This disposition is not appropriate for publication and is not precedent *

except as provided by 9th Cir. R. 36-3.

NOT FOR PUBLICATION

UNITED STATES COURT OF APPEALS

 FOR THE NINTH CIRCUIT

LISA M. HEALY,

 Plaintiff - Appellant,

 v.

MICHAEL J. ASTRUE,

 Defendant - Appellee.

No. 08-56561

D.C. No. 2:07-cv-02593-CJC-CT

MEMORANDUM*

Appeal from the United States District Court

for the Central District of California

Cormac J. Carney, District Judge, Presiding

Argued and Submitted February 3, 2010

Pasadena, California

Before: B. FLETCHER, PREGERSON, and GRABER, Circuit Judges.

Lisa Healy appeals the denial of her claim for Social Security Disability

Insurance and Supplemental Security Income benefits. The parties are familiar

with the facts of this case, which we repeat here only to the extent necessary to

explain our decision. We have jurisdiction under 28 U.S.C. § 1291, and affirm. 

FILED

MAY 18 2010

MOLLY C. DWYER, CLERK

U.S. COURT OF APPEALS
2

We review the Commissioner of Social Security’s denial of benefits de

novo. Gillett-Netting v. Barnhart, 371 F.3d 593, 595 (9th Cir. 2004). We must

affirm the Commissioner’s decision if it is supported by substantial evidence and

applies the correct legal standards. Batson v. Comm’r of Soc. Sec. Admin., 359

F.3d 1190, 1193 (9th Cir. 2004). Substantial evidence is “more than a mere

scintilla but less than a preponderance; it is such relevant evidence as a reasonable

mind might accept as adequate to support a conclusion.” Sandgathe v. Chater, 108

F.3d 978, 980 (9th Cir. 1997) (per curiam) (internal quotation marks).

To establish disability due to a disorder of the spine, Listing 1.04 requires

nerve root compromise, as well as limitation of spine motion and, in the case of

lower back impairments such as Healy’s, a positive straight-leg raising test. 20

C.F.R. Pt. 404, subpt. P, app. 1A1.04. Here, Dr. Boeck explicitly found no nerve

root compromise at any level, and straight-leg raising tests were negative. Dr.

Flannery found that Healy had a normal range of motion. Dr. Zaki also found that

Healy exhibited a full range of motion in the cervical spine. Substantial evidence

supports the administrative law judge’s (“ALJ”) finding that Healy’s impairments

do not meet or medically equal the spine-related impairments described in Listing

1.04. 
3

Chronic fatigue may be a disabling impairment “when it is accompanied by

medical signs or laboratory findings.” SSR 99-2p. A diagnosis of chronic fatigue

requires: 

clinically evaluated, persistent or relapsing chronic fatigue that is of new

or definite onset (i.e., has not been lifelong), cannot be explained by

another physical or mental disorder, is not the result of ongoing exertion,

is not substantially alleviated by rest, and results in substantial reduction

in previous levels of occupational, educational, social, or personal

activities. 

Id. Here, Healy’s impairments do not meet the requirements of Social Security

Ruling 99-2p. Healy reported that she had “always” felt fatigued, and Dr.

Tempesti reported that Healy had a “longstanding history” of fatigue. Thus,

Healy’s fatigue did not meet the “new or definite onset” condition necessary to a

chronic fatigue diagnosis. Dr. Ritvo found that Healy had no impairment in her

memory or concentration. [SER 251-2] Furthermore, Drs. Tempesti and Gunnell

found several possible alternative sources of Healy’s fatigue, including anemia,

vitamin deficiency, and excessive tobacco use. [SER 342, 364] Though Dr. Alpern

expressed disagreement with SSR 99-2p, both he and the ALJ correctly applied the

ruling to determine that Healy was not disabled due to chronic fatigue syndrome. 

Substantial evidence supported that determination. See Andrews v. Shalala, 53

F.3d 1035, 1041 (9th Cir. 1995) (holding that eports of non-examining expert
4

“may serve as substantial evidence when they are supported by other evidence in

the record ”). 

Lastly, Healy argues that the ALJ erred by failing to consider the opinion of

treating physician Dr. Joey Brett. Dr. Brett’s opinion was presented only to the

Appeals Council, and was never submitted to the ALJ for consideration. On

appeal, however, we may consider both the ALJ’s decision and additional material

submitted to the Appeals Council. Ramirez v. Shalala, 8 F.3d 1449, 1451-52 (9th

Cir. 1993). 

“When confronted with conflicting medical opinions, an ALJ need not

accept a treating physician’s opinion that is conclusory and brief and unsupported

by clinical findings.” Tonapetyan v. Halter, 242 F.3d 1144, 1149 (9th Cir. 2001).

Dr. Brett treated Healy for only about one month. His report consists of a “check

the box” style questionnaire and includes no objective clinical findings. As the

Appeals Council stated, Dr. Brett’s opinion does not merit great weight or affect

the determination that Healy is not disabled. 

AFFIRMED. Each side to bear its own costs.