Keith Fino v. Nancy Berryhill

                           NOT FOR PUBLICATION                           FILED
                    UNITED STATES COURT OF APPEALS                        JUN 28 2018
                                                                      MOLLY C. DWYER, CLERK
                                                                       U.S. COURT OF APPEALS
                           FOR THE NINTH CIRCUIT

KEITH FINO,                                     No.    16-35961

                Plaintiff-Appellant,            D.C. No. 6:15-cv-01910-PA

 v.
                                                MEMORANDUM*
NANCY BERRYHILL, Acting
Commissioner Social Security,

                Defendant-Appellee.

                  Appeal from the United States District Court
                           for the District of Oregon
                 Owen M. Panner, Senior District Judge, Presiding

                       Argued and Submitted May 10, 2018
                                Portland, Oregon

Before: RAWLINSON and CHRISTEN, Circuit Judges, and BLOCK**, District
Judge.

      We assume the parties are familiar with the facts and procedural history. We

review a district court’s order affirming denial of benefits de novo. Diedrich v.

Berryhill, 874 F.3d 634, 638 (9th Cir. 2017). We may set aside the


      *
             This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
      **
             The Honorable Frederic Block, United States Senior District Judge for
the Eastern District of New York, sitting by designation.
Commissioner’s denial of benefits if the administrative law judge (“ALJ”)

committed legal error or reached a decision not supported by substantial evidence.

Id. The ALJ made several errors.

      First, the ALJ failed to fairly develop the record. See Tonapetyan v. Halter,

242 F.3d 1144, 1150 (9th Cir. 2001). On remand, the ALJ shall acquire the

Department of Veterans Affairs (“VA”)’s “C&P Report” and Fino’s February 2014

shoulder MRI results.1 The ALJ shall also seek records clarifying Fino’s 2011

income and address his explanation that the payments were for work performed

before his alleged onset date.

      Second, the ALJ erred in rejecting the VA Rating Decision “in light of the

objective testing and treatment history” because she was required to give

“persuasive, specific, valid reasons” for rejecting it. McCartey v. Massanari, 298

F.3d 1072, 1076 (9th Cir. 2002).

      Third, the ALJ erred in discounting the evidence of Fino’s worsening

symptoms, particularly his diabetes and shoulder injury and the effects of Fino’s

disabilities in combination, rather than isolation. See Smolen v. Chater, 80 F.3d


      1
         We do not share the dissent’s view that the C&P Report was unnecessary
because it was summarized in the VA Rating Decision. The C&P Report was a key
part of the record. And contrary to the dissent’s position, the shoulder MRI
revealed soft tissue injuries not seen in the initial x-ray. This evidence was material
to the ALJ’s conclusion that Fino could lift 25 pounds frequently and 50 pounds
occasionally, and could perform overhead reaching with his injured arm.


                                          2                                     16-35961
1273, 1290 (9th Cir. 1996) (ALJ erred in failing to consider effects of impairments

in combination).

      Finally, the ALJ did not give sufficient reasons to discount Fino’s symptom

testimony. In particular, the ALJ erred in finding his limited daily activities were

consistent with an ability to work. See Ghanim v. Colvin, 763 F.3d 1154, 1165 (9th

Cir. 2014) (limited daily activities are not transferrable to work environment).

      Upon fully developing the record and correcting the above errors, the ALJ

shall redetermine Fino’s residual functional capacity (“RFC”) and ability to do

work in the national economy.

      REVERSED AND REMANDED.




                                          3                                    16-35961
                                                                              FILED
Fino v. Berryhill, Case No. 16-35961
                                                                              JUN 28 2018
Rawlinson, Circuit Judge, dissenting:
                                                                           MOLLY C. DWYER, CLERK
                                                                            U.S. COURT OF APPEALS
      I respectfully dissent. In my view, the decision of the Administrative Law

Judge (ALJ) was supported by substantial evidence in the record. More

specifically, I do not agree that the ALJ failed to fairly develop the record by not

acquiring the Compensation and Pension (C&P) Report from the Veterans

Administration (VA) or post-hearing MRI results for claimant’s shoulder.

      Although the ALJ did not have the C&P report itself, she reviewed the VA

disability decision, which summarized and relied upon the C&P report. In

addition, the ALJ had in the record most of Fino’s treatment records from the VA.

Undoubtedly, this material constituted substantial evidence sufficient to support

the ALJ’s decision. See Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002)

(defining substantial evidence as “more than a scintilla but less than a

preponderance”). Evidence is substantial if it is “relevant evidence which,

considering the record as a whole, a reasonable person might accept as adequate to

support a conclusion.” Id. (citation omitted). Given the comprehensive evidence

before the ALJ concerning the VA’s disability rating, the ALJ could evaluate the

evidence and draw reasonable conclusions without reviewing the C&P report

directly. See Tommasetti v. Astrue, 533 F.3d 1035, 1040 (9th Cir. 2008).



                                           1
      As for the post-hearing MRI, nothing in that report represented a material

departure from the medical evidence presented to and considered by the ALJ. The

x-ray report in the record reflected the existence of “moderate osteoarthritis” and

the MRI similarly reflected the existence of “mild-to-moderate degenerative joint

disease.” That the MRI may have revealed additional soft tissue injuries does not

alter the ultimate fact that the diagnoses for the x-ray and MRI were virtually

identical. Because Fino failed to demonstrate how this virtually identical MRI

report would have materially altered the ALJ’s findings, the ALJ committed no

error in declining to hold the record open. See Mayes v. Massanari, 276 F.3d 453,

462 (9th Cir. 2001), as amended.

      The ALJ provided specific reasons for giving less weight to the VA

disability rating, including the treatment records, medical history and reports of

examining physicians over the course of treatment. In similar fashion, the ALJ

discounted the claimant’s symptom testimony due to discrepancies between that

testimony and treatment records reflecting normal gait, muscle strength and

reflexes; and discrepancies between daily activities and the level of disability

asserted.

      Finally, the majority cites as error the ALJ’s asserted “discounting [of] the

evidence of [claimant’s] worsening symptoms, particularly his diabetes and

                                           2
shoulder injury and the effects of [claimant’s] disabilities in combination, rather

than isolation.” However, this argument was not made in the Opening Brief, and is

not properly before us. See Orr v. Plumb, 884 F.3d 923, 932 (9th Cir. 2018).




                                           3