Yaws v. Commissioner of Social Security, No. 3:2012cv02063 - Document 23 (D. Or. 2014)
Court Description: OPINION AND ORDER. For the reasons stated above, the Commissioner's final decision denying benefits to plaintiff is REVERSED and this proceeding is REMANDED pursuant to sentence four of 42 U.S.C. § 405(g) for further administrative proceedings consistent with this opinion. IT IS SO ORDERED. Signed on 02/21/2014 by Judge Malcolm F. Marsh. (pvh)
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IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF OREGON Case No. 3:12-cv-02063-MA MARIA YAWS Plaintiff, v. COMMISSIONER SOCIAL SECURITY ADMINISTRATION, Defendant. TIM WILBORN P.O. Box 370578 Las Vegas, NV 89137 Attorney for Plaintiff S. AMANDA MARSHALL United States Attorney District of Oregon ADRIAN L. BROWN Assistant United States Attorney 1000 S.W. Third Ave., Suite 600 Portland, OR 97204-2902 CHRISTOPHER J. BRACKETT Social Security Administration Office of the General Counsel 701 Fifth Ave., Suite 2900, M/S 221A Seattle, WA 98104 Attorneys for Defendant 1 - OPINION AND ORDER OPINION AND ORDER MARSH, Judge Maria Plaintiff decision of the seeks Yaws review Social Security of Commissioner of judicial the final denying her applications for disability insurance benefits (DIB) under Title II 42 U.S.C of the Social Security Act, 401-403, and application §§ for Supplemental Security Income (SSI) disability benefits under Title XVI of the Social Security Act, 42 U.S.C. §§ This Court has jurisdiction pursuant to 42 U.S.C. the reasons Commissioner, that follow, I the reverse § 1381-1383£. 405(g). decision of final For the and remand this action for further administrative proceedings. PROCEDURAL AND FACTUAL BACKGROUND Plaintiff protectively filed applications for DIB and SSI on October 9, 2008, alleging disability beginning December 20, 2006 due to severe ede.ma, morbid obesity, severe allergies, pulmonary problems, severe asthma, Plaintiff's claims were deni~d and sleep apena. pain, ba~k Tr. 192. irtitially and upon reconsideration. Plaintiff filed a request for a hearing before an administrative law judge (ALJ). which An ALJ held a hearing on September 23, 2010, at plaintiff appeared with vocational expert, Gail Young, January 11, 2011, Appeals ·council and testified. A also appeared and testified. On her attorney the ALJ issued an unfavorable decision. denied 2 - OPINION AND ORDER plaintiff's request for review, The and decision became the final decision of the the ALJ' s therefore, Commissioner for purposes of review. At the time of the hearing, plaintiff was 36 years old with a Plaintiff has past high school education and two years of college. relevant work as a front desk worker, pizza shift manager, mailroom attendant, and gas attendant/cashier. THE ALJ'S DISABILITY ANALYSIS The has Commissioner sequential five-step a established process for determining whether a person is disabled. Bowen v. 416.920. Each step Yuckert, 482 U.S. 137, 140 (1987); 20 C.F.R. is potentially dispositive. 574 F.3d 685, The claimant bears the burden of proof See Valentine v. Commissioner Soc. Sec. at steps one through four. Admin., § 689 (9th Cir. 2009); Tackett v. Apfel, F. 3d 1094, 1098 (9th Cir. 1999). 180 At step five, the burden shifts to the Commissioner to show that the claimant can do other work which exists in the national economy. Andrews v. Shalala, 53 F.3d 1035, 1043 (9th Cir. 1995). The ALJ concluded that plaintiff met the insured status requirements of the Social Security Act through December 31, 2010. A claimant seeking DIB benefits under Title disability on or prior to the last date II insured. must 42 establish u.s.c. § 416(I) (3); Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005). At step one, the ALJ found that plaintiff has not engaged in substantial gainful activity since her alleged onset of disability. 3 - OPINION AND ORDER At step two, the ALJ found that plaintiff had the following severe morbid obesity; impairments: asthma; diabetes mellitus; major depressive disorder, single episode; generalized anxiety disorder; panic disorder with agoraphobia; and a history of drug use. At impairments, or step the three, ALJ that found plaintiff's combination of impairments did not meet or medically equal a listed impairment. The ALJ assessed plaintiff with a residual functional capacity to perform light work, except that plaintiff can stand and walk for two hours per day, cannot climb other than stairs, and other postural movements are limited to being performed no more than occasionally; plaintiff