Santiago-Jimenez v. SHHS ( 1993 )


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  •                     [NOT FOR PUBLICATION]
    UNITED STATES COURT OF APPEALS
    FOR THE FIRST CIRCUIT
    No. 92-1970
    JULIO SANTIAGO-JIMENEZ,
    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. Juan M. Perez-Gimenez, U.S. District Judge]
    Before
    Torruella, Cyr and Stahl,
    Circuit Judges.
    Savador Medina De La Cruz, on brief for appellant.
    Daniel F. Lopez  Romo, United States Attorney,  Jose Vazquez
    Garcia,  Assistant  United  States Attorney,  and  Amy  S. Knopf,
    Assistant  Regional  Counsel,  Department  of  Health  and  Human
    Services on brief for appellee.
    June 9, 1993
    Per Curiam.     Claimant appellant  Julio Santiago-
    Jimenez filed an  application for social security  disability
    benefits  in June,  1986.   He alleged  an inability  to work
    beginning January,  1986, due to  a cardiovascular condition.
    Claimant was 37  years old on the date of alleged onset.  His
    most recent employment had been as a laborer and packer, jobs
    which required heavy physical exertion.
    There have  been two  evidentiary hearings  in this
    case.  At the first  hearing on December 16, 1987, appellant,
    his   wife,   and   a  medical   advisor   testified.     The
    administrative law judge ("ALJ") held appellant not  disabled
    at  step  five of  the  sequential evaluation  process.   See
    Goodermote v.  Secretary of  HHS, 
    690 F.2d 5
    , 6-7  (1st Cir.
    1982).  Specifically, the ALJ found that while  appellant had
    a  severe impairment  which  precluded  return  to  his  past
    relevant  work,  he nevertheless  had  a  residual functional
    capacity for the  full range of light work  jobs available in
    the  economy.    The  ALJ's  functional  capacity assessment,
    however,  had been made without the assistance of a qualified
    physician.   On appeal  to the district  court, the  case was
    remanded  to the  ALJ for further  consideration in  light of
    this  court's previous  decisions.    See Rivera-Figueroa  v.
    Secretary of  HHS, 
    858 F.2d 48
    , 52 (1st Cir.  1988); Rivera-
    Torres v. Secretary of HHS, 
    837 F.2d 4
    , 7 (1st Cir. 1988) (a
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    lay  fact-finder is  not  qualified  to determine  functional
    capacity solely on the basis of bare medical findings).
    On  remand, the ALJ held a supplementary hearing at
    which he heard  more testimony from claimant, as  well as the
    testimony  of a  second  medical  advisor  and  a  vocational
    expert.   On the basis  of the  entire record,  the ALJ  then
    concluded that  appellant retained  a capacity  for sedentary
    jobs which  existed in significant numbers in the economy, as
    well as one or two positions identified as "light" work jobs.
    Appellant   appealed  to  the  district  court  again.    The
    magistrate-judge issued  a report recommending  affirmance of
    the  ALJ's  decision.     The  district  court   adopted  the
    magistrate's   report  and   recommendation,  affirming   the
    Secretary.  This appeal followed.  We, too, affirm.
    We are met at the  outset with an argument from the
    Secretary  that  the  appeal  should   be  dismissed  because
    appellant allegedly failed  to file timely objections  to the
    magistrate's report in the  district court.  Failure  to file
    specific  objections to a magistrate's report within the time
    allowed  ordinarily waives the  right to appeal  the district
    court's order.   Thomas v.  Arn, 
    474 U.S. 140
      (1985); United
    States  v. Valencia-Copete,  
    792 F.2d 4
      (1st  Cir.  1986).
    Appellant's  alleged  late  filing  in  this  case,  however,
    contained specific objections  to the report,  as well as  an
    assertion that  he  had received  the  report only  six  days
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    earlier.     The  Secretary  did  not   challenge  claimant's
    assertion of  late notice in  the court below, nor  object in
    any way to the district court's consideration of the  merits.
    The district  judge adopted the  magistrate's report  without
    reference to the timeliness of  the objections.  We thus have
    no  reason  to  consider the  Secretary's  belated procedural
    challenge here.
    Appellant's argument on the merits is confined to a
    single issue:  whether the ALJ correctly determined on remand
    that  appellant  is  capable  of  performing sedentary  work,
    despite  evidence that he suffers from occasional episodes of
    chest pain.  On this review our task is to determine  whether
    the  Secretary's  findings   are  supported  by  "substantial
    evidence."   Although the record  may support  more than  one
    conclusion,  we uphold the Secretary when "a reasonable mind,
    reviewing the evidence in the record as a whole, could accept
    it  as  adequate  to  support  his  conclusion."    Ortiz  v.
