Ruth A. Kisling v. Shirley S. Chater ( 1997 )


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  •                                    ___________
    No. 96-2253
    ___________
    Ruth A. Kisling,                    *
    *
    Appellant,               *
    *    Appeal from the United States
    v.                            *    District Court for the
    *    Eastern District of Arkansas.
    Shirley S. Chater, Commissioner     *
    of the Social Security              *
    Administration,                     *
    *
    Appellee.                *
    ___________
    Submitted:      December 9, 1996
    Filed:   February 5, 1997
    ___________
    Before WOLLMAN, BRIGHT, and MURPHY, Circuit Judges.
    ___________
    WOLLMAN, Circuit Judge.
    Ruth A. Kisling appeals from the district court's1 order affirming
    the decision of the Commissioner of the Social Security Administration,
    denying her claim for Supplemental Security Income (SSI) benefits.       We
    affirm.
    I.
    Kisling filed for benefits on January 15, 1993, claiming disability
    due to arthritis, bronchitis, and asthma.         At her hearing before an
    administrative law judge (ALJ), Kisling testified to arthritis pain,
    bronchitis, asthma, and bad nerves.    She also stated that she often became
    depressed and angry.
    1
    The Honorable Jerry W. Cavaneau, United States Magistrate
    Judge for the Eastern District of Arkansas, to whom this case was
    referred for final disposition pursuant to 28 U.S.C. § 636(c).
    The ALJ found that Kisling suffered from bronchitis and dysthymia2.
    Analyzing Kisling's claim under the framework outlined in 20 C.F.R. §§
    416.920 and 416.920a, the ALJ found that while these impairments were
    severe, they did not meet the requirements for listed impairments.           The ALJ
    concluded that Kisling retained the residual functional capacity to perform
    her past relevant work as a shirt factory worker, and therefore denied
    benefits.
    The Appeals Council denied Kisling's request for review.                      The
    district court granted summary judgment for the Commissioner.             On appeal,
    Kisling argues that the Commissioner's decision was not supported by
    substantial evidence, that the ALJ's credibility determinations were
    erroneous, and that the ALJ failed to consider the combined effect of her
    impairments on her ability to perform her past relevant work.
    II.
    Our   review   on   appeal   is   limited   to   determining   whether   the
    Commissioner's decision is supported by substantial evidence on the record
    as a whole.     See 42 U.S.C. § 405(g); Comstock v. Chater, 
    91 F.3d 1143
    , 1145
    (8th Cir. 1996); Johnson v. Chater, 
    87 F.3d 1015
    , 1017 (8th Cir. 1996).
    "Substantial evidence is that which a reasonable mind would find as
    adequate to support the Commissioner's decision."              
    Comstock, 91 F.3d at 1145
    ; see 
    Johnson, 87 F.3d at 1017
    .
    The record clearly supports the Commissioner's determination that
    Kisling's physical impairments do not inhibit her ability to perform her
    past relevant work.      The medical evidence does not show
    2
    Dysthymia is a mood disorder characterized by a depressed
    feeling and loss of interest or pleasure in one's usual activities
    that persists for more than two years but is not severe enough to
    meet the criteria for major depression.       Richard Sloane, The
    Sloane-Dorland Annotated Medical-Legal Dictionary 204 (1992 Supp.).
    -2-
    that Kisling suffers from arthritis or from any other afflictions that
    might impair her ability to work.    Medical records do confirm that Kisling
    suffers from chronic, and occasionally acute bronchitis, but there is no
    evidence that her pulmonary function is significantly compromised, and no
    physician has ever restricted her activities because of her pulmonary
    status.     Moreover, there is no evidence in the record showing that
    Kisling's pulmonary condition would inhibit her ability to work as a shirt
    factory worker.3
    Furthermore, the medical records show that Kisling's respiratory
    problems are related to her smoking habit.            Although her physicians
    repeatedly recommended that she curb her smoking, Kisling did not heed this
    advice.   Impairments that are controllable or amenable to treatment do not
    support a finding of disability, and "[f]ailure to follow a prescribed
    course of remedial treatment without good reason is grounds for denying an
    application for benefits."     Roth v. Shalala, 
    45 F.3d 279
    , 282 (8th Cir.
    1995); see 20 C.F.R. § 416.930(b).
    The record    also   supports   the    Commissioner's   determination   that
    Kisling's mental condition does not impair her capacity to perform her past
    relevant work.   Kisling's treating psychiatrist, Dr. Gary Tharp, noted on
    December 19, 1992, that her dysthymia was in remission.        In reports dated
    May 8, 1993 and July 10, 1993, Tharp did note that Kisling exhibited
    schizoid avoidance features.    In two subsequent reports dated August 28,
    1993 and October 30, 1993, however, Tharp does not mention any such
    features.    Moreover, in the July 10th, August 28th, and October 30th
    reports, Tharp described Kisling as alert and oriented, in a good mood,
    maintaining a normal speech pattern, exhibiting appropriate
    3
    Kisling alleges that the ALJ breached his duty to adequately
    develop the record. See Mitchell v. Shalala, 
    25 F.3d 712
    , 714 (8th
    Cir. 1994). The record itself, however, is sufficiently developed;
    the documents and testimony simply fail to support Kisling's
    claims.
    -3-
    reactions, and presenting no evidence of psychosis or suicidal or homicidal
    thoughts.
    We also find that the ALJ properly assessed the credibility of
    Kisling and her sister and was justified in discounting their testimony
    regarding Kisling's subjective complaints of pain.             The ALJ based his
    credibility    assessment   on   specific    inconsistencies   between   Kisling's
    complaints and the record as a whole, as required by Polaski v. Heckler,
    
    739 F.2d 1320
    , 1322 (8th Cir. 1984).          He    noted the absence of medical
    evidence supporting Kisling's subjective complaints of pain, a factor that
    supports the discounting of such complaints.            See 
    Comstock, 91 F.3d at 1147
    .      He also relied on the fact that Kisling was not on any pain
    medication, which we have held "is ``inconsistent with subjective complaints
    of disabling pain.'"   
    Johnson, 87 F.3d at 1017
    (quoting Haynes v. Shalala,
    
    26 F.3d 812
    , 814 (8th Cir. 1994)).     The ALJ additionally noted that Kisling
    took care of her own daily personal needs, and that no physician had
    instructed her to limit herself in any capacity.           Finally, he cited the
    opinion of Kisling's therapist that Kisling's motivation to work was
    suspect.    These enumerated findings support the ALJ's decision to discount
    Kisling's subjective complaints of pain.           See 
    Polaski, 739 F.2d at 1322
    .
    Likewise, because Kisling's sister merely stated that Kisling's testimony
    was true and not exaggerated, the ALJ was justified in discrediting her
    testimony as well.   See Brown v. Chater, 
    87 F.3d 963
    , 966 (8th Cir. 1996)
    (ALJ may disbelieve witness's testimony due to suspect nature).
    Finally, contrary to Kisling's assertion, we find that the ALJ
    properly considered the combined effect of Kisling's impairments.          See 20
    C.F.R. § 416.923; Weikert v. Sullivan, 
    977 F.2d 1249
    , 1251 (8th Cir. 1992).
    Overall, the evidence in the record supports the Commissioner's conclusion
    that Kisling's impairments did not inhibit her ability to perform her past
    relevant work.
    -4-
    The judgment is affirmed.
    A true copy.
    Attest:
    CLERK, U. S. COURT OF APPEALS, EIGHTH CIRCUIT.
    -5-