Diaz v. Social Security Administration

Filing 32

ORDER ON MOTIONS FOR SUMMARY JUDGMENT [DEs 26, 29]: that the decision of the Commissioner is AFFIRMED: denying 26 Plaintiff's Motion for Summary Judgment and granting 29 Defendant's Motion for Summary Judgment. Signed by Magistrate Judge William Matthewman on 8/8/2017. (kza)

UN I
TED STATES D I
STRI C OU RT
CT
SOUTHERN DI
STRI OF FLORI
CT
DA
CA SE N O.1 80421 C1 - ATTH EW M AN
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M AR I G UA DA LUPE D I Z,
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ORDER ON M O TI
ONS FOR SUM M ARY JUDGM ENT I 26.291
DES

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t
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y udgme wih Suppori Memorndum ofLaw ( 261 a Defnda ,
nt t
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DE , nd e nt
Car yn W .Col n,Aci Commiso rof SocilSec iy Admi sr ton' (ç fnda )
ol
vi tng
sine
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nitai s ç e nf'
De
M oton f Summ a y J
i or
r udgme wih Su
nt t
ppori M emor nd
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litf
to o mmay ud me t DE 9 . anif ie
py DE 1 o
Def nt s Res ns
enda '
po e.

Th p rish vec ns ne t ma itaej dg j rs ito . Se DE
e a t a o e td o g srt u e u id ci n e
e

11 The is be or t Cour a ewhe he t r c d c anss t nta e denc t s
.
s ues f e he
tr
t r he e or ont i ubs a i l vi e o uppor
t
t de a of be ft t Pl i if a whe he t c r c l l sa r ha be n a i
he nil
ne is o antf nd
t r he or e t ega t nda ds ve e ppled.

fambv Bo n,847F. 698,701( 1h Ci.1 .
. we
2d
1 t r 988)

lP ru n t F d rlRueo Cii P o e ue2 ( ) Na c A. nyhi ten w a tn c mmiso e o S ca
u s a t o e ea l f vl r c d r 5 d, n y Be l h e cig o sin r f o il
l
S c rt, lb sb tt e a ap ryi ti c s . Fe R. v P. 5 d (ç a t nd e n ta aewh nap bi
e uiy wi e u si d s at n hs ae d. Ci. 2 ( ) ç ci o s o b t e u l
l
ut
An o
c
ofierwho i a pa t i a ofii ca iy di ,r i ,orot r s c s t hol ofie w hie t a ton i
fc
s
ry n n fcal pact es esgns
he wie ea es o d fc
l he c i s

p n ig Th ofc rssc e s ri a tmaial s b t ue a ap l '.
e dn . e fie' u c so s uo tc l u si td s a4 '
y
t
y.)
1

1
.

FA CTS

On M a 2 201 Pl i if tl a Til 1 a i a i f a pe i of dia lt and
y 4, 2, a ntf ied
te 1 pplc ton or
rod
s biiy

dia lt i urnce be ft,ase tng a dia lt on-e dae ofM ach 1 201 ( 1 .
s biiy ns a
neis sri
s biiy s t t
r 4, 2. R. 512
The a i ai wasde ed i ta l and upon r consde a i
pplc ton
ni niily
e i r ton. 1 Folowi a vi he rng
d.
l ng deo a i

on Aprl1 201 Admi srtve La J
i 7, 4,
nitai w udgeChalsW oode (hetALJ' is d ade ii on
re
t S ' sue
)
cson
e
t or evi
J n 1 2 4 d n ig Plitf srq e tf rbe eis ( 1 - 8 . A r ques f r ew w as
u e 7, 01 , e yn an if e u s o n ft. R. 2 2 1

fld wih t Appea sCounc land de e on J nua y 27,201 ( 1 8 . Pli ifsdael t
ie t he
l
i
nid
a r
6. R. - 1
antf
t as

i s r dwa De e e 31 2 6 g 1 1
n u e s c mb r , 01 . R. 5 .
A . H e i Te tm onv
arnc s i

TheALJhedavi he rngon Aprl1 201 3 ( .29- . Pl ntf sae t he
l deo ai
i 7, 4. R 52) ai if ttd hat r
dae ofbit wa Fe ua y 2,1 ,m a ng he ffy-lr yea s o1 att tme oft he rng.
t
rh s br r
961 ki
r it tlee r d he i
he a i

g 3 1 Sh tsiid ta s e i mare wih f u c id e a d lv s i a h me wih he
R. 4 . e e tfe h t h s rid t o r h lrn n ie n o
t r
h b n a d d ug tr ( 3 - 1 He c id e ae a e 31 3 ,25 a d 2 ( 3 4
us a d n a h e . R. 4 35 . r h lrn r g s , 0 , n 2. R. 4 .
Plitf sae ta s e h s a d ie ' l e s a d s d i e a o to c a we k. ( 3 )
an if ttd h t h a
rv rs i n e n he rv s b u n e
c
e R. 5 .
Acc di t Pl ntf,s g a t d hi s hooli M e c a a tnde colege i t Unie
or ng o ai if he r dua e gh c
n xi o nd te d l n he t d
St t f a
a es or bout t o ye r .
w
as

She t tfed t s i a e t r a Engls but i m or
es ii hat he s bl o e d
i h,
s
e

l tdi h ra iiyt s e ka dwrt En ls . ( 3 1
i e n e b l o p a n ie g ih R. 6 .
mi
t
Pl i ift tfed t ts wor i a f pac ng c pa f t ye sasa f
antf esii ha he
ked n ood kagi om ny or wo ar
ood

pa k r a d wa as a a ssa tta h r i a d y ae ( 3 1 Pli tf sae ta s e
c e, n
s lo n s itn e c e n a c r . R. 7 . anif ttd h t h
s o d w or ng bec us oft a i
t ppe
ki
a e he cc dentt t occ r d on M a c 1 201 a has notw or
ha
ur e
r h 4, 2, nd
ked

sncet n. g 37- 2 Pl ntf t tfe t s ha pan i he nec a s de s whih
i he R. 38 . ai if esiid hat he s i n r k nd houl r , c
2Al r f e saet t r cor oft adm i sr i pr ee ng fl byt Com m isoneri Doc tEnty 1 .
l eernce r o he e d he
nitatve oc di ied he
si
n
ke l 7
3 Pl ntf wasa ssedbyaSpa s / ih i er ee . ( 33.
ai if
s it
nih Engls nt pr tr R. 1

s sd
hoot own t ough her ba t he lgs a t t s ge s c a
hr
ck o r e , nd ha he t r mps i he l gs t t m a
n r e ha
kes

sa d n d fiut ( 3 ,3 1 S e e plie ta s e g t he da h s b c me dz y a d
tn i g ifc l. R. 6 7 . h x an d h t h es a c e , e o s iz , n
doe n'fellkedoi anyt ngbutsa i he r
s te i
ng hi
ty n r oom. ( 38 .
R. 1

Ac o dng t Plitf,s e s e o e do tr o a rg lr ba i. ( 3 1 P an if
c r i o an if h e s n co n e u a ss R. 9 . litf
t tfed t s t
es ii hat he akes m e c ton on a r ul r bas s 1 How e r Pl i if s a e t t t
di a i
eg a
i . d.
ve , a nt f t t d ha he

media i onl ma herdr y and de e s d.
c ton y kes
ows
pr s e

Ac di t Pl i if s was a s
cor ng o antf, he
lo

s
rc vi s sbutt y di nothep ale aet pan. ( 401 Pli ift sii d t tshe i
e ei ng hot
he d
l lvit he i R. . a ntf e tfe ha

notundegoi a physca t r py a doe notus aca orot a sse de c ( 41 .
r ng ny
i l he a nd s
e ne
her sitd vie. R. 1
Howeve ,Pl ntf sa e t ts we sabr e f he ba k a wrs,whi h doe hel wih t
r ai if tt d ha he ar
ac or r c nd it
c
s p t he
pa n. I
i
d
Pl ntf t s iid t t s r ceve une oymentbe ft bewee 201 a J
ai if e tfe ha he e i d
mpl
ne is t n
2 nd une of

2 3. ( 40 . S ecaiidt ts efle o ta pl ainsb twa n v rc le e e to g
01 R. j h lrfe ha h ild u p i to u s e e ald, v n h u h
c
s ewo l b u bet wo ki aj bwa o frdt h r ( 41 .
h ud e na l o r f o s fee o e . R. 1
Pl ntf t t tfed ast herme ca pr e . ( 421 Shesat t ts fes
ai if hen esii
o
di l oblms R. .
t ed ha he e l
pai t t ta l fom he ne k,i o he s de s do her ba lgs and t her f e .I
n ha r ves r
r c nt r houl r , wn
ck, e ,
o
e t d.
Pl i if e ai d t t when t pa n i i e e,t pai wilgo down bot l . 1 She
antf xpl ne ha
he i s ntns he n l
h egs d.
satd t t s expe i es t s pan da l but s
t e ha he
renc hi i iy,
ome da a e mor i e e t n ot r . I
ys r
e nt ns ha he s d.

Plitf etmae ta s ee p re c sapan s ae o 1 / 0 a o tf u d y awe k. ( 4 1
an if si ts h t h x e in e
i cl f 01 b u o r as
e R. 3 .
Pl i if t s ii d t t s doe no know w ha m a t pa n w or e but m a t a us s
a ntf e tte ha he
s t
t kes he i
s
kes ea nd e
hea i r m edi s t hel r i vet pa n. 1
tng e
e o p ele he i
d.

Ac r ng t Pl ntf,s i lm ied t a
co di o ai if he s i t o bout 1 t 20 m i e ofsti a a
5o
nut s itng nd bout1 t
0 o

1 mi e ofsa ng. ( 43- . Pli iftsiid t ts ca pr bl lf a gal of
5 nuts tndi
R. 441 antf etfe ha he n oba y it lon

mik b td e n trme rt ls tme s tid t d t a. ( 4 1 Plitf sae s e
l , u o s o e mbe he a t i he re o o h t R. 4 . anif ttd h
3

d e n tc o , od s e , c u tk o tt ta h o mo t efo r g 4 - 1 S esae
o s o o k d ih s va u m, a e u he rs , r p h lo . R. 4 45 . h ttd
ta h rh s a dpa st eb ls a dhe d ug trde nsa dd e telu r ( 45 .
h t e u b n y h il, n r a h e a n o s h a nd y. R. 1
Pl i ift tfed t ts i una e t stf sx hour outofa e g antf esii ha he s bl o i or i
s
n i hthourda be aus
y c e
s ge s he dac
he t a hes a he he begi t f el ç r hea ' I
nd r ad
ns o e t y
ve
vy. d. She sa e t t s
'
tt d ha he
e re essr hea che a l s f tmesawe k,a t pan s sdown fom he hea
xpe inc tong da s t ea t our i
e nd he i hoot
r
r d

t he ba k a d it h rf e. ( 4 ) To r le e te he d c e ,Pli tf tsiid t ts
o r c n no e e t R. 7 .
eiv h a a h s anif e tfe ha he
t keshe m e c ton a st i he r , tw a i t t l t a
a
r di a i nd is n r oom no ntng o a k o nybody.

Ne ,De s W a l,avocai lexpe ttsiid. ( 481 Shecl sfed Pli ifs
xt nie del
tona
r, e tfe R. .
asii antf
pas wor asada r wor rass s le wih a SVP l velof4 i t lghte ri wor
t k
yca e
ke
emikil d t n
e
n he i xe tonal k
c t y,a Pl i ifs pa twor as a f i pa rasuns led wih a SVP lve of2 i t
aegor nd antf
s
k
nlt cke
kil
t n
e l
n he

me im e e t n lc tg r ( 4 1 Th ALJp s dt ev c to a e p r ah p t tc li
du x ri a ae o y. R. 9 . e
o
o e h o ain l x e t y oheia n
whih a i vi lcoul wor a t lg e ri l vela t i vi lc d oc asonal
c n ndi dua
d
k t he i ht xe tonal e
nd he ndi dua oul c i ly
soop, c a , c i l dde s r , or s afol , s d a d conc r t d e
t
r wl lmb a r , opes
c f ds houl voi
enta e xpos e t
ur o
vi a i , unpr e t d heght a da r
br tons
ot c e
i s nd nge ous m a hi r a wa lm ied t oc asona
c ne y, nd
s i t o c i l
ove he r a ng wih t rg uppe e r m iy, and woul ne d t unde sa a
r ad e chi
t he i ht
r xte t
d e o
rt nd nd
c
omm unia eusng smpl Engls 1 Gi n t ef t,t e r f
ct i i e
ih. d. ve hos acs he xpe t ound t tt i vi
ha he ndi dual
c d no per or pa t r e t w or a pe f m e
oul t f m s el van
k s r or d.

How e ,t e r s a e t t t
ver he xpe t t t d ha he

idviu lc u d p rom o h rj b a te lg te e t n l lv l s c a a f li g ma h n
n i d a o l ef r t e o s t h ih x ri a e e, u h s od n
o
c ie
o rtr a s l pat a smbe ,a d a p o u to wo k r ( 5 1 Ne , h ALJpo e a
peao , mal rs se lr n
r d cin r e . R. 0 . xt t e
sd
hy he iali whih a i vi lc d do e r hi lsed i t fr thypo he i l e e
pot tc n
c n ndi dua oul
ve yt ng it n he is
t tca, xc pt
t tt e ri
ha he xe tonall ve w oul be s dent r r t r t n lght f The e r s a e t t t
e l
d
e a y a he ha i . J.
xpe t t t d ha he
i vi lwoul notbe abl t do a oft pas w or i ntfed,butw oul be a e t do ot r
ndi dua
d
eo
ny
he t k de ii
d
bl o
he

j b a tes d n aye rin llv l s ha pr d cin c e ke, r wrp r a do tc l e s
o s t h e e tr xe t a e e, uc s o u to h c r wie a pe, n p ia ln
o
4

i e tr 1 Fi l t ALJpos d ahypot tc i whih a i vi lc d do e r hi
ns rt . d. naly, he
t
hei al n
c n ndi dua oul
ve yt ng
lsed i t fr thypot tc ,e ptt tt i vi
it n he is
he ial xce ha he ndi dualcoul no wor f eghthour a day,
d t k or i
s
fveda a we k due t c
i
ys
e
o ombi ton ofi iment. I
na i
mpar
s d

Theexpe tsa e t tt i vi l
r t t d ha he ndi dua

c dnotpe f a wor ( 51 .
oul
ronn ny k. R. 1
B. M e c Re or Evi e
dial c d denc
I r c ng hi de son t de Pl ntf s be t , t ALJ r viwed t m e c l
n ea hi
s cii o ny ai if
neks he
e e
he di a
e de e ofr c d, her e
vi nc
e or t elvantpori ofwhih i s ma ied c onol cal be o .
ton
c s um rz hr ogi ly l w
Pl ntf was a it d by C- ola a bac
ai if
dhlte
c lr nd
kboar t t La i M e c l Ce e
d o he kesde
di a
ntr
Eme ge Room afe am o orve ce a i on M ar h 1 201 a c
r ncy
tr
t
hil ccdent
c 4, 2, nd ompli d ofhavi a
a ne
ng

sv r h a a h ,n c pan,a d lwe ba k p i. ( 2 2 . EM S rpo t t e a cd n wa
e e e e d c e e k i n o r c an R. 6 1
e rs h c ie t s
ç n r' n t eewa n r p re h a ij r . I Ho v r Plitf came he s mp o
d o 'a d h r s o e o td e d n u y d
mi
we e, an if li d r y t ms
w e e S hi ' s r a a 1 1 pa n s l a t tm e of he a it nc 1 Phys c l
r t ng,' eve e, nd
ac
0/ 0 i ca e t he i
r dm t a e. d.
ia

e a n to s o dnosg iia tta mai ij re o tn e e sa d af l rng ofmo in i
x miain h we
in fc n r u tc n u is r e d m s n ul a e
to n
a1j it. ( 2 3 . Plitf wa e mi e a an a ho rltra d rpo td f ei g b te .
l on s R. 6 1 an if s xa n d g i n u ae n e re e ln etr
g 2 4 . CT s a s o d t b an t b wihn n r llmi wh n c mpae t Plitf s
R. 6 1
c n h we he r i o e ti o ma i t e o rd o an if
s
pr -c de CT s a ( 2661 Exnmi ton oft l
ea ci nt
c n. R. .
nai
he umbars ne s d wel- i aned
pi howe
lmanti
vere a body he ght and i e v tbr ldic s e ,wih no facur and m i maldege r tve
tbr l
i s
ntr ere a s pac s t
r t e
ni
ne a i

c a g s ( 2 7 . Hy rr p cc a e we er p re a teu o e tb a j it a (6 a d
h n e . R. 6 )
pe t hi h ng s r e o td t h nc v re r l on s t 2 n
o
s ge
ae t
er
i
C7oft c r c s ne. ( 268 . Pl i ifwasdichar d an hourlt rw ih acut taum atc
he e vial pi
R. 1 antf
c r i l sr n, a ut ta a i l ba s a n, and a ut c pha g a. I
e v ca tai c e r um tc um r pr i
c e e li
d

