Marla K Tafolla v. Michael J Astrue, No. 8:2012cv00466 - Document 17 (C.D. Cal. 2013)

Court Description: MEMORANDUM OPINION AND ORDER by Magistrate Judge Sheri Pym: (see document image for further details). IT IS THEREFORE ORDERED that Judgment shall be entered REVERSING the decision of the Commissioner denying benefits, and REMANDING the matter to the Commissioner for further administrative action consistent with this decision. (ad)

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O 1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 MARLA K. TAFOLLA, 12 Plaintiff, 13 v. 14 CAROLYN W. COLVIN, Acting 15 Commissioner of Social Security Administration, 16 Defendant. 17 18 23 24 25 MEMORANDUM OPINION AND ORDER INTRODUCTION 20 22 Case No. SA CV-12-466-SP I. 19 21 ) ) ) ) ) ) ) ) ) ) ) ) ) On April 4, 2012, plaintiff Marla K. Tafolla filed a complaint against defendant Michael J. Astrue,1 seeking a review of a denial of supplemental security income ( SSI ) benefits. Both plaintiff and defendant have consented to proceed for all purposes before the assigned Magistrate Judge pursuant to 28 1 Pursuant to Fed. R. Civ. P. 25(d), Carolyn W. Colvin, who is now Acting 26 Commissioner of Social Security Administration, has been substituted as the 27 defendant. 28 1 1 U.S.C. § 636(c). The court deems the matter suitable for adjudication without oral 2 argument. 3 Plaintiff presents two disputed issues for decision: (1) whether the 4 administrative law judge ( ALJ ) erred at Step Five; and (2) whether the ALJ 5 provided clear and convincing reasons for discounting plaintiff s credibility.2 6 Memorandum of Points and Authorities in Support of Plaintiff s Complaint ( P. 7 Mem. at 3-19); Defendant s Memorandum in Support of Answer ( D. Mem. ) at 8 2-9. 9 Having carefully studied, inter alia, the parties s written submissions, the 10 Administrative Record ( AR ), and the decisions of the ALJ and Appeals Council, 11 the court concludes that, as detailed herein, the ALJ properly discounted plaintiff s 12 credibility in part, but erred at Step Five. Therefore, the court remands this matter 13 to the Commissioner of the Social Security Administration ( Commissioner ) in 14 accordance with the principles and instructions enunciated in this Memorandum 15 Opinion and Order. 16 II. 17 FACTUAL AND PROCEDURAL BACKGROUND 18 Plaintiff, who was 49 years old on the date of her July 26, 2010 19 administrative hearing, is a high school graduate. AR at 31, 94, 162. 20 On September 16, 2008, plaintiff filed an application for SSI, alleging an 21 onset date of November 1, 2006, due to lower back pain, pinched nerves, and left 22 hip and leg pain. Id. at 152, 156. The Commissioner denied plaintiff s application 23 24 2 As discussed infra, the ALJ issued a Recommended Decision, the majority of which the Appeals Council adopted. See AR at 1-6, 8-19. Because the disputed 26 issues concern portions of the ALJ s decision adopted by the Appeals Council, this 27 court, except as noted, will refer to the ALJ s decision. 25 28 2 1 initially and upon reconsideration, after which she filed a request for a hearing. Id. 2 at 59-74, 76-78. 3 On July 26, 2010, plaintiff, represented by counsel, appeared and testified 4 before the ALJ. Id. at 25-53. Alan Boroskin, a vocational expert ( VE ), also 5 provided testimony. Id. at 45-52. On August 18, 2010, the ALJ issued a 6 recommended decision, denying benefits. Id. at 8-19. 7 Applying the well-known five-step sequential evaluation process, the ALJ 8 found, at step one, that plaintiff had not engaged in substantial gainful activity 9 since September 16, 2008, the application date.3 Id. at 12. 