NOT FOR PUBLICATION

UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT

MARIA DE SANTIAGO, 

Plaintiff-Appellant, 

 v. 

ANDREW M. SAUL, Commissioner of 

Social Security, 

Defendant-Appellee.

No. 15-56304 

D.C. No. 2:14-cv-08063-MRW 

MEMORANDUM*

Appeal from the United States District Court

for the Central District of California

Michael R. Wilner, Magistrate Judge, Presiding

Submitted September 13, 2019**

Before: LEAVY, TROTT, and SILVERMAN, Circuit Judges. 

Maria De Santiago appeals the district court’s affirmance of the 

Commissioner of Social Security’s denial of her application for disability 

insurance benefits and supplemental security income under Titles II and XVI of the 

* 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). Accordingly, the parties’ 

joint motion to submit the case on the briefs (Docket Entry No. 34) is granted.

FILED

SEP 17 2019

MOLLY C. DWYER, CLERK

U.S. COURT OF APPEALS
2 15-56304 

Social Security Act (Act). We have jurisdiction under 28 U.S.C. § 1291 and 42 

U.S.C. § 405(g). We review de novo, Attmore v. Colvin, 827 F.3d 872, 875 (9th 

Cir. 2016), and we affirm.

The ALJ provided specific and legitimate reasons for assigning little weight 

to Dr. Edward Opoku’s opinion as lacking support in the record and conflicting 

with Santiago’s testimony. See Trevizo v. Berryhill, 871 F.3d 664, 675 (9th Cir. 

2017) (ALJ must assess the supportability of a medical opinion, among other 

factors (citing 20 C.F.R. § 404.1527(c)(2)-(6)); Morgan v. Comm'r of Soc. Sec. 

Admin., 169 F.3d 595, 603 (9th Cir. 1999) (ALJ did not err in discounting a

medical opinion based, in part, on the claimant’s conflicting testimony). 

To be specific, the ALJ discounted Dr. Opoku’s opinion as “without 

substantial support from the other evidence of record, including the objective 

medical evidence, as discussed above, and the opinion of Dr. Bailey.” The 

“objective medical evidence, as discussed above” included evidence of normal 

reflexes, sensation, and motor strength. The ALJ also correctly noted that “Dr. 

Opoku’s opinion is not even supported by the claimant’s statements. The claimant 

testified that she could lift between seven and ten pounds, greater than the weight 

assessed by Doctor Opoku.” Dr. Opoku indicated that Santiago could never lift any 

items, even including items less than ten pounds. Moreover, in a consultative 

examination in February 2011, Dr. Concepcion Enriquez found Santiago had 
3 15-56304 

tenderness, reduced range of motion, and reduced grip strength, but she also had a 

negative straight-leg-raise test, no muscle spasms, normal motor strength, normal 

sensation, normal reflexes, and no signs of radiculopathy.1

In finding that the objective medical evidence did not support the degree of 

limitation assessed by Dr. Opoku, the ALJ reasonably interpreted the record as a 

whole. See Molina, 674 F.3d at 1111 (this court “must uphold the ALJ's findings if 

they are supported by inferences reasonably drawn from the record.”). See also

Batson, 359 F.3d at 1195 (the ALJ is responsible for resolving conflicts in the 

medical testimony).

Santiago’s reliance on an MRI of her lumbar spine to support Dr. Opoku’s 

opinion is misplaced because this MRI is not included in the record.

Because the ALJ considered obesity in conjunction with Santiago’s other 

severe impairments and Santiago points to no functional limitations that the ALJ 

failed to consider, the ALJ did not err by failing to consider the impact of 

Santiago’s obesity. See Burch v. Barnhart, 400 F.3d 676, 683-84 (9th Cir. 2005)

(ALJ adequately considered obesity where he discussed the medical evidence 

concerning obesity and the claimant pointed to no functional limitations that the 

ALJ failed to consider).

1 Relying on other record evidence, the ALJ found Santiago had severe 

impairments of degenerative disc disease of the cervical spine with radiculopathy, 

dysthymia, hypertension, and obesity. 
4 15-56304 

The ALJ proffered specific, clear, and convincing reasons to discredit 

Santiago’s symptom testimony as unsupported by the objective medical evidence 

and inconsistent with her course of treatment. See id. at 681 (ALJ may discount 

claimant testimony based in part on a lack of corroborating medical evidence); 

Parra v. Astrue, 481 F.3d 742, 751 (9th Cir. 2007) (“evidence of conservative 

treatment is sufficient to discount a claimant’s testimony regarding the severity of 

an impairment” (internal quotation marks and citation omitted)); see also 20 C.F.R. 

§ 404.1529(c)(3) (ALJ may account for the effectiveness of a claimant’s 

medication). 

The record refutes (1) Santiago’s argument that the ALJ applied an incorrect 

legal standard in assessing her case, and (2) that the ALJ’s decision reflects 

“nonspecific boilerplate language”. We find no such language in ALJ Thompson’s 

thorough and convincing analysis.

Santiago challenges the ALJ’s determination at step four that she was 

capable of performing her past relevant work as a kitchen assistant. Because 

Santiago has not shown that the ALJ erred earlier in the sequential analysis, this 

argument lacks support. See Stubbs-Danielson v. Astrue, 539 F.3d 1169, 1175-76 

(9th Cir. 2008).

AFFIRMED.