Oscar Perez v. Secretary of Health, Education and Welfare

622 F.2d 1, 1980 U.S. App. LEXIS 17462
CourtCourt of Appeals for the First Circuit
DecidedMay 16, 1980
Docket79-1208
StatusPublished
Cited by35 cases

This text of 622 F.2d 1 (Oscar Perez v. Secretary of Health, Education and Welfare) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Oscar Perez v. Secretary of Health, Education and Welfare, 622 F.2d 1, 1980 U.S. App. LEXIS 17462 (1st Cir. 1980).

Opinion

COFFIN, Chief Judge.

After working for many years as a plumber and then as a construction supervisor, Oscar Perez applied for Social Security disability benefits in 1977, at age 47. An administrative law judge (AU) agreed that Perez’s back, hernia, and possible heart conditions prevented him from returning to his former employment, but nevertheless found that Perez was able to perform certain light and sedentary jobs enumerated by a vocational expert. Adopting the ALJ’s decision, the Secretary of Health, Education and Welfare denied benefits. The question on appeal is whether the Secretary’s decision was supported by substantial evidence. 42 U.S.C. § 405(g).

*2 Perez attacks the Secretary’s decision primarily on the ground that it was “based exclusively on the evaluation of one non-treating physician designated by the Secretary, who examined [him] only once, to the disregard of overwhelming medical and clinical evidence of various treating physicians.” It is true that several doctors who treated Perez at the Veterans Administration Hospital and the Dr. Susoni Hospital diagnosed angina, a back ailment that affected his right leg, 1 and an inguinal hernia, and prescribed exercises, a corset, and medication including nitroglycerin and pain killers. 2 Furthermore, the two doctors from Dr. Susoni Hospital opined that Perez could not work. Nevertheless, we think it was within the Secretary’s province to accord greater weight to the report received from Dr. Melvyn Acosta Ruiz, an internist designated by the Secretary. See Richardson v. Perales, 402 U.S. 389, 399, 91 S.Ct. 1420, 1426, 38 L.Ed.2d 842 (1971).

First of all, Dr. Acosta’s findings were substantiated. His finding that there was “[n]o clinical evidence of classical angina pectoris or heart failure” was made on the basis of a physical examination and an electrocardiogram; he also noted the results of a Master’s test taken at the Veterans Administration Hospital. His comment that Perez’s hernia was correctible by surgery apparently followed from his judgment that Perez had no serious heart condition that would preclude surgery. 3 His conclusion that, even with chronic paravertebral lumbar fibromyositis, Perez had a full although painful range of motion in his back, was premised on the results of a physical examination during which he noted no muscle spasm, swelling, tenderness, or deformity of the back, and no atrophy, swelling, tenderness, or deformity of the extremities, and on x-ray results showing only mild osteoarthritis of the lumbar spine. Second, unlike the conclusory statements of disability made by the two Dr. Susoni Hospital doctors, Dr. Acosta’s evaluation of Perez’s residual functional capacity was detailed and accompanied by specific clinical and laboratory findings. See 20 C.F.R. § 404.1526 (1979). Although Dr. Acosta’s evaluation strikes us as a bit sanguine, considering his acknowledgement that Perez’s back condition is painful, we cannot say that the evaluation was baseless and that the Secretary was obliged to disregard it. Finally, Dr. Acosta’s opinion is consistent with some of the other evidence of record, e. g., electrocardiograms that were taken at the Veterans Hospital and appear to have been read there as “within normal limits,” and observations by agency interviewers that Perez appeared to be in no distress although he looked older than his years. 4

In short, while there was medical evidence and testimony from Perez and his daughter (a nurse) upon which a finding of disability could have been premised, we do not agree with Perez that the evidence supporting his claim was “overwhelming” and *3 virtually compelled a finding of disability. In other words, we think that Dr. Acosta’s report and other information of record amounted to substantial evidence, i. e., “such relevant evidence as a reasonable mind might accept to support a conclusion,” that he was not disabled. Richardson v. Perales, supra, at 401, quoting from Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229, 59 S.Ct. 206, 216, 83 L.Ed. 126 (1938). This case strikes us as different from others, cited by Perez, in which a single doctor’s report in conflict with considerable other evidence was found insufficient to sustain the denial of benefits. Hayes v. Gardner, 376 F.2d 517, 520-21 (4th Cir. 1967) (report by doctor who had never examined claimant); Miracle v. Celebrezze, 351 F.2d 361, 372-73 (6th Cir. 1965) (report by doctor whose estimate of 20% disability conflicted with his own findings concerning claimant’s back ailment, and who erroneously stated claimant had been wearing a back brace for one year instead of ten); Sebby v. Fleming, 183 F.Supp. 450, 454 (W.D.Ark.1960) (report that acknowledged claimant’s heart condition and said it could be class II or III but stated that claimant “should be able to do some work”). We also regard Dr. Acosta’s report as more informative about claimant’s fitness for work than the clinical notes we recently found wanting in Currier v. Secretary of Health, Education and Welfare, 612 F.2d 594, 596-97 (1st Cir. 1980), (psychiatrist did not explain the degree of claimant’s mental impairments or the reason for his conclusion that claimant was employable).

Perez also criticizes the Secretary for considering the fact that he collected unemployment benefits until September, 1977, while allegedly disabled. At the administrative hearing the ALJ asked Perez whether to get unemployment insurance he had to say he was willing to work if offered a job. Perez responded to the effect that he had no income so had to state he would accept work, and further testified that when asked if he had gone looking for a job he said yes. In his opinion, the ALJ said the fact that Perez collected unemployment benefits indicated Perez was “ostensibly ready, willing, and able to work.” It is not clear that the ALJ saw Perez’s collection of unemployment benefits as positive evidence he could work; it may be that the ALJ thought the evidence affected Perez’s credibility. In any event, although we have reservations about the significance of such evidence, we are reluctant to say that a claimant’s decision to hold himself out as able to work for the purpose of receiving unemployment benefits may never be considered on the issue of disability. But see Bartell v. Cohen, 445 F.2d 80, 82 (7th Cir.

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Bluebook (online)
622 F.2d 1, 1980 U.S. App. LEXIS 17462, Counsel Stack Legal Research, https://law.counselstack.com/opinion/oscar-perez-v-secretary-of-health-education-and-welfare-ca1-1980.