10 At step two, the ALJ found that plaintiff suffered from the following severe 11 impairments: lumbar disc disease; lumbar radiculopathy; and mood disorder. Id. 12 At step three, the ALJ found that plaintiff s impairments, whether 13 individually or in combination, did not meet or medically equal one of the listed 14 impairments set forth in 20 C.F.R. part 404, Subpart P, Appendix 1 (the 15 Listings ). Id. The ALJ then assessed plaintiff s residual functional capacity ( RFC )4 and 16 17 determined that she had the RFC to: lift/carry twenty pounds occasionally and ten 18 19 3 The ALJ erroneously states that, pursuant to plaintiff s testimony, she 20 worked after the application date. AR at 12. Plaintiff testified that she worked in 21 2007, after the alleged disability onset but before the application date. Id. 33-35. The ALJ concluded that this work did not rise to the level of substantial gainful 22 activity. Id. at 12. 23 4 Residual functional capacity is what a claimant can do despite existing 24 exertional and nonexertional limitations. Cooper v. Sullivan, 880 F.2d 1152, 25 1155-56 n.5-7 (9th Cir. 1989). Between steps three and four of the five-step evaluation, the ALJ must proceed to an intermediate step in which the ALJ 26 assesses the claimant s residual functional capacity. Massachi v. Astrue, 486 27 F.3d 1149, 1151 n.2 (9th Cir. 2007). 28 3 1 pounds frequently; sit/stand/walk for six hours out of an eight-hour day but should 2 be allowed to sit and stand at her option; and occasionally climb, balance, stoop, 3 kneel, crouch, or crawl. Id. at 14. The ALJ precluded plaintiff from climbing 4 ladders, ropes, or scaffolds. Id. In addition, the ALJ determined that plaintiff was 5 capable of understanding and carrying out simple instructions. Id. 6 The ALJ found, at step four, that plaintiff was unable to perform her past 7 relevant work of sales/demonstrator, sales clerk, and bank supervisor. Id. at 17. 8 At step five, the ALJ determined that, based upon plaintiff s age, education, 9 work experience, and RFC, plaintiff could perform other work that exists in 10 significant numbers in the national economy, including cashier II and information 11 clerk. Id. at 17-18. Consequently, the ALJ determined that plaintiff was not 12 disabled under 20 C.F.R. Part 404, Subpart P, Appendix 2 ( Grid ) Rule 202.21. 13 Id. at 18-19. 14 On January 19, 2012, the Appeals Council issued a final decision, finding 15 that plaintiff was not disabled and denying benefits. Id. at 1-6. The Appeals 16 Council adopted the ALJ s decision except for the findings that plaintiff had past 17 relevant work and that she was not disabled under Grid Rule 202.21. Id. at 4. 18 Instead, the Appeals Council found that plaintiff s work as a sales/demonstrator, 19 sales clerk, and bank supervisor were outside of the relevant 15-year period and, 20 therefore, did not constitute past relevant work. Id. at 4-5. Because plaintiff had 21 no past relevant work, Grid Rule 202.20 rather than Grid Rule 202.21 was 22 applicable. Id. at 5. 23 The decision of the Appeals Council stands as the final decision of the 24 Commissioner. 25 26 27 28 4 1 III. 2 STANDARD OF REVIEW 3 This court is empowered to review decisions by the Commissioner to deny 4 benefits. 42 U.S.C. § 405(g). The findings and decision of the Social Security 5 Administration must be upheld if they are free of legal error and supported by 6 substantial evidence. Mayes v. Massanari, 276 F.3d 453, 458-59 (9th Cir. 2001) 7 (as amended). But if the court determines that the ALJ s findings are based on 8 legal error or are not supported by substantial evidence in the record, the court 9 may reject the findings and set aside the decision to deny benefits. Aukland v. 10 Massanari, 257 F.3d 1033, 1035 (9th Cir. 2001); Tonapetyan v. Halter, 242 F.3d 11 1144, 1147 (9th Cir. 2001). 12 Substantial evidence is more than a mere scintilla, but less than a 13 preponderance. Aukland, 257 F.3d at 1035. Substantial evidence is such 14 relevant evidence which a reasonable person might accept as adequate to support 15 a conclusion. Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 1998); Mayes, 276 16 F.3d at 459. To determine whether substantial evidence supports the ALJ s 17 finding, the reviewing court must review the administrative record as a whole, 18 weighing both the evidence that supports and the evidence that detracts from the 19 ALJ s conclusion. Mayes, 276 F.3d at 459. The ALJ s decision cannot be 20 affirmed simply by isolating a specific quantum of supporting evidence. 