must avoid concentrated exposure to environmental irritants; and plaintiff is limited to unskilled work with little public contact. At step four, the ALJ found plaintiff is unable to perform her past relevant considering At work. plaintiff's step age, five, the education, ALJ work concluded that experience, and residual functional capacity, jobs exist in significant numbers in the national economy that claimant can perform. Accordingly, the ALJ concluded that plaintiff is not disabled within the meaning of the Act. ISSUES ON REVIEW On appeal to this court, errors were committed: credibility; (2) plaintiff contends the following (1) the ALJ improperly assessed plaintiff's the ALJ failed to properly evaluate and include 4 - OPINION AND ORDER limitations described in the opinions of examining psychologist Daryl Birney, Ph.D., and plaintiff's treating mental health nurse practitioner Irene Holland, PMHNP; and ( 3) improperly the ALJ evaluated lay testimony from Glenda Coburn, plaintiff's friend. STANDARD·OF REVIEW The district court must affirm the Commissioner 's decision if the Commissioner applied proper legal standards and the findings 405(g); Andrews, 53 F.3d at 1039. u.s.c. 42 are supported by substantial evidence in the record. § "Substantial evidence means more than a mere scintilla but less than a preponderanc e; it is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Id.; Valentine, 574 F. 3d at 690. The court must weigh all the evidence, whether it supports or detracts from the Commissioner 's decision. 772 (9th Cir. 1986). even if the evidence interpretatio n. Martinez v. Heckler, 807 F.2d 771, The Commissioner 's decision must be upheld, is susceptible to more than one rational Batson v. Commissioner Soc. Sec. Admin., 359 F.3d 1190, 1193 (9th Cir. 2004); Andrews, 53 F. 3d at 1039-40. If the evidence supports the Commissioner 's conclusion, the Commissioner must be affirmed; "the court may not substitute its judgment for that of the Commissioner ." 1156 (9th Cir. 2001). 5 - OPINION AND ORDER Edlund v. Massanari, 253 F.3d 1152, DISCUSSION Plaintiff's Credibility I. Standards A. determine To whether subjective pain or symptoms is credible, is stage threshold a an ALJ must perform two 20 C.F.R. §§ 404.1529, stages of analysis. test in which the regarding testimony claimant's a The first 416.929. claimant must produce objective medical evidence of an underlying impairment that could Tommasetti reasonably be expected to produce the symptoms alleged. v. Astrue, 533 F.3d 1035, 1039 (9th Cir. 2008); Smolen v. Chater, 1282 80 F.3d 1273, 1996). (9th Cir. At the second stage of the credibility analysis, absent affirmative evidence of malingering, the ALJ must provide clear and convincing reasons for discrediting the claimant's testimony regarding the severity of the symptoms. Sec. Commissioner Soc. Carmickle v. Admin., 533 F.3d 1155, 1166 (9th Cir. 2008); Lingenfelter v. Astrue, 504 F.3d 1028, 1036 (9th Cir. 2007) . The ALJ must make findings that are sufficiently specific to permit the reviewing court to conclude that 2002) . Thomas v. Barnhart, not Tommasetti, arbitrarily discredit the claimant's testimony. F.3d at 1039; did 533 ALJ the 278 F.3d 947, 958 (9th Cir. Factors the ALJ may consider when making such credibility determination s claimant's include treatment 6 - OPINION AND ORDER the history, objective the medical claimant's .evidence, daily the activities, inconsistencies in testimony, effectiveness or adverse side effects of any pain and medication, relevant character evidence. Tommasetti, 533 F.3d at 1039. B. Analysis At the September 23, 2010 hearing, plaintiff testified that she last worked for Best Western as a front desk clerk and quit that job to take care of her mother. previously managed Pizza Huts. Plaintiff testified that she Plaintiff also stated that she has never held a job for more than six months because she gets paranoid and angers easily. Plaintiff described that she experiences pain in her feet that becomes worse with standing for longer than 30 minutes, takes Vicodin for pain. and she Plaintiff testified that she elevates her legs approximately 15 to 20 times per day to minimize edema, and that the length of time necessary varies depending on how long she has been standing. diabetes in 2008, condition. Plaintiff stated that she was diagnosed with and that she takes metaformin to manage that Plaintiff testified that she has pain in her left hip, experiences nausea every morning, and has asthma and allergies that cause wheezing and shortness of breath. that she