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2017 DNH 5

Beede v SSA

New Hampshire District Court

Decided January 31, 2017

New Hampshire District Court · decided 2017-01-31

Applies 42 U.S.C. § 405 (§ 205 of the Social Security Act of 1935)

Relies on Irlanda Ortiz v. Secretary of Health & Human Services · Rodriguez v. Secretary of Health & Human Services · Berrios Lopez v. Secretary of Health & Human Services

Decided 2017-01-31

                   UNITED STATES DISTRICT COURT
                    DISTRICT OF NEW HAMPSHIRE


Brett Beede

    v.                              Civil No. 16-cv-010-JL
                                    Opinion No. 
2017 DNH 005
Carolyn Colvin,
Acting Commissioner,
Social Security Administration


                          ORDER ON APPEAL

    Brett Beede has appealed the Social Security

Administration’s (“SSA”) denial of his application for a period

of disability, disability insurance benefits, and supplemental

security income.   An administrative law judge at the SSA (“ALJ”)

ruled that, despite the severe impairment of degenerative disc

disease of the spine post laminectomy and discectomy, Beede

retains the residual functional capacity (“RFC”) to perform jobs

that exist in significant numbers in the national economy, and

thus is not disabled.   See 
20 C.F.R. §§ 404.1505
(a), 416.905(a).

The Appeals Council later denied Beede’s request for review, see

id.
 § 404.967, with the result that the ALJ’s decision became

the final decision on Beede’s application, see id. § 404.981.

Beede then appealed the decision to this court, which has

jurisdiction under 
42 U.S.C. § 405
(g) (Social Security).

    Beede has moved to reverse the decision, see L.R. 9.1(b),

contending that the ALJ’s findings as to Beede’s RFC, made at
step three, are not supported by substantial evidence, and that

the ALJ erroneously relied on flawed vocational testimony at

step five of the process.   The Acting Commissioner of the SSA

has cross-moved for an order affirming the ALJ’s decision.     See

L.R. 9.1(e).   After careful consideration, the court grants

Beede’s motion to reverse (and denies the Acting Commissioner’s

motion to affirm) the ALJ’s decision.


I.   Background1

     The ALJ invoked the requisite five-step process in

assessing Beede’s request for disability and disability

insurance benefits.   See 
20 C.F.R. § 416.920
.   First, he

concluded that Beede had not engaged in substantial gainful

activity during the period between the alleged onset of his

disability on December 16, 2006, and the date to which he would

remain insured, December 1, 2010.   The ALJ then concluded that

Beede suffered from a single severe impairment:   “degenerative

disc disease of the spine status post laminectomy and discectomy




1 The court recounts here only those facts relevant to the
instant appeal. The parties’ more complete recitation in their
Joint Statement of Material Facts (document no. 12) is
incorporated by reference. See L.R. 9.1(d).



                                2
at L4-5”.1   Beede’s hepatitis C, alcohol abuse, and depression,

the ALJ determined, did not amount to severe impairments.2

       At the third step, the ALJ found that Beede’s severe

degenerative disc disease did not meet or “medically equal” the

severity of one of the impairments listed in the Social Security

regulations, despite the examining physician’s opinion that it

did so.    See 
20 C.F.R. §§ 416.920
(d), 416.925, and 416.926.

After reviewing the medical evidence of record, Beede’s own

statements, the assessment of an examining orthopedist, the

examination report of an impartial medical consultant, and the

findings of a non-examining State agency medical consultant, the

ALJ concluded that Beede retained the RFC to perform light work,

albeit with several physical limitations.3   Though these

limitations prevented Beede from performing his past relevant

work as a cabinet builder, landscaper, and construction

supervisor, see 
20 C.F.R. § 416.965
, the ALJ found at step five

that Beede could perform jobs that exist in significant numbers




1   Admin. R. at 13.
2   
Id. at 14-16
.
3 
Id. at 17-20
. The ALJ considered, but gave no weight to, an
opinion provided by someone whose credentials to render that
opinion were not apparent and who, thus, was not considered an
acceptable medical source under the regulations. 
Id. at 20
.
Beede does not challenge this aspect of the ALJ’s decision.



                                  3
in the economy.   Therefore, the ALJ found, Beede was not

disabled within the meaning of the Social Security Act.


II.   Analysis

      Beede challenges two aspects of the ALJ’s analysis.    He

contends that the ALJ engaged in a flawed RFC analysis, leading

to an equally flawed RFC finding, and that, at step five, the

ALJ relied on flawed vocational testimony to conclude that Beede

could work at jobs that exist in significant numbers in the

national economy despite his physical limitations.    The ALJ did

not err as to the first; his RFC analysis and the RFC are

supported by substantial evidence.   His failure to reconcile

inconsistencies between the vocational expert testimony elicited

at the hearing and the Dictionary of Occupational Titles at step

five of the analysis, however, mandates remand.


