EDMUND F. BRENNAN, Magistrate Judge.
Plaintiff seeks judicial review of a final decision of the Commissioner of Social Security ("Commissioner") denying his applications for a period of disability and Disability Insurance Benefits ("DIB") and Supplemental Security Income ("SSI") under Titles II and XVI of the Social Security Act. The parties have filed cross-motions for summary judgment. For the reasons discussed below, plaintiff's motion for summary judgment is denied and the Commissioner's motion is granted.
Plaintiff filed applications for a period of disability, DIB, and SSI, alleging that he had been disabled since September 1, 2010. Administrative Record ("AR") 196-208. Plaintiff's applications were denied initially and upon reconsideration. Id. at 127-130, 134-143. On July 14, 2014, a hearing was held before administrative law judge ("ALJ") Amita B. Tracy. Id. at 45-70. Plaintiff was represented by counsel at the hearing, at which he and a vocational expert testified. Id.
On September 17, 2014, the ALJ issued a decision finding that plaintiff was not disabled under sections 216(i), 223(d), and 1614(a)(3)(A) of the Act.
Id. at 24-37.
Plaintiff's request for Appeals Council review was denied on March 30, 2015, leaving the ALJ's decision as the final decision of the Commissioner. Id. at 1-6.
The Commissioner's decision that a claimant is not disabled will be upheld if the findings of fact are supported by substantial evidence in the record and the proper legal standards were applied. Schneider v. Comm'r of the Soc. Sec. Admin., 223 F.3d 968, 973 (9th Cir. 2000); Morgan v. Comm'r of the Soc. Sec. Admin., 169 F.3d 595, 599 (9th Cir. 1999); Tackett v. Apfel, 180 F.3d 1094, 1097 (9th Cir. 1999).
The findings of the Commissioner as to any fact, if supported by substantial evidence, are conclusive. See Miller v. Heckler, 770 F.2d 845, 847 (9th Cir. 1985). Substantial evidence is more than a mere scintilla, but less than a preponderance. Saelee v. Chater, 94 F.3d 520, 521 (9th Cir. 1996). "`It means such evidence as a reasonable mind might accept as adequate to support a conclusion.'" Richardson v. Perales, 402 U.S. 389, 401 (1971) (quoting Consol. Edison Co. v. N.L.R.B., 305 U.S. 197, 229 (1938)).
"The ALJ is responsible for determining credibility, resolving conflicts in medical testimony, and resolving ambiguities." Edlund v. Massanari, 253 F.3d 1152, 1156 (9th Cir. 2001) (citations omitted). "Where the evidence is susceptible to more than one rational interpretation, one of which supports the ALJ's decision, the ALJ's conclusion must be upheld." Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002).
Plaintiff argues that the ALJ erred by (1) rejecting his examining physician's opinion without providing legally sufficient reasons, and (2) concluding that there were a sufficient number of jobs in the national economy that plaintiff could perform. ECF No. 12 at 5-12.
Plaintiff argues that the ALJ erred in rejecting his examining physician's opinion that he needed a cane for walking long distances and on uneven terrain. ECF No. 12 at 5-8. The weight given to medical opinions depends in part on whether they are proffered by treating, examining, or non-examining professionals. Lester, 81 F.3d at 834. Ordinarily, more weight is given to the opinion of a treating professional, who has a greater opportunity to know and observe the patient as an individual. Id.; Smolen v. Chater, 80 F.3d 1273, 1285 (9th Cir. 1996). To evaluate whether an ALJ properly rejected a medical opinion, in addition to considering its source, the court considers whether (1) contradictory opinions are in the record; and (2) clinical findings support the opinions. An ALJ may reject an uncontradicted opinion of a treating or examining medical professional only for "clear and convincing" reasons. Lester, 81 F.3d at 831. In contrast, a contradicted opinion of a treating or examining medical professional may be rejected for "specific and legitimate" reasons that are supported by substantial evidence. Id. at 830. While a treating professional's opinion generally is accorded superior weight, if it is contradicted by a supported examining professional's opinion (e.g., supported by different independent clinical findings), the ALJ may resolve the conflict. Andrews v. Shalala, 53 F.3d 1035, 1041 (9th Cir. 1995) (citing Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir. 1989)). However, "[w]hen an examining physician relies on the same clinical findings as a treating physician, but differs only in his or her conclusions, the conclusions of the examining physician are not `substantial evidence.'" Orn v. Astrue, 495 F.3d 625, 632 (9th Cir. 2007).
