                                _____________

                                 No. 95-1499
                                _____________

Robert Lorenzen,                     *
                                     *
           Plaintiff-Appellant,      *   Appeal from the United States
                                     *   District Court for the
     v.                              *   Southern District of Iowa.
                                     *
Shirley S. Chater, Commissioner      *
of Social Security,*                 *
                                     *
           Defendant-Appellee.       *


                                _____________

                    Submitted:    September 15, 1995

                           Filed: December 8, 1995
                              _____________

Before RICHARD S. ARNOLD, Chief Judge, McMILLIAN and HANSEN,         Circuit
Judges.
                              _____________


HANSEN, Circuit Judge.

     Robert Lorenzen appeals from the district court's1 grant of summary
judgment, which affirmed the Social Security Administration's decision to
deny his applications for disability insurance benefits and supplemental
security income.   We affirm.


     In his applications, Lorenzen alleged a disability onset date




     *As of March 31, 1995, the Social Security
     Administration became an independent agency from the
     Department of Health and Human Services. Therefore,
     the court has substituted Shirley S. Chater for Donna
     E. Shalala pursuant to Fed. R. App. P. 43(c).
     1
      The Honorable Charles R. Wolle, Chief Judge, United States
District Court for the Southern District of Iowa.
of July 2, 1987, due to back trouble.    The Social Security Administration
denied his applications both initially and upon reconsideration.         After a
hearing held in 1992, an Administrative Law Judge (ALJ) also denied
Lorenzen's applications for benefits.    Subsequently, the appeals council
of the Social Security Administration remanded the case to an ALJ for
further proceedings.


     On March 22, 1994, following a supplemental hearing, the ALJ rendered
a decision denying benefits upon finding that Lorenzen was not disabled.
The ALJ found that Lorenzen has severe lumbosacral stenosis with a history
of two surgeries for the problem, the second of which showed a marked
reduction of pain; a personality disorder; and a history of alcohol abuse.
The ALJ concluded, however, that these impairments are not severe enough
to meet or, in combination, to equal a listed impairment.


     The ALJ discredited Lorenzen's testimony concerning the extent of his
limitations, finding that Lorenzen took no medication for his alleged pain,
that he has refused all but the briefest treatment for alcoholism, and that
nothing in the record indicates that his inactivity is medically necessary.
Medical records indicated that Lorenzen was doing well after his second
lumbar surgery, and the only limitations specifically imposed upon him were
to avoid heavy lifting and heavy activity for six weeks.              While the
residual functional capacity assessments made by two physicians indicated
some severe pain and limitations, the ALJ discounted these assessments
because they were made during a relapse which occurred before Lorenzen's
second   surgery.   Similarly,   although   the   ALJ   did   not   specifically
articulate this with regard to her testimony, the testimony of Lorenzen's
past employer, Carol Bennett, concerning Lorenzen's pain and limitations
was also based upon Lorenzen's condition prior to his second surgery.


     The ALJ posed three hypothetical questions to a vocational




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expert   (VE),   asking   the    VE   to   determine     the     potential    employment
opportunities available to a person with Lorenzen's impairments, education,
age, and capabilities and who could tolerate a stress level of either 3 or
4 on a scale of 1 to 10 (10 being the greatest level of stress).                  The VE
concluded that while such a person would be unable to return to past
relevant work as a cook or maintenance engineer, the person would retain
the residual functional capacity to engage in substantial gainful unskilled
employment that exists both in the national economy and statewide.                The VE
listed some specific jobs as examples.         Adding the consideration of two to
three unscheduled absences per month to the hypothetical question, the VE
concluded that this limitation alone would preclude all employment.


     Based upon this record, the ALJ determined that Lorenzen was not
under a disability at any time through the date of the decision and,
accordingly, denied Lorenzen's applications for benefits.2                   The appeals
council denied Lorenzen's request for review of this decision.


     Lorenzen sought judicial review.          The district court determined that
the decision of the Social Security Administration was supported by
substantial   evidence    on    the   record   as   a   whole.      Lorenzen    appeals,
contending that the ALJ erred (1) by excluding certain relevant limitations
from the hypothetical question posed to the VE (namely those reported prior
to his second surgery and those resulting from absences and related
problems attributable to his alcohol abuse); (2) by using a numerical
stress scale in the hypothetical question; and (3) by failing to make a
specific determination of the credibility of the testimony of Carol
Bennett, Lorenzen's past employer.




     2
      Since the ALJ's decision denying benefits in this case,
Lorenzen submitted another application for disability insurance
benefits, and the Administration awarded benefits on that
application. Thus, only a 3 1/2 year period is in dispute here.

                                           3
       We review the Commissioner's decision to deny benefits by determining
the limited question of whether the decision is supported by substantial
evidence on the record as a whole.          42 U.S.C. § 405(g); Harris v. Shalala,
45 F.3d 1190, 1193 (8th Cir. 1995).         If supported by substantial evidence,
the Commissioner's findings and decision must be affirmed.                Id.


       After    careful     consideration    of   the    record,   we    conclude    that
substantial evidence on the whole record supports the ALJ's decision to
deny benefits in this case.        First, the hypothetical question that the ALJ
asked of the VE properly set forth all of Lorenzen's impairments that are
supported in the record.        See Chamberlain v. Shalala, 47 F.3d 1489, 1495
(8th   Cir.     1995)   (hypothetical     question      must   include    all   credible
impairments).     Since Lorenzen has been unwilling to accept treatment for
his alcoholism, his claimed limitations based upon alcohol abuse need not
be credited by the ALJ or included in the hypothetical question.                     See
Shelltrack v. Sullivan, 938 F.2d 894, 897 (8th Cir. 1991) (disability based
on alcoholism requires, in part, a showing that claimant is unable, not
merely unwilling, to seek and use means of rehabilitation).


       Second, the ALJ did not commit error by using the numerical stress
scale or by labeling the level of stress that Lorenzen could endure as a
level 3 or 4 on a scale of 1 to 10, because the record supports the
conclusion that Lorenzen had a "fair" ability to deal with work stresses
when he was not drinking.       See Montgomery v. Chater, No. 95-1387, slip op.
at 4 (8th Cir. Nov. 2, 1995) (use of a numerical stress scale "is an
acceptable shorthand for identifying a claimant's stress tolerance," when
supported by the evidence).


       Third,    although    the   ALJ   failed   to    list   specific    reasons    for
discrediting the testimony of Carol Bennett, it is evident that most of her
testimony concerning Lorenzen's capabilities was




                                            4
discredited by the same evidence that discredits Lorenzen's own testimony
concerning his limitations.            See Robinson v. Sullivan, 956 F.2d 836, 841
(8th Cir. 1992) (arguable deficiency of failing to specifically discredit
witness   has   no   bearing      on   outcome   when   the   witness's   testimony    is
discredited     by   the   same   evidence    that   proves    claimant's   claims    not
credible).


     Accordingly, we affirm the judgment of the district court.


     A true copy.


             Attest:


                     CLERK, U.S. COURT OF APPEALS, EIGHTH CIRCUIT.




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