Jones v. Apfel , 190 F.3d 1224 ( 1999 )


Menu:
  •                                                                       PUBLISH
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT                    FILED
    U.S. COURT OF APPEALS
    ELEVENTH CIRCUIT
    09/29/99
    THOMAS K. KAHN
    No. 98-6797                      CLERK
    D. C. Docket No. 2:97-692-BH-C
    CHRISTINE JONES,
    Plaintiff-Appellant,
    versus
    KENNETH S. APFEL,
    Defendant-Appellee.
    Appeal from the United States District Court
    for the Southern District of Alabama
    (September 29, 1999)
    Before TJOFLAT and DUBINA, Circuit Judges, and STORY*, District Judge.
    DUBINA, Circuit Judge:
    _______________________
    *Honorable Richard W. Story, U.S. District Judge for the Northern District of
    Georgia, sitting by designation.
    In this social security case, we are called upon to decide if the testimony of a
    vocational expert (“VE”) trumps the Dictionary of Occupational Titles (“DOT”)
    when the two are in conflict. We hold that it does.
    I. BACKGROUND
    Christine Jones (“Jones”) applied for supplemental security income benefits
    (“SSI”) on February 22, 1994, alleging that pain in her back, hands, legs, and
    chest, and numbness on her right side left her disabled. The Social Security
    Administration (“SSA”) denied her application, and the Appeals Council denied it
    again on reconsideration. Jones then requested a hearing before an administrative
    law judge (“ALJ”).
    At the hearing, Jones, then age 41, testified that she was a high school
    graduate, was married, and had six children, five of whom lived with her and her
    husband.1 Jones had worked as a restaurant cook, a fish filleter, and a corn-dog
    packager. In 1992, Jones quit her job as a fish filleter because of pain and swelling
    in her right knee. She could not stand for longer than 10 to 25 minutes and could
    not sit for extended periods of time. Her daily activities consisted of bathing,
    watching television, reading, sleeping, and sometimes making breakfast. She
    1
    A review of the record indicates that Jones’s husband has filed for SSI and one of her
    children also receives SSI. (Exhibit at 78-80).
    2
    testified that her back and knee pain prohibited her from doing housework, driving,
    bending, or stooping. She also asserted that she had numbness and pain in both
    arms, high blood pressure, sinus problems, and a defective heart valve which
    caused her heart to stop beating sometimes. She took medication on a daily basis,
    some of which made her drowsy. On a scale of one to ten, she rated her pain a
    seven or eight.
    The ALJ questioned Charles Whitson, a VE, about Jones’s assertions in her
    application for disability. The ALJ asked the VE to assume that Jones can perform
    sedentary level work that does not involve significant bending, stooping,
    crouching, crawling, or reaching above shoulder level, and does not involve
    exposure to extreme dust, fumes, gasses, irritants, and pollen. The ALJ also asked
    the VE to assume that Jones is best suited to working with objects rather than
    people and can perform routine, repetitive, and unskilled work activities. Based on
    this hypothetical, the VE testified to four categories of jobs that existed in the
    national and regional economy that such a claimant could perform: (1) a hand
    packager, (2) an agricultural sorter, (3) small-parts assembler, and (4) a product
    inspector.
    Alternatively, the ALJ asked the VE to assume that the record supported
    Jones’s claims of pain and discomfort and her limitations of ability to function. If
    3
    the record supported these claims, the VE responded that Jones would be precluded
    from the occupations he identified. On cross-examination, the VE stated that
    moderately severe pain would also preclude Jones from all of the identified
    occupations.
    The ALJ reviewed the reports of three physicians and a psychologist who
    had treated or examined Jones. Dr. Bony F. Barrineau (“Dr. Barrineau”) treated
    Jones after she twisted her right knee on the job. Dr. Barrineau gave Jones an
    injection for the pain and recommended wearing a knee sleeve. Several months
    later, Jones returned to Dr. Barrineau with continued pain. Upon further
    examination, Dr. Barrineau diagnosed a medial meniscus tear and indicated that
    this knee injury precluded her from standing for long periods of time. (Exhibit at
    133-35).
    Dr. Larry B. Thead (“Dr. Thead”) performed a consultative examination of
    Jones. Based on his examination, Dr. Thead concluded that Jones “would have no
    difficulty performing work related physical activities such as sitting, standing,
    handling objects, hearing, and speaking.” (Exhibit at 141-44).
