PATRICK J. WALSH, Magistrate Judge.
Plaintiff appeals a decision by Defendant Social Security Administration ("the Agency"), denying his application for disability insurance benefits ("DIB"). He claims that the Administrative Law Judge ("ALJ") erred when he: (1) discounted Plaintiff's testimony; (2) rejected a treating doctor's opinion; and (3) accepted the vocational expert's testimony. For the following reasons, the Court concludes that the ALJ did not err.
In October 2011, Plaintiff applied for DIB, alleging that he had been disabled as of December 2007, due to migraine headaches, pain throughout his body, insomnia, and diabetes. (Administrative Record ("AR") 125-26, 156.) After his application was denied, he requested and was granted a hearing before an ALJ. (AR 57-67, 78, 99, 114.) In March 2013, he appeared with counsel and testified at the hearing. (AR 28-56.) Thereafter, the ALJ issued a decision denying benefits. (AR 12-23.) Plaintiff appealed to the Appeals Council, which denied review. (AR 1-3.) He then commenced this action.
Petitioner testified that his pain and limitations prevented him from lifting any appreciable weight and from standing, walking, and sitting for any length of time. (AR 44-45.) The ALJ found that this testimony was not entirely credible. (AR 19-21.) Plaintiff argues that the ALJ erred in doing so because he based this finding solely on the fact that there was no objective medical evidence to support the testimony. (Joint Stip. at 16.) For the reasons explained below, the Court finds that the ALJ cited sufficient reasons for discounting Plaintiff's testimony.
ALJs are tasked with judging a claimant's credibility. Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995). In doing so, they can rely on ordinary credibility techniques. Smolen v. Chater, 80 F.3d 1273, 1284 (9th Cir. 1996). Where there is no evidence of malingering, however, ALJs can only reject a claimant's testimony for specific, clear, and convincing reasons that are supported by substantial evidence in the record. Garrison v. Colvin, 759 F.3d 995, 1014-15 (9th Cir. 2014).
The ALJ cited numerous reasons for discounting Plaintiff's testimony: (1) there was no correlation between the medical record and Plaintiff's onset date; (2) the objective evidence did not support Plaintiff's claims of disabling pain; (3) Plaintiff's treatment was conservative; (4) there were gaps in treatment; (5) Plaintiff's daily activities contradicted his claims of disabling pain; and (6) Plaintiff was able to work part-time in 2011. (AR 19-21.)
These are legally valid reasons to question a claimant's testimony. See Orn v. Astrue, 495 F.3d 625, 639 (9th Cir. 2007) (holding ALJ can consider claimant's ability to perform daily activities and gaps in medical treatment in evaluating claimant's testimony); Bray v. Commissioner of Social Security Admin., 554 F.3d 1219, 1227 (9th Cir. 2009) (finding claimant's part-time work as personal caregiver belied claim of debilitating respiratory illness); Parra v. Astrue, 481 F.3d 742, 751 (9th Cir. 2007) (noting conservative treatment, including use of only over-the-counter medication to control pain, supported discounting claimant's testimony regarding pain); Bruton v. Massanari, 268 F.3d 824, 828 (9th Cir. 2001) (affirming ALJ's adverse credibility finding based in part on fact that claimant left his job because he was laid off, not because he could no longer work); Rollins v. Massanari, 261 F.3d 853, 857 (9th Cir. 2001) (noting ALJ can consider objective medical evidence in determining credibility of claimant). Further, some of them are supported by the record.
For instance, there is very little in the medical record to explain what caused Plaintiff to become disabled in December 2007. According to Plaintiff, his pain had persisted for years. As the ALJ pointed out, though one of Plaintiff's doctors noted in 2007 that he could no longer work as a construction electrician, he was not working as a construction electrician when the doctor offered that opinion. (AR 19, 559.) In fact, he had stopped working as a construction electrician four years earlier, in 2003. (AR 33.)
Plaintiff's explanation for quitting was equally vague, i.e., "my back and legs just couldn't take it anymore." (AR 38.) Though it is reasonable that someone with severe pain would eventually reach a point where he felt it was no longer possible to work, the ALJ was free to question that explanation where, as here, the record did not provide any objective support for the shift.
