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[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
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No. 16-16160
Non-Argument Calendar
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D.C. Docket No. 1:15-cv-00644-WSD
TESSIE LYNN GLOVER,
Plaintiff-Appellant,
versus
CAROLYN W. COLVIN,
Defendant-Appellee.
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Appeal from the United States District Court
for the Northern District of Georgia
________________________
(August 1, 2017)
Before ED CARNES, Chief Judge, HULL and MARCUS, Circuit Judges.
PER CURIAM:
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In 2008 Tessie Lynn Glover filed an application for disability insurance
benefits, 42 U.S.C. § 405(g), and supplemental security income, 42 U.S.C.
§ 1383(c)(3), due to her inability to work based on a disabling condition. Before
her purported disability onset date of August 30, 2005, Glover had worked as a bill
maker, dough mixer, driver, medical van driver, packing line attendant, customer
service representative, and stocker. After the Social Security Administration
denied her application and her request for reconsideration, she requested a hearing
before an administrative law judge (ALJ).
The ALJ conducted a hearing on Glover’s claims and denied her application
for benefits. Glover appealed that decision and the Appeals Council granted her
request for review, vacated the ALJ’s decision, and remanded the case to the ALJ
to “[o]btain supplemental evidence from a vocational expert to clarify the effect of
the assessed limitations on [Glover]’s occupational base.” On remand, the ALJ
conducted a second hearing and later issued a decision denying Glover benefits.
The Appeals Council denied her request for review, and the district court affirmed
the ALJ’s denial of her request for benefits. This is Glover’s appeal.
A claimant must be disabled to be eligible for disability insurance benefits
and supplemental security income. 42 U.S.C. §§ 423(a)(1)(E), 1382(a). The ALJ
must follow a five-step sequential evaluation to determine whether a claimant is
disabled. See 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4). During the last two
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steps of the process, an ALJ considers the claimant’s residual functional capacity,
see id., which is “the most [a claimant] can still do despite [her] limitations,” id.
§ 404.1545(a)(1). In considering the claimant’s residual functional capacity the
ALJ looks at medical and other relevant evidence in the record. Id.
§ 404.1545(a)(3). If the ALJ finds that the claimant can still do her past relevant
work, then the claimant is not disabled. Id. § 404.1520(a)(4)(iv). If, however, the
ALJ finds that the claimant cannot still do her past relevant work, the ALJ must
decide whether the claimant “can make an adjustment to other work,” considering
her residual functional capacity as well as her “age, education, and work
experience.” Id. § 404.1520(a)(4)(v). “An ALJ may make this determination
either by applying the Medical Vocational Guidelines or by obtaining the
testimony of a vocational expert.” Winschel v. Comm’r of Soc. Sec., 631 F.3d
1176, 1180 (11th Cir. 2011).
Glover contends that substantial evidence does not support the ALJ’s finding
as to her residual functional capacity, asserting that the ALJ failed to address
certain findings made by consultative physicians Dr. Clancy and Dr. Cunanan.
“[T]he ALJ must state with particularity the weight given to different medical
opinions and the reasons therefor.” Id. at 1179. When deciding how much weight
to give a medical opinion, the ALJ should consider certain factors, including the
consistency of the opinion with the record as a whole as well as the evidence and
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explanation supporting the opinion. 20 C.F.R. § 404.1527(c). “[W]hen the ALJ
fails to ‘state with at least some measure of clarity the grounds for his decision,’
we will decline to affirm ‘simply because some rationale might have supported the
ALJ’s conclusion.’” Winschel, 631 F.3d at 1179 (quoting Owens v. Heckler, 748
F.2d 1511, 1516 (11th Cir. 1984)). The ALJ, however, is not required to discuss
every piece of evidence so long as the decision shows that he considered the
claimant’s medical condition as a whole. See Dyer v. Barnhart, 395 F.3d 1206,
1211 (11th Cir. 2005).
Dr. Clancy performed a consultative examination of Glover and, among
other things, offered an opinion that “[r]eliability is likely to be a problem due to
mood instability and lack of motivation” and that Glover “would be able to handle
low to moderate stress, but would eventually decompensate with prolonged
moderate stress.” Dr. Clancy also opined that Glover “should be able to
understand and follow simple instructions, although she may be slower than
normal in this process.”
The ALJ, in assessing Glover’s residual functional capacity, gave significant
weight to Dr. Clancy’s opinion, finding that Glover was “limited to simple
instructions” with “no more than occasional interactions with the public.” While
Glover contends that the ALJ failed to account for Dr. Clancy’s opinion about her
reliability, Dr. Clancy did not express that opinion in terms of how it would limit
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Glover’s ability to work. As for Dr. Clancy’s opinion that Glover “should be able
to handle low to moderate stress, but would eventually decompensate with
prolonged moderate stress,” the ALJ took that opinion into account by limiting
Glover to not more than occasional contact with the public. Finally, the ALJ’s
residual functional capacity assessment included Dr. Clancy’s finding that Glover
“has the ability to adequately follow and recall simple directions, but has some
difficulty as they become more detailed.” And even though Dr. Clancy noted that
Glover “may be slower than normal” in understanding and following simple
instructions, Dr. Clancy never indicated that she would be unable to do so. As a
result, the ALJ sufficiently addressed Dr. Clancy’s findings and opinions.
Glover also contends that the ALJ failed to consider certain parts of
Dr. Cunanan’s opinion. In his decision the ALJ detailed Dr. Cunanan’s medical
opinions and found that “[a]lthough the evidence and examination notes do not
support Dr. Cunanan’s opinion that [Glover] has a poor to fair prognosis to work[,]
. . . the remainder of his report and opinions are consistent with the treatment
records [and] the limitations provided in exertional activities such as lifting,
standing, sitting and walking are afforded great weight.”
Glover asserts that the ALJ failed to acknowledge Dr. Cunanan’s opinion
that she “might have difficulty adhering to work schedules and meeting production
norms because of arthralgias, abdominal pain, and mental issues.” That opinion,
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however, formed the basis of Dr. Cunanan’s conclusion that Glover “has a poor to
fair prognosis to work,” which the ALJ found was not supported by the evidence.
As a result, the ALJ did not ignore Dr. Cunanan’s opinion that Glover may have
difficulty with work schedules and meeting production norms. He instead found
that opinion, and the conclusion it led to, unsupported by the evidence.
Finally, Glover contends that substantial evidence did not support the ALJ’s
finding that she can adjust to other work because the ALJ erroneously relied on the
vocational expert’s testimony, which was based on an incomplete hypothetical
question. See Winschel, 631 F.3d at 1180 (“In order for a vocational expert’s
testimony to constitute substantial evidence, the ALJ must pose a hypothetical
question which comprises all of the claimant’s impairments.”). Glover asserts that
the ALJ’s hypothetical question was incomplete because it took into account only
the impairments found as part of her residual functional capacity and did not
include the limitations provided in Dr. Clancy’s and Dr. Cunanan’s opinions. As
we have already discussed, however, the ALJ incorporated most of those
limitations into the residual functional capacity finding and he rejected the
remaining limitations as unsupported or unrelated to Glover’s ability to work. And
the ALJ was not required to formulate a hypothetical that included findings he had
rejected as unsupported. See Crawford v. Comm’r of Soc. Sec., 363 F.3d 1155,
1161 (11th Cir. 2004). The ALJ’s hypothetical to the vocational expert included
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all of Glover’s impairments that were supported by the record, and substantial
evidence supported the finding that Glover can make an adjustment to other work.
AFFIRMED.
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