    Dr. Judy C. Travis (“Dr. Travis”) treated Jones for various complaints over
    the course of a year. In February 1996, Dr. Travis completed a physical evaluation
    of Jones and found that she could frequently lift objects weighing less than ten
    4
    pounds; that her impairment did not affect her standing, walking, and sitting; that
    she could frequently bend, squat, kneel, and crawl, and occasionally climb and
    balance; that her impairment did not affect her grasping, reaching, pushing, and
    pulling; that her environmental restrictions included temperature extremes,
    chemicals, noise, fumes, and vibration; that she did not have chronic pain, but that
    she needed vocational rehabilitation to return to work; and that she would be an
    unreliable worker as a result of her condition and attendant limitations.
    The psychologist, Kenneth R. Schneider, Ph.D., (“Dr. Schneider”)
    completed a mental evaluation of Jones. Jones’s full scale IQ score was 71; she
    functioned at the borderline mentally retarded range of intellectual development.
    Dr. Schneider indicated that Jones’s pain, combined with her borderline mentally
    retarded range of intellectual functioning, could significantly impact her ability to
    function in a work setting. He concluded that Jones had moderate limitations in
    several areas. Dr. Schneider also indicated that Jones’s condition was likely to
    deteriorate if she were placed under the stress of a job.
    Based on this evidence, the ALJ determined that Jones had two severe
    impairments that impacted her ability to perform basic work activities: (1) a medial
    meniscus tear of the right knee, and (2) borderline intellectual functioning. The
    ALJ concluded, however, that these impairments did not preclude work activity.
    5
    The ALJ discredited Jones’s allegations of pain and swelling in her knee,
    numbness of the joints, high blood pressure, sinus problems, heart fluttering, and
    side effects of medication. Although the ALJ determined that Jones could not
    perform her past relevant work, he found that she had the residual functional
    capacity to perform work related activities at the sedentary level of exertion. The
    ALJ noted that Jones could not perform the full range of sedentary work, but she
    could perform such jobs as hand packager, with 2,000 jobs existing regionally and
    100,000 nationally; agricultural sorter, with 400 jobs existing regionally and
    20,000 nationally; small parts assembler, with 2,500 jobs existing regionally and
    120,000 nationally; and product inspector, with 2,000 jobs existing regionally and
    100,000 nationally.
    Following the ALJ’s decision, Jones submitted additional medical records to
    the Appeals Council. The Appeals Council concluded, however, that the
    information was insufficient to reverse the ALJ’s decision. The magistrate judge,
    upon judicial review, issued a report recommending affirmance of the ALJ’s
    decision. Jones objected, but the district court adopted the magistrate’s report and
    affirmed the denial of benefits.
    II. DISCUSSION
    6
    Jones presents two arguments on appeal: whether the ALJ properly assessed
    the effect of her limitations on her ability to perform sedentary work and whether
    the Commissioner proved that there were a substantial number of jobs in the
    economy that the claimant could perform. We affirm the Commissioner’s decision
    on a disability benefits application if it is supported by substantial evidence and the
    Commissioner applied the correct legal standards. See Graham v. Apfel, 
    129 F.3d 1420
    , 1422 (11th Cir. 1997).
    A. Erosion of the occupational base
    Jones contends that by not questioning the VE about her limitations, the ALJ
    failed to properly assess the effect of her limitations on her ability to perform
    sedentary work. She further asserts that the ALJ did not consider the extent of any
    erosion of the occupational base, as determined by her residual functional capacity,
    and assess its significance in terms of the medical-vocational rules. The
    Commissioner responds that Jones’s argument regarding the erosion of the
    occupational base is waived because she did not clearly present it to the district
    court.
    A review of the record indicates that Jones did not raise this specific issue to
    the district court. There is no mention of this issue in her brief in support of her
    complaint nor in her appeal to the district court, so the district court did not have an
    7
    opportunity to consider the issue and rule on it. See In re Pan American World
    Airways, Inc., 
    905 F.2d 1457
    , 1461-62 (11th Cir. 1990). Jones also cannot satisfy
    any exception to our well-settled rule; accordingly, we decline to consider this
    issue presented for the first time on appeal.
