Mary Ann Jackson v. Andrew Saul

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8 UNITED STATES DISTRICT COURT

9 CENTRAL DISTRICT OF CALIFORNIA

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MARY ANN J.,1 ) NO. EDCV 19-1955-KS

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Plaintiff, )

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MEMORANDUM OPINION AND ORDER

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ANDREW SAUL, Commissioner of

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Social Security, )

15 Defendant. )

16 _________________________________ )

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INTRODUCTION

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Mary Ann J. (“Plaintiff”) filed a Complaint on October 11, 2019, seeking review of the

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denial of her application for Supplemental Security Insurance (“SSI”). (Dkt. No. 1.) On

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November 19, 2019, the parties consented, pursuant to 28 U.S.C. § 636(c), to proceed before

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the undersigned United States Magistrate Judge. (Dkt. Nos. 11-13.) On July 7, 2020, the

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parties filed a Joint Stipulation (“Joint Stip.”). (Dkt. No. 19.) Plaintiff seeks an order reversing

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and remanding for immediate award of benefits. (Joint Stip. at 15.) The Commissioner

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requests that the ALJ’s decision be affirmed or, in the alternative, remanded for further

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1 Partially redacted in compliance with Federal Rule of Civil Procedure 5.2(c)(B) and the recommendation of the

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Committee on Court Administration and Case Management of the Judicial Conference of the United States.

1 proceedings. (Id. at 15-16.) The Court has taken the matter under submission without oral

2 argument.

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4 SUMMARY OF PRIOR PROCEEDINGS

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6 On June 24, 2016, Plaintiff, who was born on July 30, 1961, filed an application for

7 SSI.2 (See Administrative Record (“AR”) 25, 165-69.) Plaintiff alleged that she was unable

8 to work as of May 1, 2005, due to seizures, blood clots, asthma, and high cholesterol. (AR

9 165, 169.) Plaintiff’s onset date was later amended to June 24, 2016, the date of her SSI

10 application.3 She had not previously worked. (AR 25.) After the Commissioner initially

11 denied Plaintiff’s application and reconsideration thereof (AR 51-59, 61-74), Plaintiff

12 requested a hearing. (AR 87-101.) Administrative Law Judge Katherine Loo (the “ALJ”) held

13 a hearing on November 20, 2018. (AR 32.) Plaintiff and a vocational expert testified. (AR

14 36-49.) On December 27, 2018, the ALJ issued an unfavorable decision. (AR 12-26.) On

15 August 15, 2019, the Appeals Council denied Plaintiff’s request for review. (AR 1-6.)

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17 SUMMARY OF ADMINISTRATIVE DECISION

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19 The ALJ found that Plaintiff had not engaged in substantial gainful activities since June

20 24, 2016, the amended alleged disability onset date. (AR 17.) She determined that Plaintiff

21 had the following severe impairments: seizure disorder; history of deep vein thrombosis

22 (DVT); hypertension; chronic obstructive pulmonary disease (COPD); bilateral carpal tunnel

23 syndrome (CTS); morbid obesity; depression; and posttraumatic stress disorder (PTSD). (Id.)

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25 2 Plaintiff was 54 years old at the time she filed her SSI application and thus met the agency’s definition of a person

“closely approaching advanced age.” See 20 C.F.R. § 416.963(d). She has since changed age category to a person of

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“advanced age.” See 20 C.F.R. § 416.963(e).

3 SSI benefits are not available retroactively, so as a practical matter, the earliest disability date that may be claimed

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for purposes of SSI benefits is the protective filing date of a claimant’s application. See 20 C.F.R. § 416.501. Here,

Plaintiff does not rely on any effective protective filing date prior to June 24, 2016; thus, the earliest date she can be eligible

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for SSI benefits is June 24, 2016, the date she filed her application.

1 After specifically considering listings 12.04 and 12.15, the ALJ concluded that Plaintiff did

2 not have an impairment or combination of impairments that met or medically equaled the

3 severity of an impairment listed in 20 C.F.R. part 404, subpart P, appendix 1 (20 C.F.R.

4 §§ 416.920(d), 416.925, 416.926). (AR 18.) The ALJ determined that Plaintiff had the

5 residual functional capacity (“RFC”) to perform medium work with the following

6 modifications:

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8 “[She could] frequently climb ramps and stairs as well as stoop; occasionally

9 kneel, crouch and crawl; frequently reach, handle, finger and feel; avoid

10 concentrated exposure to respiratory irritants; no work at heights or around

11 hazardous machinery; no climbing of ladders, ropes or scaffolds’ limited to simple

12 routine tasks; can maintain concentration, persistence and pace for two hour

13 increments with normal breaks; as well as occasionally interact with coworkers,

14 supervisors and the public.”

