SHERI PYM, Magistrate Judge.
On May 27, 2011, plaintiff Steven V. Rowles filed a complaint against defendant Michael J. Astrue, seeking a review of a denial of a period of disability and disability insurance benefits ("DIB"). Both plaintiff and defendant have consented to proceed for all purposes before the assigned Magistrate Judge pursuant to 28 U.S.C. § 636(c). The court deems the matter suitable for adjudication without oral argument.
Plaintiff presents two disputed issues for decision: (1) whether the Administrative Law Judge ("ALJ") properly considered the opinion of an examining physician; and (2) whether the ALJ properly considered plaintiff's credibility. Memorandum in Support of Plaintiff's Complaint ("Pl. Mem.") at 2-7; Memorandum in Support of Defendant's Answer ("D. Mem.") at 3-7.
Having carefully studied, inter alia, the parties's written submissions, the Administrative Record ("AR"), and the decision of the ALJ, the court concludes that, as detailed herein, the ALJ improperly rejected the opinion of plaintiff's examining physician, as he completely ignored it, and inappropriately discounted plaintiff's credibility, as the reasons he gave for doing so were not clear and convincing reasons supported by substantial evidence. Therefore, the court remands this matter to the Commissioner of the Social Security Administration ("Commissioner") in accordance with the principles and instructions enunciated in this Memorandum Opinion and Order.
Plaintiff, who was forty-five years old on the date of his April 21, 2010 administrative hearing, is a high school graduate and completed one quarter of college. AR at 33, 35, 206. His past relevant work includes employment as a production technician and chemical operator technician. AR at 69.
On March 31, 2008, plaintiff filed an application for a period of disability and DIB, alleging an onset date of August 14, 2007, due to back pain.
On April 21, 2010, plaintiff, represented by counsel, appeared and testified at a hearing before the ALJ. AR at 31-76. The ALJ also heard testimony from Alanson Mason, a medical expert, and Mrs. Ellison, a vocational expert. AR at 56-74. On May 28, 2010, the ALJ denied plaintiff's claim for benefits. AR at 15-23.
Applying the well-known five-step sequential evaluation process, the ALJ found, at step one, that plaintiff did not engage in substantial gainful activity since his alleged onset date of disability, August 14, 2007.
At step two, the ALJ found that plaintiff suffered from the following severe impairment: lumbar spondylosis with disc degeneration at L5-S1 and a disc protrusion at L4-5. Id.
At step three, the ALJ found that plaintiff's impairment did not meet or medically equal one of the listed impairments set forth in 20 C.F.R. part 404, Subpart P, Appendix 1 (the "Listings"). AR at 17-18.
The ALJ then assessed plaintiff's residual functional capacity ("RFC")
The ALJ found, at step four, that plaintiff was incapable of performing his past relevant work. AR at 22.
At step five, the ALJ determined that, based upon plaintiff's age, education, work experience, and RFC, plaintiff could perform "other work that exists in significant numbers in the national economy," including Cashier II and Order Clerk. AR at 22-23. Consequently, the ALJ concluded that plaintiff did not suffer from a disability as defined by the Social Security Act. AR at 23.
Plaintiff filed a timely request for review of the ALJ's decision, which was denied by the Appeals Council. AR at 1-4. The ALJ's decision stands as the final decision of the Commissioner.
This court is empowered to review decisions by the Commissioner to deny benefits. 42 U.S.C. § 405(g). The findings and decision of the Social Security Administration must be upheld if they are free of legal error and supported by substantial evidence. Mayes v. Massanari, 276 F.3d 453, 458-59 (9th Cir. 2001) (as amended). But if the court determines that the ALJ's findings are based on legal error or are not supported by substantial evidence in the record, the court may reject the findings and set aside the decision to deny benefits. Aukland v. Massanari, 257 F.3d 1033, 1035 (9th Cir. 2001); Tonapetyan v. Halter, 242 F.3d 1144, 1147 (9th Cir. 2001).
"Substantial evidence is more than a mere scintilla, but less than a preponderance." Aukland, 257 F.3d at 1035. Substantial evidence is such "relevant evidence which a reasonable person might accept as adequate to support a conclusion." Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 1998); Mayes, 276 F.3d at 459. To determine whether substantial evidence supports the ALJ's finding, the reviewing court must review the administrative record as a whole, "weighing both the evidence that supports and the evidence that detracts from the ALJ's conclusion." Mayes, 276 F.3d at 459. The ALJ's decision "`cannot be affirmed simply by isolating a specific quantum of supporting evidence.'" Aukland, 257 F.3d at 1035 (quoting Sousa v. Callahan, 143 F.3d 1240, 1243 (9th Cir. 1998)). If the evidence can reasonably support either affirming or reversing the ALJ's decision, the reviewing court "`may not substitute its judgment for that of the ALJ.'" Id. (quoting Matney v. Sullivan, 981 F.2d 1016, 1018 (9th Cir. 1992)).
