KENDALL J. NEWMAN, Magistrate Judge.
Plaintiff seeks judicial review of a final decision of the Commissioner of Social Security ("Commissioner") denying plaintiff's applications for Disability Insurance Benefits ("DIB") and Supplemental Security Income ("SSI") under Titles II and XVI, respectively, of the Social Security Act ("Act").
For the reasons that follow, the court denies plaintiff's motion for summary judgment, grants the Commissioner's cross-motion for summary judgment, and enters judgment for the Commissioner.
Plaintiff was born on October 8, 1965, has a high school education, and previously worked as a custodian.
In a decision dated January 25, 2013, the ALJ determined that plaintiff had not been under a disability, as defined in the Act, from February 1, 2005, plaintiff's alleged disability onset date, through the date of the ALJ's decision. (AT 13-21.) The ALJ's decision became the final decision of the Commissioner when the Appeals Council denied plaintiff's request for review on March 31, 2013. (AT 2-7.) Thereafter, plaintiff filed this action in federal district court on May 29, 2014, to obtain judicial review of the Commissioner's final decision. (ECF No. 1.)
Plaintiff raises the following issues: (1) whether the ALJ erred in evaluating the opinions of plaintiff's examining physicians when determining plaintiff's residual functional capacity with respect to their opinions on plaintiff's tolerance for exposure to noise; (2) whether the ALJ made an improper credibility determination with respect to plaintiff's testimony; and (3) whether the ALJ improperly discounted the third party testimony given by plaintiff's father.
The court reviews the Commissioner's decision to determine whether (1) it is based on proper legal standards pursuant to 42 U.S.C. § 405(g), and (2) substantial evidence in the record as a whole supports it.
The ALJ evaluated plaintiff's entitlement to DIB and SSI pursuant to the Commissioner's standard five-step analytical framework.
Before proceeding to Step Four, the ALJ assessed plaintiff's residual functional capacity ("RFC") for the relevant time period as follows:
(AT 17.)
At Step Four, the ALJ found that plaintiff was unable to perform any past relevant work. (AT 20.) Finally, at Step Five, the ALJ determined, through the VE's testimony, that considering plaintiff's age, education, work experience, and RFC, there were jobs that existed in significant numbers in the national economy that plaintiff could have performed, specifically, hand packer, cleaner, and laundry worker. (AT 21, 61-62.)
Accordingly, the ALJ concluded that plaintiff had not been under a disability as defined in the Act from February 1, 2005, through the date of the ALJ's decision. (AT 21.)
First, plaintiff argues that the ALJ committed reversible error by failing to either incorporate into his RFC determination or provide reasons for discounting the functional limitation that plaintiff "avoid even moderate exposure" to noise opined by both of plaintiff's examining physicians. AT 80, 97. While the ALJ stated that he "agree[d] with these opinions," the ALJ determined that plaintiff "must avoid concentrated exposure to noise," AT 17, which plaintiff contends is less restrictive than the examining physicians' opinions that plaintiff "avoid even moderate exposure" to noise, AT 80, 97. Plaintiff asserts that the ALJ's failure to state why he did not adopt this aspect of the examining physicians' opinions was error. Plaintiff further argues that this was reversible error because the VE testified in response to a hypothetical posed by plaintiff's counsel at the administrative hearing that plaintiff would not be able to perform any work given her other limitations if she were required to avoid exposure to noise at a level below "moderate." Therefore, plaintiff requests that the court reverse the ALJ's decision and remand for payment of benefits. For the reasons discussed below, plaintiff's argument is without merit.
The weight given to medical opinions depends in part on whether they are proffered by treating, examining, or non-examining professionals.
To evaluate whether an ALJ properly rejected a medical opinion, in addition to considering its source, the court considers whether (1) contradictory opinions are in the record; and (2) clinical findings support the opinions. An ALJ may reject an uncontradicted opinion of a treating or examining medical professional only for "clear and convincing" reasons.
Here, as noted above, the ALJ stated in his decision that he "agree[d] with the[ ] opinions" of both of plaintiff's examining physicians, even though these physicians opined that plaintiff "avoid even moderate exposure" to noise, AT 80, 97, while the ALJ determined that plaintiff "must avoid concentrated exposure to noise," AT 17. Plaintiff argues that this difference in language demonstrates that the ALJ rejected the noise limitation opined by the examining physicians without providing any reasons as to why he disagreed with this aspect of their opinions. More specifically, plaintiff contends that the ALJ's determination that plaintiff needed to avoid concentrated exposure was less restrictive than the physicians' opinions that plaintiff needed to avoid moderate exposure. However, a review of the record demonstrates that the variance in phrasing between the noise limitation opined by the examining physicians and that determined by the ALJ did not amount to a substantive difference as to plaintiff's noise limitation. Indeed, during the administrative hearing, the VE testified that he construed the ALJ's determination that plaintiff avoid "concentrated" noise to be commensurate with a restriction from "moderate" noise as defined by the Dictionary of Occupational Titles ("DOT").
