Oglesby v. Commissioner of Social Security

Filing 23

ORDER ON MOTIONS FOR SUMMARY JUDGMENT [DEs 20, 21]: the decision of the Commissioner is Affirmed: denying 20 Plaintiff's Motion for Summary Judgment; granting 21 Defendant's Motion for Summary Judgment. Signed by Magistrate Judge William Matthewman on 5/24/2017. (kza)

UNI
TED STATES DI
STRI COURT
CT
SOUTHERN DI
STRI OF FLORI
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DA
CA SE N O .1 80760- V - A TTH EW M A N
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ORDER ON M OTI
ONS FO R SUM M ARY JUDGM ENT I 20.
DES 211

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or
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R. .
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e. R. 5 .

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5 % o e c d y. ( 6 )
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n ny p r xi tl wie e R. 1 h r s , r a h e r e a g trs ah r
drvesherar
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is ed
ahypot tca i whi a i vi oft s m ea ed a i a wor expe i nc a Pl ntf
he i l n ch n ndi dual he n
ge, uc ton, nd k
re e s ai if
ha t f l ng lmia i : k a t lghtlvelonl oc sonalsoo ng, e i c a i
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y; ca i
t pi kne lng, r wlng,
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r hi
i ng; lmbi nmpsand sais butno l dde s r
t r,
t a r , opesors afol 'a di
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,

h z r s s c a h i hs a d o c so a o eh a r a h n . ( 6 ) Th v c to a e p r
a ad u h s eg t; n c a in l v r e d e c i g R. 6 . e o ain l x e t
e aned t ts h a i vi lwoul bea et pe f m wor asbot a r t ls r s ra a
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n i tc niina bohj b aeg n rlypef nne l Hesae t t u ha i dv d l o l
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ke. R. 1
ai
xpe tesii ha he neal mpl r fts olrnce or
a t c wor
ypi al kday w oul be a
d
bout20% .

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lo esii d ha wo
r a e bs nce

mo t wo di c t ea lt t man anwo k. ( 68 .
nh ul mpa t h bi y o iti r R. 1
i
The ALJ pos a s cond h t tc i whi h a i vi
ed e
ypo he ial n
c n ndi dualha t s m e lm iai ns
d he a
i t to

sae beor butwa alolmiedt feq ntha i a fe ntfngei (ahert nc tnt
ttd f e
s s i t o r ue ndlng nd rque i rng rt ha onsa

h n l g o fng rn ) ( 68 . Th v ain le p r tsiid t ts c a idiiu lwo l
a di r i e ig . R. 1 e oc to a x e t e tfe ha u h n n vd a u d
n
si b a e t p ro m t rti s p r io j b b two l n tb a l t p ro t e n i
tl e bl o ef r he eal u e vs r o , u ud o e be o ef nn h al
l
tc n ca j b.
e h iin o

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h n ndi dua
d lo
bl o f m he e ne d he

a smblr o , u n ttefs f o wo k r o . 1 .
se e j bs b t o h at o d r e j b d
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ai i f s uns s d he a i
xper w he he ,i t ha i and fnge i we e
t t r f he ndlng
i rng r

r d c d d wnt o c so a,te idv d a wo l b a l t pef nn a y o tej b . g 6 1
e u e o o c a in l h n ii u l ud e b e o ro n f h o s R. 9 .
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atonal e r s a e t t s h a i vi
xpe t t t d ha uc n ndi dual w oul not be a e t pe f m t r t i
d
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5

s p r io , n i tc niin j b,a s mblr ce n r o f s f o wo k r j bs f . Upo
u e vs r al e h ca o s e e , la e , r at o d r e o . J
n
quesi ng by Pl ntf s c el t vocai l e r a s t s iid t t a i vi
toni
ai if ouns , he
tona xpe t lo e tfe ha n ndi dualwho
ne de a l mi e br a e r ho woul not be a e t m ant i wo k a i i ge r ly
e d
s- nut e k ve y ur
d
bl o i an r s t s ne al
pe f
r onne i t na i
d n he tonalec
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d.
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l r c ng he de son t deny Pl i ifs be f ,t ALJ r vi we t medial
n ea hi
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c
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rz d hr og c ly ow

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anif s n ov d n
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s n . ( 2 1 S ewa iv l e i as c n moo v hil a cd n o Oco e 4, 0 6 (
pie R. 61. h s n o v d n e o d tr e ce c i e t n tb r 2 0 . R.
2624 Pl ntf wa i ve i at r mot vehi ea ci tonDec mbe 7,2007. ( 261.
. ai if s nvol d n hid or cl c den
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R. 1
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l
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te t n , dc to s a dc r ia a lmb re iu a ij cins
rame tme iain , n e vc l nd u a p d r ln e to .
On J y 1 2009,Pl i ifha M RI oft c vca s ne a l ba s ne conduc e
ul 6,
antf d
s he er i l pi nd um r pi
t d.

g 3 4 . M RI o t ec r ia s i er v ae e tu e dichenaina t eC5 6lv lmi ds
R. 5 1
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ai
n he s
t ror ublga nt
e r i / r ai n oft dic s e ce r ly wih t dic e e ng i o t c lrdie ton by
xtuson he ni to
he s e n ntal t he s xtndi nt he ola r c i
a oxi a ey 6 mm fom t dic s ce pa e ne a f r mi ,a abul ng dic a C4ppr m t l
r he s pa , t nt ur l o a na nd
gi
s t 5.
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he um r pi e l
gi
s t S1 t l s hydr ton t
L5 S 1 m id ne al m pi e e t t l f e s i ne v r , nd a pos erorbul s e a L5- , l ur i ng m nt o he e t xitng r e oot a
t i
ge e n t S1

c ntalywihmide r c ntont l te tngS1ne ver . ( 3552
e r l t l ncoa hme
he ef xii
r oot R. .
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a ntf es t d o . l
z, r,
ol c l ur on,
t

compl ni ofc r c pana ba kpan. ( 3531 Sherpore aviual naog s al s r
ai ng e vial i nd c i R. .
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of6- 10 f c r c pan f t ts ci c day a a s or of 8 9 f he wortda . 1
7/ or e vial i or ha pe t
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- or r s ys d.
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m z e ha antf d
mal i. R. 5 1
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c r i a s ne,Dr Gom e f
e v c l pi
.
z ound t tt c a alne ve wer i a twihoutdetc t t r e of
ha he r ni r s e nt c t
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moto wa f lwih dicomf qt axi l di wasm idl postvewih lgh c
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or he al oa ng
l y ii
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ha ne
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e t ca a nd he p e n el xe r t
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i
ul t s m or a he xte s tai
lg r ii wa postvepa t70 de e e iii pa n i t e ecors na biae al , hee -oe w a
e a sng s ii
s
gr es lctng i n he r t pi e l tr ly
lt
s
postve f elcii pan, us e sr ngt t tng wa 5/ , s ns ton wasequa a i a twihout
ii or i tng i m cl te h esi
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dei i t t lwe e r m ii s t r w a tnde nes papa e a r st e e t rs naea 14- a
fct o he o r xte te ,he e s e r s l t d c os he r c o pi
t , 5 nd
L5 S1 a t r was t r s a t be ti w ih ve y lghtt hi a pa pa i . 1 D r
- , nd he e
ende ne s t he llne t r i ouc ng nd l ton d. .

Gome not dt thewoul ty t obt i s
z e ha
d r o an omeofPl ntf sot rmedi lr co dsa woul ha
ai if he
ca e r nd
d ve

Pli ifrt ni t t t e wee . ( 3501
antf eur n wo o hre ks R. .

OnNo e e 2, 0 9 Pli t frt n t Dr Go zf ra f lw- p. g 3 6 . S e
v mb r 2 0 , ani eu wd o . me o ol u R. 4 1 h
f
o
c i dt c
ontnue o ompli ofne k pan r ditng i o t uppe e r m ii ,pa tc a l o t l f
an
c i a a i nt he
r xte tes riulry n he e t

sde a numbne si t lf hand. g 3 . Dr Go znoedt tPli ifwasdesrbi
i , nd
s n he et
R. 461 . me t ha antf
ci ng
s
ympt
oms i t l t (6 diti i a t t Pl ntf s M ll s
n he ef 2 srbuton nd ha ai if
t howed e de
vi nce of dic
s
dipl c e a C4- C5- I H e r om m e d t tPl ntf unde g an a e i C4- , C5s a em nt t 5, 6. d
ec
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nt r or 5
6
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om e s on, us on, nd nt r or ns r m nt i n. d
On J nua y 26, 0, ai ifunder
a r
201 Pl ntf
wents ger - a a e i C4- C5- de om pr s i n,
ur y n nt ror 5, 6 c
e so

f son,a a eror i tume ai g 3 45 . On Fe uay 1 201 Pli if ha a
' i nd nt i nsr ntton. R. 43- 1
u
br r 6, 0, antf d

p so eaieltr l evc ls n fl c mpltd. ( 3 2 . l wa d tr ne t tPlitf s
o t p rtv ae a c r ia pie im o ee R. 4 1 t s ee mi d ha anif
7

a t rorplt wa i a fom C4t oughC6,ha t r ha bee no dipl c ntoft plt fo
n e i ae s nt d r
hr
t t he e d n
s a eme
he a e r m
t a e i rs f ceoft ve t r lbodi ,t t PEEK s c r wer i good poston a C4he nt ro ura
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es hat he
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ii t 5,
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nd ha he e
n lght ubsdenc t 6. d

OnFe y 1 201 Plitf s w DrThomasRo c f af l uppos-ur r L
bnmr 6, 0, anif a .
us h or olowts gey. R.

3 1 S e rp re mid d s o o ti te n c ae . I Plitf as rp re t ts eha
41 . h e o td l ic mf r n h e k ra d an if lo e o td ha h d
be i pr ng wih sif si t ce vca a ea a ha no r c a s pt m s numbne s or
en m ovi
t tfnes n he r i l r nd d
adiulr ym o ,
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tnglng. 1 D r Rous h not d t tt i s on w a hea i m us l s r ngt a grp s r ngt
i i
d. .
c
e ha he nci i
s lng, c e te h nd i te hs

we enor ,a s ns ton wa e la i a ti t uppe e r mii . I
r
mal nd e a i
s qua nd nt c n he
r xte tes d

OnM ac 17, 0,Pli ifs w Dr Gome f af l up. ( 3381 Shec ane
rh 201 antf a .
z or olowR. .
ompli d
of a ac lke s ns ton overt C7- s nous pr e s a s ns i of s lng ove l ng t s
n he-i e a i
he
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oc s , e aton
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ryi hi

rg o a dj s t terg to t emi ie a doc a in ls n o yd e t sa i t elf bc p ,
e in n u t o h ih f h dl , n c so a e s r ys she is n h e t ie s
n
l a e ubia r on.
eh nt c t l egi

Afera physca e m i ton,Dr Gom e no ed t tPli tf s s a
t
i l xa na i
.
z t ha a n if c r

w a w e l a ed, rr nge ofm oton oft c v ca s ne w a s ow l i pr ng, rs r t was
s l he l he a
i
he er i l pi
s l y m ovi he teng h
5/ bia e a l her gai w as nor al a s ha t nde es ove l ng t s nous pr e s of
5 l t r ly,
t
m , nd he d e m s r yi he pi
oc s
C7T1. 1
d.

