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Atsu O. Acolatse v. Michael J. Astrue


September 26, 2011


The opinion of the court was delivered by: Lucy H. Koh United States District Judge


Plaintiff Atsu O. Acolatse ("Plaintiff") brings this action pursuant to 42 U.S.C. Sections 405(g) and 1383(c) to obtain review of Defendant Social Security Administration‟s ("Defendant" 19 or "SSA") final decision denying his claim for disability insurance benefits. Plaintiff seeks an 20 order reversing the SSA‟s final decision and awarding benefits, or alternatively remanding for a 21 new hearing. Presently before the Court are the parties‟ cross-motions for summary judgment. 22

Having considered the parties‟ papers and the administrative record, the Court DENIES Plaintiff‟s 23 motion for summary judgment, ECF No. 31, and GRANTS Defendant‟s cross-motion for summary 24 judgment. ECF No. 38.


A. Factual History

Plaintiff alleges he suffered from kidney disease, which began in 1991, deteriorated to the point of kidney failure, and necessitated a kidney transplant on January 22, 2008. Administrative Transcript ("Tr.") 75, 476; Pl.‟s Mot. 7. His symptoms, which included high blood pressure, back 3 and flank pain, swelling, dizziness, shortness of breath, and fatigue, caused him trouble lifting, 4 moving, standing, and sitting for extended lengths of time. Tr. 75, 105, 109, 476. Plaintiff ceased 5 work as a warehouse clerk on July 15, 1992, allegedly due to these symptoms. See Tr. 75, 94; Pl.‟s 6

Mot. at 4. 7

Plaintiff pursued medical treatment for his kidney disease in the United States until 1994, 8 when he returned to the country of his birth, Ghana. Tr. 476. During his time in Ghana, from 1994 9 to 2000, Plaintiff was treated by "traditional practitioners," who prescribed "herbs and dietary 10 supplements." Pl.‟s Mot. at 5. According to Plaintiff, these traditional practitioners repeatedly tested his blood, and the results of those tests are part of the record. Pl.‟s Mot. at 6; Tr. 324-52.

Plaintiff returned to the United States in 2000. Pl‟s Mot. 5. From 2000 to 2002, he was 13 treated for kidney disease at Santa Clara Valley Medical Center. Tr. 133-213. Santa Clara Valley 14 Medical Center performed several tests on Plaintiff, including: blood tests, see, e.g., id. at 197, 209; 15 a CT-guided biopsy, id. at 141, 209; and an exercise tolerance test on June 2, 2000, indicating that Plaintiff had "good functional capacity." Id. at 213. From 2002 to 2004, Plaintiff was treated at the 17 U.S. Medical Center for Federal Prisoners, in Springfield, Missouri. Id. at 355-58, 388-414. The 18 U.S. Medical Center also performed tests on Plaintiff‟s blood, and began dialysis treatment for 19 Plaintiff‟s kidney disease in February or March 2003. Id. at 353, 357, 588. Since 2004, Plaintiff 20 has been treated at El Camino Renal Group, where he has primarily seen Dr. Cynthia Lin. Id. at 21 214-320.

B. Procedural History

On May 24, 2004, Plaintiff applied for disability insurance benefits based on his kidney 24 disease. See Tr. 58-60, 75. Following the application‟s initial denial, id. at 41, Plaintiff filed a 25 request for reconsideration on August 26, 2004. See id. at 46, 105. This request was also denied 26 on October 15, 2004. Id. at 47. Plaintiff‟s request for a hearing before an ALJ was granted, id. at 52-54, and on November 22, 2005, ALJ Hannon issued a decision denying disability insurance benefits. Id. at 23-25. ALJ Hannon concluded that, while Plaintiff was currently disabled, there 2 was no evidence showing Plaintiff was disabled on or before December 31, 1997, his date last 3 insured. Id. at 25. Plaintiff filed a complaint requesting judicial review of ALJ Hannon‟s decision on October 20, 2007, Acolatse v. Astrue, 7-CV-04262-PVT (N.D. Cal. Oct. 29, 2007), ECF No. 1. On April 6 16, 2009, Magistrate Judge Trumbull concluded that ALJ Hannon had "committed legal error in 7 not considering all of the pertinent medical evidence presented and for failing to appoint a medical 8 expert to help ascertain [a disability] onset date. . . ." Tr. at 484. 9 Plaintiff received a new hearing on September 29, 2009, before ALJ Rogozen. Id. at 647- 93. The SSA retained a medical expert ("ME"), Dr. Gerber, to assess Plaintiff‟s testimony and the medical evidence in the record. See id at 649, 653-54. Relying on the ME‟s opinion and on the 12 record, ALJ Rogozen found that Plaintiff was not disabled on or before December 31, 1997, and 13 again denied disability insurance benefits. Id. at 455-67.