      A.   RFC analysis

      The ALJ’s residual functional capacity assessment must be

supported by substantial evidence in the record.     See Berrios

Lopez v. Sec'y of Health & Human Servs., 
951 F.2d 427, 431
.

Substantial evidence is that which a “reasonable mind, reviewing

the evidence in the record as a whole, could accept . . . as

adequate to support [the] conclusion.”   Ortiz v. Sec’y of Health

& Human Servs., 
955 F.2d 765, 769
 (1st Cir. 1991) (quoting




                                 4
Rodriguez v. Sec’y of Health & Human Servs., 
647 F.2d 218, 222

(1st Cir. 1981)).

       The ALJ concluded that Beede had the RFC to perform light

work, as defined by 
20 C.F.R. §§ 404.1567
(b) and 416.967(b),

with the following exceptions:

       [he] can occasionally lift up to 20 lbs. but can
       frequently lift up to 20 lbs. as well. He can stand
       and walk up to 1-hour per workday. He is unlimited
       with respect to sitting but requires the ability to
       alternate position periodically as needed 30 minutes
       at a time. This means [he] requires an essentially
       seated job, involving up to about 1-hour of standing
       and walking throughout the workday, with the ability
       to sit for 30 minutes at a time before he requires the
       ability to get up for a minute and stretch. [He] can
       only occasionally engage in pushing and pulling
       activities. He cannot climb ladders, ropes or
       scaffolds but can frequently balance, kneel, crouch,
       stoop and climb stairs. [He] can occasionally crawl.
       [He] has no difficulties with respect to performing
       manipulative activities, and has no difficulties with
       respect to communication or visual activities.4

Beede contends that this RFC is not supported by substantial

evidence on two fronts.    Specifically, Beede notes that an RFC

that allows him to stand and walk up to only one hour per day

necessarily implies that Beede must sit the remainder of the

time.    Beede argues that substantial evidence in the record does

not support a conclusion that Beede is capable of sitting for

seven hours in the workday -- an implication of an RFC that




4   Admin. R. at 16-18.



                                  5
limits him to standing and walking less than one hour.5   Beede

also contends that the ALJ improperly discounted the opinion of

one of his medical examiners as to Beede’s ability to maintain

attention and focus during the workday.

       In crafting Beede’s RFC, the ALJ considered, among other

evidence, the opinions of two medical examiners -- Dr. Frank A.

Graf and Dr. Peter C. Loeser -- as well as one non-examining

State agency medical consultant, Dr. Burton Nault.    Dr. Graf

concluded that Beede could stand and/or walk “less than 2 hours

in an 8-hour workday,”6 which the ALJ considered in determining

that Beede could stand and/or walk up to one hour per workday.7

Though concluding that Beede’s impairment affected his ability

to sit, Dr. Graf indicated no time limitation; he indicated,

instead, that Beede “must periodically alternate sitting and

standing to relieve pain or discomfort.”8   The ALJ took this

limitation, as well as Beede’s testimony and the ALJ’s own

observations of Beede, into account in requiring that Beede have




5   Mot. to Reverse (doc. no. 7) at 4-5.
6   Admin. R. at 463.
7   
Id. at 20
.
8   Id. at 464.



                                  6
the opportunity “to alternate position periodically as needed 30

minutes at a time.”9

        Both Dr. Nault and Dr. Loesser more favorably evaluated

Beede’s ability to sit and stand for a long duration.     Dr. Nault

concluded that Beede could stand and/or walk “about 6 hours per

day,” and could “sit (with normal breaks)” for the same amount

of time.10    Dr. Loeser concluded that the effect of Beede’s

impairment on his functional capacity would “be no more than

mild,”11 though the ALJ afforded this opinion little weight

because it was inconsistent with the opinions of Drs. Nault and

Graf, and because Dr. Loeser did not indicate how Beede’s

impairment “would restrict him in the performance of specific

job tasks.”12

        The ALJ crafted an RFC that took into account the opinions

of all three medical experts.     His conclusion as to Beede’s

ability to sit, and Beede’s need to alternate positions, accords

with Dr. Graf’s conclusions.    Accordingly, the ALJ’s

determination as to Beede’s ability to sit or stand is supported

by substantial evidence in the record.     The court will not



9    Id. at 20.
10   Id. at 92.
11   Id. at 405.
12   Id. at 19.



                                   7
disturb an RFC so supported, even if “the record arguably could

support a different conclusion.”       Ortiz, 
955 F.2d at 770
.

