Rivera v. Chater

952 F. Supp. 81, 1997 U.S. Dist. LEXIS 960, 1997 WL 40122
CourtDistrict Court, D. Puerto Rico
DecidedJanuary 24, 1997
DocketCivil No. 96-1437 (PG)
StatusPublished

This text of 952 F. Supp. 81 (Rivera v. Chater) is published on Counsel Stack Legal Research, covering District Court, D. Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rivera v. Chater, 952 F. Supp. 81, 1997 U.S. Dist. LEXIS 960, 1997 WL 40122 (prd 1997).

Opinion

OPINION AND ORDER

PEREZ-GIMENEZ, District Judge.

1. Introduction

This is an action brought under section 205(g) of the Social Security Act (“the Act”), as amended, 42 U.S.C. § 405(g) (1994), to review the decision of the Commissioner of Social Security (the “Commissioner”), which denied Plaintiffs application for a period of disability and disability insurance benefits.

The U.S. Magistrate Judge rendered a report recommending that the Commissioner’s decision be affirmed. No opposition was filed thereto.

2. Question Presented and Standard of Review

The question presented is whether the Commissioner’s determination is supported by substantial evidence on the record as a whole. Under the standards established in the Act, the reviewing court may not substitute its judgment for that of the Commissioner. The findings as to any fact, if supported by substantial evidence, shall be conclusive. 42 U.S.C. § 405(g); Manso-Pizarro v. Secretary of Health and Human Services, 76 F.3d 15, 16 (1st Cir.1996). We are therefore bound only to ascertain whether the Commissioner’s decision is supported by substantial evidence from the record as a whole. Irlanda Ortiz v. Secretary of Health and Human Services, 955 F.2d 765, 769 (1st Cir.1991).

3. Background

Plaintiff Concepción Rivera is now fifty-five years of age. He has previously worked in construction.. He alleges he became unable to work beginning August 7,1984 due to ulcers and HIV. He last met his insured status on March 31,1985.

Plaintiff filed an application for a period of disability and disability insurance benefits on July 21, 1994. It was denied initially and upon reconsideration.1 Following a hearing before an Administrative Law Judge (“AL J”) at which Plaintiff testified,2 the ALJ found Plaintiff not to be disabled because he did not have a medically determinable impairment on or before March 31, 1985, his date last insured (“DLI”). The Appeals Council denied the request for review, rendering the ALJ’s decision the final decision of the Commissioner.

4. Discussion

In order for Plaintiff to be eligible for disability benefits, he must provide evidence of his disability between the alleged onset date (August 7, 1984) and his DLI (March 31, 1985). His subjective complaints cannot provide the basis of entitlement when they are not supported by medical evidence. 42 U.S.C. § 423(d)(5)(A); Avery v. Secretary of Health and Human Services, 797 F.2d 19, 20-21 (1st Cir.1986); Winn v. Heckler, 762 F.2d 180, 182 (1st Cir.1985).

The record contains no evidence that would sustain a finding of disability. The only reference to any condition within the relevant period of time is Plaintiff’s own report that he was hospitalized in September 1984 for a bleeding ulcer. There is no record from the hospital or any physician documenting this episode, nor is there any indication that it was disabling under the meaning of the Act.3 Everything else reported by Plain[83]*83tiff is from before the alleged onset date or after his DLI, and none of it is supported by records from a medical source, with the single exception of a letter from Dr. Angeles Rodriguez stating that Plaintiff has been a patient of the Carolina Regional Hospital Immunological Center since August 1998, due to a condition associated with HIV.4

The evidence following the DLI cannot reasonably be related back to 1984-85. Plaintiff was diagnosed as HIV-positive in 1987, but there is no indication that he was symptomatic then or prior to that time. He stated that his doctors have not forbidden any activities and have told him to work according to his strength. During the hearing, Plaintiff did mention some subjective complaints of stomach discomfort, weight loss, diarrhea, vomiting, dizziness and headaches, and the record also contains his claims that he can no longer clean the yard or do gardening, and that driving exhausts him; however, without any medical record to back them up, they cannot form the basis for entitlement.

5. Actions by Plaintiff’s Counsel

The review would come to a close at this point; however, the Court considers it necessary to address the troubling manner in which Plaintiffs counsel has argued this appeal. This has included misrepresentations of the record and arguments with no basis in the record.

Counsel argues that the “record is permeated by various complaints and symptoms such as pain, of physical and mental origin; nervousness, side effects of medication, etc.” Counsel does not refer to the record, and it is simply not the case that any such complaints “permeate” it. Not only is there no reference at all to pain of mental origin or to nervousness, physical symptoms were only mentioned at the hearing (once when Plaintiff complained of stomach discomfort and having lost weight, again when he said he gets diarrhea, vomiting, dizziness and headaches, and finally, when he said he would get dizzy and fall if he got up on a roof to work), and once in the disability report, where he wrote that driving exhausts him. This does not constitute “permeating” the record (which is hardly surprising, since there is not much of a record to permeate).

Counsel also argues at some length that his “greatest difficulty” is that the ALJ impermissibly found that Plaintiff had the residual functional capacity (“RFC”) to perform all work without an RFC assessment completed by a treating or examining source, and that it is “essential that the raw medical data be translated by a medical expert____” The ALJ, however, had no occasion to make any such assessment on her own, because she found that Plaintiff did not have a severe impairment. The ALJ’s analysis ended at Step II; RFC assessments do not become relevant until Step TV, when it has already been determined that the claimant has a severe impairment. The ALJ did not and could not have taken it upon herself to interpret raw medical data, because there are no medical records.

Counsel also adds that an expert is particularly important when there might be RFC assessments in a prior file that “the ALJ chose to ignore and/or did not secure.” He then expounds on an ALJ’s responsibility to make every reasonable effort to help the claimant obtain his medical records, suggesting that the ALJ failed to do so.

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Bluebook (online)
952 F. Supp. 81, 1997 U.S. Dist. LEXIS 960, 1997 WL 40122, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rivera-v-chater-prd-1997.