On May 11, 2010, Plaintiff filed the present complaint requesting judicial review of ALJ Rogozen‟s decision. See ECF No. 1. Plaintiff filed a motion for summary judgment ("Plaintiff‟s Motion") on March 24, 2011. See ECF No. 31. Defendant Michael J. Astrue, Commissioner of 17 the Social Security Administration ("Defendant"), filed a motion for summary judgment 18 ("Defendant‟s Motion") on April 13, 2011. See ECF No. 38. Plaintiff filed his reply to 19 Defendant‟s motion on April 27, 2011. ECF No. 39.


A.Standard for Reviewing the ALJ Decision

The Court has authority to review the ALJ decision pursuant to 42 U.S.C. § 405(g). The Court may only disturb the ALJ decision if it is unsupported by substantial evidence in the record 24 as a whole or if it did not apply the proper legal standard. Vertigan v. Halter, 260 F.3d 1044, 1049 25 (9th Cir. 2001). "Substantial evidence is such relevant evidence as a reasonable mind might accept 26 as adequate to support a conclusion." Id. at 1049 (citing Richardson v. Perales, 402 U.S. 389, 401 (1971)). Even if the evidence supports more than one rational interpretation, the Court must still uphold the ALJ‟s conclusion. See Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005).

B.Standard for Determining Disability

The Social Security Act defines disability as the "inability to engage in any substantial 4 gainful activity by reason of any medically determinable physical or mental impairment which can 5 be expected to result in death or which has lasted or can be expected to last for a continuous period 6 of not less than 12 months . . . ." 42 U.S.C. § 423(d)(1)(A) (2006). The SSA regulations list 7 certain impairments that meet the definitional requirements of disability. 20 C.F.R. § 404, Subpart 8 P, App. 1 (2011). To qualify for disability insurance benefits, a claimant must show that his 9 impairment or combination of impairments met or medically equaled these requirements, id. § 10 404.1525(d), on or before the date he was last insured. Social Security Regulation 83-20, 1983 SSR LEXIS 25, at *1 (SSR 1983). An impairment which does not reach disabling severity during Plaintiff‟s insured period is not a basis for qualification for disability benefits, even if the 13 impairment commenced during that period. See Steimer v. Gardner, 395 F.2d 197, 198 (9th Cir. 14 1968).


ALJ Rogozen denied disability insurance benefits because he determined that Plaintiff 17 failed to establish he was disabled on or before December 31, 1997. Tr. 23, 458. Plaintiff 18 contends his disability met or medically equaled the SSA‟s requirements on or before December 19 31, 1997. Pl.‟s Mot. 2. Plaintiff claims that he is therefore entitled to disability benefits. Id. This 20 Court considers whether ALJ Rogozen‟s decision is supported by substantial evidence or if it failed 21 to apply the proper legal standard. 22 A.ALJ Rogozen's Disability Onset Date Finding is Supported by Substantial Evidence Plaintiff asserts that ALJ Rogozen‟s disability onset date "finding is in error because it 25 disregards the acceptable medical records, testimony and non-medical records that necessitate a 26 contrary finding . . . ." Pl.‟s Mot. at 7. However, there is substantial evidence in the record that 27 Plaintiff did not meet the definition for disability on or before December 31, 1997.

