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Rivera v. SHHS, 95-2185 (1996)

Court: Court of Appeals for the First Circuit Number: 95-2185 Visitors: 1
Filed: Jul. 05, 1996
Latest Update: Mar. 02, 2020
Summary: evidence from the time period prior to August 8, 1991.See Matos v. Secretary of HEW, 581 F.2d 282, 284-86 (1st Cir.assessments, and a report from claimant's treating physician is conflicting.diagnosis was herniated disc by history.with light work. High Blood Pressure.district court is affirmed.
USCA1 Opinion









July 5, 1996
[NOT FOR PUBLICATION]

UNITED STATES COURT OF APPEALS
FOR THE FIRST CIRCUIT
____________________


No. 95-2185

CARMEN H. RIVERA,

Plaintiff, Appellant,

v.

SECRETARY OF HEALTH AND HUMAN SERVICES,

Defendant, Appellee.


____________________

APPEAL FROM THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF PUERTO RICO

[Hon. Carmen Consuelo Cerezo, U.S. District Judge] ___________________

____________________

Before

Torruella, Chief Judge, ___________
Cyr and Stahl, Circuit Judges. ______________

____________________

Paul Ramos Morales on brief for appellant. __________________
Guillermo Gil, United States Attorney, Rosa E. Rodriguez-Velez, ______________ ________________________
Acting Chief Civil Division, and Robert M. Peckrill, Assistant ____________________
Regional Counsel, Social Security Administration, on brief for
appellee.


____________________


____________________


















Per Curiam. Claimant Carmen Rivera filed an ___________

application for Social Security disability benefits on March

28, 1991, alleging an onset date of November 28, 1988. The

application was denied on August 8, 1991 and claimant did not

seek reconsideration. Instead, she filed a new application

on January 21, 1993, alleging the same onset date and listing

as impairments a herniated disc and nerves. Claimant's

insured status expired on December 31, 1993. An

administrative law judge (ALJ) held a hearing in October 1993

at which claimant and a vocational expert (VE) testified.

The ALJ first determined not to reopen claimant's

initial application with the result that he did not consider

evidence from the time period prior to August 8, 1991. The

ALJ then decided that claimant suffered from severe

uncontrolled arterial hypertension, a small herniated disc,

costochondritis, and an affective disorder. These

conditions, the ALJ opined, prevented her from performing her

past work as a meat packager, a job requiring medium

exertion. Further, the ALJ stated that claimant was

prohibited from performing complex or detailed tasks and

engaging in work in which she could not change position.

Using the grid as a framework and the testimony of the VE,

the ALJ nonetheless concluded that there were other, light-

duty jobs which claimant could perform. The Appeals Council





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denied claimant's request for review and the district court

affirmed this decision.



Claimant argues on appeal that the ALJ's decision

not to reopen her first application for disability benefits

is reviewable. "Absent a colorable constitutional claim . .

. a district court does not have jurisdiction to review the

Secretary's discretionary decision not to reopen an earlier

adjudication." Torres v. Secretary of Health and Human ______ ________________________________

Services, 845 F.2d 1136, 1138 (1st Cir. 1988) (per curiam) ________

(citing cases). To come within this exception, claimant

asserts that the determination not to reopen violated her due

process rights because the ALJ never had held a hearing on

her first request for benefits. However, claimant does not

assert that she was denied the opportunity for a hearing and

it does not appear that she requested one. We have held, in

similar circumstances, that such a claim is not colorable.

See Matos v. Secretary of HEW, 581 F.2d 282, 284-86 (1st Cir. ___ _____ ________________

1978). Thus, we consider, as did the ALJ, only the evidence

for the period after August 8, 1991 through December 31,

1993.

1. Back Condition. Although claimant received ______________

treatment for her back at the State Insurance Fund during

1988 and 1989, there are no records of any treatment for the

period 1990 through 1993. The other evidence for the



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relevant time -- consultative examinations, two RFC

assessments, and a report from claimant's treating physician

-- is conflicting.

For example, Dr. Roberto Leon Perez, an internist

and rheumatologist, performed a consultative examination in

July 1991. He reported that claimant could walk on her toes,

but that her flexion/extension was somewhat limited (70

degrees). An x-ray showed (1) narrowing of the L4-L5

intervertebral space, (2) narrowing of the L5-S1

intervertebral space associated with posterior spondylosis

(fusion of a vertebral joint), (3) facet joint degenerative

disease at L5-S1, and (4) reversal of normal lordosis. The

diagnosis was herniated disc by history.

The other consultative examination was performed in

March 1993 by Dr. Phillip Bonneaux. At this time, claimant

had normal muscle tone and strength. Her gait also was

normal and she had full range of motion of her back. There

were moderate spasms of the paravertebral muscles. An x-ray

showed slight scoliosis and minimal spondylosis. The

diagnosis was moderate paravertebral muscle spasm. Dr.

