At page 411 Evaluating medical evidence for disability determination27 citing cases“evidence rationally adequate ... to justify the conclusion”
- Cepeda, No. 3:25-cv-01303 (D.P.R. Aug. 24, 2026).Mass. 11 2015) (quoting Roman-Roman v. Comm’r of Social Security, 114 Fed. Appx. 410, 411 (1st 12 13 Cir. 2004)) (“Reversal of an ALJ’s decision by this Court is warranted . . . ‘if the record 14 contains no evidence rationally adequate .…
- Ruggiero, No. 1:23-cv-12245 (D. Mass. Mar. 31, 2026).Sec., 114 F. App'x 410, 411 (1st Cir. 2004) (per curiam) (holding decision is supported by substantial evidence if there is “evidence rationally adequate on the record as a whole to justify the [Commissioner’s] conclusion”).
- Rochester v. Comm'r of Soc. Sec., No. 1:24-cv-10210 (D. Mass. Dec. 6, 2024).Sec., 114 F. App’x 410, 411 (1st Cir. 2004); see also Manso-Pizarro v. Sec’y of Health & Hum.
- Mitchell v. Soc. Sec. Admin., No. 1:23-cv-11852 (D. Mass. Sept. 30, 2024).Sec., 114 F. App'x 410, 411 (1st Cir. 2004); see also Manso-Pizarro v. Sec'y of Health & Hum.
- Carvalho v. Saul, No. 1:20-cv-10240 (D. Mass. Sept. 30, 2021).Sec., 114 F. App’x 410, 411 (1st Cir. 2004).
- Lagace v. Saul, 537 F. Supp. 3d 141 (D. Mass. 2021).publishedSec., 114 Fed. App’x. 410, 411 (1st Cir. 2004).
- William L. Saulnier v. Comm'r of the U.S. Soc. Sec. Admin., 2020 DNH 075 (D.N.H. 2020).publishedSec., 114 Fed.
- Saulnier v. US Soc. Sec. Admin., No. 1:19-cv-00546 (D.N.H. May 5, 2020).Sec., 114 Fed. Appx. 410, 411 (1st Cir. 2004). 16 Id. at 36. 17 Id. at 37.
- Berthiaume v. US Soc. Sec. Admin., No. 1:18-cv-00557 (D.N.H. Apr. 22, 2020).Sec., 114 Fed. Appx. 410, 411 (1st Cir. 2004). “[A]n Appeals Council refusal to review the ALJ may be reviewable where [the Council] gives an egregiously mistaken ground for this action.” Mills v. Apfel, 244 F.3d 1, 5 (1st Cir. 2001); Robe…
- Blaney v. Berryhill, No. 1:18-cv-12009 (D. Mass. Mar. 31, 2020).Sec., 114 F. App’x 410, 411 (1st Cir. 2004).
Show 17 more citing cases
- Carbone v. Soc. Sec. Admin., No. 1:18-cv-10476 (D. Mass. Aug. 29, 2019).Sec., 114 Fed. Appx. 410, 411 (1st Cir. 2004).
- Debaker v. US Soc. Sec. Admin., No. 1:19-cv-00107 (D.N.H. Aug. 27, 2019).Sec., 114 Fed. Appx. 410, 411 (1st Cir. 2004).
- Medeiros v. Berryhill, No. 1:18-cv-11326 (D. Mass. Aug. 12, 2019).Sec., 114 F. App’x 410, 411 (1st Cir. 2004); see also Manso-Pizarro v. Sec’y of Health & Human Servs., 76 F.3d 15, 16 (1st Cir. 1996).
- McGehee v. Berryhill, No. 1:18-cv-11389 (D. Mass. July 2, 2019).Sec., 114 F. App’x 410, 411 (1st Cir. 2004); see also Manso-Pizarro v. Sec’y of Health & Human Servs., 76 F.3d 15, 16 (1st Cir. 1996).
- Avila v. Nancy Berryhill, No. 1:18-cv-10898 (D. Mass. June 20, 2019).Sec., 114 F. App’x 410, 411 (1st Cir. 2004); see also Manso-Pizarro v. Secretary of Health & Human Servs., 76 F.3d 15, 16 (1st Cir. 1996).
- Couch v. Berryhill, No. 1:18-cv-11023, 2019 WL 2340956 (D. Mass. June 3, 2019).Sec., 114 F. App’x 410, 411 (1st Cir. 2004); see also Manso-Pizarro v. Sec’y of Health & Human Servs., 76 F.3d 15, 16 (1st Cir. 1996).