Plaintiff can prove eligibility for disability insurance benefits for kidney disease if, on or 2 before December 31, 1997, he: (1) was undergoing chronic hemodialysis or peritoneal dialysis; (2) 3 had received a kidney transplant in the last twelve months; or (3) recorded serum creatinine levels 4 of 4 mg/dL, with at least one of several additional listed symptoms. 20 C.F.R. § 404, Subpt. P, 5 App. 1, § 6.02. Plaintiff admits that he did not receive a kidney transplant until 2008, Pl.‟s Mot. 7, 6 and there is no evidence that Plaintiff was undergoing chronic hemodialysis or peritoneal dialysis 7 prior to December 31, 1997. Indeed, the evidence suggests that Plaintiff did not begin dialysis 8 until February or March 2003. Tr. 353. Additionally, there is substantial evidence that Plaintiff‟s 9 creatinine levels on or before December 31, 1997, were significantly below the SSA‟s disability 10 requirements of 4 mg/dL. 20 C.F.R. § 404, subpart P, App. 1 § 6.02.

According to Plaintiff‟s own medical records, his creatinine levels remained at or below 1.8 12 mg/dL between 1994 and 2000. Tr. 324, 327, 332, 337, 342, 346, 351. Even after his return to the 13 United States in 2000, Plaintiff‟s creatinine levels appear to have been below the level the SSA 14 considers indicative of disability. Records from Santa Clara Valley Medical Center show 15 Plaintiff‟s creatinine between 1.5 and 1.6 mg/dL in 2000. Id. at 141-42, 197, 209. As the ME explained, creatinine levels are unlikely to fluctuate significantly enough that Plaintiff could have 17 reached the disability level on some untested day. See id. at 672. The earliest record of Plaintiff‟s 18 creatinine exceeding the disabling level of 4 mg/dL is from 2002, when Dr. Lee Levitt at Santa 19 Clara Valley Medical Center reported that Plaintiff‟s creatinine level was at 9.2 mg/dL. See id. at 20 142.

Thus, there is substantial evidence supporting the ALJ‟s finding that Plaintiff was not 22 disabled on or before December 31, 1997. 23

B.Allegations of Bias

Plaintiff argues that ALJ Rogozen erred in "rely[ing] almost entirely upon the obvious bias 25 the ME had toward the medical treatment in Ghana" and in discounting the opinions of herbal 26 practitioners who treated him in Ghana. Pl.‟s Mot. at 10, 13.

1.ME's Alleged Bias

If Plaintiff could show that the ME‟s bias rendered his testimony unreliable and that the ALJ "relied heavily" on that biased opinion in deciding Plaintiff‟s case, the Court would have to 3 remand this case for further inquiry. See Whitaker v. Astrue, No. 09-5642-RBL, 2010 WL 4 3503417, at *2-3 (W.D. Wash. Aug. 12, 2010) ("In turn, the ALJ‟s reliance on Dr. Lewy‟s opinion, 5 based on a biased review of the medical record, was improper. The matter must be remanded to 6 the administration for further consideration."). Here, however, "the record does not support 7 Plaintiff‟s contention that the medical expert was . . . biased to the degree that his testimony could 8 not be relied upon." Fortes v. Astrue, No. 08-CV-317-RTM, 2009 WL 734161, at *2 (S.D. Cal. 9 Mar. 18, 2009).

The ME evaluating Plaintiff‟s claim did not discount all evidence Plaintiff presented, or even all evidence from Ghana. Cf. Whitaker v. Astrue, 2010 WL 3503417, at *3 (finding that a 12 medical expert‟s bias, where the medical expert rejected or discounted "many, if not all" evidence 13 from a suspect source, was reversible error). Instead, ALJ Rogozen credited Plaintiff‟s objective 14 lab tests from Ghana over the subjective testimony of Plaintiff‟s non-treating physicians.

As discussed above, Plaintiff‟s medical reports from Ghana indicate that Plaintiff‟s creatinine level was at or below 1.8 mg/dL up to and throughout 1997. Tr. 337, 342, 346, 351.

