Beruflich Dokumente
Kultur Dokumente
February 2, 1993
No. 92-1701
___________________
Per Curiam.
__________
a
district
Secretary
court
judgment
of Health
and
affirming
Human Services
decision
of
denying his
the
third
We affirm.
I.
Claimant was
born in Puerto
Rico on February
7, 1940.
As an adult,
He speaks
in the
that
some English.
New York
he stand
and
City area,
pack
Claimant worked as
a job
cartons
that largely
with books
and
occasionally use
worked
as a
a power
road
press.
In Puerto
for
the Department
laborer
Rico, claimant
of
Natural
filed
benefits based on
was filed in
claimant had
1981
due
been unable
Administration (SSA)
for
to work since
condition.
The
decision on
The
1982 and
The
first
alleged
September 11,
Social
and reconsideration.
disability
impairment.
on September 2,
nervous
applications
an alleged mental
Puerto Rico
that
to
three
Security
initial review
reconsideration took
further review.
alleging September
11,
1981 as
his date
of onset.1
____________________
1. This second application was filed during the grace period
created by the 1984 Social Security Disability Reform Act,
Pub. L. 98-460, and entitled claimant to a redetermination of
That
claim
also
reconsideration.
administrative
was
This
law judge
denied
upon
time, claimant
(ALJ).
initial
review
sought review
After a
and
by an
full hearing
at
which
claimant
and
medical
advisor
review, thus
Appeals Council
the
final.
He immediately filed
In contrast
to his
first
(a
declined
ALJ's decision
Nogueras
The
rendering
Rafael
two applications,
claimant
applications
claimant's earnings.
redetermined
were
processed
claimant's insured
status
were not,
in
fact,
that
it
____________________
the whole period presented by his earlier claim.
(Tr. 497).
expired
on June
30,
1983.
(Tr.
298).4
The SSA
denied
review,
hearing
by
an
reconsideration,
ALJ.5
The
Appeals
certain consultative
period.
attention
The
and following
Council
Council
the pre-June
directed
the
ALJ's
decision
after
record."
(Tr. 504).
Once again,
considering
A
claimant and
claimant maintained
"all
pertinent
supplemental
evidence
hearing
was
that he had
of
held.
Although
11,
limited
vacated this
evaluations from
Appeals
1978, the
abuse in remission.
This
finding
activities
of
living
and
social
____________________
4. The SSA's prior denial assumed that claimant was insured
through September 30, 1987. (Tr. 250).
5. We note that the ALJ who adjudicated claimant's third
application was not the same ALJ who denied his second
application.
-4-
resulted
or
settings.
20).
(Tr.
The
the
in
work
or
evidence in
work-like
the
record
required no
the ALJ
preclude
30, 1983.
this
second ALJ's
decision
final.
(Tr.
405(g).
The
thus
5-6).
The
II.
In evaluating
mental
impairment,
evaluation
404.1520a.
the
SSA
process outlined
See
___
must
follow
20
C.F.R.
in
the
sequential
404.1520
and
adversarial,
on an alleged
burden
v.
Secretary of Health
and Human
__________________________________
76, 80
to
Bearing in mind
prove
that
his
it remains
mental
the
impairment
-5-
disabled him
from performing
work before
______
of the
on the
record as
a whole.
by substantial
Ortiz v.
_____
955 F.2d
765,
Secretary of
____________
769
(1st Cir.
1991)(per curiam).
As
expired
it
is
on
substantial
undisputed
June
30,
evidence
that
1983,
claimant's
the
supports
issue
insured status
here
is
the Secretary's
whether
nondisabled
finding for the period before this date. It is not enough for
the claimant
him from
to establish that an
insured status
expired had
indicating
that
claimant's
disabling severity
While there is
condition
after 1986,
its
may
on balance,
have
we are
that he was
III.
The
reported
earliest medical
experiencing
consumption in
his left
knee.
nervous
1976 while
He did
records
indicate
problems
and
that
daily alcohol
-6-
claimant
treatment for
trauma to
his nerves
He sought
outpatient treatment at
the
He was then
He reported
betray[ed]" him
over a year.
and he claimed
(Tr. 171).
to have been
unemployed for
Mental examination
found claimant
(Tr. 167).
An anxiety
(Tr. 167).
approximately
two
No
years.6
Ferdinand Berrios
in August
and
breath
shortness of
anxiety.
anxiety
(Tr.
antianxiety
(an
417-27).
neurosis
with
complaining
associated with
Dr. Berrios
depressive
and
psychiatric treatment.
clinic of
consulted
diagnosed
He
and Vistaril)
that
Dr.
chest pain
states of
traits.
recommended
marked
severe
prescribed
and Mellaril
claimant
obtain
of problems with
____________________
Claimant
1981 complaining of
medications (Adapin
antipsychotic)
outpatient
Regional
his nerves.
Hospital, again
At this time it
In
reaction with
origin.
dissociative
features of
was prescribed.
