SUZANNE H. SEGAL, Magistrate Judge.
Plaintiff Charles Greene ("Plaintiff") seeks review of the final decision of the Commissioner of the Social Security Administration (the "Commissioner" or the "Agency") denying his applications for Disability Insurance Benefits and Supplemental Security Income. The parties consented, pursuant to 28 U.S.C. § 636(c), to the jurisdiction of the undersigned United States Magistrate Judge. For the reasons stated below, the Commissioner's decision is AFFIRMED.
Plaintiff filed applications for Title II Disability Insurance Benefits ("DIB") and Title XVI Supplemental Security Income ("SSI") on February 12, 2010. (Administrative Record ("AR") 21, 118). In both applications, Plaintiff alleged a disability onset date of December 21, 2009. (
The Appeals Council denied Plaintiff's request for review of the ALJ's decision on April 23, 2013. (AR 1-4). Plaintiff filed the instant action on July 1, 2013.
Plaintiff was born on May 28, 1972 and was thirty-seven years old at the time of his alleged disability onset date. (AR 27). Although Plaintiff attended high school until twelfth grade, he did not graduate. (AR 38). Plaintiff last worked full-time as a dock manager responsible for managing twenty-five to thirty employees for a delivery service company. (AR 40-41). Before being promoted to dock manager, Plaintiff worked as a truck driver for the same company. (AR 40). Earlier in his career, Plaintiff worked as a machine operator, utility specialist and car salesman. (AR 45-46). On October 1, 2008, Plaintiff was laid off as a dock manager. (AR 38, 40, 161). After losing his job, Plaintiff worked part-time as a welder's helper for approximately two to three months and a construction helper for approximately three to four months. (AR 42-43).
Plaintiff suffered a gunshot wound on December 21, 2009, (AR 35-36), and, as a result, experienced a right leg fracture and injuries to his foot. (AR 25, 199). On January 5, 2010, Plaintiff underwent surgery to place an intramedullary rod in his right tibia. (AR 25, 199, 239).
The record contains medical records from three health care facilities: Martin Luther King, Jr. Medical Center, Harbor-UCLA Medical Center and Hubert Humphrey Comprehensive Health Center. (AR 25-26).
After sustaining a gunshot wound to his right leg, Plaintiff traveled to Martin Luther King, Jr. Multi-Service Ambulatory Care Center on December 22, 2009. (AR 281, 286). Plaintiff was diagnosed with a right tibia fracture and was transferred to Harbor-UCLA Medical Center. (AR 286).
On December 23, 2009, Plaintiff's doctors at Harbor-UCLA Medical Center attempted a realignment of the tibial fragments in Plaintiff's leg, and Plaintiff was subsequently placed in a "long leg cast." (AR 193). Plaintiff's December 24, 2009 Discharge Summary
On January 5, 2010, Plaintiff underwent surgery to repair his fractured right tibia at Harbor-UCLA Medical Center, which involved placing "an intramedullary nail ...in his right tibial shaft." (AR 237, 239). Upon his discharge from the hospital, Plaintiff "was instructed to be nonweightbearing in the right lower extremity, with elevation of the leg[]" and "to keep the dressings clean, dry and intact." (AR 238). According to Plaintiff's post-surgery Discharge Summary, Plaintiff's disability was not expected to last beyond April 2010. (
On September 13, 2010, Plaintiff sought treatment at Hubert Humphrey Comprehensive Health Center for pain and swelling in his lower right leg. (AR 246-47). An August 29, 2011 radiology report indicated that Plaintiff showed no signs of "acute fracture or dislocation." (AR 402). The report noted that "[m]inimal degenerative change [was] present within the knee joint with minimal medial compartment joint space narrowing." (
On August 5, 2010, Plaintiff saw Dr. Saeid, a consultative physician, for a Complete Internal Medicine Evaluation. (AR 200-07). As an initial matter, Dr. Saeid noted that Plaintiff experienced no difficulty sitting in a chair or rising from a seated position. (AR 201). The examination "reveal[ed] tenderness in [Plaintiff's] anterior, medial and lateral aspect[s] of [the] right knee[]" and "tenderness in [the] dorsal aspect of the right ankle." (AR 203). Dr. Saeid found that Plaintiff "[had] left foot stance performance and [a] mildly antalgic gait[,]" but was "capable of lifting and carrying [twenty] pounds occasionally and [ten] pounds frequently." (AR 204). Plaintiff could stand, walk and sit for six hours in an eight-hour day. (
On August 16, 2010, Dr. Ahmed, a state agency physician, reviewed Plaintiff's medical records and assessed Plaintiff's residual functional capacity ("RFC"). (AR 215). Dr. Ahmed found that although Plaintiff showed signs of tenderness in the anterior, medial and lateral aspects of the right knee, his left knee range of motion was grossly normal. (AR 213). Plaintiff's knees were without effusion and showed no signs of anteroposterior or mediolateral instability. (
Vocational Expert ("VE") Randi Hetrick testified at Plaintiff's hearing before the ALJ. (AR 21). The VE testified that a hypothetical individual with Plaintiff's work experience and exertional limitations could perform Plaintiff's past work as a car salesman. (AR 55, 68). (AR 55). The VE also testified that Plaintiff could work as a cashier, office helper, order clerk or final assembler. (AR 72). However, if an individual having Plaintiff's limitations needed to elevate his legs "four times a day for one half hour per event[,]" that person would not be able to perform any job existing in the national economy. (AR 69-70).