On M a 25,2011 Pl i ifpr s nt dt Dr J huaLe f pan m a
y
, antf e e e o . os
vy or i nage tofhe ne k
men
r c

a l ba k pan. ( 3351 Dr Le e ane t t a trPl ntf s2007 c rac i nt s
nd ow c i R. . . vy xpli d ha, fe ai if
a cde , he
r c ve c r pr c i t e t en , pa n m a
e ei d hi o a tc r a m t i
nage e pr dur , and l t kne a s ul r
m nt oce es
ef
e nd ho de

s gere . I
ur is d

Dr Le notd t tPl ntf ha no obvi pan wih he gai,asea sa ,
. vy e ha ai if d
ous i t r t t dy tnce

pa pa i t nde ne s a pos tve s m s of t c r c a l ba s ne ,lm ied r nge of
l ton, e r s , nd
ii pas
he e vi al nd um r pi s i t a
m oton oft c r i a and l ba s ne g r by pai a ne tve bia er ls r ghtl g r i e
i
he e v c l
um r pi s ua ded
n,
ga i
l t a tai e a s
t t s ns ton pa eshe i s i bo h a , f lr
es , e a i
r t s a n t nns ul ange of m o i n i her uppe e r m ii , 5+/
to n
r xte tes
5
s r ng h t s f heruppe e r m ii s a nonnalr nge ofm oton a nor alsr ngt a t t
t e t e t or
r xt e te , nd
a
i nd m t e h nd one o
8

h rl we e te te . g 3 6 . Dr Le yd a n s dPlitf wi c r c li, ipa e n of
e o r xrmiis R. 3 1 . v ig o e an if t eviaga ds lc me t
h
c r i a i t r e t br di c w ihoutm yel t l ba di pl e e of l ba i e v r e a
e v c l n e v r e al s t
opa hy, um go, s ac m nt um r nt r e t br l

dicwihoutm yeopa hy,ot ri er lde a m e oft kne a a r t t c ft a . 1 He
s t
l t
he nt na r nge nt he e, nd o a or uf e r d.
c ngedPl ntf m e c tons I
ha
ai ifs di a i . d

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us 201 , ai if d n
he evia pi ronne R. .
r di ogitdee m i t tt r wase de ofpr vi a e i a i e body f son a C4a ol s tr ned ha he e
vi nce
e ous nt ror nd nt r
u i t C5
a C5- t C3- a C4- dics c lvel de onsr t d pr vi a erora i e bo
nd C6; he C4 nd C5 s pa e e s m ta e e ous nt i nd ntr dy
f i t r wa no he it dic s na senoss orabnonualneur lf a i a t C3- or
uson; he e s
m a ed s , pi l t i,
a or m na t he C4
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C5 s pa e e s he
T4 s pac e l m nsr t d
nta
nit d s
pr r i me urng2m m x2m m i szet tdi noti ntt c d;he ewasnos nalsenoss
otuson as i
n i ha d
nde he or t r
pi t i
ora m a f a i a t T3- orT4- dic s c lves;and t T4- dic s e l ve
bnor l or m na t he T4
T5 s pa e e l
he T5 s pac e l
de o tatd a biobul he ni td dic pr r i wih rght par e r and l tpa ac nta
m nsr e
l ar r ae s otuson t i
ac ntal
ef r e r l

c
ompo nt me urng2mm x3mm i sz t tdi noti ntt c d. ( 264- .
ne s as i
n ie ha d nde he or R. 651
a ne
On S p e e 8 2 1 Plitf p e e t dt Dr Go z ( 261. Pl i ifcom pl i d
e tmb r , 01 , anif r sn e o . me . R. J antf

ofpan ove t l f clvi l and lf pec o a r gi a we la pose i ne k pai f Pl ntf
i
r he e t a ce
e t t r l e on, s l s t ror c
n. #. ai if

a s des rbe s
l o c i d ympt sofdic or ove t rghts acaviulrr gi
om
s omf t r he i upr l c a e on.

Shesa e t t
tt d ha

he Viu Anaogu Sc e pan ha be n a 5 1 sx mont a butt ti wa c r l a 7 1
r s al l e al i d e
/0 i
hs go,
ha t s urenty / 0.
I Dr Gomeznot d t tPli ifha bee undert c r ofa pai m a geme s cils,Dr
d
.
e ha antf d n
he a e
n na
nt pe a it .

Ho f n g 2 2 .
fma . R. 6 1
Dr Go zp ro me ap y ia e a n to o Plitf. g 2 2 . Hen tdpap bl
. me e fr d h sc l x miain n anif R. 6 1
oe la e
i r s d t a t nde ne s i t pa a pi m us e i t poserorc v ca r on,i e s d
nc ea e one nd e r s n he r s nal cl s n he t i er i l egi ncr a e

t an tnde s overt me a ta i a s pr c a cul r gi t r sove t l
one d e nw s
he di l r pezus nd u a l vi ar e on, ende nes
r he eh
u rpe t a r on a pe t a - loi gr
ppe c or l egi nd c or lde t d oove,di i s d r nge ofm oton w ih a
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i
t bduc i on
ton
9

t lh s de ,a a i biiyt f l a
he e houl r nd n na lt o uly bduc herl f s de .
t
e t houl r

Dr Go e a s not t t
. m z l o ed ha

Pl ntf' gatwa n malhe s arwaswelhe l d, rbi ps ti e , a i e os e s r ng h
ai ifs i s or , r c
l- a e he ce , rc ps nd nt r s ous te t
wa 5/ bia e aly,a he m ot ts i wa 5 5 i bot l rextemii . I Dr Go e
s 5 lt r l nd r or e tng s / n h owe
r tes d
. m z
dee ne t tPl ntf ha r ac d m a ma me c li ove
tnni d ha ai if d e he
xi l dia mpr ment 1 He e anedt tt
.
d
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mos r c ntM RIs
t ee
howe as if t y f i of(4 t ough C6, t ewa nor i ls na c d
d atsacor uson 2 hr
her s esdua pi l or

c mp e so fo (4 tr u h C6 a d t a j c n s g ns o C3 4 a d C6 7 s o d n
o rsi n r m 2 h o g , n he da e t e me t f - n - h we o
e i e c o aj c n-e me td g n r to . g 2 3 .
v d n e f da e ts g n e e e ai n R. 6 1
On Fe u r 29,201 Pl i ifha a lt r c vials ne x-a peror e . ( 3291
br a y
2, antf d a e al er c pi
r y f m d R.
.
She wasde e ne t ha no c pr s i fa t e de or ii s no l i orbl tcbonel i ns
t nui d o ve
om e son r c ur f m te ,
ytc
asi
eso ,
mid a e irose
l ntro t ophyt f ma i a C3- a no lpr ve tbr ls tts ue . 1
e or ton t 4, nd nna e re a of is s d.
Pl ntf s w Dr Gome a n on M ar h 1 201 f af l up. ( 3 1 Plitf
ai if a
.
z gai
c 2, 2, or olowR. 28 . anif
co pli d ofa nec a
m a ne
k che,nec s r ne s a sif s ,and l rba k pan.
k o e s nd tfne s
owe c i

Dr G om ez
.

not t tPl i ifha a s i f i of(4 t ough C6,a i ad a e i i tume ai , a
ed ha antf d old uson
2 hr
n nt nt ror nsr nt ton nd
he e o opi os ii a i a c l ii a i al t a e i a us a a eror l t na
t r t c sfc ton nd a cfc ton ong he ntror nnul nd nt i ongiudi l
lga nt a C3- 1 Afe a physc e
i me t 4. d
tr
i al xnmi i of Pli if Dr Gom e alo not t t
naton
antf , .
z s
ed ha
Pl i if had i e e t
antf
ncr as d one and t nde ne s ove t poseror c rvc , ta zus a
e r s
r he
t i e ial r pe i , nd
s as a a r on,buts ha m ot t tng of5/ i t uppera l rexte iis a a
upr c pulr egi
he d
or esi
5 n he
nd owe
r m te nd
wel- ald a e i c r i a s r
lhe e nt ror e v c l ca .

Plitf p e e td t Dr Gead Ho f n o J l 1 ,2 2. g 2 4 . S e rp re
anif r s ne o . r l fma n uy 0 01 R. 9 1 h e o td
di nihe pan( 5/0)a i oveda tviisofdal lvi whe s t he me cai .#.
mi s d i a 1 nd mpr
ci te
iy i ng n he ook r di tonsf
Pli ifr poredbengs l- mpl d a bei a et wor . 1 Sher pore no a r esde
antf e t
i e fe oye nd ng bl o
k d.
e td
dve s i
e f t fom t media i .
fecs r he
c tons

On Se e be 5, 201 Pli ifa n r pored di i s
pt m r
2, a ntf gai e t m nihed

pa n a i pr ve a i te of da l lvi w he t ki he m e c tons g 293 . Sheas
i nd m o d d vii s
iy i ng
n a ng r di a i . R. 1
lo
10

r pore no a r e sde e f t fo t mediato .
e td
dve s i fecs r m he
c i ns

On Nove be 27,2012,Pli if
m r
antf

r pore t therm e cai c i
e td ha
di tons ontnuedt pr der i , ha s ha agoodm ort t ts c d
o ovi elef t t he d
ih,ha he oul

c n u t e o ieb sn s , n ta h rp i wa a4o to 1 wi me iain. g 2 ) S e
o d c h r nl u ie s a d h t e an s u f 0 t d c to R. 91. h
n
h
de ed a a s efec s fom t m e cai a sa e t t s coul c r outhe daiy
ni ny dvere f t r he di tons nd tt d ha he
d ary
r l
a tvii s
c i te .
Pl ntf s D r Br ce Be m a on m uli e occ i ns f o J nua y 3,201 t oug J y
ai if aw . u
r n
tpl
as o r m a r
3, hr h ul

3 ,2 3 ( 2 8 5 ) On J n ay 3 2 3 Dr Bema n td t a Plitf h d p i
0 01 . R. 4 - 6 .
a u r , 01 , . r n oe h t an if a an
ma
nage ntis s wa r c vi no t r pi sa t tm eoft vii,a ha r e ve physca
me sue , s e ei ng he a e t he i
he st nd d ec i d
i l

t rpy, sage ,e dur s a s geyi t pa t ( 2561 Pl ntf rporedpanvayi
hea ma s s pi al, nd ur r n he s. DE
. ai if e t i r ng
be w e n l ve s of5 a 1 outof 1 1 Dr Be m a not t tPl i ifw as a e t pe f m
t e e l
nd 0
0. d. . r n ed ha a ntf
bl o r or

a tvii of dal lvi a wa a e t wo k. f He alo notd t t Pl i if ha nor
c i tes
iy i ng nd s bl o r J.
s
e ha antf d mal
a
mbul i had de r s d Sl x' t xt' tef l t'a d i htl ' oft ce vca s ne,a ha
aton,
c ea e t e ' s ' ' t a' nd t g at' he r i l pi nd d
t
e
l
r
s m a t r s i t pa as na mus e . l l s ver lte t t not ,Dr Benna
pas nd ende nes n he r pi l
cls d n e a r a men
es .
n
m 't t Pli ifcoul wor a a s no e t Pl ntf wa a e t pe f nn aci te ofd l
o e hat antf
d k nd lo t d hat ai if s bl o r o
tvii s aiy

lvi ( 248- *252- .
i ng. R. 250, 541
Pli ifpr en e t Dr Be m a on Aug t27,201 g 3 8 . Hen tdta Plitf
antf es t d o . r n
us
3. R. 0 2
oe h t an ifs

pa nwa a9 wihoutm e c ton a a5wih m e c ton.
i s
t
di a i nd
t di a i

Hea s not d t tPl i ifha no
lo e ha antf d

sde efe t fom t mediatons coul pe f m hera i te ofdaiy lvi a wa a e t
i
f c s r he
c i ,
d r or
ctvii s
l i ng, nd s bl o
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vor

On t s m edae,
he a
t Augus 27, 3,Dr Be m a co pl e aRe i ua Fu tona Ca iy
t 201
. r n m etd
s d l nci l pact

Que to r g 271721 Hee ane t theha te tdPl ntf f panmana me ona
sinnaie. R. - .
xpli d ha
d rae ai if or i
ge nt
mo hl ba i f a oxi tl one ye r ( 271. Dr Beman saed t t Plitf s
nt y ss or ppr maey
a . R. 1
. r
tt ha anif
pr
ognos s w a lgua de .
i
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'

D r Ber a e a ne t t Pl ntf s f e f om nec a
. m n xpl i d ha ai if uf er d r
k nd

s de pai a rghta m pa e t i s t tPl i ifss
houl r n nd i r
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om
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o nt re e t he t i nd
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t tPl ntf woul ne d t le down o r c i d i a hypot tca wor y i e e s oft
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m i esa a tme,t tPl i ifcoul onl stf t e hour i at ca wor y,t tPl i if
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c udo l sa d o wakf rt h u si atpia wo k a , n t tPli tf wo l n e aj b
o l n y tn r l o wo o r n y c l r d y a d ha anif ud e d o
whc p r t s i n p sto sa wilr m sti , tn ig o wakng ( 2 ) Dr Be n
ih emis h hig o iin t l fo it sa dn , r li . R. 71 . . nna
ng
dee m i d t tPl ntf woul ne d t t houry 1 1 mi ebr a durng awor y,c d
t r ne ha ai if
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tme,andcoul ne rus he a t r c g 271721 Heconcu t tPli ifi nota
i
d ve e r nns o ea h. R. - .
lded ha antf s

maig rra di n t h ial c p bl o wo kn af ltmej bo as tie b ss ( 2 2 .
ln ee n s o p ysc ly a a e f r ig ul o n usan d a i. R. 7 1
i
Plitf s w Dr Be na o Se tmb r 2 ,2 3 g 2 4 . Dr Be n n td ta
anif a
. n n n p e e 4 01 . R. 8 1 . nna o e h t
Pli ifs f r d fom ne pan t ts r pore asa 9 outofl wihoutm e cne a a 5 wih
antf ufe e r
ck i ha he e td
0 t
di i nd
t
m e ci 1 Dr Be m a as no e t tPl i ifwasa et pa tcpa e i ac i te ofda l
di ne. d. . r n lo t d ha antf
bl o rii t n tviis
iy
lvi and wasabl t w or
i ng
eo
k.

