Casias v. Secretary of Health & Human Services

Decision Date21 March 1991
Docket NumberNo. 90-2246,90-2246
Citation933 F.2d 799
Parties, Unempl.Ins.Rep. CCH 16157A Mary Hope CASIAS, Plaintiff-Appellant, v. SECRETARY OF HEALTH & HUMAN SERVICES, Defendant-Appellee.
CourtU.S. Court of Appeals — Tenth Circuit

Gary J. Martone, Albuquerque, N.M., for plaintiff-appellant.

William L. Lutz, U.S. Atty., Ronald F. Ross, Asst. U.S. Atty., Dist. N.M., Albuquerque, N.M., Gayla Fuller, Chief Counsel, Region VI, Karen J. Sharp, Chief, Social Sec. Branch, and Randal S. Finch, Asst. Regional Counsel, Office of the Gen. Counsel, U.S. Dept. of Health and Human Services, Dallas, Tex., for defendant-appellee.

Before ANDERSON, TACHA and BRORBY, Circuit Judges.

STEPHEN H. ANDERSON, Circuit Judge.

Mary Hope Casias appeals from the district court's order affirming the decision of the Secretary of Health and Human Services to deny her application for Social Security disability benefits under Title II of the Social Security Act, 42 U.S.C. Secs. 416(i) and 423. 2 We affirm.

Casias argues that the court erred in two ways: first, by affirming the Administrative Law Judge's ("ALJ") determination that she was not disabled, absent substantial evidence to support that decision; and second, by failing to remand the case to the Secretary for a consultative psychological examination.

We must affirm the decision of the Secretary if it is supported by substantial evidence. Campbell v. Brown, 822 F.2d 1518, 1521 (10th Cir.1987) (citing 42 U.S.C. Sec. 405(g)); Nieto v. Heckler, 750 F.2d 59, 61 (10th Cir.1984). Substantial evidence is "more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842 (1971) (quoting Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229, 59 S.Ct. 206, 216, 83 L.Ed. 126 (1938)). See Jordan v. Heckler, 835 F.2d 1314, 1316 (10th Cir.1987). In evaluating the appeal, we neither reweigh the evidence nor substitute our judgment for that of the agency. Jozefowicz v. Heckler, 811 F.2d 1352, 1357 (10th Cir.1987); Cagle v. Califano, 638 F.2d 219, 220 (10th Cir.1981). We examine the record as a whole, including whatever in the record fairly detracts from the weight of the Secretary's decision and, on that basis, determine if the substantiality of the evidence test has been met. Universal Camera Corp. v. NLRB, 340 U.S. 474, 488, 71 S.Ct. 456, 464, 95 L.Ed. 456 (1951); Dollar v. Bowen, 821 F.2d 530, 532 (10th Cir.1987). If, however, the correct legal test in weighing the evidence has not been applied, these limitations do not apply, and such failure constitutes grounds for reversal. Reyes v. Bowen, 845 F.2d 242, 244 (10th Cir.1988); Byron v. Heckler, 742 F.2d 1232, 1235 (10th Cir.1984).

Pursuant to the Social Security Act, the Secretary has established a five-step sequence for evaluating disability. 20 C.F.R. Sec. 404.1520(b)-(f). If it is determined that a claimant is or is not disabled at any point in the analysis, the review stops. In this case, the ALJ reached step four of the analysis, where he found Casias capable of performing the work she had done in the past and, therefore, not disabled. See 20 C.F.R. Sec. 404.1520(e). Casias first asserts on appeal that substantial evidence does not support this determination because the ALJ misread the medical evidence and ignored her testimony concerning the side effects of her medication.

As to the medical evidence, not all of the nine doctors who saw Casias were in complete agreement about either her medical condition or her prognosis. This case thus presents "the not uncommon situation of conflicting medical evidence," a situation in which "[t]he trier of fact has the duty to resolve that conflict." Richardson v. Perales, 402 U.S. at 399, 91 S.Ct. at 1426. To bolster her position, Casias cites selectively to the medical opinions and observations of four of the doctors, ignoring the other five. The ALJ, however, considered all of the medical evidence as well as the claimant's own testimony before concluding that Casias retained sufficient residual functional capacity to perform her past relevant work. We find no error here.

The ALJ properly deferred judgment on the credibility of Casias's assertions about pain until he evaluated the medical evidence establishing that Casias experienced a severe impairment and that the impairment could reasonably be expected to produce the allegedly disabling pain. Luna v. Bowen, 834 F.2d 161, 163 (10th Cir.1987). He then evaluated Casias's credibility and found it lacking for reasons which he articulated in his opinion. We defer to the ALJ as trier of fact, the individual optimally positioned to observe and assess witness credibility. See Broadbent v. Harris, 698 F.2d 407, 413 (10th Cir.1983). We do not believe he misread the medical evidence when evaluated as a whole.

Casias correctly points out that the ALJ never addressed her brief testimony about the side effects of the medications she was taking. Even accepting her allegations about the side effects as true, however, the record contains substantial evidence to support the ALJ's decision.

Casias next asserts that the district court erred in failing to remand the case to the Secretary for a consultative psychological examination. She maintains that the record contains "substantial evidence ... indicating a probable psychological impairment" and that because the ALJ did not order...

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