Santini v. Saul

[9] 10 UNITED STATES DISTRICT COURT 11 SOUTHERN DISTRICT OF CALIFORNIA [12] 13 GEORGE S., Case No.: 20cv0773-RBB 14 Plaintiff, ORDER DENYING PLAINTIFF’S 15 v. MOTION FOR REVERSAL AND/OR REMAND [ECF NO. 17] 16 ANDREW SAUL, Commissioner of Social Security, [17] Defendant. [19] On April 23, 2020, Plaintiff George S.1 commenced this action against Defendant [20] Andrew Saul, Commissioner of Social Security, for judicial review under 42 U.S.C. [21] § 405(g) of a final adverse decision for disability insurance benefits and supplemental [22] security income [ECF No. 1]. On May 11, 2020, Plaintiff consented to the jurisdiction of [26] 1 The Court refers to Plaintiff using only his first name and last initial pursuant to the Court's Civil Local 27 Rules. See S.D. Cal. Civ. R. 7.1(e)(6)(b). 1 this Court [ECF No. 8].2 Defendant filed the Administrative Record on July 20, 2020 2 [ECF No. 13]. On August 25, 2020, Plaintiff filed a Motion for Reversal and/or Remand 3 [ECF No. 17]. Defendant filed an Opposition to Plaintiff’s Motion for Reversal and/or 4 Remand on September 29, 2020 [ECF No. 18]. 5 For the following reasons, Plaintiff's Motion for Reversal and/or Remand is 6 DENIED. 7 I. BACKGROUND 8 Plaintiff George S. was born in 1963 and is a high school graduate. (Am. Admin. 9 R. 46 , ECF No. 13.)3 He previously worked as a nightclub bouncer. (Id. at 48, 205.) On 10 or about March 9, 2017, George S. filed applications for disability insurance benefits and 11 supplemental security income under Titles II and XVI of the Social Security Act, 12 respectively. (Id. at 179-91.) He alleged that he had been disabled since June 6, 2015, 13 due to heart, breathing, walking, and sleeping conditions. (Id. at 204.) Plaintiff’s 14 applications were denied on initial review and again on reconsideration. (Id. at 111-15, 15 119-23.) An administrative hearing was conducted on February 6, 2019, by 16 Administrative Law Judge ("ALJ") Kevin W. Messer; on April 3, 2019, he issued a 17 decision finding Plaintiff not disabled. (Id. at 15-25.) Plaintiff requested a review of the 18 ALJ's decision; the Appeals Council denied the request on February 26, 2020. (Id. at 119 4.) Plaintiff then commenced this action pursuant to 42 U.S.C. § 405 (g). 20 / / / 21 / / / [23] 24 2 The United States has informed the Court of its general consent to Magistrate Judge jurisdiction in cases of this nature. 25 3 The administrative record is filed on the Court’s docket as multiple attachments. The Court will cite to 26 the administrative record using the page references contained on the original document rather than the page numbers designated by the Court’s case management/electronic case filing system (“CM/ECF”). 27 For all other documents, the Court cites to the page numbers affixed by CM/ECF. 1 A. Medical History 2 On October 1, 2015, George S. told his physician at UCSD Medical Group that he 3 had been experiencing sharp pain in his left groin area since July 2015 and had been 4 unable to work. (Id. at 381.) On February 24, 2016, Plaintiff, who previously had 5 decompression fusion surgery at L4-5, reported a recurrence of low back pain with 6 radiating symptoms into his left groin. (Id. at 360-62.) An MRI showed probable 7 compression of the L2 and L3 nerves. (Id. at 362.) His condition did not improve and he 8 underwent left total hip replacement surgery on January 4, 2017. (Id. at 306, 308.) 9 Because the initial surgery failed, he was required to undergo revision left hip 10 replacement surgery on February 15, 2017. (Id. at 531.) At a follow-up visit on March 11 23, 2017, Plaintiff’s post-surgical pain in his left hip was thought to be originating from 12 his lumbar spine. (Id. at 534-36.) By October 3, 2017, he had completed twenty sessions 13 of physical therapy focused on lower extremity strengthening and flexibility. (Id. at 601.) 