I a Diabiiy De e na i Expl na i da e Oc obe 2, 201 t Stt Age y
n
s lt
t nni ton
a ton t d t r
3, he a e
nc

Me c lCo s la t Dr Efe Bat z r d tr ne ta P an ifi no ds be . ( 7 -5 .
dia n utn , . rn la a, eemi d h t litf s t ia ld R. 9 8 1
Dr Balaz rr viwe t r c d a opi t tPl i ifc d pe f m a r nge oflg wor
. t a e e d he e or nd ned ha antf oul ror
a
i ht k.

g 83- . Dr Batza ga vey ltl weghtt Dr Bema s opi on t tPli ifwas
R. 841 . la r ve r ite i o . r n' ni ha antf
physc lyi pa eofwor ngf a eghthourwo kda ( 841
ial nca bl
ki or n i r y. R. .
On Ocober22,201 Pli ifsw Dr Bema ( 3071 Att tme,hesaedt t
t
3, antf a . r n. R. . hat i
tt ha
1
2

Pl i if c d pe f nn he a tviis of daiy lvi butc d not wor .
antf oul r o
r c i te
l i ng
oul
k

H owe , one
ver

mont lt r Dr Be ma s te t nt not s f No mbe 1 201 sae t t Pli if c d
h a e , . r n' r a me
e or ve r 9, 3 t t ha antf oul

pef m he a tvii ofdaiy lvi a c d wor ( 306 . Dr Be
ror r ci tes
l i ng nd oul
k. R. 1
. nuan' not fom
s es r
De mbe 1 201 sa et tPl ntf co d peror he ac i tesofdaiy lvi a c d no
ce r 7, 3 t t ha ai if ul
f m r tvii
l i ng, nd oul t

wo k b twa no d sbld. @ 3 5 .
r , u s t ia e R. 0 1
Dr Ber n' team e not sf o Fe ua y 11,201 sa e t tPl i ifc d pe f
. ma s r t nt e r m br r
4, tt ha antf oul ronn

he a vii ofdal lvi butc d no wor ( 3 . On t sme dae,Dr Bema
r di tes
iy i ng
oul t k. R. 041
he a
t . r n

c mpee a Re i u lFu cin lCa ct Qu sin ar . g 2 7 8 1 Hee pan d t a h
o ltd
sd a n to a pa iy e to n ie R. 8 - 8 .
x lie h t e
ha teae Pli ifahe s ha afie s gey. ( 2871 Dr Bema e ane t tPli if
d r td antf r he d ald ur r R. . . r n xpli d ha antf
s f r d fom hea c s ne k pai a di zi s ,t t Pli tf s s
ufe e r
da he , c
n, nd z ne s ha a n if ympt
oms wer c t nty
e onsa l
s ve e e ug t i e f r wih t a t nton a c e r ton r quie t pe f m s m pl
e r no h o nt r e e t he te i nd onc nt a i e r d o r or i e

wor r lt d t ks t tPli ifwoul nee t ledown orr lnedurng ahypot tc lwor
k-ea e as , ha a ntf
d do i
eci
i
hei a
kday
i e es oft t ca br aks t tPl i if c d onl w al one hal c t bl k w ihoutr tor
n xc s he ypi l e , ha a ntf oul
y
k
- f iy oc
t
es

sgnii ntpan,ha Pli ifc donl stf 1 mi e atatm e t Pli ifc donl sa
i fca
i t t antf oul
y i or 0 nut s
i , hat antf oul
y tnd
orwal f fve mi e a atme, ha Pli ifcoul onl stf t hour i at ca wor y,
k or i
nut s t i t t antf
d y i or wo
s n ypi l kda
t tPl i ifcoul onl s a orw a k f one houri a t c w or y,a t tPl i ifw oul
ha a ntf
d y t nd
l or
n ypi al kda nd ha a ntf
d

n e aj b wh c pe iss i n po ii n a wilfo stig sa dng o wakig ( 27 1
e d o ih nn t h hig sto s t l r m i n , tn i , r l n . R. 1 .
t
Dr Be n de e m i d t t Pl ntf w oul ne d t t ke houry 15 m i e br aks durng a
. nna
t r ne ha ai if
d e o a
l
nut e
i

wor y,c d onl oc asonal lf l s t n 1 poundsa c d ne lf mor woul ha
kda oul
y c i ly it e s ha 0
nd oul ver it e,
d ve
lm ia i doi r pettve r a ng,handlng,orfngerng,c d onl us he ha 20% oft
i t tons ng e ii e chi
i
i i oul
y e r nds
he
tm e,c d onl us he tnge s20% oft tm e,a c d onl us he al st r c 1 oft
i
oul
y e ri r
he i
nd oul
y e r ' o ea h 0%
m
he

tme. ( 28 88 . Hec ude t tPlitf i notamalngerra i notphysc l ca bl
i
R. 7- 1
oncl d ha anif s
i e nd s
ialy pa e

o wo kn af ltmej b o as san db ss g 2 8 .
f r ig u l o n u tie a i. R. 8 1
i
13

On Fe r a y 11 2 4,Dr Be a as c mpltd a On e Dae Qu sin ar . (
b u r , 01 . nn n lo o ee n s t t e to n ie R.
28 . Hesaedt theha te tdPl ntf snceJ nuay 3,201 andt tPli ifha ha t
91
tt ha
d rae ai if i a r
3, ha antf d d he
lmiai a rsrcinsouti di t ResdualFunci lCa iyQuesi r snc 201
i ttons nd e tito
lne n he i
tona pact
tonnaie i e 2.
1
d.

On Mac 1 , 4,P an ifa an s w Dr Bema ( 3 3 . Hen td t a Plitf
r h 1 201 litf g i a . r n. R. 0 1
oe h t anif
ha obt ne a c r i alpil whih he pe 50% . I He a s not d t tPl i ifspai lvel
d ai d e v c low
c l d
d.
lo e ha antf
n e
wa a4 wih me c ton.
s
t dia i

Dr Be man f
. r
ound t tPli ifc d pe f a tvii sofda l
ha antf oul ronn c i te
iy

lvi co d notwor a wasdia e 1
i ng, ul
k, nd
s bl d. d.
C . A LJ Dec son
ii

The ALJ i s d he de son on Pl n ifscli f be
s ue r cii
aitf
am or neft on Oc obe 21 201 (t
s
t r , 4. 1.

1 - 0 . TheALJe p an d tefv -tp s q e ta e l to p o e sf rd tr nn wh t e
83 1
x lie h ie se e u n il vauai n r c s o eemi ig eh r
ou hat ai if
n
t i
a i vi i diabl g 21231 She f nd t Pl ntf had notengaged i subsantal
n ndi dual s s ed. R. - .

g if la tvt sn eJ y3, 01 ,h a n e a plc to d t . g 2 1 Th ALJt e f u d
an u cii ic ul 2 3 t e me d d p iain ae R. 3 . e
y
hn o n
t t Pl i if s f s fom t f l ng s ve e i nue : c r c s ne he i i
ha
antf ufer r
he olowi
e r mpai nt e vial pi
nzaton,
saus pos-uson. I Shes c fc l notd t tt r wasno evi nc t tPl ntf had be n
tt tf i
d
pe iialy e ha he e
de e ha ai if
e
di nos d wih dibe es s t dibe e wasanonag e t a t , o he a t s
medi lyde e m i bl i pa r e . I The
cal t r na e m im nt d.
ALJf
ound t tPl ntf do nothaveani
ha ai if es
mpai ntorc m bi ton ofi pai nt t tm e t or
nne
o na i
m nne s ha es
m edi a l eq l t s ve iy of one of t ls e i pa r e s i 20 CFR PM 404,Subpa tP,
c ly ua s he e r t
he i t d m i m nt n
r

Appe x
ndi

She e iil detr i d t t t r wa no e de e of ner r
xplcty
e m ne ha he e s
vi nc
ve oot

c e so s na aac dii,o Pli ifsi biiyt ambult efctvey. ( 241
omprsin, pi l r hnoi ts r antf na lt o
ae fe i l R. .
TheALJf
ound t tPli ifhas
ha antf
t r s dual f tona ca ciy t pe f
he e i
unc i l pa t o r onn lght w or as defne i 20 CFR
i
k
i d n

41 967b) e e ,t cli nt i lmied t occ sonal soopi kne lng,
6. ( xc pt he ama s i t o a i
t ng, ei
cr w lng, c ouc ng, a clm bi r m ps and sais The cl i a i pr cl d
a i
r hi
nd i ng a
t r.
a m nt s e ude
14

fom c i ng l dde s r , and s fol a mus a d e
r
lmbi a r , opes
ca f ds nd
t voi xpos e t ha r ,
ur o za ds
s h ashe g s The cai a i a s lmie t oc sona ove hea r ae ng, a
uc
i ht .
l m nt s lo i t d o ca i l r d e hi nd
lm ie t fe ntha i a fnge i .
i t d o r que
ndlng nd i rng

( 2 1 TheALJatse ta s eh d c n iee alo Plitf ss mptmsa d çh e tn t
R. 4 .
te td h t h a o sd r d l f anif y o n i e x e t o
t
whih t e e s mpo c n ra o by b a c p e a c n itn wih t e o j ci e me ia
c h s y tms a e s na l e c e td s o sse t t h be tv d c l
e de ea ot re de e,' swe lasa1oft opi on e de . 1 She t f l
vi nc nd he vi nc 'a l
l he ni vi nce d.
hen olowed t
he
t se pr es - fr t deer ni wheher t e i a unde l ng de e m i bl physc or
wo-t p oc s is, t mi ng
t her s n
ryi
t r na e
ial

m e al i ime t c d r as
nt mpar nt hat oul e onabl be e
y
xpece t pr
td o oduce Pli if s pan o ot r
antf
i r he
s m pt m s a t n e ua i t i e iy,pe sse , a lmii efec s of Pl i ifs
y o , nd he val tng he nt nst
r it nce nd i tng f t
antf

s pt t de e m i t e e t whih t lmi he f nci . I The A LJ s m m a i ed
ym oms o t r ne he xt nt o
c hey i t r u tons d
u
rz
Pli ifst tmony a f
antf esi
nd oundt tt çt cli ntsmedi ly de e m i bl i im e sc d
ha he ûhe a ma '
cal t r na e mpar nt oul
r s bl be expe t d t ca e t ale d s m pt m s howe r t cl i a ' s a e e s
ea ona y
c e o us he l ge y o ;
ve , he a m nt s t t m nt
c nc r ng t i e iy,pe sse e a lmii e f t of t s s
o e ni he nt nst
r itnc nd i tng fec s
he e ympt s a e no e tr y
om r t n iel

crdi e f t ra onse ane i t sde ii ' ( 2 251 Shew entt ough t varous
e bl or he e s xpli d n hi cson. R. 4- .
'
hr
he i
r co ds i deai and i ntfe i onsse es bet en t r cor e de
e r n tl
de ii d nc itnci
we he e d vi nce a Pl i ifs
nd antf

t tmonya t heai ( 25 .
esi
t he rng. R. )

