Tanya Lyn Milbourne v. Carolyn W. Colvin, No. 5:2015cv01440 - Document 19 (C.D. Cal. 2016)

Court Description: MEMORANDUM AND OPINION by Magistrate Judge Sheri Pym: (see document image for further details). IT IS THEREFORE ORDERED that Judgment shall be entered AFFIRMING the decision of the Commissioner denying benefits, and dismissing the complaint with prejudice. (ad)

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Tanya Lyn Milbourne v. Carolyn W. Colvin Doc. 19 1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 TANYA LYN MILBOURNE, 12 Plaintiff, 13 v. 14 CAROLYN W. COLVIN, Acting 15 Commissioner of Social Security Administration, 16 Defendant. 17 18 ) ) ) ) ) ) ) ) ) ) ) ) ) ) Case No. ED CV 15-1440-SP MEMORANDUM OPINION AND ORDER 19 I. 20 INTRODUCTION 21 On July 20, 2015, plaintiff Tanya Lyn Milbourne filed a complaint against 22 defendant, the Commissioner of the Social Security Administration 23 (“Commissioner”), seeking review of a denial of a period of disability and 24 disability insurance benefits (“DIB”). Both plaintiff and defendant have consented 25 to proceed for all purposes before the assigned Magistrate Judge pursuant to 28 26 U.S.C. § 636(c). The court deems the matter suitable for adjudication without oral 27 argument. 28 Plaintiff presents one issues for decision, whether the Administrative Law 1 Dockets.Justia.com 1 Judge (“ALJ”) properly considered plaintiff’s credibility. Memorandum in 2 Support of Plaintiff’s Complaint (“P. Mem.”) at 3-16; Memorandum in Support of 3 Defendant’s Answer (“D. Mem.”) at 3-10. 4 Having carefully studied the parties’ papers, the Administrative Record 5 (“AR”), and the decision of the ALJ, the court concludes that, as detailed herein, 6 the ALJ did not err in considering plaintiff’s credibility. Consequently, the court 7 affirms the decision of the Commissioner denying benefits. 8 II. 9 FACTUAL AND PROCEDURAL BACKGROUND 10 Plaintiff, who was fifty-three years old on her alleged disability onset date, 11 has a college degree in criminal justice and a master’s degree in social work. AR 12 at 30, 220, 225. Her past relevant work was as a social service worker, 13 correctional counselor, and case worker. Id. at 64-66, 99, 225, 231-239. 14 On August 21, 2012 plaintiff filed an application for a period of disability 15 and DIB, alleging an onset date of June 7, 2011, due to carpal tunnel in both 16 hands, bulging disc, severe back pain, left leg numbness and burning, burning 17 painful feet, and diabetes. Id. at 91, 101, 168-69, 224, 227, 261. The 18 Commissioner denied plaintiff’s applications initially and upon reconsideration, 19 after which plaintiff filed a request for a hearing. Id. at 91-110, 115-16. 20 On November 13, 2013, plaintiff, represented by an attorney, appeared and 21 testified at a hearing before the ALJ. Id. at 27-64, 69-70. The ALJ also heard 22 testimony from vocational expert Gloria Lasoff. Id. at 62-68, 70-79. On 23 December 23, 2013, the ALJ denied plaintiff’s claim for benefits. Id. at 11-22. 24 Applying the well-known five-step sequential evaluation process, the ALJ 25 found, at step one, that plaintiff had not engaged in substantial gainful activity 26 since June 7, 2011, the alleged onset date. Id. at 13. 27 At step two, the ALJ found plaintiff suffered from the following severe 28 impairments: lumbar strain/sprain; degenerative disc disease of the lumbar spine; 2 1 and bilateral carpal tunnel syndrome, status post right carpal tunnel release. Id. 2 The ALJ additionally found plaintiff’s diabetes mellitus, probable diabetic 3 neuropathy, diverticulitis, obesity, and sleep apnea were not severe impairments. 4 Id. at 13-15. 5 At step three, the ALJ found that plaintiff’s impairments, whether 6 individually or in combination, did not meet or medically equal one of the listed 7 impairments set forth in 20 C.F.R. part 404, Subpart P, Appendix 1 (“Listing”). 