14 In his discharge summary, the physical therapist indicated that George S. had a “fair 15 response [to physical therapy] with continued objective improvements in overall [lower 16 extremity] strength” but still reported pain and functional limitations. (Id.) Plaintiff 17 reported that the pain level in his left hip at this time ranged from five to seven on a scale 18 of ten. (Id. at 602.) 19 Plaintiff has a history of dilated cardiomyopathy (heart disease), heart failure, and 20 chronic atrial fibrillation for which he was taking medication and was being monitored by 21 Dr. Barry Greenberg, a cardiologist at the Sulpizio Cardiovascular Center at UCSD 22 Health. (Id. at 396-97.) On June 7, 2016, George S. reported that he was experiencing 23 shortness of breath. (Id. at 348-49.) Dr. Greenberg believed this was not related to 24 Plaintiff’s cardiac issues but rather to his musculoskeletal problems. (Id. at 349; see also 25 id. at 337.) On July 11, 2017, the cardiologist indicated that Plaintiff was “doing well 26 from a cardiac perspective.” (Id. at 560.) [27] 1 Fourteen months later, on September 18, 2018, Plaintiff underwent an internal 2 medicine evaluation at Seagate Medical Group at the request of the Department of Social 3 Services. (Id. at 570-75.) George S. denied any chest pain or shortness of breath. (Id. at 4 570.) He stated that he still experienced left hip pain despite his surgeries but did not 5 require an assistive device to ambulate. (Id. at 571.) Plaintiff had decreased range of 6 motion and tenderness in his left hip but a normal gait. (Id. at 574.) The examiner 7 opined that Plaintiff could lift or carry fifty pounds occasionally and twenty-five pounds 8 frequently and could stand, walk, or sit for six hours in an eight-hour workday. (Id.) 9 B. ALJ’s Decision 10 On April 3, 2019, the ALJ issued a decision finding that George S. was not 11 disabled. (Id. at 15-25.) Judge Messer determined that Plaintiff had not engaged in 12 substantial gainful activity since June 6, 2015, his alleged onset date. (Id. at 17.) He 13 found that Plaintiff had the following severe impairments: “congestive heart failure, 14 atrial fibrillation, nonischemic cardiomyopathy, degenerative disc disease of the lumbar 15 spine, lumbago, lumbar radiculopathy, status post posterior decompression lumbar 16 fusion, degenerative joint disease of the left hip status post 2017 total left hip arthroplasty 17 with revision surgery, and trochanteric bursitis of left hip.” (Id. at 17.) He also found 18 that, singly or in combination, Plaintiff did not have impairments that met or medically 19 equaled a listed impairment. (Id. at 19-20.) The ALJ further determined that George S. 20 had the residual functional capacity to perform light work, with additional specified 21 limitations. (Id. at 20.) The ALJ concluded that Plaintiff was capable of performing his 22 past relevant work as a bouncer, and had not been under a disability from June 6, 2015, 23 through the date of his decision. (Id. at 25.) 24 II. LEGAL STANDARDS 25 Sections 405(g) and 421(d) of the Social Security Act allow unsuccessful 26 applicants to seek judicial review of a final agency decision of the Commissioner. 42 [27] 1 U.S.C.A. §§ 405 (g), 421(d) (West 2011). The scope of judicial review is limited, 2 however, and the denial of benefits "'will be disturbed only if it is not supported by 3 substantial evidence or is based on legal error.'" Brawner v. Sec'y of Health & Human 4 Servs., 839 F.2d 432, 433 (9th Cir. 1988) (quoting Green v. Heckler, 803 F.2d 528 , 529 5 (9th Cir. 1986)); see also Garrison v. Colvin, 759 F.3d 995, 1009 (9th Cir. 2014). 