21 Aukland, 257 F.3d at 1035 (quoting Sousa v. Callahan, 143 F.3d 1240, 1243 (9th 22 Cir. 1998)). If the evidence can reasonably support either affirming or reversing 23 the ALJ s decision, the reviewing court may not substitute its judgment for that 24 of the ALJ. Id. (quoting Matney v. Sullivan, 981 F.2d 1016, 1018 (9th Cir. 25 1992)). 26 27 28 5 1 IV. 2 DISCUSSION 3 A. The ALJ Erred at Step Five 4 Plaintiff contends that the ALJ erred at step five when he concluded that she 5 could perform other work, including cashier II and information clerk. P. Mem. at 6 4-7. Specifically, plaintiff argues that her RFC conflicts with the jobs as described 7 in the Dictionary of Occupational Titles ( DOT ). Id. The jobs of cashier II and 8 information clerk require reasoning levels three and four respectively, both of 9 which are incompatible with her RFC. Id. Further, plaintiff contends that the ALJ 10 failed to solicit a sufficient explanation for the deviation. Id. at 7-9. The court 11 agrees. 12 At step five, the burden shifts to the Commissioner to show that the 13 claimant retains the ability to perform other gainful activity. Lounsburry v. 14 Barnhart, 468 F.3d 1111, 1114 (9th Cir. 2006). To support a finding that a 15 claimant is not disabled at step five, the Commissioner must provide evidence 16 demonstrating that other work exists in significant numbers in the national 17 economy that the claimant can perform, given his or her age, education, work 18 experience, and RFC. 20 C.F.R. § 416.912(f). 19 ALJs routinely rely on the DOT in evaluating whether the claimant is able 20 to perform other work in the national economy. Terry v. Sullivan, 903 F.2d 1273, 21 1276 (9th Cir. 1990) (citations omitted); see also 20 C.F.R. § 416.966(d)(1) (DOT 22 is source of reliable job information). The DOT is the rebuttable presumptive 23 authority on job classifications. Johnson v. Shalala, 60 F.3d 1428, 1435 (9th Cir. 24 1995). An ALJ may not rely on a VE s testimony regarding the requirements of a 25 particular job without first inquiring whether the testimony conflicts with the 26 DOT, and if so, the reasons therefor. Massachi v. Astrue, 486 F.3d 1149, 1152-53 27 28 6 1 (9th Cir. 2007) (citing Social Security Ruling ( SSR ) 00 4p).5 But failure to so 2 inquire can be deemed harmless error where there is no apparent conflict or the 3 VE provides sufficient support to justify deviation from the DOT. Id. at 1154 4 n.19. In order for an ALJ to accept a VE s testimony that contradicts the DOT, 5 the record must contain persuasive evidence to support the deviation. Id. at 6 1153 (quoting Johnson, 60 F.3d at 1435). Evidence sufficient to permit such a 7 deviation may be either specific findings of fact regarding the claimant s residual 8 functionality, or inferences drawn from the context of the expert s testimony. 9 Light v. Soc. Sec. Admin., 119 F.3d 789, 793 (9th Cir. 1997) (citations omitted). 10 In this case, the ALJ made no inquiries as to whether there was a conflict 11 between the VE s testimony and the DOT. See AR at 46-52. The ALJ simply 12 concluded that the vocational expert s opinion is consistent with the information 13 contained in the Dictionary of Occupational Titles. Id. at 18. Thus, the question 14 is whether the ALJ s error was harmless. 15 Although defendant does not expressly state, it appears that defendant 16 concedes that the ALJ failed to ask the VE whether his testimony conflicted with 17 the DOT, but argues that such error was harmless because, in fact, the jobs were 18 consistent with the DOT. Defendant argues that plaintiff wrongly focuses solely 19 on the reasoning level, which is only one component of the general educational 20 development ( GED ). D. Mem. at 2-6. Based on the fact that plaintiff is a high 21 22 5 27 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). 