8 Id. at 15. The ALJ then assessed plaintiff’s residual functional capacity (“RFC”),1 and 9 10 determined plaintiff had the RFC to perform a range of light work, with the 11 limitations that she could: lift or carry twenty pounds occasionally and ten pounds 12 frequently; stand or walk for six hours out of an eight-hour workday with normal 13 breaks; sit for six hours out of an eight-hour workday with normal breaks; 14 occasionally climb ramps or stairs, but could not climb ladders, ropes, and 15 scaffolds; occasionally balance, stoop, kneel, crouch, and crawl; perform frequent 16 gripping and grasping, but no power gripping; and could not carry or use a 17 firearm. Id. at 16. 18 The ALJ found, at step four, that plaintiff could perform her past relevant 19 work as a social worker and a case worker. Id. at 21-22. Consequently, the ALJ 20 concluded plaintiff did not suffer from a disability as defined by the Social 21 Security Act (“Act” or “SSA”). Id. at 22. 22 Plaintiff filed a timely request for review of the ALJ’s decision, which was 23 denied by the Appeals Council. Id. at 1-3, 5-7. The ALJ’s decision stands as the 24 1 Residual functional capacity is what a claimant can do despite existing exertional and nonexertional limitations. Cooper v. Sullivan, 880 F.2d 1152, 26 1155-56 n.5-7 (9th Cir. 1989). “Between steps three and four of the five-step 27 evaluation, the ALJ must proceed to an intermediate step in which the ALJ assesses the claimant’s residual functional capacity.” Massachi v. Astrue, 486 28 F.3d 1149, 1151 n.2 (9th Cir. 2007). 25 3 1 final decision of the Commissioner. 2 III. 3 STANDARD OF REVIEW 4 This court is empowered to review decisions by the Commissioner to deny 5 benefits. 42 U.S.C. § 405(g). The findings and decision of the Social Security 6 Administration must be upheld if they are free of legal error and supported by 7 substantial evidence. Mayes v. Massanari, 276 F.3d 453, 458-59 (9th Cir. 2001) 8 (as amended). But if the court determines that the ALJ’s findings are based on 9 legal error or are not supported by substantial evidence in the record, the court 10 may reject the findings and set aside the decision to deny benefits. Aukland v. 11 Massanari, 257 F.3d 1033, 1035 (9th Cir. 2001); Tonapetyan v. Halter, 242 F.3d 12 1144, 1147 (9th Cir. 2001). 13 “Substantial evidence is more than a mere scintilla, but less than a 14 preponderance.” Aukland, 257 F.3d at 1035. Substantial evidence is such 15 “relevant evidence which a reasonable person might accept as adequate to support 16 a conclusion.” Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 1998); Mayes, 276 17 F.3d at 459. To determine whether substantial evidence supports the ALJ’s 18 finding, the reviewing court must review the administrative record as a whole, 19 “weighing both the evidence that supports and the evidence that detracts from the 20 ALJ’s conclusion.” Mayes, 276 F.3d at 459. The ALJ’s decision “‘cannot be 21 affirmed simply by isolating a specific quantum of supporting evidence.’” 22 Aukland, 257 F.3d at 1035 (quoting Sousa v. Callahan, 143 F.3d 1240, 1243 23 (9th Cir. 1998)). If the evidence can reasonably support either affirming or 24 reversing the ALJ’s decision, the reviewing court “‘may not substitute its 25 judgment for that of the ALJ.’” Id. (quoting Matney v. Sullivan, 981 F.2d 1016, 26 1018 (9th Cir. 1992)). 27 28 4 1 IV. 2 DISCUSSION 3 Plaintiff contends the ALJ failed to make a proper credibility 4 determination. P. Mem. at 3-16. Specifically, plaintiff contends the ALJ failed 5 to provide clear and convincing reasons for discounting plaintiff’s credibility. 6 The court disagrees. 7 An ALJ must make specific credibility findings, supported by the record. 8 Social Security Ruling (“SSR”) 96-7p.2 To determine whether testimony 9 concerning symptoms is credible, the ALJ engages in a two-step analysis. 