Plaintiff‟s creatinine levels, as reflected in his records, were significantly lower than the 4 mg/dL 18 required by the SSA‟s listing. Id. The ME credited Plaintiff‟s Ghanaian medical records as true, 19 and concluded from this evidence that Plaintiff‟s creatinine levels did not reach the level required 20 to be considered disabled under the SSA‟s listing on or before December 31, 1997. Id. at 673. 21

Thus, there is no evidence of bias in this conclusion, nor does it "discount[] the evidence from the 22 practitioners in Ghana." Pl.‟s Mot. at 10.

In turn, ALJ Rogozen reasonably relied on this conclusion as well as on the objective 24 evidence itself in reaching his decision denying benefits. Thus, alleged bias of the ME is not a 25 basis to disturb the ALJ‟s decision here.

2.ALJ Rogozen's Alleged Bias

To prevail on summary judgment on the ground that ALJ Rogozen‟s was himself impermissibly biased, Plaintiff has the burden to show that "the ALJ‟s behavior, in the context of 2 the whole case, was "so extreme as to display clear inability to render fair judgment.‟" Rollins v. 3 Massanari, 261 F.3d 853, 858 (9th Cir. 2001) (quoting Liteky v. United States, 510 U.S. 540, 551 4 (1994)). In evaluating an ALJ‟s potential bias, the Court "must begin with a presumption that the 5 ALJ was unbiased." Bayliss v. Barnhart, 427 F.3d 1211, 1215 (9th Cir. 2005) (citing Schweiker v. McClure, 456 U.S. 188, 195 (1982)). Plaintiff can rebut the presumption by showing a "conflict of 7 interest or some other specific reason for disqualification." Id.

The Court notes the care that ALJ Rogozen took to ensure that the ME reached an unbiased 9 conclusion, based on objective evidence. When the ME described a letter from Mr. Seglah from 10 the Ghana National Association of Traditional Healers as "not a source that means very much," ALJ Rogozen proceeded to have this letter read into the record. Tr. 651. ALJ Rogozen also 12 specifically asked the ME to "consider[] all the evidence," including "the claimant‟s testimony."

Id. at 669. ALJ Rogozen instructed the ME to consider the lab reports from 1997 and 1998, all of 14 which are from Ghana, and asked the ME for his interpretation of the creatinine levels shown in 15 those reports. Id. at 670-71, 673. Not only did ALJ Rogozen require the ME to consider the Ghanaian lab reports, these reports are specifically referred to and credited throughout ALJ Rogozen‟s decision. See id. at 462, 464. 18

ALJ Rogozen properly discounted the opinions of the Ghanaian practitioners because their 19 opinions conflicted with the objective record. While ALJ Rogozen gave "very significant weight 20 to the independent medical expert," he did so because "[the ME‟s] opinion was consistent with the 21 record as a whole." Id. at 465. From the ALJ‟s decision, it is clear that the ALJ considered the Ghanaian lab reports a part of this "whole" record. 23

That ALJ Rogozen gave "no weight to Mr. Seglah, a traditional healer who opined that the 24 claimant could not engage in substantial gainful employment," Tr.465, does not support Planitiff‟s 25 argument that ALJ Rogozen‟s was biased. Nothing in the record indicates that Mr. Seglah had a 26 medical doctorate or a foreign equivalent. Tr. 462. As ALJ Rogozen noted, id., the SSA does not 27 include herbal healers in its list of acceptable medical sources. 20 C.F.R. § 404.1513(a) (2011).

"An opinion from a person who is not an "acceptable medical source‟ need not be afforded any 2 deference by the ALJ." Bourbon v. Barnhart, No. 00-CV-4712-MMC, 2002 WL 31855298, at *4 3 (N.D. Cal. Dec. 13, 2002) (citing 20 C.F.R. § 404.1513(a); Bunnell v. Sullivan, 912 F.2d 1149, 4 1152 (9th Cir. 1990), rev'd en banc on other grounds, 947 F.2d 341 (9th Cir. 1991)). Moreover, 5 Mr. Seglah did not even appear to have a clear recollection of Plaintiff, stating that he had been 6 "reminded [Plaintiff] was a patient," and concluded that Plaintiff was disabled by "issues relating 7 to, as it turns out, his kidneys." Tr. at 640 (emphases added).

