Allen v. Commissioner of Social Security, No. 1:2016cv03143 - Document 17 (E.D. Wash. 2017)

Court Description: ORDER Granting 16 Defendant's Motion for Summary Judgment. Signed by Magistrate Judge John T. Rodgers. (MO, Courtroom Deputy)

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Allen v. Commissioner of Social Security Doc. 17 FI LED I N THE U.S. DI STRI CT COURT EASTERN DI STRI CT OF WASHI NGTON Sep 05, 2017 1 SEAN F. MCAVOY, CLERK 2 3 4 5 6 UNITED STATES DISTRICT COURT 7 EASTERN DISTRICT OF WASHINGTON 8 9 10 PAMELA ALLEN, No. 1:16-CV-3143-JTR Plaintiff, ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT 11 12 13 14 15 v. COMMISSIONER OF SOCIAL SECURITY, Defendant. 16 17 BEFORE THE COURT are cross-motions for summary judgment. ECF 18 No. 15, 16. Attorney D. James Tree represents Pamela Allen (Plaintiff); Special 19 Assistant United States Attorney Franco L. Becia represents the Commissioner of 20 Social Security (Defendant). The parties have consented to proceed before a 21 magistrate judge. ECF No. 6. After reviewing the administrative record and briefs 22 filed by the parties, the Court GRANTS Defendant’s Motion for Summary 23 Judgment and DENIES Plaintiff’s Motion for Summary Judgment. 24 25 JURISDICTION Plaintiff protectively filed an application for Supplemental Security Income 26 (SSI) on March 30, 2012, alleging disability since March 1, 2006, due to back pain, 27 anxiety, and high blood pressure. Tr. 157, 176. Plaintiff’s application was denied 28 initially and upon reconsideration. ORDER GRANTING DEFENDANT’S MOTION . . . - 1 Dockets.Justia.com 1 Administrative Law Judge (ALJ) Glenn G. Meyers held a hearing on July 2, 2 2014, Tr. 34-61, and issued an unfavorable decision on October 31, 2014, Tr. 18- 3 29. The Appeals Council denied review on May 23, 2016. Tr. 1-6. The ALJ’s 4 October 2014 decision thus became the final decision of the Commissioner, which 5 is appealable to the district court pursuant to 42 U.S.C. § 405(g). Plaintiff filed this 6 action for judicial review on July 22, 2016. ECF No. 1, 4. STATEMENT OF FACTS 7 The facts of the case are set forth in the administrative hearing transcript, the 8 9 10 11 ALJ’s decision, and the briefs of the parties. They are only briefly summarized here. Plaintiff was born on August 6, 1976, and was 29 years old on the alleged 12 onset date, March 1, 2006. Tr. 37, 157. She attended school through the 10th 13 grade, later obtained a GED, and has completed training as a Certified Nursing 14 Assistant (CNA). Tr. 176, 225, 505. Plaintiff reports her past employment as 15 work in customer service, as a cashier, and as a CNA. Tr. 182. She indicated she 16 stopped working on February 5, 2011, because of her conditions, Tr. 176, and 17 testified she last worked in 2011, eight hours a day, five days a week, as a cashier 18 at a gas station, Tr. 43. 19 At the time of the administrative hearing, Plaintiff stated she had five 20 children, ages 21, 15, 13, 12 and seven, and the minor children continued to reside 21 with her. Tr. 39. Plaintiff indicated she was responsible for feeding and clothing 22 her children, she did the laundry and cleaned the house, and she would take her 23 children to school and baseball games. Tr. 39-40. 24 Plaintiff had back surgery in 2010 which she stated helped with her back 25 pain for approximately four months. Tr. 44-45. After that time, she indicated she 26 began to experience increased back pain and pain and numbing in her left leg. Tr. 27 45, 53, 55. She testified her pain is aggravated by bending or by sitting, standing 28 or lying down too long. Tr. 45. She did not take prescription medication for her ORDER GRANTING DEFENDANT’S MOTION . . . - 2 1 pain, but would control her pain by taking 1000 milligrams of Ibuprofen every six 2 hours. Tr. 48-49. Plaintiff stated she needed to recline or lie down half the day as 3 a result of her back pain. Tr. 55, 56. At the time of the administrative hearing, she 4 had recently been prescribed physical therapy or four weeks of anti-inflammatory 5 medications before her insurance would approve an updated MRI of her back. Tr. 6 54. 