David E Combs v. Michael J Astrue, No. 2:2011cv03209 - Document 21 (C.D. Cal. 2012)

Court Description: MEMORANDUM OPINION AND ORDER by Magistrate Judge Jay C. Gandhi. IT IS ORDERED THAT judgment shall be entered AFFIRMING the decision of the Commissioner denying benefits. (See Order for details) (bem)

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 DAVID E. COMBS, 12 13 14 15 Plaintiff, v. MICHAEL J. ASTRUE, COMMISSIONER OF SOCIAL SECURITY ADMINISTRATION, 16 17 Defendant. ) Case No. CV 11-3209 JCG ) ) ) ) MEMORANDUM OPINION AND ) ORDER ) ) ) ) ) ) ) 18 19 I. 20 INTRODUCTION AND SUMMARY 21 On April 29, 2011, plaintiff David E. Combs ( Plaintiff ) filed a complaint 22 against defendant Michael J. Astrue ( Defendant ), the Commissioner of the Social 23 Security Administration, seeking review of a denial of disability insurance benefits 24 ( DIB ) and supplemental security income benefits ( SSI ). [Docket No. 3.] On November 8, 2011, Defendant filed his answer, along with a certified copy 25 26 of the administrative record. [Docket Nos. 11-13.] In sum, having carefully studied, inter alia, the parties joint stipulation and 27 28 the administrative record, the Court concludes that, as detailed below, there is 1 substantial evidence in the record, taken as a whole, to support the decision of the 2 Administrative Law Judge ( ALJ ). Thus, the Court affirms the Commissioner s 3 decision denying benefits. 4 II. 5 PERTINENT FACTUAL AND PROCEDURAL BACKGROUND Plaintiff, who was 48 years old on the date of his administrative hearing, is a 6 7 college graduate. (See Administrative Record ( AR ) at 65, 69, 185, 231.) On November 21 and 28, 2008, Plaintiff protectively filed for DIB and SSI, 8 9 alleging that he has been disabled since October 25, 2008 based on a crushed ankle, 10 right ankle and foot osteoarthritis, right ankle arthrodesis1/ and fusion, and 11 unsuccessful fusion surgery. (See AR at 19, 122, 185, 196, 225.) On November 18, 2009, Plaintiff, represented by counsel, appeared and 12 13 testified at a hearing before an ALJ. (See AR at 65-105.) The ALJ also heard 14 testimony from Howard Goldfarb, a vocational expert ( VE ). (Id.; see also id. at 15 167.) On March 12, 2010, the ALJ denied Plaintiff s request for benefits. (AR at 16 17 19-38.) Applying the familiar five-step sequential evaluation process, the ALJ 18 found, at step one, that Plaintiff has not engaged in substantial gainful activity since 19 his alleged onset date. (Id. at 34.) At step two, the ALJ found that Plaintiff suffers from severe impairments 20 21 consisting of status post right ankle injury and arthrodesis. (AR at 34 (bold 22 omitted).) At step three, the ALJ determined that the evidence did not demonstrate that 23 24 Plaintiff s impairments, either individually or in combination, meet or medically 25 26 27 1/ Arthrodesis is the stiffening of a joint by operative means. Stedman s 28 Medical Dictionary 160 (28th ed. 2006). 2 1 equaled the severity of any listing set forth in the Social Security regulations.2/ (AR 2 at 34.) The ALJ then assessed Plaintiff s residual functional capacity3/ ( RFC ) and 3 4 determined that he can perform light work. (AR at 34.) Specifically, the ALJ found 5 Plaintiff can: 6 lift and carry up to 10 pounds frequently and 20 pounds 7 occasionally, stand and/or walk 6/8 hours with periodic 8 alternating sitting and standing every 1 hour for 15 minutes, sit 9 6/8 hours, no use of right lower extremity foot controls, 10 occasional ramp/stair climbing, no ladder/rope/scaffold climbing, 11 occasional balancing, stooping and crouching, no kneeling or 12 crawling, avoid concentrated exposure to extreme cold, avoid 13 even moderate exposure to unprotected heights or hazardous 14 machinery and no running or jumping or working on uneven 15 surfaces. 16 (Id. at 34-35 (emphasis omitted).) The ALJ found, at step four, that Plaintiff has the ability to perform his past 17 18 relevant work as a warehouse operations manager. (AR at 36.) In the alternative, at step five, based on Plaintiff s RFC and the VE s 19 20 testimony, the ALJ found that there are jobs existing in significant numbers in the 21 national economy that Plaintiff can perform, including material clerk and order 22 23 24 2/ See 20 C.F.R. pt. 404, subpt. P, app. 1. 