       Beede also argues that the ALJ erred in concluding that he

retained the function to perform “light work” when the RFC only

permits Beede to stand and/or walk for less than one hour per

day.    This should, Beede contends, be considered “sedentary

work.”13   “[A] sedentary job is defined as one which involves

sitting,” though it may require “a certain amount of walking and

standing . . . in carrying out job duties.”       
20 C.F.R. § 404.1567
(b).    A job is categorized as light work, on the other

hand, when it “requires a good deal of walking or standing, or

when it involves sitting most of the time with some pushing and

pulling of arm or leg controls.”       
Id.
 § 404.1567(c).   The

ability to perform light work incorporates the ability to

perform sedentary work, absent considerations not present here.

Id.    (“If someone can do light work, we determine that he or she

can also do sedentary work, unless there are additional limiting

factors such as loss of fine dexterity or inability to sit for

long periods of time.”).

       The ALJ concluded, and Beede does not contest, that Beede

can occasionally and frequently lift up to 20 pounds.14       He then



13   Mot. to Reverse (doc. no. 7) at 8-10.
14   Admin. R. at 16.



                                   8
concluded that Beede could not perform the full range of light

work, and imposed additional limitations to account for Beede’s

need to alternate positions, as described by Dr. Graf.     Though

there is some apparent inconsistency between the definition of

“light work” and an ability to stand for only one hour per day,

the ALJ’s significant limitations on Beede’s RFC mitigate any

such inconsistencies and appear consistent with the evidence of

record.

       Finally, Beede contends that the ALJ erred in his treatment

of Dr. Graf’s opinion as to Beede’s inability to maintain

attention and concentration on work tasks throughout an eight-

hour workday.     In response to the question of whether it is

“medically reasonable to expect that [Beede’s] ability to

maintain attention and concentration on work tasks throughout an

8 hour day is significantly compromised by pain, prescribed

medication or both,” Dr. Graf opined that Beede’s attention and

concentration would be “limited by pain and psychiatric

[diagnoses].”15    Beede argues that the ALJ “erred in simply

ignoring Dr. Graf’s opinion” on this score.16

       First, the ALJ did not err by discounting Dr. Graf’s

opinion as to the effect of depression on Beede’s ability to



15   Admin. R. at 465.
16   Mot. to Reverse (doc. no. 7) at 5-7.



                                   9
maintain attention and concentration.      The ALJ discounted

Dr. Graf’s opinion on this score on the permissible ground that

Dr. Graf is an orthopedic surgeon, not a mental health

practitioner.      See 20 C.F.R. 404.1527(c)(5) (“We generally give

more weight to the opinion of a specialist about medical issues

related to his or her area of specialty than to the opinion of a

source who is not a specialist.”).      The ALJ further relied on

other evidence in the record in making this determination,

including Beede’s lack of mental health treatment and statements

by Beede and his attorney.17     Beede has not demonstrated that

this conclusion lacks substantial support in the record.        Cf.

Ortiz v. Sec’y of Health & Human Servs., 
955 F.2d at 769-70
.

       Nor did the ALJ err in discounting Dr. Graf’s opinion that

Beede’s ability to maintain attention and concentration was

“limited by pain.”18     The ALJ did not, as Beede argues, ignore

that opinion; rather, the ALJ discounted it as contradicted by

Beede’s own representations as to his ability to concentrate and

pay attention.19     Specifically, Beede himself indicated that he

could pay attention “[a]ll day mostly,” that he finishes what he




17   Admin. R. at 14.
18   Id. at 465.
19Id. at 14. See also id. at 17 (discussing Beede’s ability to
complete tasks and pay attention).



                                   10
starts and that he follows written and spoken instructions

“well.”20

       The ALJ is, as Beede points out, obligated to consider all

evidence, see 
20 C.F.R. § 404.1527
(a)(3), including medical

opinion evidence, see 
id.
 § 404.1527(b), in determining whether

a claimant is disabled.    The ALJ fulfilled this obligation by

considering Dr. Graf’s opinion, and explaining why, in light of

other evidence in the record, including Dr. Graf’s specialty and

Beede’s own representations, he discounted it.


       B.   Vocational expert testimony

       Though the ALJ’s RFC analysis passes muster, his conclusion

at step five of the analysis that Beede could perform jobs that

exist in significant numbers in the national economy does not.

