JOHN E. McDERMOTT, Magistrate Judge.
On October 7, 2014, Cynthia Ann Lavender ("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 Insurance benefits and Supplemental Security Income ("SSI") benefits. The Commissioner filed an Answer on January 8, 2015. On April 15, 2015, 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 Cynthia Ann Lavender is a 50-year-old female who applied for Social Security Disability Insurance benefits and Supplemental Security Income ("SSI") benefits on March 3, 2011, alleging disability beginning March 13, 2007. (AR 10.) The ALJ determined that Plaintiff has not engaged in substantial gainful activity since March 13, 2007, the alleged onset date. (AR 12.)
Plaintiff's claims were denied initially on August 2, 2011 and on reconsideration on November 22, 2011. (AR 12.) Plaintiff filed a timely request for hearing, which was held before Administrative Law Judge ("ALJ") Joseph D. Schloss on September 26, 2012. (AR 10.) Claimant appeared and testified at the hearing and was represented by counsel. (AR 10.) That hearing was continued in order to give Plaintiff's representative additional time to obtain medical evidence. (AR 10.) Plaintiff appeared and testified at another hearing held on April 3, 2013, in Moreno Valley, California. (AR 10.) Plaintiff was represented by counsel at that hearing. (AR 10.) Medical experts ("ME") W. Benton Boone, M.D. and Gerald Weingarten, M.D. as well as vocational expert ("VE") Joseph H. Torres also appeared and testified at the hearing in Moreno Valley. (AR 10.)
The ALJ issued an unfavorable decision on April 10, 2013. (AR 10-23.) The Appeals Council denied review on August 19, 2014. (AR 1-3.)
As reflected in the Joint Stipulation, Plaintiff only raises the following disputed issue as ground 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 13, 2007, the alleged onset date. (AR 12.)
At step two, the ALJ determined that Plaintiff has the following medically determinable severe impairments: type 1 diabetes; diabetic neuropathy involving the hands and feet; lumbar back pain; status post pan-retinal photo coagulation in both eyes; cataract instruction with infracter lens implant in both eyes; and glaucoma in both eyes with ahmed bell implant in the left eye on November 1, 2011. (AR 12-13.)
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 13.)
The ALJ then found that Plaintiff has the RFC to perform a range of light work as defined in 20 C.F.R. §§ 404.1567(b) and 416.967(b) and SSR 83-10 with the following limitations:
(AR 13-20.) In determining the above RFC, the ALJ made an adverse credibility determination. (AR 15.)
At step four, the ALJ found that Plaintiff is unable to perform any past relevant work as a stock clerk, deli worker, waitress and home attendant. (AR 20-21.) The ALJ also made an alternative step five finding that, considering Claimant's age, education, work experience and RFC, there are other jobs that exist in significant numbers in the national economy that Claimant also can perform, including investigator for dealer account and counter clerk. (AR 22.)
Consequently, the ALJ found that Claimant is not disabled within the meaning of the Social Security Act. (AR 22.)
The ALJ decision must be affirmed. The ALJ provided specific, legitimate reasons for discounting the opinion of Dr. Marianne Tahl, Plaintiff's treating physician. 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.
On January 17, 2013, Dr. Marianne Tahl, Plaintiff's treating physician, completed a one page check box form indicating Plaintiff cannot work. (AR 20, 375.) Dr. Tahl also checked boxes noting Claimant had a medically verifiable condition that would limit or prevent performing certain tasks and that the condition was chronic. (AR 375.) Dr. Tahl further noted Plaintiff had limitations that affect her ability to work or participate in education or training. (AR 375.) Dr. Tahl also checked a box indicating that Plaintiff's condition requires someone to be in the home to care for her. (AR 375.)
The ALJ gave Dr. Tahl's opinion little weight, noting preliminarily that, "As an opinion on an issue reserved to the Commissioner, the statement is not entitled to controlling weight and is not given special significance pursuant to 20 C.F.R. §§ 404.1527(e) and 416.927(e) and SSR 96-5." (AR 20.) Plaintiff contends that this is not a specific, legitimate reason for rejecting Dr. Tahl's opinion, but the ALJ was merely stating established law. To be sure, that the issue of disability is reserved to the Commissioner does not mean that a treating source opinion expressing an opinion on disability is irrelevant or can be ignored. SSR 96-5p*3, after acknowledging treating source opinions are not controlling on certain issues, explicitly states that "opinions from any medical source on issues that are reserved to the Commissioner must never be ignored." On the issue of disability, SSR 96-5p*5 also says that medical opinions on the issue "must never be disregarded." Here, Dr. Tahl's opinion was not ignored or disregarded. The ALJ rejected it for specific, legitimate reasons supported by substantial evidence.