10 Lingenfelter v. Astrue, 504 F.3d 1028, 1035-36 (9th Cir. 2007). First, the ALJ 11 must determine whether a claimant produced objective medical evidence of an 12 underlying impairment “‘which could reasonably be expected to produce the 13 pain or other symptoms alleged.’” Id. at 1036 (quoting Bunnell v. Sullivan, 947 14 F.2d 341, 344 (9th Cir. 1991) (en banc)). Second, if there is no evidence of 15 malingering, an “ALJ can reject the claimant’s testimony about the severity of 16 her symptoms only by offering specific, clear and convincing reasons for doing 17 so.”3 Smolen v. Chater, 80 F.3d 1273, 1281 (9th Cir. 1996) (citation omitted); 18 accord Burrell v. Colvin, 775 F.3d 1133, 1136 (9th Cir. 2014). 19 20 21 22 23 24 25 2 “The Commissioner issues Social Security Rulings to clarify the Act’s implementing regulations and the agency’s policies. SSRs are binding on all components of the SSA. SSRs do not have the force of law. However, because they represent the Commissioner’s interpretation of the agency’s regulations, we give them some deference. We will not defer to SSRs if they are inconsistent with the statute or regulations.” Holohan v. Massanari, 246 F.3d 1195, 1203 n.1 (9th Cir. 2001) (internal citations omitted). 3 Defendant suggests the ALJ was only required to provide specific reasons 26 supported by substantial evidence, rather than clear and convincing reasons. D. 27 Mem. at 4-5. But the Ninth Circuit has explicitly rejected that argument. See Burrell, 775 F.3d at 1136-37. Accordingly, this court applies the clear and 28 convincing standard. 5 1 “[A]n ALJ does not provide specific, clear, and convincing reasons for 2 rejecting a claimant’s testimony by simply reciting the medical evidence in 3 support of his or her residual functional capacity determination.” Brown-Hunter 4 v. Colvin, 806 F.3d 487, 489 (9th Cir. 2015). To permit a meaningful review of 5 the ALJ’s credibility determination, the ALJ must “specify which testimony [he] 6 finds not credible, and then provide clear and convincing reasons, supported by 7 evidence in the record, to support that credibility determination.” Id. The ALJ 8 may consider several factors in weighing a claimant’s credibility, including: 9 ordinary techniques of credibility evaluation such as a claimant’s reputation for 10 lying; the failure to seek treatment or follow a prescribed course of treatment; 11 and a claimant’s daily activities. Tommasetti v. Astrue, 533 F.3d 1035, 1039 (9th 12 Cir. 2008); Bunnell, 947 F.2d at 346-47. The ALJ may additionally consider 13 “inconsistencies either in [claimant’s] testimony or between h[er] testimony and 14 h[er] conduct” and “testimony from physicians and third parties concerning the 15 nature, severity, and effect of the symptoms of which [s]he complains.” Light v. 16 Soc. Sec. Admin., 119 F.3d 789, 792 (9th Cir. 1997). 17 At the first step, the ALJ found plaintiff’s medically determinable 18 impairments could reasonably be expected to cause the symptoms alleged. AR at 19 17. At the second step, because he did not find any evidence of malingering, the 20 ALJ was required to provide clear and convincing reasons for finding plaintiff 21 less credible. Id. Here, the ALJ discounted plaintiff’s credibility because: (1) 22 plaintiff’s “allegations are greater than expected in light of the objective 23 evidence of record” (id.); (2) plaintiff “retains the ability to perform activities of 24 daily living that is inconsistent with those of a disabled individual” (id.); and 25 (3) plaintiff received an “overall conservative course of treatment.” Id. at 20; see 26 id. at 17-21. 