28 7 23 24 25 26 1 school graduate, she had the mathematics and language levels to do semi-skilled 2 and skilled work. Thus, plaintiff s global GED is consistent with the jobs. Id. at 3 2-4. Morever, defendant also contends that the two jobs are considered unskilled 4 and because plaintiff s past jobs were skilled and semiskilled, she could also do 5 unskilled work. Id. at 2, 4. The court disagrees. 6 Each DOT job description includes GED scales for reasoning, language, and 7 mathematics, which are aspects of education (formal and informal) which are 8 required of the worker for satisfactory job performance. DOT, Appendix C, 9 Section III. To determine a job s simplicity and the reasoning level required, one 10 should look to the GED reasoning level ratings for the job listed in the DOT. 11 Meissl v. Barnhart, 403 F. Supp. 2d 981, 983 (C.D. Cal. 2005). A job s reasoning 12 level gauges the minimal ability a worker needs to complete the job s tasks 13 themselves. Id. 14 A review of the reasoning level associated with the two jobs the VE 15 identified cashier II and information clerk supports the conclusion that there is 16 an apparent conflict in this case. The VE testified that a hypothetical person with 17 plaintiff's RFC could perform the jobs of cashier II (DOT No. 211.462-010) and 18 information clerk, motor transportation (DOT No. 237.367-018). AR at 50. The 19 DOT classifies a cashier II job as reasoning level three and an information clerk, 20 motor transportation job as reasoning level four. See DOT Nos. 11.462-010, 21 237.367-018. A level three reasoning score assumes a person can [a]pply 22 commonsense understanding to carry out instructions furnished in written, oral or 23 diagrammatic form [and][d]eal with problems involving several concrete variables 24 in or from standardized situations. See DOT, App. C. A level four reasoning 25 score assumes a person can [a]pply principles of rational systems to solve 26 practical problems and deal with a variety of concrete variables in situations where 27 28 8 1 only limited standardization exists[, and i]nterpret a variety of instructions 2 furnished in written, oral, diagrammatic, or schedule form. Id. In contrast, 3 plaintiff s RFC limited her to understanding and carrying out simple 4 instructions. AR at 14. For lack of any clearer articulation of her RFC, the court 5 assumes this means plaintiff is limited to simple tasks. 6 There is a split among the circuit courts as to whether the limitation to 7 simple tasks is compatible with a reasoning level of three. Compare Terry v. 8 Astrue, 580 F.3d 471, 478 (7th Cir. 2009) (a claimant limited to simple work 9 could perform a reasoning level three job); Renfrow v. Astrue, 496 F.3d 918, 92010 21 (8th Cir. 2007) (a claimant with an inability to do complex technical work 11 was not precluded from unskilled jobs with a reasoning level of three) and Hackett 12 v. Barnhart, 395 F.3d 1168, 1176 (10th Cir. 2005) (limitation to simple and 13 routine tasks is inconsistent with level-three reasoning). The Ninth Circuit has not 14 addressed this issue, but among its district courts that have, they have consistently 15 held that a limitation to simple tasks is consistent with reasoning level two jobs 16 but incompatible with reasoning level three jobs. See, e.g., Espinoza v. Astrue, 17 No. 12-00544, 2013 WL 327889, at *2-*3 (C.D. Cal. Jan. 29, 2013); McGensy v. 18 Astrue, No. 09-152, 2010 WL 1875810, at *2-*4 (C.D. Cal. May 11, 2010); see 19 also Meissl, 403 F. Supp. 2d at 983-84. Therefore, there is an apparent conflict 20 between plaintiff s RFC and the VE s testimony. 21 Defendant correctly contends that the court cannot rigidly correlat[e] the 22 DOT reasoning level descriptions with the RFC and that there may be other factors 23 such as plaintiff s education that render her able to perform the jobs the VE cited. 24 D. Mem. at 5. But this misses the point. On its face, neither reasoning 25 development level three nor four is consistent with an individual limited to simple 26 27 28 9 1 instructions. Therefore, the ALJ was required to ask the VE to explain the 2 deviation, which he failed to do. 3 Finally, defendant s argument that plaintiff is capable of unskilled work 4 based on her past skilled work also fails. The Appeals Council correctly 5 determined that plaintiff had no past relevant work. AR at 4-5. Past relevant work 6 is work a claimant has done within the past 15 years [] that was substantial 7 gainful activity. 