6 Substantial evidence means "'more than a mere scintilla but less than a preponderance; it 7 is such relevant evidence as a reasonable mind might accept as adequate to support a 8 conclusion.'" Sandgathe v. Chater, 108 F.3d 978, 980 (9th Cir. 1997) (quoting Andrews 9 v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995)); see also Biestek v. Berryhill, 139 S. Ct. 10 1148, 1154 (2019). The court must consider the entire record, including the evidence that 11 supports and detracts from the Commissioner's conclusions. Desrosiers v. Sec'y of 12 Health & Human Servs., 846 F.2d 573, 576 (9th Cir. 1988). If the evidence supports 13 more than one rational interpretation, the court must uphold the ALJ's decision. Burch v. 14 Barnhart, 400 F.3d 676, 679 (9th Cir. 2005); Ford v. Saul, 950 F.3d 1141, 1154 (9th Cir. 15 2020). The district court may affirm, modify, or reverse the Commissioner's decision. [16] 42 U.S.C.A. § 405 (g). The matter may also be remanded to the Social Security 17 Administration for further proceedings. Id. 18 To qualify for disability benefits under the Social Security Act, a claimant must 19 show two things: (1) The applicant suffers from a medically determinable impairment 20 that can be expected to result in death or that has lasted or can be expected to last for a 21 continuous period of twelve months or more, and (2) the impairment renders the 22 applicant incapable of performing the work that he or she previously performed or any 23 other substantially gainful employment that exists in the national economy. See 42 24 U.S.C.A. §§ 423 (d)(1)(A), (2)(A) (West 2011). An applicant must meet both 25 requirements to be classified as "disabled." Id. The applicant bears the burden of 26 proving he or she was either permanently disabled or subject to a condition which [27] 1 became so severe as to disable the applicant prior to the date upon which his or her 2 disability insured status expired. Johnson v. Shalala, 60 F.3d 1428, 1432 (9th Cir. 1995). 3 The Commissioner makes this assessment by employing a five-step analysis 4 outlined in 20 C.F.R. § 404.1520 . See also Tackett v. Apfel, 180 F.3d 1094 , 1098-99 5 (9th Cir. 1999) (describing five steps). First, the Commissioner determines whether a 6 claimant is engaged in "substantial gainful activity." If so, the claimant is not disabled. [7] 20 C.F.R. § 404.1520 (b) (2019). Second, the Commissioner determines whether the 8 claimant has a "severe impairment or combination of impairments" that significantly 9 limits the claimant's physical or mental ability to do basic work activities. If not, the 10 claimant is not disabled. Id. § 404.1520(c). Third, the medical evidence of the claimant's 11 impairment is compared to a list of impairments that are presumed severe enough to 12 preclude work; if the claimant's impairment meets or equals one of the listed 13 impairments, benefits are awarded. Id. § 404.1520(d). If not, the claimant’s residual 14 functional capacity is assessed and the evaluation proceeds to step four. Id. 15 § 404.1520(e). Fourth, the Commissioner determines whether the claimant can do his or 16 her past relevant work. If the claimant can do their past work, benefits are denied. Id. 17 § 404.1520(f). If the claimant cannot perform his or her past relevant work, the burden 18 shifts to the Commissioner. In step five, the Commissioner must establish that the 19 claimant can perform other work. Id. § 404.1520(g). If the Commissioner meets this 20 burden and proves that the claimant is able to perform other work that exists in the 21 national economy, benefits are denied. Id. 22 III. DISCUSSION 23 Plaintiff makes two arguments. First, he contends that ALJ Messer failed to 24 present a complete hypothetical to the vocational expert during the administrative 25 hearing. Second, he claims that the ALJ failed to articulate any clear and convincing [27] 1 reasons to reject George S.’s statements regarding his pain, symptoms, and limitations. 2 (Pl.’s Mot. Attach. #1 Mem. P. & A. 3-12, ECF No. 17.) 