Th ALJf u dt thetmld c l vie eas r fe t t a tecama ti n ta lmi d
e
o n ha t t e ia e d nc lo elcs h t h li n s o s i t
g
e
a s al es' g 25 . She s
s he leg . R. )
'
ummai d Pli ifsMRIa me c i gi r uls 1
rze antf
nd dial ma ng es t. d.
TheALJt n s m a i d Dr Br e Be m a snot sa dee m i d t tDr Be ma ssndi s
he um rze . uc r n' e nd t r ne ha . r n'
ng
t tPli ifc d no wor a s wa nota e t pe f m he a tvii ofda l lvi we e
ha antf oul t k nd he s
bl o r or
r c i tes
iy i ng r

c n ls r a dn t u p re b a ye pln to g 252 1
o cu o y n o s p o td y n x a ain. R. - 6 .
The ALJ a know l d t tPl i ifhad s ge y on he ce v c ls ne i J nua y 201 a
c
edge ha a ntf
ur r
r r i a pi n a r
0 nd

t tPli ifha s a lc r he ni t dic pr r i a t -3- a -4- lvel. g 2 1
ha antf s m l ental r aed s otusons t he 1 4 nd 1 5 e s R. 6 .
The ALJ dee m i
tr ned, howe , t t t e fndi ldo not s
ver ha hes i ngs f
uppor t dia i l ve of
t he s blng e l
15

f i ng a lged by t cli a ,es i l snc Pl i ifha onl t mal' c nta he nit d
unctoni le
he am nf' pecaly i e antf s y l l' e r l r a e
s
di c wih no s nalse i . 1 The ALJ e ai d t t alhoug Dr Be n i t d t tt
ss t
pi t nos s d.
xpl ne ha , t
h . nna ç e ha he
no
c ai a ha a dec e ed r nge of m o i i he c vi l s ne a a s ha s m s a
l m nt d
r as a
ton n r er ca pi , nd l o d pas
nd

t nde es ,Dr Be n di notpr de any explnaton f t s sndi ore an how t s
e m s . nna d
ovi
a i or he e
ngs xpli
he e
s cii fndi woul lm i t cl ma ' f toni ' I The ALJalo expl ne t tDr
pe fc i ngs
d i t he ai nts unc i ng. d.
'
s
ai d ha .

Bema h dn tdPlitf n r lg i a dn r l on a dn ur lgc l x miain a dh d
r n a oe an ips o ma at n o ma j it n e oo ia e a n to s n a
con i d t pr de Pl i if w ih pa n m e c tons t t r por e y i pr d he f toni
tnue o ovi
a ntf t i
di a i
ha e t dl m ove
r unc i ng.
I
d

W ih r ga d t opi on evi nce t ALJ c i e t Re i
t e r o ni
de , he
onsder d he sdualFunc i
tonalCapa iy
ct

Qu si n ies b te b Dr Be ua i Fe r a y2 4. ( 2 1 S s mmaie a1o Dr
e to nar u mi d y . n n n b u r 01 R. 6 . he u rz d 1 f .
t
Be m a sopi onsi t quesi maiei de al
r n' ni n he
tol r n t i.

The A LJ t ga D r Be m a sopi on
hen ve . r n' ni

ltl we g be a ei wa c us r hedi notpr deany e a ton f hi fndi ,i wa
ite i ht c us t s oncl o y,
d
ovi
xpl na i or s
ngs t s

ic n itn wih te o j cie me ia v d n e P an ifs a tv te o d i lvn Dr
n o sse t t h b e tv
dc le i e c , litf' ciiis f al iig, .
y
Be m a s own pr r s not s a i w as i ons sen w ih t Res dua Func i
r n'
og es
e , nd t
nc i t t t he
i l
tonal Ca c t
pa iy

Qu sin ieDr Bema s b t di Au u t2 3. ( 2 - 7 .
e to nar . r n u mie n g s 01 R. 6 2 1
t
The ALJ as c i r d i dealt Re i l Funci l Ca iy Quesi ie
lo onsde e n ti he sdua
tona pact
tonnar
s it by Dr Ber a i A ugus 201 a s m a i d a lof D r Be m a s opi ons i t
ubm ted
. m n n
t 3 nd um rze l
. r n'
ni
n he

quesi ie i deal ( 271 Agan,t ALJ opt t gi Dr Be n' o ni i t
tonnar n ti. R. .
i he
ed o ve . nna s pi on n he
Augus 201 quesi
t
3
tonnaie ltl weght be aus i wa c l or he di not pr de a
r ite i
c e t s onc us y,
d
ovi ny

e pa ain f rh s fn ig ,i wa i o sse twih t e o j cie me ia e i e c a d Dr
x ln to o i i dn s t s nc n itn t h b e tv dc l v d n e n .
Be m a s own pr r s not s and i w as i ons sen w ih t Res dual Func i
r n'
og es
e,
t
nc i t t t he
i
tonal Ca c t
pa iy

Que tonnar Dr Bema s tedi Fe u r 201 ( 271
si ie . r n ubmit n br a y 4. R. .
The ALJ obs r d t D r B e m a ha wr ten i hi not s ve a tm e t tPl i ifw a
e ve hat . r n d it n s es e r l i s ha a ntf s
16

una et wor buthada s wrte i hi not s ve a tmest tPl ntf hast a lt t wo k.
bl o k,
lo it n n s es e r l i
ha ai if
he biiy o r

( 2 1 Th ALJe p an dt a afn i o dia ii i rs r e t t eCo sin r a dta
R. 7 . e
x lie h t i dng f s b ly s e ev d o h mmiso e , n h t
t
Dr Be m a s o ni r ga di w het r Pl ntf c n w or w er i e naly co i t nta a s
. r n' pi ons e r ng
he ai i f a
k
e nt r l ns s e nd l o

ic nsse twihteo j ci me ia e ie e I Th ALJc n ld d,il rt e era o s
n o itn t h be t
ve dc l vd nc . d
e
o cu e çto h s e s n ,
l
t unde sgne gi Dr Be n' opi o a tt cai a notbei a e t wor a not
he
r i d ves . nna s ni ns bou he l m nt
ng bl o
k nd
beng a et wor bec us s i dia ed ltl weght' f
i bl o k a e he s s bl ite i . #.
'
The ALJ as c i r t opi on ofSt t age m e ca cons t Efen Bat z z
lo onsde ed he ni
ae ncy di l
ulant r
la a ,

M . ,who dee mi t Pli ifca peror lghtwor g 28 . TheALJ a ce e Dr
D.
tr ned hat antf n f m i
k. R. 1
c ptd .
Bat za ' o ni t tPli tf c n pe f lg wor be us i wasc it wih t r cor
la rs pi on ha a n if a ronn i ht k ca e t
onssent t he e d

e d n e f . S e sae ,h we e,t a t e r c r e d n e i ldig Pli tf' s b e tv
vie c . J h ttd o v r h t h e o d vie c , ncu n anifs u j ci e
c pl i t , t uppors t t t cl m a has a tonal lm iatons m e i d i t
om a n s û
s
t ha he ai nt
ddii
i ti
ntone n he

a ve de c i r i ua f tona c pact Bas on t s r s t un sgne gi s Dr
bo - s rbed esd l unci l a iy.
ed
hi ea on, he der i d ve .
Bala rso ni ltl wei .' 1
tza ' pi on ite ght' d
TheALJnextf
oundt tPli tf i c pa eofpe f ngherpas r e two k a ar t i
ha a n if s a bl
r onni
t elvan r s e a l
s vio a t s h wo k doe not r quie t pe f ma
uper s r nd hat uc
r
s
e r he ror nce of wor r l t a tvii
k-e aed c i tes

pr cude byPli ifsr i lfnci lc pact ( 281 TheALJa ce edt voc i
el d
antf esdua u tona a iy. R. .
c pt he atonal
e r' t si o a t he i i r s e t t ALJ Shypot tc s 1
xpe ts e tm ny t he arng n e pons o he
'
he ial. d.
The ALJ alo f
s ound t t a t
ha, lhough Pl ntf i c bl ofpe f ng pa tr l va wor
ai if s apa e
ronni
s e e nt k,

teeaea dto a j b e sigi t en to a e o myt t anifi as a l t p ro
h r r d iin lo s xitn n h ain l c no ha Plitf s lo be o ef nn. (
R.
281 Shet ma ale nai fndi f se fvet s que ilevauatonpr e s 1 The
.
hen de tr tve i ngs or tp i he e nta l i oc s . d.
ALJnot t tPlitf wa ayounge i vi ( 8- yeasol ont daet a iai wa
ed ha anif s
r ndi dual 1 49 r d) he t he pplc ton s
fld,t ts ha a l s ahi s
ie ha he s t ea t gh chooleduc ton,t ts i a et comm uni t i Engls and
a i ha he s bl o
cae n
ih,

t a ta sea ii o j b s il s n tmaeilt te d tr n t n o d s bl y b c u e te
h t rn f rblt f o k l
y
si o tra o h eemiai f ia it e a s h
o
i

M e c - a i lRul s
dialvoc tona
es uppor afndi t tPl ntf i S tdia e ' t ro notPl ntf
t i ng ha ai if s i
no s bld'whehe r
ai if

h s ta sea l j b s ls ( 2 - 9 . The ALJ d tnnie t a t in te atr aie
a rn frb e o ki . R. 8 2 j
l
ee n d h t û l h len tv ,
g
consderngt c am a ' age e a i , wo ke re e, ndr i lf tonalc pact , t r
i i he l i nts , duc ton r xpe inc a esdua unc i
a iy he e

aej bsta e iti sg i a tn mbesi t n to a e o o t tcama tc npef r ( 0
r o h t x s n in fc n u r n he ain l c n my ha li n a ro m 2
CF 41 9 9a d41 9 9 a)' g 2 1 Sh s e i al n tdt a Plitf c udn tp ro m
R 6.6 n 6.6 (). R. 9 . e p ct l o e h t an if o l o ef r
'
k y
t f lr ngeoflg wor butha s m e a tona lm ia i a e a ne t ts had a ke
he ul a
i ht k
d o
ddii l i t tons nd xpli d ha he
s d
t voc i
he
atonal e r about Pl ntf s s ik r i ua fmc i l c pa iy.
xpe t
ai if pect esd l t tona a ct

The A LJ

c n ld dt a Plitf çsc p b eo ma igas c e sul d u t n t oh rwo kt te ssi
o cu e h t an ifi a a l f kn u c s f a j sme t o t e r ha xit n
i
sgnii a num be si t nai lec
i fc nt
r n he tona onomy. A fndi ofç dia ed'i t r or a oprae
i ng not s bl s he ef e ppr i t

u d rtefa wok o t ea o e ctdr l. ( 2 - 0 . TheALJf u dt tP an ifh sn t
n e h rme r f h b v -ie ue' R. 9 3 1
'
o n ha litf a o
be n unde adia lt sne J y 3,201 t daet a i a i wa fl d. g 30)
e
r s biiy i e ul
3, he t he pplc ton s ie
R. .
I .M OTI S FO R SUM M ARY JUDG M ENT
l
ON