(Tr. 170).
In follow-up
hysterical
counselling
visits over
the
May
1982
spheres.
was
relevant, coherent
(Tr. 175).
restarted.
A
he
experienced hallucinations.
and
in all
(Tr. 176).
oriented
Yet in
interviewed
reported that
claimant with
one
of
(Tr. 411-13).
Dr.
his cousins,
who
disappeared
from home
for days
wandered
reported
that
neighborhood,
he
spent
Dr.
anguished during
which he
became disoriented.
Claimant
days
helping
adequate.
time during
his
occasionally
at a
walking
with
to the radio.
Bravo
reported
his mental
around
the
housework,
He related well to
Personal
that
the
hygiene was
claimant
appeared
he cried,
He
expressed
himself
with
difficulty,
exhibiting
-8-
His
intellect
distracted.
appeared
He
null.
affect was
Dr.
average and
was disoriented
oriented in person.
and his
below
Bravo
in
he
time and
Judgment
a
chronic
was
easily
place
while
and insight
undifferentiated
Shortly after
Dr. Bravo's
were
to handle
evaluation claimant's
opined that
claimant was
disabled.
another
psychiatrist,
Dr.
show
Mental
accessible, cooperative
significant
Sandoz.8
Mojica
March 1983
impairment
and frank.
in
his
He
did not
capacity
for
____________________
7. Another
consultant, Dr.
Ramon Freese
Suarez, (an
internist and cardiologist), evaluated claimant in November
1982.
He found a neuropsychiatric condition, severe lower
leg varicosities and gastritis.
(Tr. 429).
Dr. Freese's
report indicates that claimant reported that he had worked in
several factories in New York but was thrown out of jobs due
to his nervous condition. (Tr. 426). In contrast to other
medical records, Dr. Freese's report indicates that claimant
was last employed in 1981 by the city of Corazol. (Tr. 426).
8. Claimant told Dr. Mojica that he had not worked since
1977 or 1978, his last job being with the Puerto Rico
Department of Natural Resources.
He also reported that he
wounded himself with a machete while he was so employed, and
that he had to quit because his superior did not want him
working anymore. He claimed to have been fired from another
job as a janitor. (Tr. 444-45).
-9-
(Tr. 445).
Though not
He
He
deterioration.
There
disorganization,
elaboration
and
nor
Dr.
retardation and
show
evidence
in
the
personality
of
blocking,
formulation
and
memory
Mojica
not
no
difficulty
were
intellectual
average,
did
was
of ideas.
intermediate
claimant's
also
adequate.
functioning
diagnosed
Noting
appeared to
an
dependent personality
be
unspecified
disorder.
He
that
below
mental
found
returned to
the outpatient
clinic in
Puerto
(Tr.
after claimant's
Claimant returned
sick
mother.
His
prescribed.
was
diagnosed
(Tr. 179-80).
and
A mild to moderate
Vistaril
was
again
-10-
as
chronic
and mild,
while
indicating
that claimant
disability
moderate
(Tr. 190-91).
became more
a mild to
(Tr. 181-184).
had
dire.
After
application for
hallucinations
and
tried
hospitalized at
the South
to
kill
himself.
He
was
between
A long
and one
referred
to
Alcoholics
appeared
Anonymous.
Claimant
and psychotherapy
(Tr.
199-206).
evaluated for
manipulative,
the SSA by
demanding,
Dr. J.
Fiks.
and
vague,
exhibiting a
able to
tendency to overreact
and exaggerate.
noncommittal.
He was
poor.
____________________
9. Claimant reported that he had stopped drinking one month
before his admission. (Tr. 199).
-11-
passive-aggressive
personality
disorder
secured further
Office of Mental
fall
of
1985
medications.
Health.10
and remained
and
questioned
(Tr. 207-08).
treatment
from the
He appeared to
asymptomatic
New York
improve in
the
despite decreased
surgery.
pressure of
competitive
work
setting
SSA obtained
functional
two assessments of
capacity
(RFC) from
due
to
the
(Tr. 212).
claimant's mental
two
nonexamining
consultants.
claimant
On July
was limited
only
in his
reported that
capacity to
understand,
was capable
of work.
(Tr.
143,
He opined
146).
On
carry
out
his abilities to
detailed
general
public, accept
respond
to changes
goals.
(Tr.
instructions,
interact
instructions and
in the
148-50).
understand, remember
with
the
criticism, and
work setting
and set
to
realistic
noted.
____________________
10. Claimant also had surgery for varicose veins in his legs
in June 1985. (Tr. 233).
-1212
second
application was
denied.
On
August 2,
1986,
458-63).
Dr.
Cordero
diagnosed a
features.
with
He diagnosed
agitation and
psychotic traits.
psychologist
suffered
psychotic
Orlando
from recurrent
episodes.
made RFC
found
major depression
He found claimant
his condition
On
that
Two
May 15,
claimant
with
anxiety and
was not
___
capable of
disorder
(Tr. 467-68).11
assessments.