Plaintiff testified that he was shot in the shin, between the knee and the ankle, and that bullet fragments remain lodged in his leg. (AR 58, 65). After May 2010, Plaintiff started to use a boot brace and cane for support. (AR 58-59). Plaintiff explained that he could move ten to twenty feet without using the cane. (AR 67). However, sitting in one place for a long time caused throbbing in his right leg. (AR 64). Plaintiff explained that he spent most of his time in bed "with [his] leg propped up." (AR 59). He could be on his feet for, at most, two hours in an eight-hour day. (
Plaintiff saw a doctor approximately every three months, and he visited the emergency room three times in the six months leading up to the hearing before the ALJ due to pain and swelling in his right leg. (AR 56). Although Plaintiff's pain medication was initially ineffective, Plaintiff had since received stronger medication that resolved his pain more effectively. (
Plaintiff testified that he had "been thinking about either taking a vocational class or something ..., within the next three or four months...." (AR 57). When asked "could you do a job if you had the opportunity that would make you a lot of money where you could sit down and not have to walk around so much?", Plaintiff answered "Yes, I could, Your Honor." (AR 56). Plaintiff suggested that he could perform sedentary work full-time if given the opportunity to do so, (AR 56, 60, 64), but also testified that he may not be able to do such work on a full-time basis. (AR 64). Plaintiff stated that he felt "a little bit more comfortable" at the hearing "than [he] was [ten] ... or [twelve] months ago." (AR 67). Plaintiff confirmed that as of the date of his hearing, no doctor had recommended additional surgery to treat his gunshot wound or any injuries resulting therefrom. (AR 66).
To qualify for disability benefits, a claimant must demonstrate a medically determinable physical or mental impairment that prevents him from engaging in substantial gainful activity and that is expected to result in death or to last for a continuous period of at least twelve months.
To decide if a claimant is entitled to benefits, an ALJ conducts a five-step inquiry. 20 C.F.R. §§ 404.1520, 416.920. The steps are:
The claimant has the burden of proof at steps one through four, and the Commissioner has the burden of proof at step five.
The ALJ employed the five-step sequential evaluation process and concluded that Plaintiff was not disabled within the meaning of the Social Security Act. (AR 28). At step one, the ALJ found that Plaintiff had not engaged in substantial gainful activity since his alleged disability onset date of September 21, 2009. (AR 23). At step two, the ALJ found that Plaintiff had the severe impairments of "status post gunshot wound to right leg, resulting surgery and placement of an intramedullary rod, resulting in reduced range of movement of right knee, ankle, and leg; and obesity[.]" (
At step three, the ALJ found that Plaintiff did not have an impairment or combination of impairments that met or medically equaled one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. (
Next, at step four, the ALJ found that Plaintiff could perform the full range of light work as defined in 20 C.F.R. 404.1567(b) and 416.967(b). (AR 24). However, Plaintiff would be restricted to occasional pushing/pulling with his right lower extremity and further restricted to occasional climbing of ramps and stairs, stooping, balancing, kneeling, crouching and crawling. (
In reaching this conclusion, the ALJ relied on a number of factors. The ALJ found that Plaintiff's "statements concerning the intensity, persistence and limiting effects of [his] symptoms [were] not credible to the extent they [were] inconsistent with the above residual functional capacity assessment." (AR 25). Although Plaintiff admitted at the hearing that he could perform sedentary work, there was no evidence that he sought out employment in this category of work. (AR 26). Furthermore, the medical records before the ALJ indicated that Plaintiff did not experience any complications from his January 2010 surgery. (AR 26, 37, 215). The record does not contain any treating physician opinions corroborating Plaintiff's alleged symptoms. However, the state agency physician and consultative physician who reviewed his medical records and examined Plaintiff concluded that Plaintiff was capable of light level exertional work. (
Based on these findings and the VE's testimony, the ALJ found, at step five, that Plaintiff could perform his past work as a car salesman. (AR 27). The ALJ also concluded that given Plaintiff's age, education, work experience and residual function capacity, there existed other jobs in the national economy that Plaintiff could perform, such as cashier, office helper, order clerk and assembler. (
Under 42 U.S.C. § 405(g), a district court may review the Commissioner's decision to deny benefits. The court may set aside the Commissioner's decision when the ALJ's findings are based on legal error or are not supported by substantial evidence in the record as a whole.