Plaintiff argues that the ALJ improperly rejected the opinion of his examining physician, Dr. Hooman Rastegar. Pl. Mem. at 2-4; Reply Memorandum in Support of Plaintiff's Complaint ("Pl. Reply") at 1-4. Specifically, plaintiff contends that the ALJ failed to consider Dr. Rastegar's opinion. Pl. Mem. at 2-4; Pl. Reply at 1-4. The court agrees.
In determining whether a claimant has a medically determinable impairment, among the evidence the ALJ considers is medical evidence. 20 C.F.R.§§ 404.1527(b), 416.927(b). In evaluating medical opinions, the regulations distinguish among three types of physicians: (1) treating physicians; (2) examining physicians; and (3) non-examining physicians. 20 C.F.R. §§ 404.1527(d), (f), 416.927(d), (f); Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995) (as amended). "Generally, a treating physician's opinion carries more weight than an examining physician's, and an examining physician's opinion carries more weight than a reviewing physician's." Holohan v. Massanari, 246 F.3d 1195, 1202 (9th Cir. 2001); 20 C.F.R. §§ 404.1527(d)(1)-(2), 416.927(d)(1)-(2). The opinion of the treating physician is generally given the greatest weight because the treating physician is employed to cure and has a greater opportunity to understand and observe a claimant. Smolen v. Chater, 80 F.3d 1273, 1285 (9th Cir. 1996); Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir. 1989).
Nevertheless, the ALJ is not bound by the opinion of the treating physician. Smolen, 80 F.3d at 1285. If a treating physician's opinion is uncontradicted, the ALJ must provide clear and convincing reasons for giving it less weight. Lester, 81 F.3d at 830. If the treating physician's opinion is contradicted by other opinions, the ALJ must provide specific and legitimate reasons supported by substantial evidence for rejecting it. Id. Likewise, the ALJ must provide specific and legitimate reasons supported by substantial evidence in rejecting the contradicted opinions of examining physicians. Id. at 830-31. The opinion of a non-examining physician, standing alone, cannot constitute substantial evidence. Widmark v. Barnhart, 454 F.3d 1063, 1067 n.2 (9th Cir. 2006); Morgan v. Comm'r, 169 F.3d 595, 602 (9th Cir. 1999); see also Erickson v. Shalala, 9 F.3d 813, 818 n.7 (9th Cir. 1993).
Dr. Rastegar, an anesthesiologist at One Stop Multi-Speciality Medical Group, Inc., examined plaintiff in connection with a worker's compensation claim on March 9, 2010. AR at 636-40. Dr. Rastegar took plaintiff's history and conducted an examination, but did not review any diagnostic studies or medical records. AR at 638. The objective findings identified by Dr. Rastegar include: decreased range of motion in the lumbosacral spine; paravertebral muscle spasm in the lower lumbar area; tenderness over the L4-5, L5-S facets bilaterally; the facet loading was positive for pain in the lower lumbar area; and both the straight leg raise and Lasegue's test were positive bilaterally. AR at 637-38. Dr. Rastegar diagnosed plaintiff with: low back pain; bilateral lower extremity radiculopathy; lumbar degenerative disc disease with 2-3 mm. disc bulge at T11-T12, 2-3 mm. at L3-L4, 4 mm. at L4-L5, and 6 mm. at L5-S1; moderate left and mild right neural foraminal narrowing at L4-L5; moderate bilateral facet hypertrophy with mild to moderate central canal narrowing; and mild left and mild to moderate right neural foraminal narrowing at L5-S1. AR at 638. Dr. Rastegar recommended a lumbar epidural steroid injection. Id.
Subsequently, Dr. Rastegar reviewed and approved a Medical Assessment of Ability to Do Work-Related Activities (Physical) completed by Myron Durrant, an examining chiropractor ("Medical Assessment"). AR at 644-47. In the Medical Assessment, Dr. Rastegar opined that plaintiff could occasionally lift and carry up to ten pounds; sit, stand, and walk in fifteen-minute increments; and push and pull occasionally. AR at 644-46. Dr. Rastegar restricted plaintiff from climbing, balancing, stooping, crouching, kneeling, and crawling. AR at 646. Dr. Rastegar concluded that plaintiff was temporarily totally disabled ("TTD").