I he M oin f rS mmay J d me t Plitf ma e t man a g me t. ( 2 j
n r t o u r u g n , an if k s wo i r u n s DE 0 .
o
Fis, hea g t tt r sdua c pact de e mi ton wasuns
r t s r ues ha he e i l a iy t r nai
uppore by s bsa ile de
td
u t nta vi nce
be us t ALJ a or d i de t wei t t te tng physc a sopi on a r le upon
ca e he
cc de na qua e ght o he r a i
i i n' ni nd e id
he own i e r tton oft medialda a. I Sec
r
ntp ea i
he
c
t d.
ond, ai ifa s t t tt St p 4 and St p
Pl ntf s ers ha he e
e
5 de e mi to we e uns
t r nai ns r
uppored by t s t ntale de
t
he ubsa i vi nce be a e t ALJ r le on
c us he
ei d
voc tona e r t si ony e iie i r s
a i l xpe t e tm
lct d n e pons t a i m plt hypo he i lquesi . f
e o n nco e e
t tca
ton #.
I D e e nt sM oton f Sum m a y J
n f nda '
i or
r udgm e w ih Suppo tng M e or ndum ofLa a
nt t
ri
m a
w nd
Re po e t Pl i if s M oton f r Sum m a y J
s ns o a ntf '
i o
r udgm e , s cont
nt he
ends t t t A LJ pr l
ha he
opery

e au td te o no o te tn p y iin Dr Br c Bema a d rj ce t e ( 21.
v lae h piins f raig h sca . u e r n n ee td h m. DE j
Dee
f ndant a s a gue t t s t nta evi nc s
l o r s ha ubs a i l de e uppo t t A LJ' St p 4 a St p
r s he
S e
nd e
de e m i tons I
t r na i . d
18

1 LEG A L A NA LY SIS
11.

J calr vi oft f c ualfndi i dia lt ca e i lm ie t de e m i ng whe he
udi i e ew he a t i ngs n s biiy s s s i t d o t r ni
t r
t Com m i s o r s de s o i l uppored by s t ntal e denc and ba e on pr r l l
he
s i ne ' ci i n s ç
s
t
ubs a i vi e
sd
ope ega

sa r . Subsa i e de e i m or t n a s i il a i s h r eva e de e as a
tnda ds
tntal vi nc s
e ha
cntla nd s uc el nt vi nc

ra ona e pes Noul a e asade t t s
e s bl ron v d cc pt
quae o uppor a c uson. 42 U. C.j 405( ;
t oncl i '
'
S.
g)

Cr w o d v Co ' o o . c,3 3 F.d 1 5 ,1 5 ( 1h Ci. 0 ( rc ra (ne n l
a f r . mm r fs c Se . 6 3 1 5 1 8 1 t r 20 4) pe u im) itr a
ciatonomit ( i fe sv Calahan,1 F. 1 1 ( 1hCi.1
ti
ted) quotng wi . l
25 3d 436, 439 1 t r 997:. Coursma
t y

n tç e ie te fcsa e r weg t e e ie c ,o s bsi t (h ilj g n f rt a o te
o t cd h a t n w, e ih h vd n e r u tt e t er ud me t o h t f h
d
u
( mmiso el' Ph lps v Ba n a t 3 7 F3 1 3 ,1 4 n.8 ( 1h Ci.2 0 )( u t
Co si n r. il . r h r, 5 .d 2 2 2 0,
'
i
1 t r 0 4 q oi
ng
Bl s t v He lr,703F. 1 1 ( 1hCi.1 )
ood worh . cke
2d 233, 239 1 t r 983).
The r titve sa r of r e s tout a
esrc i tnda d
eviw e
bove a is onl t fndi of f c .
pple
y o
ngs
at
pr s pton ofvaldiy a t c t t Com m i soner s conc us ons of l . Br
e um i
i t ta hes o he
si '
l i
aw
own v Suli an,
. lv

9 1F.d 1 3 ,1 3 ( 1h Ci.1 919 ri v Sulv n 8 4F.d 1 20 1 2 ( 1h Ci.1 9 )
2 2 2 3 2 6 1 t r 9 ) Ma t . lia , 9 2 5 , 5 9 1 t r 9 0 .
n
çf e (
l' Commisone 'lf l e t a y t c rc lw ort pr det r vi ng co twih
-h
s i rs aiur o ppl he ore t a
o ovi he e ewi ur t
s fc e r a oni f de e m i ng t pr
ufi i nt e s ng or t r ni he oper lgal a yss has be n c
e
nal i
e onduced m a t s
t
nda e

r v ra. Igr m v Co 'o c Se . mi.49 F.d 1 5 ,1 6 ( 1hCi. 0 )( u tn
e es l' n a . mm r fso . c Ad n, 6 3 2 3 2 0 1 t r20 7 q o ig
'
Co nei v Sulian, F. 11 11 - ( 1hCi.1991)
r lus . lv 936 2d 43, 4546 1 t r
).
Soc a Se l iy r ul tons es a ih a fve- t p s
i l ct t eg a i
r
t bls
i s e eque i l a l i t a rve a a fna
nta na ys s o r i t s l

d tr n to o d sbit . 20C. R.j4 4.5 0; 0 C. R.j41 9 0 ()( Th ALJmu t
eemiain f ia l y
i
F.
0 1 2 2 F.
6.2 a-9. e
s
fr t de e ne whe he t c a m a i pr s nty e pl d. l s a fndi of non- s biiy i
i s t nni
t r he l i nt s e e l m oye
f o, i ng
di a lt s

ma a t i uiy c ude 20 C. R.j40 1 b) l t s ond se t ALJmus
de, nd he nq r oncl s.
F.
4.520( . n he ec
tp, he
t
de e m i w he he t c ai ants f r f om a s ve e i pa nne orc bi ton ofi pa nne s
t r ne
t r he l m
uf e s r
e r m i nt om na i
m i nt .
19

l t ALJ fnds t t cli a doesnot s f r fom a s ve e i paiment o c bi ton of
f he
i
ha am nt
ufe r
e r m r
r om na i

i ar ns te a fn ig o n n- s blt r s ls a d t e iq iy e d . 2 C.. j
mp ime t, h n i dn f o dia ii e ut, n h n u r n s 0 FR.
y
40 1 20c .
4.5 ()
Stpt e rquiest ALJt c
e hre e r he
o ompaet cai ntss ve ei ime t)t t ei t
r he l ma ' e r mpar nts o hos n he
lsi ofi ime s. 20C. R.j404.520( ,s r P,a
itng mpar nt
F.
1 d) ubpa t ppendi 1 Ce ti i r nt ae
x . ran mpaime s r

s s v r,wh t e c n i ee ao e o i c nu cin wi oh ri ime t,t a,i t y ae
o e ee eh r o sd rd ln r n o j n to t t e mpar n s h t f he r
h
e t bls
s a ihed, t r a i r r a fndi of di a lt w ihout f t r i r i o t
he egul tons equie
i ng
s biiy t
urhe nquiy nt he

cama ' a lt t pe f m ot wor Se Gis v. cke ,762F. 1 6,1 8,n.l( 1h
li nts biiy o ror her k. e b on He lr
2d 51 51
1t

Ci.1 . I t i r ntme t o e sa lse i r ,dia lt i pr sl d a
r 985) f he mpaime
es r qual itd mpaiment s biiy s etme nd
be isaea de 20C. R.j404.520( .
nett r war d.
F.
1 d)
St p f ri v a dee naton ofwhe he t cai
e ou nvol es
tnni i
t r he l mants i r
' mpaiment pr enthi or
s ev
m
he f om pe f ng hi o herpa tr l vantw o k. I t c a m a c
rr
r onni
s r
s ee
r
f he l i nt annotper or hi orhe pas
f m s
r t

r lv n wo k t e aprma a i c s o d sbit i e tbihe . 2 C. R. 4 4.5 0 e . Th
ee a t r ,h n i f ce a e f ia l y s sa ls d 0 F. j 0 1 2 ( ) e
i
bur n t n s fst t ALJt s
de he hit o he
o how a se fve t t de piet cl mantsi
t t p i ha , s t he ai
' mpaimen s he or
r t,
s i a et pe f m wor i t natonale no y i lghtoft cl i a ' RFC , ge, duca i
he s bl o r or
k n he i
co m n i
he a m nt s
a e
ton,

a wo k e p re c . 2 C. R.j 40 .5 0 9;Phli ,3 7 F.3 a 1 3 . l o d rt
nd r x e in e 0 F.
41 2 4
i ps 5
l
d t 2 9 n re o
d tn n wh te tecama t a t ea iiyt a j tooh rwo ki t n to a e o o ,he
ee uie eh r h li n h s h b l o dus t te r n he ain l c n my t
t
ALJ may eihe a y t M e ca Voc i
t r ppl he di l atonalGui i ,20 C. R.pt 404 s pt P,a 2,Or
delnes
F. .
ub . pp.
utlz t a s s a ofa voca i lexpe t See Phil s 357 F.3d a 1
ii e he s it nce
tona
r.
li ,
p
t 23940.
A . W he he t A LJ e r i he cons de aton ofPl i ifs tea i phys c a
t r he
r ed n r
i r i
a ntf r tng
ii n

Pl i if a s t t ALJ i pr ry dic e t opi o of Dr Be ma Pl ntf s
antf s ers he
m ope l s ount d he ni n
. r n, ai if
te tng phys c a a f ied t t ope l eva ua e t cons s e oft opi on wih t e de e
rai
i i n nd a l o ç
pr r y l t he
it ncy he ni
t he vi nc

o rc r ,whih d e c nan n meo so j cie fn i ss p ri Dr Be na so i in.
f e o d c o s o ti u r u b e tv idng u po t
ng . n n' p no '
'
20

g 2 , 9 . Plitf c n e dsta teALJma ea û ro o lw'b ds o n igtefndn s
DE 0 p. j anif o tn h t h
d n t r r f a ' y ic u tn h
e
ig
of Dr Be m a whi wer s
. r n
ch
e uppori of hi opi on. I Spe fc l Pli if ar ue t t
tve
s ni
d
ciialy, antf g s ha

çh r i sg i c n o j ciee i e c i Dr Bema sr c r swh c s p o t i c n lso s b t
' e e s int a t be tv v d n e n . r n' e o d ih u p r h s o cu in , u
t
i
t ALJdic s onl t pori ofteam e not wih nor fndi .' f N e , a ntf
he
s us ed y he tons r t nt es t
mal i ngs ' #. xt Pli if

c n e d t a teI ' rj cino teo iinso teg o n st a te we ei o sse t t
o tn s h t h I S ee to f h pno n h r u d h t h y r nc n itn wih
ALJ
one a he i mil di ' 1 a p.1 Pl i ifa s a g st tt ALJ f ie t pe f m a
not r s sea ng. d. t 0. antf lo r ue ha he
'
al d o ror

p o e fdo a lss a rq ie b 2 C. R.j 41 9 ()2 -6 i t tt e ALJf ie t
r p r a r nay i s e u rd y 0 F. j 6.27 c( )( ) n ha h
ald o
c i rt f c t tDr Be n teae Pl i ifon a r ulrbassf c o c nec pan wih
onsde he a t ha . nna r t d antf
eg a
i or hr ni
k i t
t nde nes ,s s ,a a lm ied r nge ofm oton. 1 . a p.11 Pl i ifcontndst tt r was
e r s pa m nd i t a
i
d t
. antf
e
ha he e

s
uppor f Dr Be m a s opi on t ough hi te t nt ,exa i tons a t a ca e 1
t or . r n'
ni hr
s r a me s
m na i , nd ot l r . d.
Fi l Pl i ifa g st tt A LJ i pr l r le o he o n as es m en oft m e c lda a
naly, a ntf r ue ha he
m opery e i d n r w
s s t he di a t

i dee mi ng Pl i ifs lm ia i a poi ed t no e de e t e an t pa toft RFC
n tr ni
antf i ttons nd nt o
vi nc o xpl i he r
he
r l tng t Pl ntf sta lt t pe f m posur la tvii s ort r c ha e a tng .
e ai o ai if lbiiy o ror
t a c i te , o ea h, ndl nd i er'
'
a pp.11 1
t
- 2.

