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No. 10116209
United States Court of Appeals for the Ninth Circuit
Alice Fenske v. Martin O'Malley
No. 10116209 · Decided September 13, 2024
No. 10116209·Ninth Circuit · 2024·
FlawFinder last updated this page Apr. 2, 2026
Case Details
Court
United States Court of Appeals for the Ninth Circuit
Decided
September 13, 2024
Citation
No. 10116209
Disposition
See opinion text.
Full Opinion
NOT FOR PUBLICATION FILED
UNITED STATES COURT OF APPEALS SEP 13 2024
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
FOR THE NINTH CIRCUIT
ALICE FENSKE, No. 23-35335
Plaintiff-Appellant, D.C. No. 3:22-cv-05590-JRC
v.
MEMORANDUM*
MARTIN J. O'MALLEY, Commissioner of
Social Security,
Defendant-Appellee.
Appeal from the United States District Court
for the Western District of Washington
J. Richard Creatura, Magistrate Judge, Presiding
Submitted September 10, 2024**
Seattle, Washington
Before: GRABER and SUNG, Circuit Judges, and RAKOFF,*** District Judge.
Appellant Alice Fenske, as substitute party for her deceased husband,
Claimant Andre M. Fenske, appeals the judgment affirming the Administrative
*
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 Jed S. Rakoff, United States District Judge for the
Southern District of New York, sitting by designation.
Law Judge’s (“ALJ”) denial of Social Security disability insurance benefits under
Title II of the Social Security Act, 42 U.S.C. § 423. We review the district court’s
decision de novo. Tommasetti v. Astrue, 533 F.3d 1035, 1038 (9th Cir. 2008). We
may set aside the denial of benefits only if the ALJ’s decision “contains legal error
or is not supported by substantial evidence.” Id. (quoting Orn v. Astrue, 495 F.3d
625, 630 (9th Cir. 2007)). We affirm.
1. The ALJ did not err in giving little or limited weight to the opinion of
Claimant’s physician, Dr. Amy Ford, in relation to Claimant’s (1) difficulty with
concentration, (2) need to lie down to rest as a result of regular headaches, and (3)
inability to adapt to new environmental conditions. An ALJ may discount the
contradicted opinion of an examining physician by providing “specific and
legitimate reasons that are supported by substantial evidence.”1 Bayliss v.
Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005). “A conflict between a treating [or
examining] physician’s medical opinion and [her] own notes is a clear and
convincing reason for not relying on the doctor’s opinion, and therefore is also a
specific and legitimate reason for rejecting it.” Ford v. Saul, 950 F.3d 1141, 1154
(9th Cir. 2020) (citation and internal quotation marks omitted). An ALJ also may
1
Revisions to the regulations altered the standards for evaluation of medical
opinion evidence for claims filed on or after March 27, 2017. Revisions to Rules
Regarding the Evaluation of Medical Evidence, 2017 WL 168819, 82 Fed. Reg.
5844-01 (Jan. 18, 2017); 20 C.F.R. § 404.1520c. Because Claimant filed his claim
before March 27, 2017, Dr. Ford’s opinion is evaluated under the prior regulations.
2
discount a physician’s opinion when it is inconsistent with the medical record. See
Tommasetti, 533 F.3d at 1041 (noting that an inconsistency between a physician’s
opinion and the medical record constitutes a specific and legitimate reason to
discount the opinion).
First, the ALJ permissibly determined that Dr. Ford’s evaluation findings
and notes conflicted with various portions of her opinion. Dr. Ford’s notes stated
that Claimant’s “ability to concentrate and maintain a good attention span [was]
fair,” and that “[h]e was able to respond to simple and complex instructions and
understand what was required.” That determination conflicted with Dr. Ford’s
later assertions. Second, Dr. Ford’s opinion was inconsistent with the medical
record. Claimant received medication and other treatments that significantly
improved his headaches. Third, Dr. Ford’s opinion that Claimant “would not adapt
to new environmental conditions” is undermined by the record. That portion of Dr.
Ford’s opinion is inconsistent with her June 2018 evaluation of Claimant and her
note that he required only “[m]oderate” restrictions when it came to
“[r]espond[ing] appropriately to usual work situations and to changes in a routine
work setting.”
2. The district court did not abuse its discretion in applying the law of the
case doctrine following the ALJ’s compliance with the district court’s and the
Appeals Council’s remand orders. See Stacy v. Colvin, 825 F.3d 563, 567 (9th
3
Cir. 2016) (stating that the doctrine “prohibits a court from considering an issue
that has already been decided by that same court or a higher court in the same
case”); see also id. (stating that the district court’s application of the doctrine is
reviewed for abuse of discretion). The court properly relied on its earlier decision,
ruling that the ALJ permissibly discounted Claimant’s subjective symptom
testimony. In his 2022 decision, the ALJ merely reiterated, verbatim, his earlier
findings as to the subjective symptom testimony. The district court noted that the
evidence relied on by the ALJ remained the same from 2019 to 2022. See id.
(explaining that the doctrine is inapplicable only “when the evidence on remand is
substantially different, when the controlling law has changed, or when applying the
doctrine would be unjust”).2
Even if the law of the case doctrine is inapplicable, substantial evidence
supports the ALJ’s decision to discount Claimant’s subjective symptom testimony.
An ALJ may “reject the claimant’s testimony about the severity of [his]
symptoms” so long as the ALJ provides “specific, clear and convincing reasons for
doing so.” Trevizo v. Berryhill, 871 F.3d 664, 678 (9th Cir. 2017) (quoting
Garrison v. Colvin, 759 F.3d 995, 1014–15 (9th Cir. 2014)).
The ALJ permissibly concluded that Claimant’s testimony about his
2
We reject Appellant’s argument that the Commissioner “waived this issue”
because it was properly raised with the district court; the court considered and
agreed that the doctrine was applicable.
4
limitations was inconsistent with his daily activities. At an animal rescue
nonprofit, he helped to operate, “feed/clean up after[,] and take care of” the
animals. Claimant also engaged in other activities including, but not limited to:
traveling to Seattle, traveling to Wyoming to clean out storage sheds, working in
his shop cutting wood, mowing grass, working out, and transporting his wife to
appointments. See Molina v. Astrue, 674 F.3d 1104, 1113 (9th Cir. 2012)
(applying regulations in effect before March 27, 2017, and holding that an ALJ
may discount a claimant’s testimony when the claimant participates in everyday
activities involving “capacities that are transferable to a work setting”).
Finally, as noted earlier, Claimant received conservative medical treatment
that significantly reduced his headaches and overall pain and symptoms. See Parra
v. Astrue, 481 F.3d 742, 750–51 (9th Cir. 2007) (explaining that “evidence of
‘conservative treatment’ is sufficient to discount a claimant’s testimony regarding
severity of an impairment” (citation omitted)).
AFFIRMED.
5
Plain English Summary
NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS SEP 13 2024 MOLLY C.
Key Points
01NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS SEP 13 2024 MOLLY C.
02O'MALLEY, Commissioner of Social Security, Defendant-Appellee.
03Richard Creatura, Magistrate Judge, Presiding Submitted September 10, 2024** Seattle, Washington Before: GRABER and SUNG, Circuit Judges, and RAKOFF,*** District Judge.
04Appellant Alice Fenske, as substitute party for her deceased husband, Claimant Andre M.
Frequently Asked Questions
NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS SEP 13 2024 MOLLY C.
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