In coming to that conclusion, the ALJ heard testimony from a

vocational expert as to whether such jobs exist for an

individual with Beede’s age, education, work experience, and

RFC.    The vocational expert testified that three jobs met those

requirements: price marker, furniture rental consultant, and

laundry classifier.21   Each of these jobs is categorized as

requiring a “light work” level of exertion.    The vocational

expert testified that “the Dictionary of Occupational Titles


20   Id. at 177.
21   Id. at 22.



                                 11
does not categorize the sit/stand option” that the ALJ included

in Beede’s RFC, but that “[t]he jobs provided today as examples

do provide a sit/stand option for the individual as in the

hypothetical.”22   She drew this conclusion from her “experience

in working with employers, human resource representatives,

corporation[s], when writing job analyses, when observing

individuals in the work place, also asking questions for

research and labor market surveys.”23

       The ALJ acknowledged that “the vocational expert’s

testimony is inconsistent with the information contained in the

Dictionary of Occupational Titles . . . .”24   In those

circumstances, the ALJ “must elicit a reasonable explanation for

the conflict before relying on the [vocational expert’s]

evidence to support a determination or decision about whether

the claimant is disabled.”    Social Security Ruling (“SSR”) 00–

04p, Titles II and XVI: Use of Vocational Expert and Vocational

Specialist Evidence, and Other Reliable Occupational Information

in Disability Decisions, 
2000 WL 1898704
, at *2 (S.S.A.2000)).

Though “[n]either the DOT nor the VE or VS evidence

automatically ‘trumps’ when there is a conflict,” it is



22   
Id. at 67
.
23   
Id.
24   
Id. at 22
.



                                 12
incumbent on the ALJ to “resolve the conflict by determining if

the explanation given by the [vocational expert] is reasonable

and provides a basis for relying on the [vocational expert]

testimony rather than on the DOT information.”    
Id.
   The ALJ did

not do so here.

       The ALJ’s reconciliation of the conflict between the

vocational expert’s testimony and the Dictionary of Occupational

Titles was limited to eliciting an affirmative response to the

following question:    “Now, these are all light jobs as well.

And we’re looking at primarily a seated-type position.      And

these jobs would tolerate that mix of sitting and standing?”25

Though the vocational expert outlined her experience, she

offered no explanation for how or why (1) jobs listed as “light

work” would be “primarily a seated-type position,” or (2) these

jobs in particular “would tolerate [the] mix of sitting and

standing” described in the RFC.    Absent such evidence, the ALJ

has not satisfied his obligation to “elicit a reasonable

explanation for the conflict before relying on the [vocational

expert] evidence to support” his determination that Beede was

disabled.    SSR 00-04p, 
2000 WL 1898704
, at *2; Colby v.

Barnhart, 
2004 DNH 110, 16
 (“If there is a conflict between VE

testimony and the DOT classifications for jobs, the ALJ must ask



25   Id. at 67.



                                  13
the VE to explain the conflict and state how it was resolved on

the record.”).

       The Acting Commissioner contends that Beede has not carried

his burden of demonstrating that this error is prejudicial

because “nothing in the DOT suggests that the remaining two jobs

that the VE identified (i.e., price marker and laundry

classifier) are inconsistent with the RFC finding.”26    But that

is not the calculus.    The ALJ acknowledged an inconsistency

between the vocational expert’s testimony and the Dictionary of

Occupational Titles as to all three jobs.27    Before concluding

that these jobs are consistent with the RFC, the ALJ needed to

have reconciled that inconsistency.    He relied upon the

vocational expert’s testimony -- that such jobs, despite

requiring the ability to perform “light work,” could be

performed by someone requiring the ability to alternate between

sitting and standing -- without performing that reconciliation.

In doing so, the ALJ erred.


III. Conclusion28

       Though substantial evidence in the record supports the

ALJ’s RFC determination, because the ALJ did not resolve


26   Mem. in Supp. of Mot. to Affirm (doc. no. 11-1) at 12.
27   Admin. R. at 22.
28The Acting Commissioner has moved to strike Beede’s reply
memorandum on grounds that it merely reiterates (at times,


                                  14
inconsistencies between the vocational expert’s testimony and

the Dictionary of Occupational Titles, Beede’s motion to reverse

the SSA’s decision29 is GRANTED and the Acting Commissioner’s

motion to affirm30 is DENIED.   This matter is remanded to the

Acting Commissioner for further proceedings, pursuant to

sentence four of 
42 U.S.C. § 405
(g).     The clerk shall enter

judgment accordingly and close the case.

       SO ORDERED.




                                Joseph N. Laplante
                                United States District Judge


Dated:    January 31, 2017

cc:    Francis M. Jackson, Esq.
       Penelope E. Gronbeck, Esq.
       Robert J. Rabuck, AUSA




verbatim) the claimant’s initial arguments in violation of Local
Rule 7.1(e)(1). See Mot. to Strike (doc. no. 14). Reply
memoranda are “restricted to rebuttal of factual and legal
arguments raised in the objection or opposition memorandum.”
L.R. 7.1(e)(1). To the extent the claimant’s reply memorandum
is merely repetitive of his motion to reverse, the court has
disregarded those portions. This does not alter the court’s
conclusion, however.
29   Document no. 7.
30   Document no. 11.



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