3 A. Incorporation of Residual Functional Capacity into Hypothetical Question to 4 Vocational Expert 5 The ALJ determined that Plaintiff retained the residual functional capacity4 to 6 work as follows: 7 [George S. can] perform light work as defined in [ 20 C.F.R. §§ 404.1567 (b) and 416.967(b)] with occasional lifting of 20 pounds, frequent lifting of 10 [8] pounds; standing and/or walking for six hours in an eight-hour workday; 9 sitting for six hours in an eight-hour workday; occasional climbing of ramps and stairs; can never climb ladders, ropes, or scaffolds; can frequently [10] balance; can occasionally stoop, kneel, crouch, and crawl; must avoid 11 concentrated exposure to extreme cold, extreme heat, humidity, vibrations, fumes, odors, gases, and other pulmonary irritants. [13] (Am. Admin. R. 20, ECF No. 13.) During the administrative hearing, Judge Messer [14] provided the following hypothetical question to the vocational expert, Sonia Peterson, [15] Ph.D.: [16] I’d like you to assume a hypothetical individual the same age, education, 17 work experience as the claimant in this case, with the following residual functional capacity: hypothetical individual would be limited to work at a [18] light exertional level. In addition, the individual would be limited to 19 occasional climbing ramps and stairs; never climbing ladders, ropes, or scaffolds; and frequent balancing; occasional stooping, kneeling, crouching, [20] crawling; further, the individual must avoid concentrated exposure to 21 extreme cold, to extreme heat, to humidity and to vibration, and to fumes, odors, gases, and other pulmonary irritants. Based on that light [residual [24] 4 Residual functional capacity is what a claimant can do despite existing exertional and nonexertional [25] limitations. See Cooper v. Sullivan, 880 F.2d 1152 , 1155 n.5 (9th Cir. 1989). “Between steps three and 26 four of the five-step evaluation, the ALJ must proceed to an intermediate step in which the ALJ assesses the claimant’s residual functional capacity.” Massachi v. Astrue, 486 F.3d 1149 , 1151 n.2 (9th Cir. 27 2007) (citing 20 C.F.R. § 416.920 (e)). 1 functional capacity], could the hypothetical individual do [Plaintiff’s] past work? [2] 3 (Id. at 65-66.) Dr. Peterson responded, “Yes.” (Id. at 66.) The ALJ relied on this 4 testimony in finding that Plaintiff was capable of performing his past relevant work as a 5 bouncer as actually and generally performed, and thus was not disabled. (Id. at 25.) 6 Plaintiff contends that the ALJ failed to incorporate all of his residual functional 7 capacity findings into the hypothetical question posed to the vocational expert. (Pl.’s 8 Mot. Attach. #1 Mem. P. & A. 4, ECF No. 17.) Specifically, George S. argues that the 9 ALJ’s hypothetical question failed to include the “standing and/or walking for six hours 10 in an eight-hour workday” limitation set forth in his residual functional capacity findings. 11 (Id.) The Commissioner counters that because the ALJ asked about a hypothetical 12 individual who could perform “light” work, and the full range of light work requires 13 about six hours of standing or walking, the hypothetical question was sufficient. (Def.’s 14 Opp’n 4, ECF No. 18.) 15 Under the Social Security Regulations, occupations are classified as sedentary, 16 light, medium, heavy, and very heavy. 20 C.F.R. §§ 404.1567 , 416.967 (2019). “Light 17 work involves lifting no more than 20 pounds at a time with frequent lifting or carrying 18 of objects weighing up to 10 pounds.” Id. §§ 404.1567(b), 416.967(b). “Even though the 19 weight lifted may be very little, a job is in this category when it requires a good deal of 20 walking or standing, or when it involves sitting most of the time with some pushing and 21 pulling of arm or leg controls.” Id. An individual must “have the ability to do 22 substantially all of these activities” in order to be deemed “capable of performing a full or 23 wide range of light work.” Id. Social Security Ruling (“SSR”) 83-105 provides further [26] 5 “SSRs reflect the official interpretation of the [Social Security Administration] and are entitled to some 27 deference as long as they are consistent with the Social Security Act and regulations.” Bray v. Comm’r 1 clarification of the meaning of “light” work. The ruling states that “‘[f]requent’ means 2 