                                                                  NOT PRECEDENTIAL

                       UNITED STATES COURT OF APPEALS
                            FOR THE THIRD CIRCUIT
                                 ____________

                                       No. 09-3641
                                      ____________

                                HALLIE W. THELOSEN,

                                                   Appellant

                                            v.

                      COMMISSIONER OF SOCIAL SECURITY
                                ____________

                     On Appeal from the United States District Court
                              for the District of New Jersey
                                (D.C. No. 3-07-cv-06140)
                        District Judge: Honorable Joel A. Pisano
                                      ____________

                    Submitted Pursuant to Third Circuit LAR 34.1(a)
                                    April 15, 2010

     Before: FISHER and COWEN, Circuit Judges, and DITTER,* District Judge.

                                  (Filed: June 17, 2010)
                                      ____________

                               OPINION OF THE COURT
                                    ____________




       *
       Honorable J. William Ditter, Jr., Senior United States District Judge for the
Eastern District of Pennsylvania, sitting by designation.
DITTER, District Judge.

       This is an appeal from the final order of the United States District Court for the

District of New Jersey affirming the decision of the Commissioner of Social Security

denying Hallie TheLosen’s applications for disability benefits provided by Title II of the

Social Security Act. We are presented with two questions: 1) whether the decision of the

Commissioner that TheLosen did not have a severe impairment during the relevant

periods is supported by substantial evidence; and 2) whether the Commissioner was

required to seek the help of a medical expert to infer an earlier disability onset date. The

District Court answered the first question in the affirmative; the second in the negative.

We will affirm.

                                              I.

       TheLosen filed applications for supplemental security income benefits (“SSI”),

disability insurance benefits (“DIB”), and disabled adult child benefits (“DAC”). She

alleged disabilities beginning in 1977 related to eye disease, allergies, a learning

disability, and anxiety-related disorders. Her application for SSI was approved and she

was awarded benefits retroactive to June 25, 2002, the date she applied for benefits and

the earliest date of her SSI eligibility.

       To qualify for DAC, TheLosen was required to establish that she was disabled

prior to her twenty-second birthday – October 13, 1995. To qualify for DIB, TheLosen

was required to establish she became disabled during her last employment or the statutory



                                              2
period – in her case, on or before March 31, 2001. Her applications for DAC and DIB

were denied because the Administrative Law Judge (“ALJ”) determined that TheLosen

did not establish the onset of a severe disability within either of the applicable insured

periods.

                                              II.

       A social security claimant is disabled if she is unable to engage in “any substantial

gainful activity by reason of any medically determinable physical or mental impairment

which can be expected to result in death or which has lasted or can be expected to last for

a continuous period of not less than twelve months.” 20 C.F.R. §§ 404.1520, 416.905.

The Social Security Administration has adopted a system of sequential analysis for the

evaluation of disability claims. This five-step evaluation is codified at 20 C.F.R.

§§ 404.1520, 416.920.1


       1
           These steps are summarized as follows:

       1. If the claimant is working or engaged in substantial gainful activity, a finding of
not disabled is directed. If not, proceed to Step 2. 20 C.F.R. §§ 404.1520(b), 416.920(b).

        2. If the claimant is found not to have a severe impairment which significantly
limits his or her physical or mental ability to do basic work activity, a finding of not
disabled is directed. If there is a severe impairment, proceed to Step 3. 20 C.F.R.
§§ 404.1520(c), 416.920(c).

       3. If the impairment meets or equals criteria for a listed impairment or
impairments in Appendix 1 of Subpart P of Part 404 of 20 C.F.R., a finding of disabled is
directed. If not, proceed to Step 4. 20 C.F.R. §§ 404.1520(d), 416.920(d).

       4. If the claimant retains the residual functional capacity to perform past relevant

                                              3
       TheLosen contends that the ALJ erred in concluding, at step two, that she was not

eligible for DIB or DAC benefits because she did not have a severe impairment prior to

March 31, 2001. TheLosen contends this determination is not supported by substantial

evidence and that the ALJ failed to properly develop the record consistent with Social

Security Ruling (“SSR”) 83-20. TheLosen contends it was reasonable to infer from the

severity of her impairments as of her award of SSI benefits in June 2002 that her

impairments existed long before that time. However, the inference of an earlier onset

date must have some basis in the medical evidence; it is not enough to simply prove a

current disability.