20 C.F.R. §§ 404.1560(b)(1); 416. 960(b)(1). Plaintiff had not 8 worked since 1993.6 AR at 34, 151. Thus, the Appeals Council properly did not 9 take plaintiff s work history into consideration. 10 Here, the ALJ failed to even ask the VE whether his testimony was 11 consistent with the DOT, much less ask him to explain the deviation. See 12 Massachi, 486 F.3d at 1152-53. The error was not harmless. Accordingly, the 13 ALJ did not meet the Commissioner s step five burden to demonstrate that 14 plaintiff can perform other jobs in the national economy. 15 B. The ALJ Provided Clear and Convincing Reasons for Discounting 16 Plaintiff s Credibility 17 Plaintiff contends that the ALJ failed to provide clear and convincing 18 reasons for discounting her testimony. P. Mem. at 12-19. Specifically, plaintiff 19 argues that the ALJ only cited one reason for not crediting her testimony the 20 objective medical evidence did not support her testimony which by itself, was 21 legally insufficient. P. Mem. at 14. The court disagrees. 22 The ALJ must make specific credibility findings, supported by the record. 23 SSR 96-7p. To determine whether testimony concerning symptoms is credible, the 24 ALJ engages in a two-step analysis. Lingenfelter v. Astrue, 504 F.3d 1028, 103525 26 6 Plaintiff tried to sell juice from her house in 2007 but the work did not 27 constitute substantial gainful activity. AR at 12, 33-35. 28 10 1 36 (9th Cir. 2007). First, the ALJ must determine whether a claimant produced 2 objective medical evidence of an underlying impairment which could reasonably 3 be expected to produce the pain or other symptoms alleged. Id. at 1036 (quoting 4 Bunnell v. Sullivan, 947 F.2d 341, 344 (9th Cir. 1991) (en banc)). Second, if there 5 is no evidence of malingering, an ALJ can reject the claimant s testimony about 6 the severity of her symptoms only by offering specific, clear and convincing 7 reasons for doing so. Smolen v. Chater, 80 F.3d 1273, 1281 (9th Cir. 1996); 8 Benton v. Barnhart, 331 F.3d 1030, 1040 (9th Cir. 2003). The ALJ may consider 9 several factors in weighing a claimant s credibility, including: (1) ordinary 10 techniques of credibility evaluation such as a claimant s reputation for lying; (2) 11 the failure to seek treatment or follow a prescribed course of treatment; and (3) a 12 claimant s daily activities. Tommasetti v. Astrue, 533 F.3d 1035, 1039 (9th Cir. 13 2008); Bunnell, 947 F.2d at 346-47. 14 At the first step, the ALJ found that plaintiff s medically determinable 15 impairments could reasonably be expected to cause the symptoms alleged. AR at 16 16. At the second step, because the ALJ did not find any evidence of malingering, 17 the ALJ was required to provide clear and convincing reasons for discounting 18 plaintiff s credibility. Here, the ALJ discounted plaintiff s credibility because: (1) 19 the objective medical evidence did not support her generally disabling symptoms 20 and limitations ; (2) plaintiff indicated that she stopped working on November1, 21 2006 due to her condition, but she actually stopped working in 1993; (3) although 22 not enough to constitute substantial gainful activity, plaintiff worked after her 23 alleged onset date; (4) plaintiff displayed drug-seeking behavior; and (5) 24 plaintiff s self-reported problems with her hands appeared to be contradicted by 25 her mother s report. Id. 26 27 28 11 1 1. 2 The ALJ s first ground for an adverse credibility finding lack of objective Lack of Objective Medical Evidence 3 medical evidence is not a clear and convincing reason, in part. An ALJ may not 4 reject a claimant s subjective complaints based solely on a lack of objective 5 medical evidence to fully corroborate the alleged severity of pain, but it may be 6 one factor used to evaluate credibility. Bunnell, 947 F.2d at 345; see also Rollins 7 v. Massanari, 261 F.3d 853, 856 (9th Cir. 2001). 