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16 (AR 19.) The ALJ found that Plaintiff had no past relevant work. (AR 25.) She then

17 determined that, based on the vocational expert’s testimony, and considering Plaintiff’s age,

18 education, work experience, and RFC, there were jobs that existed in significant numbers in

19 the national economy that Plaintiff could perform, including the jobs of stores laborer (DOT4

20 922.687-058), bagger (DOT 920.687-018), and checker/laundry sorter (DOT 369.687-014).

21 (AR 25-26.) Accordingly, the ALJ determined that Plaintiff had not been under a disability,

22 as defined in the Social Security Act, from the amended onset date through the date of the

23 ALJ’s decision. (AR 26.)

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4 “DOT” refers to the Dictionary of Occupational Titles.

1 STANDARD OF REVIEW

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3 This Court reviews the Commissioner’s decision to determine whether it is free from

4 legal error and supported by substantial evidence in the record as a whole. 42 U.S.C. § 405(g);

5 Orn v. Astrue, 495 F.3d 625, 630 (9th Cir. 2007). “Substantial evidence is ‘more than a mere

6 scintilla but less than a preponderance; it is such relevant evidence as a reasonable mind might

7 accept as adequate to support a conclusion.’” Gutierrez v. Comm’r of Soc. Sec., 740 F.3d 519,

8 522-23 (9th Cir. 2014) (citation omitted). “Even when the evidence is susceptible to more

9 than one rational interpretation, [the Court] must uphold the ALJ’s findings if they are

10 supported by inferences reasonably drawn from the record.” Molina v. Astrue, 674 F.3d 1104,

11 1110 (9th Cir. 2012).

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13 Although this Court cannot substitute its discretion for the Commissioner’s, the Court

14 nonetheless must review the record as a whole, “weighing both the evidence that supports and

15 the evidence that detracts from the Commissioner’s conclusion.” Reddick v. Chater, 157 F.3d

16 715, 720 (9th Cir. 1988). “The ALJ is responsible for determining credibility, resolving

17 conflicts in medical testimony, and for resolving ambiguities.” Andrews v. Shalala, 53 F.3d

18 1035, 1039 (9th Cir. 1995). The Court will uphold the Commissioner’s decision when the

19 evidence is susceptible to more than one rational interpretation. Burch v. Barnhart, 400 F.3d

20 676, 679 (9th Cir. 2005). However, the Court may review only the reasons stated by the ALJ

21 in her decision “and may not affirm the ALJ on a ground upon which [s]he did not rely.” Orn,

22 495 F.3d at 630. The Court will not reverse the Commissioner’s decision if it is based on

23 harmless error, which exists if the error is “‘inconsequential to the ultimate nondisability

24 determination,’ or if despite the legal error, ‘the agency’s path may reasonably be discerned.’”

25 Brown-Hunter v. Colvin, 806 F.3d 487, 492 (9th Cir. 2015) (citations omitted).

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1 DISCUSSION

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3 Plaintiff raises one issue: whether the ALJ properly evaluated the opinion of Plaintiff’s

4 treating physician. (Joint Stip. at 4.) For the reasons discussed below, the Court concludes

5 that the ALJ gave specific and legitimate reasons supported by substantial evidence for

6 rejecting the opinion of Plaintiff’s treating physician.

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8 I. Legal Standard

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10 “The ALJ is responsible for translating and incorporating clinical findings into a

11 succinct RFC.” Rounds v. Comm’r Soc. Sec. Admin., 807 F.3d 996, 1006 (9th Cir. 2015). In

12 doing so, the ALJ must articulate a “substantive basis” for rejecting a medical opinion or

13 crediting one medical opinion over another. Garrison v. Colvin, 759 F.3d 995, 1012 (9th Cir.

14 2014). An ALJ errs when she discounts an examining source’s medical opinion, or a portion

15 thereof, “while doing nothing more than ignoring it, asserting without explanation that another

16 medical opinion is more persuasive, or criticizing it with boilerplate language that fails to offer

17 a substantive basis for [her] conclusion.” Id. at 1012-13.