27 As an initial matter, contrary to plaintiff’s contention (P. Mem. at 5), the 28 ALJ specified those portions of plaintiff’s testimony that he found lacking in 6 1 credibility: 2 The claimant alleges disability due to back pain secondary to a fall 3 she sustained at work . . . . [¶] Regarding her symptoms and 4 limitations, the claimant stated she had back pain and radiculopathy 5 to the left leg that made it hard for her to stand, walk, bend, and 6 stoop. She confirmed that her back pain was constant . . . . The 7 claimant denied the ability to lift more than 25 pounds occasionally, 8 or to sit, stand and walk for up to six hours in a normal workday due 9 to back pain . . . . She claimed that the base of her right thumb 10 continued to be swollen and she would not be able to type for 11 prolonged periods or shoot a weapon. . . . The claimant mentioned 12 she had sleep apnea and she had difficulty with concentration and 13 focus due to fatigue . . . . 14 AR at 16-17. 15 The ALJ’s first ground for an adverse credibility finding was the lack of 16 support for plaintiff’s subjective complaints in the objective medical evidence. 17 Id. An ALJ “may not reject a claimant’s subjective complaints based solely on a 18 lack of objective medical evidence to fully corroborate the alleged severity of 19 pain,” but lack of objective medical evidence may be one factor used to evaluate 20 credibility. Bunnell, 947 F.2d at 345; see Rollins v. Massanari, 261 F.3d 853, 21 856-57 (9th Cir. 2001) (asserting a lack of corroborative objective medical 22 evidence may be one factor in evaluating credibility). Here, plaintiff’s main 23 complaints involve back and leg pain resulting from a slip and fall injury she 24 sustained at work on June 7, 2011, and pain resulting from carpal tunnel 25 syndrome. AR at 16-17; see id. at 49-62; P. Mem. at 7-15. 26 The ALJ noted a large portion of plaintiff’s medical records were created 27 in the context of her Workers’ Compensation claim, and distinguished the 28 requirements for a finding of disability under the two systems. AR at 17. The 7 1 ALJ noted plaintiff’s physician, Dr. Michael Roach, reported her back symptoms 2 were relatively mild as early as one month after her accident. Id. at 18; see id. at 3 339. By January 2012, plaintiff reported an 80% overall improvement in her 4 symptoms. Id. at 18, 420. Plaintiff underwent right carpal tunnel release surgery 5 and epineurolysis of the median nerve in February 2012. Id. at 18, 439. By her 6 May 2012 evaluation, plaintiff had a full range of motion in her right wrist with 7 no obvious motor or sensory deficit. Id. at 18-19, 487. The ALJ thus concluded 8 plaintiff “responded well to the release surgery and could use her right upper 9 extremity” within the assessed RFC. Id. at 19. 10 In August 2012, after plaintiff had returned to work, plaintiff failed to 11 qualify for the weapon certification required for her past employment, and so 12 was terminated from that job. Id. at 19, 32-33, 44, 54, 286, 289, 703. Plaintiff 13 experienced increased pain in her right hand and wrist from gripping the weapon 14 while attempting to fire. Id. at 19, 209. One month after this incident plaintiff 15 had a normal physical examination during which her back was noted as stable 16 and her right hand was doing well. Id. 19, 534; see also id. at 704 (recording 17 plaintiff’s “pain and symptoms are getting better” in October 2012 and 18 recommending “only observation. No aggressive treatment at this time”). 19 During plaintiff’s consultative exam in July 2013, she rated her hand pain as a 20 three of ten, described her leg pain as moderate, her foot pain as mild, and, as the 21 ALJ specifically noted, she did not complain of any back pain. Id. at 19, 1030; 22 see id. at 1041 (noting treating physician recorded similarly moderate complaints 23 in January 2013). 