occurring from one-third to two-thirds of the time,” and “[s]ince frequent lifting or 3 carrying requires being on one’s feet up to two-thirds of a workday, the full range of light 4 work requires standing or walking, off and on, for a total of approximately 6 hours of an 5 8-hour workday.” SSR 83-10, 1983 WL 31251 (Jan. 1, 1983), at *6.6 “Sitting may occur 6 intermittently during the remaining time.” Id. The “full range of work” is defined as 7 “[a]ll or substantially all occupations existing at an exertional level.” Id. Under SSR 838 10, therefore, substantially all light work requires standing or walking for approximately 9 six hours of an eight-hour workday. The Commissioner relies on this ruling to support 10 his position that “light work and standing/walking six hours are synonymous.” (See 11 Def.’s Opp’n 5, ECF No. 18.) 12 Numerous courts in this circuit, relying on SSR 83-10, have found that an ALJ’s 13 reference to “light work” or “medium work” (which, like light work, requires standing or 14 walking for a total of approximately six hours in an eight-hour workday) encompasses a 15 limitation to walking or standing for six hours in an eight-hour workday. See Talley v. 16 Saul, Case No. 5:19-cv-2087-SK, 2020 WL 8361923 , at *1 (C.D. Cal. Dec. 17, 2020) 17 (“When the ALJ referred [to] ‘the full range of light work’ in the hypothetical posed to 18 the VE, that reference necessarily encompassed the six-hour limitation on standing or 19 walking.”); Lawson v. Saul, Case No.: 3:19-cv-00045-W-JLB, 2020 WL 6055148 , at *3 20 (S.D. Cal. Oct. 13, 2020) (“The plain language of SSR 83-10 and judicial interpretations 21 of the regulation support the view that medium work does not require the ability to stand 22 or walk for more than six hours per workday.”); Christopher P. v. Saul, Case No. CV 1823 [24] Soc. Sec. Admin., 554 F.3d 1219, 1224 (9th Cir. 2009) (citation and internal quotation omitted). “SSRs [25] do not carry the ‘force of law,’ but they are binding on ALJs nonetheless.” Id. (citation omitted). [26] 6 Similarly, the full range of “medium” work “requires standing or walking, off and on, for a total of approximately six hours in an eight-hour workday in order to meet the requirements of frequent lifting 27 or carrying objects weighing up to 25 pounds.” SSR 83-10, at *6. 1 6484-SP, 2020 WL 551596 , at *3 (C.D. Cal. Jan. 31, 2020) (stating that ALJ’s reference 2 to medium work in hypothetical “sufficiently capture[d]” limitations in plaintiff’s 3 [residual functional capacity] to standing or walking for six hours in an eight-hour 4 workday); Mitzi D. v. Saul, No. SA CV 18-01065-DFM, 2019 WL 8112507 , at *2 (C.D. 5 Cal. Dec. 13, 2019) (“Given that SSR 83-10 has been in play for over thirty years, there 6 is no reason to think the VE understood light work to encompass anything other than 7 approximately six hours of standing or walking.”); James T. v. Saul, Case No. 2:18-cv8 08794-KES, 2019 WL 3017755 (C.D. Cal. July 10, 2019) (“[T]he ALJ’s reference to 9 medium work supplied a 6-hour limitation on walking and standing, and the ALJ did not 10 pose an incomplete hypothetical to the VE.”); Goodman v. Berryhill, Case No. C17-5115 11 BAT, 2017 WL 4265685 , at *8 (W.D. Wash. Sept. 25, 2017) (finding six-hour 12 standing/walking restriction “is part and parcel of the definition of ‘light work’”), aff’d [13] 741 F. App’x 530 (9th Cir. 2018). 14 Plaintiff cites a single case, Linda H. v. Saul, No. CV 19-4321-PLA, 2020 WL 15 1244359 (C.D. Cal. Mar. 16, 2020), to support his view that the ALJ committed error by 16 not including specific standing and walking restrictions in his hypothetical to the 17 vocational expert. (Pl.’s Mot. Attach. #1 Mem. P. & A. 5, ECF No. 17.) In that case, the 18 court held that the ALJ, who had included a six-hour walking or standing limitation in his 19 residual functional capacity determination, erred by not incorporating this limitation in 20 his hypothetical question to the vocational expert. Linda H., 2020 WL 1244359 , at *5. 