DOUGLAS F. McCORMICK, Magistrate Judge.
Plaintiff Christopher David Wells ("Plaintiff") appeals the denial of his application for Supplemental Security Income ("SSI") benefits. The Administrative Law Judge ("ALJ") offered specific and legitimate reasons for rejecting the opinion of an examining physician. The ALJ also stated sufficiently clear and convincing reasons to reject Plaintiff's testimony regarding his symptoms. Therefore, the ALJ's decision is affirmed.
Plaintiff filed his application for SSI benefits on October 27, 2008, alleging disability beginning October 1, 1998. In an unfavorable decision, the ALJ found that Plaintiff had the severe impairments of hepatitis C, cirrhosis of the liver, and lumbar spine condition, but concluded that Plaintiff was not disabled because there was work available in significant numbers in the national and regional economies which he could perform. Administrative Record ("AR") 12-19.
The parties dispute whether the ALJ erred in: (1) not fully crediting the opinion of the consultative examining physician, and (2) negatively assessing Plaintiff's credibility.
Under 42 U.S.C. § 405(g), a district court may review the Commissioner's decision to deny benefits. The ALJ's findings and decision should be upheld if they are free from legal error and are supported by substantial evidence based on the record as a whole. 42 U.S.C. § 405(g);
Plaintiff contends that the ALJ erred in not fully crediting the opinion of the consultative examiner, Dr. Lazaro V. Alonso. JS at 3-4. Dr. Alonso opined that Plaintiff could stand, sit, or walk for six to eight hours out of an eight-hour workday, but was limited to only occasional lifting, bending, stooping, reaching, grasping, pulling, and pushing. AR 263. The ALJ concluded that Plaintiff retained the residual functional capacity ("RFC") to perform a limited range of light work, which involves lifting 10 pounds frequently and 20 pounds occasionally. AR 16. Plaintiff argues that, had the ALJ credited Dr. Alonso's limitation to only occasional lifting, reaching, and handling, Plaintiff would have been unable to perform the jobs identified by the vocational expert ("VE") at step five of the sequential evaluation process and would therefore have been found disabled. JS at 4.
Dr. Alonso's opinion about Plaintiff's limitations was controverted by the opinion of another consulting examiner, Dr. Ursula Taylor.
The ALJ offered specific and legitimate reasons for not giving Dr. Alonso's opinion controlling weight. First, the ALJ gave less weight to Dr. Alonso's opinion because it was unsupported by his own examination notes. AR 17. As noted by the ALJ, although Plaintiff displayed some "subjective tenderness" in the wrist and knee, the rest of Dr. Alonso's examination of Plaintiff was "essentially normal." Dr. Alonso noted no evidence of inflammation, swelling, or erythema; Plaintiff had normal range of motion of all joints; he had a strong hand grip; and straight leg raises were negative bilaterally.
It is the ALJ's role to resolve conflicts in the medical record.
Plaintiff contends that the ALJ erred by failing to provide clear and convincing reasons for discounting his subjective symptom testimony. JS at 8-13. Plaintiff testified at the administrative hearing to the following symptoms and limitations: he has pain in his elbows, back, knees, and shoulders; he takes prescription-strength Motrin for pain but it does "very little"; he has taken Tramadol for pain but it did not help the pain so he stopped taking it; he spends much of the day lying down; he can walk only about two blocks without pain and before needing to rest; he can carry very little weight; he brought a backpack to the hearing that contained water and papers but carrying that amount of weight knocks him out for two weeks; and sometimes it is difficult for him to lift even a 32-ounce bottle of Gatorade, which he must lift with both hands. AR 56, 59-68.
To determine whether a claimant's testimony about subjective pain or symptoms is credible, an ALJ must engage in a two-step analysis.
If the claimant meets the first step and there is no affirmative evidence of malingering, the ALJ must provide specific, clear, and convincing reasons for discrediting a claimant's complaints.
The ALJ gave specific reasons for finding that Plaintiff's subjective testimony was not entirely credible, each of which is fully supported by the record. First, the ALJ noted that Plaintiff had given inconsistent statements with respect to his claims of mental impairment:
The ALJ noted that Plaintiff also made other inconsistent statements. For example, during an April 2009 follow-up exam for his hepatitis C treatment, Plaintiff complained of pain "all over his body" but was "unable to specify where." AR 17 (citing AR 415). Similarly, although Plaintiff stated that he had quit drugs and alcohol completely 25 years ago, he was denied treatment for hepatitis C in May 2007 until he had been sober for at least one year. AR 18 (citing AR 431). The ALJ is entitled to consider inconsistent statements when assessing a claimant's credibility.
The ALJ also noted that, despite Plaintiff's complaints of debilitating pain, he was able to perform certain daily activities, such as living alone, caring for all of his personal needs, preparing meals, performing household chores, shopping for groceries, driving, taking public transportation, attending church, and handling his own financial affairs. AR 15. While it is true that "one does not need to be `utterly incapacitated' in order to be disabled,"
The ALJ also determined that Plaintiff was not fully credible based upon his conservative treatment history. The ALJ noted that Plaintiff's medical records showed that he was doing well with his hepatitis C and liver cirrhosis treatment and was not taking any pain medication for his alleged severe back pain. AR 17. The ALJ also observed that, despite alleging a disability onset date of October 1998, the earliest medical record is dated February 2007, at which time Plaintiff had no complaints of pain. Id. A conservative treatment history and failure to seek medical treatment are legitimate bases for an ALJ to discount a claimant's credibility.
The ALJ also found Plaintiff to be not fully credible because the evidence suggested that Plaintiff was exaggerating his symptoms and limitations. AR 17. For example, Plaintiff stated that he needs to walk for five minutes before he can stand straight. AR 183. Plaintiff testified at the administrative hearing that he spent 90% of his day in bed; that he often had to use two hands to pick up a 32-ounce Gatorade bottle; and that having to carry more than about five pounds would cause him to be "shot for about two weeks." AR 63, 64.
The ALJ also considered that Plaintiff's claims of disabling pain and extreme functional limitations were unsupported by the medical evidence. After extensively reviewing the medical record, the ALJ concluded that the medical evidence generally showed unremarkable examinations and few abnormal findings. AR 16-18. Similarly, the findings of both of the consultative examining physicians, Drs. Alonso and Taylor, were largely normal and unremarkable, as discussed above. See AR 262-64, 432-36. Dr. Taylor determined that Plaintiff was capable of performing light work with a few postural limitations. AR 18 (citing AR 436). "Although lack of medical evidence cannot form the sole basis for discounting pain testimony, it is a factor that the ALJ can consider in his credibility analysis."
On appellate review, this Court does not reweigh the hearing evidence regarding Plaintiff's credibility. Rather, this Court is limited to determining whether the ALJ properly identified clear and convincing reasons for discrediting Plaintiff's credibility. Smolen, 80 F.3d at 1284. The written record reflects that the ALJ did just that. As previously noted, it is the responsibility of the ALJ to determine credibility and resolve conflicts or ambiguities in the evidence.
For the reasons stated above, the decision of the Social Security Commissioner is AFFIRMED and the action is DISMISSED with prejudice.