Pl i t f w a
a n if s

pr s i d l g Fl xe i f m us e pa n a s s ,50m g U lr m f pai a a s d t t ke
e crbe om
e r l or
cl i nd pa m
ta or n, nd dvi e o a

i ofni t panpessed. ( 2651
bupr e f he i rit
R. .
On M ar h 20,201 Pl i if s ht c r pr c i cons t ton f om A m e i n M e ca e
c
2, a ntf oug hi o a tc
ula i r
rca
d- r
5

Ce tr f r h r alg d b c p i fo t a cd n . g 3 - 0 . Plitf rpo td
n e o e le e a k an r m he c i e t R. 08 1 1
anif e re
e re ng t f l ng s p om s he c , nec pan, see ng pr e , ba k pan,
xpe inci he olowi ym t : ada he
k i l pi
obl ms c
i
ne v ne s t nson,c tpai di i s he he s eme hea s ha pi and nee esi
r ous s , e i
hes n, zznes , r ad e d vy, he d ns
dl n
he a a l gs pai i he a and l gs num bnes i he t s c d ha a f e ,f tgue,
r nns nd e , n n r nns
e ,
s n r oe , ol nds nd e t a i

lg t b te ig h r e e ,b z ig i h r e r,f it ,a d c l s as ( 31 1 S e
ih s oh rn e y s u zn n e as ani n od we t. R. 0 . h
ng
r pore t ts ha notwor d snc t a i .
e td ha he d
ke i e he ccdent

On he frtvi i,Dr Re me wr ea
r is st . i r ot

n t s g etngPlitf n t r uni M ac 3 , 01 d et h rij re . ( 3 1 P an if
o e u g si an if o wo k tl rh 1 2 2 u o e nu is R. 20 . litf
c niu d t rc ie smi rn tsb Dr Reme s g si s eno wo k d e t h rij re .
o t e o e ev i l o e y . i r ug etng h t r u o e nu is
n
a
( 3 5 2 1 Th fn lrc r d n t wa wrte o M a 2, 01 s g e tn t a Plitf no
R. 2 - 7 . e i a e o de oe s itn n y 2 2, u g sig h t an if t
wo k f rt we ks g 3 4 . Bewe n M a c 21 201 a d Aug t 2 ,201 ,P an if
r o wo e . R. 2 )
t e
rh , 2 n
us 9
2 litf
atn e a p o maeyf ryp ysc l h rp s sinsa Ame ia M e Cae ( 35 - 25 .
te d d p r xi tl o t h ia t ea y e so t rc n d r . R. 6 4 1
On Aprl2,201 Dr Dobe fom Ame ia M e Ca epe f m e a i tale ua i of
i
2, .
n r
rc n d r r or d n nii val ton

Plitf s ij re . ( 3 8 51 . Plitf rp re h r p i lv l a f lo :n c pan,
anif n u is R. 4 - 1 an if e o td e an e es s ol ws e k i
1 / 0 b c p i,8 1 ; n mi - a kp i 7 1 . ( 3 2 P an ifas c mpan d o h vng
0 1 ; a k an / 0 a d d b c an / 0 R. 48 . litf lo o lie f a i
ne pai r a i t bot s de s a m i a l ba k pan, ih i e m it ntnumbnes i
ck n aditng o h houl r , nd d- nd ow- c i w t nt r te
sn
rght a uppe a l e ex r m ii s. 1 On t s vi i, Pl i if r pored t t s w a
i
nd
r nd ow r t e te
d.
hi s t a ntf e t ha he s

u e ly d a d ta Plitf Ss a e t p ro m a tvi e o d i l i g' ( 3 9 .
n mpo e n h t anif t bl o ef r ci t s f al i n . R. 4 1
i
i
y v '
Dic or wasr cor d i Pli ifs ne k atC;2- a he rghtand lf pa a nic lr gi
s omf t
e de n antf
c
7 nd r i
e t r ce a e on

wi rg ta d lf p r c r ia mus l s a m. ( 3 0 . Dic mf r wa as r c r e a L:
t i h n et a a e vc l ce p s
h
R. 5 1 s o o t s lo e o d d t
1 5- ,a he rghta l h pa al
- 1 nd r i
nd e
r umba r gi n wih rghta l f par l
r e o
t i
nd e t a umba m us l s m .
r
ce pas
1 Fi ly,pai w a r or d on t t ac c s ne ove T4- a he rghta l tpa as na
d. na l
n s ec de
he hor i pi
r 7, nd r i
nd ef r pi l
m us es w ih par s nalm us e s m .
cl
t
a pi
cl pas

H e he and t w a ki and gai pa t r w e e
r el
oe l ng
t te ns r

nonna. g 351. Dr Dobe sdignosi i e son wasc r c a l rs ai sri
l R. 1
.
n' a tc mprsi
e vial nd umba pr n-tan
6

a r di ults a t a i s an-tai 1 Pli if was pr s rbed 50m g Ulr m durng
nd a c ii nd hor c c pr i sr n. d. antf
e ci
tn
i
t svii. 1
hi st d.
Be wee Aprl30,201 a M a 29,201 Pli ifr ceve f l - e
t n
i
2 nd y
2, a ntf e i d olow up xams by Dr
.

Do e a Ame ia M e Cae ( 3 9 4 1 Du ig e c v st Plitf rp re s mer l f
b n t rc n d r . R. 3 - 7 . rn a h ii, anif e o td o ei
e
wih t r py, no new s pt s a nor a s o y a mot s ls
t he a
ym om , nd
m l ens r nd
or kil.

Dur ng a
i

neur ogi le m i ton pe f m e on Aprl30,201 Pl ntf hee a t wa ki a gat
ol ca xa na i
ror d
i
2, ai ifs l nd oe l ng nd i

p t mswe erpo tdt b n nn l n h rg i itc . ( 3 6 . Dr Do e pef r dn r e
at
e
r e re o e o a a d e rp n a t R. 4 1
. b n ro me e v
blc ij cin t rg tC4- a d C5 6 d rngt i vii. 1 . Plitf rpo td i r v me t
o k ne to s o ih
5 n - u i h s st d
an if e re mp o e n
i h r p i rle fo t e c r ia ij cin s e rc ie o Ap i 3 ,2 2 d rn he
n e an eif rm h e vc l n e to s h e ev d n rl 0 01 u ig r
f l w- p v sto M a 1 2 2 ( 3 2 . Du ig t i v st n r e blc ij ci n we e
ol u ii n y 4, 01 . R. 4 1
o
rn hs ii, e v o k ne to s r
p ro me o Pli tf t h rrg tC3 4a drg tC4 5 ( 3 3 . Onhe tna f lw- pv st
ef r d n anif o e ih - n ih - . R. 4 1
r i l ol u ii
o

o M a 2 ,2 2 Pli tf rp re te ij cinss e r c i e o Ma 1 ,2 2 g vep ril
n y 9 01 , anif e o td h n e to h e ev d n y 4 01 a a t
a
rle , n s erc ie a oh rsto ij cin t h rrg tC4 5a dC5 6 ( 3 9 4 1
eif a d h e ev d n te e f n e to s o e ih - n - . R. 3 - 0 .
Dr Reme p ro me a tn le au to ofPlitf s ij re o J n 5 2 2. (
. i r e f r d i a v lain
anif nu is n u e , 01 R.
31 ) Dr Reme rp re te tn Pli tf wih c n e v tv c r , icu ig ee tia
1.
. i r e o td raig anif t o s r aie ae n ldn lcrc l
mus l si ai ti r poi t r py,s nal mobii ton a de p ts ue m as a
c e tmul ton, rgge
nt he a
pi
lza i nd e is
s ge. I
d
Howeve , Pl i if c i d t c
r antf ontnue o ompl n of hea che ne pai l
ai
da , ck n, ow- a m i bac pan,
nd d- k i
bia er ls de ,r g a m pai a bia er ll pa n. I Dr Rei e r por e t tPl i if
l t a houl r i ht r
n, nd l t a eg i
d.
. m r e t d ha a ntf

h d çe c e ma i m me ia i r v me ti r lto t t t ea a miitrd by (i)
a k a h d xmu
r
d c l mp o e n n eain o he h rpy d nse e
hs
ofi ' 1
tce. d.
'
A n M Rl of t c v c s ne a l ba s ne w e e per or ed on J ne 20,201 I
he er i al pi nd um r pi
r
f m
u
2. d.
The c r i a s ne M Rl r vea ed br d ba e bul ng a us a ( 3- w ih co pr s on on t
e v c l pi
e l
oa s d gi nnul t 2 4 t m es i
he
t c ls c,2m m f alr ghtdi c her a i a C4- w ih com pr s on on t t als c a 2m m
he a a
oc i
s
ni ton t 5 t
es i
he hec a nd
7

br d ba e dic he niton a C5- wih c
oa s d s r a i t 6 t ompr son on t t ca s
es i
he he l ac. 1 The l
d.
umbars ne
pi
M lls
t howe bul i a usa L4- wih c pr s i on t t a s c. I
d g ng nnul t 5 t om e son he hec l a
d
l hi fna r por,Dr Rei de e m i fom hi a s s
n s i l e t . mer t r ned r
s s es mentt Pl ntf s t ne
hat ai if usai d

ij re a ar s l o te a cd n , n t a Plitf sc n iin wa i ac r ncsae a d t a
n u is s e ut f h c ie t a d h t an if o dto s n h o i tt , n h t
t c nc off m e adhe i washi
he ha e or d
sons
gh. I
d

Furhe ,he opi d t t duet l viy ofhe
t r
ne ha ,
o onge t
r

s mp o ,Plitf ij re h d f r ae c n e u n ilp r ne tp rili ar n wi
y t ms anifs n u is a t e td o s q e ta e ma n a t mp ime t t
c
a
h
per a nt a sgnii a l s of f ton es c a l i t c r c a l
m ne nd i fc nt os
unc i
pe i ly n he e vial nd umba s ne a
r pi nd

a s cae n r e r o s' g 31 -2 . Dr Reme c n l d d t a Plitf s fe e fo a
so itd e v o t. R. 11 )
'
. i r o cu e h t an if u fr d r m
1 % W h l Pe s nI i n . ( 31 1
2
oe ro mpanne t R. 3 .
Plitf fldh riiilcam f rd sbit o M a 2 2 2, le i s n ln u y rg t
an if ie e nta li o ia l y n y 4, 01 algng pia ij r , ih
i

am ij r a d n c ij r a he ia ii t wo k g 1 0 1 6 . Dr Krsma rh
r nu y, n e k n u y s r n b ly o r . R. 9 - 9 1
t
. il mu ty
a s s d Pli ifon J y 5,201 f t Diabiiy Det mi in. ( 70- . Bas on t
sese antf
ul
2 or he s lt er nato R. 762
ed he
medial e de
c vi nce of r or Dr Krsmamurhy f
ec d, . il
t ound Pl i ifs M edialy De e m i bl
antf
c l
t r na e

I ann n ( D1 t b d a n s d a DDD ( s r e o Ba k Dic e i a dDe e eaie a
mp i e t M ) o e ig o e s
Dio d r f c - sog nc n g n rtv ) t
tes v r lv l g 7 1 Ne t Dr Krs n mu typ rome aRe iu l n to a Ca ct
h e ee e e. R. 2 . x , . ih a rh e f r d sd a Fu cin l pa iy
I
RFCIa s s nt I Dr Krs
sesme . d
. ihnmnurhyrtdPl ntf' e ri lmiai t oc aso l
t ae ai ifs xe tonal i ttons o c ina
lfi a orc ryi of20 pounds fe ntlfi and/ c r yi t 1 pounds a sa ng,
itng nd/ a r ng
; r que itng
or a r ng o 0
; nd t ndi

wak n , n stig we el tdt a u 6h u si a 8hol wo k d y. ( 7 1 Plitf s
li g a d i n r i e o bo t o r n n - t r a R. 3 . an if
t
mi
r
posur llm iatonswe e lm ie t oc sonalc i ng l r ,r ,or s fol 'occ i na
t a i ti
r i t d o ca i
lmbi adde s opes
ca f ds
, aso l
s oopi a c ouc ng. I
t ng, nd r hi
d

Fi ly, Pl i ifs e r en a lm ia i ns w e e t a d
na l
a ntf
nvionm t l i t t o
r o voi

c n e tae e po u eofv b ain a d h z r s s c a ma hiey a dheg t. ( 7 1 Dr
o c nr td x s r
i rto n a ad , u h s c n r n ih s R. 4 . .
K r sm n ur hy not d t tt s pt sar tpa taly c e bl ,'a t tx- a s e m i m a
il m t
e ha he ym om
e d r i l r di e ' nd ha r ys how d ni l

deg r tve c
ene a i hange i Pl ntf s s ne.
s n ai if pi

Dr Krsma urhy c l
. il m t oncuded fom Pl ntf s
r
ai if
8

RFC t ts i c pa e ofwor a t lg e to llve a cied tte oc upatonsi whih
ha he s a bl
k t he i ht xeri na e l nd t lr e c i n c

t eeae asg iia tn mb ro j b t a e iti t en to le o o tbl wo k r ee to
h r r in fc n u e f o s h t x s n h aina c n my: a e r e , lcin
cek a d a d e sr ( 7 1 Ba e o t e ed c me td tn ig ,Plitf wa d tr n d
lr , n d r se . R. 5 . s d n h s o u n e i dn s anif s eemie
t b û t s be 'o J l 9, 2. ( 7 - 6 .
o e ç Dia ld' n uy 201 R. 5 7 )
No
On J y 1 201 x-a of t Pli ifs c r i al s ne a rght s der we e
ul 9,
2, r ys
he antf
e v c pi nd i
houl
r

p ro d b Dr Kic n rfo l d pe d n l gng ( 3 6 0 1 Ra i o y rpo t o te
e fnne y . r h e rm n e n e t ma i . R. 0 - 7 . dolg e rs f h
c r ia s i e s o d mid sr ih e i g o t e no ma lr o i c r au e ( 3 6 . Dic
e vc l p n h we l tag tn n f h r l o d tc u v tr . R. 0 ) s
s ce we e r td t bewel- ant i d a no a ut fa t e ors uxa i wa s en. 1
pa s r epore o
lm i ane nd
c e r c ur
ubl ton s e
d.