7 8 9 10 Plaintiff also testified she suffers from high blood pressure and anxiety, but she had not been treated for anxiety with medication or otherwise. Tr. 51-52. STANDARD OF REVIEW The ALJ is responsible for determining credibility, resolving conflicts in 11 medical testimony, and resolving ambiguities. Andrews v. Shalala, 53 F.3d 1035, 12 1039 (9th Cir. 1995). The Court reviews the ALJ’s determinations of law de novo, 13 deferring to a reasonable interpretation of the statutes. McNatt v. Apfel, 201 F.3d 14 1084, 1087 (9th Cir. 2000). The decision of the ALJ may be reversed only if it is 15 not supported by substantial evidence or if it is based on legal error. Tackett v. 16 Apfel, 180 F.3d 1094, 1097 (9th Cir. 1999). Substantial evidence is defined as 17 being more than a mere scintilla, but less than a preponderance. Id. at 1098. Put 18 another way, substantial evidence is such relevant evidence as a reasonable mind 19 might accept as adequate to support a conclusion. Richardson v. Perales, 402 20 U.S. 389, 401 (1971). If the evidence is susceptible to more than one rational 21 interpretation, the Court may not substitute its judgment for that of the ALJ. 22 Tackett, 180 F.3d at 1097. If substantial evidence supports the administrative 23 findings, or if conflicting evidence supports a finding of either disability or non- 24 disability, the ALJ’s determination is conclusive. Sprague v. Bowen, 812 F.2d 25 1226, 1229-1230 (9th Cir. 1987). Nevertheless, a decision supported by 26 substantial evidence will be set aside if the proper legal standards were not applied 27 in weighing the evidence and making the decision. Brawner v. Secretary of Health 28 and Human Services, 839 F.2d 432, 433 (9th Cir. 1988). ORDER GRANTING DEFENDANT’S MOTION . . . - 3 1 SEQUENTIAL EVALUATION PROCESS 2 The Commissioner has established a five-step sequential evaluation process 3 for determining whether a person is disabled. 20 C.F.R. § 416.920(a); see Bowen 4 v. Yuckert, 482 U.S. 137, 140-142 (1987). In steps one through four, the burden of 5 proof rests upon the claimant to establish a prima facie case of entitlement to 6 disability benefits. Tackett, 180 F.3d at 1098-1099. This burden is met once the 7 claimant establishes that physical or mental impairments prevent him from 8 engaging in his previous occupations. 20 C.F.R. § 416.920(a)(4). If the claimant 9 cannot do his past relevant work, the ALJ proceeds to step five, and the burden 10 shifts to the Commissioner to show that (1) the claimant can make an adjustment to 11 other work; and (2) specific jobs exist in the national economy which claimant can 12 perform. Batson v. Commissioner of Social Sec. Admin., 359 F.3d 1190, 1193- 13 1194 (2004). If the claimant cannot make an adjustment to other work in the 14 national economy, a finding of “disabled” is made. 20 C.F.R. § 416.920(a)(4)(v). ADMINISTRATIVE DECISION 15 16 17 18 19 20 On October 31, 2014, the ALJ issued a decision finding Plaintiff was not disabled as defined in the Social Security Act. At step one, the ALJ found Plaintiff had not engaged in substantial gainful activity since the application date, March 30, 2012. Tr. 20. At step two, the ALJ determined Plaintiff had the following severe 21 impairments: lumbar degenerative disc disease and anxiety disorder not otherwise 22 specified. Tr. 20. 