                                             III.

       We write exclusively for the parties, who are familiar with the factual and legal

history of this case. Therefore, we will set forth only those facts necessary to our

analysis.




work, a finding of not disabled is directed. If it is determined that the claimant cannot do
the kind of work he or she performed in the past, proceed to Step 5. 20 C.F.R.
§§ 404.1520(e), 416.920(e).

       5. The Commissioner will then consider the claimant’s residual functional
capacity, age, education, and past work experience in conjunction with the criteria listed
in Appendix 2 to determine if the claimant is or is not disabled. 20 C.F.R.
§§ 404.1520(f), 416.920(f).

                                              4
       A.     Education and Work History

       TheLosen was born on October 13, 1973. She graduated from high school in 1993

and from college in 2001. She is also certified in computer training. TheLosen’s work

experience is very sparse. She worked two part-time jobs in 1990 during high school and

she was employed at two different retail stores in 1995. She participated in a work

program for the disabled sponsored by the United States Department of State in the

summer of 1998. In the winter of 1999-2000, TheLosen was employed at the Center for

Orthopedics and Sports performing secretarial duties. At the time of the administrative

hearing, TheLosen was unemployed and living with her mother.

       TheLosen alleges that she suffered from learning disabilities beginning in 1977.

This testimony was supported by her mother. TheLosen testified that in first through

seventh grades, she received remedial assistance in reading, mathematics, and writing and

that she was diagnosed with dyslexia in the fifth grade. However, her assertion that she

was enrolled in special education classes throughout high school was not supported by her

school records.

       As a student at Ocean County College in August 1993, TheLosen was evaluated by

Jorene Burke, a learning disability specialist. Burke’s report indicates that TheLosen’s

learning deficits were evident in the area of processing speed, short-term memory, and

basic reading. She demonstrated strength in broad mathematics, passage comprehension,

and holistic written expression. Her persistence, motivation, and ability to advocate for



                                             5
her academic needs were credited for her performing better than might otherwise be

expected. To accommodate TheLosen’s limitations, the college provided multi-sensory

learning, alternative test sites, extended time for assignments and tests, and seating at the

front of the class. With these accommodations, TheLosen was able to successfully

complete her college education.

       Cognitive testing conducted in September 1999 revealed that TheLosen’s short-

term memory and her IQ scores were within the average range. She also demonstrated

good word knowledge and verbal fluency.

       A form report to the New Jersey Disability Services, dated December 3, 2001,

completed by Michael DiBella, M.D., described her primary diagnosis as an unspecified

learning disability, and two minor diagnoses of motor vehicle accident injury and

seasonal pollens. As to these minor diagnoses, Dr. DiBella notes an onset date of her

“injury” as June 2001, the date TheLosen reported she was in a motor vehicle accident.

(A.R. 179). He opines that she is unable to engage in any work activity, voluntary or

community service, or educational or vocational training. He also classifies her

orthopedic limitations as “Class III: a functional capacity adequate to perform only little

or none of the duties of usual occupation or of self-care.” Id. Dr. DiBella’s report does

not describe any diagnostic testing performed to support his conclusions.




                                              6
       In contrast with earlier IQ testing, Eleanor Siegal, Ph.D.,2 in January 2003, placed

TheLosen (then age 29) in the borderline range of intellectual functioning: her arithmetic

score was in the mentally retarded range and her attention span and perceptual

organization skills were poor. Dr. Siegel does not indicate that she reviewed TheLosen’s

prior testing scores and she provides no explanation for the disparity in her conclusions

and those earlier results.

       B.     Medical History

              1.      Eye Disease (Thygeson’s Superficial Punctate Keratitis (“TSPK”)) 3

       TheLosen was first treated for complaints of eye pain, redness, tearing, and

photosensitivity in July 1993. She was diagnosed with TSPK and prescribed contact

lenses, antibiotics, eye drops, and mild steroids. Although she had recurrences of this

condition throughout the years, with flare-ups occurring about once a year, TheLosen’s

vision remained 20/20 or better.