3/ Residual functional capacity is what a claimant can still do despite existing 25 exertional and nonexertional limitations. Cooper v. Sullivan, 880 F.2d 1152, 1155 26 n. 5 (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 assesses the claimant s 27 residual functional capacity. Massachi v. Astrue, 486 F.3d 1149, 1151 n. 2 (9th 28 Cir. 2007). 3 1 filler, and the unskilled jobs of jewelry repairer, optical lens inserter, and optical 2 assembler. (AR at 36-37.) Thus, the ALJ concluded that Plaintiff was not suffering 3 from a disability as defined by the Act. (Id. at 38.) 4 Plaintiff filed a timely request for review of the ALJ s decision, which was 5 denied by the Appeals Council. (AR at 1-3, 13.) The ALJ s decision stands as the 6 final decision of the Commissioner. 7 III. 8 STANDARD OF REVIEW 9 This Court is empowered to review decisions by the Commissioner to deny 10 benefits. 42 U.S.C. § 405(g). The findings and decision of the Social Security 11 Administration must be upheld if they are free of legal error and supported by 12 substantial evidence. Mayes v. Massanari, 276 F.3d 453, 458-59 (9th Cir. 2001, as 13 amended Dec. 21, 2001). If the court, however, determines that the ALJ s findings 14 are based on legal error or are not supported by substantial evidence in the record, 15 the court may reject the findings and set aside the decision to deny benefits. 16 Aukland v. Massanari, 257 F.3d 1033, 1035 (9th Cir. 2001); Tonapetyan v. Halter, 17 242 F.3d 1144, 1147 (9th Cir. 2001). 18 Substantial evidence is more than a mere scintilla, but less than a 19 preponderance. Aukland, 257 F.3d at 1035. Substantial evidence is such relevant 20 evidence which a reasonable person might accept as adequate to support a 21 conclusion. Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 1998); Mayes, 276 F.3d 22 at 459. To determine whether substantial evidence supports the ALJ s finding, the 23 reviewing court must review the administrative record as a whole, weighing both 24 the evidence that supports and the evidence that detracts from the ALJ s 25 conclusion. Mayes, 276 F.3d at 459. The ALJ s decision cannot be affirmed 26 simply by isolating a specific quantum of supporting evidence. Aukland, 257 F.3d 27 at 1035 (quoting Sousa v. Callahan, 143 F.3d 1240, 1243 (9th Cir. 1998)). If the 28 evidence can reasonably support either affirming or reversing the ALJ s decision, 4 1 the reviewing court may not substitute its judgment for that of the ALJ. Id. 2 (quoting Matney ex rel. Matney v. Sullivan, 981 F.2d 1016, 1018 (9th Cir. 1992)). 3 IV. 4 ISSUE PRESENTED 5 A single disputed issue is presented here: whether the ALJ properly assessed 6 Plaintiff s credibility. (Joint Stip. at 4-11, 15-17.) 7 V. 8 DISCUSSION AND ANALYSIS 9 10 A. Plaintiff s Credibility Plaintiff argues that the ALJ failed to articulate legally sufficient reasons for 11 rejecting Plaintiff s testimony. (Joint Stip. at 11.) Plaintiff also contends that 12 post-hearing records support his testimony and he had further complications and 13 [needed] to have the screws in his ankle removed. (Id.) Plaintiff claims that in 14 light of the later evidence, the articulations of the ALJ evaporate and cease to have 15 the type of gravitas that would satisfy the requisite legal standard. (Id.) 16 17 18 1. The ALJ Must Provide Clear and Convincing Reasons For Discounting Plaintiff s Credibility An ALJ can reject a plaintiff s subjective complaint upon (1) finding evidence 19 of malingering, or (2) expressing clear and convincing reasons for doing so. Benton 20 ex rel. Benton v. Barnhart, 331 F.3d 1030, 1040 (9th Cir. 2003). The ALJ may 21 consider the following factors in weighing a plaintiff s credibility: (1) his or her 22 reputation for truthfulness; (2) inconsistencies either in the plaintiff s testimony or 23 between the plaintiff s testimony and his or her conduct; (3) his or her daily 24 activities; (4) his or her work record; and (5) testimony from physicians and third 25 parties concerning the nature, severity, and effect of the symptoms of which she 26 complains. Thomas v. Barnhart, 278 F.3d 947, 958-59 (9th Cir. 2002). 27 Here, the ALJ did not find evidence of malingering. (See generally AR at 19- 28 38.) Therefore, the ALJ s reasons for rejecting Plaintiff s credibility must rest on 5 1 clear and convincing reasons. See Benton, 331 F.3d at 1040. 