24 The ALJ found the consultative examining physician’s opinion of 25 plaintiff’s capabilities to be “somewhat overly optimistic.” Id. at 20. Despite 26 “the largely benign objective medical record” the ALJ reduced plaintiff’s RFC 27 below that opined by her treating and examining physicians, in part due to 28 plaintiff’s subjective complaints. Id. at 20. The ALJ gave great weight to the 8 1 agency consultant’s reviewing opinion that plaintiff could perform only light 2 work. Id. 3 Although the ALJ discounted plaintiff’s subjective complaints, he did so 4 to a far lesser degree than plaintiff’s own treating physician and the consultative 5 examining physician. The ALJ nonetheless did discount plaintiff’s complaints, 6 in part because he found them greater than expected from the objective medical 7 evidence. Based on the evidence recounted by the ALJ, as set forth above, this 8 was a clear and convincing reason supported by substantial evidence in the 9 record. 10 The ALJ’s second ground for an adverse credibility finding was that 11 plaintiff’s activities of daily living “suggest that she would be capable of 12 performing work.” AR at 17. The ALJ reviewed the testimony and found 13 plaintiff: 14 reported in September of 2012 that she could perform self-care tasks 15 without difficulty, climb stairs by holding on, and lift 20 to 30 16 pounds with either hand; and she denied difficulty with driving, 17 sexual function or sleep. Furthermore, [she] described the ability to 18 perform household chores such as mopping the floor, albeit with 19 breaks and assistance from her family members. During her 20 qualified medical examination in July of 2013, [she] also admitted 21 to a rather full range of activities of daily living despite her 22 symptoms and alleged limitations. The claimant’s ability to 23 participate in such activities undermined the credibility of [her] 24 allegations of disabling functional limitations. 25 Id. (internal citations omitted); see id. at 516; 904, 1030. 26 Plaintiff argues that although she testified about being capable of engaging 27 in certain limited activities of daily living for brief intervals of time (see AR at 28 50), her reported daily activities do not undermine her subjective complaints 9 1 because she also testified she requires frequent rest periods in a reclined position 2 with her feet up. P. Mem. at 15; see AR at 61; Vertigan v. Halter, 260 F.3d 3 1044, 1050 (9th Cir. 2001) (“[T]he mere fact that a plaintiff has carried on 4 certain daily activities, such as grocery shopping, driving a car, or limited 5 walking for exercise, does not in any way detract from her credibility as to her 6 overall disability.”); Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989) (“[M]any 7 home activities are not easily transferable to what may be the more grueling 8 environment of the workplace, where it might be impossible to periodically rest 9 or take medication.”). But plaintiff’s actual testimony was far more equivocal. 10 As the ALJ noted, plaintiff alleges totally disabling back pain, but 11 “admitted that sometimes the pain was tolerable.” AR at 16; see id. at 49 (“My 12 back always aches . . . . Some days it’s good”). Plaintiff indicated she might be 13 able to “to sit, stand and walk for up to six hours” but “she did not know how she 14 would feel if she persisted” with this level of exertion over an extended period. 15 Id. at 17, 52-53, 61-62 (questioning whether plaintiff was really limited in her 16 ability to sit or if she was just hesitant to push herself because she might not be 17 able to persist at it). When more than one inference can reasonably be drawn 18 from the record, this court will “‘not substitute its judgment for that of the ALJ.’” 19 Aukland, 257 F.3d at 1035 (quoting Matney, 981 F.2d at 1018). 20 Plaintiff’s ability to independently bathe, dress, groom and maintain 21 hygiene, walk, climb stairs, eat, manage money, monitor her medication, drive, 22 shop, and cook (AR at 1029), notwithstanding her testimony about requiring 23 naps, is inconsistent with her subjective complaints of totally disabling pain. See 24 id. at 17. The cited inconsistency between plaintiff’s daily activities and her 25 alleged symptoms was a clear and convincing reason for finding her less than 26 fully credible. See Tommasetti, 533 F.3d at 1039 (inconsistency between a 27 claimant's alleged symptoms and her daily activities may be a clear and 28 convincing reason to find a claimant less credible); Bunnell, 947 F.2d at 346-47 10 1 (same). 