8 Here, the ALJ recognized that plaintiff had two back surgeries, a lumbar 9 laminectomy in January 2008 and a spinal fusion in May 2009. AR at 15-16, 20010 02, 329, 338-39. But the ALJ also noted that an MRI four months after the first 11 surgery showed normal post-operative changes with no evidence for residual or 12 recurrent disc extrusion or protrusion, post-operative fluid collection, or 13 arachnoitis or arachonoid adhesion. Id. at 15, 358. In October 2008, Dr. Bennett 14 found that plaintiff s residual lumbar radiculopathy had improved. Id. at 15, 275. 15 In April 2009, Dr. Zafar Khan observed that plaintiff had normal alignment of the 16 back with forward flexion until the fingertips touched the knee, no tenderness to 17 palpation, some muscle spasm in the back, normal motor strength in the 18 extremeties, and decreased sensation in the left lower extremity. Id. at 15-16, 324. 19 The ALJ further noted that after the second surgery, Dr. Khan indicated that 20 plaintiff was recovering well, had intact motor strength, sensation, and reflexes, 21 and continued to complain about left leg and calf pain. Id. at 16, 320-21. The 22 ALJ then found that Dr. Khan characterized plaintiff s recovery as long and slow 23 without providing evidence. Id. at 16, 449. 24 The ALJ was incorrect because the objective medicine supports plaintiff s 25 subjective complaints for at a least portion of the time after the alleged disability 26 onset date. On January 12, 2007, an MRI showed that plaintiff had a mild 3mm. 27 28 12 1 central disc protrusion without evident impingement, decreased hydration signal 2 of the disc, and mild ligamenta flava hypertrophy at the L5-S1 level. Id. at 357. A 3 May 27, 2008 MRI showed that plaintiff had normal postoperative changes. Id. at 4 358-59. But an MRI dated April 29, 2009 showed, among other things: moderate 5 loss of the disc height and disc dehydration at the L5-S1 level; a right 6 laminectomy defect and post surgical changes in the right paraspinous soft tissues 7 and posterior subcutaneous fatty tissues at the L5-S1 level; and slight undulation 8 along aspects of the L5-S1 disc remained. Id. at 330-31. Thus, there is objective 9 medical evidence to support plaintiff s complaints prior to her second surgery in 10 May 2009. 11 There is no objective medical evidence, however, to support plaintiff s 12 complaints after the May 2009 surgery. The record contains no MRIs or other 13 tests after May 2009, only plaintiff s subjective complaints of pain.7 But 14 plaintiff s subjective complaints are contradicted by her statements. On July 30, 15 2009, plaintiff reported left leg and calf pain when she sits more than 30-45 16 minutes at time, but no problems with walking, standing, and lying down. Id. at 17 321. On September 9, 2009, plaintiff reported a significant reduction of back and 18 left leg pain, an increased activity level, and that her low back and leg pain 19 improved almost 100% with the use of Oxycontin. Id. at 398, 542. Finally, on 20 July 26, 2010, plaintiff testified that she had hip and leg pain, but only occasional 21 back pain. Id. at 38, 542. 22 23 24 25 7 The record contains a treatment note, dated July 12, 2010, stating that Dr. 26 Khan intended to order a CT scan of the lumbar spine, but the results of the CT 27 scan are not a part of the record. AR at 561. 28 13 1 As such, there is objective medical evidence to support plaintiff s 2 complaints prior to the May 2009 surgery but none to support her complaints 3 afterwards. 4 2. 5 The second ground for an adverse credibility finding was not clear and Inconsistent Work Stop Date 6 convincing and supported by substantial evidence. The ALJ stated that, in her 7 paperwork, plaintiff indicated that she stopped working on November 1, 2006 due 8 to her condition but that she actually stopped in 1993. Id. at 16. This appears to 9 be a simple error. Although plaintiff indicated on a Disability Report that she 10 stopped working on November 1, 2006, in the same report, she also cited 11 November 1, 2006 as the date she became unable to work due to her condition 12 and listed her last job as ending in September 1993. Id. at 156-57. Elsewhere 13 throughout the record, plaintiff consistently conveyed that she stopped working in 14 1993. See, e.g., id. at 34, 164, 228. 