weighed 283 pounds, Plaintiff also testified has lost 70 pounds in the previous year, and was scheduled for gastric bypass surgery. Plaintiff testified that she takes an antidepressant (Zoloft) and a sleeping pill, 7 - OPINION AND ORDER and has been in counseling at Clatsop Behavioral Health since 2009. Plaintiff further testified that she has depression, paranoia, anxiety, and PTSD that cause her fatigue, and she often cries and angers easily. Plaintiff described that she wants to hurt the children who tease her daughter. Plaintiff testified that she thought she could stand for 30 minutes and can walk 50 feet. Plaintiff described that on good and on a bad days, she can do laundry and the dishes, days, sleeps of most Plaintiff day. the she she has testified that difficulty getting dressed because she cannot reach her feet, and that she does not shower on a daily basis. In a November 25, 2008 Function Report, plaintiff stated that on most days, she sleeps until noon or 1 p.m., brushes her teeth. meals, then showers and Plaintiff described that she prepares simple rinses dishes and puts them in the dishwasher, folds laundry, and irons. vacuums, Plaintiff described that she can walk to the mailbox, but needs to rest afterward. Plaintiff described that she leaves the house once a month to buy groceries and uses a motorized shopping cart. Plaintiff complains that the ALJ failed to cite clear and convincing evidence for discounting her credibility. plaintiff's assertion, the ALJ provided three Contrary to reasons, citing specific record evidence, that undermine her subjective complaints: (1) her poor work history; . (2) her impairments are improving with 8 - OPINION AND ORDER weight loss or are controlled with medication; and (3) her activities of daily living are inconsistent with total disability. 1. poor work history A poor work history discredit plaintiff. is a legitimate Thomas, 278 ~.3d basis upon which to at 959 (upholding the ALJ's finding that claimant's po6r work history "negatively reflected her credibility regarding her inability to work.n). The ALJ detailed that plaintiff has had a marginal work history, even well before her alleged onset date. As the ALJ noted, and plaintiff's undisputed earnings reflect, plaintiff's employment prior to having two children did not satisfy the "gainfuln employment level. 159. Tr. As the ALJ correctly reported, plaintiff's income after her children were born ranged from approximately $5,000 to $10,000 a year. Based on plaintiff's uncontradicted past earnings reports, the ALJ could infer that plaintiff's sparse work history before her alleged onset of disability undermined her testimony that her inability to work in any capacity after her alleged onset date was due to Therefore, disability. plaintiff's employment history before the alleged onset of disability is substantial evidence supporting the ALJ's adverse credibility finding. Thomas, 278 F.3d at 959 .. In history her is reply, a plaintiff product of contends her mental that the impairments. her poor work Additionally, plaintiff argues that she was truthful about why she left the motel 9 - OPINION AND ORDER desk clerk job, and that the ALJ should not have discounted her credibility on that basis. I disagree. To be sure, as the ALJ indicated, plaintiff testified that she left work as a desk clerk to take care of her mother, and that she became disabled at a later date. Plaintiff also testified that she could not stay in any job for more than six months due to paranoia. The ALJ specifically found that plaintiff did not stop working because of her disability, noting that plaintiff instead testified that she became disabled at a later time, particular triggering event. without identifying a Based on plaintiff's inconsistent explanations, the ALJ could conclude that plaintiff's spotty work history was not the result of her alleged disability. The ALJ's interpretation of the evidence is a rational one and is supported by substantial evidence in the record. review of the record as evidence could plaintiff, also the ALJ' s sustained. a whole, support I the Thus, based on my careful conclude that even if the conclusion conclusion is a severity evidence. advanced by rational one and must be Batson, 359 F.3d at 1193. 