21 The court reasoned that “SSR 83-10 does not specifically state that standing/walking 22 occurs only six hours of an eight-hour workday, but instead that light and medium work 23 require at least that amount . . . .” Id. This finding is inconsistent with the majority of the 24 courts to have considered this issue. Moreover, the facts in Linda H. are distinguishable. 25 There, the vocational expert testified that most “medium” jobs do not usually allow two 26 hours of sitting, which is contrary to SSR 83-10 and indicates that the expert did not [27] 1 possess the common understanding that medium work incorporates a limitation to 2 standing or walking for six hours in an eight-hour workday. Here, in contrast, there is no 3 indication that the vocational expert did not have this understanding. See, e.g., 4 Guillermina R. v. Saul, Case No. 5:19-cv-02315-AFM, 2020 WL 5440341 , at *3 (C.D. 5 Cal. Sept. 19, 2020) (stating that an ALJ’s reference to light or medium work “is widely 6 understood to encompass the limitation to stand/walk for six hours in an eight-hour 7 day”); see also James T., 2019 WL 3017755 , at *2 (“SSR 83-10 was published in 1983. 8 Since that time, ALJs and [vocational experts] with experience conducting social security 9 disability benefits hearings have understood medium work as requiring the ability to 10 stand or walk for up to 6 hours.”). 11 Relying on the vocational expert’s testimony, the ALJ found that George S. could 12 perform his past work as a bouncer as actually and generally performed. (Am. Admin. R. 13 25, ECF No. 13; see also Lewis v. Barnhart, 281 F.3d 1081, 1083 (9th Cir. 2002) (“A 14 claimant must be able to perform [his] past relevant work either as actually performed or 15 as generally performed in the national economy.”).) According to Plaintiff’s testimony 16 and disability report, George S.’s past work, as actually performed, required him to walk 17 and stand for eight hours each workday. (Am. Admin. R. 49, 206, ECF No. 13.) Thus, 18 he did not perform this work at a light level, and the ALJ erred by finding that Plaintiff 19 could perform his past work as actually performed. As Defendant observes, however, 20 (see Def.’s Opp’n 6 n.5, ECF No. 18), this error was harmless because the ALJ properly 21 found that George S. could perform his past work as generally performed. (See SSR 0022 4P, 2000 WL 1898704 (Dec. 4, 2000), at *3 (explaining that “generally performed” refers 23 to how a job is performed according to the Dictionary of Occupational Titles (“DOT”).) 24 Under the DOT, Plaintiff’s previous work as a bouncer is classified as light work. See 25 DICOT 376.667-010, 1991 WL 673176 ; see also Molina v. Astrue, 674 F.3d 1104 , 1115 [27] 1 (9th Cir. 2012) (defining harmless error as such error that is “inconsequential to the 2 ultimate nondisability determination”). 3 This Court joins other courts in interpreting the language “standing or walking, off 4 and on, for a total of approximately 6 hours of an 8-hour workday” in SSR 83-10 as 5 encompassing a limitation to standing or walking for six hours in an eight-hour workday. 6 Accordingly, when ALJ Messer referred to “work at a light exertional level” in the 7 hypothetical posed to the expert, he fairly incorporated Plaintiff’s limitation to walking or 8 standing for six hours in an eight-hour workday. 9 B. Subjective Symptom Evaluation 10 Plaintiff’s second argument is that the ALJ failed to articulate any clear and 11 convincing reasons to reject George S.’s statements regarding his pain, symptoms, and 12 limitations. (Pl.’s Mot. Attach. #1 Mem. P. & A. 3-12, ECF No. 17.) Defendant 13 contends in response that the ALJ properly considered Plaintiff’s statements about his 14 subjective symptoms. (Def.’s Opp’n 7, ECF No. 18.) 