Thus, Plaintiff has failed to meet his burden that ALJ Rogozen‟s alleged bias was "so 9 extreme as to display clear inability to render fair judgment." Rollins, 261 F.3d at 858. Moreover, 10 as discussed below, it was not legal error for ALJ Rogozen to give greater weight to the ME‟s testimony than to Plaintiff‟s medical doctor from Ghana. Accordingly, ALJ bias is not a basis to 12 disturb this ALJ‟s decision. 13 C.Resolving Conflict in Medical Evidence in Favor of the ME Is Not Legal Error Plaintiff argues that ALJ Rogozen erred in resolving the evidentiary conflict in favor of other medical evidence indicating that Plaintiff was not disabled on or before December 31, 1997.

Plaintiff argues that ALJ Rogozen erred in giving lesser weight to the evidence provided by two of 18 his physicians, Drs. Pomenya and Lin. Pl.‟s Mot. at 12-15. 19

Dr. Pomenya, a medical doctor who treated Plaintiff in Ghana from October 1994 to February 2000, concluded Plaintiff "was not able to do full time work," while explicitly stating that 21 no records were available on which to base this conclusion. Tr. 379. Dr. Lin, who has treated 22 Plaintiff since 2004 at the Renal Medical Group, submitted a declaration, edited by hand to express 23 uncertainty, concluding that "the evidence supports the possibility of definition disability as early 24 as 1997." Id. at 638 (emphasis added). 25 Where conflicts exist within medical evidence, the ALJ is responsible for resolving the 20 26 conflict. See Sanchez v. Sec'y of Health & Human Servs., 812 F.2d 509, 511 (9th Cir. 1987). The ALJ may disregard the treating physician‟s opinion if the ALJ sets forth "specific and legitimate reasons" supported by substantial evidence in the record. Reddick v. Chater, 157 F.3d 715, 725 2 (9th Cir. 1998) (internal quotation marks omitted). An ALJ is entitled to reject a treating 3 physician‟s opinion when there are no clinical findings to support it. Magallanes v. Bowen, 881 4 F.2d 747, 751 (9th Cir. 1989). The ALJ may also reject the treating physician‟s opinion if it 5 conflicts with that of the ME, where the ME‟s opinion is supported by clinical evidence in the 6 record. See Andrews v. Shalala, 53 F.3d 1035, 1041 (9th Cir. 1995); see also Magallanes, 881 7 F.2d at 751.

Plaintiff is correct that ALJ Rogozen gave little or no weight to the opinions of Drs. Pomenya and Lin. Tr. 465. However, ALJ Rogozen provided a reasoned explanation for doing so.

He specifically stated that these doctors were given little weight because their opinions are inconsistent with the record as a whole, because Dr. Pomenya had no records from treating 12 Plaintiff on which to base his opinion, and because Dr. Lin‟s opinion was speculative. Id. at 465. 13 As these doctors‟ opinions were not supported by clinical findings, and even contradicted by the 14 medical records available, ALJ Rogozen was entitled to give greater weight to Plaintiff‟s medical 15 records and the ME‟s opinion consistent with those records. Accordingly, the ALJ did not err in resolving the evidentiary conflict against Plaintiff‟s physicians.

D.Plaintiff's Subjective Testimony

Plaintiff contends that ALJ Rogozen erred in discrediting Plaintiff‟s "own medical 19 testimony" without providing ""clear and convincing evidence that is supported by substantial 20 evidence in the record.‟" Pl.‟s Mot. at 14 (quoting Parker v. Barnhart, 67 F. App‟x 495 (9th Cir. 21 2003)).

Social Security Regulations require the ALJ to "consider all [claimant‟s] symptoms, 23 including pain, and the extent to which [claimant‟s] symptoms can reasonably be accepted as 24 consistent with the objective medical evidence." 20 C.F.R. § 404.1529(a) (2011). The Regulations 25 state: 26 [S]tatements about your pain or other symptoms will not alone establish that you are disabled; there must be medical signs and laboratory findings which show that you have a medical impairment(s) which could reasonably be expected to produce the pain or other symptoms alleged and which, when considered with all of the other evidence (including statements about the intensity and persistence of your pain or other symptoms which may reasonably be accepted as consistent with the medical signs and laboratory findings), would lead to a conclusion that you are disabled.