The ALJ also relied on the fact that Plaintiff received conservative care for his purportedly disabling pain. His treatment consisted primarily of a TENS unit, physical therapy, and Tylenol. (AR 39, 558.) The ALJ properly considered this fact in evaluating Plaintiff's pain testimony.
The ALJ also focused on gaps in Plaintiff's care. Between 2008 and 2012, Plaintiff's treatment was sporadic, at best. (AR 363-547.) During that time frame, he went for long periods without receiving any medical care for his pain. And many of his doctor's visits during this time frame were for other ailments, not his back and leg pain.
The ALJ pointed out in detail how some of the medical records did not support Plaintiff's claims or contradicted them. He noted that Plaintiff generally reported to his doctors that he was feeling well between 2008 and 2012. (AR 20.) The record supports this finding.
As to the ALJ's remaining reasons for questioning Plaintiff's testimony, i.e., that he was able to perform various daily activities and that he worked part-time in 2011 for several weeks, the Court does not find them persuasive. With regard to daily activities, i.e., cooking an occasional meal, taking out the garbage, driving to a meeting several times a month, etc., nothing about them establishes that Plaintiff was exaggerating his claims of pain or that his ability to perform them suggested that he could function in the workplace. See Orn, 495 F.3d at 639 ("The ALJ must make specific findings relating to the daily activities and their transferability to conclude that a claimant's daily activities warrant an adverse credibility determination") (internal quotation marks omitted). The same is true about Plaintiff's ability to work at a law firm for two hours a day in 2011, contacting union members for the firm. (AR 41.) Nothing about that job contradicts Plaintiff's pain testimony.
In the end, of the six reasons cited by the ALJ for questioning Plaintiff's testimony, the Court finds that four of them are supported by the record. These four reasons are enough to uphold the ALJ's credibility finding in this case. See Carmickle v. Comm'r, Soc. Sec., 533 F.3d 1155, 1162-63 (9th Cir. 2008). The lack of objective medical evidence to support Plaintiff's claim that he was disabled (and that his disability started in December 2007) combined with the fact that he was treated conservatively and sporadically throughout the relevant period for allegedly disabling pain supports the ALJ's finding that Plaintiff was exaggerating his claims of pain. For that reason, it is affirmed.
Plaintiff's treating doctor, Dr. Rod Blau, filled out a residual functional capacity questionnaire in July 2012, providing his assessment of Plaintiff's capabilities. (AR 548-54.) He indicated that Plaintiff suffered from carpal tunnel syndrome, impingement in both shoulders, and osteoarthritis in his knees and hips. (AR 548.) Dr. Blau also opined that Plaintiff would be severely limited in his ability to sit, stand, and lift and would likely be absent from work more than three times a month due to his medical conditions. (AR 548-54.)
The ALJ rejected this opinion because: (1) it was not supported by Dr. Blau's records or the records of the other medical care providers; (2) it was based on Plaintiff's statements to Dr. Blau, which the ALJ discounted; and (3) it was inconsistent with other statements Plaintiff made to Dr. Blau, which the ALJ had accepted. (AR 16-17, 20.) Plaintiff contends that the ALJ erred in rejecting Dr. Blau's opinion. (Joint Stip. at 22-25.) For the following reasons, the Court disagrees.
The ALJ properly questioned Dr. Blau's opinion because it was based, at least in part, on what Plaintiff had told him, which the ALJ had rejected. This is a legitimate reason for discounting a doctor's opinion. See Bray, 554 F.3d at 1228 (affirming ALJ's discounting of treating doctor's opinion that was based on claimant's subjective characterization of her symptoms which the ALJ found was not credible).
So, too, is the ALJ's finding that Dr. Blau's opinion was inconsistent with Plaintiff's statements that the ALJ did accept. For example, though Dr. Blau diagnosed Plaintiff with carpal tunnel syndrome, Plaintiff testified that he had had surgery to resolve his carpal tunnel and did not "have any issues" with it. (AR 47.) This testimony seems to contradict Dr. Blau's diagnosis. Though Dr. Blau did not assess any limitations for carpal tunnel, it calls into question his assessment in that clearly one of the three diagnoses he made was contradicted by Plaintiff's testimony.