M id d g n r t e c a e wee rp re i t e rg ts o d rj it b tn a ue fa tr o
l e e eai h ng s r e o td n h ih h ule on , u o c t r cu e r
v
dso ain wa s e ( 3 7 . An M RIo Plitf ss o d rwa pef r d a an o J l
ilc to s e n. R. 0 1
f an if h ule s ro me g i n uy
2 ,201 b Dr Ro bn . ( 3 3 3 1 No taig o fa t e wa f t d rng t se m.
5 2 y . b is R. 3 - 4 .
e rn r r cur s o md u i hi xa
I Plitf as rc ie e iu a se od ij cins fo Dr Pa u a a I tr e to a P i
d an if lo e ev d pd r l tr i n e to r m . d l t ne v ni n l an
M a ge ntLLC f herc i dpai onJ y28, 2andAugus 2,201 ( 330- .
na me ,
or ontnue n ul 201
t
2. R. 321

Plitf fldaDia l yRe o t p a o S p e r1 , 2 ( 1 - 0 1 On o
anif ie
sbit p r Ap e l n e tmbe 9 201 . R. 97 2 2 .
i
r
a
bout Se embe 1 201 M .Guzman c
pt
r 9, 2,
onduce a f ce t f c i e viw wih Pli tf t
td a -o-a e ntr e
t a n if o

c mpeeh rRe u s f rRe o sd rto Dia ii Re o t ( 616 1 l h so e v to s
o lt e q et o c n ie ai n s blt p r. R. - 3 . n i bsr ai n
y
durng t i e viw,M .Guz a r pore t t he obs r d no sgns ofphysc difculy i
i he ntr e
m n e td ha
e ve
i
i al fi t n

Plitf s stig sa dn ,wakng o t lig. ( 6 1 Ho v r h n td t a Plitf
an if i n , tn ig li , r akn R. 2 . we e , e oe h t an if
t
s me S y de e s d,'wa c yi a saed t ts c d no t c r ofhe hus nd or
ee d d
ver pr s e ' s r ng, nd t t ha he oul t ake a e
r ba
hous hol a c dn' ca r he g a hidr n due t be ng i ic t tpan. I Pl ntf
e d, nd oul t ry r r ndc l e
o i n tonsan i ' d. ai if
'
a l d i her Reque t f Re onsde a i t t snce a oxi a el Se e be 1 201 t
lege n
s or c i r ton ha , i
ppr m t y pt m r 9, 2, he

pan wa mor i ens a t M ll s we heni i he ne k. ( 78 79 . Pli if
i s e nt e nd hat ts ho d r as n r c R. - 1 antf
rpored t tsnc a Se embe 18,201 $lca (i)fmci lke 1us t Ic nt(i
e t ha i e bout pt r
2, t n sc t ton i
ed o. a sc)
9

sa d f rtolngo sto ly. c n (ild ho s wo k o a oh ra t te lk lu et My
tn o o o r i r a l a t sc o u e r r ny te ci is ie s o.
vi
rg tam lc n(i)u e i i awa si p i ' ( 7 1
ih r a sc s ,t s l y n an. R. 9 .
'
On Oc obe 4,201 Pl i ifwa co a t d by t e neby Ca l Boi f o t M im i
t r
2, antf s nt c e
elpho
ra di r m he a

Dia lt Deemi ton ofi t dicus he alge wore d c ton. ( 2031 Pli if
s biiy tr nai fce o s s r le d s ne ondii
R. . antf
r pore t M s Boi t tt pai i he s de i mor i e e,t ts ha pai i he rght
e td o . di ha he n n r houl r s e ntns ha he s n n r i
a m Sam os c t nty,howe ,s ca bahe a dr s e i pende l ' 1 Pli if
r tl t onsa l
ver he n t nd e s d nde
nty. d. a ntf
'
cli e t t t pa n i he rghtar pr ve s he fom c ng a doi herAc i tes of
am d ha he i n r i
m e nt r r
ooki nd ng
tvii

Dal Li ng (
iy vi ADL) butt the me c ton semst wor a t s i S r compla wih
, ha r diai e
o k nd hat he s ç y
ve
int t
hermeds' 1
. d
'

M s Boi alo r po td t tPl ntf des rbe f e i de es e due t he
. di s e re ha ai if c i d e lng pr s d
o r

physca pr e a her i biiy t c k C a he f els ' I
i l oblm nd
na lt o oo t kes r e ad.' d
m

Pli tf r pore t t
a n if e td ha

s ha ne t ke a ps hi t i m e c ton,had neve s e a ps hi t i t a ha ne
he d ver a n ny yc a r c di a i
r en
yc a rs , nd d ver

bee hos t lz f any m e alc ton. 1 M s Boi conc ude t tno f rherm e al
n pia ied or
nt ondii
d.
. di
l d ha
ut
nt
deveopm e wa ne d be us Pl ntf c am e t he de e son i s conda y t he
l
nt s ede
ca e ai if l i d hat r pr s i s e
r o r
ph i a c ton a r t i ton on herAD L. I
ys c l ondii nd es rc i
d.

Dr Pa t t m e c l c ula fom t Diabiiy De e m i ton Ser ce as e s
. ty, he di a ons t nt r
he s lt
t r na i
vi , s s ed
Pl i ifs dia lt c am a t r consde a i lvel on Oc obe 5,201 f he ale dl
antf
s biiy l i t he e
i r ton e
t r
2 or r l ge y

wo s n dp i i h rrg ta m,l tt nsi h rADL, n d p e so . ( 7 - 6 . AnM ll
re e an n e i h r i ai n e
mi o
a d e r si n R. 8 8 1
t
ofPl ntf srgh s de a C-pi wer s itd i o t me c evi nce ofr or a
ai if i t houl r nd s ne e ubm te nt he di al de
ec d nd
us d i Dr Pa t s a s s m e . I
e n
. ty' s e s nt d

Dr Pa' deenni d t t Pl i ifs M e c ly
. ty t ne ha
t
antf
di a l

Detr ne l ime was DDD ( s des of Ba k- s ni a Dege rtve) a t
emi d mpar nt
Dior r
c Dicoge c nd
neai t he
s ve e l vel a t tt s c d r as bl be e ct d t pr
e r e , nd ha hi oul e ona y
xpe e o oduc Pl i if s pa n a alege
e a ntf
i nd l d

lmii efcs ( 81.
i tng fe t. R. )
Dr Pat nextc
. ty
onductd aResdua Ft tona Ca ciyasesment g 78-61 For
e
i l mci l pa t s s . R. 8 .
10

e ri
xe tonallm iai ,Dr Pat lmie Pl i ift oc asona lfi o c ryi of20 pounds
i t tons . ty i t d antf o c i l itng r a r ng
;
fe ntlfi orc ryi of1 po
r que itng
a r ng
0 unds a sti sa ng,a w aki f a
; nd itng, tndi nd l ng or bout6 holr i
zs n

a 8ho rwo kd y ( 8 . l s p r o ti l tto , . tyn td ta t emo trc n
n - u r a . R. 21 n u po t f h s i ai n Dr Pat o e h t h s e e t
mi
not ma by a te tng physcan we e on Aprl30,201 and t tPli ifhad s
es de
rai
ii
r
i
2,
ha a ntf
ome r le
e if
w ih her ne k a l ba pa n w ih t a a r di ton. 1 Pl ntf s m os r e
t
c nd ow ck i
t her py nd a a i
d. ai if
t ec nt

physc t r py wason M a 1 201 whih not PVSM s m i he rghta l f hi a
ial he a
y 6, 2, c
ed
pas n r i nd e t p, nd
rght s ul r s li of C s ne, LS s ne a T s ne not t r s l
i
ho de we lng
pi
pi nd
pi
ed ende nes . d

Due t
o

Pl ntf sal ge pan,Dr Pat r t he posur lm iai t oc sonaly clmbi ldder ,
ai if le d i
. ty aed r t al i t tons o ca i l i ng a s
r , a s a f ds oc s onaly s oopi s
opes nd c f ol ; ca i l t ng, uch a be ng at t w a s ; a oc as o ly
s ndi
he i t nd c i na l

co c ig s c a b n i g a t e k e s g 8 - 3 . As f r e vr n n a lmiain ,
r u hn , u h s e d n t h n e . R. 2 8 1
o n iq me tl i tto s
Pl ntf wast a d conc ntaed e
ai if
o voi
e r t xpos e t vi a i a ha r ,s h a mac ne y a
ur o br tons nd za ds uc s
hi r nd

h ihs E 8 1 Dr ty n td t a Plitf s rg t s o le M RI s o d S n ma
eg t. R. 3 . .Pat oe h t an if ih h ud r
h we f i l
mi
s p a pn t stn o ossgi) nor tt rc fg po tnd nta ; a d n itr ld rn e me t
u rs iau e d n i sc, oao uf a r e o e r gn l o nena ea g r n
(i),'a d ta C-pn M Rls o d sr ih e i g o lr oi c r e ( 8 1 F n ly Dr
sc () n h t s ie
'
h we tag tn n f o d tc u v . R. 4 . i al, .
Pat notd m i m a de ner tvec ngesi s na x-ays f
ty e ni l ge a i ha
n pi l r . #.

Dr Pat ne ase s d Pl ntf sa lt t pef m Pas Ree ntW or ( )asa
. ty xt ss e ai if biiy o ror
t lva
k PRW
t a her
ec .

Dr Pa t de e mi d t t Pli tf wa no a e t pe f m PRW bec us i
. ty t r ne ha a n if s t bl o r or
a e t

r uie fe nt soopi whie Pl i ifs c r nt RFC a s s e r es he t onl
eq r d r que t ng,
l antf
ure
s es m nt educ
r o
y
oc sona soopi
ca i l t ng. f Howe r Dr Pa t not d t tPl ntf wa silca bl ofwor a
J.
ve , . ty e ha ai if s tl pa e
k t

t lghte ri llve a wa notlmie t u kil wor bec us ofhe i i nt (
he i xe tona e l nd s i td o ns led k a e
r mpanne . R.
8 . Basd o t s fndi ,Dr Pat deemi dt tPli ifwasnotdia e ( 85- 1
5)
e n he e i ngs . ty tr ne ha antf
sbld. R. 86 .
Pl ntf r ce ved f l - phys ca e m i tons a m edi ton r fls f om A m e i an
ai if e i
olow up
i l xa na i
nd
ca i e il r
rc

Cae bewe Ocobe 23,201 a De embe 3,201 g 436- . lots fon ea h of
r t en t r
2 nd c r
3. R. 621 k e r A c

t e vi is i c t t tPli tf i e pl yed a a da a e a t t s e r ies r gul l by
hos st ndia e ha a n if s m o
t
yc r nd ha he xe c s e ary
nmni wih c l en. I
ng t hidr
d

He vii on Oc obe 23,201 r pore t tPl i iff l de e s
r st
t r
2 e td ha antf et pr s ed

duet lf cha s a ç hr ni pan' se ng fom hera cde . g 460- 1 She alo
o ie nge nd s o c i ' tmmi r
c
c i nt R. 61 .
s

rp re feig ftg e ç l t etme' ( 4 0 . On No e r2 2 2 P an ifrpo td
e o td e ln ai u d t l h i . R. 6 1
a
'
v mbe 6, 01 , litf e re
rg ts ule pan, ih wa alvitdwihpanme iain, n n c pan. g 45 1 S e
ih ho d r i wh c s l ae t i d c to a d e k i R. 7 . h
e
as r p re mu cetn e n s a d d e e s d rn eo moi n i he rg ts ud r @ 45 1
lo e o td s l e d r e s n e r a e a g f to n r i h ho le . R. 8 .
Fial, Plitf rpo td t a h r d p e so wa i r ve wih me iain. g 45 1
n ly an if e re h t e e r si n s mp o d t
dc to
R. 7 .
Pli ifwa die tdt lmihe lfi t nomor t nt ypolnds g 4582
antf s rce o i t r itng o
e ha went l . R. .

Pan iffld a oh rDia ii Re r - Ap a o De e e 2 201 . g 2 5 1 1
litf ie n te s b ly po t pe l n c mb r 6, 2 R. 0 - 1 .
t
Pan ifalg d d re p i i ( elij re 'b gr ng ao nd Au u t 1 ,2 2. ( 2 5 .
litf l e i s an n h r nu is' e i
e
wo
mi r u
g s, 9 01 R. 0 )
She a s r pored f elng de es e snc a ound M a c 20,201
lo e t e i
pr s d i e r
rh
2.

Pl i ifr pored he
antf e t
r

l tvii wih Dr Rei frchioprctccae wason Ocobe 5,201 ( 2061 She as
as st t . ma o r a i r
t r
2. R. .
lo

rp re h rls vii wi Dr Pa ua f rp i ij ci n wa o Au us 1 ,2 2 ( 2 1
e o td e a t st t . d l o an ne to s s n g t 6 01 . R. 07 .
h
Pli ifalo r pored he tr tvii wih Dr Pa a i wa on Aprl1 201 a c am e t the
antf s e t
r is st t . l c o s
i 8, 2, nd l i d ha r

ne a nt nt wo d be on De mber 26,201 ( 208 . Pli if rpo td t ng
xt ppoi me
ul
ce
2. R. 1 antf e re aki
m el c
oxi am and t a adol f pa n; c t l am a a a i pr s a ; c l
rm
or i
ia opr
s n ntde e s nt yc obenz pr ne
a i

hydr orde f rm us l pan;a lsno i f bl pr s ur al pr c i d by Dr Pa a i
ochl i o
ce i nd ii prl or ood e s e 1 es rbe
. l c o.

Plitf came ta s ei u bet c mpeehe e r d y a tvte , n t tç ev r d y
anif li d h t h s na l o o lt r vey a ciiis a d ha t l e y a
l
(e la i g ti gls u eu . ( 2 9 1 )
h r nn s etn e s s f l' R. 0 - 0 .
'
On J nuay 3, 201 Pli if viie Amerca Cae f a r i f l up. (
a r
3, antf std
i n r or outne olowR.
45 56j A f nci lsausase s ntwa pef
4- . u tona tt s s me
s ronned,a Pli ifrporedt ts wa a e
nd antf e t ha he s bl
t ba he a dr s he s f pr pa e m e s a do hous w or and wal i pe nty w ihout
o t nd e s r el; e r
al nd
e k;
k nde nde l t

asitnc g 4541 On Fe uay4,201 Pli ifr poredhe ne andrg s de pan
ssa e. R. .
br r
3, antf e t r ck
iht houl r i
12

wa i r v dwihmt iain a dVotr n g l ( 45 1
s mp o e t dc to n lae e . R. 2 .
An te Dia l y Re o t Ap e lwa s mitdo F br ay 1 20 3 ( 21 - 6 .
oh r s bit p r- p a s ub te n e u r 4, 1 . R. 2 1 1
i
Plitf came t a sn e a o n Oco e 1 2 2 h rh at h d g te wo s . ( 21 .
anif li d h t i c r u d t b r , 01 , e e l a o tn re R. 21
h
Pl ntf r pored he fr tvii wih Dr Paaco wasa ound M a c of201 and he l s vi i wa
ai if e t
r is st t . l i
r
rh
2,
r a t st s

a o d Oco r o 2 2 fr me iai n t te th r h at c n iin . ( 21 1 Plitf
run tbe f 01 o dc to o ra e e l o dto s R. 3 . anif
h
rpo td tkn iu r f n a d lrtdne a a th sa n ,f rh rp i ( 21 1 P an if
e re a ig b p o e n o aa i , n n iitmi e o e an. R. 4 . litf
alege t ts i unabl t ca e f he s fand t ts e ne t a ss he a a1 tm e .
l d ha he s
e o r or r el
ha om one eds o s it r t 1 i s
1 She r po t t the lf i nott s m e be a e ofhe co ton a t ts i una e t
d.
e rs ha r ie s
he a
c us
r ndii nd ha he s bl o
s a i e. l
oci lz
d
Pl i if s f l up vi i w ih A m e i a Ca e on M a ch 1 201 i ca ed t the nec
a ntf olow
st t
rc n r
r 4, 3 ndi t ha r k

a rghts derpan we e c r ld wih Tr m a a Vola e gel butwer silpr e .
nd i houl
i r ontole t a dol nd
trn ,
e tl es nt

( 4 0 . S as rp re ad ce s drng o mo ind et h rij re . ( 45 )
R. 5 1 he lo e o td e r a e a e f to u o e nu is R. 1 .
On Ap i 2 ,2 3,Dr Paa i c mpltd a RF Qu sin ar . g 2 0 7 1 He
rl 3 01
. lco o ee n C e to n ie R. 7 - 2 .
dignos d Pli ifwih rg ce vca dicher ato a de es i dior r and i c t d t t
a
e antf t i ht r i l s
ni i n nd pr sve s de ,
ndia e ha

he p e cie Plitf wih Trmo o ,Ciao r m,a d Liio rl ( 2 0 . W he a k d
rs rb d an if t n d l tlp a n sn p i. R. 7 1
n se
wha s m pt sf t e condii ormedi tonscoul r as
t y om or hes
tons
ca i
d e onabl be expe t d t pr
y
c e o oduce i
n
Pl n if Dr Palci m a ke t f l ng: r ditng pan, a' a ne pa n, de es i
aitf , . a o r d he olowi
a ai
i l nd ck i
m
pr son,

h a a h s mo d d su ba c ,a x ey a d ftg ewe k s . ( 2 1 Dr Paa i rp re
e d c e , o itr n e n it, n aiu / a ne s R. 71 . . lco e o td
t t Pl i ifs c ton woul r quie he t be a e fo wor mor t n f z tmes pe
ha antf' ondii
d e r ro
bs nt r m
k
e ha olr i
r
m ont 1 How e r w hen a ke w he her Pl i if w o d be r r d t t uns he e
h. d.
ve ,
s d
t
a ntf
ul
equie o ake
c dul d

bra ,Dr Paacoans r d$( o. ( 2721 Healorpore t tPli ifsdefce isi
e ks . l i we e tn) ' R. .
'
s e td ha antf
iince n
c
once r ton,pe s s e e,or pa w oul çf e nty' r s t i a f iur t c pl t t s i a
nta i
r i t nc
ce
d dr que l ' e ul n a l e o om e e a ks n

tmel ma r ( 271 . Dr Paa i opi t tPl ntf sc tonl td,ori e t t
i y nne . R. 1
. lco ned ha ai if ondii ase
s xpeced o
13

l s,a l s t l m o hs 1 Dr Paaco' s
a t t ea t weve nt . d.
. l i s uppor f t s opi on ca e fom a ce vca
t or hi
ni
m r
ri l
M RIa C4 a ( 5 si
nd
nd 2 lppeddic . l
ss d

Fi ly,Dr Paaco lm ied Pli ift i ve 'puli
na l
. l i i t
a ntf o f r' lng,
ne

pus ng, or ove hea lfi S r que l ' bendi ci ng, gr pi knee i s ti
hi
r d itng; ç e nty'
f
ng, lmbi
as ng,
lng, qua tng,
ove hea r c ng,toort wa s lfi a sa ng;and tc t l ' sti a wal ng.
r d ea hi l -o- it itng, nd t ndi
tonsanty' itng nd
ki
1
d.

