MARGARET A. NAGLE, Magistrate Judge.
Plaintiff filed a Complaint on June 22, 2012, seeking review of the denial of plaintiff's application for a period of disability and disability insurance benefits ("DIB"). On July 24, 2012, the parties consented, pursuant to 28 U.S.C. § 636(c), to proceed before the undersigned United States Magistrate Judge. The parties filed a Joint Stipulation on April 15, 2013, in which: plaintiff seeks an order reversing the Commissioner's decision and remanding this case for the payment of benefits or, alternatively, for further administrative proceedings; and the Commissioner requests that her decision be affirmed or, alternatively, remanded for further administrative proceedings.
On June 4, 2009, plaintiff filed an application for a period of disability and DIB. (Administrative Record ("A.R.") 14.) Plaintiff claims to have been disabled since June 9, 2008, due to fibromyalgia, diabetes, high blood pressure and cholesterol, heart and vision problems, shortness of breath, and "forgetting things." (A.R. 36, 57, 64, 166.) Plaintiff has past relevant work experience as a secretary. (A.R. 20.)
After the Commissioner denied plaintiff's claim initially and upon reconsideration (A.R. 14, 57-61, 64-68), plaintiff requested a hearing (A.R. 69). On April 13, 2011, plaintiff, who was represented by counsel, appeared and testified at a hearing before Administrative Law Judge Sally C. Reason (the "ALJ"). (A.R. 14, 31-50.) Vocational expert Lynn Tracy also testified. (Id.) On April 21, 2011, the ALJ denied plaintiff's claim (A.R. 14-20), and the Appeals Council subsequently denied plaintiff's request for review of the ALJ's decision (A.R. 1-3). That decision is now at issue in this action.
The ALJ found that plaintiff meets the insured status requirements of the Social Security Act through December 31, 2013, and has not engaged in substantial gainful activity since June 9, 2008, the alleged onset date of her disability. (A.R. 16.) The ALJ determined that plaintiff has the severe impairments of: "ischemic heart disease status post stenting in May 2007; diabetes mellitus; mild lumbar degenerative disc disease; and obesity."
After reviewing the record, the ALJ determined that plaintiff has the residual functional capacity ("RFC") to perform the full range of light work as defined in 20 C.F.R. § 404.1567(b). (A.R. 17.) Further, the ALJ found that plaintiff is capable of performing her past relevant work as a secretary, because that work "does not require the performance of work-related activities precluded by [plaintiff]'s [RFC]." (A.R. 20.) Accordingly, the ALJ concluded that "[plaintiff] has not been under a disability, as defined in the Social Security Act, from June 9, 2008, through the date of [her] decision." (Id.)
Under 42 U.S.C. § 405(g), this Court reviews the Commissioner's decision to determine whether it is free from legal error and supported by substantial evidence in the record as a whole.
Although this Court cannot substitute its discretion for that of the Commissioner, the Court nonetheless must review the record as a whole, "weighing both the evidence that supports and the evidence that detracts from the [Commissioner's] conclusion."
The Court will uphold the Commissioner's decision when the evidence is susceptible to more than one rational interpretation.
Plaintiff claims the ALJ erred by not considering plaintiff's subjective symptom testimony properly. (Joint Stipulation ("Joint Stip.") at 4-12, 19-20.)
Once a disability claimant produces objective medical evidence of an underlying impairment that is reasonably likely to be the source of claimant's subjective symptom(s), all subjective testimony as to the severity of the symptoms must be considered.
An ALJ may not rely on a claimant's daily activities to support an adverse credibility determination when those activities do not: (1) contradict claimant's other testimony; or (2) meet the threshold for transferable work skills. See
As noted supra, the ALJ found that plaintiff has the severe impairments of: "ischemic heart diseases status post stenting in May 2007; diabetes mellitus; mild lumbar degenerative disc disease; and obesity." (A.R. 16.) The ALJ also found that "[plaintiff]'s medically determinable impairments could reasonably be expected to cause the alleged symptoms." (A.R. 17.) Further, the ALJ cited no evidence of malingering by plaintiff. Accordingly, the ALJ's reason for discrediting plaintiff's subjective complaints must be clear and convincing.
In her decision, the ALJ found that "[plaintiff]'s statements concerning the intensity, persistence and limiting effects of [her] symptoms are not credible to the extent they are inconsistent with [the ALJ's RFC assessment for plaintiff]." (A.R. 17.) Specifically, the ALJ found plaintiff to be not credible, because: (1) the medical evidence does not support plaintiff's allegations of totally disabling limitations; (2) plaintiff made various inconsistent statements; (3) plaintiff's treatment has been routine and/or conservative in nature; and (4) plaintiff's daily activities "are not limited to the extent one would expect, given [her] complaints of disabling symptoms and limitations." (A.R. 17-19.)
