Opinion · Court of Appeals for the Ninth Circuit

Wanda GREGORY, Plaintiff-Appellant, v. Otis R. BOWEN, Secretary of Health and Human Services, Defendant-Appellee

Wanda GREGORY, Plaintiff-Appellant, v. Otis R. BOWEN, Sec’y of Health & Hum. Servs., Defendant-Appellee, 844 F.2d 664 (9th Cir. 1988)

Type
Opinion
Court
Court of Appeals for the Ninth Circuit
Jurisdiction
Federal
Date
1988-04-14
Topic
employee-benefits-and-executive-compensation

holding that where a claimant was able to work 12 with the same condition now argued to be disabling, the ALJ did not err in finding plaintiff not 13 disabled | observing that a claimant’s health condition “had remained constant for a number of years . . . [but] had not prevented her from working over that time” | finding that the plaintiff’s ability to work with back pain that had remained 14 constant over a number of years supported the ALJ’s finding that the claimant was not 15 disabled | finding that substantial 24 evidence supported determination that claimant’s back problems were not 25 disabling where her condition remained constant for several years and the 26 impairment had not prevented her from working during that time | finding that the claimant’s back problems had remained constant for a number of years and had not prevented her from working, which are substantial evidence to support the decision that the claimant’s back problems did not render her disabled | approving ALJ’s finding that symptoms were not disabling when they did not prevent the claimant from working in the past | upholding an ALJ’s decision when substantial evidence indicated that the plaintiff’s back pain “had remained constant for a number of years” and “had not prevented her from working over that time.” | noting comparison to Thompson, but not directly citing it for the proposition | finding 19 substantial evidence supported determination that claimant’s back problems were 20 not disabling where her condition remained constant for several years and the 2 1 impairment had not prevented her from working during that time | affirming the ALJ’s decision that the claimant’s “lengthy history of lower back problems did not render her disabled” where “substantial evidence indicated that . . . her back problems had not prevented her from working [in the past]” | Upholding ALJ’s finding back problems 20 were not disabling where “substantial evidence indicated that the condition of Gregory’s back 21 had remained constant for a number of years and that her back problems had not prevented her 22 from working over that time.” | ALJ may consider a claimant’s prior ability to work with an impairment when evaluating the alleged limiting effect of that impairment | back condition had remained constant for a number of years but had not prevented claimant from working over that time | in discounting plaintiff’s ability to work, ALJ properly relied on plaintiff’s actual continued work despite existence of allegedly disabling back problem | ALJ may consider a claimant’s prior ability to work with an impairment when evaluating the alleged limiting effect of that impairment | substantial evidence supported ALJ’s finding that 12 claimant was not disabled where her condition remained constant for a number of years and she 13 had worked during that time | “[S]ubstantial evidence 2 indicated that [plaintiff’s] condition . . . remained constant for a number of years and that her 3 back problems had not prevented her from working over that time.” | “The doctrine of res judicata should not be applied rigidly in administrative proceedings.” | “[S]ubstantial 16 evidence indicated that the condition of [plaintiff’s] back had remained constant for 17 a number of years and that her back problems had not prevented her from working 18 over that time.” | “substantial evidence indicated that the 18 condition of Gregory’s back had remained constant for a number of 19 years and that her back problems had not prevented her from working 20 over that time” | “Furthermore, substantial evidence indicated that the condition of 21 Gregory’s back had remained constant for a number of years and that her back problems had not 22 prevented her from working over that time.” | “Furthermore, 15 substantial evidence indicated that the condition of Gregory’s back had remained constant for a 16 number of years and that her back problems had not prevented her from working over that 17 time.” | ALJ’s det

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GOODWIN, Circuit Judge:

Wanda Gregory appeals from a judgment denying her claim that she was disabled within the meaning of the Social Security Act. The district court upheld the administrative law judge’s decision denying the claim. Gregory argues that the administrative decision was not supported by substantial evidence. She also seeks attorneys’ fees under 42 U.S.C. § 406(b)(1) (1982). We reverse and remand.