On M a 8 20 3 Plitf h d af lo u v sta Ame ia Cae ( 4 6 4 1 Sh
y , 1 , an if a o lw p ii t rc n r . R. 4 - 7 . e
h d n r p re c mp an sa d n rp re p i i h rj it o mu ce ,b td d n t t a s e
a o e o td o lit n o e o td an n e on s r s ls u i oe h t h
h d rg ts ud rp i p e e t g 4 2 On J l 2 2 3 Plitf rp re h v n 1w
a ih ho le an rs n . R. 46 .
uy 5, 01 , anif e o td a i g o
bac a ne kpai wihnoot rpore compl nt. ( 442- . He viionNovembe 8,
k nd c n t
her e td
ai s R. 431
r st
r
201 i c t st tPl n ifr pore s r 1 bac pan f t pas yea t tha wor e d i
3 ndi a e ha aitf e td ha p ow
k i or he t r ha d
s ne n

t e t we k p i r ( 43 1 Plitf as rpo td n d pr sin o t s v st (
h wo e s ro . R. 9 . an if lo e re o e e so n hi ii. R.
439- . He l tr or d vii wihAmerca Caewa on Dec mber3,201 ( 436- .
401
r as ec de st t
in r s
e
3. R. 381
Durng t svii,t ew a no r t pai orc pl nt ofa s
i hi st her s epored n
om ai s ny ympt sse mi fom he
om t m ng r
r
a ci nt 1
c de . d.

On Fe uar 21 201 Pl ntf r po td t t Soci Se iy Admi sr ton t ts
br y , 4, ai if e re o he
al curt
nita i ha he
ha be n s eng Dr Pa a o snc he l tDia lt Re twa s it d i Fe u r of201
d e ei
. l ci i e r as s biiy por s ubm te n br a y
3.

( 2391 Sher poredt tt docort d he t ts woul bet bl t wor agan duet
R. .
e t ha he t ol r ha he
d ma e o k i
o
he condii and t ts c d notc r a hi hea
r
ton
ha he oul
ary nyt ng vy.

Pl i ifa s r pore t he
antf l o e td hat r

c r ntm e ca i w a 50m g Tr a ,7. g M e o ca ,A dvi,a Tyl nolf pa n, l m g
ur e
di ton s
am dol 5m
l xi m
l nd
e
or i o

Cycobe prnef mus epai a Chal mn f de esi
l nza i or cl n, nd
opr or pr son. ( 240 .
R. 1
C . A LJ Deci i
s on

The ALJ is d hi de son on Pli ifs cli f be tt on J 1 201 (
sue s cii
antf' am or neis
une 7, 4. R.
1 282 TheALJe ai dt fve-tp squenile l tonpr sf deer ni wheher
2- .
xpl ne he i se e ta vauai oces or t mi ng t
1
4

a i dvd a i ds b e g 1 - 7 . He fu t t Plitf me t is r d sau
n n iiu l s ia ld. R. 5 1 1
o nd ha an if t he n u e tt s
r quie e s oft Soci Sec iy Ac t ough De e be 31,201 a had not e ged i
e r m nt
he
al urt
t hr
cm r
6, nd
nga
n

s tntalganf a i t snceM ac 1 201 t alge o stdae. ( 1 . TheALJ
ubsa i i ul ctviy i
rh 4, 2, he le d n-e t R. 71
t n f
he ound t t Pl ntf s f r fom t f l ng s ve e i im e s de ne a i di c
ha ai if ufe s r
he olowi e r mpar nt : ge r tve s

ds a ea dde e eaiej n d s a eo tes ule . I .
ie s n g n r t oit ie s f h ho d r d
v
The ALJ next f
ound t t Pl i if does no ha an i par nt or combi ton of
ha antf
t ve
m ime
nai
i nne t t tmee sorm e c ly e l t s ve iy ofone oft lse i par nt i 20
mpai n s ha
t
di a l quas he e rt
he it d m ime s n

CF Pat4 4 S b a tP,Ap e di 1 f Th ALJn td t tlnl te tn o e n nn
R r 0 , u pr
p n x . #. e
oe ha i o r aig r x miig
g
physc a ha m e i d fndi equi l nti s rt t t c ie i ofany lsed i im e ,
ii n s ntone i ngs
va e n eve iy o he rtra
it mpar nt
nor doe t e de e s
s he vi nc how media fndi t t a e t s me or equi e t t e of a
c l i ngs ha r he n
valnt o hos
ny

lse i ar n of h Litn o I ime t. ( 1 1
itd mp ime t t e sig f mpar n s' R. 8 .
'
The ALJt n c ee a r i lf imalca iy C$ FC' a s sme and f
he ompltd esdua unctt
pact 1 ' s e s nt
k )
ound
t t Pl i ifhas t r i lf nc i
ha antf
he esdua u tonalc pact t pe f
a iy o ronn lg wor as defne i 20 CFR
iht k
i d n

404.567(9, e e t t Pl nif i c pa e of onl occ i l soopi couc ng, a
1 1 xc pt ha aitf s a bl
y asona t ng, r hi nd
clm bi of ldde s r , or s fol . f The ALJ no ed t t Pl ntf s d a d
i ng
a r , opes
ca f ds #.
t ha ai if houl voi
c
once r e e
ntatd xpos e t vi a i and haz r i l ng unpr e t d he g s and da er
ur o br ton
a ds nc udi
ot c e
i ht
ng ous
m a hi r a i lm ie t oc sona ove hea r ac ng wih t rghtuppe e r m iy. I
c ne y, nd s i t d o ca i l r d e hi
t he i
r xte t
d.
Furhe ,t ALJ sa e t tPl i if i a e t unde sa a c comm uniat usng smpl
t r he
tt d ha antf s bl o
rt nd nd an
c e i i e
Engls I
ih. d

The ALJ at se t the ha consde e a1 of Pli ifs s
te t d ha
d
i rd 1
a ntf ympt s a ç he
om nd s
t

e tn t whc t e e s mp o c n ra o a l b a c p e a c n itn wi te o j cie
xe t o ih h s y t ms a e s n by e c e td s o sse t t h b e tv
h
m e ca evi ncea ot re de ,'a wel asal oft opi on evi e. f
di l de
nd he vi nce' s l
1 he ni
denc
#.
The A LJ t n f l w e t t o- t p pr es - fr t de e m i ng w he he t r i an
he olo d he w s e
oc s i s , t r ni
t r he e s
u eryi de e m i bl phys ca o m e a i pai nt t t coul r s bl be expe t d t
nd l ng t r na e
i l r nt l m nne ha
d ea ona y
ce o
15

pr uc Pl ntf s pa n or ot r s pt s a t evaua i t i e iy,pe sse e,a
od e ai if
i
he ym om , nd hen l tng he ntnst
r it nc nd
lm ii e f c sofPl n if ss
i tng fe t
aitf ympt t deer net e e t whi h t y lm i he f nc i .
oms o t mi he xt nt o
c he i t r u tons

1 . Th ALJwe ttr u h t v ro sme ia r c r si e tnsv d ti. ( 1 - 1 Th
d
e
n h o g he ai u dc l e o d n x e i e eal R. 821. e
ALJ f
ound t t ihe c am a ' m e ca l de e na e i pai
ha t
t l i nts di ly t nni bl m nnent c d r s na y be
s oul ea o bl
e c e t ca e t a lge s
xpe t d o us he le d ympt s howe ,t cai
om ;
ver he l mants saeme s conc r ng t
' t t nt
e ni he
i e iy,pe s s e and lm ii e f t of t s s pt m s a e notcr di e t t e entt y
nt nst
r i t nce
i tng f ec s he e ym o
r
e bl o he xt he

aeic n itn wihtea o er sd a fnci n l a a iya s sme t' ( 1 )
r n o sse t t h b v e iu l u to a c p ct s e s n . R. 9 .
'
The ALJf rhe f
u t r ound t tPl ntf sdi gnosi t si r uls f i t s
ha ai if a tc e tng es t a l o uppor Pli ifs
t antf
a s ri t the c tons a e dia i
s e ton ha r ondii
r s blng. f Specfc ly,he de e ne t t Pli if di
#.
ii a l
t nni d ha antf d
no r ceve dhe t ofm e ca te t tone woul e c f a t a l diabl i vi l'
t e i ç ype
t
di l r a men
d xpe t or ot ly s ed ndi dua .
'

g 2 1 Th ALJ ctd n re p a tto e rc r s t a d n t sg fc n p i rle wih
R. 0 . e
ie u s rciin r e o d h t e o e iniia t an eif t
me iain a d ij cins a n td t a Plitf d d n tr q ie e r e tc r f rita tb e
d c to n ne to , nd oe h t an if i o e ur me g n a e o n rca l
pa n or s e ne ol i al or s gi al cons t ton des t a l ga i
i
e k ur og c
ur c
ula i
pie le tons of s r pa n a
eve e i nd

he dac s I
a he . d

The ALJ s
uppo td hi c uson by notng Gsg fca team e ga '
re s oncl i
i si nii nt r t nt ps'

bewe n De embe 201 a t da e ofhemi i Aprlof 201 I
t e
c
r 3 nd he t
ng n
i
4. d

The ALJ concude
l d

t t Pli ifs ç ns r tve te t e i c t s he s
ha antf
l e vai r am nt ndi a e
co
r ympt s a e no as dia i a
om
r
t
s blng s
Ptm ored '
l t '
The ALJ ne a s td t tPl i ifst s i
xt s ere ha antf e tmony wastge r ly no f t om i 'a t
s ne al t orhc ng' t he
he rng. 1 Hi r as ng wa t t Pl i if ç d notpr de convi ng de a l r ga di
ai
d.
s e oni
s ha antf t
di
ovi
nci
t is e r ng
f c or whi h pr ci t t he a l gedl di a i s m pt s cl m i i t ad t tt s pt s
a t s c e pia e r le y s blng y om , ai ng ns e ha he ym om
ar pr s nt t t nty.' 1 Fur he , t A LJ not d t t Pl i i f s çs f des r be pai
e e e cons a l '' d.
t r he
e ha a nt f çel- c i d
n,
s ve e m edi a i s de e f t ,a i biiy t r a n s a e f m or t n f fe m i ut a e
e r
c ton i f ec s nd na lt o em i e t d or
e ha i t en n es r
i ons s e w ih t c a m a ' abiiy t r ai s a e c f t bl f t dur ton of t
nc i t nt t he l i nts lt o em n e t d om ora y or he
ai
he
1
6

ho -ong hea i a he o e v at ntve s' 1 He e a ne t tPl i ifsa lt t
ur l
rng nd r bs r ed te i nes .' d.
xpli d ha antf biiy o
S tcpa e f ly a cl el wihouta sg ofet rdita ton orove tpa n be vi ' i
d i i t u l nd os y, t
par
ny i ns
ihe sr c i
r i ha or' s
i
s ofonl ma f c or r i u 'i r c ng hi c l i i dir r ng Pl ntf s
one
y ny a t s eled pon' n ea hi
s oncuson n sega di
ai if

crdi lt a a s si he r i lf nci lca iy. ( 20- 1
e biiy nd s e sng r esdua u tona pact R. 21 .
The ALJ as l d t Pli ifs wor hit y a f
lo ooke o antf
k sor nd ound t ti f ie t s
ha t a ld o uppor he
t r

alg to so ds b igc n to . ( 21. Hee pli dt tP an iftsiid a t eh ai
l ai n f ia ln o di ns R. )
e
i
x ane ha litf e tfe t h e rng
t ts ha no bee empl ye snce M a c of201 butte t e r cor i c t d t ts
ha he d t n
o d i
rh
2,
r a m nt e ds ndia e ha he
d c i d r ng wih c l e a da ar i M a 201 and empl
es rbe unni
t hidr n t yc e n y
3
oymenti da r ase ry a
n yca e
al s
De mber201 f Addii ly,t ALJno e t tPli ifwasr evi unempl m e
ce
3. #.
tona l he
t d ha antf
ec i ng
oy nt
c pe a i be f t be w ee 201 a t t r qua t r of 2013, û e i of w hi h i
om ns ton ne is t n
2 nd he hid
re
i ce pt
r
c s
c tone upon co i
ondii d
ntnualc r ik a i of bot w ilngne s a phys ca abiiy t w or ' I
e tt ton
h li
s nd
i l lt o
k. d
'

Fi ly, heALJdic edied Pli ifsa lga i oflm ied da l a tvii f rt r as :
nal t
sr t
antf le tons i t
iy c i tes o wo e ons

F rt alg dy l tdd i a tvte c l tb o j cieyv rfe wiha yr a o a l
is, le e l i e al ciiis amo e b e tv l e iid t n e s n b e
mi
y
de e ofc rant Sec y,e i t cai tsdal aci tesa et l aslm ie
gr e
e ti y.
ondl ven f he l man ' iy tvii r nly i t d
a aleg i i difc tt a ti e t tde ee of lmia i t t c am a ' media
s l ed, t s fi ul o trbut ha gr
i t ton o he l i nts
cl
c ton,as oppos d t o he r s ,i vi oft r a i y w e m edi ale de e
ondii
e o t r ea ons n ew
he el tvel
ak
c vi nc
a ot rf c o sdi c s i t s de i i n.
nd he a t r s us ed n hi c s o

l t nns oft opi on e de e,t ALJ as i d tltl weght't Pli tf' teai
n e
he ni vi nc he
sgne dite i ' o a n ifs r tng
physcin,Dr Pa a i f The ALJexpl ne t tçr t e r or cont
ia
. l co. J.
ai d ha t eam nt ec ds
t
empor ouswih
ane
t

( .Paa i s o ni de ci u e r bl physc lfndi ,aswel a ana e eofmena
Dr lco') pi on s rbe nrmaka e
ia i ngs
l s bsnc
tl
heat c
lh ompl i sand i r s d aci t wih te m e . I
ant
nc ea e tviy t r at nt' d
'

The ALJf t rnotd t t
urhe
e ha ,

(l pos i lt e sst tadocorma e es anopi oni a ef tt a ss apaint
the sbiiy xit ha
t y xpr s
ni n n for o s it te
w ih w hom he s pa hi es f varous r as . ot bl i i a s pos i e t t a doc o
t
ym t z or i
e ons N a y, t s l o
s bl ha
tr
m a pr de s
y ovi uppor i not s or r por s i or r t s ts y pa i nt r ques s a a d
tve e
e t n de o a i f te e
t nd voi
lnne s ar doc orpa i t nson. W hie i i difcul t c i m s s t tons when
l ce s y t / tent e i
l t s f i t o onfr uch iua i

t (iloc r t y a a t be mor lkey when t physcan o ni i que to
he sc cu , he ppe r o
eil
he
ii pi on n sin

depa t s t nta l fom t r m ande oft m e ca r or asi s n i t pr en
rs ubsa i ly r he e i r he di l ec d, s ee n he es t
CaSC.

