JOHN E. McDERMOTT, Magistrate Judge.
On January 13, 2014, Sheryl Anderson ("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 and Disability Insurance benefits and for Supplemental Security Income ("SSI") benefits. The Commissioner filed an Answer on April 21, 2014. On June 26, 2014, 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 Sheryl Anderson is a 56-year-old female who applied for Social Security Disability and Disability Insurance benefits on September 23, 2011 and Supplemental Security Income benefits on September 28, 2011, alleging disability beginning March 29, 2011. (AR 20.) The ALJ determined that Plaintiff has not engaged in substantial gainful activity since March 29, 2011, the alleged onset date. (AR 23.)
Plaintiff's claims were denied initially on December 28, 2011. (AR 20.) Plaintiff filed a timely request for hearing, which was held before Administrative Law Judge ("ALJ") Edward P. Schneeberger on September 7, 2012 (AR 20), in Downey, California. Claimant appeared and testified at the hearing and was represented by counsel. (AR 20.) Vocational expert ("VE") Alan Ey also appeared and testified at the hearing. (AR 20.) The ALJ decided to conduct an evidentiary hearing which occurred on February 6, 2013. (AR 20-21.) On April 15, 2013, the case came on for a supplemental hearing. (AR 21.) Claimant appeared and was represented by counsel. (AR 21.) Also appearing was Elizabeth Ramos, an impartial VE. (AR 21.)
The ALJ issued an unfavorable decision on July 30, 2013. (AR 20-28.) The Appeals Council denied review on December 4, 2013. (AR 1-4.)
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 March 29, 2011, the alleged onset date. (AR 23.)
At step two, the ALJ determined that Plaintiff has the following medically determinable severe impairment: asthma (20 C.F.R. §§ 404.1520(c) and 416.920(c)). (AR 23.)
At step three, the ALJ determined that Plaintiff does not have an impairment or combination of impairments that meets or medically equals the severity of one of the listed impairments. (AR 23.)
The ALJ then found that Plaintiff has the RFC to perform medium work as defined in §§ 20 C.F.R. 404.1567(c) and 416.967(c) with the following limitations:
(AR 24-27.) In determining this RFC, the ALJ made an adverse credibility determination. (AR 27.)
At step four, the ALJ found that Plaintiff is capable of performing her past relevant work as a bus driver as actually and generally performed. (AR 27-28.)
Consequently, the ALJ found that Claimant was not disabled, within the meaning of the Social Security Act. (AR 28.)
The ALJ decision must be affirmed. The ALJ properly considered the medical evidence, and properly discounted Plaintiff's credibility. The ALJ's RFC is supported by substantial evidence. The ALJ's nondisability determination is supported by substantial evidence and free of legal error.
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.
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.
The ALJ found that Plaintiff's only severe medical impairment is asthma. (AR 23.) The ALJ also found that Plaintiff's asthma was completely controlled and has not resulted in any daily activity limitations or exercise limitations. (AR 26.) The ALJ, moreover, accommodated this impairment in his RFC by restricting Plaintiff to a medium work RFC with occasional stooping and climbing and a work environment "reasonably free of dust, fumes and smoke." (AR 24, 26.) Plaintiff challenges the ALJ's severity finding, asserting that Claimant has other severe medical impairments. The ALJ's RFC, however, is supported by substantial evidence.
At step two of the sequential inquiry, the ALJ determines whether the claimant has a medically severe impairment or combination of impairments.
The step two determination is a
Here, the process did not end at step two. The ALJ considered all of Plaintiff's impairments, severe and nonsevere, in assessing Plaintiff's RFC. Plaintiff testified to a multitude of physical symptoms — dizziness, trouble stooping, numb feet, inability to walk, problems lifting, and falling, among others. (AR 25.) Although treating records in July 2011 reflect complaints of bilateral feet swelling and knee pain, the examination revealed only mild edema and the joints and bilateral knees were within normal limits. (AR 25.) An X-ray of the lumbar spine revealed minimal spondylosis. (AR 25, 170.) A November 19, 2011 internal medicine consulting examination by Dr. Scheila Benrazavi noted diabetes with some numbness in the feet and beginning signs of diabetic neuropathy (AR 664, 669) but also found normal range of motion in all extremities and assessed a medium work RFC. (AR. 664-669.) As the ALJ observed, Claimant's physicians evaluated her complaints through various diagnostic studies "without apparent limitations." (AR 25.) The ALJ also noted that, despite claims of leg weakness, Plaintiff exercised one to two hours a day, hiked, biked and lifted weights. (AR 25, 26.) Thus, the ALJ reasonably found that "the medical record does not support the presence of physical impairments that would result in more than minimal limitations." (AR 26.)