De e ntc e t tt ALJ dic s Dr Be man' o ni i de a la tpr pe l
f nda ont nds ha he
s us ed . r
s pi ons n t i nd d o ry

rj ce t e b c u et y aec n ls r ,nc n itn wihDr Be n' o te t n n ts
ee td h m e a s he r o cu o y i o sse t t . nna s wn rame t o e ,
ic nsse t t t eo j ciee i e c i t er c r , ndi c nsse twi e c ohe. E 21
n o itn wih h b e tv v d n e n h e o d a n o itn t a h t r' DE ,
h
'
p.7) Dee ntase t t tDr Bema sopi on i concus y a i nsse wih hi o
. fnda s rs ha . r n' ni s l or nd nco itnt t s wn
t e t e r co ds be us hi t e t e s not f om J nua y t J y 2013 c a ned be gn
r a m nt e r
ca e s r a m nt
es r
a r o ul
ont i
ni
fndi ,buthe f led outa f m i Aug t201 i whi h he opi d t tPl ntf had di ablng
i ngs
il
or n
us
3 n
c
ne ha ai i f
s i

lmia i . l a pp. 8. De e ntaloar ue t tDr Be m a ste t
i ttons d t 7f nda s g s ha . r n' r a mentnot fom Augus
es r
t
t N ove be 201 c r di t hi D e em be 201 fndi t tPl i i fw œ una et wor . 1
o
m r 3 ont a c ed s c
r 3 i ng ha a ntf s bl o
k d.

a p. W ih r ga d t t f m t tDr Ber n c
t 8. t e r o he or ha . ma omplt d i Fe
e e n bnmr 201 De e nta gue
y 4, f nda r s
21

t tDr Ber n' fndi c r di td hi te t e not sa proropi on fom Augus 201
ha . ma s i ngs onta ce s r am nt e nd i
ni r
t 3.
1 a pp.8 9. Addii na l De e ntmai ai t tDr Be m a s o ni ns a e i nsse
d. t
to ly, f nda
nt ns ha . r n' pi o r nco it nt
wih t Augus 201 M RlofPli ips c r i als ne 1 a p.9. Fi ly,De e
t he
t 3
antf e v c pi . d. t
na l
f ndan a gues
t r
t tt ALJ' de ii n i s
ha he
S c so s uppore byt opi on oft sa ea nc physc a Dr Bat z r a
td he ni
he tt ge y
i i n, . la a , nd,

t u , u sa ta e d n es p rst eALJSRF fndn a dh rd cso t rj c Dr Be ma s
h s s b tnil vie c u po t h
' C i ig n e e iin o ee t . r n'
o ni
pi on. 1 atpp. 10.
d.
9-

Th Elv n hCic i Co r o Ap e l h se plie t a a ALJé yrj c t eo i in
e e e t r ut u t f p as a x an d h t n
t ee t h p no
ma
ofa physc a whe t e denc s
ny
ii n
n he vi e upporsacon r r c uson,'butt tt ALJi r uie
t
ta y oncl i '
ha he
s eq r d
to sa ewihpm i ulrt t we g hegi t dif r ntm e c lopi onsa t r a onswhy.'
ç tt t
t
c a iy he i ht
ves o fe e
di a ni
nd he e s
'

M c oud v.Bar t 1 Fe Appx.41 41841 ( 1h Ci.2006) (ii Bl ds t v
cl
nhar, 66 d.
0, - 9 1 t r
ctng oo worh .

He ke , 0 F.d 1 3 ,1 40( 1h Ci.1 8 ) S af r v Bo n 8 F.d27 ,2 9( 1hCi.
c lr 7 3 2 2 3 2 1 t r 9 3 ; h ra z . we , 25 2 8 7 1 t r
1 ). Theopi onofateai physca s h asDr Bema û tbegi n s tnta or
987 )
ni
r tng
iin, uc
. r n,ç
mus
ve ubsa il
c i r bl wei unl s S
onsde a e ght es good c e'i s
aus s hown t t co r r ' Lcwï' 1 F.d a 1
o he nta y.
'
s 25 3 t 440.
,

çglood c e' e ss when t û() te i physca s opi on wa no boltr by t
lfl
aus ' xit
he; 11 ratng
iin' ni
s t seed
he

e ie e ( )e i e c s p o td ac n rr tn n ;o ( )tete tn p ysca so i o wa
vd nc ; 2 v d n e u p re o tay i dig r 3 h raig h iin' pnin s
c l or ori onssentwih t docor sown m e c lr or ' Philps 357 F. a 1
oncus y nc it
t he t '
di a ec ds.
'
li ,
3d t 241.
I t ALJde i st dir ar t opi on ofate tng physcin, heALJmus clary a tc ae
f he
c de o s eg d he ni
r ai
ia t
t e l riul t
hi orhe r s f doi s f
s
r ea ons or ng o. #.

AsDr Benna wa ate tngphyscanofPli it hi o nins dha be na or d
.
n s r ai
ii
antfl s pi o houl ve e cc de
c i r ewe g unl st ALJhad goodca et notgi i co i r bl we g a t ALJ
onsde abl i ht es he
us o
ve t nsde a e i ht nd he
c e ry a tc a e he r a ons f rdoi s Her ,t ALJ e e i y dic s d Dr Be n'
l a l riult d r e s
o
ng o.
e he
xt nsvel s us e
. nna s

te t ntnot a hi Resdua Funci Capa t Quesi ie i he decson. ( 25- .
r ame
es nd s i l tonal ciy
tonnar s n r ii
R. 272
The A LJ expl i d t t alhough Dr Be n S e t tt c ai antha a de r a e r nge of
a ne ha , t
. nna ç d ha he l m
not
d
cesd a
22

m oton i he c vi ls ne, nd as ha s s a t r s Dr Be m a di notpr dea
i n r er ca pi a lo d pa ms nd ende nes , . r n d
ovi ny
e a ton f t e fndi ore ai how t s s c fc fndi woul lmi t cli a '
xplna i or hes
ngs xpl n
he e pe ii i ngs
d i t he am nts

f n to ig. ( 2 ) Th ALJas e plie t a DrBe nh dn tdPlitf sn r l at
u cinn ' R. 6 . e
'
lo x an d h t . nna a o e an if o ma g i
a d n r l on a dn ur lgc le a n to a dh dc n iu dt p o d P an ifwihp i
n oma j it n e oo ia x miains n a o tn e o r vie litf t an
m e c tonst tr pore y i ove he fmc i ng. 1 The ALJga Dr Ber n' opi on
dia i ha e tdl mpr d r t toni
d.
ve . ma s ni
ltl weghtbec us i wa c l or he di notpr vi a e a ton f hi fndi ,i wa
ite i
a e t s onc us y,
d
o de ny xpl na i or s i ngs t s

i c n itn wi t e o j ci e me ia e ie c ,Plitf s a tvte o d i lvn ,a d Dr
n o sse t t h be tv dc l vd n e an if ciiis f al iig n .
h
y
Be m a s o n pr es not ,a i w a i ons s e w ih t r i lca iy q s i
r n' w
ogr s es nd t s nc i t nt t he es dua pac t ue tonnaie D r
r .

Bema s b te i Aug t2 3 ( 26 2 1
r n u mitd n us 01 . R. - 7 .
TheALJa s obs v d t tDr Benna ha wrte i hi not s ve altm e t tPl i if
lo er e ha .
n d itn n s es e r i s ha antf
wasuna et wor b had a s wrte i hi not s ver ltmest tPli ifha t a lt t
bl o k, ut
lo itn n s es e a i
ha antf s he biiy o

wo k ( 2 2 Th ALJe p an dta afn ig o dia iiyi r s r e t t c mmiso r
r . R. 7 . e
x lie h t i dn f s blt s e ev d o he o sine,
a t tDr Be m a sopi onsr ga di wheherPl ntf c n wor we ei e aly i onsse
nd ha . r n' ni e r ng
t
ai if a
k r nt m l nc it nt

a das ic n itn wiht eo j cieme ia e i e c . 1 . TheALJc ncu e ,tl rt e e
n lo n o sse t t h b e tv d c l v d n e d
o ld d çto h s
l
r s ns t unde sgne gi Dr Be n' opi onsa
ea o , he
r i d ves . nna s ni
boutt c am a notbe ng a et wor
he l i nt
i bl o
k
a notbei a e t wor be aus s i dia e ltl wei . f
nd
ng bl o
k c e he s s bld ite ght' #.
'
Thus t A LJpr r y e a ned t ts w a gi ng D r Be m a s opi on ltl we g
, he
ope l xpl i
ha he s vi
. r n' ni ite i ht

a cea l e anedhe r to l f t fndi Thus t onl r m ani is i whe he t
nd l ry xpl i
r ai nae or hat i ng.
,he y e i ng s ue s t r he
ALJhad goodca ef notgi ng Dr Be ma sopi on c i r bl we g .
us or
vi
. r n' ni onsde a e i ht
Fi s , opi ons on i s r s r ed t t Com m i s oner a e not e il d t c r lng
rt
ni
s ues e e v o he
si
r
ntte o ontoli

wei tors cilsgniia
gh
pe a i fc nce. Se 20 C. R.jj 404. 27( ( ) 416. d ( ) Denomme v
e
F.
15 d)1 , 927() 1;
.
Comm ',Soc Se Admi ,51 Fe App' 875,878 ( 1h Ci.201 . Theeor t ALJwas
r . c.
n. 8 d.
x
1 t r 3)
rf e,he
notr quied t r l o Dr Ber n' conc uson t tPl i ifwasdiabld.
e r o e y n . ma s
l i ha antf
s e
23

M o e v r teALJi c re t a Dr Bema ' o i o wa i o sse t t t o j cie
ro e ,h
s o rd h t . r n s pnin s nc n itn wi he b e tv
h
medi le de e,Pl i ifs a viis ofda l lvi , a hi o pr g e sn ts ( 2 - 7 .
ca vi nc
antf di te
iy i ng nd s wn o r s oe . R. 6 2 1
On J nua y3, 3, .
a r 201 Dr Benna not t tPl i ifhadpan ma ge e is s w asrecei ng no
n ed ha antf
i na m nt s ue ,
vi
t r pis a t tm e oft vi i,a ha r ceve physca t r py, m a s ge ,e dur s a
he a e t he i
he st nd d e i d
i l he a
s a s pi al, nd

s r ey i tepa t ( 2 6 . Dr Be ma wr t t t an ifwa a et p ro m a tvte o
u g r n h s. DE 5 1 . r n o e ha Plitf s bl o ef r ciiis f
dal lvi a wa a et wor f He a s not t Pl i ifha nor ambulton, ha
iy i ng nd s bl o
k. #.
l o ed hat antf d mal
ai
d
dec e e 61 X' i xt' tef lt'a ç i lt'of t ce vca s ne, a ha s s a
r as d f e ' f ' l t a ' nd i ght a '
t
e
l
r
he r i l pi
nd d pa m nd
t m e si t pa a pi lm us e . 1 . I s ve allt rte t
ende s n he r s na
cl s d n e r a e r a mentnot fom 201 Dr Be man
es r
3, . r

wr et tPl i ifwasa l d t wo k a alonot d t tPli ifwa abl t pe f m a tviis
ot ha antf
lowe o r nd s
e ha antf s e o ror ci te

o d iyl i g ( 2 - 5 ; 5 - 4 .
f al i n . R. 48 2 0 2 2 5 1
v
On Augus 27,201 Dr Be m a no e t t Pl ntf had no sde efe t fo t
t
3, . r n t d ha ai if
i
f c s r m he

me iain , o l pefr h ra tvte o d iylvng a wa a l t wo k. ( 3 8 . Ont e
d c to s c u d ro m e ciiis f al ii , nd s be o r R. 0 1
h
smed t,Dr Be ma c mpltd aRe iu lFu cin lCa a iy Qu sin ie ( 2 - 2 .
a ae . r n o ee
sd a n to a p ct e to nar . R. 71 7 1
He saed t t Pli ifs pr
t t ha antf
ognoss wa ' de ' I Dr Ber n e aned t Pl n if
i s ç
guar d. d. . ma xpli
'
hat aitf
s f r fom ne k and s de pa n a rg a pa eshe i t t Pli ifs s
ufe ed r
c
houl r i nd i ht nn r t sa, ha a ntf ympt sa e
om r
fe
r quen l s r e
ty eve e nough t i e f r wih t a t nton a conc nta i r quied t pe f
o nt re e t he te i nd
e r ton e r o ronn
smpl wor r a e t s ,t tPl ntf woul nee t le down orr clne durng a hy t tc l
i e k-elt d a ks ha ai if
d d o i
e i
i
po he ia
wor y i exc soft t ca br a ,t tPl ntf c d onl wa k one ct bl k wihoutr t
kda n es
he ypi l e ks ha ai if oul
y l
iy oc t
es
orsgnik a pan,t tPl ntf co d onl stf 1 m i e a a tme,t tPl n ifc d onl
i t nt i ha ai if ul
y i or 0 nut s t i
ha aitf oul
y
sa orwak f r 1 mi esa a tm e t tPl i ifc d onl stf t e ho s i at ca
t nd
l o 0 nut t i , ha antf oul
y i or hr e ur n ypi l
wor y,t tPl ntf coul onl sa orwa k f t hour i a t ca wor y, and t
kda ha ai if
d y t nd
l or wo
s n ypi l kda
hat