- Renzi v. Price, No. 1:17-cv-11456 (D. Mass. Mar. 29, 2019).Sec., 114 Fed. Appx. 410, 411 (1st Cir. 2004).
- Narvaez v. Berryhill, No. 1:17-cv-12580 (D. Mass. Mar. 27, 2019).Sec., 114 F. App’x 410, 411 (1st Cir. 2004); see also Manso-Pizarro v. Sec’y of Health & Human Servs., 76 F.3d 15, 16 (1st Cir. 1996).
- Brownell v. Soc. Sec. Admin., No. 1:17-cv-11462 (D. Mass. June 27, 2018).Sec., 114 F. App’x 410, 411 (1st Cir. 2004); see also Manso-Pizarro v. Sec’y of Health & Human Servs., 76 F.3d 15, 16 (1st Cir. 1996).
- Obrien v. Berryhill, No. 1:17-cv-12333 (D. Mass. June 26, 2018).Sec., 114 Fed.
- Davenport v. Colvin, No. 1:16-cv-10984 (D. Mass. Mar. 7, 2018).Sec., 114 Fed.
- Teague v. Colvin, 151 F. Supp. 3d 223 (D. Mass. 2015).publishedSec., 114 Fed.Appx. 410, 411 (1st Cir.2004); see also Manso-Pizarro v. Secretary of Health and Human Servs., 76 F.3d 15, 16 (1st Cir. 1996).
- Bourinot v. Colvin, 95 F. Supp. 3d 161 (D. Mass. 2015).publishedRoman-Roman v. Comm’r of Social Security, 114 Fed.Appx. 410, 411 (1st Cir.2004); see also Manso-Pizarro, 76 F.3d at 16 .
- Perry v. Colvin, 91 F. Supp. 3d 139 (D. Mass. 2015).publishedSec., 114 Fed.Appx. 410, 411 (1st Cir.2004).
- Vázquez-Rivera v. Comm'r of Soc. Sec., 943 F. Supp. 2d 300 (D.P.R. 2013).publishedSec., 114 Fed.Appx. 410, 411 (1st Cir.2004) (quoting Ortiz, 890 F.2d at 524 ).
- Shaughnessy v. Astrue, 778 F. Supp. 2d 151 (D. Mass. 2011).published Roman-Roman v. Commissioner of Social Security, 114 Fed.Appx. 410, 411-412 (1 Cir., 2004) (per curiam).
- Porcher v. Barnhart, 394 F. Supp. 2d 288 (D. Mass. 2005).publishedSec., 114 Fed.Appx. 410, 411 (1st Cir.2004) (citing Rodriguez Pagan v. Sec’y of Health & Human Services, 819 F.2d 1, 3 (1st Cir.1987) (per curiam), cert. denied, 484 U.S. 1012 , 108 S.Ct. 713 , 98 L.Ed.2d 663 (1988)); see Rodriguez v. Sec’…
At page 412 Determining functional limitations from medical evidence4 citing casesfinding that a vocational expert was required where attending physicians diagnosed the claimant as moderately depressed, with poor memory and concentration skills
- Howard v. Colvin, 54 F. Supp. 3d 109 (D. Mass. 2014).publishedRoman-Roman v. Commissioner of Social Security, 114 Fed.Appx. 410, 412 (1st Cir.2004) (for example, where significant, limiting mental constraints were described in even the most positive assessments of the claimant).
- Shaughnessy v. Astrue, 778 F. Supp. 2d 151 (D. Mass. 2011).published Roman-Roman v. Commissioner of Social Security, 114 Fed.Appx. 410, 411-412 (1 Cir., 2004) (per curiam).
- Miranda-Monserrate v. Barnhart, 520 F. Supp. 2d 318 (D.P.R. 2007).published (finding that a vocational expert was required where attending physicians diagnosed the claimant as moderately depressed, with poor memory and concentration skills)
- Pacensa v. Astrue, 848 F. Supp. 2d 80 (D. Mass. 2012).published (remanding for incorrect use of the Grids with nonexertional limitations where medical evidence suggested claimant was moderately functional or completely dysfunctional)
Other citing cases
- Cassandra Lee Carr v. Carolyn W. Colvin, 2015 DNH 223 (D.N.H. 2015).published
v.
COMMISSIONER OF SOCIAL SECURITY, Defendant, Appellee
Appellant Pascual Roman-Roman alleged disability due to severe mental and physical impairments. The evidence submitted by appellant showed that he had worked at a newspaper for nearly 30 years. Toward the end of this period a back injury and back surgery, followed by re-injury and other events, precipitated debilitating pain and serious depression. In 1998, after physical therapy and psychiatric treatment, appellant sought disability benefits alleging inability to work from March 1998 onward.