First, the ALJ rejected Dr. Tahl's opinion because it was "brief, conclusory, and inadequately supported by clinical findings." (AR 20.) The ALJ explained that Dr. Tahl "did not provide an explanation for this assessment or any specific functional limitations that prevented the claimant from working." (AR 20.) An ALJ may reject a check box opinion that is brief, conclusory and inadequately supported by clinical evidence.
Second, the ALJ found that Dr. Tahl's opinion is inconsistent with the objective medical evidence as a whole, which showed the Claimant received routine and non-emergency treatment for her impairments. (AR 15-20.) In regard to Plaintiff's back pain, an x-ray examination in June 2011 showed no significant abnormalities. (AR 16.) Examinations in December 2011 and July 2012 showed pain in the lumbar region which was treated conservatively with pain medication. (AR 16.) Impairments that can be controlled effectively with medication are not disabling.
As to diabetes, in 2011 Plaintiff was prescribed medication and instruction on diet, exercise and care of her feet. (AR 16.) She was diagnosed with neuropathy in her hands and feet, but continued to be treated with medication and by November 2012 her diabetes was under "fair control." (AR 16.) Through January 2013, she continued to be treated conservatively with prescription medication. (AR 17.)
As to her eyes, she has neurovascular glaucoma in her left eye. (AR 17.) She underwent cataract surgery in her right eye in June 2011. (AR 17, 18.) She underwent left eye surgery in November 2011 and was diagnosed with diabetic retinopathy in 2012. (AR 17-28.) The tube shunt placed in her eye in November 2011 was working properly in December 2012. (AR 18.)
Plaintiff was evaluated by Dr. Nizar Salek, a consulting internist, on July 12, 2011. Dr. Salek found decreased grip strength on the left, visual acuity with glasses of 20/30 on the right and 20/70 on the left and mild tenderness in the lower back but otherwise the findings of Dr. Salek's examination were normal: straight leg raising was negative, gait was normal, range of motion was normal in the back, shoulders, elbows, wrists, hands, hips, knees and ankles, and motor strength, sensation and reflexes were normal. (AR 18.)
The ALJ gave great weight to the opinions of Dr. Gerald Weingarten, an internist, and Dr. W. B. Boone, an opthamologist, both of whom testified as medical experts at the April 13, 2013 hearing. (AR 10, 18-19.) Dr. Weingarten indicated Plaintiff could perform light work with limitations that the ALJ incorporated in his RFC. (AR 18-19.) He stated that there is no evidence of fatigue and no evidence from a medical standpoint that Plaintiff would miss two or three days of work per month. (AR 19, 47.) Dr. Boone, the opthamologist, indicated that Plaintiff "cannot visually carry out tasks requiring good vision in both eyes and good depth perception, so she cannot carry out tasks such as airline pilot, commercial bus driver, or butcher; however, she would qualify to drive in California, she could read newsprint, and she could manipulate small objects." (AR 19.) The ALJ incorporated these limitations in his RFC. (AR 13.) The contradictory opinions of other physicians provide specific, legitimate reasons for rejecting a
The ALJ's third reason for rejecting the opinion of Dr. Tahl is that it is inconsistent with Plaintiff's daily activities. (AR 20.) An ALJ may reject a physician's opinion that is contradicted by a claimant's own admitted or observed abilities.
Plaintiff disagrees with the ALJ's assessment of Dr. Tahl's opinion but it is the ALJ's responsibility to resolve conflicts in the medical evidence and ambiguities in the record.
Plaintiff's final argument is that the ALJ failed to fully develop the record by recontacting Dr. Tahl for clarification or additional evidence. The Court disagrees.
In Social Security cases, the ALJ has a special, independent duty to develop the record fully and fairly and to assure that the Claimant's interests are considered.
Here, the ALJ had no need to recontact Dr. Tahl. An ALJ's duty to develop the record further is triggered only when there is ambiguous evidence or the record is inadequate to allow for proper evaluation of the 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.