The A LJ ga D r Pa a i s o ni ltl w e g . f Ra he ,t A LJ s a e t t he
ve . l c o' pi on ite i ht #.
t r he
t t d ha
ba e hi RFC as es m e Gi l ge pa ton t o ni ofD r Pa t t m e ca c ula f o
sd s
s s nt dn ar
r
he pi on
. ty, he di l ons t nt r m

t Dia lt De e na i Se vie' be us i wa S ne a l co it nt wih t e de
he s biiy t nni ton r c ' ca e t s t r ly nsse
ge
t he vi nce
a lbl i t c e. 1
vaia e n he as ' d.
'
The ALJa
cknowl dged t twhie Pli if si nnent a e s r d he e de e does
e
ha
l a ntf mpai
s r eve e, t vi nc
t
nots
uppor t a s ri n t tt y pr l he fom c
t he s e to ha he ecude r r
ompltng basc wor r a e ac i te '
ei
i
k elt d tviis'

wi n t e RFC. ( 2 1 He t e lmie Plitf t lih x rina lv lwok,wi
t h
hi
R. 2 .
h n i td an if o sg te e t l e e r t
l
o
h
a tonalposur llm iai a rghtsde r ac ng lmia i i def r e t he s na a
ddii
t a i t tons nd i i d e hi i t tons n e enc o r pi l nd
rg s dercondii ,m i m al doc e e by a
i ht houl
tons ni ly um nt d
bnor ci ca a dignosi fndi ,'
mal lni l nd a
tc i ngs'
howe r he di nota co moda e Pli ifsalege m e a i i nt ,fndi no evi nc
ve ,
d
c m
t antf
l d nt l mpanne s i ng
de e
t tt y lm ied he a lt t wor 1 The ALJ t n c ude t thi RFC a s s
ha he i t
r biiy o
k. d.
he oncl d ha s
s es ment

wa s p o td b o j cie fn i s me ia o i o s a d oh rfco sp e iu l ds u sd.
s u p re y b e tv i dng , dc l pnin , n t e a t r r vo sy ic se
1
d.

The ALJ ne c uded t t consde i t Pl ntf' RFC,Pl ntf was una e t
xt oncl
ha ,
i rng he ai ifs
ai if
bl o
pe f nn her pas r l va wor bec us i e e ds t Rro
t e e nt
k
a e t xc e he FC. f The ALJ no e t t t s
#.
t d ha hi
conc uson w a s
l i
s uppor e by t he rng t tm ony of t voc tonal e r . 1 How e r
td
he a i esi
he
ai
xpe t d.
ve ,

afe c i rng Pl ntf sage e a i wor e re e,and RFC,t ALJ de e mi d t t
tr onsde i
ai if
, duc ton, k xpe i nc
he
t r ne ha

t ee ae j b t a e s i sg iia tn mb r i t e n to a e o o t tPli tf c u d
h r r o s h t xit n in fc n u e s n h ain l c n my ha anif o l
per o
f nn, i l ng f di m ac ne oper t , s a l pa t as e bl , a pr
nc udi ol ng
hi
a or m l r s s m er nd oduc i wor r
ton
ke .

( 23 .
R. 1
Fi ly,t A LJ f
na l he
ound t t Pl i if i not bee under a di a lt a de i d i t
ha a nt f t
has
n
s biiy, s f ne n he

18

SocalSe urt Act fom M ar h 1 201 t ough t da eoft sde i i '
i c iy , r
c 4, 2, hr
he t
hi c son.'
I.
I

M O TI N S FO R SU M M AR Y JU D G M EN T
O

I he M o i f Summ a y J
n r ton or
r udgm e wih Suppori M e or ndum ofLaw,Pli if
nt t
tng m a
antf

ma e t man ag me t. ( 2 1 Fis, h a g st tteALJSu a o a ece blt
k s wo i r u n s DE 6 . rt s e r ue ha h
' nfv rbl rdiii
y
fndi i uns
i ng s uppored by s tnta evi nce and ba e on a fa d r tonae. ( 26,p.
t
ubsa il de
sd
lwe ai l DE

9 1 1 Ne t Plitf a s rsta t eALJer d i rjci t e o n o o Dr Paa i a d i
- 3 . x , an if s e t h t h
re n ee tng h piin f . lco n n
is ig a RFC fn i g u u p re b s bsa ta e i e c . ( 2 ,p.1 - 6 . Th rf r ,
sun n
id n ns p o td y u tnil v d n e DE 6
41)
e eo e
Pl ntf a ks t t s Cour r ve s t de a of Pli tf s a ia i f dia lt bene is
ai if s hat hi
t e r e he ni l
a n if pplc ton or s biiy
ft

a drma dt smatrf rfrh ra miitaiep o e dig . g 2 , 1 1
n e n hi te o u te d n srtv r c e n s DE 6 p. 6 .
I Def nda ' M oto f r Sum m a y J m e w ih Suppori M e or ndum of Law
n
e nt s
in o
r udg nt t
tng m a

a Re pons t Pl ntf M oton f Sum mm' J
nd s e o ai ifs
i or
y udge nt De enda a guest ts t nta
me , f nt r
ha ubsa il
e de e s
vi nc upporst ALJ' fndi t Pli ifs al ga i ofdia i lm ia i we e not
t he
S i ng hat antf le tons
s blng i t tons r

c e il. ( 2 p .5 1 1 Dee a tn x cams t a s sa ta e d nc s p o t t e
r db e DE 9, p - 5 . fnd n e t li h t ub tn il vie e u p rs h
ALJSweg t ie t Dr Paa i ' o i o g 2 p.1 - 9 .
' i h gv n o . lco s pnin. DE 9, 5 1 1
Pl ntf fl a Re y g 31 t Dee nts M oton f Summay J me
ai if ied
pl DE ) o fnda '
i or
r udg nt
m a nt i ng a 1of he a gum en s Pl i if c a m s t tt A LJ S ne tve cr di lt tndi of
i a ni 1
r r
t . a nt f l i ha he
' ga i
e biiy i ng

Pl ntf wa çc r y t t e de e of r or a 1w pr bii ç i a s r '
ai if s sontar o he vi nc
ec d nd a
ohi tng st nd quim

d tr nains' ( 31 p.1. Pli tf as a srsta teALJSrto aef ra c r ig Dr
eemi to . DE , ) anif lo se t h t h
'
' ai n l o c o dn .
Paa i sopi o Siteweg 'wa uns pporedbyt e de eofr co d. ( 31, 41
lco' nin l tl iht' s u t
l
he vi nc e r DE p. .
111.

LEG A L AN A LY SI
S

J c a r vi of t f t l fndi
udi i l e ew
he ac ua i ngs i di a lt c e i lm ie t de e m i ng
n s biiy as s s i t d o t r ni
whe he t Com m i s one ' dec s on i i uppored by s t nta e de a ba e o pr r
t r he
s i r s ii s s
s
t
ubs a i l vi nce nd s d n ope

l lsa r . Subsa ile de e i mor t n a s i il a i s h r l va evi nce a a
ega t nda ds
t nta vi nc s e ha
cntla nd s uc e e nt de
s
19

r a o a l p ro wo l a c p a a e u t t s p r a c n l in. 4 U. C.j 4 ( )
e s n be es n ud c e t s d q ae o u po t o cuso ' 2 S.
'
05g ;
Cr w o d v Co ' o o . e . 3 3 F.3 11 5 1 5 ( 1h Ci. 0 )( rc ra (n en l
a f r . mm r fs c S c, 6
d 5 , 1 8 1 t r 20 4 pe u im) itr a
ctt n o te )( u tn fd v Cal h n 1 F. d 1 3 1 3 ( 1h Ci.1 9 ). Co rs
i i mi d q o ig wg . la a , 25 3 4 6, 4 9 1 t r 9 7 )
ao
t
ut

ma n tS e iet ef csa e rweg t ee d n e o s si t (h i) u g n f rta o
y o t cd h a t n w, e ih h vie c , r ub tt e t er j d me t o h t f
d
u
t e ( mmiso e l' Phli v Ba n a t 3 7 F.3 1 3 1 4 ,n.8 ( 1h Ci.2 0 )
h Co sin r.
' il . r h r, 5
ps
d 2 2, 2 0
1t r 0 4
( tngBl s rhv He klr, F.2d 1 1 ( t Ci.1 )
quoi ood wo t . c e 703
233, 239 11h r 983).
The r titve sa r of r vi s tout a
esrc i t nda d
e ew e
bove a is onl t tndi of f ct No
pple
y o i ngs
a .
pr s
e umpton ofvai t a t he t t Com mi sonersc l i ofl w. Br
i
ldiy tac s o he
s i ' oncusons a
own v Sulian,
. lv

921 F.2d 1
233,1 ( 1h Ci.1 ) Mari v Sulian,894 F.2d 1
236 1 t r 991 ; tn . lv
520,15 ( t Ci.
29 11h r

1 9 ) Sl e ( mmiso e 'l fi r t a py te c re tlw o t p o ie te rv e n
9 0 . t- Co sin rs al e o p l h o r c a r o r vd h e iwig
-h
u
c twih s tc e r as ng f de e ni t pr r l l a ys s has be n c
our t ufi i nt e oni or t nni ng he ope ega nal i
e onduc e
td

ma d tsr v ra. I g a v Co ' o c S c Ad n,4 F.3 1 3 1 6 ( 1h Ci.
n ae e es l' n r m . mm r fso . e . mi. 96 d 25 , 2 0 1 t r
'
2007)( i Cor lu v.Sulian, 6F.2d 11 11 46( 1hCi.1 ).
quotng neis
lv 93
43, 45- 1 t r 991)
sa ih
se e ntal nal i o
ve t i l
Soc a Se urt r ul tons e t bls a fve-t p s que i a yss t ani a a fna
i l c iy eg a i

d tn n to o d sbi t. 2 C. R. 40 1 2 ; 0 C. R. 41 9 0 ()( Th ALJmu t
ee uiain f ia l y 0 F. j 4.5 0 2 F. j 6.2 a -9. e
i
s
fr tde e mi whe he t c am a i pr s nty empl
is t r ne
t r he l i nt s e e l
oyed. I s a fndi ofnon- s biiy i
f o, i ng
dia lt s
m a a t i r concude . 20C. R. 404.520( . I t s c se t ALJmus
de, nd he nquiy
l s
F. j
1 b) n he e ond tp, he
t
de e m i whe her t c ai an s f r f om
t r ne
t
he l m t uf e s r

s ve e i pa r e or c bi ton
e r m i m nt
om na i

i im e s I t ALJ fnds t t cli nt doe not s f r fom a s ve e i im e o
mpa r nt . f he
i
ha a ma
s
ufe r
e r mpar nt r
c bi ton of i pa nne s t n a fndi of non- s biiy r uls a t i r e . 20
om na i
m i nt , he
i ng
di a lt es t , nd he nquiy nds

C. R.j404.520()
F.
1 c.
Stp t e rquie t ALJt c
e hre e rs he
o ompa et cli ntss vee i ime t)t t ei
r he ama ' e r mpar nts o hos n

t lsi of i iment. 20 C. R. j 404.520( , s r P, a ndi 1 Ce ti
he itng
mpar s
F.
1 d) ubpa t
ppe x . ran
20

i ime t ae s s v r ,wh te c n ie e ao eo i c nu ci n wi o h ri ar n s
mpar ns r o e ee eh r o sd r d l n r n o j n to t t e mp ime t,
h
t t i t a e esa ihed,t r ultonsr quie afndi ofdia lt wihoutf t ri r
ha , f hey r tbls
he eg a i e r i ng
s biiy t
urhe nquiy
i o t ca ma ' a lt t pe f m ot rwor Se Gi on v H e klr 762 F.2d 1 6,1 ,
nt he li nts biiy o r or he
k. e bs . c e ,
51 518

n. 1 ( 1h Ci.1 . I t i ime mees orequas a lsed i nne ,dia lt i
1 t r 985) f he mpar nt t
l it mpai nt sbiiy s

p e u da db n ft aea r e 2 C. R. 4 4 1 2 ( )
rs me n e eis r wad d. 0 F. j 0 .5 0 d .
St p f i ve a de e m i ton ofwhe he t cli a ' i im e spr ve hi or
e our nvol s
t r na i
t r he am nts mpar nt e nt m
he fom pe f m i hi orherpas r l ntwor I t cli tca
rr
ror ng s
t eeva
k. f he a man nnotpe f m hi orhe
r or s
r

p s rlv n wo k t e a prma f ce c s of d sbii i etbls e . 2 C. R.
a t ee a t r , h n
i a i ae
ia lt s sa ih d 0 F.
y
404.520() Thebtr nt n s fst t ALJt s a se fvet t depiet cli nts
1 e.
zde he hit o he
o how t tp i ha, s t he ama '
i im e s he ors i a e t pe f m wor i t na i ec
mpar nt,
he s bl o ror
k n he tonal onomy i lg oft cli nts
n i ht he a ma '

RFC,a e e u ain,a d wo k e p re c . 2 C. R.j 4 4.5 0 9;Phi i ,3 7 F.3 a
g , d c to n
r x e in e 0 F.
0 124
lps 5
l
d t

1 3 I o d rt d tr n wh t rt ecama tha t a iiyt a j tt oh rwo k i t e
2 9. n r e o eemie ehe h li n s he b l o dus o t e r n h
t
na i
tonale
conom y,t A LJ m a eihe a y t M e c l V oc tonalG ui lne ,20 C. R .pt
he
y t r ppl he di a
ai
de i s
F.
.
40 s .P,a 2,or utlze t as i t nc of a voc i na expe t Se Phil 357 F.3d a
4 ubpt
pp.
ii he s s a e
ato l
r. e
li
ps,
t
1 923 40.

The El nt Cicui has esabls a tle pa tt i sanda d' t be u ii d by t
eve h r t
t ihed lr e r s n t r ' o
pa
tlze
he
ALJ whe a cai a ti t Se t bls dia lt t oug hi orhe own t si
n l m nt res o çsa ih s biiy hr h s
r
e tmony ofpan or
i

o h rs b e tv s mp o . Hotv lia 9 F.2 1 21 1 23 ( 1h Ci.1 91 . The
t e u j cie y t ms' l .Sulv n, 21 d 2 , 2 1 t r 9 )
'
sa d r rq ie û 1 e d n e ofa u d ryng me ia c ndto a d et e ( )o j cie
tn ad e ur s i ) vie c
(
n n e li
dc l o i n n ih r 2 b e tv
i
me ca e de et tc i t s rt oft alge pana ii fom t tcondii or(
di l vi nc ha onfnns he eveiy he le d i rsng r ha
ton 3)

t a t o j ciey d tr n d me ia c n iin i o s c as v rt t ti c n b ra o a l
h t he be tv l ee mi e dc l o dto s f u h e e i ha t a e e s n b y
y
e pe td t gv rs t te alg d pan. 1 . M o e v r çth cama ts s be tv
x ce o ie ie o h le e i ' d
'
ro e , t l e li n ' u j cie
g
t s i ony s ppore by m edi ale de e t t s t s i s t s a r i is f s fc e t s
e tm
u
td
c vi nc ha a i f e he t nda d s t el uf i i nt o uppo t
r
21

a fndi ofdiabiiy.' I
i ng
s lt ' d

The ALJ mus s ci al e an why he o s i decdi t
t pe t ly xpl i
k
r he s i ng o

ds rdts h tsi n a d Stalr t a t ult ter a o sf rd s rding s b e tv p i
ice i uc e tmo y, n ç l i e o ri ae h e s n o ic e t u j cie an
l u
c
i
t tmony r quie ,a am a trofl w, ha t t si ony beac e ed a tt ' I
esi
e rs s
te
a t t he e tm
c pt s rz ' d
e.