The ALJ found that appellant’s impairments barred his return to his past work, but that despite some physical limitations appellant retained the residual physical capacity for unskilled light work. These findings are not at issue on this appeal. The ALJ further found, however, that appellant’s non-exertional impairments — that is, his mental difficulties — did not significantly erode the occupational base available to appellant for such work, and that the occupational “grid” therefore applied to (and precluded) his disability claim. Appellant seeks review of this determination.
Our review is limited to assuring that the ALJ deployed the correct legal standards and found facts upon the proper quantum of evidence. 42 U.S.C. § 405(g) (2000); Manso-Pizarro v. Sec’y of Health & Human Servs., 76 F.3d 15, 16 (1st Cir.1996) (per curiam). We will uphold the decision only if it is supported by substantial evidence, evidence rationally adequate on the record as a whole to justify the conclusion. Rodriguez Pagan v. Sec’y of Health & Human Servs., 819 F.2d 1, 3 (1st Cir.1987) (per curiam), cert. denied, 484 U.S. 1012, 108 S.Ct. 713, 98 L.Ed.2d 663 (1988). Although weighting evidence and resolving conflicts are the ALJ’s prerogative, he may not ignore evidence, misapply the law or judge matters entrusted to experts. Nguyen v. Chater, 172 F.3d 31, 35 (1st Cir.1999) (per curiam).
Under the case law, it is appropriate for the Secretary to rely upon the grid to bar disability status where a claimant is within the exertional limitations and the admitted mental impairments have only a slight effect on the availability of work. Heggarty v. Sullivan, 947 F.2d 990, 996 (1st Cir.1991). “If a non-strength impairment, even though considered significant, has the effect only of reducing that occupational base marginally, the Grid ... can be relied on exclusively....” Ortiz v. Sec’y of Health & Human Servs., 890 F.2d 520, 524 (1st Cir.1989). The ALJ’s determination thus presents two questions for review: whether the ALJ acted properly in crediting some experts’ testimony over others’, and if so whether the credited portions of the medical evidence were sufficient to permit the ALJ to rely solely on the grid.
With regard to the first question, the ALJ’s relative weighing of the medical testimony is adequately supported by the evidence. The ALJ was presented with conflicting opinions regarding Roman’s mental capacity: these ranged from a prognosis of complete dysfunction by Roman’s psychiatrist to one of moderate functioning by a non-examining government psychologist.[*412] The record also included two other government attending psychologists’ opinions, which were less sanguine than the non-attending physician but conveyed some degree of adequate mental functioning. It was within the ALJ’s discretion to credit the more positive reports of Roman’s mental condition; we cannot find his conclusions in this regard unsupported by substantial evidence. See Rodriguez Pagan, 819 F.2d at 2-3.
The second question is more difficult. The question of the impact of Roman’s condition on the availability of work is one on which the Secretary bears the burden of proof, Vazquez v. Sec’y of Health & Human Servs., 683 F.2d 1, 2 (1st Cir.1982), and under Ortiz the Secretary may use the grid as a shortcut to denial of disability only if the impairments do no more than marginally erode the range of work available to the applicant in an established work category. 890 F.2d at 524. Although the issue is a close one, we think that even the more positive evaluations of Roman’s mental condition are insufficient to show what Ortiz requires.
The most favorable report of any of the attending psychiatrists still found moderate depression sufficient to merit a “guarded” prognosis; it also found that appellant’s judgment was only fair, that his short-term memory remained poor, that he could not concentrate enough to recite days backward or subtract by threes, and that his daily activities were minimal. Similarly, the non-examining state psychologist noted that appellant was afflicted with an affective disorder including depression, irritability, hallucinations and other characteristics that moderately limited his functioning in a number of relevant categories, including understanding, concentration and social interaction.
In the absence of a better explanation as to how these medical findings illustrate that a nearly full set of unskilled light work is available to Roman, we believe that a translation from medical evaluations to job prospects was more appropriately reserved for a vocational expert. On this record, there are significant mental constraints outlined by even the most positive psychological prognoses and we cannot find any clear basis for concluding that the impairments have no significant effect on the work still available to appellant. This certainly does not show that appellant is disabled but, unless this gap is closed, it does preclude reliance upon the grid.
On remand, the ALJ may employ a vocational expert to fill the gap, obtain further medical evidence that may link Roman’s mental capacity more directly to the work he is capable of doing, or both. This is admittedly a close case but the evidence of impairment is somewhat stronger here than in Ortiz, which affirmed a denial based upon the grid but only barely. We do not suggest that a vocational expert is required in all such cases.
Vacated and remanded.