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19 The opinion of a treating source is generally entitled to greater weight than the opinion

20 of a non-treating doctor because a treating source is “most able to provide a detailed,

21 longitudinal picture” of a claimant’s medical impairments and bring a perspective to the

22 medical evidence that cannot be obtained from objective medical findings alone. See

23 Garrison, 759 F.3d at 1012; 20 C.F.R. § 404.1527(c)(2) (governing claims filed before March

24 27, 2017). Likewise, the opinions of examining sources are given more weight than non-

25 examining source opinions. Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995). To reject an

26 uncontradicted opinion of a treating or examining source, the ALJ must provide “clear and

27 convincing reasons that are supported by substantial evidence.” Trevizo v. Berryhill, 871 F.3d

28 664, 675 (9th Cir. 2017). The ALJ need not accept a treating source’s opinion if it is “brief,

1 conclusory, and inadequately supported by clinical findings” or “by the record as a whole.”

2 See Batson v. Comm’r of Soc. Sec. Admin., 359 F.3d 1190, 1195 (9th Cir. 2004). Alternatively,

3 “[i]f a treating or examining doctor’s opinion is contradicted by another doctor’s opinion, an

4 ALJ may only reject it by providing specific and legitimate reasons that are supported by

5 substantial evidence.” Trevizo, 871 F.3d at 675. “The ALJ can meet this burden by setting

6 out a detailed and thorough summary of the facts and conflicting clinical evidence, stating

7 [her] interpretation thereof, and making findings.” Id. (quoting Magallanes v. Bowen, 881

8 F.2d 747, 751 (9th Cir. 1989)).

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10 II. The Opinion Evidence

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12 On either June 21, 2011 or June 21, 2018,5 Dharamkumar Wilson Gomer, M.D., a

13 specialist in internal medicine and Plaintiff’s treating physician, completed a “Medical

14 Opinion Re: Ability to Do Work-Related Activities (Physical).” (AR 471-73.) Dr. Gomer

15 opined that Plaintiff could not lift more than 10 pounds occasionally or frequently; could only

16 walk less than 2 hours during an 8-hour day (with normal breaks); and could sit and/or stand

17 for no more than 15 minutes before changing position. (AR 471.) Every 15 minutes, Plaintiff

18 had to walk for 15 minutes; she needed the opportunity to shift at will from sitting or

19 standing/walking; and she sometimes needed to lie down at unpredictable intervals during a

20 work shift (once daily). (AR 472.) Dr. Gomer stated that the foregoing opinion was based on

21 Plaintiff’s history of seizures and anxiety. (Id.)

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23 Dr. Gomer opined that Plaintiff could never twist, stoop (bend), crouch, climb stairs, or

24 climb ladders. (Id.) Plaintiff could not perform any reaching, handling, fingering, feeling,

25 pushing or pulling, due to carpal tunnel syndrome. (Id.) Based on medical findings of seizure,

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5 The date of Dr. Gomer’s opinion is not immediately apparent, as his handwriting is difficult to decipher. (See AR

473.) Because the date of Dr. Gomer’s opinion was a reason given by the ALJ for discounting his opinion, the Court

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further discusses this point in its Analysis. See infra § III.

1 Plaintiff had to avoid all exposure to extreme cold, extreme heat, wetness, humidity, noise,

2 fumes, odors, dusts, gases, poor ventilation, and hazards (machinery, heights, etc.). (AR 473.)

3 Additionally, Plaintiff’s carpal tunnel syndrome affected her physical abilities in unspecified

4 ways. (Id.) Finally, Dr. Gomer anticipated that Plaintiff impairments would cause her to be

5 absent from work more than three times per month. (Id.)

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7 III. Analysis

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9 The ALJ gave no weight to Dr. Gomer’s opinion, reasoning as follows: “the treatment

10 provided by Dr. Gomer [did] not support the extent of limitations provided. Specifically,

11 treatment has consisted only of medication management other than a surgical consultation for

12 [Plaintiff’s] right wrist wherein she was found to not be a candidate for surgery. Further, the

13 opinion predates the amended alleged onset date, which makes it less persuasive.” (AR 22

14 (citations omitted).)

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16 Plaintiff contends that the reasons the ALJ provided to reject Dr. Gomer’s opinion are

17 insufficient. (Joint Stip. at 6-8, 13-14.) Plaintiff first argues that the ALJ erred by asserting

18 that Dr. Gomer’s opinion was less persuasive because it predates the alleged onset date,

19 because it was actually written in 2018, two years after the onset date. (Id. at 6-7, 13.) Second,

20 Plaintiff argues that the ALJ failed to explain her statement that Dr. Gomer’s treatment did not

21 support the limitations he assessed and she impermissibly substituted her own interpretation

22 of the medical evidence for Dr. Gomer’s opinion. (Id. at 6-8, 13-14.) Finally, Plaintiff avers

23 that because the ALJ’s reasons for rejecting Dr. Gomer’s opinion were inadequate, the Court

24 should credit his opinion as true and remand for immediate award of benefits. (Id. at 8.)