              2.      Allergies

       TheLosen has a history of allergies beginning when she was sixteen. TheLosen

testified that her allergies caused her to end brief periods of employment at a bakery in




       2
        TheLosen was referred for a consultative examination by Dr. Siegel at the request
of the agency as a result of her application for disability benefits.
       3
         Thygeson’s superficial punctate keratitis is an eye disease primarily affecting the
cornea and is generally characterized by the presence of small epitheal lesions. Dorland’s
Illustrated Medical Dictionary 972-73 (30th ed. 2003).

                                             7
1993 and at a retail store in 1995. In December 1995, a CT scan suggested mild but

chronic sinusitis. She has routinely been treated with allergy medications.

         In May 2001, TheLosen was treated for recurring sinus problems and breathing

difficulties. She was diagnosed with severe allergic rhinitis and prescribed medication.

A CT scan showed no evidence of acute or chronic sinusitis. TheLosen was referred to

Robert Rabinowitz, D.O., for treatment of her allergies in September 2001. She

complained of persistent symptoms of postnasal drip, headaches, and significant

sensitivity to a variety of acroallergans including mold, dust, grass, and perfumes.

TheLosen was diagnosed with allergic rhinitis and possible chronic sinusitis and

prescribed Claritan D, Astelin, and Zithromax. It was also recommended that she

consider allergy injections.

         TheLosen’s treatment continued in 2002. In July 2002, she reported an instance of

loss of consciousness when she visited a new store and felt overcome by strong smells.

She continued on medication, and again it was recommended that she consider allergy

injections. She was also advised to carry an Epi-Pen and Benadryl with her on a regular

basis.

               3.     Mental Disorders

         It was also during her December 2001 appointment with Dr. DiBella that

TheLosen complained of difficulty sleeping and anxiety attacks. His report does not

include any anxiety-related diagnosis or evaluation, but Dr. DiBella did prescribe Paxil,



                                             8
an anti-anxiety medication. In September 2002, TheLosen requested a refill of her

prescription for Paxil when she was examined at the Community Medical Center. The

attending physician requested that she first undergo a psychological evaluation – a request

she refused. Her progress notes from the Community Medical Center indicate she was

diagnosed with anxiety in October 2002 and also notes her refusal to participate in any

counseling.

       In her evaluation with Dr. Siegel in January 2003, TheLosen reported that she was

suffering from panic attacks – the most recent occurring the day before the evaluation.

Dr. Siegel noted that TheLosen was prescribed Paxil by her family physician, and that she

was still not being treated by a psychologist or psychiatrist. TheLosen also reported

difficulty sleeping, obsessive-compulsive symptoms, and a general loss of interest. Dr.

Siegel diagnosed TheLosen as suffering from a panic disorder with agoraphobia,4

obsessive-compulsive disorder, and somatoform 5 disorder (not otherwise classified).

       C.     Administrative Hearing

       On February 6, 2003, a state agency psychological consultant, Ira Gash, Ph.D.,

completed a mental residual capacity assessment and psychiatric review based on Dr.

Siegel’s report. It was Dr. Gash’s opinion that TheLosen’s psychological impairments

       4
      Agoraphobia is an intense, irrational fear of open spaces, characterized by a
marked fear of being alone or of being in public places where escape would be difficult
and may be associated with panic attacks. Dorland’s at 40.
       5
        Somatoform denotes physical symptoms that cannot be attributed to organic
disease and appear to be of a psychic origin. Dorland’s at 1722.

                                             9
were the basis for her disability and that her physical limitations were only “contributing

factors.” (A.R. 290, 292).

        In April and August 2003, two other agency psychological consultants analyzed

the severity of TheLosen’s condition from October 1995 through March 31, 2001. These

consultants determined that there was insufficient evidence that TheLosen’s impairments

were severe at any time prior to March 31, 2001, thus providing substantial evidence that

would preclude DAC and DIB awards. However, TheLosen was awarded SSI benefits

based on her psychological impairments. She requested an administrative hearing to

consider the denial of DAC and DIB.

        An administrative hearing was held on June 23, 2005, during which the ALJ heard

testimony from TheLosen and her mother. Because this testimony described impairments

that were of a greater severity than were shown by the school and medical records that

had been submitted, the ALJ left the record open for thirty days to permit counsel to

provide further documentation. No additional evidence was submitted and her

applications for DAC and DIB were denied in the ALJ’s decision dated November 9,

2005.