2 3 2. The ALJ Properly Rejected Plaintiff s Subjective Complaints The Court is persuaded that the ALJ provided clear and convincing reasons 4 supported by substantial evidence for rejecting Plaintiff s credibility. Six reasons 5 guide this determination. 6 First, the ALJ properly concluded that the objective medical evidence does not 7 support Plaintiff s alleged degree of disability. (AR at 31 (ALJ stating Plaintiff s 8 subjective complaints and alleged limitations are out of proportion to the objective 9 clinical findings and observed functional restrictions ).) Substantial evidence 10 supports the ALJ s conclusion. (See, e.g., id. at 641 (treating physician s note, dated 11 August 28, 2008, reporting that Plaintiff has become more active and occasionally 12 has pain ), 646 (treating physician s note, dated September 16, 2008, indicating 13 Plaintiff is feeling well overall and reporting that the more [Plaintiff] is on [his 14 foot], the better he feels ), 671-72 (treating physician s note, dated August 25, 2009, 15 stating Plaintiff walks without a limp, can go on his tiptoes and heels, and can 16 do a single-leg toe raise and [t]here is minimal pain to palpation along the 17 anterolateral ankle ), 730-32 (primary treating physician s progress report, dated 18 September 7, 2010, noting Plaintiff walks without a limp, can go on his tiptoes 19 and heels, can do a single-leg toe raise, and finding no instability ).) While a 20 lack of objective evidence supporting Plaintiff s symptoms cannot be the sole reason 21 for rejecting Plaintiff s testimony, it can be one of several factors used in evaluating 22 the credibility of Plaintiff s subjective complaints. Rollins v. Massanari, 261 F.3d 23 853, 856-57 (9th Cir. 2001). 24 Second, the ALJ properly discounted Plaintiff s complaints regarding the 25 severity of his pain as inconsistent with a conservative treatment plan. (AR at 31 26 (ALJ noting Plaintiff was off all medication by May 2009 and [i]t is reasonable 27 to assume that, if [Plaintiff] were as disabled as he claims, his doctors would have 28 ordered more aggressive treatment )); see Meanel v. Apfel, 172 F.3d 1111, 1114 (9th 6 1 Cir. 1999) (ALJ properly considered, as part of credibility evaluation, treating 2 physician s failure to prescribe, and claimant s failure to request, medical treatment 3 commensurate with the supposedly excruciating pain alleged, and the minimal, 4 conservative treatment ) (citation omitted); Parra v. Astrue, 481 F.3d 853, 750-51 5 (9th Cir. 2007) ( We have previously indicated that evidence of conservative 6 treatment is sufficient to discount a claimant s testimony regarding severity of an 7 impairment. ). Substantial evidence supports this finding. For instance, Plaintiff 8 testified that he uses a brace on his ankle, but does not use a cane, crutch, walker, 9 [or] wheelchair. (AR at 78.) He also stated that he stopped [taking] all pain 10 medication and did not report any side effects from pain medication when he did 11 use them. (Id.) He reported that his only treatment was an electronic bone 12 stimulator, which he wears at night. (Id. at 78-79.) 13 Third, the ALJ properly discounted Plaintiff s subjective complaints based on 14 his non-compliance with his treating physicians prescribed course of treatment. 15 (AR at 31); Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989) (failure to seek 16 treatment or follow a prescribed course of treatment can cast doubt on sincerity of 17 claimant s pain testimony). For instance, the ALJ noted that Plaintiff did not stop 18 cigarette smoking as advised by his doctor, and he had a non-union. (AR at 31; see, 19 e.g., id. at 79 (ALJ stating at hearing that there was an issue about the non-union 20 possibly due to ongoing cigarette smoking, which is not good for fusions and 21 Plaintiff responding, [r]ight ), 682-85 (physician s note, dated December 11, 2008, 22 reporting [i]t appears the etiology for the patient s nonunion is almost for sure the 23 fact that the patient smoked before the surgery and smoked immediately after the 24 surgery and never stopped smoking and [a]ll studies show a very high incidence of 25 nonunions in patient that do not stop smoking and have smoked for long periods of 26 time ).) 