Gregory was born on June 25,1921. She has a high-school education. She has worked as a clerk-typist at various times, most recently for the State of Oregon. She was discharged from that job in April 1979 because she worked too slowly. Gregory’s Social Security insured status expired on September 30, 1981.

Gregory has a long history of lower back problems. In August 1981, she underwent pelvic and bladder reconstructive surgery to correct urinary incontinence. She also has significant mental and emotional problems that adversely affect her ability to work.

Under 42 U.S.C. § 405(g) (1982), the Secretary’s findings of fact are conclusive if supported by substantial evidence. See Miller v. Heckler, 770 F.2d 845, 847 (9th Cir.1985). “Substantial evidence is ‘ “more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” ’ ” Id. at 848 (quoting Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842 (1971) (quoting Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229, 59 S.Ct. 206, 217, 83 L.Ed. 126 (1938))).

Disability is statutorily defined as the “inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment ... which has lasted or can be expected to last for a continuous period of not *666 less than 12 months.” 42 U.S.C.A. § 423(d)(1)(A) (West Supp.1987); see 20 C.F.R. § 404.1505(a) (1987). Under this definition, Gregory must show that as of September 30, 1981 — the date that her insured status expired — she had “a severe impairment, which [made her] unable to do [her] previous work or any other substantial gainful activity which exists in the national economy.” Id.

Gregory claims that she should have been deemed disabled under the medical-vocational grids, which mandate a finding of disability where individuals satisfy certain requirements of residual functional capacity, age, education and work experience. See 20 C.F.R. Pt. 404, Subpt. P, App. 2 (1987). Under the appropriate provision, Rule 201.06 of the grids, Gregory should be deemed disabled if she is found to be unable to return to her past work. 1

We reject the Secretary’s claim that we should give res judicata effect to a September 24, 1981 agency decision rejecting Gregory’s application for benefits. The doctrine of res judicata should not be applied rigidly in administrative proceedings. See Lyle v. Secretary of Health and Human Servs., 700 F.2d 566, 568 n. 2 (9th Cir.1983). Because Gregory’s 1983 application raised the new issue of psychological impairments, it would be inappropriate to apply res judicata to bar her claim. See Taylor v. Heckler, 765 F.2d 872, 876 (9th Cir.1985) (suggesting that res judicata may be inappropriate where the claimant has presented new facts to demonstrate that a prior determination of nondisability may have been incorrect); Thompson v. Schweiker, 665 F.2d 936, 940-41 (9th Cir.1982) (same). Because Gregory was not represented by counsel when she filed her 1981 claim, the rigid application of res judi-cata would be undesirable. Cf. Thompson, 665 F.2d at 941 (observing that the ALJ has a more exacting duty to probe for relevant facts where a claimant is not represented by counsel). Finally, the AU’s effective decision to reopen the 1981 claim by considering on the merits the issue of Gregory’s disability during the time covered by the 1981 claim precludes agency reliance upon res judicata. See Singer v. Weinberger, 513 F.2d 176, 178 (9th Cir.1975).

In deciding whether the administrative law judge’s decision was supported by substantial evidence, we must “consider the combined effect of all of [Gregory’s] impairments without regard to whether any such impairment, if considered separately, would be of [sufficient medical] severity.” 42 U.S.C.A. § 1382c(a)(3)(G) (West Supp. 1987); see 20 C.F.R. § 404.1523 (1987); Beecher v. Heckler, 756 F.2d 693, 694-95 (9th Cir.1985).

We find that substantial evidence supported the Secretary’s decision that Gregory’s bladder problems and incontinence did not render her disabled under the regulations. Although testimony indicated that Gregory’s bladder leakage had recurred and that she might require an additional operation, she presented no evidence that her incontinence or her need for additional surgery would have made her unable to work “for a continuous period of not less than 12 months.” 42 U.S.C.A § 423(d)(1)(A) (West Supp.1987); 20 C.F.R. § 404.1505(a) (1987).