Moreover, even had the ALJ intended his determination that plaintiff "must avoid concentrated exposure to noise" to be less restrictive than that opined by plaintiff's examining physicians and did not provide reasons for discounting this aspect of their opinions, such error would have been harmless because the record shows that the VE's testimony that plaintiff could still perform jobs that exist in significant numbers was based on the restriction from "moderate" noise which the examining physicians opined. As noted above, the VE testified at the hearing that he considered the ALJ's hypothetical restriction from concentrated exposure to noise to be equivalent to the DOT's definition of a restriction from moderate exposure to noise. AT 62. Based on this definition, the VE further testified that a person with such a limitation, in addition to plaintiff's other limitations, could still perform work as a hand packer, cleaner, and laundry worker. AT 61-62. Because the VE based his testimony on the understanding that the hypothetical restriction was from moderate exposure to noise, the same restriction opined by the examining physicians, the VE would have still testified that plaintiff could perform these jobs even had the ALJ adopted the exact language used in the examining physicians' opinions to describe plaintiff's noise restriction.
Plaintiff argues that the examining physicians' use of the word "even" to describe plaintiff's noise limitation demonstrates that they believed it to be more restrictive than a simple restriction from moderate exposure to noise. This argument is meritless. Contrary to plaintiff's assertion, the term "even," as it was used in the examining physicians' opinions, indicates the fullest extent of the restriction, meaning that these physicians determined that plaintiff was restricted, at most, from moderate exposure. Therefore, any error on the part of the ALJ with regard to these physicians' opinions would have been harmless because the VE testimony that plaintiff could still perform jobs that existed in significant numbers was based on the same hearing limitation opined by the examining physicians.
Second, plaintiff argues that the ALJ erred in finding plaintiff's testimony not fully credible because the ALJ failed to meaningfully evaluate the effect of plaintiff's tinnitus as a separate impairment and her testimony that her hearing aids worsened her tinnitus. Plaintiff argues further that the ALJ did not properly discredit her testimony regarding the extent of her other hearing and mental impairments.
In
"The ALJ must specifically identify what testimony is credible and what testimony undermines the claimant's complaints."
Here, the ALJ gave the following reasons in support of his determination that plaintiff's testimony concerning the intensity, persistence, and limiting effects of her impairments was not entirely credible:
(AT 18 (citations to the record omitted).) As discussed below, these reasons were proper and supported by substantial evidence from the record.
First, the ALJ observed that plaintiff was able to communicate effectively at the hearing with accommodation. AT 18. An ALJ may "consider his or her own recorded observations of the individual as part of the overall evaluation of the credibility of the individual's statements." SSR 96-7p, 1996 WL 374186;
The ALJ further determined that plaintiff's testimony as to the severity of her hearing impairment was undermined because plaintiff had a long work history with accommodation and testified that she quit her most recent job for reasons not directly related to her hearing impairment. AT 18. This, too, was a valid reason for finding plaintiff less than fully credible,
The ALJ also determined that the plaintiff's statement in her disability report regarding the reason she stopped working was contradicted by her hearing testimony on that topic. Indeed, plaintiff claimed in her disability statement that she left her most recent job due to her impairments, AT 199, but testified at the hearing that she resigned because she "didn't like working there." AT 34. The ALJ was permitted to rely on this inconsistency to support his adverse credibility determination.
Finally, the ALJ determined that the medical evidence in the record did not support plaintiff's statements regarding the alleged severity of her limitations. "[A]fter a claimant produces objective medical evidence of an underlying impairment, an ALJ may not reject a claimant's subjective complaints based solely on a lack of medical evidence to fully corroborate the alleged severity of pain."
Plaintiff argues that the ALJ "failed to meaningfully evaluate the effect of [plaintiff]'s tinnitus on her ability to function" and "failed to realize that [plaintiff's] hearing aids worsened the tinnitus." (ECF No. 13-1 at 12-13.) However, the ALJ expressly addressed a tinnitus questionnaire plaintiff submitted in support of her claims regarding this alleged impairment and, as discussed above, determined that plaintiff's statements were less than credible. AT 18. Moreover, as defendant highlights, none of plaintiff's medical records indicate that plaintiff was ever diagnosed with tinnitus. Plaintiff's subjective complaints as to this impairment without further evidentiary support from the objective medical evidence are insufficient to establish its existence.
In sum, the ALJ provided multiple clear and convincing reasons for diminishing plaintiff's subjective complaint testimony, all of which were supported by substantial evidence from the record. Accordingly, the ALJ did not err in making his credibility determination with regard to plaintiff's testimony.
Finally, plaintiff argues that the ALJ improperly discounted the testimony of plaintiff's father. "[C]ompetent lay witness testimony cannot be disregarded without comment" and "in order to discount competent lay witness testimony, the ALJ must give reasons that are germane to each witness."
For the foregoing reasons, IT IS HEREBY ORDERED that:
1. Plaintiff's motion for summary judgment (ECF No. 13) is DENIED.
2. The Commissioner's cross-motion for summary judgment (ECF No. 14) is GRANTED.
3. Judgment is entered for the Commissioner.
4. The Clerk of Court is directed to close this case and vacate all dates.
The claimant bears the burden of proof in the first four steps of the sequential evaluation process.