27 Nor has Plaintiff provided an acceptable reason for not following the 28 prescribed course of treatment. See Bubion v. Barnhart, 224 Fed.Appx. 601, 604 7 1 (9th Cir. 2007) (ALJ properly discounted plaintiff s credibility based on failure to 2 follow prescribed treatment of physical therapy and plaintiff did not provide an 3 acceptable reason for not following prescribed course of treatment); see also 20 4 C.F.R. § 404.1530(c). 5 Fourth, the ALJ properly discounted Plaintiff s subjective complaints as 6 inconsistent with his reported activities of daily living. (AR at 31 (ALJ found that 7 Plaintiff admitted that he was able to sit around his house all day, and engage in 8 normal activities of daily living that required at least short periods of standing, 9 walking, etc. )); see Thomas, 278 F.3d at 958-59 (inconsistency between the 10 claimant s testimony and the claimant s conduct supported rejection of the 11 claimant s credibility); Verduzco v. Apfel, 188 F.3d 1087, 1090 (9th Cir. 1999) 12 (inconsistencies between claimant s testimony and actions cited as a clear and 13 convincing reason for rejecting the claimant s testimony). When asked about his 14 daily activities at the administrative hearing, Plaintiff responded, I [w]atch TV, 15 read, clean the house best I can, and [w]ork on the computer. (AR at 81.) 16 Plaintiff also testified that he is able to bathe and shower on his own, get dressed, 17 cook, go to the store on his own, walk around the store, drive, and swim. (Id. at 8118 82.) Plaintiff further stated that he takes naps when he is bored or stir crazy. 19 (Id. at 87.) 20 Fifth, the ALJ properly found evidence suggesting Plaintiff s testimony is 21 motivated by financial reasons independent of any legitimate claim of entitlement to 22 benefits. See Gaddis v. Chater, 76 F.3d 893, 896 (8th Cir. 1996) (holding that there 23 was a strong element of secondary gain in this case justifying the ALJ s negative 24 credibility finding where the claimant sued his employer only after private benefits 25 were terminated and said he planned to work only until his lawsuit settled). Here, 26 Plaintiff testified that he feel[s he is] able to do lighter duty work and received a 27 job offer as a limousine driver, but couldn t accept it because his workers 28 compensation attorney advised [him] against taking the position, because it might 8 1 effect [his] Worker s Comp settlement. (AR at 73-74; see also id. at 738 (treating 2 physician s note, dated December 29, 2009, indicating Plaintiff elected to hold off 3 on taking [a job offer] per his attorney s instructions ).) Thus, the record supports 4 the inference that Plaintiff had specific pecuniary motives independent of any 5 legitimate claim of entitlement which undermines his testimony. 6 Finally, with respect to Plaintiff s assertion that it turns out that [Plaintiff] 7 had the correct handle on his own condition in that the bone did not heal until 2009 8 and the weight bearing induced pain would not go away until after the removal of 9 the screws shortly after September 2010, (Joint Stip. at 17), the Court finds that the 10 post-hearing records support the ALJ s decision. For instance, although Plaintiff s 11 treating physician noted he continues to have pain, Plaintiff also remained quite 12 functional less than one month prior to Plaintiff s surgery on August 12, 2010, e.g., 13 his physician noted it bothers his ankle when he jumps around a lot. (AR at 742 14 (emphasis added).) During his one week post-operation visit on September 16, 15 2010, Plaintiff s treating physician reported he has less pain and discomfort and he 16 is feeling better. (Id. at 727.) To the extent Plaintiff maintains that the ALJ 17 erroneously discounted his subjective complaints by stating Plaintiff did not require 18 additional surgery, (Joint Stip. at 10), the Court finds any reliance on this reason to 19 be harmless. See Batson v. Comm r of Soc. Sec., 359 F.3d 1190, 1195-97 (9th Cir. 20 2004). 21 Thus, the ALJ provided legally sufficient reasons supported by substantial 22 evidence for discounting Plaintiff s subjective complaints of pain. 23 Based on the foregoing, IT IS ORDERED THAT judgment shall be entered 24 AFFIRMING the decision of the Commissioner denying benefits. 25 26 Dated: March 26, 2012 ____________________________________ 27 Hon. Jay C. Gandhi 28 United States Magistrate Judge 9

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