Kristine Armfield v. Kilolo Kijakazi ( 2023 )


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  •                            NOT FOR PUBLICATION                           FILED
    UNITED STATES COURT OF APPEALS                       MAR 31 2023
    MOLLY C. DWYER, CLERK
    U.S. COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    KRISTINE E. ARMFIELD,                           No.   22-35127
    Plaintiff-Appellant,            D.C. No. 3:21-cv-05239-SKV
    v.
    MEMORANDUM*
    KILOLO KIJAKAZI, Acting Commissioner
    of Social Security,
    Defendant-Appellee.
    Appeal from the United States District Court
    for the Western District of Washington
    Sarah Kate Vaughan, Magistrate Judge, Presiding
    Submitted March 29, 2023**
    Seattle, Washington
    Before: NGUYEN and HURWITZ, Circuit Judges, and GUTIERREZ,*** Chief
    District Judge.
    An administrative law judge (“ALJ”) denied Kristine Armfield’s application
    *
    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).
    ***
    The Honorable Philip S. Gutierrez, Chief United States District Judge
    for the Central District of California, sitting by designation.
    for Social Security disability benefits. The district court affirmed the agency’s
    decision. We have jurisdiction over Armfield’s appeal of that ruling under 
    28 U.S.C. § 1291
     and 
    42 U.S.C. § 405
    (g) and affirm.
    1.     Armfield argues that the ALJ improperly rejected various medical
    opinions.     We review the IJ’s evaluation of medical opinions for substantial
    evidence. See Woods v. Kijakazi, 
    32 F.4th 785
    , 787 (9th Cir. 2022). The “most
    important factors” are “supportability” and “consistency.”              
    20 C.F.R. § 416
    .920c(b)(2). If “the evidence can rationally be interpreted in more than one
    way, the court must uphold the ALJ’s decision.” Ahearn v. Saul, 
    988 F.3d 1111
    ,
    1115–16 (9th Cir. 2021) (cleaned up).
    a. Dr. Ruddell’s 2018 opinion predated the claimed onset date and was not
    materially different from the same psychologist’s 2019 opinion, so the ALJ properly
    discussed them in a single analysis. See 
    20 C.F.R. § 416
    .920c(b)(1). Substantial
    evidence supports the ALJ’s determination that the 2019 opinion was “inconsistent
    with the treatment record,” which contains numerous subsequent “normal findings.”
    b.     Substantial evidence also supports the ALJ’s discounting of Nurse
    Patterson’s opinion. Patterson’s own evaluation “indicates the claimant has no
    mental health issues,” and other records show Armfield ambulating without
    difficulty.
    c. The ALJ also reasonably concluded that Dr. Harmon, a psychologist, was
    2
    not qualified to give an opinion about Armfield’s physical condition. Harmon
    recognized that a proper physical assessment would “depend on the information in
    [Armfield’s] medical records and the judgment of the physicians on the [ ] review
    panel.” See 
    20 C.F.R. § 416
    .920c(c)(4).
    d.   Citing Dr. Gollogly’s statement that she would have “occasional”
    workplace interruptions, Armfield argues that her residual functional capacity
    should have assumed interruptions of one-third of a workday. But the ALJ is “the
    final arbiter with respect to resolving ambiguities in the medical evidence,”
    Tommasetti v. Astrue, 
    533 F.3d 1035
    , 1041 (9th Cir. 2008), and Dr. Gollogly’s report
    can reasonably be read to give “occasional” a more limited meaning.
    e. The ALJ reasonably found Dr. Leinenbach’s opinion not persuasive
    because it predated the alleged onset date and other medical opinions. See Carmickle
    v. Comm’r, Soc. Sec. Admin., 
    533 F.3d 1155
    , 1165 (9th Cir. 2008) (“Medical
    opinions that predate the alleged onset of disability are of limited relevance.”).
    2. The ALJ offered “specific, clear and convincing reasons” for rejecting
    Armfield’s testimony about the severity of her symptoms. Tommasetti, 
    533 F.3d at 1039
     (cleaned up). A favorable response to conservative treatment “undermines [a
    claimant’s] reports regarding the disabling nature of [her] pain.” 
    Id. at 1040
    . The
    record supports the ALJ’s finding that Armfield’s “pain symptoms and medical
    impairments” were “managed conservatively with medication, physical therapy, and
    3
    therapeutic injections,” and that reports throughout the record “often document no
    acute distress and normal ambulating without difficulty.” Moreover, the record
    conflicts with Armfield’s testimony about her use of electronic devices, cleaning
    work, and socialization. See Rounds v. Comm’r Soc. Sec. Admin., 
    807 F.3d 996
    ,
    1006 (9th Cir. 2015). The record is also inconsistent with Armfield’s testimony
    about her depression because it shows management of her mental-health symptoms
    with medication and therapy.       The ALJ “did not wholly reject [Armfield’s]
    allegations,” Carmickle, 
    533 F.3d at 1163
    , but rather found contrary evidence clear
    and convincing.
    AFFIRMED.1
    1
    We decline to consider Armfield’s argument that portions of the Social
    Security Administration’s 2017 rule revisions, 
    82 Fed. Reg. 5844
     (Jan. 18, 2017),
    violate the Administrative Procedure Act and Social Security Act, which was raised
    for the first time in a reply brief. See Cedano-Viera v. Ashcroft, 
    324 F.3d 1062
    , 1066
    n.5 (9th Cir. 2003) (“[W]e decline to consider new issues raised for the first time in
    a reply brief.”).
    4