23 At step three, the ALJ found Plaintiff did not have an impairment or 24 combination of impairments that meets or medically equals the severity of one of 25 the listed impairments. Tr. 21. The ALJ assessed Plaintiff’s Residual Functional 26 Capacity (RFC) and determined she could perform light work, except that she 27 could only occasionally stoop, crawl and crouch, could not climb, and would be 28 limited to unskilled, routine, repetitive work. Tr. 22. ORDER GRANTING DEFENDANT’S MOTION . . . - 4 1 At step four, the ALJ found Plaintiff was not able to perform any of her past 2 relevant work. Tr. 27. However, at step five, the ALJ determined that based on 3 the testimony of the vocational expert, and considering Plaintiff’s age, education, 4 work experience and RFC, Plaintiff could perform other jobs present in significant 5 numbers in the national economy, including the jobs of production assembler and 6 hand packager. Tr. 27-28. The ALJ thus concluded Plaintiff was not under a 7 disability within the meaning of the Social Security Act at any time from March 8 30, 2012, the date the application was filed, through the date of the ALJ’s decision, 9 October 31, 2014. Tr. 28-29. ISSUES 10 The question presented is whether substantial evidence supports the ALJ’s 11 12 decision denying benefits and, if so, whether that decision is based on proper legal 13 standards. Plaintiff contends the ALJ erred in this case by (1) rejecting the medical 14 opinion of William Robinson, M.D.; and (2) improperly discrediting Plaintiff’s 15 symptom testimony. ECF No. 15 at 5-16. DISCUSSION 16 17 18 19 20 A. Plaintiff’s Symptom Testimony Plaintiff asserts the ALJ erred by failing to provide valid reasons for finding her not fully credible in this case. ECF No. 15 at 10-16. It is the province of the ALJ to make credibility determinations. Andrews, 21 53 F.3d at 1039. However, the ALJ’s findings must be supported by specific 22 cogent reasons. Rashad v. Sullivan, 903 F.2d 1229, 1231 (9th Cir. 1990). Absent 23 affirmative evidence of malingering, the ALJ’s reasons for rejecting the claimant’s 24 testimony must be “specific, clear and convincing.” Smolen v. Chater, 80 F.3d 25 1273, 1281 (9th Cir. 1996); Lester v. Chater, 81 F.3d 821, 834 (9th Cir. 1995). 26 “General findings are insufficient: rather the ALJ must identify what testimony is 27 not credible and what evidence undermines the claimant’s complaints.” Lester, 81 28 F.3d at 834; Dodrill v. Shalala, 12 F.3d 915, 918 (9th Cir. 1993). ORDER GRANTING DEFENDANT’S MOTION . . . - 5 1 In this case, the ALJ found Plaintiff’s medically determinable impairments 2 could reasonably be expected to cause some of the alleged symptoms; however, 3 Plaintiff’s statements concerning the intensity, persistence and limiting effects of 4 these symptoms were not entirely credible. Tr. 23. 5 The ALJ first held that the objective medical evidence of record did not 6 substantiate Plaintiff’s pain complaints. Tr. 23. A lack of supporting objective 7 medical evidence is a factor which may be considered in evaluating an individual’s 8 credibility, provided it is not the sole factor. Bunnell v. Sullivan, 347 F.2d 341, 9 345 (9th Cir. 1991); see also Carmickle v. Comm’r, Soc. Sec. Admin., 533 F.3d 10 1155, 1161 (9th Cir. 2008) (“Contradiction with the medical record is a sufficient 11 basis for rejecting the claimant’s subjective testimony.”); Lingenfelter v. Astrue, 12 504 F.3d 1028, 1040 (9th Cir. 2007) (in determining credibility, the ALJ may 13 consider “whether the alleged symptoms are consistent with the medical 14 evidence”). 15 Plaintiff underwent left-sided L5-S1 laminotomy, foraminotomy, and 16 microdiscectomy without complication in August 2010. Tr. 347-349. Plaintiff 17 indicated “much improved” back pain after the surgery. Tr. 344. She reported 18 occasional discomfort in the left paravertebral, but was otherwise “doing very 19 well.” Tr. 344. A January 7, 2011 MRI revealed post-operative changes at L5-S1, 20 and further evaluation was recommended. Tr. 319. A January 14, 2011 MRI 21 revealed no specific evidence of recurrent disc protrusion/extrusion. Tr. 317, 365. 