    B. Ability to perform other work in the economy
    An individual who files an application for Social Security disability benefits
    must prove that she is disabled. See 
    20 C.F.R. § 416.912
     (1998). The Social
    Security regulations provide a five-step sequential evaluation process for
    determining if a claimant has proven that she is disabled. See 
    20 C.F.R. § 416.920
    .
    At the first step, the claimant must prove that she has not engaged in substantial
    gainful activity. See 
    id.
     At the second step, she must prove that she has a severe
    impairment or combination of impairments. See 
    id.
     If, at the third step, she proves
    that her impairment or combination of impairments meets or equals a listed
    impairment, she is automatically found disabled regardless of age, education, or
    work experience. See 
    id.
     If she cannot prevail at the third step, she must proceed
    to the fourth step where she must prove that she is unable to perform her past
    relevant work. See 
    id.
     At the fifth step, the burden shifts to the Commissioner to
    determine if there is other work available in significant numbers in the national
    economy that the claimant is able to perform. See 
    id.
     If the Commissioner can
    8
    demonstrate that there are jobs the claimant can perform, the claimant must prove
    she is unable to perform those jobs in order to be found disabled. See 
    id.
     This case
    centers on step five of the sequential evaluation process.
    Jones argues that the ALJ erred in relying on the testimony of the VE to
    demonstrate that she could perform other jobs in the economy because that
    testimony conflicted with the DOT. According to the limitations identified by the
    ALJ and the job descriptions in the DOT, Jones contends that the Commissioner
    has failed to prove by a preponderance of the evidence that there are other jobs in
    substantial numbers in the economy which she can perform. The Commissioner
    responds that the ALJ appropriately relied on the VE’s testimony to satisfy its
    burden of showing that Jones could perform work that exists in the national and
    regional economy. To the extent that the VE’s testimony may have conflicted with
    the DOT, the Commissioner urges this court to follow the approach taken by the
    Sixth Circuit, or alternatively, the Eighth and Ninth Circuits, and hold that the
    VE’s testimony trumps the DOT.
    In a disability determination, once a claimant proves that she can no longer
    perform her past relevant work, the burden shifts to the Commissioner “to show the
    existence of other jobs in the national economy which, given the claimant’s
    impairments, the claimant can perform.” Hale v. Bowen, 
    831 F.2d 1007
    , 1011
    9
    (11th Cir. 1987). Often, the Commissioner meets this burden by relying on the
    grids. See Foote v. Chater, 
    67 F.3d 1553
    , 1559 (11th Cir. 1995). When the
    claimant cannot perform a full range of work at a given level of exertion or the
    claimant has non-exertional impairments that significantly limit basic work skills,
    exclusive reliance on the grids is inappropriate. See 
    id.
     In such cases, the
    Commissioner’s preferred method of demonstrating that the claimant can perform
    other jobs is through the testimony of a VE. See 
    id.
     In order for a VE’s testimony
    to constitute substantial evidence, the ALJ must pose a hypothetical question which
    comprises all of the claimant’s impairments. See generally McSwain v. Bowen,
    
    814 F.2d 617
    , 619-20 (11th Cir. 1987).
    The ALJ determined that Jones was not capable of performing a full range of
    sedentary work, so he appropriately called a VE to testify whether Jones, given her
    limitations, was capable of performing other jobs in the national economy. The
    VE identified the above-mentioned jobs that Jones could perform with her
    limitations. Notwithstanding, Jones argues that the ALJ’s reliance on the VE’s
    testimony was improper because the exertional and environmental requirements of
    some of the jobs identified by the VE, such as hand packager and nut sorter,
    conflict with the DOT. Specifically, Jones notes that there are no unskilled
    sedentary packaging jobs in the DOT and the DOT lists only eight agricultural
    10
    sorter jobs which are unskilled, sedentary occupations.
    Several other circuits have analyzed the conflict between the VE’s testimony
    and the DOT. The Sixth Circuit in Conn v. Secretary of Health and Human
    Services, 
    51 F.3d 607
    , 610 (6th Cir. 1995), held that the social security regulations
    do not require the Commissioner or the VE to rely on classifications in the DOT.
    Therefore, an ALJ may rely on the VE’s testimony even if it is inconsistent with
    the DOT. The Eighth and Ninth Circuits hold that the DOT controls unless it can
    be “rebutted . . . with VE testimony which shows that ‘particular jobs, whether
    classified as light or sedentary, may be ones that a claimant can perform.’”