The ALJ noted that "the medical evidence of record does not show laboratory or clinical findings which would support finding that [plaintiff] has been unable to work since June 2008." (A.R. 17-18.) The ALJ cited medical evidence that "[a]fter cardiac stenting in May 2007, [plaintiff] . . . had 0% residual stenosis," and "a post-operative stress ECHO performed in October 2007 was described as `normal' (showing no new wall motion abnormality with exercise, and a left ventricular ejection fraction of 60%)." (A.R. 18.) In addition, the ALJ noted that, "although [plaintiff] reported a number of subjective complaints, including back pain with radiation to the left leg, and pain and numbness in the left leg," to consultative internist John Sedgh, M.D., "[plaintiff] exhibited few objective signs of impairment on clinical examination" during a September 2009 examination. (Id.) In fact, Dr. Sedgh opined that plaintiff was capable of performing medium work. (Id.) Further, as the ALJ properly emphasized, "the record does not contain any other opinion from a treating or examining physician indicating that [plaintiff] is disabled or even has limitations greater than those determined [by the ALJ]." (A.R. 20);
The ALJ also discredited plaintiff, because she made various inconsistent statements. For example, the ALJ found plaintiff to be not credible, because "[plaintiff] testified that she stopped working in June 2008 because she underwent stenting, [but] the medical records. . . show the stenting occurred in May 2007." (A.R. 18.) Contrary to the ALJ's characterization, plaintiff's actual testimony was that she stopped working, because "[she] had a stent, and [she] was having difficulties. [She] was having shortness of breath and [she] couldn't function, [she] couldn't see right." (A.R. 36.) Indeed, plaintiff acknowledged at the administrative hearing that the stenting occurred one year prior to her disability onset date. (Id.) Rather than attributing her disability onset to her stenting procedure, plaintiff appears to attribute it to complications arising from the stenting and her other impairments.
Critically, however, "[c]ontrary to her testimony, the record indicates [plaintiff] actually stopped working in June 2008 not because of the allegedly disabling impairments, but rather due to a business-related layoff." (A.R. 18.) As the ALJ properly noted, while plaintiff testified that she stopped working as a result of her impairments, she also testified, and admitted elsewhere in the record, that she stopped working in June 2008, because she was laid off. (A.R. 42, 166.) When a claimant's work history undercuts her assertions, the ALJ may rely on that contradiction to discredit the claimant. See
The ALJ also discredited plaintiff, because plaintiff "indicated that after being laid off, she collected unemployment benefits and looked for work for about a year." (A.R. 18.) The ALJ noted that plaintiff "indicated that she was primarily looking for work in medical offices, and that she was specifically trying to find a job similar to the one she had been performing." (Id.) The ALJ asserted that "[t]his raises additional questions as to whether [plaintiff]'s continuing unemployment is actually due to her medical impairments, as opposed to non-medical factors." (A.R. 18-19.) As the ALJ properly noted, plaintiff testified at the administrative hearing that she was receiving unemployment benefits while looking for secretarial jobs and "maybe" could have performed a secretarial job similar to the one she had previously if she did not have to get up or lift much in the way of weight. (A.R. 43.)
The ALJ also found plaintiff to be not credible, because plaintiff's description of her limitations throughout the record have been "inconsistent and unpersuasive." (A.R. 19.) For, example, the ALJ noted that "while alleging an inability to sit for more than 15 minutes at a time, [plaintiff] simultaneously acknowledged that she is able to drive, which obviously involves sitting, for 45 minutes at a time." (Id.) Plaintiff contends that her two statements are not contradictory, because the statements were made two years apart, and her condition had "deteriorated" in the interim. (Joint Stip. at 10.) However, prior to the hearing date, plaintiff, in a form completed in June or July 2009,
The ALJ also reasonably found plaintiff's testimony that she "cannot lift anything" to be inconsistent with her "acknowledg[ment] that she carries a purse, and . . . is able to lift/carry a grocery bag(s) as well as various household items." (A.R. 19.) At the administrative hearing, plaintiff testified that she cannot lift anything, because she has "numbness and tingling in [her] hands." (A.R. 45.) However, when asked if she could carry a purse, plaintiff replied, "Oh, yeah, I put it over my neck, yes." (Id.) When asked "how much weight [she] could handle," plaintiff replied, "[l]ike five pounds." (Id.) Accordingly, plaintiff's testimony that she can lift/carry various household items and grocery bags is somewhat inconsistent with her testimony that she "cannot lift anything."
Next, the ALJ discredited plaintiff's pain allegations, because plaintiff's treatment for her allegedly disabling impairments "has been essentially routine and/or conservative in nature." (A.R. 19.) Specifically, the ALJ noted that plaintiff "has made only relatively infrequent trips to the doctor" notwithstanding her allegedly disabling symptoms. (Id.) An ALJ may consider evidence of conservative and/or infrequent treatment as a basis for discounting a claimant's credibility. See, e.g.,
Lastly, the ALJ discredited plaintiff, because her "daily activities . . . are not limited to the extent one would expect, given [her] complaints of disabling symptoms and limitations." (A.R. 19.) In his decision, the ALJ noted that:
(Id.; internal citations omitted.)
As an initial matter, the ALJ's description of plaintiff's daily activities is incomplete and misleading. Significantly, the ALJ failed to include plaintiff's statement that after performing 30-45 minutes of daily activities, she must take a break for "1 hr-1 1/2 hrs and then start again." (A.R. 174.) Further, while acknowledging that plaintiff described more limited daily activities at the administrative hearing, the factors upon which the ALJ relied in discounting plaintiff's testimony are not entirely persuasive. The ALJ's first factor does not constitute a clear and convincing reason to discount plaintiff's credibility, because it is germane to most claimants. Put differently, absent, for example, testimony from a percipient witness, it would be difficult for most claimants to "objectively verify" their daily activities. Moreover, "the entire purpose of a credibility analysis is to assess a claimant's testimony as to matters that are not otherwise easily verifiable."
The Court finds, however, that the ALJ's error in relying on the above-noted invalid reason(s) was harmless, because the ALJ's other reasons are supported by substantial evidence. See
For the foregoing reasons, the Court finds that the Commissioner's decision is supported by substantial evidence and is free from material legal error. Neither reversal of the Commissioner's decision nor remand is warranted.
Accordingly, IT IS ORDERED that Judgment shall be entered affirming the decision of the Commissioner of the Social Security Administration. IT IS FURTHER ORDERED that the Clerk of the Court shall serve copies of this Memorandum Opinion and Order and the Judgment on counsel for plaintiff and for the Commissioner.