Plitf wo l n e aj b whc p r t s it g p iinsa wilfo stig,sa dn ,o
an if ud e d o
ih emis h fi osto t l r m i n tn ig r
n
t
wal ng. g 271 . Dr Be n deemi d t tPli ifwoul nee t tke hou l 1 1
ki
R. 1 . nna tr ne ha antf
d d o a
ry 0- 5
24

m i ebr ksdurng awor y, oul onl oc s o ly lf l st 1 poundsa c d ne r
nut ea
i
kda c d y ca i nal it es han 0
nd oul ve
lf mor ,woul ha lm ia i doi r pe ii r ac ng, ha i or fnge i c d onl us
it e
d ve i ttons ng e ttve e hi
ndlng, i rng, oul
y e

he ha 50% oft tme,a c d ne rus he annst r c . g 271721 Heco l
r nds
he i
nd oul ve e r
o ea h R. - .
ncuded

ta Plitf i n ta maig r ra i n tp y ial c pa l ofwo kng a f ltmej b o a
h t an if s o
ln ee nd s o h sc l a b e
y
ri
ul
i o n
s san d b ss ( 2 2 . Thu , h s Au u t
u tie a i. R. 7 1
s i gs

2 3 Re iu l F ci n l Ca a i
01
sd a un to a p ct
y

Quesi ier pons swe ei onssen wihhi te t ntnot fom t ve ys medaei t t
tonnar es e r nc it t t s r ame
es r he r a
t n ha
henotd t tPl n ifcoul wor a c r outaci te ofdal lvi i hi te t e notsbut
e ha aitf
d
k nd ary
tvii s
iy i ng n s r am nt e

t f
hen ound t ts had ma physca lmiai a c d notwor i hi Quesi ie
ha he
ny
i l i ttons nd oul
k n s
tonnar
I
XSPOnSCS.

OnSe e r24,201 Dr Be mannot dt tPl ntf wasa et pari i t i a tviis
pt mbe
3, . r
e ha ai if
bl o tcpa e n c i te

ofd l lvi a wa a et wo k. ( 2841 I hi Ocober22,201 teame nots Dr
aiy i ng nd s bl o r R. . n s t
3 r t nt e , .
Bema sae t tPli ifcoul pef m he a tviisofdal lvi butcoul notwor (
r n ttd ha antf
d ror r ci te
iy i ng
d
k. R.
3071 Dr Bema ste t ntnot f No mbe 1 201 howe r saet Pli ifc d
. . r n' r ame
es or ve r 9, 3,
ve , tt hat antf oul
pef m he aci tesof dal lvi a coul wor ( 3061 Dr Be n' noe fom
ror r tvii
iy i ng nd
d k. R. . . nna s ts r
De e r1 201 sa et tPl i ifcoul peror he ac i tesofda l lvi a c d not
c mbe 7, 3, t t ha antf
d f m r tvii
iy i ng, nd oul

wok, t tPli ifwa notdia e ( 305 .
r but ha antf s
sbld. R. 1
On Febr r 11 201 Dr Ber not d t tPl i ifc d peror he a tvii ofdal
ua y , 4, . man e ha antf oul
f m r c i tes
iy

lvi butc d notwor ( 3041 On t sme dae he c eed a Re i Funci l
i ng
oul
k. R. .
he a
t, omplt
sdual tona

Ca a i Queto n ie ( 2 7 8 1 Hee plie ta P an ifs fr dfo he d c e , e k
p ct
y sin ar . R. 8 - 8 .
x an d h t litf ufee r m a a h s n c
pa n,a di i s t t Pl i ifs s pt s a e cons a l s ve e e
i nd zz nes , ha a ntf ym om r
t nty e r nough t i e f r w ih t
o nt r e e t he
a t nto a conc nt a i r r d t per onn s m pl w or r a e t s ,t t Pl i if w oul
te i n nd
e r ton equie o f
i e
k- el t d a ks ha a ntf
d
ne d t 1e down orr c i d i a hypot t c lw or y i e s of t t c lbr a ,t t
e o i
e lne ur ng
he i a
kda n xce s he ypi a e ks ha
Pl i ifco d o y w a k one ha fciy bl k w ihoutr s or s g f c ntpai t tPl i ifcoul
a ntf ul nl l
- l t oc
t
e t i nii a
n, ha a ntf
d
25

onl stf 1 m i esa atme, ha Pl i ifc d onl sand orwak f tvemi esa atme,
y i or 0 nut t i t t antf oul y t
l or s
nut s i
a t tPli ifc d onl stf t ho si at ca wor y, t tPl i ifc d onl sa
nd ha a ntf oul
y i or wo ur n ypi l kda ha antf oul y tnd

o wak fro e h u i a tpia wo k a ,a d ta Plitf wo d ne d aj b wh c pemis
r l o n o r n y c l r d y n h t an if ul e o ih r t
s it g p sto sa wilfo sti g sa dn ,o wakig ( 2 1 Dr Bema d tr n d
h fi o ii n t l r m itn , tn ig r l n . R. 71. . r n eemi e
n
t t Pli tf wo d nee t tke houry 1 mi e br a durng a wor y, c d onl
ha a n if ul
d o a
l 5 nut e ks i
kda oul
y

oc a i l lf l s t n 1 po
c sonaly it es ha 0 unds a c d ne r lf m or woul ha lm iai ns doi
nd oul ve it e,
d ve i tto
ng
r pettve r a hi ha i orfng i c d onl us he ha 20% oft tme,c d o y
e ii e c ng, ndlng, i erng, oul
y e r nds
he i
oul nl

u e h rfn es2 % o t etme a d c ud o l u eh ramst r a h 1 % o t e tme (
s e i g r 0 f h i , n o l ny s e r o e c 0 f h i . R.
28 - 8 . Hec n ld dta Plitf i n t mai g rra d i no p y ial c p bl o wokig
78 1
o cu e h t an if s o a ln ee n s t h sc ly a a e f r n

af lt j b o as tie b ss g 28 1 Dr Be ua sfndn si te F b u r 1 ,2 4
uli o n usan d a i. R. 8 . . n n' i ig n h e r ay 1 01
me
que tonnaiewe e q t dif r fom hi fndi i t Augus 27,201 que tonnar
si
r r uie fe ent r
s i ngs n he
t
3 si ie.

On Fe a y 11 201 Dr Ber n as c ee a Ons Dae Quesi ie g
bnlr , 4, . ma lo ompltd n et t
tonnar. R.

2 9 . Hesae ta h h dte td Plitf sn eJ n r 3, 01 , ndta Plitf h sha t
81
ttd h t e a rae an if ic a uay 2 3 a h t an if a d he
lmiai a rsrci o lne i t Re i Funci Ca iyQuesi iesnce201
i ttons nd etitons uti d n he sdual tonal pact
tonnar i
2.
1 Howeve ,a r vi w ofDr Be m a s te t e not s a hi 201 que tol r r s ns
d.
r e e
. r n' r am nt e nd s 3
si maie e po es
e de e t the had notf
vi nc ha
ound Pl i ift be t tlm ie and r t i t d s nc 201 Fi ly,on
a ntf o
ha i t d
es rc e i e
2. na l

Ma c 11 201 Pli ifs Dr Bema ( 3031 He notd t tPli ifhad obti a
r h , 4, antf aw . r n. R. .
e ha antf
aned
c r i a pil whi h r duc he pa n by 50% .
e v c l low
c e ed r i

He al o no e t tPl ntf spai l velwas
s t d ha ai i f
ne

a4 wih media i
t
c ton. 1 Dr Be m a f
d. . r n ound t tPl ntf c d pe f a tvii ofdal lvi
ha ai if oul ronu c i tes
iy i ng,
c d notwor a wasdiabld. 1
oul
k, nd
s e
d.
A sl d outi de a la
ai
n t i bove Dr Be n' t e t e no esa que tor a r r po eswe e
, . nna s r a m nt t nd s i m ie es ns
r

i e naly i nsse a di no s
ntr l nco it nt nd d t how acla tendt r Pli ifsc tonswor e ng ove
err
owa d antf ondii
s ni
r
tm e. The ALJ had good c us t gi D r B e m an' o ni ltl wei .
i
a e o ve . r
s pi on ite ght
26

Furhe mor Dr Ber a sfndi contadit d t ot rr co d e denc A J y 1
t r e, . m n' i ngs
r c e he he e r vi e.
ul 6,
2009,M RI ofPl ntf' c r c s ne r vea ed ext ded di c he i ton att C5- l vel m id
ai i f s e vi al pi e l
nz
s m ai
he
6 e , l

dic s c na r ng wih r i l hydr i i t dic
s pa e rowi
t esdua
aton n he s ,

pose i s i me ous
t ror ublga nt

e r i / r ai oft dic s e c nta l wih t dic e e ng i o t c lrdieci n by
xtuson he ni ton he s e n e r ly t he s xt ndi nt he ola r to
a oxi ael 6 mm fom t dic s e pa e neur lf ami ,a a bul ngdic a C4ppr m t y
r he s pac , t nt
a or na nd
gi
s t 5.

3544 TheMR1oft l
.
he umbars ner ve e abul ngdica L5 S1wihmiddicdehydrto a
pi e ald
gi s t t l s
ain t
L5 S1 m idne ali nge
- , l ur mpi mentt t l t si ne ver , apose i bul s natL5- 1
o he ef exitng r ootand
t ror ge ee
S

c rlywihmid e r chme ont lf e tng S1ne ver . ( 3551
ental t l ncoa nt he e t xii
r oot R. .
OnJ nuar 26, 0, ai ifunde we s ge y- a a e i C4- (5- de m pr s i
a y 201 Pl ntf
r nt ur r n nt ror 5, 2 6 co e son,

f in, a a ei i tu ai
uso nd ntror nsr mentton. ( 343- . On Fe uay 1 201 Pl ntf
R.
451
br r 6, 0, ai ifs
posoper tv l e a c r c s ne fl s
t ai e atr l e vial pi im howe t Pl i ipsa ei rpl e wa i a fom C4
d hat antf nt lo at s ntct r
t ough C6,t t t r had bee no diplc nt oft plt fom t antror s f ce oft
hr
ha he e
n
s a eme
he a e r he e i ura
he
ve t r lbodis t tt PEEK s ce swe e i good poston a C4- a t tt ehad bee a
reb a
e , ha he
pa r r n
ii t 5, nd ha her
n

sih s bsd n ea C5 6. ( 3 2 . OnFe rll 1 ,2 0 Dr Ro s hn tdt a t eicso
l t u ie c t - R. 4 1
g
b t ' 6 01 , . u c o e h t h n iin
ay
wa heai mus esr ngt a grp sr ngt we enonnal a s ai wase
s lng, cl te h nd i te hs r
, nd ens ton
quala i t c i
nd n a t n