Here, the ALJ concluded that plaintiff: could lift/carry/push/pull twenty pounds occasionally and ten pounds frequently; could stand/walk for two hours in an eight-hour day; could sit for six hours in an eight-hour day; must have the option to change from sitting to standing and back at will; could occasionally climb stairs, but no ladders; could occasionally balance, stoop, and kneel; and was restricted from crouching, crawling, extremes of cold, vibrating tools, unprotected heights, and hazardous equipment. AR at 18. In reaching that determination, the ALJ gave no weight or little weight to five other treating, examining, and State Agency physicians, and accorded great weight only to the medical expert, Alanson Mason. AR at 19-21. With respect to each of these physicians other than Dr. Mason, the ALJ discussed the physician's opinion and gave reasons for rejecting it.
But the ALJ ignored Dr. Rastegar's examination and Medical Assessment, except to state that he would disregard any TTD determinations, such as in the Medical Assessment, because the Commissioner had the sole discretion to determine disability. AR at 21. The ALJ has a duty to consider all medical evidence. 20 C.F.R. § 404.1527(d) ("Regardless of its source, we will evaluate every medical opinion we receive."). In ignoring Dr. Rastegar's opinion, the ALJ erred.
Even assuming, as defendant contends, that the ALJ's reference to the Medical Assessment constituted a discussion of Dr. Rastegar's opinion (see AR at 21), the ALJ still failed to provide specific and legitimate reasons for rejecting it. The ALJ correctly noted that "the determination of disability is one that is left to the sole discretion of the Commissioner." AR at 21. Nevertheless, this, by itself, is not a specific and legitimate reason for rejecting a physician's opinion. The ALJ has a duty to follow proper procedure and evaluate all medical evidence. See Lingenfelter v. Astrue, 504 F.3d 1028, 1038 n.10 (9th Cir. 2001) (ALJ cannot avoid his duties by simply ignoring an opinion); Booth, 181 F. Supp. 2d at 1105 (stating that an ALJ may not disregard a "medical opinion simply because it was initially elicited in a state workers' compensation proceeding" or couched in workers' compensation terms). The ALJ cannot reject the opinion of an examining physician without providing specific and legitimate reasons. See Lester, 81 F.3d at 830-31; Smith v. Astrue, No. 10-4463, 2011 WL 5294848, at *4 (N.D. Cal. Nov. 3, 2011) ("Although the treating physician's opinion is not necessarily conclusive as to either a physical condition or the ultimate issue of disability, an ALJ must provide `specific and legitimate reasons for rejecting the opinion of the treating physician.'") (quoting Murray v. Heckler, 722 F.2d 499, 502 (9th Cir. 1983)); see also Matthews v. Shalala, 10 F.3d 678, 680 (9th Cir. 1993) ("`The administrative law judge is not bound by the uncontroverted opinions of the claimant's physicians on the ultimate issue of disability, but he cannot reject them without presenting clear and convincing reasons for doing so.'" (quoting Montijo v. Sec'y of Health & Human Servs., 729 F.2d 599, 601 (9th Cir. 1984)).
Here, Dr. Rastegar did not simply provide a conclusion of disability, but also offered an opinion as to plaintiff's limitations. The ALJ completely disregarded the opined limitations. The ALJ's conclusory rejection of all TTD determinations does not reflect a proper consideration of Dr. Rastegar's opinion. Accordingly, the ALJ erred because he failed to consider, much less provide specific and legitimate reasons supported by substantial evidence for rejecting, the opinion of Dr. Rastegar.
Plaintiff argues that the ALJ failed to make a proper credibility determination. Pl. Mem. at 4-7; Pl. Reply at 4-9. Specifically, plaintiff contends that the ALJ did not provide clear and convincing reasons that are supported by substantial evidence. Pl. Mem. at 4-7; Pl. Reply at 4-9. The court agrees.
An ALJ must make specific credibility findings, supported by the record. SSR 96-7p. To determine whether testimony concerning symptoms is credible, an ALJ engages in a two-step analysis. Lingenfelter, 504 F.3d at 1035-36. First, an ALJ must determine whether a claimant produced objective medical evidence of an underlying impairment "`which could reasonably be expected to produce the pain or other symptoms alleged.'" Id. at 1036 (quoting Bunnell v. Sullivan, 947 F.2d 341, 344 (9th Cir. 1991) (en banc)). Second, if there is no evidence of malingering, an "ALJ can reject the claimant's testimony about the severity of her symptoms only by offering specific, clear and convincing reasons for doing so." Smolen, 80 F.3d at 1281; Benton v. Barnhart, 331 F.3d 1030, 1040 (9th Cir. 2003). An ALJ may consider several factors in weighing a claimant's credibility, including: (1) ordinary techniques of credibility evaluation such as a claimant's reputation for lying; (2) the failure to seek treatment or follow a prescribed course of treatment; and (3) a claimant's daily activities. Tommasetti v. Astrue, 533 F.3d 1035, 1039 (9th Cir. 2008); Bunnell, 947 F.2d at 346-47 (9th Cir. 1991) (en banc).