22 Although Plaintiff continued to complain of low back and left lower extremity 23 pain/numbness, physical examination findings in 2011 and 2012 showed mostly 24 normal gait and station, normal range of motion, and full strength. Tr. 273 25 (3/3/11); 271 (4/14/11); 269 (5/3/11); 267 (5/10/11); 265 (6/1/11); 263 (6/22/11); 26 261 (7/21/11); 498 (5/16/12). Hoan Tran, M.D., examined Plaintiff in August 27 2011; found no evidence of recurrent herniated disc, stenosis or neural foraminal 28 stenosis; and recommended conservative treatment with a psychological evaluation ORDER GRANTING DEFENDANT’S MOTION . . . - 6 1 for chronic pain and additional workup. Tr. 365-367. Examination notes from 2 September 2012 evidence Plaintiff’s pain complaints and request for pain 3 medications; however, it is noted that Plaintiff was previously on a pain contract 4 through a different office and was released due to asking for early pain medication 5 refills.1 Tr. 533. Plaintiff also admitted to taking her father’s prescription 6 medication for her pain. Id. October 6, 2012 examination notes indicate Plaintiff 7 was again requesting pain medications. Tr. 531. It was noted that her drug screen 8 was positive for marijuana and that she had admitted to again taking her father’s 9 prescription medication. Id. She had normal range of motion without pain of the 10 upper and lower extremities and a normal gait. Id. A physical examination on 11 October 24, 2012, revealed normal upper and lower extremity strength and tone, 12 normal gait, and normal range of motion without pain of the upper and lower 13 extremities. Tr. 524. It was reported that Plaintiff had “one strike already as she 14 used more medication than she was supposed to.” Id. A November 9, 2012 15 examination revealed normal upper and lower extremity strength and tone, normal 16 gait, and normal range of motion without pain of the upper and lower extremities. 17 Tr. 517-519. It was noted that Plaintiff had reported to the emergency room for 18 back pain and denied having a primary care physician. Tr. 519. Plaintiff now had 19 “three strikes” and would no longer receive refills of her pain medication. Tr. 519. 20 On December 23, 2012, Plaintiff indicated that while her back pain was not as 21 controlled as she wished, she was doing well. Tr. 515-516. Plaintiff stated she had 22 good energy and was sleeping well. Tr. 515. Plaintiff had normal gait, station and 23 posture. Tr. 516. On July 16, 2013, Plaintiff reported to the emergency room with 24 25 1 October 5, 2012 medical notes indicate Plaintiff had been managed for the 26 last three years by Dr. Robertson, using narcotics at a fairly high dosage. Tr. 527. 27 Plaintiff reported she was enrolled in a pain contract and had a couple of early 28 refill incidents related to the theft of her medications. Tr. 527. ORDER GRANTING DEFENDANT’S MOTION . . . - 7 1 complaints of knee pain; however, Plaintiff had intact range of motion in all 2 extremities and full active range of motion, 5/5 motor strength, and intact 3 sensation. Tr. 585-592. No mediations were administered. Tr. 586. As noted by 4 the ALJ, physical examinations throughout 2014 reveal nothing more than 5 tenderness of the low back. Tr. 24, 537-542. 6 Based on the foregoing, it is apparent that the objective medical evidence of 7 record does not support the level of pain alleged by Plaintiff in this case. Tr. 23. It 8 was proper for the ALJ to conclude Plaintiff’s was not entirely credible because 9 Plaintiff’s alleged disabling pain was not consistent with the medical evidence 10 which reflects Plaintiff’s physical impairments did not cause disabling functional 11 limitations. 