ANN AIKEN, Chief Judge.
On August 20, 2008, plaintiff filed an application for Social Security Disability Insurance (SSDI) benefits. Tr. 143-44. Plaintiff's application was denied, prompting her to request a hearing before an administrative law judge (ALJ). This hearing was held on April 4, 2010, in Coos Bay, Oregon with ALJ Michael Gilbert presiding. Tr. 42. The ALJ ultimately found plaintiff not disabled within the meaning of the Social Security Act. Tr. 21-33. Plaintiff appealed to the SSA's Appeals Council; the appeal was denied on November 10, 2011, rendering the ALJ's decision the final decision of the agency. Tr. 6-8.
Plaintiff was thirty-five years old at the time of the ALJ's decision with a high school education. Tr. 46, 48. Plaintiff alleges disability since April 30, 2007, due to physical and mental limitations attributable to rheumatoid arthritis and thrombocytopenia, a blood disorder.
This court has the discretion to reverse the Commissioner's decision with or without a remand for further administrative proceedings. 42 U.S.C § 405(g);
However, this court must affirm the Commissioner's decision if it is based on proper legal standards, and the findings are supported by substantial evidence in the record.
Where the evidence is susceptible to more than one rational interpretation, the Commissioner's conclusion must be upheld.
Plaintiff originally alleged disability was pursuant to Title II of the Act and was therefore required to demonstrate that her alleged disability began prior to her date last insured (DLI), December 31, 2007. Tr. 24.
The initial burden of proof rests upon the claimant to establish disability.
A five-step analysis is employed to determine disability.
In step one, the Commissioner determines whether a claimant is engaged in "substantial gainful activity."
Step two entails the Commissioner determining whether the claimant has a "medically severe impairment or combination of impairments."
Step three determines whether the impairment or combination of impairments meets or equals "one of a number of listed impairments that the [Commissioner] acknowledges is so severe as to preclude gainful activity."
At step four, the Commissioner determines whether the claimant can still perform past relevant work (PRW), and if so, the commissioner makes a finding that the claimant is not disabled. 20 C.F.R. §§ 404.1520(e), 416.920(e). The key issue at this step is determining the claimant's "residual functional capacity," (RFC) which reflects the claimant's ability to perform sustained work activities in an ordinary work setting. Social Security Regulation (SSR) 96-8p. In this case, the ALJ found the following:
Tr. 27. The ALJ determined that plaintiff was unable to perform her PRW, as doing so would exceed her RFC. Tr. 31.
In step five, the Commissioner carries the burden of establishing that the claimant is capable of performing other work that exists in significant numbers in the national economy.
Plaintiff asserts that the ALJ's RFC finding was inaccurate. She argues specifically that the ALJ failed to properly consider all of her restrictions, that the ALJ's hypothetical to the VE failed to include these restrictions, and that the ALJ improperly rejected her testimony, as well as the supporting testimony by her husband, and her treating primary care physician. Plaintiff additionally argues that the ALJ erred at Step Five of the sequential analyses by posing an invalid hypothetical to the VE. Thus, plaintiff argues that the ALJ's decision was not supported by substantial evidence and requests this Court reverse the Commissioner's final order and find the claimant disabled. As an alternative, plaintiff requests that the Court remand the Commissioner's final decision for further proceedings.
Plaintiff argues the ALJ committed error by finding plaintiff not credible. Plaintiff alleges the ALJ failed to provide "clear and convincing" evidence to support rejecting her testimony. Pl's. Br. 16.
Identifying whether testimony is credible, along with resolving conflicts in the testimony and record, is solely the function of the ALJ.
In making a credibility finding, the ALJ may take into account "whether the claimant engages in daily activities inconsistent with the alleged symptoms."
Here, the ALJ explained that plaintiff's testimony regarding her daily activities contradicted her later testimony regarding the severity of her symptoms. Tr. 29. The ALJ noted plaintiff's testimony indicating she took her children to school, helped care for her ill, elderly mother, managed the family finances, and read novels. Id. The ALJ found that plaintiff's involvement in these activities contradicted her assertions of near total physical and mental incapacitation.
Further, even when a plaintiff's activities "suggest some difficulty functioning, they may be grounds for discrediting the claimant's testimony to the extent that they contradict claims of a totally debilitating impairment."
The ALJ's decision reflects this standard as his RFC finding acknowledged plaintiff's rheumatoid arthritis and thrombocytopenia prevented her from engaging in her past relevant work. The ALJ, however, then specifically identified the portions of plaintiff's testimony that undermined her claims of near total impairment. Tr. 29. Further, the ALJ considered the plaintiff's extensive medical history, which established that plaintiff's symptoms and ailments were tempered by the administration of certain medications. Tr. 28. The ALJ also found that the medical record reflected less severe symptoms and complications than those alleged by plaintiff. Tr. 28-29.
