AUTUMN D. SPAETH, Magistrate Judge.
Plaintiff Linda Du ("Plaintiff") challenges the Defendant, Nancy A. Berryhill, Acting Commissioner of Social Security's (hereinafter "Commissioner" or "Defendant") denial of her application for a period
Plaintiff filed an application for DIB on October 2, 2012 and for supplemental Case 8:17-cv-02035-ADS Document 19 Filed 09/28/18 Page 2 of 12 Page ID #:1056 security income ("SSI") on October 10, 2012, alleging disability beginning November 6, 2010 in both applications. (Administrative Record ("AR") 231-238, 239-248). Plaintiff's application was denied initially on March 22, 2013 (AR 174-79), and upon reconsideration on August 22, 2013 (AR 182-88). A hearing was held before Administrative Law Judge Sharilyn Hopson ("ALJ") on February 13, 2014. (AR 196-201, 225-26). On May 19, 2014, the ALJ found that Plaintiff had not been under a disability, pursuant to the Social Security Act
Plaintiff then filed an action in District Court on January 26, 2016, challenging the ALJ's decision. (AR 640-42). On September 9, 2016, the Court reversed and remanded the matter for further administrative proceedings.
Another hearing was held before the same ALJ on August 16, 2017. (AR 598-613). On September 19, 2017, the ALJ again found that Plaintiff had not been under a disability, pursuant to the Social Security Act, from November 6, 2010 to March 31, 2016. (AR 574-97). Plaintiff filed this action on November 21, 2017. [Docket ("Dkt.") No. 1].
In the ALJ's decision of September 19, 2017 (AR 574-97), the ALJ followed the Case 8:17-cv-02035-ADS Document 19 Filed 09/28/18 Page 3 of 12 Page ID #:1057 required five-step sequential evaluation process to assess whether Plaintiff was disabled under the Social Security Act.
The ALJ then found that Plaintiff had the following Residual Functional Capacity
(AR 583-84).
At
Under 42 U.S.C. §405(g), a district court may review the Commissioner's decision to deny benefits. A court must affirm an ALJ's findings of fact if they are supported by substantial evidence and if the proper legal standards were applied.
"[T]he Commissioner's decision cannot be affirmed simply by isolating a specific quantum of supporting evidence. Rather, a court must consider the record as a whole, weighing both evidence that supports and evidence that detracts from the Secretary's conclusion."
Plaintiff raises the following issues for review: (1) whether the ALJ properly considered that Dr. Anh Tat Hoang, a consultative examiner, found in a report dated April 14, 2016, that Plaintiff had almost complete loss of the use of her left hand; (2) whether the ALJ failed to properly consider the opinion of the consultative examiner, Dr. Ali, who opined that Plaintiff could only walk or stand in twenty minute intervals; (3) whether the ALJ failed to properly consider Dr. Dang's opinion that Plaintiff could only lift and carry ten pounds, and she was limited to standing and walking thirty minutes at a time; (4) whether the ALJ properly considered Plaintiff's Case 8:17-cv-02035-ADS Document 19 Filed 09/28/18 Page 6 of 12 Page ID #:1060 credibility; (5) whether the ALJ improperly appears to rely, at least in part, on the testimony of the medical expert when forming her residual function capacity; and (6) whether the ALJ properly considered Dr. Dinh Nguyen's treating doctor opinion concerning Plaintiff's limitations. [Dkt. No. 18, Joint Stipulation ("JS") 1-2]. For the reasons below, the Court agrees with Plaintiff regarding the ALJ's failure to consider or address Dr. Hoang's April 2016 report in the ALJ's written decision, and remands on that ground.
The ALJ failed to properly consider the report of Dr. Anh Hoang. In a report dated April 14, 2016, Dr. Hoang found that Plaintiff's left hand function was "significantly impaired" and that she had "almost complete loss" of manipulative function ("Hoang Report"). (AR 946 and 947). The Hoang Report states that there was "tenosynovitis of the fingers" and that Plaintiff "was unable to make a full fist" on the left hand. (AR 944). Dr. Hoang diagnosed Plaintiff as having tenosynovitis of the left hand and anesthesia of the fingers. (AR 946). Though imprecise, the Hoang Report, dated just two weeks after the period at issue, states that Plaintiff "started experiencing pain since 2014."