12 The ALJ further determined that the objective medical evidence of record 13 did not substantiate Plaintiff’s allegations of disabling mental health limitations. 14 Tr. 25. Plaintiff did not challenge this finding in her opening brief.2 ECF No. 15 15 at 10-16. 16 The ALJ specifically found that Plaintiff’s lack of mental health treatment 17 undercut her credibility with regard to her anxiety symptoms. Tr. 25; see Orn v. 18 Astrue, 495 F.3d 625, 638 (9th Cir. 2007) (an “unexplained, or inadequately 19 explained, failure to seek treatment may be the basis for an adverse credibility 20 finding unless one of a ‘number of good reasons for not doing so’ applies.”). The 21 ALJ noted there is no evidence Plaintiff sought any mental health treatment even 22 when she had medical insurance and there is no indication she took any medication 23 for anxiety symptoms. Tr. 25. As indicated by the ALJ, Plaintiff testified she 24 merely took deep breaths to calm her anxiety symptoms. Tr. 51. Moreover, the 25 26 2 See Carmickle v. Comm’r, Soc. Sec. Admin., 533 F.3d 1155, 1161 (9th Cir. 27 2008) (the Court will not ordinarily consider matters on appeal that were not 28 specifically and distinctly argued in a party’s opening brief). ORDER GRANTING DEFENDANT’S MOTION . . . - 8 1 mental exam completed by Manuel Gomes, Ph.D., on May 20, 2012, revealed no 2 significant mental health concerns, Tr. 504-508, Amber Farook, M.D., noted in 3 September and November 2012 that Plaintiff did not present with anxiety, 4 depression, mood changes or suicidal ideation, Tr. 518, 530, and, in November 5 2013, Plaintiff’s mood, affect and behavior were found to be within normal limits, 6 Tr. 576. Tr. 25. 7 The ALJ’s determination that Plaintiff’s was not fully credible because her 8 mental health complaints were not substantiated by the evidence of record and 9 based on her lack of overall mental health treatment is supported by substantial 10 11 evidence. The ALJ next found the record reflected some drug-seeking behavior as well 12 as drug use/misuse, which called into question Plaintiff’s credibility. Tr. 24. An 13 ALJ may properly consider evidence of a claimant’s substance abuse and/or drug- 14 seeking behavior in assessing credibility. Verduzco v. Apfel, 188 F.3d 1087, 1090 15 (9th Cir. 1999) (conflicting or inconsistent testimony concerning alcohol or 16 substance abuse can contribute to an adverse credibility finding); Edlund v. 17 Massanari, 253 F.3d 1152, 1157 (9th Cir. 2001) (ALJ properly considered drug- 18 seeking behavior). 19 As discussed above, September 2012 examination notes revealed Plaintiff 20 was previously on a pain contract and was released due to asking for early pain 21 medication refills. Tr. 533. October 5, 2012 medical notes indicated Plaintiff had 22 been using narcotics at a fairly high dosage and had a couple of early refill 23 incidents related to the theft of her medications. Tr. 527. Plaintiff also admitted to 24 taking her father’s prescription medication for her pain. Id. October 6, 2012 25 examination notes indicated Plaintiff was again requesting pain medications and 26 had admitted to again taking her father’s prescription medication. Tr. 531. Her 27 drug screen was positive for marijuana. Id. On October 24, 2012, it was reported 28 that Plaintiff had “one strike already as she used more medication than she was ORDER GRANTING DEFENDANT’S MOTION . . . - 9 1 supposed to.” Tr. 524. Plaintiff was examined on November 9, 2012, and it was 2 noted that Plaintiff now had “three strikes” and would no longer receive refills of 3 her pain medication. Tr. 519. The ALJ’s decision to find Plaintiff less than fully credible based