The ALJ found generally that Dr. Blau's opinion was not supported by his own medical records. (AR 19-20.) This is also a valid reason for questioning Dr. Blau's findings and is supported by the record. For example, the ALJ noted that there was no support in Dr. Blau's records for the diagnosis of impingement in both shoulders. (AR 17.) The Court has not found any reference to shoulder impingement in Dr. Blau's or any of the other medical records and Plaintiff has not pointed to any references, either. He does point to the fact that he told Dr. Blau in 2011 that he had had surgery on his right shoulder in 1998, but that does not amount to a medical record establishing shoulder impingement nor does it support Dr. Blau's 2012 diagnosis that Plaintiff had impingement in both shoulders. (AR 278.) Like the ALJ, the Court sees a contradiction between Dr. Blau's 2012 diagnosis of shoulder impingement and literally hundreds of pages of treatment records from Dr. Blau and others at Kaiser over a period of years in which Plaintiff was never diagnosed with or treated for shoulder impingement.
The ALJ also questioned Dr. Blau's opinion because it was incompatible with "the record as a whole." (AR 20.) Plaintiff rightly complains that the ALJ's finding here was too general. Though, by reading the ALJ's decision, it is possible to have a general understanding about what he was referring to, he should have explained in detail what he meant when he made this sweeping statement.
Even assuming, however, that the Court ignores this reason for rejecting Dr. Blau's opinion, there is still enough here to affirm the ALJ's finding. Most compelling is the fact that Dr. Blau's own records from Kaiser do not support his opinion that Plaintiff is incapable of doing even sedentary work. Plaintiff was not telling his doctors, including Dr. Blau, that this was the case and his doctors were not treating him as someone with disabling pain and limitations. For these reasons, the ALJ's rejection of Dr. Blau's opinion will be upheld.
The vocational expert testified that Plaintiff could perform light work, including his former job as a union business representative as he performed it. Plaintiff contends that the vocational expert erred in reaching that conclusion because Plaintiff was required to lift ladders weighing between 25 and 50 pounds as a union representative and he is only capable of lifting up to 20 pounds. (Joint Stip. at 6-7.) For the following reasons, this argument is rejected.
When initially asked by the ALJ at the administrative hearing whether he had to lift anything as a union representative, Plaintiff testified "No." (AR 33.) When his lawyer thereafter questioned him, Plaintiff repeated that answer. (AR 41.) Counsel probed deeper, reminding Plaintiff that he had submitted a work activity report in which he had claimed that he had to lift as much as 50 pounds on that job. (AR 41.) Plaintiff explained that he "might have moved some boxes, files or something like that but that wasn't typically the job." (AR 41-42.) Undaunted, counsel pressed on:
(AR 41-42.)
The ALJ later followed up:
(AR 48.)
Plaintiff subsequently testified that the ladders weighed 20-25 pounds. (AR 49-50.) Based on this testimony, the vocational expert concluded that Plaintiff's performed his job as light work and that he could still perform it today. (AR 50-51.)
Plaintiff takes exception to the vocational expert's conclusions. He refers the Court back to his work history report, in which he represented that the job required him to lift up to 50 pounds, and argues that the hearing testimony established that the ladders weighed 25 to 50 pounds. (Joint Stip. at 6-7.)
Plaintiff's argument is contradicted by the record. According to Plaintiff's testimony, the ladders weighed between 20 and 25 pounds, not 25 and 50. (AR 49-50.) Further, as Plaintiff made clear in his testimony, he seldom ever had to lift anything, including a ladder, as lifting was not really part of his job. Thus, the vocational expert's opinion that Plaintiff was capable of performing his prior job as he performed it despite the fact that he might have to lift a ladder on occasion is supported by substantial evidence in the record and is affirmed.
For these reasons, the Agency's decision is affirmed and the case is dismissed with prejudice.