2. The now improvement with weight controlled by medication ALJ discounted of her plaintiff's complaints was not loss and credibility supported by impairments because the the medical The ALJ discussed that plaintiff, who is morbidly obese, has lost weight and that her physical limitations were improving as a result. Indeed, at the time of the. hearing, plaintiff reported 10 - OPINION AND ORDER The ALJ noted that plaintiff was approved having lost 70 pounds. for gastric bypass surgery, with controlled consistently has diabetes her that and The medication. been thoroughly ALJ discussed plaintiff's medical records which showed that her asthma The ALJ's findings and COPD were mild and without complications. are wholly supported by substantial evidence in record and provide and clear 688 Astrue, Chaudry v. determination. the for support convincing credibility adverse F.3d 661, (9th Cir. 672 2012). Plaintiff now complains that it is her poor mental health that is her improved most with loss. weight which impairment, limiting As the ALJ she contends correctly has not indicated, plaintiff's GAF scores 1 increased from 45 to 58 when her weight dropped 'from 355 to 302 pounds in July 2010. 543, with Tr. 355 & 466. Compare Tr. 516, 536, Treatment notes from plaintiff's mental health providers indicate that plaintiff has body image issues that feed into her depression, "doing better." Tr. 518, and that after losing weight she was 521, 523. A July 2010 treatment note from a group therapy session showed plaintiff reporting significant 1 A GAF score of 41-50 indicates that the patient has "[s)erious symptoms ( e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting) OR any serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep a job)." DSM-IV-TR, p. 34. A GAF score of 51-60 indicates "[m)oderate symptoms (e.g., flat affect and circumstantial speech, occasional panic attacks) OR moderate difficulty in social, occupational, or school functioning (e.g., few friends, conflicts with peers or co-workers)." Id. 11 - OPINION AND ORDER improvement. Tr. 541. The ALJ' s findings are supported by substantial evidence, and the ALJ could reasonably infer that her mental health was improving with weight loss and medication. Moreover, has a in the decision, the ALJ discussed that plaintiff history of intermittently depression taken and anxiety antidepressants. for which she has Additionally, the ALJ indicated that plaintiff also took Vicodin to control pain and Zoloft and trazadone to control her psychological impairments. The ALJ her thoroughly discussed plaintiff's medical records from mental health practitioners and the ALJ's findings are supported by substantial evidence. I conclude the ALJ could discredit plaintiff on the basis that her psychological symptoms were controlled with medication and were not indicative of total disability. Turner v. Commissioner of Soc. (9th Cir. 2010). Sec. Admin., 613 F.3d 1217, 1225 I find that the ALJ provided clear and convincing reasons to reject plaintiff's subjective testimony regarding the extent of her limitations. 3. activities of daily living The ALJ also discounted plaintiff's credibility based on the fact that her alleged impairments have not interfered with her ability to perform most daily living. Where activities indicating capacities that are transferrable to a work setting, an ALJ may claimant is able to activities perform everyday discredit a claimant on that basis. 12 - OPINION AND ORDER of Molina v. Astrue, a 674 F.3d 1104, 1113 (9th Cir. 2012). And, an ALJ may discredit a claimant who may have some difficulty functioning to the extent that those activities contradict a claim of total disability. 613 F.3d at 1225. As the independently, cares drives, does laundry, shops, difficulty with for two self-care. ALJ detailed, teenage irons, Id.; Turner, plaintiff children, makes lives dinner, vacuums,. and has only minor The ALJ also noted that plaintiff described a long list of activities that she enjoys doing, such as reading, listening to music, and doing artwork. The ALJ also acknowledged that these activities are not necessarily incompatible with a disability, but rather "they indicated that [plaintiff's) symptoms may have been overstated." The ALJ's findings are supported by substantial evidence in the record. The ALJ did identify specific evidence in the record that undermines plaintiff's claims that her impairments were so great that she was unable to work. when combined with the other This is a specific reason that reasons, amount to clear and convincing support for the ALJ' s adverse credibility determination. II. The ALJ's Evaluation of the Medical Evidence Plaintiff does not challenge the ALJ's findin~s regarding her physical abilities, but contends that the ALJ erred by failing to include all psychologist the Daryl mental limitations