Opinion
CIV 14-8038-PCT-MHB
03-18-2015
ORDER
Pending before the Court is Plaintiff Guy Brown's appeal from the Social Security Administration's final decision to deny his claim for disability insurance benefits and supplemental security income. After reviewing the administrative record and the arguments of the parties, the Court now issues the following ruling.
I. PROCEDURAL HISTORY
Plaintiff filed applications for disability insurance benefits and supplemental security income in August 2007. (Transcript of Administrative Record ("Tr.") at 12, 223-32.) His claim proceeded through the administrative process and was denied in an ALJ decision dated January 26, 2010, following a hearing. (Tr. at 64-93, 98-117.) The Appeals Council granted Plaintiff's request for review on November 15, 2010, and remanded the case to an ALJ for further proceedings. (Tr. at 118-21.)
On remand, the ALJ heard testimony on May 15, 2012, from Plaintiff and from an impartial vocational expert. (Tr. at 12, 42-63.) Plaintiff alleged he was disabled for a closed period from August 1, 2007, to February 24, 2010, and requested a closed period of disability. (Tr. at 12, 45-46.)
The ALJ issued an unfavorable decision on June 26, 2012, finding Plaintiff was not under a disability within the meaning of the Act. (Tr. at 9-30.) Plaintiff timely requested review, which the Appeals Council denied on January 7, 2014, making the ALJ decision the Commissioner's final decision. (Tr. at 1-6.) Plaintiff then sought judicial review of the ALJ's decision pursuant to 42 U.S.C. § 405(g).
II. STANDARD OF REVIEW
The Court must affirm the ALJ's findings if the findings are supported by substantial evidence and are free from reversible legal error. See Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 1998); Marcia v. Sullivan, 900 F.2d 172, 174 (9th Cir. 1990). Substantial evidence means "more than a mere scintilla" and "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401 (1971); see Reddick, 157 F.3d at 720.
In determining whether substantial evidence supports a decision, the Court considers the administrative record as a whole, weighing both the evidence that supports and the evidence that detracts from the ALJ's conclusion. See Reddick, 157 F.3d at 720. "The ALJ is responsible for determining credibility, resolving conflicts in medical testimony, and for resolving ambiguities." Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995); see Magallanes v. Bowen, 881 F.2d 747, 750 (9th Cir. 1989). "If the evidence can reasonably support either affirming or reversing the [Commissioner's] conclusion, the court may not substitute its judgment for that of the [Commissioner]." Reddick, 157 F.3d at 720-21.
III. THE ALJ'S FINDINGS
In order to be eligible for disability or social security benefits, a claimant must demonstrate an "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 which has lasted or can be expected to last for a continuous period of not less than 12 months." 42 U.S.C. § 423(d)(1)(A). An ALJ determines a claimant's eligibility for benefits by following a five-step sequential evaluation:
(1) determine whether the applicant is engaged in "substantial gainful activity";See Bowen v. Yuckert, 482 U.S. 137, 140-42 (1987) (citing 20 C.F.R. §§ 404.1520, 416.920). At the fifth stage, the burden of proof shifts to the Commissioner to show that the claimant can perform other substantial gainful work. See Penny v. Sullivan, 2 F.3d 953, 956 (9th Cir. 1993).
(2) determine whether the applicant has a medically severe impairment or combination of impairments;
(3) determine whether the applicant's impairment equals one of a number of listed impairments that the Commissioner acknowledges as so severe as to preclude the applicant from engaging in substantial gainful activity;
(4) if the applicant's impairment does not equal one of the listed impairments, determine whether the applicant is capable of performing his or her past relevant work;
(5) if the applicant is not capable of performing his or her past relevant work, determine whether the applicant is able to perform other work in the national economy in view of his age, education, and work experience.
