Huizar v. Commissioner of Social Security , 428 F. App'x 678 ( 2011 )


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  •                             NOT FOR PUBLICATION
    UNITED STATES COURT OF APPEALS                               FILED
    FOR THE NINTH CIRCUIT                                APR 13 2011
    MOLLY C. DWYER, CLERK
    U.S. COURT OF APPEALS
    CONNIE A. HUIZAR,                                No. 10-35415
    Plaintiff - Appellant,             D.C. No. 9:08-cv-00180-DWM-
    JCL
    v.
    COMMISSIONER OF SOCIAL                           MEMORANDUM*
    SECURITY,
    Defendant - Appellee.
    Appeal from the United States District Court
    for the District of Montana
    Donald W. Molloy, District Judge, Presiding
    Submitted April 11, 2011**
    Seattle, Washington
    Before: KLEINFELD, TASHIMA, and SILVERMAN, Circuit Judges.
    Although the ALJ erred for failing to inquire about potential conflicts
    between the vocational expert’s analysis and the Dictionary of Occupational Titles
    *
    This disposition is not appropriate for publication and is not precedent
    except as provided by 9th Cir. R. 36-3.
    **
    The panel unanimously concludes this case is suitable for decision
    without oral argument. See Fed. R. App. P. 34(a)(2).
    job descriptions, see Massachi v. Astrue, 
    486 F.3d 1149
    , 1152-53 (9th Cir. 2007),
    that error was harmless because there was no substantial conflict. 
    Id.
     at 1154 n.19.
    Huizar waived her argument that the hypothetical to the vocational expert did not
    include the ALJ’s residual functional capacity’s restriction to “simple, routine, and
    repetitive work,” by not raising it before the district court. Edlund v. Massanari,
    
    253 F.3d 1152
    , 1160 n.9 (9th Cir. 2001).
    The ALJ’s determination that Huizar could perform past work was
    supported by substantial evidence. See Bayliss v. Barnhart, 
    427 F.3d 1211
    , 1217-
    18 (9th Cir. 2005). The evidence in the record showed that Huizar responded well
    to conservative treatment, except for a few short setbacks. This was consistent
    with Dr. Mitgang’s opinion, but inconsistent with Dr. Fallis’s and Mr. Oltz’s.
    Substantial evidence supported the ALJ’s decision to give more weight to Dr.
    Mitgang’s opinion than Dr. Fallis’s and Mr. Oltz’s. Dr. Mitgang’s opinion,
    combined with the other evidence in the record which corroborated it, was
    “substantial evidence” supporting a residual functional capacity finding. Thomas
    v. Barnhart, 
    278 F.3d 947
    , 957 (9th Cir. 2002). Substantial evidence supported the
    ALJ’s finding that the demands of DOT code 299.357-014, telephone solicitor, fell
    within his residual functional capacity finding.
    2
    Huizar’s contention that the ALJ failed to take into account the side effects
    of her pain medication on her residual functional capacity is unsupported by the
    record. The ALJ specifically stated that he was taking into account all of the
    evidence in the record, and took into account the impact from Huizar’s medications
    by limiting her to “relatively simple, routine, and repetitive work instructions.”
    That the ALJ took the effects of her medications into account is made explicit in
    his limitation that Huizar “should avoid even moderate exposure to vibration, and
    hazards such as heights, and working around dangerous equipment due to the use
    of narcotic/opiate pain medications.” (emphasis added).
    The ALJ gave clear and convincing reasons, supported by substantial
    evidence in the record, for discrediting Huziar’s testimony to the extent that it
    conflicted with the medical evidence in the record as a whole. Bray v. Comm’r of
    Soc. Sec. Admin., 
    554 F.3d 1219
    , 1227 (9th Cir. 2009). Huizar had been working
    with her physical impairments full-time from 2000 until mid-2006. Thus, the ALJ
    found that her ability to continue working was inconsistent with her testimony
    about the severity of her impairments. See 
    20 C.F.R. § 404.1571
     (“Even if the
    work you have done was not substantial gainful activity, it may show that you are
    able to do more work than you actually did.”). The record reflects that, except for
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    the period between May 2006 and November 2006, Huizar’s medical records
    largely reported that she was satisfied with her pain regimen, was doing well on
    her medications, and was primarily returning only to get refills for her
    prescriptions. The record contains substantial evidence that Huizar’s physical and
    mental impairments responded favorably to conservative treatment, she skipped a
    recommended objective test, and a procedure was skipped because of spontaneous
    improvement. The ALJ’s credibility decision was therefore “grounded in the
    evidence” and “sufficiently specific to make clear to the individual and to any
    subsequent reviewers the weight the adjudicator gave to the individual’s statements
    and the reasons for that weight.” Soc. Sec. Reg. 96-7p.
    Although the ALJ erred in rejecting Huizar’s daughter’s testimony on the
    ground of her relationship to her mother, Smolen v. Chater, 
    80 F.3d 1273
    , 1289
    (9th Cir. 1996), that error was harmless. The ALJ did not err in discrediting the
    daughter’s testimony on the ground that it conflicted with the medical evidence in
    the record. Lewis v. Apfel, 
    236 F.3d 503
    , 511 (9th Cir. 2001).
    Finally, the ALJ did not err in giving less weight to Dr. Fallis’s and Mr.
    Oltz’s records. The ALJ gave “specific, legitimate reasons for doing so that are
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    based on substantial evidence in the record .” Magallanes v. Bowen, 
    881 F.2d 747
    ,
    751 (9th Cir. 1989). The ALJ found that the record as a whole refuted Dr. Fallis’s
    observations, and his observations were internally inconsistent.
    Mr. Oltz, as a nurse, cannot provide a “medical opinion,” 
    20 C.F.R. § 404.1527
    (a)(2), so his records could only be used to show the severity of the
    individual’s impairments and how they affect the individual’s ability to function.
    They cannot be used to establish the existence of a medically determinable
    impairment. 
    20 C.F.R. §§ 404.1513
    (a), (d). The ALJ did not err in discrediting
    Mr. Oltz’s functional assessments on the ground that they conflict with the record
    as a whole. Most of Mr. Oltz’s own records reveal that Huizar felt that the
    medications were controlling her pain symptoms.
    AFFIRMED.
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