It is true, as Plaintiff points out, that the Parker court stated, "it is normally error for the ALJ not to specifically articulate reasons for not accepting a claimant‟s testimony." Pl.‟s Mot. 14 6 (citing Parker, 67 F. App‟x at 498). "[T]he ALJ may reject the claimant‟s testimony about severity 7 of symptoms with "specific findings stating clear and convincing reasons for doing so.‟" Batson v. 8 Comm'r of Soc. Sec. Admin., 359 F.3d 1190, 1196 (9th Cir. 2004) (quoting Smolen v. Chater, 80 9 F.3d 1273, 1284 (9th Cir. 1996)).

Here, ALJ Rogozen stated several reasons for not deferring to Plaintiff‟s testimony as conclusive proof that he was disabled on or before December 31, 1997. First, ALJ Rogozen stated 12 that Plaintiff‟s testimony was not supported by objective medical evidence. Tr. 460-61. For 13 example, ALJ Rogozen concluded "[Plaintiff‟s] statements concerning the intensity, persistence 14 and limiting effects of [his] symptoms are not credible to the extent they are inconsistent with [the 15 2000] residual functional capacity assessment." Id. at 463. ALJ Rogozen also noted that "the 16 medical expert Dr. Gerber testified that between, [sic] January 01, 1997 to December 31, 1998, the 17 claimant only warranted a diagnosis of hypertension and minor renal insufficiency," and pointed to 18 the fact that Plaintiff‟s laboratory results from Ghana "did not indicate seriously elevated 19 [creatinine] levels." Id. at 464. ALJ Rogozen also noted that prior to 2000, Plaintiff received only 20 routine and conservative treatment in the United States, where he was recommended "healthy 21 eating and exercise," and in Ghana, where he received "only herbal remedies," and there was no 22 evidence of "hospitalizations or treatments that were not of a routine and conservative nature." Id.

As the Ninth Circuit has stated, "evidence of "conservative treatment‟ is sufficient to discount a 24 claimant‟s testimony regarding severity of an impairment." Parra v. Astrue, 481 F.3d 742, 751 25 (9th Cir. 2007) (quoting Johnson v. Shalala, 60 F.3d 1428, 1434 (9th Cir. 1995)). 26 Thus, because ALJ Rogozen specifically articulated clear and convincing reasons for not accepting Plaintiff‟s subjective pain testimony, ALJ Rogozen‟s decision to reject Plaintiff‟s 2 testimony was not legal error. 3 E.Request for Remand to Consider New Evidence Plaintiff requests that the Court remand this case for consideration of new evidence 5 contained in declarations from the following individuals: two of his nephews, William Harlley and 6 Michael Dobatse; Japhet Kofi Seglah, a traditional healer in Ghana who consulted with Plaintiff‟s 7 primary healer in 1997; and Dr. Lin, a physician who has treated Plaintiff since 2004. Pl.‟s Mot. at 8 15; Reply 7.

The Court may remand for consideration of new evidence if Plaintiff shows that this 10 evidence is material, and that it is reasonably possible this evidence would have altered the ALJ‟s decision. Booz v. Sec'y of Health & Human Servs., 734 F.2d 1378, 1380-81 (9th Cir. 1984). This 12 new evidence must "bear directly and substantially on the matter," and "must be probative of 13 mental or physical impairment." Id. Plaintiff must also show that "there is good cause for the 14 failure to incorporate such evidence into the record in a prior proceeding." 42 U.S.C. § 405(g). "If 15 new information surfaces after the Secretary‟s final decision and the claimant could not have obtained that evidence at the time of the administrative proceeding, the good cause requirement is 17 satisfied." Key v. Heckler, 754 F.2d 1545, 1551 (9th Cir. 1985). Where a "plaintiff fails to provide 18 a reason for his failure to offer the evidence earlier," he "is not entitled to remand for consideration 19 of new evidence." Bourbon v. Barnhart, No. 00-CV-4712-MMC, 2002 WL 31855298, at *4 (N.D. 20 Cal. Dec. 13, 2002) (citing Sanchez v. Sec'y of Human Health & Servs., 812 F.2d 509, 511 (9th 21 Cir. 1987)).