Birney, Holland, PMHNP, into the RFC. 13 - OPINION AND ORDER Ph.D. and identified nurse by examining practitioner Irene To reject the uncontroverted examining physician, reasons. opinion of a treating or the ALJ must present clear and convincing Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005). If a treating or examining doctor's opinion is contradicted by another doctor's opinion, legitimate reasons. it may be rejected by specific and Taylor v. Comm'r of Soc. Sec. Admin., 659 F.3d 1228, 1232 (9th Cir. 2011). When evaluating conflicting opinions, an ALJ is not required to accept an opinion that is not supported by clinical findings, or is brief or conclusory. restrictions based on a In addition, a doctor's work claimant's subjective statements about symptoms are reasonably discounted when the ALJ finds the claimant less than fully credible. Bray v. Comm'r of Soc. Sec. Admin., 554 F.3d 1219, 1228 (9th Cir. 2009); Batson, 359 F.3d at 1195. Dr. Birney B. On November 23, 2010, Dr. Birney conducted a psychodiagnostic evaluation of Services. Dr. Multiphasic invalid plaintiff on behalf of Disability Determination Birney's examination also included the Minnesota Personality profile. Dr. Inventory-2 Birney (l'JMPI -2), stated entire that life, which yielded an plaintiff and made experiencing depression her attempts as a teenager. Dr. Birney noted that plaintiff reports retaliatory thoughts and some of them are homicidal. 14 - OPINION AND ORDER two reported suicide Dr. Birney opined that ·plaintiff was of average intellect, suffers angry outbursts and has a history of gambling problems. As the ALJ discussed, Dr. Birney noted that plaintiff's MMPI-2 was invalid due to her endorsement of an excessive number of F scale items which indicates she is "exaggerating pathology in a 'cry for help' or in attempt to 'fake bad."' Tr. 581. Dr. Birney found that plaintiff had no limitations understanding and carrying out simple instructions, and moderate limitations in understanding and carrying out related judgments. opined that complex instructions Id. at 582. plaintiff or making complex work- As the ALJ discussed, Dr. Birney would have moderate interacting appropriately with the public, limitations supervisors, in and co- workers, and in responding appropriately to changes in a routine work setting, Tr. 583. Dr. Birney diagnosed plaintiff with major depressive disorder, generalized anxiety disorder, and panic disorder, and assigned a GAF of 50. and The ALJ gave Dr. Birney's opinion significant weight, the ALJ included in the RFC that plaintiff be limited to unskilled work and have limited contact with the public. However, the ALJ omitted any limitations with respect to plaintiff's contact with supervisors and co-workers into the RFC, Plaintiff contends that the omission of these additional limitations from the RFC was error. 15 - OPINION AND ORDER The RFC is the most a claimant can do despite his limitations. 404.1545(a), 20 C.F.R. §§ ALJ must consider imposed by all limitations of a claimant's the ALJ must also even those that are not severe; impairments, Id. An supported by evaluate "all of the relevant medical and other evidence." RFC ALJ's limitations incorporate only need the In assessing the RFC, 416.945(a). substantial evidence in the record and must be consistent with the restrictions identified in the medical testimony. Stubbs-Danielsen v. Astrue, 539 F.3d 1169, 1174 (9th Cir. 2008); Osenbrock v. Apfel, 240 F.3d 1157, 1164-65 (9th Cir. 2001). Based on the evidence in the record of this case, I agree that Here, the ALJ afforded significant weight to the ALJ has erred. Dr. limitations incorporate the be would specifically and opinion, Birney's However, credited. respect with limitations that his failed to co-workers or indicated the to ALJ supervisors into the RFC or provide specific and legitimate reasons for limitations, discounting those profile or adverse credibility such as the determination. invalid MMPI -2 Accordingly, I conclude that the ALJ has erred. C. Irene Holland, PMHNP Under the social security regulations governing the weight to be accorded to medical opinions, "acceptable medical sources" include licensed physicians and licensed psychologists, nurse practitioners. 16 - OPINION AND ORDER See 2 0 c . F. R. § 416 . 913 (a) , (d) ( 1) . but not Nurse "Other" practitioners are deemed to be "other sources." medical sources may not establish the existence of a medically determinable impairment, but, the information from other sources may provide insight into the severity of a claimant's impairments and ability to work, especially where the evidence is complete and detailed. See SSR 06-03p, available at 2006 WL 2329939, *4-5. Because Ms. Holland was an "other source" under the regulations, the ALJ was required to provide a germane reason for discounting Ms. Holland's opinion. 