I find that the ALJ presented clear and convincing reasons for rejecting plaintiff's testimony and supported these reasons with substantial evidence from the record. Accordingly, his decision to discredit plaintiff's testimony was proper.
Plaintiff's longtime primary care physician, Dr. James Sinnott, testified at the April 2010 hearing. Dr. Sinnott's testimony and prior medical analyses tended to support plaintiff's allegations of near total physical and mental disability. In September 2009, Dr. Sinnott found plaintiff permanently and totally disabled with virtually no chance of pursuing meaningful work. Tr. 30. In his RFC finding, the ALJ chose to assign less weight to Dr. Sinnott's testimony than to that of other medical experts with contrary opinions.
An ALJ must give "specific, legitimate reasons" for rejecting the testimony of a treating physician and must support such reasons with "substantial evidence in the record."
The ALJ detailed the reasons for rejecting Dr. Sinnott's testimony by summarizing the relevant facts and highlighting conflicting medical evidence. Tr. 30. The ALJ also pointed to the numerous contradictory findings of other medical experts, including Dr. Sidney Cassell, a rheumatologist, Dr. Bret Cook, a treating physician, and Dr. Robert Karsh, a rheumatology specialist and expert. Tr. 28-30. Moreover, the ALJ explained that he considered the testimony of physical therapist Brad Williams in assessing plaintiff's true exertional capacity. Tr. 29.
When the medical evidence is inconclusive regarding the ultimate issue of a claimant's disability, assigning credibility to expert medical testimony is the sole responsibility of the ALJ.
The ALJ explained his decision to assign more credibility to the reports and diagnoses of other medical professionals. Specifically, the ALJ noted that the findings of Drs. Karsh, Cassell, Cooke, and Lahr conflicted with Dr. Sinnott's findings and were far more consistent with the objective medical evidence and the plaintiff's own activities. Tr. 28-31.
Additionally, a treating physician'" credibility can be undermined by a contradictory report or finding issued by an examining physician or expert who specializes in a relevant field.
Dr. Cassell is a practicing rheumatologist and Dr. Karsh is a rheumatology specialist. Tr. 29, 227-302, 339-355, 408, 417-30. The ALJ gave weighted their opinions above Dr. Sinnott's due to their specialized qualifications in rheumatoid arthritis. Also, their testimony was more consistent with the record as a whole. Tr. 30.
I find no error in the ALJ's decision to assign lesser weight to Dr. Sinnott's opinion. The ALJ relied on testimony from Dr. Cassell and Dr. Karsh, both of whom specialize in fields relevant to plaintiff's ailments, along with the expert testimony of numerous other qualified professionals. These contradictory opinions created inconclusiveness in determining plaintiff's level of disability, leaving the ultimate issue of testimonial credibility within the purview of the ALJ. By highlighting these disparate opinions, along with evidence in Dr. Sinnott's own reports which contradicted his ultimate opinion, the ALJ satisfied his burden of providing specific, legitimate reasons supported by substantial evidence for rejecting Dr. Sinnott's testimony.
Plaintiff further argues the ALJ's RFC finding was flawed because he improperly rejected the testimony of her husband, Shane Smith. Lay witness testimony is "competent evidence that the ALJ must take into account."
Inconsistency with objective medical evidence is a valid, germane reason to reject lay testimony.
Lay testimony may also be properly rejected for the same reasons an ALJ chooses to reject a claimant's testimony if the two are essentially identical.
Lay testimony may also be rejected if it contradicts the claimant's activities and the ultimate opinion of the lay witness.
The ALJ rejected Mr. Smith's testimony because it conflicted with objective medical evidence, paralleled plaintiff's discredited testimony, and contained statements which contradicted Mr. Smith's ultimate opinion regarding plaintiff's level of disability. Those are germane, valid reasons to discredit the testimony of a lay witness, thus I find no error in the ALJ's decision to assign less weight to Mr. Smith's opinion.
Finally, plaintiff alleges the ALJ erred at step five of the sequential analysis by posing an invalid hypothetical question to Francine Geers, the vocational expert (VE). Plaintiff alleges the hypothetical question failed to include all of the plaintiff's limitations, along with the testimony of plaintiff, Mr. Smith, and Dr. Sinnott. I find no error in the ALJ's hypothetical posed to the VE.
An ALJ's hypothetical to a VE need only include "the limitations the ALJ found credible and supported by substantial evidence in the record."
The ALJ properly declined to include alleged limitations evidenced by testimony he found not credible. His opinion that plaintiff was able to perform a "full range of sedentary" work was supported by substantial, credible evidence from the record. That evidence included his determination that plaintiff was capable of managing family finances, taking her children to school, and reading novels. Accordingly, the ALJ's hypothetical question properly incorporated plaintiff's credible limitations.
The ALJ's conclusion that plaintiff is not disabled under the Act is supported by substantial evidence in the record. Accordingly, the decision of the Commissioner is AFFIRMED.
IT IS SO ORDERED.