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26 The Court turns first to the issue of the date of Dr. Gomer’s opinion. If Dr. Gomer

27 authored his opinion in 2011, as the ALJ concluded, then the ALJ’s rejection of the opinion

28 as predating the onset date would be specific and legitimate. See Carmickle v. Comm’r, Soc.

1 Sec. Admin., 533 F.3d 1155, 1165 (9th Cir. 2008) (“Medical opinions that predate the alleged

2 onset date of disability are of limited relevance.”). However, the Court cannot conclude

3 simply by looking at the date written on Dr. Gomer’s opinion that it was authored either in

4 2011 or 2018 because Dr. Gomer’s handwriting is not clear. (AR 473.) Accordingly, the date

5 is ambiguous; where an ambiguity exists in the record, the ALJ has an independent duty to

6 further develop the record to resolve the ambiguity. Tonapetyan v. Halter, 242 F.3d 1144,

7 1150 (9th Cir. 2001).

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9 Here, the ALJ erred by failing to further develop the record to resolve the ambiguity to

10 discern the date of Dr. Gomer’s opinion. This is especially so because the record suggests that

11 Dr. Gomer authored his opinion in 2018, not in 2011. The letterhead of the opinion form

12 shows that it was prepared by the Law Offices of Bill LaTour, Plaintiff’s counsel in this action.

13 (AR 471.) The record reveals that Plaintiff’s counsel began representing her in June 2016.

14 (AR 76 (Claimant’s Appointment of Representative).) Additionally, the record consists of

15 treatment records from Dr. Gomer dated between August 2015 and July 2018, and no earlier.

16 (AR 303-38, 601-30; but see AR 137-38 (2019 letter request to Appeals Council to review

17 ALJ decision stating Dr. Gomer’s opinion as having been written in 2011.) So, while it is

18 possible that Dr. Gomer treated Plaintiff in 2011 as well and Plaintiff’s counsel had

19 represented her in some capacity, that conclusion cannot be drawn by examining record

20 evidence; the record suggests that the more plausible explanation is that Dr. Gomer gave his

21 opinion in 2018 on form provided to him by Plaintiff’s counsel sometime between 2016 and

22 2018. Thus, the ALJ failed to fulfill her duty to fully develop the record to resolve the

23 ambiguity created by the unclear date of Dr. Gomer’s opinion.

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25 The ALJ’s error, however, is harmless because the other reason provided the ALJ for

26 rejecting Dr. Gomer’s opinion was specific, legitimate, and supported by substantial evidence.

27 An ALJ may reject the opinion of a treating physician who prescribed conservative treatment,

28 yet opines that a claimant suffers disabling limitations. Rollins v. Massanari, 261 F.3d 853,

1 856 (9th Cir. 2001) (finding that ALJ properly rejected opinion of treating physician where

2 physician had prescribed conservative treatment and plaintiff’s activities and lack of

3 complaints were inconsistent with physician’s disability assessment). Here, the ALJ did just

4 that—in support of her statement that the treatment Dr. Gomer provided did not support his

5 opined limitations, the ALJ explained that Plaintiff’s treatment consisted only of medication

6 management (apart from a surgical consultation related to Plaintiff’s wrist). (AR 22.) The

7 ALJ sufficiently articulated this finding to permit this Court’s review and did not substitute

8 her own interpretation of the evidence for that of Dr. Gomer. See Magallanes, 881 F.2d at

9 755 (finding the specific and legitimate standard met where the ALJ “summarized the facts

10 and conflicting clinical evidence in detailed and thorough fashion, stating his interpretation

11 and making findings”); Dupre v. Berryhill, 765 F. App’x 258, 259 (9th Cir. 2019) (“The ALJ

12 specifically stated [the doctor’s] opinion conflicted with the fairly normal mental status

13 examination” and although “the ALJ may have explained her decision with less than ideal

14 clarity, the ALJ’s path may be reasonably discerned.” (internal quotation marks omitted)).