We also find that substantial evidence supports the Secretary’s finding that Gregory’s lengthy history of lower back problems did not render her disabled. Gregory’s testimony indicated that she retains the physical capacity to do her prior work; she testified that she could lift ten pounds, walk ten blocks, stand for two hours, sit for an hour and a half, and sew *667 and do latch-hook work. Furthermore, substantial evidence indicated that the condition of Gregory’s back had remained constant for a number of years and that her back problems had not prevented her from working over that time. See Goodermote v. Secretary of Health and Human Servs., 690 F.2d 5, 7 (1st Cir.1982). We therefore find that the Secretary’s decision concerning Gregory’s back problems was supported by substantial evidence. 2

We find, however, that substantial evidence does not support the Secretary’s decision that Gregory’s psychiatric problems did not render her disabled as of September 30, 1981. Psychologists who examined Gregory in 1978 and 1979 consistently found that she almost certainly would be unable to return to work unless provided with a near-ideal, sheltered work environment.

Dr. Edward Colbach, evaluating Gregory in May 1978, said that he saw little chance for improvement and that he “doubt[ed] very much whether she will ever work regularly again.” Dr. Norman Hickman, examining Gregory in October 1978, concluded that Gregory could return to “full time gainful employment” only in “a very ideal work situation.”

In June 1979, counselor Elsie McFarland and psychologist Paul Metzger stated that Gregory’s desire to return to work made it difficult to say that she was unemployable but that “it would be extremely difficult to place her.” They observed that “[s]he could possibly work part-time in a job which has very few demands, doing work of an extremely routine nature, involving only one or two tasks, where she can work at her own pace.” Dr. Arlen Quan, examining Gregory in August 1979, stated that Gregory was “unlikely to resume gainful employment except on her own terms,” although he observed that “[t]his is not to say that she is unable to perform gainful employment.”

Dr. Deena Stolzberg, in a February 1982 report, concluded that Gregory “appears stabilized in a disability role with both Social Security and Workman’s Compensation benefits” and that “it is highly unlikely that at this time she will pursue any more active vocational goals.” As the administrative law judge recognized, Gregory’s psychological condition continued to deteriorate throughout 1983 and 1984.

Upon review of the record taken as a whole, we find that substantial evidence does not support the Secretary’s finding that Gregory was able to work despite her psychological impairments. Nowhere does psychiatric testimony indicate that Gregory was able to return to the type of stressful employment which she had held prior to 1979. The Secretary introduced no evidence indicating that the type of modified work of which Gregory remained psychologically capable “exists in the national economy.” 42 U.S.C.A. § 423(d)(1)(A) (West Supp.1987). We find that the evidence supporting the Secretary’s conclusion was not such “as a reasonable mind might accept as adequate to support a conclusion.” Miller, 770 F.2d at 848.

The decision of the Secretary finding that Gregory is not entitled to disability benefits was not supported by substantial evidence. The district court judgment is reversed. The cause is remanded for the entry of a judgment allowing the claim and fixing attorneys’ fees.

REVERSED and REMANDED.

1

. Gregory is of "advanced age," see 20 C.F.R. § 404.1563(d) (1987), and has a high-school education, placing her under Rule 201.06 or Rule 201.07. Because of her age, Gregory has no transferable skills and therefore falls within Rule 201.06. See 20 C.F.R. Pt. 404, Subpt P., App. 2, § 201.00(f) (allowing a finding of "transferability of skills to skilled sedentary work” only if there is "very little, if any, vocational adjustment required in terms of tools, work processes, work settings, or the industry").

2

. Our decision is not altered by the report of Dr. Theodore Pasquesi, which appears to have been based primarily upon his pre-operation assessment of Gregory's bladder condition, rather than on his assessment of her back,