JOHN E. MCDERMOTT, Magistrate Judge.
On February 12, 2019, Jennifer Lynn Riddles ("Plaintiff" or "Claimant") filed a complaint seeking review of the decision by the Commissioner of Social Security ("Commissioner") denying Plaintiff's application for Title II Social Security Disability Insurance Benefits ("DIB"). (Dkt. 1.) The Commissioner filed an Answer on May 20, 2019. (Dkt. 14.) On August 16, 2019, the parties filed a Joint Submission ("JS"). (Dkt. 16.) The matter is now ready for decision.
Pursuant to 28 U.S.C. § 636(c), both parties consented to proceed bef ore 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 is a 56 year-old female who applied for Title II Social Security Disability Insurance Benefits on June 9, 2015, alleging disability beginning June 1, 2014. (AR 19.) The ALJ determined that Plaintiff did not engage in substantial gainful activity during the period from her alleged onset date of June 1, 2014, through her date last insured of December 31, 2016. (AR 21.)
Plaintiff's claim was denied initially on January 7, 2016. (AR 19.) Plaintiff filed a timely request for hearing, which was held before Administrative Law Judge ("ALJ") Mason D. Harrell, Jr., on February 13, 2018, in San Bernardino, California. (AR 19.) Plaintiff appeared and testified at the hearing and was represented by counsel. (AR 19.) Vocational expert ("VE") Jeff Komar also appeared and testified at the hearing. (AR 19.)
The ALJ issued an unfavorable decision on March 9, 2018. (AR 19-26.) The Appeals Council denied review on December 19, 2018. (AR 1-3.)
As reflected in the Joint Submission, 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 did not engage in substantial gainful activity during the period from her alleged onset date of June 1, 2014, through her date last insured of December 31, 2016. (AR 21.)
At step two, the ALJ determined that through the date last insured Plaintiff had the following medically determinable severe impairments: lumbar impairment, left hip impairment, and left drop foot. (AR 21.)
At step three, the ALJ determined that through the date last insured Plaintiff did not have an impairment or combination of impairments that meets or medically equaled the severity of one of the listed impairments. (AR 21-22.)
The ALJ then found that through the date last insured Plaintiff had the RFC to perform a limited range of light work as defined in 20 CFR § 404.1567(b) with the following limitations:
(AR 22-24.) In determining the above RFC, the ALJ made a determination that Plaintiff's subjective symptom allegations were "not entirely consistent" with the medical evidence and other evidence of record. (AR 23.)
At step four, the ALJ found that through the date last insured Plaintiff was not able to perform her past relevant work as a veterinary technician. (AR 24.) The ALJ, however, also found at step five that, considering Claimant's age, education, work experience, and RFC, through the date last insured there were jobs that existed in significant numbers in the national economy that Claimant could have performed, including the jobs of order caller (light) and parking attendant (light). (AR 24-25.)
Consequently, the ALJ found that Claimant was not disabled within the meaning of the Social Security Act through December 31, 2016, the last date insured. (AR 25.)
Plaintiff contends that the ALJ did not adequately address her right ankle injury suffered in November 2016 when formulating her RFC. Consequently, she asserts, the ALJ's light work RFC is legally deficient and not supported by substantial evidence. If her RFC was limited to sedentary work because of her ankle, she would be disabled under Grid Rule 201.14.
The Court rejects Plaintiff's argument. Plaintiff failed to prove that her ankle injury was a medically determinable severe impairment that lasted for 12 months, as required by Social Security law. 42 U.S.C. § 423(d)(1)(A). The ALJ's RFC is supported by substantial evidence.
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. See SSR 96-5p; 20 C.F.R. § 1527(e). In determining a claimant's RFC, an ALJ must consider all relevant evidence in the record, including medical records, lay evidence, and the effects of symptoms, including pain reasonably attributable to the medical condition. Robbins, 446 F.3d at 883.
The ALJ determined that Plaintiff had the medically determinable severe impairments of lumbar impairment, left hip impairment, and left drop foot for the relevant period. (AR 21.) The ALJ assessed a light work RFC (AR 22) and found her not disabled. (AR 22.)
Plaintiff's alleged onset date is June 1, 2014. (AR 19.) Her date last insured ("DLI") was December 31, 2016. (AR 21.) In November 2016, one month prior to her DLI, Plaintiff underwent an open reduction internal fixation of the right ankle bimalleolar fracture. (AR 23.) The ALJ noted that by June 2017, treatment notes did not indicate any musculoskeletal abnormalities. (AR 23.)
Plaintiff's only challenge in this appeal is to the ALJ's treatment of Plaintiff's November 2016 right ankle injury/surgery. She does not dispute the ALJ's finding of non-disability from June 2014 through November 2016. Her argument is that her ankle injury in November 2016 rendered her disabled just before her insured status expired on December 31, 2016.
Plaintiff has the burden to prove her impairments became disabling before her insured status expired on December 31, 2016.
Plaintiff's assertion that the ALJ did not adequately address her ankle injury is incorrect. The ALJ specifically noted that Plaintiff had right ankle surgery in November 2016. (AR 23.) The ALJ also noted that treatment notes in June 2017, less than 12 months after surgery, did not indicate any musculosketal abnormalities. (AR 23.) There is no evidence that Plaintiff's ankle injury resulted in limitations for the required 12 months. No treating or examining physician opined Plaintiff is disabled or has limitations greater than those assessed by the RFC. (AR 24.)
Nor did the ALJ err by not finding Plaintiff's ankle injury to be a severe impairment. In May 2017, six months after surgery, her physician Dr. Burgdorff stated: "She no longer has any significant pain, she [has] been to physical therapy 6 times [and] it's helped a great deal." (AR 565.) On that same date, progress notes indicated: "There is minimal tenderness over the hardware. There is no soft tissue swelling. She walks without a limp." (AR 566.) Dr. Burgdorff also remarked that "her ankle is recovered dramatically since her last visit." (AR 567.) In June 2017, treatment notes did not indicate any musculoskeletal abnormalities. (AR 419.) In October 2017, still less than 12 months from the ankle surgery, there was no mention of any ankle issues. (AR 495.) Plaintiff did not meet her burden to prove that her ankle injury was a medically determinable severe impairment that lasted 12 months.
Plaintiff attempted to rely on her own subjective reports of pain and limitations when she testified at the February 2018 hearing. Her subjective testimony alone, however, may not establish a medically determinable impairment. A medically determinable impairment may be established only "by objective medical evidence from an acceptable medical source." 20 C.F.R. § 404.1521. No treating or examining physician imposed any restrictions greater than those in the ALJ's RFC.
To the extent the ALJ's findings were too sparse, any error is harmless.
Plaintiff does not agree with the ALJ's interpretation, but it is the ALJ's responsibility to resolve conflicts in the medical evidence and ambiguities in the record.
The ALJ adequately addressed Plaintiff's ankle injury. The ALJ's RFC is supported by substantial evidence.
The ALJ's non-disability 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.