Lawrence v. SSA CV-99-198-JD 06/14/00 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE
Mark Lawrence
v. Civil No. 99-198-JD Opinion No. 2000DNH134 Kenneth S. Apfel, Commissioner Social Security Administration
O R D E R
Mark Lawrence seeks review pursuant to 42 U.S.C.A. § 405(g)
of the denial of his application for social security benefits.
Lawrence alleges a disability due to a combination of physical
and mental impairments. Following remand of the initial decision
of the Administrative Law Judge ("ALJ" ) , Lawrence was found to be
able to perform work other than his previous work and was
therefore determined not to be disabled. Lawrence appeals the
decision on the grounds that his intelligence guotient meets the
listing level for mental retardation and that the ALJ erred in
finding him not disabled without considering his vision
impairment. The Commissioner moves to affirm the decision
denying benefits.
_________________________ Standard of Review
The court must uphold a final decision of the Commissioner
denying benefits unless the decision is based on legal or factual error. See Manso-Pizarro v. Secretary of Health and Human
Servs., 76 F.3d 15, 16 (1st Cir. 1996) (citing Sullivan v.
Hudson, 490 U.S. 877, 885 (1989)). The Commissioner's factual
findings are conclusive if based on substantial evidence in the
record. See 42 U.S.C.A. § 405(g) and § 1383(c) (3) . Substantial
evidence is "such relevant evidence as a reasonable mind might
accept as adeguate to support a conclusion." Richardson v.
Perales, 402 U.S. 389, 401 (1971) (guotation omitted). The
Commissioner's findings are not conclusive "when derived by
ignoring evidence, misapplying the law, or judging matters
entrusted to experts." Nguyen v. Chater, 172 F.3d 31, 35 (1st
C i r . 1999).
Discussion
Lawrence's application was denied at step five of the
seguential evaluation process set forth in 20 C.F.R. § 404.1520.
The ALJ found that Lawrence was not able perform his past
relevant work as a pallet repairer or as an etcher plater. Based
on the opinion of a vocational expert, the ALJ determined that
Lawrence was able to perform work as an assembler of small parts
and as a checker and inspector, and that he was therefore not
disabled. Upon denial of review by the Appeals Council, the
ALJ's determination became the opinion of the Commissioner.
2 Lawrence first challenges the ALJ's determination at step
three of the analysis that his impairments did not meet or equal
the requirements of a listed impairment in 20 C.F.R. p t . 404,
subpt. P, a p p . 1. He contends that his intelligence quotient
meets the listing at § 12.05(D) for mental retardation and that
the ALJ erred in not finding him disabled due to mental
retardation. At step three, the claimant bears the burden of
proving that his condition meets or equals a listed impairment.
See Dudley v. Secretary of Health and Human Servs., 816 F.2d 792,
793 (1st Cir. 1987).
The listing at § 12.05(D) requires "[a] valid verbal,
performance, or full scale IQ of 60 through 70, . . . ." along
with at least two of four listed functioning difficulties or
deficiencies. The record establishes, and Lawrence acknowledges,
that his intelligence quotient for verbal, performance, and full
scale functioning has been measured to be in the range between 70
and 80. It is therefore unclear on what basis Lawrence claims to
meet or equal a listed impairment for mental retardation.
Instead, the record supports the ALJ's finding that Lawrence's
impairment does not meet or equal the criteria listed for an
impairment due to mental retardation.
Lawrence next contends that the ALJ erred in concluding that
he was not disabled at the fifth step in the analysis because the
3 jobs the vocational expert found he could perform would be
precluded due to his visual limitation, which was not included in
the hypothetical posed to the expert.1 At the fifth step, the
Commissioner has the burden to show that despite the claimant's
severe impairments, he retained the residual functional capacity
to do work other than his prior work and that work the claimant
can do exists in significant numbers in the relevant economies.
See Heggartv v. Sullivan, 947 F.2d 990, 995 (1st Cir. 1991) .
In making a disability determination, the ALJ is reguired to
consider all of the record evidence, including the medical
records and the claimant's own statements concerning his
abilities and limitations.See 20 C.F.R. § 404.1545(a); see also
Hickman v. Apfel, 187 F.3d 688, 689 (7th Cir. 1999); Clifton v.
Chater, 79 F.3d 1007, 1009-10 (10th Cir. 1996). The opinion of a
vocational expert as to whether a claimant is capable of
performing work may be relied upon as substantial evidence only
if the hypothetical posed to the expert is accurate, based on the
record evidence. See Marcotte v. Callahan, 992 F. Supp. 485, 493
(D.N.H. 1997) (citing Arocho v. Secretary of Health and Human
1In 1992, Lawrence was diagnosed by Dr. Joseph J. Raczek with stable amblyopia, which was correctable to 20/40 vision in his right eye and to 20/80 for distance and 20/100 for near vision in his left eye. Dr. Raczek indicated no physical limitations due to Lawrence's vision impairment.