15 An ALJ engages in a two-step analysis to determine the extent to which a 16 claimant’s report of symptoms must be credited. First, an ALJ must determine whether 17 the claimant has presented objective medical evidence of an underlying impairment 18 which could reasonably be expected to produce the pain or other symptoms alleged. 19 Trevizo v. Berryhill, 871 F.3d 664, 678 (9th Cir. 2017) (citing Garrison, 759 F.3d at 20 1014-15). In this analysis, the claimant is not required to show that his impairment could 21 reasonably be expected to cause the severity of the symptoms alleged; nor is he required 22 to produce objective evidence of the pain or its severity. Id. (citing Garrison, 759 F.3d at 23 1014-15). If the claimant satisfies step one of the analysis, and there is no evidence of 24 malingering, the ALJ can reject the claimant’s testimony about the severity of his 25 symptoms only by offering “specific, clear and convincing reasons” for doing so. Id. [27] 1 Here, ALJ Messer determined that George S. satisfied step one of the two-step 2 analysis. (Am. Admin. R. 24, ECF No. 13.) Nevertheless, he found Plaintiff's 3 allegations concerning the intensity, persistence, and limiting effects of his symptoms 4 were "not entirely consistent with the medical evidence and other evidence in the 5 record[.]" (Id.) As discussed below, he articulated two reasons for his finding. 6 1. Symptoms improved with treatment 7 Plaintiff testified at the administrative hearing that he was working part-time as an 8 Uber driver, but could only work for two to three hours a day because of back and hip 9 pain. (Id. at 46.) He stated that the pain level in his back, when he was sedentary, had 10 been eight on a scale of ten since his alleged onset date in 2015 and that his pain 11 increased with activity. (Id. at 50.) He reported that he still had left hip pain despite his 12 hip replacement surgery, had numbness that radiated down his left leg, and also needed to 13 have right hip replacement surgery. (Id. at 53-54.) George S. testified that because of his 14 heart condition, he experienced shortness of breath with any activity, including making 15 his bed. (Id. at 54.) He acknowledged that medication helped his cardiovascular issues 16 and stated that he would not be able to breathe without it. (Id. at 55.) He indicated that 17 he had to lean on a shopping cart when he went to the grocery store and that he could 18 only stand for ten to fifteen minutes before needing to sit down. (Id. at 56, 58.) 19 In finding that the limiting effects of George S.’s subjective symptoms were not 20 entirely consistent with the medical evidence and other evidence in the record, the ALJ 21 observed that Plaintiff’s “symptoms improved with treatment compliance, he has full 22 strength in his extremities, straight leg raise testing has been negative during the relevant 23 period, his cardiovascular symptoms are stable, and he does not require an assistive 24 device to walk.” (Id. at 24.) Substantial evidence in the record supports the ALJ’s 25 observations. Notwithstanding Plaintiff’s testimony that his pain level has consistently 26 been at eight on a scale of ten since 2015, his medical records demonstrate that he [27] 1 reported a lower degree of pain to his providers, particularly when he complied with his 2 medical treatment. After an initial period of inconsistent physical therapy attendance and 3 compliance, (see id. at 549, 561), George S. participated in therapy regularly and reported 4 pain levels in the four to seven range, (see id. at 567, 602, 612, 625). His physical 5 therapist indicated that Plaintiff had “responded well recently due to improved attendance 6 and compliance with [home exercise program] recommendations,” and had objective 7 improvement in strength, range of motion, flexibility, and balance. (Id. at 624.) At the 8 conclusion of his physical therapy treatment, the therapist noted that although Plaintiff 9 still reported pain and functional limitations, he had shown objective improvement in 10 lower extremity strength and could address remaining deficits in strength and flexibility 