Maryann Gallina v. Commissioner of Social Security

[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT FILED
________________________ U.S. COURT OF APPEALS
ELEVENTH CIRCUIT
October 25, 2006
No. 06-12431 THOMAS K. KAHN
Non-Argument Calendar CLERK
________________________
D. C. Docket No. 05-00567-CV-T-MAP
MARYANN GALLINA,
Plaintiff-Appellant,
versus
COMMISSIONER OF SOCIAL SECURITY,
Defendant-Appellee.
________________________
Appeal from the United States District Court
for the Middle District of Florida
_________________________
(October 25, 2006)
Before ANDERSON, BIRCH and WILSON, Circuit Judges.
PER CURIAM:
Plaintiff-appellant Mary Ann Gallina (“Appellant”) appeals the district court
order affirming the denial of her application for disability insurance benefits and
supplemental security benefits under 42 U.S.C. § 405(g) and 42 U.S.C. §
1383(c)(3). Appellant sought these benefits due to work limitations arising from a
range of health problems. The Administrative Law Judge (“ALJ”) found that
impairments due to sarcoidosis, mild distal gastritis and a small hiatal hernia were
“severe” but did not automatically qualify her for disability benefits since they
were not equivalent to one of the listed impairments in the Social Security Act. 20
C.F.R. §§ 404.1520(g) and 416.920(g), Appendix 1, Subpart P, Regulation No. 4.
The ALJ further found that Appellant’s testimony regarding the additional
impairments was not totally credible and did not reflect medical diagnoses.
Additionally, the ALJ determined, on the basis of testimony from a vocational
expert, that while Appellant would not be able to return to her past position, she
retained enough residual functional capacity to perform other jobs that existed in
significant numbers in the national economy.
On appeal, the Appellant claims that the ALJ failed to properly consider
whether Appellant’s additional symptoms of fatigue, shortness of breath,
thalassemia and iron deficiency resulted in a severe impairment and that the ALJ
was required to seek further medical examination to evaluate these symptoms.
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Appellant further alleges that by failing to adequately include the effect of these
symptoms in his questions to the vocational expert, the ALJ solicited incorrect
information about the Appellant’s ability to find other work. Finally, Appellant
contends that the district court erred in refusing to remand her case to the ALJ in
light of new evidence demonstrating the existence of greater injury.
Standard of Review
The district court had jurisdiction pursuant to 42 U.S.C. § 405(g). We have
appellate jurisdiction over the district court’s decision pursuant to 28 U.S.C. §
1291. In reviewing appeals from decisions of the ALJ, we do not re-weigh
evidence or substitute our judgment for that of the ALJ. Cornelius v. Sullivan, 936
F.2d 1143, 1145 (11th Cir. 1991). “The Commissioner’s factual findings are
conclusive if they are supported by ‘substantial evidence,’ consisting of ‘such
relevant evidence as a reasonable person would accept as adequate to support a
conclusion.’” Doughty v. Apfel, 245 F.3d 1274, 1278 (11th Cir. 1998) (quoting
Falge v. Apfel, 150 F.3d 1320, 1322 (11th Cir. 1998)). However, we review de
novo the legal principles upon which the ALJ based his decision. Moore v.
Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005) (per curiam). We also review de
novo a district court’s decision not to remand a case back to the ALJ in light of
new evidence. Vega v. Comm’r of Soc. Sec., 265 F.3d 1214, 1218 (11th Cir. 2001).
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Discussion
In disability claims, an applicant must demonstrate that she has a severe
impairment or combination of impairments that impact her functional capacity.
Jones v. Apfel, 190 F.3d 1224, 1228 (11th Cir. 1999). Appellant alleges that she
demonstrated that she suffered from fatigue, shortness of breath, thalassemia and
iron deficiency and that such evidence was not considered by the ALJ in evaluating
her claim. The record demonstrates, to the contrary, that the ALJ considered all
medically documented conditions submitted by the Appellant, including the
diagnosis of microcytosis, which was related to her possible thalassemia and iron
deficiency. Appellant alleges nevertheless that the ALJ was required to seek
further testimony with regard to this condition. While the ALJ has a basic
obligation to develop a full and fair record, medical sources generally need only be
re-contacted when the evidence received from that source is inadequate to
determine whether the claimant is disabled. 20 C.F.R. §§ 404.1512(e) and
416.912(e); Graham v. Apfel, 129 F.3d 1420, 1422 (11th Cir. 1997) (per curiam).
We generally will not question the ALJ’s development of the record unless it
“reveals evidentiary gaps which result in unfairness and clear prejudice.” Brown v.
Shalala, 44 F.3d 931, 935 (11th Cir. 1995) (per curiam) (internal citation and
quotation marks omitted). In light of the fact that the ALJ accepted the medical
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diagnosis of microcytosis and considered it in conjunction with the numerous
evaluations made by other doctors, we find that no such gaps exist in this case.
Additionally, the ALJ considered, and discredited, Appellant’s subjective
testimony with regard to fatigue and shortness of breath. We note that “credibility
determinations are the province of the ALJ.” Moore, 405 F.3d at 1212. While the
ALJ is required to articulate explicit and adequate reasons for questioning an
applicant’s credibility, the ALJ need not “specifically refer to every piece of
evidence in his decision.” Dyer v. Barnhart 395 F.3d 1206, 1211 (11th Cir. 2005)
(per curiam). The record clearly demonstrates that the ALJ relied on the medical
reports that stated that Appellant had limited problems with fatigue and shortness
of breath in making his determination. We find that his conclusion is supported by
substantial evidence and we affirm.
Appellant next argues that the ALJ’s analysis of the work available to
Appellant was flawed since his question to the vocational expert failed to
incorporate the limitations arising from fatigue and shortness of breath. We have
already determined that the ALJ acted properly in discrediting testimony about
these symptoms. We can therefore conclude that it was not necessary for the ALJ
to raise them before the vocational expert.
Finally, Appellant posits that the district court erred by not remanding the
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case when she presented new evidence of her illness to the court. To be entitled to
a remand for further administrative proceedings that include new evidence, an
applicant must show, inter alia, that such evidence is material. Falge, 150 F.3d at
1323. The tests that Appellant relies on were conducted between March 22, 2005
and June 7, 2005 - several months after the ALJ’s November 23, 2004 decision.
This evidence is therefore reflective of Appellant’s worsened condition at the time,
rather than of the extent of her disability prior to the decision, which was well-
documented through other medical evidence. We thus find that the evidence was
not material to the administrative proceeding, and we affirm.
AFFIRMED.
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