Velez v. SHHS ( 1995 )


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  • USCA1 Opinion



    December 14, 1995 [NOT FOR PUBLICATION]

    UNITED STATES COURT OF APPEALS
    FOR THE FIRST CIRCUIT



    ____________________


    No. 95-1646

    DAVIS VELEZ,

    Plaintiff, Appellant,

    v.

    SECRETARY OF HEALTH AND HUMAN SERVICES,

    Defendant, Appellee.


    ____________________

    APPEAL FROM THE UNITED STATES DISTRICT COURT

    FOR THE DISTRICT OF PUERTO RICO


    [Hon. Carmen Consuelo Cerezo, U.S. District Judge] ___________________

    ____________________

    Before

    Selya, Stahl and Lynch,
    Circuit Judges. ______________

    ____________________

    Raymond Rivera Esteves on brief for appellant. ______________________
    Guillermo Gil, United States Attorney, Maria Hortensia Rios, ______________ ______________________
    Assistant United States Attorney, and Nancy B. Salafia, Assistant _________________
    Regional Counsel, Social Security Administration, on brief for
    appellee.


    ____________________


    ____________________















    Per Curiam. Davis Velez appeals from a district court __________

    judgment affirming a decision of the Secretary of Health and

    Human Services denying Velez's application for social

    security disability benefits. We affirm.

    Velez applied for social security benefits on September

    10, 1992, alleging that he could not work due to "nerves,

    back, and ankle pain." After a hearing, an Adminstrative Law

    Judge (ALJ) concluded that Velez has a severe combination of

    impairments with a history of herniated nucleus pulposus and

    depression and anxiety related disorders. He also found that

    Velez is unable to perform his past work. However, the ALJ

    concluded that Velez has the residual functional capacity for

    light work, exclusive of jobs requiring him to perform

    complex tasks or to have frequent contact with the public.

    Finally, the ALJ ruled that, based on the testimony of a

    vocational expert (VE) and application of the Grid, Velez is

    not disabled because there are light, unskilled jobs that he

    can perform.

    Velez does not argue on appeal that he lacks the

    physical capacity for light work. Instead, he argues that

    the ALJ erred in his findings regarding Velez's mental

    capacity. We review the Secretary's decision under a

    "substantial evidence" standard; we will affirm that decision

    if it is supported by "``such relevant evidence as a

    reasonable mind might accept as adequate to support a

    conclusion.'" Richardson v. Perales, 402 U.S. 389, 401 __________ _______

    (1971) (quoting Consolidated Edison Co. v. NLRB, 305 U.S. ________________________ ____

    197, 229 (1938)); see also Rodriguez Pagan v. Secretary of ________ _______________ ____________
















    Health & Human Servs., 819 F.2d 1, 3 (1st Cir. 1987) (per ______________________

    curiam), cert. denied, 484 U.S. 1012 (1988). ____________

    The medical record reveals that Velez was seen at the

    Mental Health Center in Arecibo on July 28, 1992. Although

    Velez appeared anxious and somewhat depressed, he was also

    cooperative, logical, and coherent with apparently normal

    intellect. He was diagnosed as suffering from adjustment

    problems, with depressive mood, and was prescribed

    medication.

    Between September 11, 1992 and January 22, 1993, Velez

    was seen on six occasions at the State Insurance Fund in

    connection with his mental condition. On October 7, 1992,

    Dr. Lopez Cumpiano evaluated Velez and diagnosed him as

    suffering from anxiety disorder with depressive traits.

    Although Dr. Lopez noted that Velez reported episodes of

    auditive and visual hallucinations, he found that Velez was

    in contact with reality and presented no thought

    disturbances. He also found that Velez was clear and

    oriented, with fair memory, unimpaired judgment, fair

    insight, and preserved intellectual ability. The remaining

    records from the State Insurance Fund are not very

    informative, but Velez is consistently described as alert and

    oriented.

    On November 10, 1992, Velez was examined by Dr. Mojica

    Sandoz, a consultant to the Secretary. Dr. Mojica observed



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    that Velez was markedly anxious and tense, and that his

    movements were somewhat slow. However, Dr. Mojica found that

    Velez was accessible, cooperative, and frank, and that he did

    not show any difficulty in establishing adequate and lasting

    interpersonal relationships. He further found that Velez had

    adequate capacity to pay attention and to concentrate, was

    oriented, functioned with an average intellectual makeup, and

    had adequate judgment and memory. The diagnosis was

    moderate, generalized anxiety disorder.

    A non-examining medical consultant to the Secretary

    reviewed much of this evidence and completed both a

    Psychiatric Review Technique form and a Mental Residual

    Functional Capacity Assessment. Although the consultant

    noted some moderate limitations on various capacities

    required for unskilled work, he reached the general

    conclusion that Velez is capable of functioning in a non-

    demanding work environment--with simple instructions,

    routines, and decisions--as long as Velez is not required to

    have frequent contact with the general public.1 These

    latter limitations were reflected in a hypothetical posed to

    the VE, who, in turn, identified specific jobs in the local





    ____________________

    1. A second consultant, who apparently reviewed all of the
    evidence, agreed with the first consultant's conclusions
    without additional comment.

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    economy that Velez could perform.2 Under the circumstances,

    we think that there is substantial evidence to support the

    Secretary's finding of no disability. We add that since the

    ALJ adopted the consultant's general conclusions regarding

    Velez's mental limitations, any differences in the boxes

    checked on the Psychiatric Review Technique form by the ALJ

    and the consultant are of no consequence.

    Affirmed. _________






















    ____________________

    2. Velez suggests that the hypothetical posed to the VE was
    incomplete since it did not include all of the moderate
    limitations noted by the consultant. See Arocho v. Secretary ___ ______ _________
    of Health & Human Servs., 670 F.2d 374, 375 (1st Cir. 1982) _________________________
    (hypothetical must accurately reflect claimant's
    limitations). This argument was not presented to the
    district court, and we deem it waived. See, e.g., Sandstrom ___ ____ _________
    v. Chemlawn Corp., 904 F.2d 83, 87 (1st Cir. 1990). In any ______________
    event, we think that the consultant's findings regarding
    these moderate limitations were subsumed in his general
    conclusion, and that the hypothetical accurately reflected
    this conclusion.

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