A . W hehe t ALJi ope l dic e t Pli tf st si ony r gar nghe s e tve
t r he
mpr ry s r died a n if e tm
e di
r ubic i
com pl i s
a nt

Pl n if as e t t t t ALJ' cr di lt de e na i f ie t compl wih t
aitf s rs ha he
S e biiy t nni ton a ld o
y t he
r quie nt of SSR 96 7 a t Hol pai sa r a was not s
e r me s
- p nd he
t n t nda d, nd
uppore by s t nta
td
ubsa i l

e i e c . g 26 p.9 1 1 Plitf n ts t a t ALJ r l d o me ia r c r t t
v d n e DE , - 0 . anif oe h t he
ei n dc l e o ds ha
e
doc e Pli if r ng w ih c l e bu emphasz t pr biiy t t t s wa an
um nt antf unni
t hidr n, t
i es he oba lt ha hi
s

i c ur eupdaeofPli ifselcr cr or fom prorviisa t clni ( 26,p.1 .
na c at
t
antf e toni ec d r
i st t he i c. DE
01
Pl i if a s not t t he r ce pt of une pl e com pe a i w a m i m al a t t
a ntf l o
es ha r e i
m oym nt
ns ton
s ni , nd ha

d th r i n p o iiin a an ta idiiu llo i gf rwo k e e t o g te s p c t e
' l ee s o r hbto g is n n vd a o k n o r , v n h u h h y us e t h y
g
c ul n tp ro m s c wo k e n i gv n te o p rt t ' ( 2 p 1 - 1 . Plitf
o d o ef r u h r ve f ie h p o t y. DE 6, . 0 1 1 an if
mi '
c n e d ta teALJas i o ryu i z dt ia d s im j rs u e c 'i h se au to of
o tn s h t h
lo mprpel tl e l t n qur u ipr d n e'n i v lain
i s
Pl i if s t tm ony ove a vi
a ntf esi
r
deo m onior durng t he r ng, and t t hi fndi i not
t
i he a i
ha s i ng s

s p o tdb s b tn il vd nc . ( 2 , 1 - 2 . Sp cfc l Plitf c ne dst a te
u p re y u sa ta e ie e DE 6 p. 1 1 j
e i al an if o tn h t h
y,
A LJ us d obl m atc r to l 'i fndi Pl i i f s t tm ony a t he i t be ç ner ly
ed t
pr e i a i na e' n i ng a ntf es i
t he arng o
û
ge a l

notf t
orhcomi ' bec us he di no e an hi r s ns f dic e tng Pl ntf s t si o
ng' a e
d t xpl i s ea o or s r dii
ai if e tm ny,

wh wa a sse b aS n s -a g a e itp rtr ( 2 ,p.1 ) Plitf as alg st a
o s sitd y pa ih ln u g ne ee. DE 6
1 . an if lo l e h t
e
çgj f oft e uai ofani vi lss omss dno bet dee mi whehe he
sthe ocus he val ton
ndi dua' ympt
houl t o tr ne t r
ors i a t t ulpe s ' ( 26,p.1 . Fi l Pli ifase t t tt ALJrle on
he s nzhf ron. DE
'
2j naly, antf srs ha he
eid

i e s i e fco s s c a r q ii o j cie v rfc to i dic e iig Plitf s
mp nnisbl a tr, u h s e urng be tv eii ain, n s rdtn an if
tsi
etmonyo heralgedlmiai i he daiylvi aci tes g 26, 1 1 .
n
le i ttons n r l i ng tvii . DE p. 2- 31

De e ntco e t ts t nta e d e s
f nda
nt nds ha ubsa i l vi enc uppors t ALJ' fnd ng t tPli ifs
t he
S i i ha antf

aleg i ofdia i lmiai wee notcedi e. g 29,p.51 Defnda ague t t
l atons
sblng i ttons r
r bl DE
.
e nt r s ha
t ALJ a oprael weghed ala ia e evi nc i m a ng hi c e biiy de e naton,
he
ppr i t y i
l va lbl
de e n ki
s r di lt t nni i

i ldng ic n itnce i t me ia r c r a d Plitf tsi n ( 2 ,p 89 .
ncu i n o sse is n he dc l e o d n anifs e tmo y. DE 9 p. - 1
De e
f ndantalo not t t s t ntalevi nce s
s
es ha ubsa i
de
uppors t ALJ S c l i t t Pl ntf
t he
' oncuson ha ai ifs

te t n wa c n e v tv ,tu u d r nig Plitf s s b e tv c mplit of ds bi g
rame t s o s r aie h s n e mi n anif u j cie o an s
ia ln
c to . g 29, p.
ondiins DE

Furhe , De e nt c e
t r
f nda
ont nds t t Pli ifs r cept of
ha a ntf
e i

une pl
m oymen bene ispr ded t ALJa tonalevi ncet tt Pli ifsc tonswe e
t
ft ovi he
ddii
de
ha he antf ondii
r
notdia i be a e une pl e be is a e c tone u
s blng, c us
m oym nt neft r ondii d pon t be i i r s physca
he nefc a y'
i l

a l y a d wil ne st wo k ( 2 ,p.1 . F n ly Dee a ta s rst tt eALJdd
bit n lng s o r . DE 9
i
i
21 i al , fnd n s et ha h
i

n te g g i k i a d s uiu j rs r d n e' c u et eALJe ha ie ta hso sr ain
o n a e n i t n q n u ip u e c 'be a s h
s
mp sz d h t i b e v to s
a t he rngwe eoneofma fct si comi t hi co l i ( 29,p.1 15 .
t he ai
r
ny a or n
ng o s ncuson. DE
4- 1

Thetr ep r pan sa d r fre au tn acama tss b e tv c mpan sof i a d
h e - a t i tn a d o v l ai g li n ' u j ci e o lit pan n
d sbl g c n iin r q ie :t 1 e i e c ofa u d ryng me ia c ndto a d et r( )
ia i o dto s e ur s $ ) v d n e n n e li
n
(
dc l o iin n i 2
he

o j cie me ia e i e c t a c n ims t e s v rt o te alg d pan a iig fo t a
b e tv dc l v d n e h t o fr h e eiy f h le e i rsn r m h t
c n to o ( )ta t o j cieyd tr n dme ia c n iin i o s c as v rt t a i c n
o di n r 3 h t he b e tv l eemie d c l o dto s f u h e e i h t t a
i
y
be r as
e onabl expe t d t gi rs t t al ge pa n.' Hol,921 F. a 1
y
c e o ve ie o he le d i '
t
2d t 223. The A LJ
a t t t t he ha consde ed a1 of Pli ifs s pt s a ç he extnt t whi t e
tesed ha
d
i r l
antf ym om nd t
t
e o
ch hes

s mpo c n r ao by be a c p e a c n itn wi t e o j cie me ia e i e c a d
y tms a e s na l
c e td s o sse t t h b e tv
h
dc l v d n e n
ot r e de e, as wel a alo ni e de e. ( 1 . He t n f l d t t se
he vi nc '
'
l s 1 pi on vi nc R. 8j
he olowe he wo-tp
pr es offrt de e ni whehe t e i a unde l ng medi ly de e m i bl physc or
oc s is, t nni ng
t r her s n
ryi
cal t r na e
ial
m e a i pa r e t t c d r as
nt l m im nt ha oul e onabl be e c ed t pr
y
xpe t o oduce Pl i i f s pa n or ot r
a ntf
i
he
s pt s a t n e l tng t i e iy, pe s s e e and lm ii e f c s of Pl ntf s
ym om , nd he va ua i he nt ns t
r it nc ,
i tng f e t
ai i f
23

s
ympt st de e m i t e e t whih t y lm i herfmc i .
om o t r ne he xt nt o
c he i t
t tons

Afe r e ng t
tr eviwi he

e de e,t ALJ f
vi nc he
ound t tPli tf sl e ca l de e mi bl i im e s c d r s na y
ha a n if s di ly t r na e mpar nt oul ea o bl
m

b e p ce t c us t alg d s mp o ; o v r t e( an it' sae nsc n e nn t e
e x e td o a e he le e y t ms h we e , h Plitfl s ttme t o c r ig h
i e iy,pe sse e a lmii efe t oft e s
nt nst r it nc nd i tng f c s hes ympt sar notc e bl t t e e t y
om
e
r di e o he xt nt he

aeic n itn wi t e. .e iua f n to l a a i a s sme t' ( 1 1
r n o sse t t h . r sd l u cina c p ct se s n . R. 9 .
h
y
'
The ALJ wenttlo h t vai me ca rc dsi deal ( 1 221 The ALJ
lrug he rous di l e or n ti. R. 9- .

f u dt a, i d a n si tsi r s lst fim g anit' alg d s i ea dj itd s r e s
o n h t whl ig o tc etng e ut d fr plitf s le e p n n on io d r,
e
a
l
t e fi t s p r ge la srin t a t e e c n iinsa e d s bi . ( 1 1 Th ALJ
h y al o u po t h r se t h t h s o dto r ia l ' R. 9 . e
o
ng '
r e d t c r ca x-ays fom t dae of Pl ntf' ac de ,whih not ç y m i ma
eviwe he e vi l r
r
he t
ai ifs ci nt
c
e l
onl ni l
dege r tve c ng wihout e de e of facur ' f Afer r viwi t l ba a
ne a i ha es t
vi nc
r t e.' #.
t e e ng he um r nd
ce vca s ne M Rlr uls fom J of201 a wela t rghts de M llfom J y 25,
r i l pi
es t r
une
2, s l s he i houl r t r
ul
201 t ALJ c l d t tt s i ng sudi f ie t s
2, he
oncude ha he e magi t es a ld o how tsg fca a nna iis
si nii nt bno lte ,
i t ad i ntf ng onl mode a e deg r tve s nalc nge wihoute de of fa c d
nse de iyi
y
rt
ene a i pi
ha s t
vi nce
r nk or
c pr i e a c oni s de t ndi i w ihout t r or de a m ent' I
om om s , nd hr c houl r e nos s t
ea
r nge
. d
'

The A LJ

f t r not t tti r pors fom t da e oft a i nti cae t t t m ot ve c e
urhe
ed ha rage e t r
he t
he ccde ndi t ha he
or hil
a ci ntwast i ,'a t tphysc e
c de
d nor' nd ha
m
ial xami to demonsr t t tPl i ifha s
nai n
ta ed ha antf d hown f l
ul
r ngeofm o i a no ç e r st pal ton oft s ne. I
a
ton nd
t nde nes o pa i
t
he pi ' d
'
Nex ,t ALJ dicus e t c e v tve team e and pan r le Pl ntf e ince
t he
s s d he ons r a i r t nt
i e if ai if xpere d

fo h r us o me c to a d oh r te t n s ( 1 - 0 . Plitf pat iae i
rm e e f diain n te r ame t. R. 9 2 1
an if ri p t d n
c
c io r ci a j sme t p ro d b Dr Reme bewe n M ac 21 2 2 a Au us 2 ,
hr p a tc d u t ns ef nue y . i r t e
rh , 01 nd g t 9
201 t alnga oxi el f t s s i . ( 356- . OnJ 5,201 Dr Reme notd
2,ot i ppr mat y ory e sons R. 4251
une
2, . i r e
i hi tnaleva ua i n t Pl i if t d r ac d m axi um m e c l i pr
n si
l t o hat a ntf t
ha e he
m
di a m ovem e ' i r ga dst
nt' n e r o

t rpy,a t the per ne dia lt rtngwas1 . ( 311 31 . TheALJnotdt t
hea nd ha r ma nt s biiy ai
2% R. , 31
e ha,
24

d s iet i ds b l y rtng Dr Reme dd n tie tf Plitf p sc ll tto s (
e pt h s ia ii ai , . i r i o d niy an ifs hy ia i ai n . R.
t
mi
1 q The ALJ as n td t a Plitf rp re i r v d s mp o fo ij cin t ea y
9.
lo oe h t anif e o td mp o e y t ms r m n e to h rp
durng a f l w - vi i on M ay 29, 201 a phys c e m i tons s
i
olo up s t
2, nd
i al xa na i
howed ûnor l g t
i ma ai
i t o
patr ,neur ogia f ton,a i ac g i srngt ' ( 201 Pli if w as lm ied t
tens
ol c l unci nd nt t rp te h.' R. . a ntf

lfi t nt pot durng a vii a Am e i a Ca e on Nove be 26,201 a s denid
itng we y mds i
st t
rc n r
m r
2, nd he
e

d p e so d rn h rfna v st nNo e e 8 2 3 ( 45 , 3 - 0 . Th ALJctdnzs
e r sin u i g e i l iio v mb r , 01 . R. 7 4 9 4 1
e
ie l e
r
pr ttone r pors durng he l t vi i on Dec mbe 3,201 whi h i c t d no r pore
acii r e t
i
r as st
e r
3, c ndi a e
e td

c ant ot r t n a urnay ta i e ton. ( 20,436- . Pli ifs fna e dtrl
ompli s he ha
i r rct nfci
R.
381 antf i l pi la

seoi ij cin o t ec r ia s i wa o J l 2 ,2 2 a d t rc r id c tsn f rh r
tr d n e to f h e vc l pne s n uy 8 01 , n he e o d n iae o u te
te t n ,p y ia t ea y o c ns lain we es u h f rhe s mp o . ( 20 . Aste
rame t h sc l h r p , r o utto s r o g t o r y t ms R. 1
h
ALJ c n ld d iplitf s h so y of lr ey c n e v tv te t n do s no s p o t
o cu e , i anit it r
l
q'
ag l o s r aie r ame t e t u p r
alega i nsofdi ablng condii .' 1
l to
s i
tons ' d.

l fndi t t çl antfls te mentrcor does not lnd s
n i ng ha ipli if' rat
e d
e uppor t ase tons of
t o sri
dia i c tons' unde t f cor e
s blng ondii '
r he a t s numer t d i SSR 96- t ALJ e ai d t t
ae n
7p, he
xpl ne ha
Pl i if ha not tr c ved t t pe of medial te t e one woul e
antf d
'e ei
he y
c r am nt
d xpec fom a t a l
t r
ot ly
diabld i vi l' I
s e ndi dua .' d

The ALJ cie nur e pr ttonerr or t t ç onsse l deno e
td
s acii
ec ds ha s it nty
c
t

sg iia tpan rle wi me iai n a d ij cinsb t e Ma o 2 2 a d De e ro
in fc n i eif t dc to n ne t
h
o ewe n y f 01 n c mbe f
201 1
3.
'

Furhe , t A LJ no e t t no ne ol c or s gi a cons t t on w as s
t r he
t d ha
ur ogi al
ur c l
ula i
ought

des t Pli if s c
pie a ntf ompli s of s ve e pai a he da hes I
ant
e r
n nd a c . d

Fi ly,t ALJ e aned
na l he
xpl i

t t Pli ifs r or rve e ç inii nt te me ga durng whi (hel rceve no
ha antf' ec d e ald ç g fca rat nt p, i
s
ch s e i d
m e ca c r s cii ly be w e n D e m be of 201 a t da e ofhe r ng i A pr lof201 '
di l a e, pe fca l t e
ce r
3 nd he t
ai n
i
4.
'
The A LJ conc ude t t Pl i if s ts ce s ul c e va i tea m ent'i c t d t t her
l d ha a ntf iuc s f ons r tve r t
' ndi a e ha
s pt m s we e S a di a i a pur t ' 1
ym o
r t s s blng s pored.' d.
not
25

Th ALJn td ta d an te fco i tu n i t e o to ra h d i t i d cso '
e
oe h t t q oh r a t r nl e cng h uc me e c e n hs e iin'
g
wa hi obs r ton t t Pl i ifs t si ony a t hea i wa ç ne aly notf t
s s e va i ha antf' e tm
t he rng s û r l
ge
orhcomi '
ng.
'
1 The ALJ e ane t t Pli if t d not pr de convi ng de ais r ga di f c or
d.
xpli d ha antf ç
di
ovi
nci
t l e r ng a t s
whi pr ci t t he a l dl dia i s
ch e piae r lege y s blng ympt s cai ng i t a t t s
om , l mi nse d hat he ympt
oms a e
r
pr e tonsa l '' I
es nt c tnty.' d

The ALJ not d t t hi o e vai of Pl ntf ' a tntve s ,
e ha s bs r ton
ai ifs te i ne s

pari i ton,a he t biiy t r m an s atd comf tbl f t dur ton oft hour l
tcpa i
nd r s lt o e i e e
a
ora y or he ai
he
-ong
hea i ' wa i onssent wih he ts l- c i d pan,s ver m e ca i s de e f t , a
rng' s nc it
t r se fdes rbe
i e e di ton i f ec s nd
i biiyt r m an s t f m or t n ffe m i es' I The ALJe a ne t tt swas
na lt o e i eaed or e ha iten nut . d.
'
xpli d ha hi
t y one of m a f t s r i upon' i detr i ng Pli ifs c e biiy r r ng he
d
onl
ny acor eled
' n e m ni
a ntf
r di lt ega di
r

alg to sa di a ss igh rrsd a f n to a c p ct . ( 2021.
le ain n n se sn e e iu l u cin l a a iy R. - )
F n ly t eALJf u d ta Splitflswo k h so y (ald t s p o th ralg to
i al, h
o n h t t an it' r it r fie q o u p r e le ains
g
o ds b ig c n iin . ( 21. Th ALJ ctd te t n rc r s t a id c t Plitf
f ia ln o dto s' R. 1
'
e
ie r ame t e o d h t n iae an if
r pored r nni wih chid e a da r be wee M a of201 a De m be of201 des t
e t u ng t
l r n t yca e t n y
3 nd ce r
3, pie
he t tmony t t s ha notbe e oye snc M a c of 201 I
r esi
ha he d
en mpl d i e r h
2. d

Furhe ,Pli if
t r antf

r ceved une pl e c pe a i be ft be we n 201 a t t r qua tr of 201
e i
m oym nt om ns ton ne is t e
2 nd he hid
re
3,
t ec i ofwhih i c to d u
s ept
r
c s ondii ne pon c i lce tfc ton of bot wilng s a physca
ontnua rii a i
h li ne s nd
i l
a lt t wor ' I
biiy o
k. d
'

The ALJ e ai d t tt f t s we ghe a i tfndi Pl ntf'
xpl ne ha wo acor i d ga ns i ng ai ifs

lm ia i a f a he daiy ac i te t be cr di e.
i t tons s ar s r l tvii s o
e bl .