1115-16 (9th Cir. See, e.g., Bruce v. Astrue, 557 F.3d 1113, 2009) (explaining standard for lay witness with Clatsop testimony); Turner, 613 F.3d at 1223-24. Plaintiff began mental health Behavioral Healthcare in March of 2009, Holland from January to August of 2010. treatment and was treated by Ms. On September 9, 2010, Ms. Holland completed a Mental Medical Source Statement. Holland diagnosed plaintiff with major Tr. 566. depressive Ms. disorder, recurrent, severe without psychotic features; generalized anxiety disorder; PTSD; mood disorder not otherwise specified; panic disorder with agoraphobia; alcohol abuse; and gambling addiction, and assigned a GAF of 58. As the ALJ correctly indicated, on a checklist of mental abilities, Ms. Holland indicated that plaintiff was "seriously limited, but not precluded" in her ability to get along with coworkers and peers and responding appropriately to changes in a workplace 17 - OPINION AND ORDER setting. Tr. 28, 569. The ALJ also concluded that Ms. Holland described that plaintiff would find it stressful working with others, supervisors. Tr. 28, 570. and dealing with the public and Ms. Holland also indicated that due to her mental impairments, plaintiff would be absent from work four days per month. Tr. 571. The ALJ discussed that Ms. Holland was not an acceptable medical source, but due to her ongoing relationship with plaintiff, gave her opinion "some weight," and credited and incorporated Ms. Holland's opinion concerning plaintiff's "social interactions" and limitations to simple instructions into the RFC. The ALJ also noted that Ms. Holland's opinion was consistent with Dr. Birney's opinion. Plaintiff argues that the ALJ was required to include the all the limitations described by Ms. Holland into the RFC, and that the ALJ's failure to provide clear and convincing reasons to reject Ms. Holland's opinion that plaintiff would be absent four days each month was error. I conclude that the ALJ erred in the analysis of Ms. Holland's opinion. A comparison of Dr. Birney's examination and Ms. Holland's Medical Source Statement reveal that their diagnoses are consistent, as are their descriptions of plaintiff's limitations regarding working with the public, Thus, co-workers, and supervisors. the ALJ should have included plaintiff's limitations with respect to co-workers and supervisors into the RFC, or should have 18 - OPINION AND ORDER provided germane reasons described by Ms. Holland. for discounting those limitations Bray, 554 F.3d at 1115-16. III. Lay Testimony Lay witness testimony as to a claimant's symptoms or how an impairment affects his ability to work is competent evidence, which the ALJ must take into account. See Bruce, 557 F. 3d at 1115; Stout v. Commissioner, Soc. Sec. Admin., 454 F.3d 1050, 1053 (9th Cir. 2006); Nguyen v. Chater, 100 F.3d 1462, 1467 (9th Cir. 1996). The ALJ is required to account for competent lay witness testimony, and if it is rejected, provide germane reasons for doing so. Valentine, 574 F.3d at 694. Plaintiff's friend, Glenda Coburn, provided a Third Party Function Report dated November 19, 2008, in which she stated that she has known plaintiff for six years, and that plaintiff drives, shops once a month, cooks, and is capable of self care. Ms. Coburn stated that plaintiff is able to care for her two teenage children and that plaintiff leaves the house primarily to grocery shop or attend appointments. Ms. Coburn described that plaintiff is primarily limited because she cannot stand, walk or sit for very long due to pain, swelling, and difficulty breathing. Tr. 208-212. The ALJ thoroughly discussed the information provided by Ms. Coburn in the decision and concluded that Ms. Coburn's lay testimony largely echoed plaintiff's complaints, and was based on plaintiff's subjective 19 - OPINION AND ORDER symptoms. The ALJ findings are wholly supported by substantial evidence in the record. In light of my conclusion that the ALJ provided clear and convincing reasons to discredit plaintiff, it follows that the ALJ has provided germane reasons for r"jecting the testimony of Ms. Coburn. Valentine, 574 F.3d.at 694. IV. RFC and Vocational Testimony Because I have identified an error in the ALJ's evaluation of the medical evidence that may impact the RFC, rely