The findings of Dr. Hoang's report were part of the testimony at the August 16, 2017 hearing and the report itself was included in the "List of Exhibits" (Component No. HO B27F) from the hearing. (AR 591-97.) Indeed, Plaintiff's counsel questioned the Case 8:17-cv-02035-ADS Document 19 Filed 09/28/18 Page 7 of 12 Page ID #:1061 vocational expert ("VE") about the effect the complete loss of the use of the left hand had on the RFC. (AR 605). The VE testified that, with this condition, Plaintiff would then not be able to perform past relevant work and would have no transferable skills.
Despite the potential impact of the Hoang Report, the ALJ's decision of September 19, 2017 ignores it completely. There is not a single reference to the report or to the findings of the report in the ALJ's decision. In setting forth her basis for assessing the stated RFC, the ALJ's decision reviews and considers what appears to be every medical report and opinion included as an exhibit or testimony, other than Dr. Hoang's report. (AR 584-589). As such, this Court has no basis for determining that the Hoang Report was considered by the ALJ at all.
Defendant contends that the ALJ did not have to discuss Dr. Hoang's report as it is neither significant nor probative pursuant to
Defendant argues that Hoang Report is neither significant nor probative because Case 8:17-cv-02035-ADS Document 19 Filed 09/28/18 Page 8 of 12 Page ID #:1062 it is dated after the "relevant period" and not intended to be retrospective. Defendant contends the report is thus not probative of Plaintiff's limitations during the relevant period. The Hoang Report is dated April 14, 2016, which is only two weeks after the close of the "relevant period", and discusses the Plaintiff's pain back to 2014. The ALJ is without question permitted to review and consider medical reports made after the period of alleged disability if they reasonably relate to the applicable period.
There is nothing in the report to indicate that this condition came on suddenly — particularly within the prior two weeks. As stated by Defendant, "Dr. Hoang's left hand finding was apparently supported by the fact that on examination she found Plaintiff had tenosynovitis of the fingers and was unable to make a full fist with the fingertips of the index, middle, ring and little fingers missing the mid palmar crease from one to three inches." [Dkt. No. 18, JS 7]. As noted above, the only onset indication in the report is the vague notation that Plaintiff had started experiencing pain in 2014.
Defendant next contends that Dr. Hoang's report is neither significant nor probative because it is almost entirely consistent with the ALJ's RFC findings. This is simply untrue. Dr. Hoang found that Plaintiff had almost complete loss of the use of her left hand. The ALJ's RFC included no such finding but rather seems to rely on some amount of movement and manipulation.
Defendant's final contention is that the one respect where Dr. Hoang's report was not consistent with the ALJ's RFC findings — the loss of use of the left hand — is a "total outlier" and should have been disregarded by the ALJ. [Dkt. 19, JS 6.] In support of this argument, Defendant cites to numerous medical reports from 2013 and 2014, arguing that none of these reports made a finding of tenosynovitis or loss of function of the left hand. Even if Defendant is correct as to the findings of the earlier medical reports, that does not automatically render Dr. Hoang's finding to be neither significant nor probative. To begin, it is an analysis to be undertaken by the ALJ. This Court cannot review findings not articulated by the ALJ.
Defendant's final argument is that, even if it was error for the ALJ to have failed to address the Hoang Report, the error should be found to be harmless. If the ALJ were to review and find credible the findings of Dr. Hoang, the loss of use of function in Plaintiff's left hand could very well be outcome determinative on the issue of disability based on the testimony of the VE and the applicable Grid rules, including the age of Plaintiff. Accordingly, the ALJ should have considered the Hoang Report, or explained why she was not crediting this opinion in her decision.
Having found that remand is warranted, the Court declines to address Plaintiff's remaining arguments.
Remand for further administrative proceedings, rather than an award of benefits, is warranted here because further administrative review could remedy the ALJ's errors.
IT IS ORDERED that Judgment shall be entered REVERSING the decision of the Commissioner denying benefits, and REMANDING the matter for further proceedings consistent with this Order. Case 8:17-cv-02035-ADS Document 19 Filed 09/28/18 Page 12 of 12 Page ID #:1066
LET JUDGMENT BE ENTERED ACCORDINGLY.