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16 To uphold the ALJ’s decision, however, the incongruity between Dr. Gomer’s opinion

17 and his treatment records must be supported by substantial evidence. The record shows that

18 Dr. Gomer treated Plaintiff between August 2015 and July 2018. (AR 303-38, 601-30.) In

19 August 2015, Plaintiff presented to Dr. Gomer for a regular checkup and medication refill

20 complaining of leg pain and vaginal bleeding. (AR 303-04.) He did not recommend any

21 specific treatment. (Id.) In January, June, and July 2016, Plaintiff saw Dr. Gomer for regular

22 checkups and medication refills, with no additional complaints. (AR 305-06, 309-10, 314-17,

23 323-24.) In April 2016, Plaintiff presented for a regular checkup and medication refill with

24 bilateral edema on her legs. (AR 307-08, 311.) Dr. Gomer’s examination revealed carpal

25 tunnel syndrome, unspecified upper limb; COPD; edema leg; menorrhagia; and anxiety. (AR

26 312-13.) He continued Plaintiff’s pain, hormonal, and anxiety medications without altering

27 dosages. (AR 313.) When Plaintiff presented in July 2016 with urinary incontinence and

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1 lipoma on her right wrist, Dr. Gomer continued Plaintiff on existing medications, and added

2 Percocet to her medication regimen. (AR 317, 324.)

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4 In September 2016, Plaintiff presented to Dr. Gomer for medication refills; she also

5 complained of hand pain and had recently had a seizure. (AR 319-21.) Dr. Gomer continued

6 some of Plaintiff’s existing medications for hyperlipidemia, gastroesophageal reflux disease,

7 DVT, and COPD, started her on a new seizure medication, and referred her for an orthopedic

8 surgery consultation for her carpal tunnel syndrome. (AR 321.) Between August and October

9 2016, Plaintiff’s DVT medication was continued without alteration. (AR 325-28.) Between

10 October 2016 and July 2018, Dr. Gomer’s assessments of Plaintiff’s condition generally

11 remained constant. (See AR 603, 607, 612, 616, 620, 623-24, 628.) During each appointment

12 during that period, Plaintiff presented to Dr. Gomer for a general checkup and for medication

13 refills, and Dr. Gomer treated Plaintiff by continuing his medication regimens and, in some

14 instances, referring Plaintiff to specialists for particularized issues. (AR 603-04 (July 2018

15 medication refill with referrals to specialists for migraines, to obtain diabetes shoes, and for a

16 gynecology consultation), 606-08 (April 2018 medication refill), 612-13 (January 2018

17 medication refill with referral to specialist for urinary incontinence), 616-17 (October 2017

18 medication refill), 620-21 (April 2017 medication refill), 624 (November 2016 medication

19 refill and referral to general surgery for carpal tunnel syndrome for evaluation and treatment),

20 628 (October 2016 medication refill).)

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22 After a thorough review of the record evidence, it is clear that the ALJ accurately

23 characterized Dr. Gomer’s treatment of Plaintiff’s condition. The record reveals that Dr.

24 Gomer’s treatment largely consisted of medication management apart from a surgical

25 consultation for Plaintiff’s right wrist. The record does not suggest that Plaintiff suffered

26 adverse side effects as a result of her medications, nor that Dr. Gomer’s treatment by

27 medication management was not effective. Although Plaintiff occasionally complained of

28 pain, more often, she had no specific complaints during her routine checkups and Dr. Gomer

1 simply refilled her medications. The Court finds that this course of treatment is inconsistent

2 with Dr. Gomer’s opined limitations. One would expect an individual with the severely

3 disabling limitations that Dr. Gomer described to require, and have received, much more

4 aggressive treatment. Yet, Dr. Gomer’s treatment cannot be described as aggressive. Thus,

5 the “incongruity between Dr. [Gomer’s] Questionnaire responses and her medical records

6 provides a[] . . . specific and legitimate reason for rejecting Dr. [Gomer’s] opinion of

7 [Plaintiff’s] limitations.” Tommasetti v. Astrue, 533 F.3d 1035, 1041 (9th Cir. 2008).

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9 In sum, the record shows the ALJ’s rejection of Dr. Gomer’s opinion on the basis of its

10 inconsistency with his own treatment records is a specific and legitimate reason supported by

11 substantial evidence for making her determination. Accordingly, the ALJ’s evaluation of the

12 medical evidence is free of material legal effort and must be affirmed.

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14 CONCLUSION

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For the reasons stated above, the Court finds that the Commissioner’s decision is

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supported by substantial evidence and free from material legal error. Neither reversal of the

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ALJ’s decision nor remand is warranted.

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Accordingly, it is ORDERED that Judgment shall be entered affirming the decision of

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the Commissioner of the Social Security Administration.

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1 IT IS FURTHER ORDERED that the Clerk of the Court shall serve copies of this

2 || Memorandum Opinion and Order and the Judgment on counsel for Plaintiff and for Defendant.

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4 LET JUDGMENT BE ENTERED ACCORDINGLY.

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7 || DATE: July 23, 2020 Ki ain L- Aasensn_

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9 KAREN L. STEVENSON

10 UNITED STATES MAGISTRATE JUDGE

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