"Substantial evidence is more than a scintilla, but less than a preponderance."
Plaintiff contends that the ALJ erred by failing to provide legally sufficient reasons for finding his subjective testimony regarding his pain and symptoms less than fully credible. (Memorandum in Support of Plaintiff's Complaint ("MSPC") at 3).
The Court disagrees. For the reasons discussed below, the Court finds that the ALJ's decision must be AFFIRMED.
An ALJ may reject a plaintiff's testimony if he makes an explicit credibility finding that is "supported by a specific, cogent reason for the disbelief."
Here, the ALJ provided sufficiently specific and convincing reasons for finding Plaintiff's subjective pain and symptoms testimony less than fully credible. First, Plaintiff admitted during the hearing before the ALJ that he could perform sedentary work if given the opportunity to do so. (AR 26). The ALJ asked Plaintiff if he could work, on a sustained basis, in a job that allowed him to remain seated most of the time. (AR 56). Plaintiff responded that he could perform such a job. (
(AR 63-64). For a third time, Plaintiff stated that he would take that opportunity. (AR 64).
However, when later pressed by his attorney, Plaintiff testified that he could perform such work for only four hours per day. Thus, Plaintiff directly contradicted his earlier testimony regarding his ability and willingness to engage in sedentary work that allowed him to remain seated throughout an eight-hour workday. As discussed above, it is well within the province of an ALJ to discount a plaintiff's credibility due to inconsistent testimony,
Second, the ALJ noted that medication resolved Plaintiff's pain and there was no evidence of adverse side effects. (AR 26). Plaintiff indicated at the hearing before the ALJ that medication helped to mitigate his pain. (AR 56). Furthermore, Plaintiff completed a Pain Questionnaire on May 21, 2010, in which he confirmed the ameliorative effects of medication and the absence of adverse side effects. (AR 155-56). An ALJ may consider the effectiveness of pain medication and the lack of adverse side effects in determining the credibility of a plaintiff's subjective pain testimony.
Third, the ALJ found that the medical evidence in the record did not support Plaintiff's subjective pain testimony. To begin, Plaintiff did not experience any post-surgery complications. (AR 26, 37, 215). Indeed, Plaintiff testified that he "[c]ame through okay" after surgery on his right leg. (AR 37). Plaintiff's January 21, 2010 Discharge Summary confirmed that Plaintiff's "condition on discharge was good[,]" and although Plaintiff was deemed disabled after his surgery, Plaintiff's doctor(s) indicated that Plaintiff's disability was not expected to persist beyond April 2010. (AR 238).
The ALJ also found that the reports by Dr. Ahmed and Dr. Saeid undermined Plaintiff's credibility. Dr. Saeid conducted an in-person evaluation of Plaintiff on August 5, 2010. (AR 200-07). Based on his physical examination of Plaintiff and a review of Plaintiff's medical records, Dr. Saeid concluded that Plaintiff was able to lift and carry twenty pounds occasionally and ten pounds frequently, and could stand, walk, or sit for six hours in an eight hour day. (AR 204). On August 16, 2010, Dr. Ahmed reviewed Plaintiff's medical records and found that Plaintiff was "doing relatively well[,]" and that "[t]he x-rays show healed [fracture] in both bones." (AR 215). Based on his review of Plaintiff's records, Dr. Ahmed assigned Plaintiff a light RFC, finding that Plaintiff could lift and carry twenty pounds occasionally and ten pounds frequently, and stand, walk, or sit for six hours in an eight-hour day. (AR 214). Thus, he concluded that Plaintiff was capable of greater physical activity than that alleged by Plaintiff, and the record lacked any treating or examining physician opinions contradicting these findings.
Finally, the ALJ found no medical support for Plaintiff's claim that he needed to elevate his leg to the extent alleged. (AR 26). Plaintiff testified that he elevated his leg approximately two hours per day. (AR 60). Although Plaintiff's December 2009 and January 2010 Discharge Summaries instructed Plaintiff to elevate his leg, (AR 193-194, 237-238), Plaintiff's doctors did not anticipate that he would remain disabled beyond April 2010. Thus, there was no medical evidence that Plaintiff was required to regularly elevate his leg after April 2010.
While an ALJ may not rely solely on objective medical evidence to discredit a Plaintiff's subjective pain testimony,
Consistent with the foregoing, IT IS ORDERED that Judgment be entered AFFIRMING the decision of the Commissioner. The Clerk of the Court shall serve copies of this Order and the Judgment on counsel for both parties.