Gonzalez-Aleman v. SHHS

USCA1 Opinion









May 21, 1996
[NOT FOR PUBLICATION]

UNITED STATES COURT OF APPEALS
FOR THE FIRST CIRCUIT

____________________


No. 95-2168

FELIX GONZALEZ-ALEMAN,

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. Jaime Pieras, Jr., Senior U.S. District Judge] __________________________

____________________

Before

Selya, Cyr and Lynch,
Circuit Judges. ______________

____________________

Fabio A. Roman Garcia on brief for appellant. _____________________
Guillermo Gil, United States Attorney, Rosa E. Rodriguez-Velez, _____________ ________________________
Acting Chief Civil Division, Robert M. Peckrill, Assistant Regional __________________
Counsel, Social Security Administration, on brief for appellee.


____________________


____________________



Per Curiam. Felix Gonzalez-Aleman (claimant) appeals ___________














from a district court judgment affirming a decision of the

Secretary of Health and Human Services finding him not

disabled as of April 28, 1992. For the following reasons, we

vacate and remand.

On September 7, 1990, claimant was involved in a motor

vehicle accident and sustained fractures of the pelvis, left

hip, left femur, and left ankle. On October 25, 1990,

claimant applied for disability benefits alleging that he

could not stand or walk due to these fractures. He also

alleged that sitting caused pain in the pelvic region and

hips. The Social Security Administration denied claimant's

application initially and on reconsideration.

After a hearing, an Administrative Law Judge (ALJ) found

that claimant was under a disability beginning September 7,

1990 and continuing through April 27, 1992. However, the ALJ

found that after April 27, 1992, claimant's residual

functional capacity increased to a capacity to perform

sedentary work. Since claimant's past work as a machine

operator required more than sedentary exertion, the ALJ

determined that he could not perform this work. The ALJ then

proceeded to step five of the sequential analysis. Relying

on the Grid, the ALJ found that claimant is not disabled

because there is a broad range of unskilled, sedentary jobs

existing in the national economy which he can perform.





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The Appeals Council denied review. Claimant appealed to

the district court which affirmed the Secretary's decision.

This appeal followed.

Claimant argues that the ALJ erred at step three of the

sequential analysis in not finding that he met or equalled

Listed Impairment 1.03 (arthritis of a major weight-bearing

joint), 20 C.F.R. Part 404, Subpt. P, App. 1.1 We disagree. 1

The record does contain some evidence of arthritis in

claimant's left ankle, as well as significant limitation of

movement in this joint. However, although the record

contains X-rays, there is no indication of gross anatomical

deformity of a hip or knee as required by 1.03A.

Similarly, it does not appear that the surgery performed on

claimant's left leg satisfies 1.03B. In any event, given

____________________

1The following condition is listed at 1.03: 1

Arthritis of a major weight-bearing joint (due
to any cause):

With history of persistent joint pain and
stiffness with signs of marked limitation of motion
or abnormal motion of the affected joint on current
physical examination. With:

A. Gross anatomical deformity of hip or knee
(e.g. subluxation, contracture, bony or fibrous
ankylosis, instability) supported by X-ray evidence
of either significant joint space narrowing or
significant bony destruction and markedly limiting
ability to walk and stand; or

B. Reconstructive surgery or surgical arthrodesis
of a major weight-bearing joint and return to full
weight-bearing status did not occur, or is not
expected to occur, within 12 months of onset.

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evidence in the record that claimant's fractures are well-

healed, that he can walk or stand for up to three hours, and

that he can carry up to thirty pounds, we think the ALJ could

find that claimant's condition neither met nor equalled the

listing. We add that although claimant was continuing to see

his orthopedic surgeon, he proffered no medical opinion to

support his claim that he was still markedly limited in his

ability to walk and his leg had not yet returned to full

weight-bearing status. See Torres v. Secretary of Health & ___ ______ ______________________

Human Servs., 870 F.2d 742, 745 (1st Cir. 1989) (observing ____________

that it is the claimant's burden to show that he has an

impairment that meets or equals a listing).

Similarly, we reject claimant's argument that the ALJ

could not properly find that his condition improved. The

orthopedic evaluations by examining consultants for the

Secretary reflect steady progress. On January 18, 1991,

claimant could not carry any body weight, and he could not

stand or walk without the use of crutches. On June 25, 1991,

the femur fracture was still healing and claimant required

the assistance of a walker. By April 27, 1992, the femur

fracture was well-healed. Dr. Marrero, who examined claimant

on that date, completed a residual functional capacity

assessment (RFC) which amply supports the ALJ's conclusion

that claimant has the exertional capacity for sedentary work.





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We are, however, persuaded that there is merit to

claimant's argument that the ALJ's determination at step five

cannot be upheld under the "substantial evidence" standard.

At this stage in the sequential analysis, the burden shifts

to the Secretary to prove that there are sufficient numbers

of jobs in the national economy that claimant can perform.

See Heggarty v. Sullivan, 947 F.2d 990, 995 (1st Cir. 1991). ___ ________ ________

Where claimant's impairments involve only strength

limitations, the ALJ may rely on the Grid to meet its burden.

Id. However, where a claimant has non-exertional ___

impairments, the Grid may not accurately reflect the

availability of suitable jobs. Id. ___

Dr. Marrero's RFC indicates that claimant has a number

of non-exertional limitations. Most notably, the RFC

indicates that claimant can never climb and is limited in his

ability to be around moving machinery. The narrative

comments do not further illuminate, at least for the lay

reader, the nature or extent of these particular

restrictions. The ALJ does not mention these restrictions at

all in her decision. Under the circumstances, this court is

left without any basis for determining whether the claimant's

non-exertional limitations are sufficiently minimal to permit

the ALJ to rely on the Grid or whether vocational evidence

was required. We note that even sedentary work may require

the ability to ascend or descend stairs on a daily basis.



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See SSR 85-15 (observing that usual everyday activities at ___

work include ascending or descending ramps or a few stairs).

Moreover, the Secretary's own regulations state that

approximately 85 percent of unskilled, sedentary jobs are in

the machine trades and benchwork occupational categories. 20

C.F.R. Part 404, Subpt. P, App. 2, 201.00.

Accordingly, a remand is required for further findings

which may in turn require the consideration of vocational

evidence. In light of our disposition we leave to the

secretary to consider in the first instance, to the extent

relevant, claimant's argument that additional non-exertional

limitations found by Dr. Marrero precluded reliance on the

Grid. With respect to claimant's allegation of disabling

pain, however, we note that the ALJ found that claimant's

"subjective symptomatology does not significantly affect or

compromise his ability to do sedentary work." Claimant has

made no meaningful argument that this finding was in error.



Vacated and remanded. ____________________















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