15 3. 16 The third ground the ALJ cited for finding plaintiff less credible, her work 2007 Work 17 in 2007, was clear and convincing and supported by substantial evidence. The 18 ability to work while allegedly disabled is a clear and convincing reason to find a 19 claimant less credible. See Bray v. Astrue, 554 F.3d 1219, 1227 (9th Cir. 2009) (a 20 claimant s employment and seeking of work while allegedly disabled are proper 21 grounds for discounting his testimony); Copeland v. Bowen, 861 F.2d 536, 542 22 (9th Cir. 1988) (affirming the ALJ s adverse credibility finding due, in part, to 23 claimant s holding himself out as available to work). Here, the ALJ noted that 24 plaintiff testified that in 2007, after her alleged disability onset date, she sold juice 25 from her home for a year. Id. at 12, 16 n.1, 33-35. Although this work did not 26 constitute substantial gainful activity, it illustrated an attempt and ability to work 27 28 14 1 while allegedly disabled. Nothing in the record suggests that plaintiff stopped this 2 job or did not work more hours due to her alleged inability. See id. at 33-35, 423 43. 4 4. 5 The fourth ground cited by the ALJ plaintiff s drug-seeking behavior Drug-Seeking Behavior 6 was proper. Drug-seeking behavior is a valid basis for an adverse credibility 7 finding. See Gray v. Comm r, 365 Fed. Appx. 60, 63 (9th Cir. 2010) (drug8 seeking behavior was a proper basis for finding the claimant not credible); Edlund 9 v. Massanari, 253 F.3d 1152, 1157 (9th Cir. 2001) (same). 10 Here, the ALJ cited Dr. Gary Bennett s treatment notes in which he noted 11 that plaintiff was not honest because she was seeking narcotics from another 12 treating physician, Dr. Jason Berry. AR at 16, 191-94. During a December 19, 13 2007 visit, Dr. Bennett requested that plaintiff discontinue narcotic pain 14 medications from her other physicians. Id. at 296. On May 15, 2008, Dr. Bennett 15 learned through an insurance profile that plaintiff continued to receive 16 hydrocodone/acetaminophen prescriptions from Dr. Berry. Id. at 191-94. 17 Consequently, Dr. Bennett discussed the risks of narcotics use and explained that 18 he would discontinue her medications if she sought narcotic medications from 19 other physicians without informing him. Id. at 194. 20 In addition, the record contains other evidence of continued drug-seeking 21 behavior. Although in subsequent visits, Dr. Bennett observed that plaintiff did 22 not demonstrate any drug-seeking behavior, noting that plaintiff did not seek 23 medications from other physicians, visit emergency rooms, or lose prescriptions, a 24 closer examination of the record reveals that plaintiff was misleading him. Id. at 25 275, 407. Dr. Bennett reported that from July 2008 through September 2009, 26 plaintiff was using OxyContin one to two times daily and topical pain relief lotion 27 28 15 1 for her pain, both of which were effective in reducing plaintiff s pain. Id. at 3982 99, 406-07, 541. Dr. Bennett specifically excluded supplemental narcotic 3 medications such as hydrocodone acetaminophen from the treatment plan.8 Id. at 4 541. During this period, on several occasions, plaintiff reported to Dr. Bennett 5 that her pain level was zero and almost completely reduced with Oxycontin, and 6 she had an almost normal activity level. Id. at 275, 398, 406-07. 7 In contrast, the record reflects that, during this same period, plaintiff 8 reported pain to other treating physicians and sought narcotic medications. Dr. 9 Berry had prescribed vicodin (hydrocodone acetaminophen) at least once and 10 Norco (hydrocodone acetaminophen). Id. at 265, 510; see also id. at 250, 471. 