Plaintiff provides no explanation for why the evidence contained in the declarations of Messrs. Harlley, Dogbatse, and Seglah was unavailable at the time of his Social Security hearing, 24 and has therefore failed to show good cause for not producing it earlier. Furthermore, even if he 25 had been able to show good cause, it is not reasonably possible that the evidence would have 26 altered the ALJ‟s decision.

The declaration of Mr. Harlley describes conversations with other relatives, who told him of Plaintiff‟s sickness. "[D]escriptions by friends and family members in a position to observe a 2 claimant‟s symptoms and daily activities have routinely been treated as competent evidence."

Sprague v. Bowen, 812 F.2d 1226, 1232 (9th Cir. 1987) (emphasis added). Mr. Harlley, however, 4 was in no such position, and states that his information comes from conversations he had with 5 other family members who were physically near Plaintiff. As Mr. Harlley‟s evidence comes 6 second-hand, it is unlikely that it would have altered the ALJ‟s decision. 7

Mr. Dogbatse‟s declaration describes Plaintiff‟s illness during his time in Ghana. Reply at 7. While Mr. Dogbatse paints a sympathetic picture of his uncle, his conclusory experiential 9 testimony cannot establish that Plaintiff was so ill as to be disabled according to the Social Security 10 listing for renal disease on or before December 31, 1997. 20 C.F.R. § 404.1513(c) (requiring even medical opinions to specify what actions claimants are capable of performing, rather than a 12 conclusory statement as to total disability). 13

Mr. Seglah‟s declaration is also unlikely to have altered the ALJ‟s decision, as it is virtually 11 14 identical to another declaration of Mr. Seglah already submitted to and reviewed by the ALJ. 15 Compare ECF No. 35, Seglah Decl., with Tr. 639-46.

Plaintiff has also submitted a new declaration by Dr. Lin, asserting that she has "reexamined" her earlier assessment of his case. Pl.‟s Mot. at 15. Dr. Lin‟s declaration, however, 18 is internally inconsistent, varying from "it is more probable than not that the patient was disabled," 19 to "the totality of the evidence necessitates" concluding the patient was disabled. See Lin Decl. at 20 2, 4, ECF No. 33.*fn1 Dr. Lin refers to no new evidence or examination that has altered her opinion; 21 rather, she has reinterpreted the information previously received by her and by the ALJ. Pl.‟s Mot. 22 at 15. Where, as here, "reports merely contain new interpretations of the same . . . problems 23 discussed in the earlier evaluations," the Ninth Circuit has found a lack of good cause for prior 24 failure to incorporate the evidence. Allen v. Sec'y of Health & Human Servs., 726 F.2d 1470, 1473 (9th Cir. 1984); Key, 754 F.2d at 1551; Clem v. Sullivan, 894 F.2d 328, 333 (9th Cir. 1990). This 2 Court is bound by these Ninth Circuit decisions.

Plaintiff has neither shown good cause for failing to provide these declarations earlier, nor 4 submitted evidence reasonably likely to have altered the ALJ‟s conclusion. Accordingly, this 5 Court cannot remand for consideration of new evidence.


The ALJ‟s conclusion that Plaintiff was disabled on or before December 31, 1997, is 8 supported by substantial evidence in the record and is free of reversible legal error. Accordingly, 9 the Court AFFIRMS the ALJ‟s decision denying disability insurance benefits. Therefore, the 10 Court DENIES Plaintiff‟s motion for summary judgment and DENIES Plaintiff‟s request for remand to consider new evidence. The Court GRANTS Defendant‟s cross-motion for summary 12 judgment. The case is DISMISSED, with prejudice, and the Clerk shall close the file.


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