Fis,alg dy lmie d i a tvi e c n o b o j ci l v rfe wi a y ra o a l
rt le e l i td al ci t s a n t e be tvey eiid t n e s n b e
y
i
h
d g e o c rany Se o l, ve i g an it' d i a tvte aetuya l tda
e r e f e tit . c ndy e n f plitfls al ciiis r r l s i e s
y
mi
a l ged, i i ditc t t a t i e t t degr e of lm ia i t t cl i a ' m e ca
le
t s fi ul o trbut ha
e
i t ton o he a m nt s di l
c
ondii a oppos t ot r as ,i vi w of t r l tve y w e k m e c l e denc
ton, s
ed o her e ons n e
he e a i l
a
di a vi e
a ot rf c or di c s d i t sde s on.
nd he a t s s us e n hi ci i

1 The ALJconcuded t tPl ntf' r po td lm ia i nson dal a tvii we et wei d
d.
l
ha ai ifs e re i tto
iy c i tes r ç
out ghe
by t o he f t sdi c s d i t sdec s on. 1
he t r ac or s us e n hi
i i ' d.
'
26

The Cour fndst tt ALJf l d t pa n sa r dic s d i Hol. Assa e i
t i ha he
olowe he i tnda d s us e n
t
ttd n
HolLtl t ALJ de i s nott c e ts h t si ony,he (rs e mus a t u ae e p ii a d
t if he
c de
o r di uc e tm
o h ) t ri lt x lct n
c
a quae r a ons f doi s ' 921 F.2d at1
de t e s
or ng o.'
223. Afe a ca ef r viw oft r or t
tr
r ul e e
he ec d, he
Cour fndst tt ALJ di a tc ae e i i a ade t r s f dicr dii Pl ntf s
ti
ha he
d riul t xplct nd qua e ea ons or s e tng ai if
t tmony. The ALJ cied m uli e r s
esi
t
tpl ea ons f hi cr di lt dee mi ton, i l ng t
or s e biiy tr na i
nc udi he
m edi al e de e, Pl i i f s ac ual alega i ns of pa n a t hea i a Pl i if s w o k
c vi nc
a ntf
t
l to
i t he
rng, nd a ntf
r

hit y. See20C. R.j404.529. Thi Co tcn rwei t e de
sor
F.
1
s ur nnot e gh he vi nce.
W ih r ar t Pli ifs wor hit y,t ALJ di not e r i consde i t r c d
t eg d o a ntf'
k sor he
d
r n
i rng he e or
e de e t t i c t s Pl ntf wa l nni wih c l e bewee Oc obe 23, 201 a
vi nc ha ndi a e ai if s ' ng t hidr n t n t r
u
2 nd
De e be 3,201 Pl ntf ar ue t tt ALJ f ie t consde t pos i lt t t t s
cm r
3. ai if g s ha he
a ld o
i r he
sbiiy ha he e

rco dsweepeha a t maial caredove fom prviusviist t sci c. k 31 p.
e r
r r ps u o tc ly ri
rr
e o st o hi lni DE ,
W hie t sm a be s t r or f l t s
l hi y
o, he ec d ais o how a s h vi ist Amerc Ca e prort
ny uc st o
ian r i o

Odobe 23, 2. g 436- . Theeor e i Pli iffrtrporedwoki i ada r
r 201 R. 621
rf e, ven f antf is e t
r ng n ycae
a r ng wih chid en i Oc o rof201 t tda e wassils eque t he a lge ons t
nd unni
t
l r n t be
2, ha t
tl ubs nt o r le d e
da eofM ar h 1 201 whe s al ge y soppe wor ng.
t
c 4, 2
n he le dl t d
ki
Furhe , t m e ca r or e denc i caes t t Pl ntf r c ve not s fo Dr
t r he di l ec d vi e ndi t ha ai if e ei d
e rm
.
Rem e i c tng t tPl ntf ne de a tm por r lave fom wor be we M a c 20,201
i r ndia i ha ai if e d e
ay e
r
k t en r h
2
i
e, ec ve
uggessPl i ifnot
t antf
a dM a 2 2 2 ( 31 - ) Thefnalnot r ei d on M ay 2,2012,s
n y , 01 . R. 927 .
w o k f onl t w ee . ( 3 4 . The e s o ttr la e n ts wi u mo e fi t
r or y wo
ks R. 2 1
s h r-em e v o e , t t r , al o
ho

de
monsr t c r r e de e t tPli ifwa e pl d a t tm e ofhe viisa Am e i n
ta e onta y vi nc ha a ntf s m oye t he i
r st t
rca
Ca e. Thus t ALJ di not e r i c i rng t s a f c or a ong ot r ,t de e ne
r
, he
d
r n onsde i hi
at , m
he s o t nni
Pl i if s a l ga i wer notc e bl
a ntf le tons e
r di e.
A st t A LJ' c i r to ofPl ntf s r ei of unem pl e be is whie t
o he
S ons de a i n
ai if ec pt
oym nt neft , l he
27

r ceptoft
e i
mempl e be ft aone i a i ufi i tr s t deny dia lt be ft,t
oym nt ne is l
s n ns fcen ea on o
s biiy ne is he
ALJ m a c i r t a ia i f a r ceptofunempl
y onsde he pplc ton or nd e i
oyme be is t be a f t i
nt neft o
acor n
unde m i ng aPl i ifsc edi lt Robe t v Col i No.1 CVr ni
antf r biiy.
rs . vn,
5- 80266,201 W L 5 223,
6
001

( D.Fl M a .29,201 (t yi f une oyme c
S. a. r
6) t
Appl ng or mpl nt ompe ai be ksundemi a
ns ton net
r nes
cli nts a lga i of a c edi e dia i i r t bec us ç cl mantwho a i s f r
a ma ' le ton
r bl s blng mpaimen , a e a ai
pple o

u e ly n c mp nsto b neis h d ( i s l o t a a albl,wil ,a d a e t
n mpo me t o e ain e ft ols hmjef u s v ia e lng n bl o
i
wor ''( i M or s v.Asr No.08- 80886,2009 W L 3295113,*6 ( D.Fl Oc.
k.' quotng rion
tue,
CVS. a. t
1 2009)) Pli ifdi i ed rceveunempl me compe aton beneksbewe n 201
3,
). antf d nde e i
oy nt
ns i
t t e
2
and t t r q rerof201 Be us Pli tf r ceptofune oym e bene iswasnota
he hid ua t
3.
ca e a n ifs e i
mpl
nt
ft
s ef c ori t ALJfndi Pl i ifsal ga i ofdia i condii t be notc e bl ,t
ol a t n he
i ng antf le tons
s blng
tons o
r di e he
ALJ di not c
d
omm i an e r i c i rng Pli if s r cept of une pl m e be is lt
t
ror n onsde i
antf e i
m oy nt nett, e
a one a r ve sbl e r .
l
e r i e r or

As t Pl i ifs ist a s r ' a gumen ,Pl i if i c r ct t t a ALJ i no
o antf ti nd quim' r
t antf s ore ha n
s t

p r te t uiieS i a d s ur ' u ip u e c . Fr e n v Sc wek r 68 F.d 7 7 7
emitd o tl ç t n q im'j rs r d n e
z s
e ma . h ie , 1 2 2 , 31
( 1h Ci.1 8 ) Th Elv nh Cic ti Fr e n d fn d i i a s ur j rs r d n e'a
1 t r 9 2 . e e e t rui n e ma eie t t nd q im u ip u e c ' s
s
f lo :én ti a p o c ,a ALJwh i n ta me ia e p r wi s b e tv l arv a a
ol ws ' h s p r a h n
l
oso
dc l x e t l u j ciey rie t n
l
i x of t a t w hi he e
nde
r is ch
xpec s t cl m an t m a f t a t hea i
t he ai t o nies t he rng. l t cai tf l
f he l man als

s toft si x,t cai i denid. 1
hor hi nde he l m s
e ' d.
'
Her ,t ALJ saed t tPl ntf wasa et pm i i t i t he ng wihou sg of
e he
t t ha ai if
bl o
cpa e n he mi
t t ins

obvi pan ordic or. ( 20 . Howe r theALJma c i racli ntsde nor
ous i
s omf t R. 1
ve ,i
t
y onsde ama ' mea
a ong ot r c ie i i m aki c e biiy de er i tons ' Nor i v H e kl r,760 F. 11
m
he rt r a n
ng r di lt t m na i .
'
rs . c e
2d 54,

11 ( 1h Ci.1 . Thesmpl fc t tt ALJconsdeedPli ifsde nordtrngt
58 1 t r 985)
i e a t ha he
i r antf
mea
li he
he r ng doe notm ea t tt A LJ c m it a e r s l ast A LJ does l i pos hi
ai
s
n ha he
om ted ny r or o ong he
t m
not
e s
28

obs vai i le ofa c i a i oft medi le de e pr e e ' I
er tons n iu
onsder ton
he
ca vi nc es ntd.' d

l t sc s ,
n hi a e

t e AL e pan d i d ti i h sd cso h w P an ifs s b e tv c mpan swe ea o d
h J x lie n eal n i e ii n o litf u j cie o lit r t d s
wih teo j ciefn ig o e a n to a d p o e l c nsd rd t me ia e d nc . (
t h b e tv i dn s n x miain n r p ry o ie e he dc l vie e R.
1 - 1. Th s rv ra o t eALJSd cso wo l b i r p r Se Es o e ov Asr e No
82 j
u ,e esl f h
' e iin u d e mp o e . e c b d . tu , .
0 - 61 4 2 0 W L 2 0 7 2 ( D.Fl.Se t 0,2 0 )(t s d o te mii lweg t
8 CV- 6 0, 0 9
9 5 3 , S. a p .1 0 9 s e n h nma ih
Ba
a sg d t t pl i ifs obs r e be vi r a t he rng,t unde sg d fndst tt ALJ
s ine o he antf
e v d ha o t he a i he
r i ne i
ha he

dd n tb s hs d tr n to o t tpe ofûi a d s uim'jzip u e c c n mn d b
i o a e i eemiain n he y
st n q r t s r d n e o de e y
r
Fr e
e man,spr ')
u a.'.
Fi ly,a t ve ii biiy ofPli ifs a tvii ofda l lvi t ALJ c i r d t s
na l s o rfa lt
antf c i tes
iy i ng, he
onsde e hi
a one f c ori de er i ng t Pl i ifsi e td lm ie daiy a tvii a e c i r d t be
s
a t n t m ni hat antf t pore i t d l c i tes r onsde e o
r

out ihe by t ot rf t sdicused i t sde son. ( 21j Alhough t Elve t
weg d he he acor s s n hi cii ' R. . t
'
he e nh

Cic i h sn ts o e a t o j ciev rfc to o d iya tvte , h Te t Cic i h sS ed
r ut a o p k n s o b e tv eiiain f al ci iis t e nh r ut a l l
h
t tte lc o o j cie v rfc to a u a cama t alg d y l td d iy a tvte i a
ha h a k f be tv eiiain bo t li n ' l e l i e al ciiis s
s e
mi
p o e fco i a ce blt a ay i. Pik p v Covn 6 6 Fe Ap x.4 0 4 4 ( 0h Ci.
r p r a t r n rdiii n lss' c u . li, 0 d. p 3 , 3 1 t r
y
'
2 5 . Th ALJ as sae t a,t v n i ( an ifs d iy a tvte a e tuy a l td a
01 )
e
lo ttd h t d e f Plitf l al ciiis r r l s i e s
e
mi
ale i i difc tt ati et tde e oflmiai t ( ai ifs me ca c ton,as
lged, t s fiul o trbut ha gre i tton o Pl ntf l di l ondii
oppos d t o he r a ons i vi w of t r l tvey wea m e ca e de a ot r f c o s
e o t r es , n e
he e ai l
k di l vi nce nd he a t r
di c s d i t s de s on. 1
s us e n hi cii ' d.
'
Cons de i t s Cour ' de e en i lsanda d ofr vi w ,s t t a e de exit i t
i r ng hi
ts f r ta t r
e e ubsan i l vi nce s s n he
r co d t s ppo tt A LJ S c e biiy fndi
e r o u r he
' r di lt i ng.

B. W he he t ALJe r d i r i c i t opi on ofDr Pa a i
t r he
re n e e tnc he ni
. l co

Plitf c n e d t tte ALJ erd b usn a i s fiin rto l i rj cig Dr
anif o tn s ha h
re y i g n n u fce t ainae n ee tn .
Paa i sopi on. ( 26,p.1 . Spe fcal Pl ntf r es t t f l ng ra oni
lco' ni
DE
41
cii ly, ai if efr o he olowi e s ng

gi n f a yi ltl wei t Dr Palci sopi on:
ve or ppl ng ite ght o . a o' ni

( r t ntr c dsc e a ouswih t sopi on desrbe unrmar bl physca
Tleame e or ontmporne
t hi ni
ci
e ka e
il
fndi ...The pos i lt e sst ta docor ma e es an opi on i an e f tt
i ngs
sbiiy xit ha
t
y xpr s
ni n
for o
as itapa intwih whom hes
ss
te
t
ympa hi sf va i r as . abl i i alo pos i e
t ze or rous e ons Not y,t s s
sbl
t ta doc orma pr de s pori not orr po t i or rt s tsy pa i r quess
ha
t
y ovi up tve es e rs n de o a if tent e t
a a d unne s a y doc orpa inttnso
nd voi
ce s r
t / te e i n.

( 21 DE 2 , 1 1 Plitf ag e t tn te t nt e o d we ep o u e b Dr P lco
R. ;
6 p. 4 . an if r u s ha o rame r c r s r r d c d y . aa i,
and a s h,t r i çno e de t thehad a s c a r ltons p wih Pl ntf,ort the wa
s uc he e s s vi nce ha
pe i l ea i hi t ai if ha
s

tyn t plc t h spain . g 2 ,p.1 1 Noa y Plitf c n e e t a ûh rc r i
r ig o a ae i te t' DE 6
'
4 . tbl, an if o c d s h t t e e o d s
t
sln a t wheh rDr Paa i wa t ete tn p o d r o e e a e mi igp o d r.' I .
ie t s o te . lco s h raig r vie , r v n n xa nn r vie g ' d
l
Thus Pli ifas e t t tt ALJ Sr s ng i pr -or te l nguage nota i bl t he
, antf s rs ha he
' ea oni s e f mat d a
pplca e o r
ca ea nots
s nd
uppo td by s t ta e de ,m a tng r ve s l
re
ubsan i l vi nce nda i e r a .