upon the VE's testimony. the ALJ could not Gallant v. Heckler, 753 F.2d 1450, 1456 (9th Cir. 1984). V. Remand The decision whether to remand for further proceedings or for immediate payment court. of benefits is within the discretion of Harman v. Aofel, 211 F. 3d 1172, 1178 (9th Cir. 2000). issue turns on the utility of further proceedings. further proceedings is the The A remand for appropriate where there are outstanding issues that must be resolved before a disability determination can be made, and it is not clear from the record that the ALJ would be required to find the claimant disabled if all the evidence were properly evaluated. Tavlor, 659 F.3d at 1235; Luna v. Astrue, 623 F. 3d 1032, 1035 (9th Cir. 2010). Under the "crediting as true" doctrine, evidence should be credited and an immediate award of benefits directed where (1) the ALJ failed to provide legally sufficient reasons for rejecting the 20 - OPINION AND ORDER evidence; (2) there are no outstanding issues that must be resolved before a determination of disability can be made; and (3) it is clear from the record that the ALJ would be required to find the claimant disabled were Commissioner of Soc. 2011) . The such evidence Sec. Admin., ~crediting credited. 635 F. 3d 1135, Strauss 1138 v. (9th Cir. as trueu doctrine is not a mandatory rule in the Ninth Circuit, but leaves the court flexibility in determining whether to enter an Commissioner's decision. award of benefits upon reversing the Connett v. Barnhart, 340 F.3d 871, 876 (9th Cir. 2003) (citing Bunnell v. Sullivan, 947 F.2d 341, 348 (9th Cir. 1991)). Plaintiff contends that this court must credit as true Ms. Holland's opinion that plaintiff would be absent four days of work each month. Plaintiff submits that testimony from the VE makes clear that when such evidence is credited, she is disabled. I disagree. As discussed above, the ALJ erred in evaluating the medical evidence from Dr. Birney and iVls. Holland in failing to include the limitations in working with co-workers and supervisors in the RFC or in providing sufficient reasons for discounting those portions of their opinions. However, Ms. Holland's opinion that plaintiff would miss four days of work each month is contradicted by Dr. Birney's opinion, who did not indicate that plaintiff would miss any work days as a result of her impairments. 21 - OPINION AND ORDER Moreover, the ALJ gave Dr. Birney's opinion "significant weight," and Ms. Holland's opinion only "some weight." Indeed, the ALJ only credited those portions of Ms. Holland's opinion concerning plaintiff's "social interactions" and simple instructions. See Arnold v. Astrue, 2012 WL 6025744, *4 (D. Or. Dec. 4, 2012) (noting that were an ALJ does not give an opinion controlling weight, those restrictions). the RFC need not mirror Giving plaintiff the benefit of the doubt, there is a conflict in the medical testimony that must be resolved by the ALJ with respect to the days plaintiff may be absent from work. "'When there is conflicting medical evidence, the Secretary must determine credibility and resolve the conflict.'" F.3d at 956-57 (quoting Matney v. (9th Cir. 1991)). resolved, Sullivan, Thomas, 278 981 F.2d 1016, 1019 Because outstanding issues remain that must be I decline to credit Ms. Holland's opinion as true. Furthermore, additional outstanding issues remain with respect to the RFC. Even if I were to credit the evidence that plaintiff has limitations in her ability to interact with co-workers and supervisors, there is insufficient vocational evidence in the record to determine whether jobs exist in the national economy that plaitniff can perform. Because outstanding issues must be resolved before a disability determination can be made, this action must be remanded for further proceedings. 572 F.3d at 593. 22 - OPINION AND ORDER Luna, 623 F.3d at 1035; Vasquez, Accordingly, this action is remanded further for administrative proceedings including re-evaluation of the opinions of Dr. Birney and Ms. Holland and resolution of their conflicting opinions, a revised RFC if necessary, and new determination at step five. CONCLUSION For decision the reasons denying stated benefits to above, the plaintiff Commissioner's is REVERSED final and this proceeding is REMANDED pursuant to sentence four of 42 U.S.C. § 405 (g) for further administrative proceedings consistent with this opinion. IT IS SO ORDERED. DATED this~ day of FEBRUARY, 2014. Malcolm F. Marsh United States District Judge 23 - OPINION AND ORDER
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