Plaintiff was evaluated by Dr. Jenna Brimmer, an examining physician. AR 707-710. Dr. Brimmer diagnosed plaintiff with history of stroke with right-sided weakness, type 2 diabetes not controlled with symptoms of neuropathy, high blood pressure being medically managed, and high cholesterol being medically managed. Id. at 709. It was her opinion that plaintiff could stand and walk up to six hours, sit without limitation, and lift 20 pounds occasionally and 10 pounds frequently. Id. She further opined that plaintiff could occasionally climb, balance, stoop, kneel, crouch, and crawl; occasionally reach with his right upper-extremity; but was limited with working at heights due to a risk of falling. Id. at 709-710. It was also Dr. Brimmer's opinion that plaintiff would need a cane for long distances and uneven terrain. Id. at 709.
The record also contains opinions from two non-examining physicians. Based on his review of plaintiff's medical records, Dr. Lloyd Anderson opined that plaintiff could lift 50 pounds occasionally and 10 pounds frequently; stand and/or walk for about 6 hours in an 8-hour workday; sit for about 6 hours in an 8-hour workday; frequently climb ramps and stairs, but never ladders, ropes, or scaffolds; and frequently balance, stoop, kneel, crouch, and crawl. Id. at 91-92.
Dr. J.R. Saphire, also a non-examining physician, opined that plaintiff could lift 20 pounds occasionally and 10 pounds frequently; stand and/or walk about 6 hours in an 8-hour workday; sit for about 6 hours in an 8-hour workday; frequently climb ramps and stairs, but never ladders, ropes, or scaffolds; and frequently balance, stoop, kneel, crouch, and crawl. Id. at 119-120. Dr. Saphire further opined that plaintiff was limited to frequently reaching in front and laterally, and that he should avoid concentrated exposure to extreme temperatures, vibrations and workplace hazards. Id. at 120.
In assessing plaintiff's RFC, the ALJ adopted significant portions of Drs. Brimmer and. Saphire's opinions. See id. at 29. However, the ALJ rejected Dr. Brimmer's opinion that plaintiff would require a cane for long distances and uneven terrain. Plaintiff contends that the ALJ erred in doing so. ECF No. 12 at 5-8. As this opinion was contradicted by the opinions of Dr. Saphire and Dr. Anderson, the ALJ was required to provide a legitimate and specific reason for disregarding this examining opinion. Lester, 81 F.3d at 830.
In determining that plaintiff did not require the use of a cane, the ALJ found that "there is no probative evidence that the claimant has used a walker or cane with any sort of regularity." Id. at 31. The ALJ further stated, "It seems that Dr. Brimmer echoed the claimant's report that he uses a cane but the record is devoid of any use or even possession of a cane or walker since July or August 2011."
An ALJ may discount a physician's opinion if it is not supported or is inconsistent with other substantial evidence of record. See Orn, 495 F.3d at 631. Plaintiff contends that contrary to the ALJ's finding, there is evidence in the record demonstrating that he needed a cane for ambulation. ECF No. 12 at 7.
In July 2011, plaintiff was admitted to the hospital with concerns that he had a stroke. AR 428. He was diagnosed with possible transient ischemic attack, with no evidence of stroke on magnetic resonance imaging. Id. at 425. He underwent physical therapy and reported that he could ambulate without a walker. Id. at 426. At the time of discharge, his symptoms had resolved and plaintiff was informed that he could "either choose to or not choose to use the walker as tolerated." Id. A psychosocial assessment form, which was completed approximately a week after his discharge, indicates that plaintiff was prescribed a wheelchair, but not a walker or cane. Id. at 622. The form, however, does not include any clinical findings suggesting that plaintiff was confined to a wheelchair. Id. Furthermore, there is nothing in the record to suggest that plaintiff's condition worsened after his discharge. Treatment notes from September 2011 reiterated that at the time plaintiff was discharged "his deficits mostly resolved [and] he was left with a mild limp requiring walking with a cane." Id. at 574; see also id. at 562.
This evidence establishes that plaintiff was prescribed an assistive device for ambulation after his July 2011 hospitalization. But there is evidence indicating that notwithstanding the prescription, use of such a device proved unnecessary. Treatment notes from July 2012 reflect that plaintiff continued to have a slow gait with a slight limp. Id. at 507. As noted by the ALJ, despite this impairment plaintiff reported that he had not used his walker or cane since being discharged from the hospital because "it's embarrassing." Id. at 32, 504. Thus, plaintiff functioned without a cane from the time of his discharge in late July or August of 2011 to the date of the treatment notation in July 2012. The fact that he did so is entirely consistent with the functional capacity opinions of Dr. Saphire and Dr. Anderson, neither of which indicated that plaintiff required the use of a cane.
Accordingly, the ALJ gave a specific and legitimate reason for rejecting Dr. Brimmer's opinion in this limited regard.