on her 4 5 drug-seeking behavior as well as drug use/misuse is fully supported by the 6 evidence of record. Within the section of the ALJ’s determination pertaining to Plaintiff’s 7 8 credibility, the ALJ noted Plaintiff had been frequently advised to stop smoking, 9 yet she continued to smoke. Tr. 24. A claimant’s failure to comply with a 10 diagnosis to quit smoking “is an unreliable basis on which to rest a credibility 11 determination.” Shramek v. Apfel, 226 F.3d 809, 813 (7th Cir. 2000) (“Given the 12 addictive nature of smoking, the failure to quit is as likely attributable to factors 13 unrelated to the effect of smoking on a person’s health.”). This is especially true in 14 this case because smoking is entirely unrelated to Plaintiff’s alleged disabling 15 symptoms. The Court concludes Plaintiff’s failure to quit smoking is not a clear 16 and convincing reason for discounting Plaintiff’s credibility. Nevertheless, given 17 the ALJ’s other supported reasons for finding Plaintiff less than fully credible in 18 this case, the Court finds the notation that Plaintiff refused to stop smoking is, at 19 most, harmless error. See Carmickle, 533 F.3d at 1163 (upholding adverse 20 credibility finding where ALJ provided four reasons to discredit claimant, two of 21 which were invalid); Batson, 359 F.3d at 1197 (affirming credibility finding where 22 one of several reasons was unsupported by the record); Tommasetti v. Astrue, 533 23 F.3d 1035, 1038 (9th Cir. 2008) (An error is harmless when “it is clear from the 24 record that the . . . error was inconsequential to the ultimate nondisability 25 determination.”). 26 The ALJ next held Plaintiff made conflicting reports about the nature of her 27 anxiety, which undermined her credibility with regard to the severity of her mental 28 /// ORDER GRANTING DEFENDANT’S MOTION . . . - 10 1 health symptoms.3 Tr. 25. Inconsistencies in a disability claimant’s testimony 2 support a decision by the ALJ that a claimant lacks credibility. Nyman v. Heckler, 3 779 F.2d 528, 531 (9th Cir. 1986). 4 The ALJ indicated Plaintiff reported in May 2012 that she was unsure of the 5 onset of her anxiety and that she had anxiety mainly when she had testing or had to 6 drive. Tr. 504. However, at the administrative hearing, Plaintiff testified her 7 anxiety was caused by being around large groups of people or other life stressors. 8 Tr. 51. At that time, Plaintiff testified to driving to doctor appointments and her 9 children’s sporting events, yet she did not report any symptoms of anxiety related 10 to these activities. Tr. 38. It was proper for the ALJ to identify Plaintiff’s 11 conflicting reports regarding her alleged anxiety as support for his adverse 12 credibility determination. 13 Finally, the ALJ determined Plaintiff’s daily activities were inconsistent 14 with her assertion of disabling functional limitations. Tr. 25. It is well-established 15 that the nature of daily activities may be considered when evaluating credibility. 16 Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989). 17 At the administrative hearing, Plaintiff testified she was responsible for 18 feeding and clothing her children, she did the laundry and cleaned the house, and 19 she would take her children to school and baseball games. Tr. 39-40. The ALJ 20 indicated January 2010 records show Plaintiff reported she was a stay-at-home 21 mom with a two-year-old child and five children overall. Tr. 357. In February 22 2011, Plaintiff indicated she was working approximately four to six hours a day at 23 a gas station, both as a teller and in the carwash located there. Tr. 343. In May 24 2012, Plaintiff reported she had worked as a cashier from 2008 to 2011 and was 25 actively involved with caring for her young children and getting them to their 26 27 28 3 Plaintiff failed to address this finding in her opening brief. See Carmickle, 533 F.3d at 1161. ORDER GRANTING DEFENDANT’S MOTION . . . - 11 1 sporting events. Tr. 505. In October 2012, it was noted Plaintiff was “very 2 involved” with her church and loved spending time playing sports and taking her 3 boys to their various sporting events. Tr. 527. In May 2014, Plaintiff reported she 4 was planning her wedding that would take place in a few months. 