11 Plaintiff requested vicodin from Dr. William F. Pearce. Id. at 417. And Dr. Van 12 H. Vu refilled a vicodin prescription for plaintiff. Id. at 547. The reports of pain 13 and seeking of narcotic medication were in contradiction to the information she 14 relayed to Dr. Bennett. 15 Thus, plaintiff s drug-seeking behavior was a clear and convincing reason 16 for discounting plaintiff s credibility. 17 5. 18 The final ground the ALJ cited in his adverse credibility finding was not Inconsistency with Third Party Report 19 clear and convincing and supported by substantial evidence. The ALJ noted a 20 minor discrepancy between plaintiff s function report and her mother s function 21 report. Id. at 16. Plaintiff checked off using hands as something affected by her 22 condition. Id. at 120. In contrast, plaintiff s mother did not. Id. at 110. Although 23 plaintiff marked using hands as something affected by her condition, she 24 8 Dr. Bennett, against the recommendation of another physician to discontinue pain medication for plaintiff, recommended treatment with Neurontin 26 and OxyContin, and a trial with Tramadol or Ultram, but no supplemental narcotic 27 medications such as hydrocodone acetaminophen combinations. AR at 541. 25 28 16 1 clarified that she had arthritis in the hands and did not cite it as a basis for her 2 application. Id. at 20. Moreover, it is not expected that a third party would know 3 every single symptom of a claimant s condition. As such, this inconsistency was 4 minor. 5 Accordingly, two-and-a-half of the reasons provided by the ALJ lack of 6 medical evidence to support her complaints prior to the May 2009 surgery, 7 supposed inconsistency in stating her work stop date, and supposed inconsistency 8 with her mother in whether the use of her hands was effected were not clear and 9 convincing. But although the ALJ included reasons that were not clear and 10 convincing, their inclusion was harmless because the ALJ provided substantial 11 other clear and convincing reasons for discounting plaintiff s credibility. In 12 particular, the lack of medical evidence to support plaintiff s complaints after her 13 May 2009 surgery, the work she did after her alleged onset date, and her drug14 seeking behavior were all clear and convincing reasons that amply supported the 15 ALJ s adverse credibility finding. Accordingly, the ALJ did not err in discounting 16 plaintiff s credibility. 17 V. 18 REMAND IS APPROPRIATE 19 The decision whether to remand for further proceedings or reverse and 20 award benefits is within the discretion of the district court. McAllister v. Sullivan, 21 888 F.2d 599, 603 (9th Cir. 1989). Where no useful purpose would be served by 22 further proceedings, or where the record has been fully developed, it is appropriate 23 to exercise this discretion to direct an immediate award of benefits. See Benecke 24 v. Barnhart, 379 F.3d 587, 595-96 (9th Cir. 2004); Harman v. Apfel, 211 F.3d 25 1172, 1179-80 (9th Cir. 2000) (decision whether to remand for further proceedings 26 turns upon their likely utility). But where there are outstanding issues that must be 27 28 17 1 resolved before a determination can be made, and it is not clear from the record 2 that the ALJ would be required to find a plaintiff disabled if all the evidence were 3 properly evaluated, remand is appropriate. See Benecke, 379 F.3d at 595-96; 4 Harman, 211 F.3d at 1179-80. 5 Here, as set out above, remand is required because the ALJ erred at Step 6 Five. On remand, the ALJ shall retain a vocational expert, inquire whether his or 7 her testimony conflicts with the DOT, and ask the VE to explain any deviation. 8 The ALJ shall then determine what work, if any, plaintiff is capable of performing. 9 VI. 10 CONCLUSION 11 IT IS THEREFORE ORDERED that Judgment shall be entered 12 REVERSING the decision of the Commissioner denying benefits, and 13 REMANDING the matter to the Commissioner for further administrative action 14 consistent with this decision. 15 16 17 DATED: March 6, 2013 18 SHERI PYM United States Magistrate Judge 19 20 21 22 23 24 25 26 27 28 18

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