As to mental impairments, Plaintiff has alleged depression, anxiety and post-traumatic stress disorder, for which she is taking medication. (AR 24-26.) The primary medical evidence of psychiatric problems at the time of the September 7, 2012 hearing, however, comes from the November 25, 2011 report of consulting psychiatrist Dr. Sohini Parikh. (AR 674-680.) He diagnosed only mood disorder and assessed a Global Assessment of Functioning (GAF) score of 70, which is an indication of mild symptoms and that Plaintiff was "generally functioning pretty well". (AR 679.) He also found no impairments in the ability to function at work or in daily activities and social functioning. (AR 679-680.) Although Plaintiff claims documentation of major depression and post-traumatic stress disorder, these Kaiser records in 2010 also indicate that Plaintiff's mental impairments were well controlled. (AR 289, 305, 322, 329.)
Shortly after the hearing, Plaintiff was voluntarily admitted to a partial hospitalization program. (AR 24-25.) After the two-month program was complete, she was discharged home with a prescription for Prozac. (AR 25.) Follow-up with a psychiatrist is ongoing. (AR 25.) Recent 2013 group therapy notes indicate Plaintiff's mood is stable, she is not in crisis, she is coherent and her memory and judgment are normal. (AR 25, 1163.) Accordingly, the ALJ found that Plaintiff's mental impairment was no longer severe and in any event does not meet the 12 month durational requirement. (AR 25, 27.)
Plaintiff also contends that long term corticosteroid use for her asthma condition has resulted in instability, propensity to fall and lower extremity weakness. (AR 26.) The ALJ, however, found that Claimant had not used cortical steroids for two years. (AR 26.) The ALJ also found that Plaintiff's physician Dr. Kaplan did not examine her lower extremities or link Plaintiff's complaints of leg weakness to corticosteroid use. (AR 26.) The ALJ also noted that Claimant's contentions of instability, falling and leg weakness are inconsistent with her one to two hour a day workouts at the gym which do not support the alleged severity of her lower extremity symptoms. (AR 26.)
Plaintiff relies on two letters by her treating physician Dr. Kaplan dated August 20, 2012 and February 21, 2013 that Plaintiff has experienced "signs and symptoms that are known to be associated with prolonged or repeated corticosteroid use." (AR 993, 1143.) Dr. Kaplan did not say Plaintiff was disabled or offer any functional limitation assessment. The ALJ, moreover, "gave little weight" to Dr. Kaplan's statements because they are inconsistent with his own treating notes. An ALJ can reject a treating physician's assessment where contradicted by the physician's notes.
The ALJ's step two severity finding, then, is supported by substantial evidence. Plaintiff, moreover, mistakenly focuses on impairments instead of disabling limitations. As the ALJ found, the treating record contains no assessment of functional limitations deriving from physical impairments, mental impairments or corticosteroid use, other than for Claimant's asthma which has been accommodated in the ALJ's RFC. (AR 27.) Plaintiff disagrees with the ALJ's evaluation of the medical evidence but the ALJ is the one responsible for resolving conflicts in the medical evidence and ambiguities in the record.
The test for deciding whether to accept a claimant's subjective symptom testimony turns on whether the claimant produces medical evidence of an impairment that reasonably could be expected to produce the pain or other symptoms alleged.
In determining Plaintiff's RFC, the ALJ concluded that Claimant's medically determinable impairments reasonably could be expected to cause some of her alleged symptoms. (AR 27.) The ALJ, however, also found that Plaintiff's statements regarding the intensity, persistence and limiting effects of these symptoms were "not credible" to the extent inconsistent with the ALJ's RFC. (AR 27.) Because the ALJ did not make a finding of malingering, he was required to provide clear and convincing reasons supported by substantial evidence to discount Plaintiff's credibility.
First, the ALJ found that the objective medical evidence does not support the alleged severity of Claimant's symptoms. (AR 27.) An ALJ is entitled to consider whether there is a lack of medical evidence to corroborate a claimant's alleged pain symptoms so long as it is not the only reason for discounting a claimant's credibility.
Second, the ALJ noted daily activities inconsistent with disabling impairments and limitations, which is a legitimate reason for discounting credibility.
The ALJ discounted Plaintiff's credibility for clear and convincing reasons supported by substantial evidence.
The ALJ's RFC is supported by substantial evidence. The ALJ's nondisability determination 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.