4 Tr. 541. The foregoing activities appear to contradict Plaintiff’s allegation that she 5 6 was completely disabled during the relevant time period. It was proper for the ALJ 7 to consider this level of activity as inconsistent with Plaintiff’s claim of totally 8 disabling limitations. See Molina v. Astrue, 674 F.3d 1104, 1112-1113 (9th Cir. 9 2012). The ALJ is responsible for reviewing the evidence and resolving conflicts or 10 11 ambiguities in testimony. Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir. 12 1989). It is the role of the trier of fact, not this Court, to resolve conflicts in 13 evidence. Richardson, 402 U.S. at 400. The Court has a limited role in 14 determining whether the ALJ’s decision is supported by substantial evidence and 15 may not substitute its own judgment for that of the ALJ even if it might justifiably 16 have reached a different result upon de novo review. 42 U.S.C. § 405(g). After 17 reviewing the record, the Court finds that the ALJ provided clear and convincing 18 reasons, which are fully supported by the record, for discounting Plaintiff’s 19 subjective complaints. Accordingly, the ALJ did not err by finding Plaintiff’s 20 symptom testimony was not entirely credible in this case. 21 /// 22 /// 23 /// 24 25 4 While the ALJ agrees with Plaintiff that her relationship status is not 26 relevant to her symptom testimony, ECF No. 15 at 13, the reported activity of 27 planning her wedding is pertinent to an assessment of the nature of Plaintiff’s 28 activities of daily living. ORDER GRANTING DEFENDANT’S MOTION . . . - 12 1 B. Dr. Robinson 2 Plaintiff contends that the ALJ erred by according little weight to the 3 medical opinions of William Robinson, M.D., regarding Plaintiff’s physical 4 limitations. ECF No. 15 at 5-10. 5 On July 8, 2014, Dr. Robinson filled out a form provided by Plaintiff’s 6 counsel, D. James Tree, “concern[ing] [Plaintiff’s] application for Social Security 7 Disability.” Tr. 535-536. Dr. Robinson indicated he had treated Plaintiff from 8 May 15, 2014, to July 8, 2014, and had diagnosed hypertension, chronic low back 9 pain, left leg pain/numbness/weakness and anxiety. Tr. 535. He noted Plaintiff 10 had to lie down three to four times per day, for one hour, due to her back pain and 11 leg numbness; could not sit or stand for more than 20 minutes at a time; could not 12 bend or squat; could not lift, push or pull; and could not lie down for more than 13 one hour at a time. Tr. 535-536. Dr. Robinson opined that a 40-hour work week 14 would greatly increase Plaintiff’s back pain. Tr. 536. 15 The ALJ accorded this form opinion of Dr. Robinson “little weight,” finding 16 it was inconsistent with the weight of the objective medical evidence of record and 17 inconsistent with Dr. Robinson’s own examination findings. Tr. 26. 18 As previously discussed, Plaintiff underwent left-sided L5-S1 laminotomy, 19 foraminotomy, and microdiscectomy without complication in August 2010. Tr. 20 347-349. A January 7, 2011 MRI revealed post-operative changes at L5-S1, and 21 further evaluation was recommended, Tr. 319; however, a January 14, 2011 MRI 22 revealed no specific evidence of recurrent disc protrusion/extrusion, Tr. 317, 365. 