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Marjorie Wheatley v. Nancy Berryhill
706 F. App'x 424
| 9th Cir. | 2017
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Background

  • Marjorie Wheatley appealed the district court’s affirmance of the Social Security Administration’s denial of her Title II disability insurance benefits.
  • The Ninth Circuit reviewed the matter de novo and reversed and remanded for further proceedings.
  • The ALJ gave little weight to an examining physician, Dr. Overman, and to a treating physician, Dr. Neiman, and discounted lay testimony from Wheatley’s husband.
  • The court found the ALJ failed to give specific and legitimate reasons for discounting Dr. Overman’s opinion, in part because Overman conducted an exam and ultrasound and did not rely solely on Wheatley’s subjective reports.
  • The ALJ permissibly discounted Dr. Neiman’s opinion as inconsistent with medical evidence and Wheatley’s reported activities, but improperly treated the husband’s (lay) observations as merely recounting Wheatley’s subjective complaints.
  • Because unresolved factual issues remain and the record contains conflicting evidence, the Ninth Circuit remanded for further administrative proceedings rather than awarding benefits.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether ALJ gave legally sufficient reasons to reject Dr. Overman’s opinion ALJ improperly characterized Overman as relying solely on claimant’s reports and failed to provide specific and legitimate reasons to discount his opinion ALJ relied on alleged dependence on claimant’s subjective complaints and inconsistencies with record Reversed — ALJ erred; Overman examined and tested claimant, so ALJ’s reasons were inadequate
Whether ALJ permissibly discounted Dr. Neiman’s opinion Neiman’s opinion should be credited as treating physician evidence ALJ argued Neiman’s opinion conflicted with medical evidence and claimant’s activities Affirmed as to reasonableness — ALJ gave specific and legitimate reasons to assign little/no weight
Whether ALJ properly rejected lay testimony from claimant’s husband Husband’s observations supported claimant’s limitations and should be credited ALJ found husband merely repeated claimant’s subjective complaints and thus gave it little weight Reversed — ALJ misstated basis: husband offered independent observations, so ALJ’s reason was inadequate
Proper remedy when ALJ errs in evaluating evidence Plaintiff sought remand for benefits Commissioner sought remand for further proceedings Remanded for further proceedings — conflicts and unresolved factual issues preclude immediate award of benefits

Key Cases Cited

  • Ghanim v. Colvin, 763 F.3d 1154 (9th Cir. 2014) (standard of review and review framework)
  • Lester v. Chater, 81 F.3d 821 (9th Cir. 1996) (ALJ must give specific and legitimate reasons to reject contradicted treating/examining opinions)
  • Ryan v. Comm’r of Soc. Sec., 528 F.3d 1194 (9th Cir. 2008) (examining physician who performs tests does not rely solely on claimant’s subjective reports)
  • Thomas v. Barnhart, 278 F.3d 947 (9th Cir. 2002) (ALJ may consider inconsistency with daily activities when evaluating testimony)
  • Rollins v. Massanari, 261 F.3d 853 (9th Cir. 2001) (daily activities can undermine claims of disabling pain)
  • Bruce v. Astrue, 557 F.3d 1113 (9th Cir. 2009) (ALJ must give reasons when rejecting lay witness testimony based on independent observations)
  • Treichler v. Comm’r Soc. Sec. Admin., 775 F.3d 1090 (9th Cir. 2014) (where factual issues remain, remand for further proceedings is appropriate)
Read the full case

Case Details

Case Name: Marjorie Wheatley v. Nancy Berryhill
Court Name: Court of Appeals for the Ninth Circuit
Date Published: Dec 15, 2017
Citation: 706 F. App'x 424
Docket Number: 15-35632
Court Abbreviation: 9th Cir.