Bonneaux concluded that claimant could sit, stand, walk, lift

and carry without limitation.

The two non-examining physicians who completed

residual functional capacity (RFC) assessments in 1993 agreed

that claimant retained the weight-lifting capacity consistent



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with light work. They also agreed that claimant could sit,

stand and walk for up to six hours each per day. She could

occasionally climb, stoop, crouch and crawl, and could

frequently kneel.

Although claimant's treating physician, Dr.

Francisco Sanchez, gave a significantly more restrictive view

of claimant's RFC, the ALJ was not required to credit it.

See 20 C.F.R. 404.1527(d)(2) (if a treating physician's ___

opinion is inconsistent with the other substantial evidence

in the record, controlling weight need not be given to that

opinion). Thus, the medical findings outlined above

sufficiently support the ALJ's conclusion that claimant could

perform light work. See Rodriguez v. Secretary of Health and ___ _________ _______________________

Human Services, 647 F.2d 218, 222 (1st Cir. 1981) (conflicts ______________

are for the Secretary to resolve).

2. High Blood Pressure. There are only two pieces ___________________

of evidence relating to claimant's high blood pressure for

the relevant period. First, claimant's treating physician,

Dr. Sanchez, reported that he began seeing claimant in 1985

for high blood pressure. During the course of treatment,

claimant experienced dizzy spells and chest pain. Dr.

Sanchez opined that claimant's prognosis was guarded.

However, he did not specify any limits on the activities in

which claimant could engage. Second, Dr. Bonneaux, in a

chest pain questionnaire, stated that the origin of



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claimant's chest pain was musculoskeletal. Although he

opined that claimant's blood pressure should be controlled,

he also did not list any limitations on the kinds of

activities in which she could engage. Given the complete

dearth of evidence that this condition limited the kinds of

work-related activities in which claimant could engage, the

record is more than adequate to support the Secretary's

decision. See id. ___ ___

3. Emotional Condition. As with claimant's back ___________________

condition, the evidence concerning the effect of claimant's

mental impairment is conflicting. Dr. Luis Toro, a

psychiatrist, conducted three evaluations of claimant's

mental status. In the first two reports, Dr. Toro described

claimant as being in contact with reality, with appropriate

affect. She was oriented and coherent, but her capacities

for attention, concentration, and retention were somewhat

diminished. Her memory was good and she exhibited good

insight. Dr. Toro noted that claimant could handle funds and

engage in normal interpersonal relationships. At the final

examination, claimant appeared slightly depressed, but was

spontaneous, logical, and oriented. Her concentration,

attention, retention and memory were normal. Dr. Toro

diagnosed a mild dysthymic disorder and stated that

claimant's prognosis was fair.





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A non-examining doctor, in 1993, found claimant's

condition severe and diagnosed an affective disorder. As for

work-related activities, the only areas in which claimant was

rated as moderately limited were in dealing with detailed

instructions and accepting instruction from others. Claimant

was not significantly limited in all other areas.

In contrast to the above, claimant's treating

physician opined that claimant had marked restrictions in the

activities of daily living and was seriously impaired in

relating to others. Dr. Sanchez also noted that claimant had

hallucinations, autistic or regressive behavior, and suicidal

ideation. He rated claimant as severely impaired in almost

all areas relating to work. Dr. Sanchez concluded that

claimant could not work.

The ALJ's decision essentially incorporates the

assessments of the non-examining physician and Dr. Toro.

Given the conflict between these assessments and the report

of Dr. Sanchez, the ALJ did not err in not giving controlling

weight to the latter's opinion. See Rodriguez Pagan v. ___ ________________

Secretary of Health and Human Services, 819 F.2d 1, 3 (1st ________________________________________

Cir. 1987) (per curiam), cert. denied, 484 U.S. 1012 (1988). ____________

4. Pain. Claimant alleges that the ALJ did not ____

properly credit her allegations of totally disabling pain.

See Avery v. Secretary of Health and Human Services, 797 F.2d ___ _____ ______________________________________

19 (1st Cir. 1986). Even assuming that the record from



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August 1991 through 1993 provided objective medical evidence

of a back impairment that reasonably could be expected to

cause pain, the dearth of evidence relating to sensory,

motor, or strength deficits conflicts with the level of pain

claimant asserts. Further, claimant told one examiner that

she performed household chores and claimant generally

reported a fairly active social life. Because the ALJ

correctly considered the Avery factors, his decision _____

regarding claimant's pain is supported by substantial

evidence.

For the foregoing reasons, the judgment of the

district court is affirmed. ________





























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Source:  CourtListener

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