23 Physical exams in 2011 and 2012 revealed mostly normal gait and station, normal 24 range of motion, and full strength. Tr. 273 (3/3/11); 271 (4/14/11); 269 (5/3/11); 25 267 (5/10/11); 265 (6/1/11); 263 (6/22/11); 261 (7/21/11); 498 (5/16/12). In 26 August 2011, Dr. Tran found no evidence of recurrent herniated disc, stenosis or 27 neural foraminal stenosis and recommended conservative treatment with a 28 psychological evaluation for chronic pain and additional workup. Tr. 365-367. ORDER GRANTING DEFENDANT’S MOTION . . . - 13 1 October 6, 2012 examination notes indicated Plaintiff had normal range of motion 2 without pain of the upper and lower extremities and a normal gait. Tr. 531. A 3 physical examination on October 24, 2012, revealed normal upper and lower 4 extremity strength and tone, normal gait, and normal range of motion without pain 5 of the upper and lower extremities. Tr. 524. On November 9, 2012, exam notes 6 evidenced normal upper and lower extremity strength and tone, normal gait, and 7 normal range of motion without pain of the upper and lower extremities. Tr. 517- 8 519. On December 23, 2012, Plaintiff indicated that while her back pain was not 9 as controlled as she wished, she was doing well. Tr. 515-516. Plaintiff stated she 10 had good energy and was sleeping well. Tr. 515. Plaintiff had normal gait, station 11 and posture. Tr. 516. On July 16, 2013, Plaintiff reported to the emergency room 12 with complaints of knee pain; however, Plaintiff had intact range of motion in all 13 extremities and full active range of motion, 5/5 motor strength, and intact 14 sensation. Tr. 585-592. No mediations were administered. Tr. 586. The 15 foregoing medical evidence contradicts Dr. Robinson’s opinion that Plaintiff must 16 lie down for an hour, three to four times per day, due to her back pain and leg 17 numbness; could not sit or stand for more than 20 minutes at a time; could not 18 bend or squat; could not lift, push or pull; and could not lie down for more than 19 one hour at a time. Tr. 535-536. 20 The ALJ additionally indicated the assessed limitations were entitled to little 21 weight because they were inconsistent with Dr. Robinson’s own examination 22 findings in which he noted only tenderness. Tr. 26. On May 15, 2014, at 23 Plaintiff’s new patient examination, Dr. Robinson found only tender low back on 24 examination. Tr. 541. On June 13, 2014, Dr. Robinson noted “tender low back on 25 the left especially,” Tr. 539, and, on July 8, 2014, again found “tender low back” 26 on examination, Tr. 537. The consistent findings of only “tender low back” are not 27 compatible with the significant limitations assessed by Dr. Robinson on the July 28 2014 form provided by Plaintiff’s counsel regarding Plaintiff’s application for SSI. ORDER GRANTING DEFENDANT’S MOTION . . . - 14 1 Based on the foregoing, the Court finds the ALJ provided specific, 2 legitimate reasons, supported by substantial evidence, for according little weight to 3 Dr. Robinson’s July 2014 assessment. The ALJ did not err with respect to his 4 findings regarding this report by Dr. Robinson. 5 CONCLUSION 6 Having reviewed the record and the ALJ’s findings, the Court finds the 7 ALJ’s decision is supported by substantial evidence and free of legal error. 8 Accordingly, IT IS ORDERED: 9 10 1. Defendant’s Motion for Summary Judgment, ECF No. 16, is GRANTED. Plaintiff’s Motion for Summary Judgment, ECF No. 15, is DENIED. 11 2. 12 The District Court Executive is directed to file this Order and provide a copy 13 to counsel for Plaintiff and Defendant. Judgment shall be entered for Defendant 14 and the file shall be CLOSED. 15 DATED September 5, 2017. 16 17 18 _____________________________________ JOHN T. RODGERS UNITED STATES MAGISTRATE JUDGE 19 20 21 22 23 24 25 26 27 28 ORDER GRANTING DEFENDANT’S MOTION . . . - 15

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