Pl ntf a s ct she
ai if lo ie r

M R1 de
s monsr tng si d dics dic he i ton,a bul ng dicst ts ppor Dr Pal i s
tai lppe s , s m a i nd gi
s ha u
t . aco'
o ni t t Pl i if i lmie t ne r pus ng,puli or ove hea lfi an t t he
pi on ha antf s i t d o ve
hi
lng,
r d itng d ha r

c ton woul r r he t bea e fom wok frmor t n f da pe mo h. g
ondii
d equie r o bsnt r
r o
e ha our ys r nt DE
26,p.1 .
51
Furhe , Pl ntf a g t t t A LJ e r d i a ce i t opi on of D r Pa t t
t r ai i f r ues ha he
r e n c ptng he ni
. ty, he

non- xami ng St e age y physci bec us t opi on wasr r prort Dr Paaco'
e
ni
at
nc
i an, a e he ni
ende ed i o . l i s
as e s e of Pli tf. 1 Pl i if as e t t t t ALJ S r as ng t tt o ni was
s s nA nt
a n if d. antf s rs ha he
' e oni ha he pi on

d e eal c n itn wihtee i e c a albl i ti c s 'wa is fiin rto aet j siy
d n r l o sse t t h v d n e v ia e n h s a e' s n u fce t ain l o u tf
g
y
ac e a e ofa non-xa ni s c sopi on. g 31 p.61 Furher Pl ntf not t t
c ptnc
e mi ng our e' ni
DE , . t , ai if es ha
$Dr Pat sopi on i slnton ma pultve and ra hi lmiai ll'and t tt ALJS
t . ty' ni s ie
ni ai
e c ng i ttons,'
ha he '
i l d lmia i ofo r ad r a hi f one sde i notc it ntwih ç he medialr c d
ncude i tton
ve he e c ng or
i s
onsse
t d
t
c e or
t t doc e s Pl i i f s di fc t w ih bot s de s and doe not i pl t t t onl
ha
um nt a ntf
f i uly t
h houl r ,
s
m y ha he
y

die toni whihr ngeofmotoni lmie i ovehea ' ( 26,p.1 .
rci n c a
i s i td s r d. DE
'
61

Def nda c e t tt ALJ di note r i a sgni ltl we g t Dr Pa a i s
e nt ont nds ha he
d
r n s i ng ite i ht o . l co'

o iin b c u eteo no ç u sa tal d p re fo t eme ia rc r ' ( 29 p.1 1
pn o e a s h piin s b tn il e a td r m h dc l e o d. DE , 8 .
s
y
'
Spe ii a l De e
c fc ly, f ndan not ne tve i a ng sudi ,nor a gai and ne ol ca f nc i ,
t es gai m gi t es m l t
ur ogi l u tons
a i pr me i s pt s t t t ALJ t
nd m ove nt n ym om ha he
ook i o consde aton whe c i rng Dr
nt
i r i
n onsde i
.
Pa ac o' opi on. 1 D e e nta s a s r s t t A LJ di note r i a ce i Dr Paty'
l i s ni
d.
f nda l o s e t hat he
d
r n c ptng . t s

o iin b c us i wa s p o td b s bsa ta e d nc . ( 2 ,p 1 - 9 . Dee d n
pn o e a e t s u p re y u tnil vie e DE 9 . 8 1 1
fn a t
a guest tt ALJ pr ry r viwed t e ie r or i hi de e m i ton,e i Dr Pa t
r
ha he
ope l e e
he ntr ec d n s t r na i
ven f . ty

ddn trve Dr Paa i so i ind rnghi a s sme t ( 2 , 1 1
i o e iw . lco' p no u i s s e s n . DE 9 p. 9 .

Th Elve t Cic tCo r o Ap ash se pli dt t nALJç yrj c t eo no
e e nh rui u t f pe l a x ane ha a
t ee t h piin
ma
ofa physc a whe t e de s
ny
iin
n he vi nce upporsac r r c l i 'bu t tt ALJi r uie
t onta y onc usony' t ha he
s eq r d
ç o s a e wih pa tc a iy t w ei he gi t dif r nt m edi l opi o a t r s
' t t t r i ul rt he
t
ght
ves o f e e
ca
ni ns nd he ea ons

why.' Mccl v.Ba nhar,1 Fed.
'
oud
r t 66 Appx.41 418 1 ( 1h Ci.2006)(ii Bl s rh
0, - 9 1 t r
ctng ood wo t

v He ke , 0 F.d 1 3 1 4 ( 1h Ci.1 8 ) Sh ra zv Bo n,8 5 F.d 2 8 2 9 ( 1h
. c lr 7 3 2 2 3, 2 0 1 t r 9 3 ; af r . we 2 2 7 , 7 1 t
Ci.1 ). The opi on ofa te tng physca S tbe gi n s tnta orc i r e
r 987)
ni
rai
iin ç
mus
ve ubsa il onsdeabl
we g unl s ç
i ht e s good ca e'i s
us s hown t t conta y. Le sv.Calahan,1 F. 1
o he
rr '
' wi
l
25 3d 436,1
440

( 1h Ci.1 9 ) é o c u e'e ss wh n t e $ 1 te tn p ysca s o ii n wa n t
1 t r 9 7 . i d a s ' xit e h : t ) r ai g h iin' pn o s o
Go
(
boltrd by t evi e; ( evi nce s
see
he denc 2) de
uppored a c rr fndi or ( t teai
t
ontay i ng; 3) he r tng
physcin' opi on was c us y or i onsse wih t doct ' own m e ca r c ds'
i a s ni
oncl or
nc it nt t he
or s
di l e or .
'

Phil s 357F. a 1 41 I t ALJdecdest dir r t opi on ofateai physca
ll ,
p
3d t 2 . f he
i o segad he ni
r tng
iin,
t ALJm us c e ry a tc aehi o he r as nsf doi s I
he
t l a l ri ul t s r r e o or ng o. d
The A LJ r vi w e D r Pal ci s opi on, w hi h i c t t t Pl i if w a lm ie t
e e d . a o'
ni
c ndi a ed ha a ntf
s i td o
ne r pus ng,puli or lfi ove hea t t Pl i i f w a lkel t s f r f om hea c s
ve
hi
lng, i tng
r d; ha a ntf s i y o uf e r
da he ,
m ood di t ba e ,r a i pai a e y,f tgue,a de es i a t Pl i if s c
sur nc s adi tng n, nxi t a i
nd pr son; nd hat a ntf ondii n
to

wo l rq ieh rt b a s n mo et a f u tme p rmo t . ( 21 2 1 I rj cigDr
ud e ur e o e b e t r h n o r i s e n h R. , 71 . n ee tn .
Palci s opi on on Pl ntf s lm iai and po e i s
a o'
ni
ai if i t tons
t ntal ympt s t ALJ ct d S r a me
om , he
ie t e t nt
t
r c ds c e por neous wih t s o ni 't tde c i d ç e r bl physca fndi ,a
e or ontm a
t hi pi on' ha s rbe l ma ka e
unr
i l i ngs s

welasa a e eofme alhe lhcompli sa i r s d a tviywihte t nt' ( 21.
l n bs nc
nt at
ant nd ncea e ci t t rame .' R. 1
The A LJ we on t no e t t
nt o t ha

(l ep sb l ye it ta ad co ma e p e sa o i ini a e fr t a ss ap te t
th osiii x ss h t o tr y x r s n p no n n fo t o sit ain
t
wih whom he s
t
ympahiesf va i r s . Not bl i i a s pos i et tadoc or
t z or rous ea ons
a y, t s lo sbl ha
t
m a pr de s
y ovi uppori nots or r pors i or r t s tsy pa i ntr ue t a a d
tve e
e t n de o a if te eq ss nd voi
unnec s r docorpai ntt i
es a y t / te enson. W hie i i ditc tt confr s h st tonswhe
l t s fi ul o
im uc iua i
n

t e gijo c r te a p a t be mo e l ey wh n te ph sca o i o i q e to
h sc c u , h y p e r o
r i l e h y iin pnin n u si n
k
de rss t nta l fom t r m ande oft medialr or asi s n i t pr e
pa t ubsa ily r he e i r he
c ec d, s ee n he es nt
ca e. For t r as a tc a e a
s
he e ons riult d bove,I gi t s o ni ltl we gh ,des t Dr
ve hi pi on ite i t
pie .

P lco '(i)sau a t e( an io' te tn p a tto e.
aa is sc tt s s h Plitf s raig r ci n r
i
1
d
The ALJ cied ntr e pr c ii rno e fom Ame i a Ca e,t s m e clni wher Dr
t
ls a ttone t s r
rc n r he a
i c
e .

P lcop a tc s wh c i dc t Plitf rp re n p i i he j n so mu ce , u o l rg t
aa i rcie , ih n iae an if e o td o an n r oit r s ls b t ny ih
s o l e p i,us t we k atrDr P lco' o ii nwa s b te ( 4 6 . Fu te , e
h u d r an j two e s fe . aa i s pn o s u mitd. R. 4 1
rh r h
ct d r c ds fom one mont pror t Dr Paaco' opi on whih de
ie e or r
h i o . l i s ni
c
monsr e t tPl i if
tat ha antf

rp re t t h r p i wa c nr le wi me iai n a d Votrn g l E 45 1 By
e o td ha e an s o told t dc to n
h
l e e. R. 1 .
a
Novembe 8, 201 Pli tf r pore ha ng no depr s i a t m on h f l wi s
r
3, a n if e td vi
e son, nd he
t olo ng he

rp re n p i o s mpo a al g 43 - 0 . Th s d s ie Dr Paa i ' q e to a l
e o td o an r y tms t l. R. 9 4 1
u , e pt . lco s u sin b e
sau a Pli t fste tn p y iin4 g o c u ewa s o f rte ALJSd cso t rjc
tts s ani r aig h sca , o d a s s h wn o h
f
' e iin o ee t
hi opi on be a e t me c le de e s
s ni
c us he di a vi nc uppored aconta y fndi a t ALJdi a tcult
t
r r i ng nd he
d ri a e
a qua e r as gi ng D r Pa ac o' opi on lt l w e g .
de t e ons vi
. l i s ni ite i ht
4TheCour que tonsw hehe Dr Pal o m a beconsdeed Pli ifsteai physca AsPl ntf c des
t si
t r . aci y
i r
antf ' r tng
iin.
ai if once ,

n tetn rc r se iti teme c lrc r . ( 2 p 1 1 Th o l rc r fo Dr Paa i i a RF
o raig e o d xs n h dia e o d DE 6, . 4 . e ny e od rm . lco s n C
q sin ar pe ae b Plitf sc u s l ( 2 0 7 . Fu te,Dr Paa i so iin i b s d o y o te
uet n ie rp rd y anif o n e. R. 7 -21 rh r . lco' pno s ae nl n h
o
mediale de pr de t hi and noto hi own e nai ofPli it Howeve ,be us neihe pary
c vi nce ovi d o m,
n s
xami ton
antfl
r ca e t r t
ha r ie t sis t Cour wilnotdo s her
s as d hi sue,he
t l
o e.

32

M or ove ,Dr Palc o' opi on a
e r . a i s ni ppea s t ha be n r t ne onl f pur es of
r o ve e eai d
y or pos

sc i s a s c iy dia lt be ft. W hen weghi opi on e de e,çl e wilnot
e urng ocil e urt sbiiy neis
i ng ni vi nc lwl l
c i r a ac e a e m e c ls c t be your teai s c i yo r a i hi wih t
onsde n c pt bl
dia our e o
r tng our e f ur eltons p t he
s c i no ba ed on yourm e c lne f te m e or e l ton,but s e y on yotr ne t
our e s t s
di a ed or r at nt va ua i
ol l
l ed o

obanarpor i s r ofyourcli f dia lt ' 20C. R.j40 1 a( .
ti e t n uppo t
am or s biiy.'
F.
4.527()2)
W ih r gar t Dr ty, t ALJ a ce ed hi opi on be aus i was t ner ly
t e d o .Pa t he
c pt
s ni
c e t
s
ge a l

c n itn wi t e d nc a ia l i t ec s . ( 21 . Th ALJi c po ae Dr P ty'
o sse t t he vie e valbe n h a e' R. 1
h
'
e
n o rtd . at s
opi o i o Pl i if s RFC,lm ii he t S i e r i ll lw o k,w ih a tona poslr l
ni n nt a ntf
i tng r o t ght xe tona eve r
l
t ddii l tz a

lmiai a rg sde r ac ng lm ia i i def e t he s na a rght s de
i t tons nd i ht i d e hi i ttons n er nce o r pi l nd i
houl r

c n to ,mii ly d c me td b a n r lciia a d da no tc fn i s' ( 212 1
o di ns nmal o u ne y b o ma l c l n ig si idng . R. - 2 .
i
n
'
He a s lm ied Pl ntf t ç i e c
lo i t
ai if o ç mpl omm uni ai i Engls 'butdi not a c modat he
s
c ton n
ih'
d
c om
e r
alege me a i iment fndi no e de e t ts s f r d fo aps hol i a c ton.
l d nt l mpa r
, i ng
vi nc ha he ufe e r m
yc og c l ondii

( 21
R. 2 .
The Co tfndst tt ALJdi note ri a sgni mor wei t t sa e e m i r
ur i ha he
d
r n s i ng
e ght o he tt xn ne ,

Dr Pat,b c us h so no wa é e eal c nsse twih te e ie c a albll ' (
. ty e a e i piin s t n rly o itn t h vd n e v ia e .' R.
g
j
i ne a l t m or c it ta me c lopi on i wih t r c d asawhol ,t mor
k
Ge r ly, he
e onssen
di a
ni s t he e or
e he
e

wei wewilgvet t tmedialopi on.' 20 C. R.j 404.527( ( . I hi a s s
ght
l i o ha
c
ni '
F.
1 c)4) n s sesment
ofPl i ifon O c obe 5,201 D r Paty lm ie Pl ntf t occ s onaly lfi orca r ng up t
a ntf
t r
2, . t i t d ai i f o a i l i tng
r yi
o

t ny po nd a d n td r l ffo ne k a d 1 w b c pan wi tea y a d rdito . (
we t u s n o e ei r m c n o a k i t h r p n a ain R.
e
h
8 1 Th s i c n itn wi a mao iy o t me ia e ie e o r c r ,d s u sd s pr .
2 . i s o sse t t
h
j rt f he dc l vd nc f e o d ic se u a
Se R. 457- 452, 436e
58,
40. Furhe , t A LJ e i ty not d t t he r vi e t e ie
t r he
xplcil
e ha
e ew d he ntr

rc r a d t a h sRF a s sme twa s p re b t r c r icu i o j cie fn i s
e od n h t i C se s n s u po td y he e o d, n ldng b e tv i dng
a medi lopi ons ( 1 221 Thus t ALJ di notcommi erori asi ng mor
nd
ca ni . R. 8, .
, he
d
t r n sgni
e

wei t Dr Pat so ni n.
ght o . ty' pi o
I .
V

C O N CLU SI N
O

l lg oft f eg ng,i i he e ORDERED AND ADJUDGED t tt de son of
n i ht he or oi t s r by
ha he cii
t Comm isone i AFFI ED. Acc di y,Pl ntf s M o i n f Summ a y J
he
si r s
RM
or ngl
ai if
to or
r udgm e
nt

wi S p o t gM e rn u o La ( 2 ji h rb DENI a dDee a tsMo inf r
t u p ri
h
n mo a d m f w DE 6 s ee y
ED, n fnd n ' to o
Sum m a y J
r udgm e w ih Suppori M em or nd of La a R e pons t Pl i ifs M oto
nt t
tng
a um
w nd s
e o a ntf
in

f Summa yJ
or
r udgme ( 29ji hee GRANTED.
nt DE
s rby
O RDE

D AND ADJUDGED i Cha
n
mber a W es Pal Be c Pal Be ch Count
s t
t m a h, m a
y,

Foiat s @ day ofAugust,2017.
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W I A M M A TTH E M A N
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34