KAREN E. SCOTT, Magistrate Judge.
The ALJ gave "great weight" to the opinions of the state agency medical consultants. AR 23;
Plaintiff argues that the state agency consultants' opinions are not substantial evidence (i.e., such evidence as a reasonable mind might accept as adequate to support a conclusion) because the most recent medical evidence Dr. Scott reviewed was from August 6, 2015. AR 75. According to Plaintiff, the state agency consultants might have formed different opinions about Plaintiff's RFC if they had reviewed records from his subsequent MRIs, second right hip surgery, anti-pain injections, and physical examinations resulting in a recommendation for neck surgery. (JS at 6-7.)
The Court does not rule on Issues One and Two because error concerning Issue Three requires remand (as discussed further below). On remand, however, the ALJ may wish to obtain an opinion from a medical expert who has had the opportunity to review all of Plaintiff's records.
The ALJ found that Plaintiff was overstating the limiting effects of his symptoms because his level of claimed impairment was inconsistent with (1) his daily activities, and (2) his course of treatment. AR 20-21.
Regarding daily activities, the ALJ cited a Pain Questionnaire in which Plaintiff reported the following:
AR 221-22;
At the hearing, Plaintiff testified that he spends a few minutes a day selling stuff on eBay. AR 35. He testified that his medications make him drowsy. AR 36.
The ALJ summarized this testimony by saying, "The claimant indicated he performed daily activities with breaks." AR 20. The ALJ concluded that his "ability to participate in such activities undermines the claimant's allegations of disabling functional limitations" because his activity level is "inconsistent with the presence of an incapacitating or debilitating condition."
Plaintiff's responses in the Pain Questionnaire are too ambiguous to support a conclusion that his activities are inconsistent with his claimed limitations or to demonstrate his ability to perform light work fulltime. While light housekeeping chores would be consistent with light work, Plaintiff indicated he could not do such chores without assistance or without taking 5 or 6 breaks of unspecified duration. The RFC does not provide for breaks (either for drowsiness or pain management), and the vocational expert (`VE") did not testify about how taking 5 or 6 breaks for X minutes per day (scheduled or unscheduled) would affect his ability to work.
Regarding his course of treatment, the ALJ concluded, "The claimant has not generally received the type of medical treatment one would expect for a totally disabled individual." AR 20. The ALJ then summarized Plaintiff's medical history. AR 20-21. The ALJ, however, never identified or explained which aspects of Plaintiff's medical history were more conservative than one would expect for a disabled individual. Plaintiff has undergone two hip surgeries and been recommended for neck surgery and eventually hip replacement surgery. AR 37-38. He has received specialized pain management and care from an orthopedic specialist. AR 998-1075 (Dr. Yin's treatment notes). The ALJ did not identify gaps in treatment or time periods when his treatment did not include narcotic medications with side effects that might impair his ability to work fulltime. The ALJ has failed to explain why inconsistency between Plaintiff's claimed impairments and his course of treatment is a clear and convincing reason to disbelieve his subjective symptom testimony.
Remand for additional proceedings, rather than an award of benefits, is appropriate because it is not "clear from the administrative record that the ALJ would be required to award benefits if [Plaintiff's] excess pain testimony were credited."
For the reasons stated above, the Court REVERSES the Commissioner's decision and REMANDS this case for further administrative proceedings consistent with this Opinion.