                                            IV.

        We agree with the thorough and well-reasoned opinion of the District Court that

the decision of the Commissioner is supported by substantial evidence. The ALJ




                                             10
carefully considered the medical evidence and the testimony of Ms. TheLosen and her

mother and provided sufficient explanation for his determination of her onset date.

          TheLosen claims that the decision of the Commissioner is erroneous, but she does

not point to any evidence in the record that would support a finding that she suffered from

a severe impairment prior to October 13, 1995, or March 31, 2001. Despite her learning

disability, allergies, and chronic eye problems, she successfully graduated from high

school and college. Her TSPK was chronic with sporadic flare-ups, but was treated with

mild steroids. There is no evidence that it ever seriously limited her activities of daily

living.

          Similarly, her allergies were consistently described in the medical records as mild

in nature. It was not until September 2001 that she was diagnosed with sinusitis and

allergic rhinitis, consistent with TheLosen’s testimony that her allergies had worsened

with age. Still, TheLosen was treated with common allergy medications and the medical

records do not indicate any significant functional limitations resulting from her condition.

          Clearly, the medical and school records were not consistent with TheLosen’s and

her mother’s testimony describing the severity of her various aliments. In particular, the

high school records provided did not indicate she was enrolled in a special education

program. The ALJ provided TheLosen with an opportunity to supplement the record to

resolve this conflict but no additional evidence was submitted. TheLosen’s ability to




                                               11
successfully complete high school, college, and computer training is strong evidence that

her learning disability was not severe prior to March 31, 2001.

       Finally, the earliest record of her psychological issues appears to be Dr. DiBello’s

notes from December 2001. TheLosen reported difficulty sleeping, not wanting to leave

her home, and anxiety attacks. His designation of June 2001 as an onset date appears to

be based on the date she was injured in a motor vehicle accident and seems to be related

to the orthopedic problem she was having at that time – not any psychological diagnosis.

In fact, TheLosen was not diagnosed with anxiety until 2002, and her panic disorder,

obsessive-compulsive disorder, and somatoform disorder were first diagnosed in 2003.

Her medical records were reviewed by agency consultants who found insufficient

evidence to conclude that her impairments were severe prior to June 2002.6 The ALJ

properly relied on the consultants’ reports to determine the severity of her impairments

and the onset date of her disability.

       The District Court was also correct in rejecting TheLosen’s claim that the ALJ

failed to adequately develop the record as required by SSR 83-20. TheLosen contends the

ALJ was required to consult a medical advisor to assist him in reaching by inference

earlier dates for the onsets of her disabilities.


       6
       We note that TheLosen contends the ALJ erred in simply adopting this date as the
onset date because it was based on the date of her application for benefits as required
under SSI, but this is not a correct statement. The ALJ found she was not eligible for
DIB or DAC benefits because she could not establish a severe impairment within the
applicable insured periods.

                                               12
       SSR 83-20 describes the individual’s allegation, work history, and medical

evidence as the factors relevant to a determination of the onset date of a disability. SSR

83-20. Medical evidence is the primary consideration in determining the disability onset

date. Id. The claimant’s alleged date or the date she last worked are significant only if

consistent with the severity of the conditions shown by medical evidence. Id. A medical

advisor should be called where the impairment at issue is slowly progressing and the

alleged onset date is so far in the past that obtaining adequate medical records is

impossible. See id.; Walton v. Halter, 243 F.3d 703, 709 (3d Cir. 2001).

       In this case, the ALJ had access to the medical records from the 1990s and those

records were reviewed by medical consultants who determined there was no support for

earlier onset dates. After considering the medical evidence, the consultative reports, and

the hearing testimony, the ALJ determined that the evidence did not support a finding, at

step two of the sequential evaluation, that TheLosen had a severe impairment at a time

that would qualify her to receive DIB or DAC benefits.

       In short, TheLosen contends the ALJ should have sought medical assistance so

that by inference he could reach a conclusion that would be contrary to the medical

evidence already before him. We find the District Court was correct in concluding that

the ALJ properly considered the medical evidence before him and was not required to

obtain additional assistance.

       For these reasons, we will affirm the judgment of the District Court.



                                             13
