Santiago v. Secretary of Health and Human Services
| Decision Date | 28 May 1991 |
| Docket Number | No. 90-1840,90-1840 |
| Citation | 944 F.2d 1 |
| Parties | , Unempl.Ins.Rep. (CCH) P 16272A Luz M. SANTIAGO, Plaintiff, Appellant, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Defendant, Appellee. |
| Court | U.S. Court of Appeals — First Circuit |
Louis A. deMier-LeBlanc, on brief, for plaintiff, appellant.
Daniel F. Lopez Romo, U.S. Atty., Jose Vazquez Garcia, Asst. U.S. Atty., and Paul Germanotta, Asst. Regional Counsel, Dept. of Health and Human Services, on brief, for defendant, appellee.
Before CAMPBELL, SELYA and CYR, Circuit Judges.
Luz M. Santiago appeals the denial of her application for social security disability benefits. The district court adopted the report and recommendation of a magistrate and affirmed the denial. The administrative law judge (ALJ) made the ultimate conclusion that claimant Santiago could perform her past relevant work, 20 C.F.R. § 404.1520(e), and was not functionally disabled. In so deciding, the ALJ did not distinguish whether he found the claimant capable of performing a particular past job, or the occupation as it is generally performed nationally. See Social Security Ruling (SSR) 82-61. We conclude that the record substantially supports the conclusion that the claimant could still perform her former work as a sewing machine operator, and that she failed to carry the initial burden of showing how her alleged limitations of function affected the work demands of that job. For the reasons that follow, we affirm the decision of the district court.
The ALJ found that the claimant was a younger individual, 44 years of age, in July 1983, when she stopped working due to her hip and back condition. A nervous condition ensued in March 1987 after her son died, and this application was filed the following month. The ALJ reviewed the claimant's treatment reports from three sources, and the reports of three physicians who performed consultative examinations for the Secretary, and concluded that while the combination of musculoskeletal and mental impairments was severe, (T. 209), there was no significant musculoskeletal dysfunction, (T. 207), and the mental impairment minimally affected her ability to work. (T. 208). According to the psychiatric technique review form completed by the ALJ, no more than slight functional loss resulted from claimant's nervous condition. (T. 200). These findings are well-supported by the medical records (which indicate mild osteoarthritis, degenerative changes in the spine, and a dysthymic disorder), the claimant's testimony, and other record statements. As to claimant's pain complaints, only mild osteoarthritic changes were disclosed prior to the expiration of insurance on December 31, 1987. There was no evidence of muscle atrophy, conflicting evidence as to muscle spasm, and no neurological deficits were shown. Except for one passing reference to a November 1983 examination, (T. 103), there are no treatment records prior to August 1986 from any source. In light of the clinical medical findings and the claimant's statements regarding her activities, the ALJ reasonably concluded that the claimant's subjective physical and mental complaints were not credible to the extent alleged.
The record evidence of the tasks required by claimant's former job is primarily contained in a disability report filed with the current application, and in claimant's testimony at the administrative hearing.
In the April 1987 disability report the claimant listed her former usual work as that of a sewing machine operator in a mattress factory. She described a day's basic duties as follows: "I would sit in front of a sewing machine and sew 8 hours a day." (T. 55) The job involved no walking or standing, and only occasional reaching and bending, presumably from the seated position. (T. 56). In response to the section on the form which asked her to describe any lifting and carrying activities, including what was lifted, how far it was carried, the heaviest weight lifted, and how frequently the weight was lifted or carried, the claimant stated: None. Id.
At the hearing on May 10, 1988, the claimant testified that she last worked in a jewelry factory in New Jersey. The job involved operating a machine to execute a particular jewelry-making task and was performed from a sitting position with only occasional bending and infrequent reaching. The objects handled were extremely light in weight. (T. 20-22). Prior to that, she worked in a state-side mattress factory for 7 years. Her job was to operate a sewing machine in order to quilt mattress fabric, and also to put on the borders or the binder, a simpler job. The work was performed from a sitting position, and involved activating a pedal and using her arms to pull and turn the mattress material which was positioned on a rod. (T. 22-23); (T. 32-33). The claimant stated that even though she was sitting she "had to exert a lot of strength". (T. 23).
