Opinion ID: 439153
Heading Depth: 1
Heading Rank: 2

Heading: substantial evidence supports the secretary's decision.

Text: 4 Dr. Chamberlain, the treating physician at the time of Vincent's second transient ischemic attack, reported that all symptoms had disappeared before Vincent's release from the hospital. Dr. Chamberlain examined Vincent again one month later and noted no disabling effects of the attack. Three months later, after he had returned home to California, Vincent was examined by a local physician, Dr. Postman. Dr. Postman prepared a fairly extensive medical report detailing Vincent's bronchopulmonary difficulties (allergies and asthma), but containing no information suggesting that Vincent was suffering from cardiovascular impairment. Finally, a clinical psychologist, Dr. Danton, who had counseled Vincent over the course of 29 visits beginning on October 29, 1979 (one month after the attack at issue here), submitted two ambiguous letters to the ALJ. In the first letter, Dr. Danton acknowledged that Vincent had suffered psychological difficulties as a result of the second attack. He concluded that Vincent was able to manage a small coal supply company, because this was a very low-stress job and ... he was greatly helped by his office staff. In the second letter, Dr. Danton strongly emphasized Vincent's disabilities, noting that managing the coal business was a very qualified success and that, after the attack, things weren't going well for Vincent. Together, however, these documents constitute substantial evidence to support the Secretary's decision. 5