    Secretary of HHS, 
    955 F.2d 765
    , 769 (1st Cir. 1991), quoting
    Rodriguez v.  Secretary of HHS,  
    647 F.2d 218
    , 222  (1st Cir.
    1981);  see also  Richardson v.  Perales, 
    402 U.S. 389
    ,  401
    (1971).  Resolutions of conflicts in the evidence are for the
    Secretary.  Ortiz, 
    955 F.2d at 769
    ; Evangelista v. Secretary
    of HHS, 
    826 F.2d 136
    , 141  (1st Cir. 1987).  Where the  facts
    permit  diverse inferences, we  will affirm the  Secretary so
    long as the inferences drawn  are supported by the  evidence.
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    Rodriguez Pagan v. Secretary of HHS, 
    819 F.2d 1
    , 3 (1st  Cir.
    1987),  cert.  denied,  
    484 U.S. 1012
      (1988);  Lizotte  v.
    Secretary of HHS, 
    654 F.2d 127
    , 128 (1st Cir. 1981).
    Using the criteria for the evaluation of complaints
    of pain set forth in Avery  v. Secretary of HHS, 
    797 F.2d 19
    (1st  Cir. 1986),  the  ALJ  determined  that  the  objective
    medical  findings   in  the   record  did   not  substantiate
    appellant's  claims  of  functionally limiting  pain  to  the
    degree   alleged.    There   was  ample  evidence   for  this
    conclusion.    While  appellant's  chest  condition had  been
    variously  diagnosed, both  medical  advisors testified  that
    claimant's pain  was not ischemic in nature,  but was instead
    associated  with  costochondritis,  an  inflammation  of  the
    cartilage connecting  the ribs to  the sternum.   They stated
    that  the  condition  is treatable  with  steroids  and anti-
    inflammatory  medications.   While costochondritis  can cause
    severe  pain,  both  medical  advisors  concluded   that  the
    diagnosis  alone  did not  dictate  a medical  basis  for the
    frequency  and  degree of  functionally  limiting pain  which
    appellant alleged.
    At the supplementary  hearing, the medical  advisor
    also testified that, despite  appellant's chest condition, he
    retained a functional capacity for sedentary work.  Appellant
    was found able to  lift ten pounds, sit and stand  for six to
    eight  hours at  a time,  and change  positions.   The expert
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    based his  opinion on all  of the medical records  and tests,
    expressly    including    consideration     of    appellant's
    costochondritis  as  well  as   his  occasional  tachycardia,
    controlled hypertension, pain, and the effects of appellant's
    various  medications.     While  the  expert   conceded  that
    appellant  would  be unable  to  work during  any  episode of
    uncontrolled severe pain,  which might occur on  average once
    per week, he stated that such  an episode would be of limited
    duration, lasting no more than one hour.  He based the latter
    estimate  largely  on  appellant's own  testimony  as  to the
    effectiveness  of prescribed  medication  in controlling  his
    pain.
    The  vocational   expert  also  testified   to  the
    existence of a series of jobs which a person with appellant's
    skills and stamina could perform, despite occasional episodes
    of severe  pain.  In  sum, there was substantial  evidence to
    support the ALJ's conclusion that claimant was "not disabled"
    at step five.             Appellant  argues   that  the   ALJ
    should, instead, have  credited appellant's testimony  to the
    effect  that  he  suffered much  more  frequent  (even daily)
    debilitating  bouts of  pain.  Both  the medical  advisor and
    vocational  expert agreed that  if appellant's bouts  of pain
    were as severe and frequent as he claimed, appellant would be
    unable to perform any sedentary job in the economy.  However,
    evaluation of  the credibility of  unsubstantiated subjective
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    reports of pain is for the Secretary -- not the courts  -- to
    resolve.  Evangelista v. Secretary  of HHS, 
    826 F.2d 136
     (1st
    Cir.  1987). "The credibility  determination by the  ALJ, who
    observed the claimant, evaluated his demeanor, and considered
    how that testimony  fit in with the rest of  the evidence, is
    entitled to  deference, especially when supported by specific
    findings."  Frustaglia v. Secretary of
    HHS, 
    829 F.2d 192
    , 195 (1st Cir. 1987).
    Accordingly, the decision below is affirmed.
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