At the first step, the ALJ found that plaintiff's medically determinable impairments could reasonably be expected to cause some of the alleged symptoms. AR at 19.
At the second step, because the ALJ did not find any evidence of malingering, the ALJ was required to provide clear and convincing reasons for discounting plaintiff's credibility. Here, the ALJ found that plaintiff's statements "concerning the intensity, persistence and limiting effects of [his] symptoms are not credible to the extent that they are inconsistent with the [RFC] assessment." AR at 19. The ALJ provided two reasons for discounting plaintiff's credibility: (1) plaintiff only received conservative treatment; and (2) plaintiff's daily activities were inconsistent with his alleged symptoms. AR at 21-22. These were not clear and convincing reasons supported by substantial evidence.
First, the ALJ noted that plaintiff received conservative treatment. AR at 21. Specifically, the ALJ stated that plaintiff had few treatment records, did not undergo any epidural injections as recommended, and did not receive any recommendations for surgery. AR at 21; see Parra v. Astrue, 481 F.3d 742, 751 (9th Cir. 2007) ("[E]vidence of `conservative treatment' is sufficient to discount a claimant's testimony regarding severity of an impairment."). The ALJ was correct that plaintiff has few treatment records and follows a conservative course of treatment. Plaintiff takes anti-inflammatory and pain medication. AR at 309. See Tommasetti, 533 F.3d at 1040 (describing physical therapy and anti-inflammatory medication as conservative treatment). But the ALJ's reasoning contains factual errors. Plaintiff in fact received an epidural injection on November 14, 2008. AR at 45, 320, 590. Plaintiff also received two recommendations for surgical intervention. Dr. Mitchell Geiger, an examining orthopedic surgeon, and Dr. Eduardo E. Anguizola, an examining anesthesiologist, stated that plaintiff was a candidate for surgery.
Second, the ALJ asserted that plaintiff's daily activities are inconsistent with his symptoms. AR at 21-22. See Morgan, 169 F.3d at 600 (plaintiff's ability "to spend a substantial part of [her] day engaged in pursuits involving the performance of physical functions that are transferable to a work setting" may be sufficient to discredit her) (emphasis added). Specifically, the ALJ cites to plaintiff's Viagra prescription and ability to engage in sexual activity as inconsistent with his complaints.
In short, the reasons the ALJ stated for his credibility finding are not clear and convincing reasons supported by substantial evidence.
The decision whether to remand for further proceedings or reverse and award benefits is within the discretion of the district court. McAllister v. Sullivan, 888 F.2d 599, 603 (9th Cir. 1989). Where no useful purpose would be served by further proceedings, or where the record has been fully developed, it is appropriate to exercise this discretion to direct an immediate award of benefits. See Benecke v. Barnhart, 379 F.3d 587, 595-96 (9th Cir. 2004); Harman v. Apfel, 211 F.3d 1172, 1179-80 (9th Cir. 2000) (decision whether to remand for further proceedings turns upon their likely utility). But where there are outstanding issues that must be resolved before a determination can be made, and it is not clear from the record that the ALJ would be required to find a plaintiff disabled if all the evidence were properly evaluated, remand is appropriate. See Benecke, 379 F.3d at 595-96; Harman, 211 F.3d at 1179-80.
Here, as set out above, remand is required because the ALJ erred in failing to properly evaluate Dr. Rastegar's opinion and plaintiff's credibility. On remand, the ALJ shall consider all medical opinions, including the opinion provided by Dr. Rastegar regarding plaintiff's impairments and limitations, and either credit his opinion or provide specific and legitimate reasons for rejecting it. The ALJ shall also reconsider plaintiff's subjective complaints with respect the limitations of his physical impairments, and either credit plaintiff's testimony or provide clear and convincing reasons supported by substantial evidence for rejecting them. The ALJ shall then proceed through steps four and five to determine what work, if any, plaintiff is capable of performing.
IT IS THEREFORE ORDERED that Judgment shall be entered REVERSING the decision of the Commissioner denying benefits, and REMANDING the matter to the Commissioner for further administrative action consistent with this decision.