At step one, the ALJ determined that Plaintiff had not engaged in substantial gainful activity since August 1, 2007 through February 24, 2010. (Tr. at 15.) At step two, he found that Plaintiff had the following severe impairments: sleep apnea, obesity, a psychotic disorder, a personality disorder, depression, impulse control problems, a personality disorder not otherwise specified, with narcissistic borderline and antisocial features, polysubstance abuse in remission, alcohol abuse and tobacco dependence. (Tr. at 15.) At step three, the ALJ stated that Plaintiff did not have an impairment or combination of impairments that met or medically equaled an impairment listed in 20 C.F.R. Part 404, Subpart P, Appendix 1 of the Commissioner's regulations. (Tr. at 15-19.) After consideration of the entire record, the ALJ found that Plaintiff retained the residual functional capacity "to perform light unskilled work with restrictions as light work is defined in 20 CFR 404.1567(b) and 416.967(b) with environmental restrictions such as no exposure to extremes of temperatures or humidity, unusual dusts, gases or perfumes, and no requirement with working with the public, working with things and not people." (Tr. at 19-24.)
"Residual functional capacity" is defined as the most a claimant can do after considering the effects of physical and/or mental limitations that affect the ability to perform work-related tasks.
The ALJ found that Plaintiff could not perform any of his past relevant work, but, considering his age, education, work experience, and residual functional capacity, there are jobs that exist in significant numbers in the national economy that Plaintiff could perform. (Tr. at 24-25.) Thus, the ALJ concluded that Plaintiff "has not been under a disability ... from August 1, 2007, through February 24, 2010." (Tr. at 25.)
IV. DISCUSSION
In his brief, Plaintiff contends that the ALJ erred by failing to properly weigh medical source opinion evidence. Specifically, Plaintiff argues that the ALJ improperly rejected the opinion of treating physician, Brian Sabowitz, M.D., and generally "misinterpreted" the objective medical evidence "to the detriment of the claimant."
"The ALJ is responsible for resolving conflicts in the medical record." Carmickle v. Comm'r, Soc. Sec. Admin., 533 F.3d at 1164. Such conflicts may arise between a treating physician's medical opinion and other evidence in the claimant's record. In weighing medical source opinions in Social Security cases, the Ninth Circuit distinguishes among three types of physicians: (1) treating physicians, who actually treat the claimant; (2) examining physicians, who examine but do not treat the claimant; and (3) non-examining physicians, who neither treat nor examine the claimant. See Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995). The Ninth Circuit has held that a treating physician's opinion is entitled to "substantial weight." Bray v. Comm'r, Soc. Sec. Admin., 554 F.3d 1219, 1228 (9th Cir. 2009) (quoting Embrey v. Bowen, 849 F.2d 418, 422 (9th Cir. 1988)). A treating physician's opinion is given controlling weight when it is "well-supported by medically accepted clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in [the claimant's] case record." 20 C.F.R. § 404.1527(d)(2). On the other hand, if a treating physician's opinion "is not well-supported" or "is inconsistent with other substantial evidence in the record," then it should not be given controlling weight. Orn v. Astrue, 495 F.3d 624, 631 (9th Cir. 2007).
If a treating physician's opinion is not contradicted by the opinion of another physician, then the ALJ may discount the treating physician's opinion only for "clear and convincing" reasons. See Carmickle, 533 F.3d at 1164 (quoting Lester, 81 F.3d at 830). If a treating physician's opinion is contradicted by another physician's opinion, then the ALJ may reject the treating physician's opinion if there are "specific and legitimate reasons that are supported by substantial evidence in the record." Id. (quoting Lester, 81 F.3d at 830).
Since the opinion of Dr. Sabowitz was contradicted by consultative examining physicians Rodney Rodrigo, M.D., and David Buckwalter, D.O.; state agency reviewing physicians Thomas Glodek, M.D., and Erika Wavak, M.D.; as well as other medical evidence of record, the specific and legitimate standard applies.
Historically, the courts have recognized the following as specific, legitimate reasons for disregarding a treating or examining physician's opinion: conflicting medical evidence; the absence of regular medical treatment during the alleged period of disability; the lack of medical support for doctors' reports based substantially on a claimant's subjective complaints of pain; and medical opinions that are brief, conclusory, and inadequately supported by medical evidence. See, e.g., Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005); Flaten v. Secretary of Health and Human Servs., 44 F.3d 1453, 1463-64 (9th Cir. 1995); Fair v. Bowen, 885 F.2d 597, 604 (9th Cir. 1989).
