting that "Vicodin qualifies as strong medication to alleviate pain[]") (citations and quotations omitted).

As defendant suggests, the ALJ might have been able to discount plaintiff's credibility on other grounds. (Defendant's Motion at 10). Since the ALJ did not do so in the administrative decision, however, this Court may not affirm the ALJ's non-disability determination based on the additional grounds proffered by the defendant. See Garrison, 759 F.3d at 1010 ("We review only the reasons provided by the ALJ in the disability determination and may not affirm the ALJ on a ground upon which he did not rely.") (citation omitted).

Third, the ALJ found that the objective medical evidence does not support plaintiff's subjective complaints. (AR 18). Since the ALJ did not provide any other clear and convincing reason for discounting plaintiff's credibility, however, the mere lack of objective medical evidence to support the alleged severity of plaintiff's pain is an insufficient basis for the ALJ's credibility determination. See Burch, 400 F.3d at 681 (lack of objective medical evidence to support subjective symptom allegations cannot form sole basis for discounting pain testimony).

Finally, the Court cannot conclude that the ALJ's errors were harmless. For example, the Second VE testified that there would be no work available if plaintiff (or a hypothetical individual with the same characteristics as plaintiff) was "off task . . . roughly 20 percent of the day." (AR 62). In light of the significant functional limitations reflected in plaintiff's subjective symptom testimony, the Court cannot "confidently conclude that no reasonable ALJ, when fully crediting the [plaintiff's] testimony, could have reached a different disability determination." Stout, 454 F.3d at 1055-56. Accordingly, a remand is warranted to permit the ALJ to re-evaluate plaintiff's credibility.

V. CONCLUSION4

For the foregoing reasons, the decision of the Commissioner of Social Security is reversed in part, and this matter is remanded for further administrative action consistent with this Opinion.5

LET JUDGMENT BE ENTERED ACCORDINGLY.

FootNotes


1. The ALJ determined that plaintiff: (i) could lift and/or carry 11 to 20 pounds occasionally and 10 pounds frequently; (ii) could stand and/or walk for five hours out of an eight-hour workday, but no more than one hour at a time, with regular breaks; (iii) could sit for six hours out of a eight-hour workday with regular breaks; (iv) could no more than occasionally reach overhead with the left upper extremity; (v) could no more than occasionally reach, handle, finger, push, or pull with the bilateral upper extremities; (vi) could no more than occasionally stoop, kneel, crawl, and climb ladders, ropes, or scaffolds; (vii) could no more than frequently climb ramps and stairs; and (viii) could have no more than occasional exposure to extreme heat. (AR 16).
2. See Vicodin, Drugs.com web site, available at http://www.drugs.com/vicodin.html (Vicodin is "a combination of acetaminophen and hydrocodone . . . [a narcotic] pain medication" and is "used for the relief of moderate to moderately severe pain").
3. See Tramadol, Drugs.com web site, available at http://www.drugs.com/tramadol.html ("Tramadol is a narcotic-like pain reliever [¶] . . . used to treat moderate to severe pain.").
4. The Court need not, and has not adjudicated plaintiff's other challenges to the ALJ's decision, except insofar as to determine that a reversal and remand for immediate payment of benefits would not be appropriate. On remand, however, the Commissioner may wish to address the apparent discrepancy between the residual functional capacity assessment in the decision (AR 16 [stating "[plaintiff] can no more than occasionally reach, handle, finger, push, or pull with the bilateral upper extremities"]) (emphasis added) and the hypothetical question the ALJ posed to the Second VE (AR 58 [limiting hypothetical claimant to "[n]o more than frequent reaching, handling, fingering, and pushing or pulling with the bilateral upper extremities.") (emphasis added). Further, the ALJ may wish to address the following discrepancy relating to the ALJ's characterization of the Second VE's testimony. In addressing step five of the sequential evaluation process, the ALJ wrote that the Second VE had testified that the number of available positions for the representative occupations of paramutual [sic] ticket cashier, ticket taker, sales attendant "would be eroded by a range of 33 to 50 percent." (AR 23). At the hearing, however, the Second VE had identified such representative occupations in a response to the ALJ's request for "examples of jobs that do not have erosion" (AR 63) (emphasis added).
5. When a court reverses an administrative determination, "the proper course, except in rare circumstances, is to remand to the agency for additional investigation or explanation." Immigration & Naturalization Service v. Ventura, 537 U.S. 12, 16 (2002) (citations and quotations omitted). Remand is proper where, as here, "additional proceedings can remedy defects in the original administrative proceeding. . . ." Garrison, 759 F.3d at 1019 (citation and internal quotation marks omitted); see also Connett v. Barnhart, 340 F.3d 871, 876 (9th Cir. 2003) (remand is an option where the ALJ stated invalid reasons for rejecting a claimant's excess pain testimony).
Source:  Leagle

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