Reboredo
Another
on March
nonexamining consultants
1987,
with histrionic
psychiatrist, Dr.
7, 1987.
schizophrenic syndrome
(Tr.
335-
____________________
11. In this interview, claimant reported that he had not
worked since 1977 and that he had always had mental problems
but that these were exacerbated after a sister died in 1985.
Claimant was then being treated with Halcion (a sleeping
pill) and Mellaril.
Claimant denied using alcohol and
reported that his mother was insane.
Mental examination
found claimant to
be logical, coherent and
relevant,
perception unstable, affect sad, and his mood was anxious and
depressed.
His concentration and attention span were below
par. He
was oriented
only in person,
and exhibited
significant memory defects. Judgment lacked insight. (Tr.
468).
12. Dr. Reboredo indicated that claimant suffered from
marked restrictions of his activities of daily living and
difficulties maintaining social functioning, with frequent
deficiencies of concentration, persistence and pace, and one
or two episodes of deterioration or decompensation in work or
work-like settings.
-1313
period
between 1978
Pedro
and
1983.
Another psychologist,
Dr.
status
expired
pointed
by substantial
because the
supporting
claimant
The
claimant argues
says is
support a
claimant's
F.2d
to
record as
ignoring
expired.
was from
the period
Medical
evidence
may be
the question
disabling
See, e.g.,
___ ____
what
the evidence
reached
the contrary.
most of
impairment
the
while
status expired.
a claimant's
decision is
isolated statements
disabled finding
finding
relied on
"overwhelming evidence"
argument overlooks
that might
evidence on
Secretary
non-disabled
severity
Deblois, 686
_______
____________________
13. Dr. Ivan Garcia noted only
slight restriction of
claimant's activities of daily living
and difficulties
maintaining social functioning.
He reported that claimant
seldom experienced deficiencies of persistence, concentration
or pace, and that he never suffered from episodes of
deterioration in work or work-like settings. (Tr. 352).
-1414
severity
before
his
insured
status expired);
(D.P.R.
counsel).
that
impairment
cannot
mention
evidence
"no
consideration
Here,
from the
as it existed at a time
669,
claimant
had
must
the ALJ
did not
post-1984
period,
be
given
reports
specifically directed
of Drs.
Mojica and
to
the
remand order
1983
Deblois where
_______
1984)(collecting cases).
specifically
date
F. Supp.
v.
(8th Cir.
finding
1985)(applying
Alcaide
_______
(Tr. 20).
We
the ALJ to
Freese
consider the
in issuing
a new
decision.
of Dr. Garcia's
PRTF - which
found that
claimant's anxiety
even severe
during
the insured
period
- the
evidence generated
after
address claimant's
was examined.
of claimant's
1983. Cf.
___
F.2d
to medical advisor).
-1515
Substantial
claimant was
insured status
not
disabled from
expired.
his
past work
before
his
through 1984
disclosed
managed
mild
to
moderate anxiety
by medications.14
treatment between
worked.
After filing
for
significant gap
was
in
between
to
benefits
that
and securing
is a
treatment in 1982,
activity
There
disorder
support
the
to work.
conclusion
Dr. Nogueras
that
Such
claimant
had previously
into account.
reasonably
conclude
that
(Tr. 67-68).
claimant retained
capacity
____________________
14. The ALJ relied on Dr. Nogueras' testimony in rejecting
Dr. Bravo's schizophrenia diagnosis. Dr. Nogueras discounted
schizophrenia because the mental health clinic then treating
claimant did not make this diagnosis and because the medical
records did not reveal persistent psychotic symptoms. (Tr.
62, 104).
Dr. Nogueras opined that claimant's alleged
hallucinations were more likely due to alcohol withdrawal.
Such conflicts in the evidence are for the Secretary to
resolve.
Lizotte v. Secretary of Health and Human Services,
_______
______________________________________
654 F.2d 127, 128 (1st Cir. 1981)(citation omitted).
-1616
Services,
________
890
vocational
F.2d 520,
expert
524
typically
(1st
Cir. 1989)(noting
required
where
that
nonexertional
is not the
case here.
the ALJ's
Further evidence
was not
necessary.
Finally, claimant says
from
his
past jobs
undermines
the
was fired
ALJ's conclusion
that
subsidiary
finding
that
episodes of deterioration or
like settings.
The
came
claimant
from
various
the
never
of information.
sole evidence
himself, as
to be an unreliable
He
suffered
he
reported
claimant proved
for
claimant
fired
this to
However,
of employment
fired
or
quit
Resources.
job
with
the
Department
Department of
the
his
Natural Resources
SSA's earnings
Natural
he was fired
in 1978 is
record, which
of
by the
contradicted by
indicated that
he worked
-1717
wholly
(Tr. 298).
credible.
claimant's assertions
from the
Absent
The
evidence corroborating
relevant time, we
think the
-1818