    Montgomery v. Chater, 
    69 F.3d 273
    , 276 (8th Cir. 1995) (quoting Johnson v.
    Shalala, 
    60 F.3d 1428
    , 1435 (9th Cir. 1995)). The VE’s task, therefore, is to
    determine whether there are jobs in the region which the claimant can perform with
    her precise disabilities or limitations. If the VE can accomplish this task, then the
    DOT does not control. 
    69 F.3d at 277
    .
    In a recent case, the Tenth Circuit held that before an ALJ may rely on
    expert VE testimony as substantial evidence to support a determination of
    nondisability, the ALJ must ask the VE how his or her testimony corresponds with
    the DOT. See Haddock v. Apfel, ___ F.3d ___ , No. 98-7063 (10th Cir., July 13,
    1999). The Tenth Circuit rejected the approach of the Sixth Circuit in Conn, and
    11
    followed the reasoning of the Eighth and Ninth Circuits. The court noted that the
    ALJ’s duty is to develop the record fully, and to do so, the ALJ must question the
    VE about the source of his or her opinion and any deviations from a publication
    recognized as authoritative by the agency’s own regulations. 
    Id.
     at ___. The court
    stated that
    [w]e do not mean by our holding that the Dictionary of Occupational
    Titles “trumps” a VE’s testimony when there is a conflict about the
    nature of a job. We hold merely that the ALJ must investigate and
    elicit a reasonable explanation for any conflict between the Dictionary
    and expert testimony before the ALJ may rely on the expert’s
    testimony as substantial evidence to support a determination of
    nondisability.
    
    Id.
     at ___. See also Tom v. Heckler, 
    779 F.2d 1250
    , 1255-56 (7th Cir. 1985)
    (remanding case because of conflict between the VE’s testimony and the DOT);
    Mimms v. Heckler, 
    750 F.2d 180
    , 186 (2d Cir. 1984) (remanding case for
    reconsideration of jobs claimant could perform in light of DOT descriptions).
    We agree with the Sixth Circuit that when the VE’s testimony conflicts with
    the DOT, the VE’s testimony “trumps” the DOT. We so hold because the DOT “is
    not the sole source of admissible information concerning jobs.” Barker v. Shalala,
    
    40 F.3d 789
    , 795 (6th Cir. 1994). The DOT itself states that it is not
    comprehensive. It provides occupational information on jobs in the national
    economy, and it instructs “DOT users demanding specific job requirements [to]
    12
    supplement th[e] data with local information detailing jobs within their
    community.” Dictionary of Occupational Titles, Special Notice at xiii (4th ed.
    1991); Barker, 
    40 F.3d at 795
    . Additionally, the Code of Federal Regulations
    states that the SSA will take administrative notice of reliable job information
    available from various governmental and other publications, such as the DOT. See
    CFR § 404.1566(d)(1). By this wording, the SSA itself does not consider the DOT
    dispositive.
    As noted in the DOT, the ALJ should supplement the DOT data with local
    information detailing jobs in the regional community. The VE provides this vital
    information. In this case, the VE testified that he compiled the employment
    information from a personal survey, contact with employers and other VEs and a
    survey of literature such as census reports and county business patterns. (Exhibit
    at 71). As such, we conclude that the VE’s testimony is crucial to an ALJ’s
    determination at step 5 of the sequential evaluation process. Due to the
    significance of the VE’s testimony, we agree with the Sixth Circuit and hold that
    an ALJ may rely solely on the VE’s testimony.2
    Following the Sixth Circuit’s analysis, we see no error in this case. The
    2
    Our holding does not preclude reliance on the DOT; reliance on the DOT is within the
    discretion of the ALJ.
    13
    ALJ’s determination that Jones was not disabled is supported by substantial
    evidence. The VE identified several jobs that Jones could perform with her
    limitations. The VE identified no jobs that went beyond Jones’s residual
    functional capacity, even under the definitions in the DOT. The VE even
    identified the DOT classifications for sedentary work which Jones could perform.
    Accordingly, we affirm the district court’s order affirming the Commissioner’s
    denial of SSI benefits to claimant Jones.
    AFFIRMED.
    14
    15