4 Servs., 670 F.2d 374, 375 (1st Cir. 1982)). To be accurate, the
hypothetical must include all of the claimant's limitations that
are supported in the evidence of record. See Herron v. Shalala,
19 F.3d 329, 337 (7th Cir. 1994). A vision impairment can
constitute a significant limitation on a claimant's ability to
work. See Collado v. Apfel, 63 F. Supp. 2d 152, 159 (D.P.R.
1999).
At Lawrence's application hearing, the ALJ raised the issue
of Lawrence's vision based on a reference in the record that he
had been diagnosed in 1992 as having amblyopia. The ALJ asked to
be provided with an up-to-date opthalmological record and said
that he would then check with the vocational expert about what
effect, if any, Lawrence's vision diagnosis would have on the
expert's opinion as to the availability of jobs that he could
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Lawrence v. SSA CV-99-198-JD 06/14/00 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE
Mark Lawrence
v. Civil No. 99-198-JD Opinion No. 2000DNH134 Kenneth S. Apfel, Commissioner Social Security Administration
O R D E R
Mark Lawrence seeks review pursuant to 42 U.S.C.A. § 405(g)
of the denial of his application for social security benefits.
Lawrence alleges a disability due to a combination of physical
and mental impairments. Following remand of the initial decision
of the Administrative Law Judge ("ALJ" ) , Lawrence was found to be
able to perform work other than his previous work and was
therefore determined not to be disabled. Lawrence appeals the
decision on the grounds that his intelligence guotient meets the
listing level for mental retardation and that the ALJ erred in
finding him not disabled without considering his vision
impairment. The Commissioner moves to affirm the decision
denying benefits.
_________________________ Standard of Review
The court must uphold a final decision of the Commissioner
denying benefits unless the decision is based on legal or factual error. See Manso-Pizarro v. Secretary of Health and Human
Servs., 76 F.3d 15, 16 (1st Cir. 1996) (citing Sullivan v.
Hudson, 490 U.S. 877, 885 (1989)). The Commissioner's factual
findings are conclusive if based on substantial evidence in the
record. See 42 U.S.C.A. § 405(g) and § 1383(c) (3) . Substantial
evidence is "such relevant evidence as a reasonable mind might
accept as adeguate to support a conclusion." Richardson v.
Perales, 402 U.S. 389, 401 (1971) (guotation omitted). The
Commissioner's findings are not conclusive "when derived by
ignoring evidence, misapplying the law, or judging matters
entrusted to experts." Nguyen v. Chater, 172 F.3d 31, 35 (1st
C i r . 1999).
Discussion
Lawrence's application was denied at step five of the
seguential evaluation process set forth in 20 C.F.R. § 404.1520.
The ALJ found that Lawrence was not able perform his past
relevant work as a pallet repairer or as an etcher plater. Based
on the opinion of a vocational expert, the ALJ determined that
Lawrence was able to perform work as an assembler of small parts
and as a checker and inspector, and that he was therefore not
disabled. Upon denial of review by the Appeals Council, the
ALJ's determination became the opinion of the Commissioner.
2 Lawrence first challenges the ALJ's determination at step
three of the analysis that his impairments did not meet or equal
the requirements of a listed impairment in 20 C.F.R. p t . 404,
subpt. P, a p p . 1. He contends that his intelligence quotient
meets the listing at § 12.05(D) for mental retardation and that
the ALJ erred in not finding him disabled due to mental
retardation. At step three, the claimant bears the burden of
proving that his condition meets or equals a listed impairment.
See Dudley v. Secretary of Health and Human Servs., 816 F.2d 792,
793 (1st Cir. 1987).
The listing at § 12.05(D) requires "[a] valid verbal,
performance, or full scale IQ of 60 through 70, . . . ." along
with at least two of four listed functioning difficulties or
deficiencies. The record establishes, and Lawrence acknowledges,
that his intelligence quotient for verbal, performance, and full
scale functioning has been measured to be in the range between 70
and 80. It is therefore unclear on what basis Lawrence claims to
meet or equal a listed impairment for mental retardation.
Instead, the record supports the ALJ's finding that Lawrence's
impairment does not meet or equal the criteria listed for an
impairment due to mental retardation.
Lawrence next contends that the ALJ erred in concluding that
he was not disabled at the fifth step in the analysis because the
3 jobs the vocational expert found he could perform would be
precluded due to his visual limitation, which was not included in
the hypothetical posed to the expert.1 At the fifth step, the
Commissioner has the burden to show that despite the claimant's
severe impairments, he retained the residual functional capacity
to do work other than his prior work and that work the claimant
can do exists in significant numbers in the relevant economies.
See Heggartv v. Sullivan, 947 F.2d 990, 995 (1st Cir. 1991) .