11 through home exercise. (Id. at 601.) His hips were at full or nearly full strength. (Id. at 12 602.) With respect to Plaintiff’s heart conditions, George S.’s cardiologist consistently 13 found that these conditions were stable. (See id. at 323 (“His heart failure has been under 14 control.”); 544 (reporting good medication compliance); 548 (walking after surgery 15 “limited by his orthopedic issues rather than cardiovascular in nature”); 549 (“Plan no 16 further med[ication] changes today as he is doing well and on optimal tolerated medical 17 therapy.”); 553 (“Was able to walk a mile and was cycling at home prior to [a recent 18 setback] with no complaints.”); 560 (“doing well from a cardiac perspective”).) The 19 evidence in the record also indicates that Plaintiff was able to perform mild exercise with 20 no to little shortness of breath. (See id. at 579 (reporting no shortness of breath while 21 biking on stationary bike at a slow pace); 596 (patient walking on a regular basis); 598 22 (modest exercise not limited by shortness of breath); 608 (some shortness of breath when 23 housecleaning but able to walk on level ground for an extended period of time).) 24 An ALJ may properly consider whether treatment produced a fair response or 25 satisfactory control of pain. See Odle v. Heckler, 707 F.2d 439, 440 (9th Cir. 1983); see 26 also 20 C.F.R. §§ 404.1529 (c)(3)(iv)-(v); 416.929(c)(3)(iv)-(v). Further, “[i]mpairments [27] 1 that can be controlled effectively with medication are not disabling for the purpose of 2 determining eligibility for [disability] benefits.” Warre v. Comm’r Soc. Sec. Admin., 439 3 F.3d 1001, 1006 (9th Cir. 2006). The Court finds that the improvement of Plaintiff’s 4 symptoms with treatment and medication constituted a clear and convincing reason for 5 the ALJ to discount his testimony regarding the severity of his symptoms. 6 2. Daily activities 7 Judge Messer reviewed the evidence of George S.’s daily activities and found them 8 inconsistent with his allegations of disabling symptoms. (Am. Admin. R. 24, ECF No. 9 13.) An ALJ may properly consider the claimant’s daily activities in evaluating 10 testimony regarding subjective pain. See, e.g., Thomas v. Barnhart, 278 F.3d 947 , 95811 59 (9th Cir. 2002); see also 20 C.F.R. §§ 404.1529 (c)(3)(i), 416.929(c)(3)(i). The ALJ 12 may consider inconsistencies between the claimant’s testimony and the claimant’s 13 conduct, as well as whether the claimant engages in activities inconsistent with the 14 alleged symptoms. Molina, 674 F.3d at 1112 (quotations and citations omitted). “One 15 does not need to be ‘utterly incapacitated’ in order to be disabled.” Vertigan v. Halter, [16] 260 F.3d 1044, 1050 (9th Cir. 2001) (citing Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 17 1989)). Nevertheless, “[e]ven where [a claimant’s] activities suggest some difficulty 18 functioning, they may be grounds for discrediting the claimant’s testimony to the extent 19 that they contradict claims of a totally debilitating impairment.” Molina, 674 F.3d at 20 1113 (citations omitted). 21 Here, the ALJ could reasonably conclude that George S.’s activities, including 22 driving, shopping for groceries, traveling to New Jersey, and working part-time for Uber 23 undermined his claims about the severity of his symptoms, (see Am. Admin. R. 24, ECF 24 No. 13), as did Plaintiff’s ability to perform mild exercise such as walking and biking, 25 (see, e.g., id. at 579, 596). Plaintiff’s daily activities constituted a clear and convincing [27] 1 ||reason to discredit his testimony regarding the functional limitations caused by his 2 ||symptoms. 3 IV. CONCLUSION 4 For the reasons stated above, Plaintiff's Motion for Reversal and/or Remand is 5 || DENIED. 6 This Order concludes the litigation in this matter. The Clerk shall close the file. 7 IT IS SO ORDERED. 8 Dated: April 7, 2021 ( a, Hon. Ruben B. Brooks 10 United States Magistrate Judge [26] 27 16 28 20cv0773-RBB