Plaintiff next argues that the ALJ erred at the fifth-step of the sequential evaluation process by concluding that there were a sufficient amount of jobs in the national economy that he could perform. ECF No. 12 at 9-12.
At step five of the sequential evaluation process, the Commissioner bears the burden of showing that the plaintiff has the ability to perform work available in the national economy. Yuckert, 482 U.S. at 146 n.5. To meet this burden, an ALJ may utilize a vocational expert "to testify as to (1) what jobs the claimant, given his or her functional capacity, would be able to do; and (2) the availability of such jobs in the national economy." Tackett v. Apfel, 180 F.3d 1094, 1101 (9th Cir. 1999).
At the hearing, the vocational expert testified that an individual with plaintiff's RFC could perform work as a children's attendant, a housekeeping cleaner, and a ticket taker. AR at 66-67. The ALJ's relied on this testimony in finding that there are a significant number of jobs in the national economy that plaintiff can perform. Id. at 37. Plaintiff contends, however, that he cannot perform the positions of housekeeping cleaner and ticket taker because these jobs require frequent to constant reaching, which is precluded by the ALJ's RFC determination limiting plaintiff to occasional reaching in front and laterally with his right upper-extremity. ECF No. 12 at 9-11. Thus, plaintiff contends that these are not jobs within his functional capacity. He argues that without the availability of these jobs the ALJ's finding of not disabled cannot be sustained because the vocation expert testified that the remaining job of children's attendant only has 5,104 available positions nationally, which plaintiff contends is an insufficient number of jobs. Id. at 11-12.
Plaintiff is correct that under the Dictionary of Occupational Titles ("DOT") both a housekeeping cleaner and ticket taker require at least frequent reaching. DOT 323.687-014, 1991 WL 672783 (Cleaner, Housekeeping), DOT 211.467-030, 1991 WL 671853 (Ticket Seller). "However, the DOT does not specify that frequent reaching requires the use of both arms." Powell v. Colvin, 2013 WL 6797569, * at 4 (C.D. Cal. Dec. 19, 2013) (finding that plaintiff could perform a job requiring frequent reaching despite being limited to occasional reaching with left arm); see also Carey v. Apfel, 230 F.3d 131, 146 (5th Cir. 2000) (finding that the vocational expert's testimony that plaintiff could perform work as a ticket seller despite amputation of one arm was not inconsistent with the DOT's requirement of frequent handing and finger for the position because the DOT does not require bilateral dexterity); Palomares v. Astrue, F. Supp. 2d 906, 920 (N.D. Cal. 2012) (finding that there was no conflict between the DOT and vocational expert's testimony that a person limited in reaching with his left extremity could perform a DOT job requiring constant reaching because "the DOT does not require constant reaching with both arms."). Here, the ALJ's RFC determination did not include any limitations in reaching with plaintiff's left arm, a finding that plaintiff does not challenge. AR 29.
Furthermore, the vocational expert testified that an individual with plaintiff's RFC, including the limitation to only occasional front and lateral reaching with the right upper extremity, could perform work as a children's attendant, housekeeping cleaner, and ticket taker. Id. at 66-67. Moreover, she stated that her testimony was consistent with the DOT. Id. at 67. Accordingly, the ALJ did not err in finding that plaintiff could perform these jobs notwithstanding the limitation to his right upper extremity.
In light of the availability of the jobs addressed by the vocational expert, the court does not reach plaintiff's further argument that it was error to find that he could perform the position of a ticket taker. Plaintiff argues that this job requires level 3 reasoning, which is precluded by the ALJ's finding that he is limited to simple, repetitive, routine tasks. ECF No. 12 at 11. As explained above, that ALJ properly concluded that plaintiff maintained the ability to work as a housekeeping cleaner. The vocational expert testified that there are more than 137,000 housekeeping cleaner jobs available nationally. AR 66. This job alone has a sufficient number of positions available in the national economy to support the ALJ's step-five finding. Moncada v. Chater, 60 F.3d 521, 524 (9th Cir. 1995) (60,000 national jobs is a significant number); Moore v. Apfel, 216 F.3d 864, 869 (9th Cir. 2000) (testimony that there was 125,000 jobs nationally that plaintiff could perform constituted substantial evidence supporting the ALJ's finding that the plaintiff was not disabled).
Accordingly, the ALJ did not err in finding that there were a significant number of jobs in the national economy that plaintiff could perform.
Accordingly, it is hereby ORDERED that:
Lester v. Chater, 81 F.3d 821, 828 n.5 (9th Cir. 1995).
The claimant bears the burden of proof in the first four steps of the sequential evaluation process. Yuckert, 482 U.S. at 146 n.5. The Commissioner bears the burden if the sequential evaluation process proceeds to step five. Id.