2 In addition, the ALJ convincingly pointed to other inconsistencies in 3 plaintiff’s testimony. Plaintiff “mentioned she had sleep apnea and she had 4 difficulty with concentration and focus due to fatigue,” but she indicated she was 5 not using her prescribed CPAP machine despite the aid oxygen provided because 6 of discomfort from the mask (id. at 17, 59-60), and at the hearing she “did not 7 demonstrate or manifest any difficulty concentrating . . . follow[ed] the lines of 8 questioning . . . and respond[ed] to the questions appropriately and without 9 delay.” Id. at 21; see id. at 60-61 (confirming with plaintiff’s attorney “there is 10 [nothing] in the medical evidence showing difficulty concentrating”); SSR 96-7p 11 (“the adjudicator may also consider his or her own recorded observations of the 12 individual as part of the overall evaluation of the credibility”); Thomas v. 13 Barnhart, 278 F.3d 947, 960 (9th Cir. 2002). 14 The ALJ’s third main ground for an adverse credibility finding was the 15 conservative course of treatment plaintiff received for her impairments. Id. at 16 19-20. The ALJ found “most significantly, [plaintiff] has remained on Ibuprofen 17 for pain and she is no longer [taking] Soma or other similar drugs for nerve 18 pain.” Id. at 19; see id. at 62. She reported only taking the prescription 19 Ibuprofen “on and off” as required for her pain. Id. Plaintiff also testified she 20 did “not wear supportive races for her hands and wrist.” Id. at 20; see id. at 62. 21 The ALJ found “[t]his course of treatment suggests [plaintiff]’s symptoms were, 22 and continue to be, well-controlled with conservative means before and after her 23 right carpal tunnel release procedure.” Id. at 20; see Parra v. Astrue, 481 F.3d 24 742, 750-51 (9th Cir. 2007) (“evidence of ‘conservative treatment’ is sufficient 25 to discount a claimant’s testimony regarding severity of an impairment”) 26 (citation omitted); John v. Shalala, 60 F.3d 1428, 1434 (9th Cir. 1995) 27 (reasoning “conservative treatment” is indicative of “a lower level of both pain 28 and functional limitation”). 11 1 Plaintiff argues the ALJ failed to mention the observation of one agency 2 employee who recorded the difficulty plaintiff had writing her name. P. Mem. 3 at 6; see AR at 221 (noting plaintiff “had some difficulty writing her name”). 4 But an “ALJ is not required to discuss evidence that is neither significant nor 5 probative.” Howard v. Barnhart , 341 F.3d 1006, 1012 (9th Cir. 2003). As the 6 ALJ noted, plaintiff did not pursue or request more aggressive treatment for her 7 carpal tunnel. Id. at 19-20; see Meanel v. Apfel, 172 F.3d 1111, 1114 (9th Cir. 8 1999) (discrediting claimant because of his “failure to request, any serious 9 medical treatment for this supposedly excruciating” impairment); SSR 96-7p 10 (“the [plaintiff]’s statements may be less credible if the level or frequency of 11 treatment is inconsistent with the level of complaints”). 12 In sum, the ALJ provided clear and convincing reasons for discounting 13 plaintiff’s credibility, including lack of support in the medical records, her 14 conservative course of treatment, and her inconsistent daily activities. Thus the 15 ALJ did not err in finding plaintiff not entirely credible. 16 V. 17 CONCLUSION 18 IT IS THEREFORE ORDERED that Judgment shall be entered 19 AFFIRMING the decision of the Commissioner denying benefits, and dismissing 20 the complaint with prejudice. 21 22 DATED: September 28, 2016 23 24 SHERI PYM United States Magistrate Judge 25 26 27 28 12

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