In making a disability determination, the ALJ is reguired to
consider all of the record evidence, including the medical
records and the claimant's own statements concerning his
abilities and limitations.See 20 C.F.R. § 404.1545(a); see also
Hickman v. Apfel, 187 F.3d 688, 689 (7th Cir. 1999); Clifton v.
Chater, 79 F.3d 1007, 1009-10 (10th Cir. 1996). The opinion of a
vocational expert as to whether a claimant is capable of
performing work may be relied upon as substantial evidence only
if the hypothetical posed to the expert is accurate, based on the
record evidence. See Marcotte v. Callahan, 992 F. Supp. 485, 493
(D.N.H. 1997) (citing Arocho v. Secretary of Health and Human
1In 1992, Lawrence was diagnosed by Dr. Joseph J. Raczek with stable amblyopia, which was correctable to 20/40 vision in his right eye and to 20/80 for distance and 20/100 for near vision in his left eye. Dr. Raczek indicated no physical limitations due to Lawrence's vision impairment.
4 Servs., 670 F.2d 374, 375 (1st Cir. 1982)). To be accurate, the
hypothetical must include all of the claimant's limitations that
are supported in the evidence of record. See Herron v. Shalala,
19 F.3d 329, 337 (7th Cir. 1994). A vision impairment can
constitute a significant limitation on a claimant's ability to
work. See Collado v. Apfel, 63 F. Supp. 2d 152, 159 (D.P.R.
1999).
At Lawrence's application hearing, the ALJ raised the issue
of Lawrence's vision based on a reference in the record that he
had been diagnosed in 1992 as having amblyopia. The ALJ asked to
be provided with an up-to-date opthalmological record and said
that he would then check with the vocational expert about what
effect, if any, Lawrence's vision diagnosis would have on the
expert's opinion as to the availability of jobs that he could
perform. The ALJ left the record open for ten days for the
submission of additional medical evidence, and Lawrence sent Dr.
Raczek's 1992 records showing his diagnosis of amblyopia and a
loss of visual acuity even with correction. The ALJ did not ask
for additional medical evidence on Lawrence's vision and did not
consult the vocational expert as to what effect the diagnosis
would have on her opinion. The ALJ did not mention Lawrence's
diagnosed vision impairment in his determination, and he relied
on the jobs recommended by the vocational expert, who had not
5 been informed of the diagnosis.
Despite the ALJ's failure to address Lawrence's vision
impairment, the Commissioner argues that the record contains
substantial evidence to support a determination that Lawrence's
ability to work was not affected. The Commissioner points to
evidence of Lawrence's daily activities to show that his ability
to function was not impaired by his vision loss. In particular,
the Commissioner notes that Lawrence was able to watch television
and play darts and was able to do cooking, cleaning, laundry,
housekeeping, and shopping, although he preferred to have his
girlfriend do those tasks.
The jobs recommended by the vocational expert could be
expected to reguire some level of visual acuity for close work.
Nothing in the record indicates what effect Lawrence's diagnosed
condition of amblyopia and corrected near vision in his right eye
to 20/100 and to 20/40 in his left eye would have on his ability
to assemble small parts or to check and inspect parts. The ALJ
did not explain, as the Commissioner has attempted to do after
the fact, whether he considered Dr. Raczek's diagnosis in light
of Lawrence's daily activities, or otherwise. In fact, the ALJ
did not address Lawrence's vision limitations in his decision at
all. Further, absent expert opinion, the ALJ is not gualified to
interpret Dr. Raczek's diagnosis to determine its effect on
6 Lawrence's functional capacity to do the jobs recommended by the
vocational expert. See Manso-Pizarro, 76 F.3d at 17. The ALJ's
apparent failure to consider Lawrence's vision impairment is not
merely a technical deficiency but instead prevents a reasoned
review of the Commissioner's decision to deny benefits. See
Senne v. Apfel, 198 F.3d 1065, 1067 (8th Cir. 1999); Collado, 63
F. Supp. 2d at 159.
Since Lawrence's visual limitation was not included in the
hypothetical posed to the vocational expert, her opinion does not
accurately state his ability to work in the relevant job market
and does not constitute substantial evidence of Lawrence's
ability to work. Therefore, the ALJ's determination that
Lawrence is not disabled is not supported by substantial evidence
in the record. Since the Commissioner has not carried the burden
at step five to show that substantial evidence in the record
supports his decision, the decision is vacated, and the case is
remanded for further proceedings.
Conclusion
_____ For the foregoing reasons, the claimant's motion (document
no. 8) is granted to the extent that the decision of the
Commissioner is vacated and the case is remanded for further
proceedings. The Commissioner's motion (document no. 9) is
7 denied. Because this is a sentence four determination, the clerk
of court shall enter judgment and close the case.
SO ORDERED.
Joseph A. DiClerico, Jr. District Judge
June 14, 2000
cc: Robert E. Raiche Sr., Esguire David L. Broderick, Esguire