The ALJ further questioned the claimant:
Q. What happened to you in '83, that you stopped working? In 1983, what happened?
A. Certain inconsideratenesses and also I think I was accustomed to working out in the United States and the customs were different and I decided to stop, I went to work in the United States again.
Q. But my question is what made you stop working? That is, what did you feel in your body?
A. My head hurt a lot, as always my back has always hurt.
Q. Did you have an accident?
A. The nerves.
Q. Did you have an accident in which you injured your back?
A. Well, two things happened to me. First of all, I was going to open a door and the sudden air pushed the door wide open and the impact was felt in my arm, at that time I felt the pain in the middle of my back. And then later on, my brother had just come out of the army, a man came into his house, and we didn't know he was mentally ill, and my brother wanted to hit him. I tried holding my brother back, and we both fell down some steps. (T. 25).
When asked to describe how her condition kept her from working, the claimant stated: (T. 51). In May 1987 she informed a consulting rheumatologist that her joint pains mostly affected her low back, left hip and left ankle, and that, functionally, lifting or carrying objects aggravated her back pains. (T. 172). In November 1987, upon application for reconsideration of the initial denial, the applicant described difficulty in walking, standing, lifting, and bending. (T. 61, 63). At the hearing she indicated that she could bend and pick something up from the floor "if it isn't very low." (T. 26).
The claimant testified that the treatment and medication taken for pain (due to arthritis) and nerves had improved her condition: "with the medications ... very little hurts, but at least I feel better with the medications." (T. 27). She could walk for one or two hours, but not without pain in her back and legs; she could maintain a sitting position for "at least 2 or 3 hours," (T. 30), without any stated difficulty. With respect to daily activities, the claimant testified that she tried to take care of the household chores, but relied upon her 73-year old husband for assistance. (T. 27-28).
The ALJ's decision noted that (T. 205). The ALJ found, based upon claimant's own description, that her former job as a sewing machine operator was unskilled or semi-skilled, and light in nature. (T. 205). The ALJ found claimant's statements at the hearing that she performed heavy work as a sewing machine operator inconsistent with her description that she performed that job almost entirely from a sitting position. (T. 208). The ALJ concluded that the claimant retained the residual functional capacity (RFC) to perform light work.
The claimant's principal argument on appeal is that the ALJ, as a lay factfinder, is not qualified to make such an evaluation. Claimant contends that, as RFC is a medical assessment, 20 C.F.R. § 404.1545(a), the ALJ was not permitted to determine RFC without having in the record an expert's RFC report. We reject this contention on these facts. The record here reflects only relatively mild mental and physical impairments and claimant never clarified the particular respects in which these are alleged to prevent her from performing her past work. In such circumstances the ALJ could determine she was not disabled without requiring an expert's RFC evaluation as part of the record.
At step 4 of the sequential evaluation process, 20 C.F.R. § 404.1520(e), a claimant will be found not disabled when he or she retains the RFC to perform "the actual functional demands and job duties of a particular past relevant job." Social Security Ruling (SSR) 82-61. Where the claimant can still perform the demands and duties of a former job as she actually performed it, a finding of non-disability is appropriate. 1 SSR 82-62 elaborates:
The claimant is the primary source for vocational documentation, and statements by the claimant regarding past work are generally sufficient for determining the skill level, exertional demands and non-exertional demands of such work. Determination of the claimant's ability to do [past relevant work] requires a careful appraisal of [first] the individual's statements as to which past work requirements can no longer be met and the reason(s) for his or her inability to meet those requirements; ... Adequate documentation of past work includes factual information about those work demands which have a bearing on the medically established limitations.
Id. (CE 1982) at 161-62 (emphasis added).
Although these requirements do not speak in terms of allocations of burdens of proof, th...
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