Here, the ALJ analyzed the medical evidence in exhaustive detail. (Tr. at 19-24.) The ALJ gave significant weight to the opinions of examining physicians Drs. Rodrigo and Buckwalter as well as state agency medical consultants Drs. Glodek and Wavak. The ALJ also provided legally sufficient reasons for discounting Dr. Sabowitz's opinion, namely that it was not consistent with his clinical signs and his own treatment records. See Connett v. Barnhart, 340 F.3d 871, 875 (9th Cir. 2003) ("We hold that the ALJ properly found that [the physician's] extensive conclusions regarding [the claimant's] limitations are not supported by his own treatment notes. Nowhere do his notes indicate reasons why [the physician would limit the claimant to a particular level of exertion]."); Tonapetyan v. Halter, 242 F.3d 1144, 1149 (9th Cir. 2001) (holding that the ALJ properly rejected a physician's testimony because "it was unsupported by rationale or treatment notes, and offered no objective medical findings to support the existence of [the claimant's] alleged conditions"); Batson v. Comm'r of Soc. Sec., 359 F.3d 1190, 1195 (9th Cir. 2004) (ALJ may discredit treating physicians' opinions that are conclusory, brief, and unsupported by the record as a whole, or by objective medical findings).
The Court finds that the ALJ properly considered Dr. Sabowitz's opinion and gave specific and legitimate reasons, based on substantial evidence in the record to discount it.
Plaintiff's remaining argument regarding the ALJ's assessment of the objective medical evidence is unclear. Plaintiff makes a conclusory, non-specific claim stating, generally, that the ALJ "misinterpreted evidence to the detriment of the claimant." Plaintiff alludes to the opinions of Lawrence Allen, Ph.D., Doris Javine, Ph.D., and Brady Dalton, Psy.D. Despite the deficiencies of the argument, the Court, having reviewed the ALJ's consideration of the objective medical evidence as to Plaintiff's alleged mental impairments and his conclusions regarding Drs. Allen, Javine, and Dalton's opinions, determines that the ALJ's findings are supported by substantial evidence.
Accordingly, in sum, the Court finds that the ALJ properly weighed the medical source opinion evidence related to Plaintiff's alleged physical and mental impairments, and gave specific and legitimate reasons, based on substantial evidence in the record to support his findings. Therefore, the Court finds no error.
In his reply, Plaintiff attempts to clarify his argument that the ALJ "misinterpreted evidence to the detriment of the claimant." Plaintiff appears to argue that the ALJ erred at step five and states, in pertinent part:
Because the ALJ finds that psychological problems are severe impairments, assessing the limitations imposed by those impairments is crucial to determining the residual functional capacity of the claimant. The ALJ did not properly define those limitations in posing his hypotheticals to the VE. When done, the VE's testimony was favorable to the claimant. The claimant continues to seek a vacation of the ALJ's decision as well as a grant of disability based upon VE testimony.
V. CONCLUSION
Substantial evidence supports the ALJ's decision to deny Plaintiff's claim for disability insurance benefits and supplemental security income. Consequently, the ALJ's decision is affirmed.
Based upon the foregoing discussion,
IT IS ORDERED that the decision of the ALJ and the Commissioner of Social Security be affirmed;
IT IS FURTHER ORDERED that the Clerk of the Court shall enter judgment accordingly. The judgment will serve as the mandate of this Court.
DATED this 18th day of March, 2015.
/s/_________
Michelle H. Burns
United States Magistrate Judge
The Court finds that Plaintiff's attempt to articulate his argument fails as it remains conclusory, undefined, and difficult to follow. Furthermore, the Court declines to consider any argument raised for the first time in his reply brief. See Martin v. Astrue, 2012 WL 527483, at * n.1 (D. Ariz. Feb. 17, 2012) (declining to consider the plaintiff's challenge to the RFC assessment that was raised for the first time in the reply brief). In any event, the Court's review of the ALJ's step five analysis reveals that the ALJ's decision at step five is supported by substantial evidence. The Court finds no error.