Jettie May Hawkins v. NANCY A. BERRYHILL, Acting Commissioner Social Security

15-16070Court of Appeals for the Ninth Circuit9 de jan. de 2018

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NOT FOR PUBLICATION
UNITED STATES COURT OF APPEALS
FOR THE NINTH CIRCUIT
JETTIE MAY HAWKINS,
Plaintiff-Appellant,
v.
NANCY A. BERRYHILL, Acting
Commissioner Social Security,
Defendant-Appellee.
No. 15-16070
D.C. No. 2:13-cv-02248-JZB
MEMORANDUM*
Appeal from the United States District Court
for the District of Arizona
John Zachary Boyle, Magistrate Judge, Presiding
Submitted January 5, 2018 **
Before: THOMAS, Chief Judge, and TROTT and SILVERMAN, Circuit
Judges.
Jettie May Hawkins appeals the district court’s judgment affirming the
Commissioner of Social Security’s denial of her application for disability
insurance benefits under Title II of the Social Security Act. We have jurisdiction
FILED
JAN 9 2018
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
* This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
** The panel unanimously concludes this case is suitable for decision
without oral argument. See Fed. R. App. P. 34(a)(2).

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under 28 U.S.C. § 1291, we review de novo, Molina v. Astrue, 674 F.3d 1104,
1110 (9th Cir. 2012), and affirm.
The Administrative Law Judge (“ALJ”) provided specific, clear and
convincing reasons for rejecting Hawkins’s subjective complaints, including her
daily activities of caring for her family, inconsistencies between the testimony and
evidence, and the record of conservative treatment and medical findings. See
Smolen v. Chater, 80 F.3d 1273, 1284 (9th Cir. 1996) (discussing factors to
consider in evaluating credibility); see also Garrison v. Colvin, 759 F.3d 995, 1016
(9th Cir. 2014) (explaining that, although claimant should not be penalized for
attempting to lead a normal life in the face of limitations, level of activity
inconsistent with claimed limitations is relevant to credibility).
The ALJ properly evaluated the medical opinions in determining Hawkins’s
residual functional capacity and provided specific and legitimate reasons for
rejecting the medical opinion of treating provider Jack Hawks, D.O. See
Tommasetti v. Astrue, 533 F.3d 1035, 1038, 1041 (9th Cir. 2008) (reciting
standard, permitting ALJ to reject opinion based on claimant’s properly discounted
credibility, and explaining that this court will uphold ALJ’s conclusion when
evidence is susceptible to more than one rational interpretation). The ALJ properly
rejected Dr. Hawks’s opinion because it was not supported by objective findings,
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was conclusory with no supporting contemporaneous treatment notes, and was
contradicted by other medical findings and opinions in the record.
The substantial evidence supporting the ALJ’s decision renders any other
error “inconsequential to the ultimate nondisability determination.” Brown-Hunter
v. Colvin, 806 F.3d 487, 492 (9th Cir. 2015) (citation and internal quotation marks
omitted); see Batson v. Comm’r of Soc. Sec., 359 F.3d 1190, 1197 (9th Cir. 2004)
(allowing court to affirm ALJ’s overall credibility conclusion even when not all of
ALJ’s reasons were upheld).
AFFIRMED.
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Hawkins v. Berryhill; No. 15-16070
THOMAS, Chief Circuit Judge, dissenting:
I respectfully dissent. On two occasions, Hawkins’ treating physician
concluded that she was incapable of even sedentary work. He concluded she could
left less than ten pounds even occasionally; she could stand or walk less than two
hours in an eight hour day; and that she could sit less than six hours in an eight
hour day. Over the course of his treatment of Hawkins, her physician diagnosed
chronic neuropathic pain, irritative radiculopathy, and lumbar sprain. He referred
her for lumbar epidural steroid injections. He prescribed Vicodin, Skelaxin,
Oxycodone, Soma, Baclofen, and Percocet.
An administrative law judge is required to give substantial weight to the
treating physician’s findings and subjective judgments. Lester v. Chater, 81 F.3d
821, 832-33 (9th Cir. 1995). Indeed, if a treating physician's opinion is well-
supported by medically acceptable clinical and laboratory diagnostic techniques
and is not inconsistent with the other substantial evidence in the case record, it will
be given controlling weight. Orn v. Astrue, 495 F.3d 625, 631 (9th Cir. 2007). An
ALJ can reject a treating physician’s opinion, but only for “specific and legitimate
reasons that are supported by substantial evidence.” Ghanim v. Colvin, 763 F.3d
1154, 1161 (9th Cir. 2014).
Here, the ALJ rejected the treating physician’s opinion, in part, because the
FILED
JAN 9 2018
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS

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opinion “was not supported by objective medical findings including MRIs.”
However, Hawkins had two MRIs performed. The first revealed sever disc
desiccation. The second showed a “broad-based disk bulge with an annulear tear,
causing flattening of the central and right ventral aspect of the thecal sac,” that was
“more broad-based than the prior abnormality.” The ALJ concluded that the
treating physician’s assessments lacked supporting contemporaneous treatment
notes, but the record reflects significant treatment notes. Simply put, the ALJ’s
primary rationale for rejecting the treating physician’s assessment is not supported
by the record.
The ALJ also rejected the claimant’s testimony as not credible. The ALJ
stated that the objective medical evidence could not be squared with the amount of
pain claimant reported. However, when a claimant has produced objective
medical evidence of an underlying impairment which is reasonably likely to cause
pain, “the ALJ ‘may not discredit a claimant’s testimony of pain and deny
disability benefits solely because the degree of pain alleged by the claimant is not
supported by objective medical evidence.’” Orteza v. Shalala, 50 F.3d 748,
749–50 (9th Cir. 1995).
The ALJ’s rejection of Hawkins’ testimony because she was able to perform
routine functions as a single mother was also legally erroneous. The facts of this
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case are similar to the ones at issue in Garrison v. Colvin, 759 F.3d 995 (9th Cir.
2014). In Garrison, the ALJ discredited the claimant’s testimony of severe back
pain because the claimant was able to prepare meals, clean her room, and help to
care for her own daughter. Id. at 1008, 1015. We held that the ALJ committed
two errors. Id. at 1016. First, the ALJ mischaracterized the testimony by failing to
acknowledge that the claimant required her mother’s help in caring for her
daughter, was regularly prohibited by her pain from engaging in some household
activities, and required rest and naps after performing such activities. Id. at 1017.
Second, the ALJ erred in finding that those activities, performed in the manner
described, were inconsistent with the pain alleged by the claimant. Id. The
claimant’s daily activities such as preparing meals and caring for her daughter with
assistance and frequent rest was consistent with the pain alleged and consistent
with an inability to function in a workplace environment. Id.
The ALJ also claimed that the claimant’s purported inability to drive was
contradicted by her later testimony that she drove her mother to medical
appointments. But Hawkins never claimed a complete inability to drive; she only
alleged that her medication sometimes renders her unable to drive.
The final reason the ALJ provided for the adverse credibility finding was
that the “conservative/routine pain medication” contradicts her “allegations of
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disabling pain.” However, as I noted earlier, the record shows that Hawkins
actually received a substantial amount of pain medication.
Because the ALJ did not provide legitimate reasons for rejecting the treating
physician’s opinion or for his adverse credibility finding, I would reverse the
judgment of the district court. Therefore, I respectfully dissent.
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