t uppe e rmiis g 341. OnM ac 1 201 Dr Gome notd t tPl ntf ss rwa
he
r xte te . R. )
rh 7, 0, .
z e ha ai if ca s
we lhe l d,he r ngeofmoton oft ce vi ls newasso y i ovi he sr t wa 5 5
l- a e
ra
i
he r ca pi
l wl mpr ng, r teng h s /
bia e a l he gatwa nor l a s ha t nde ne sove l ng t s nouspr e sofC7- .
lt r ly, r i s ma , nd he d e r s
ryi he pi
oc s
T1

g 338 .
R. 1
On M ay25, 1 ,Dr Le not d t tPl i ifha no obvi pai wih he gai, sea
20 1 . vy e ha antf d
ous n t r t a t dy
sa e, l ton, e r s , nd postves s oft ce vi la l
t nc papai t nde ne s a
ii pa ms he r ca nd umbars ne ,lm ie r nge
pi s i t d a
ofmoton oft c viala l
i
he er c nd umba s ne g r d by pai anega i bia e alsr i l r ie
r pi s ua de
n,
tve lt r ta ght eg as
t t s ns ton pa eshe i i bot a m s f lr
es, e a i
r t sas n h r , ul ange of m oton i her uppe e r m ii ,5+/
i n
r xte tes
5
27

sr t t s f he uppe e r m ii , nd nor r ngeofm oton a nor sr ngt a t t
teng h e t or r
r xte tes a
mal a
i nd mal te h nd one o

he lwe e te te . ( 3 6 .
r o r x rmiis R. 3 1
OnAug t8, 1 Pli ifha a M R1oft cevia s nepe f d. ( 2641 The
us 201 , antf d n
he r c l pi ronne R. .
r di ogitdee m i t tt r wase de e ofpr vi a e i rand i e body f i a C4a ol s tr ned ha he e
vi nc
e ous nt ro
nt r
uson t C5
a C5- t C3- a C4- dics c lvel de o taed pr vi a erora it r
nd C6;he C4 nd C5 s pa e e s m nsr t
e ous nt i nd n e body
f i t ewa no he ni e dic s na se i,ora
uson; her s
r atd s , pi l t noss
bnor neur lf a i a t C3- or
mal
a or m na t he C4

C4- dic s c lvel; t T3- dic s c lvel de onsr t d a c nta he nit d dic
C5 s pa e e s he
T4 s pa e e
m ta e
e rl r ae s
pr r i m e s i 2m m x 2m m i szet tdi noti ntt c d; her wasnos nal tnoss
otuson a urng
n i ha d
nde he or t e
pi se i
ora
bnonna f ami a t T3- orT4- dic s c lve s a t T4- dic s e lvel
l or na t he T4
T5 s pa e e l ; nd he T5 s pac e
de o tae a biobulr he ni t dic pr r i wih rghtpar c r a l f pa a enta
m nsr t d
l a r aed s otuson t i
a ental nd e t r c r l

c
ompone smeaurng2mm x3mm i sz t tdi noti ntt c d. ( 264- 2
nt s i
n ie ha d nde he or R. 65 .
On Se e b 8,2011 .Gom e pe f m e a physca exa na i on Pl i if a
pt m er
,Dr
z ror d
i l mi ton
antf nd
not d papabl i e e t a t nde nes i t pa as na m us l i t pose i c vial
e l e ncr as d one nd e r s n he r pi l
ces n he t ror er c
r gi i r a e t a t r s ove t m e a ta zi a s a a c a r gi
e on, nc e s d one nd ende nes
r he di l r pe us nd upr clvi ul r e on,

t nde nes ove t l f uppe pe t a r gi a pe t a- t d gr
e r s r he e t
r c or l e on nd cor ldeloi oove,di i s d r nge of
m nihe a
moton wih a
i
t bducto ont l f s de ,a a i lt t f l a
in
he e t houl r nd n nabiiy o uly bduc he lf s de .
t r e t houl r

262j Dr Go z as f
. . me lo ound t tPl ntf' gati nor ,he s ri welhe e herbie ,
ha ai ifs i s mal r ca s l- ald,
c ps
ti e ,and i e os e sr ngt i 5/ biaer ly,a he m ot t tng i 5 5 i bo h l
rc ps
nt r s ous te h s 5 lt a l nd r or esi s / n t ower
e r m ii s I
xte te . d

Dr Go e de e ne t t Pli tf ha r c d m a m a media
. m z t nni d ha a n if d ea he
xi l
cl

i ove nt 1 He expl ne t tt m os r c tM Rls
mpr me . d.
ai d ha he
t e en
howe a s i f t y f i n ofC4
d atsacor uso

t r u h C6 teewa n rsd a s ia c r c mp e so fo C4t r u h C6 a dt a j c n
h o g ,h r s o e iu l pn l o d o r sin r m
h o g , n he d a e t
sgment ofC3- a C6- s dnoevi nceofa j c -eg ntde neai ( 263J
e
s
4 nd 7 howe
de
d a ents me ge rton. R. .
On Fe uay 29 201 Pli ifhad altr lce a s ne x-a pe fr d. ( 329 .
br r , 2, antf
ae a nic l pi ry ro me R. 1
28

She wasde e m i d t ha no c
t r ne o ve
ompr s i fa t edef te ,no l i orbl tc bonel i ns
e son r c ur
onnii s
ytc
asi
eso ,
m id a t rorose
l n e i t ophyt f ma i a C3- a nonnalpr ve t a s ts ues 1 On M a c
e or ton t 4, nd
e rebr l oh i s . d.
rh
1 201 Dr Gome no e t tPl i ifha a s i f i ofC4 t ough C6,a i ac a e i
2, 2, .
z t d ha antf d old uson
hr
n nt t nt ror
i tume ai a hee ot c os ii ton a c c fc i a ong t antror nnnul a
nsr nt ton, nd tr opi sfcai nd alii aton l
he e i
us nd

a e i lngiudi llga ta C3- ( 3281 Heas f t tPli ifha i r s dt
ntror o t na i men t 4. R. .
lo ound ha antf d ncea e one
a t r s ove t pose i c r i al ta z us a s a c pulrr gi buts had mot r
nd ende ne s r he t ror e v c , r pe i , nd upr s a a e on,
he
o
t tng of5 5 i t uppe a l rexte ii a a wel- e a e i c r c s a . 1
esi
/ n he
r nd owe r m tes nd
lheald nt ror e vial c r d.

OnJ y10, 2,Pli ifrpore t Dr Hofma di nihedpai ( 5 1 a i oved
ul 201 antf e td o . f n mi s
n a / 0) nd mpr

a t iiso d iy lvn wh n tkig h rme c t ns ( 2 41 Plitf sae ta s ewa
ci te f al iig e a n e diai . R. 9 . an if ttd h t h s
v
o
s lefempl
oyedand a et wor f She r pored no a r e sdeefe t fom t me c tons
bl o k. #.
e t
dve s i
f c s r he dia i .
1 On Se e
d.
pt mber5,201 Pli ifa i r pored di nihe pai a i oved a tvii of
2, a ntf gan e t
mi s d n nd mpr
c i tes

d i lvn wh n tkn h rme iai n . ( 29 2 S eas rp re n a v re sd e fcs
al iig e a ig e dc to s R. 3 . h lo e o td o d e s i e fe t
y
fom t m e ca i . 1 O n N ove be 27, 201 Pl ntf r pore t t he m e cai ns
r he di tons d
2, ai if e t d ha r di to
m r
c tnuedt pr der i , ha s ha agood m on h,t ts c d conduc he o i busnes ,
on i
o ovi elef t t he d
t ha he oul
t r nlne i s

a t the pan wa a4 outof1 wih me c ton. ( 291 . Shedeni anyadves efe t
nd ha r i s
0 t diai
R. J
ed
re fcs
fom t me c tonsa sa e t ts coul ca r outhe daiy a tviis I
r he di a i
nd tt d ha he
d ry
r l c i te . d
l aDiabiiy Deer na i Expl na i da e Ocober2,201 Dr Bat za deenni
n
s lt t mi ton
a ton t d t
3, . la r t ned

t a Plitf i n td sbld. ( 7 - 5 . Dr Batz rrviwe t e r c r a d o ie ta
h t anif s o ia e R. 9 8 1 . la a e e d h e o d n pn d h t
Pl ntf c d peronn a rnge oflghtwor g 83- . Hegave vey ltl weghtt Dr
ai if oul f
a
i
k. R. 841
r ite i o .
Bem a s o ni t tPl i ifwasphysc l i pa e ofwor ng f ran e ghthourwor y.
r n' pi on ha antf
ialy nca bl
ki o
i kda

( 841
R. .
Ta ng i o a count a1 of t r c d e de e t A LJ had good c e t gi D r
ki nt c
1
he e or vi nc , he
aus o ve .

Be man' opi on ltl wei on t basst ti wa c r di t by t ot rr c d e de e.
r
s ni ite ght he i ha t s onta ced
he he e or vi nc
29

M or ove ,t ALJ S fndi wa s
e r he
' i ng s uppored by Dr Efe Balaz r sfndi t tPl ntf c d
t
. r n t a ' i ng ha ai if oul
per or lghtw or The A LJ e a ned i he de i i t s a e e Dr Ba t z ' o ni
f m i
k.
xpl i
n r c s on hat he cc pt d . la ar s pi on

t a P an ifc np ro m lg t r b c u ei wa c n itn wi t er c r e i e c . g 28 .
h t litf a e fr ih wo k e a s t s o sse t t h e o d v d n e R. 1
h
S e sae h we e ,t a t e rc r e d n e icu i g Plitf s s j cie c mp an s
h ttd, o v r h t h e o d vie c , n ld n an if ube t o lit,
v
ûu
t pporst t cli a ha addii llmia i me i d i t a
s
t hat he am nt s
tona i ttons ntone n he bove des rbe r i al
- c i d esdu
f to l c pa iy. Bas o t s r a on, t under i d gi s D r Ba t za ' opi on ltl
unc i na a c t
ed n hi e s
he
s gne ve
. la r s ni ite
wei ght'
'

I ot wor ,t ALJ ge al ac e e Dr Bala ars fndi t tPli if
n her ds he
ner ly c ptd . t z ' i ng ha a ntf

c d pe f m lghtwo k, t n a t ly f
oul ror i
r but he c ua l oundt tPl ntf wasm o elmie t n Dr Balaz r
ha ai if
r i t d ha . t a
bei ve Pl ntf t be.
le d ai if o

Fi ly,wih r r t aci te ofdaiy lvi Pl ntf r pore t Dr Hofman on J y
nal
t ega d o tviis
l i ng, ai if e td o . f
ul
1 201 Se em be 5,201 a N ove be 27,201 t ts c d c r outa tvii ofdaiy
0, 0, pt
r
2, nd
m r
2, ha he oul ar y
c i tes
l

lvi ( 291 293,a 2942 Mor r asrce l asMarh 11 201 as c docor Dr
i ng. R. ,
nd
.
eove, e nty
c , 4, e ond t , .

Be n n td ta Pli ifc ud p ro n a tvte o d iy l i g ( 30 j Ad iin ly
nna , oe h t ant o l e fn' ciiis f al i n . R. 3 . dto al,
f
v
Pl ntf t tfed a t Aprl21 201 he rng t t on an ave ageday,s ges u doesc e ,
ai if esii t he
i , 4 a i ha ,
r
he t p,
hor s
goe t t g oce y sor ge she s l r dy,s nds s e tme wih he t e
s o he r r t e, t r ef ea
pe
om i
t r e nage da ht r a
ug e , nd

prpae meas ( 452 Pli ifsatd t ts doesdrve,butonl t t make a o y
e rs l. R. . antf t e ha he
i
y o he r t nd nl

a p o i tl t c awe k ( 6 1 Th s Plitf sa tvte o d i l n as p o ry
p r xmaey wie
e . R. 3 . u , anif ci iis f al i g lo r pel
y vi
s n' a aba i f t ALJt gi Dr Be ma sopi on ltl wei .
e ed s ss or he
o ve . r n' ni ite ght
Thi i nota c s i whih t ALJa yze t m e ca e de on he own a c m et
ss
a e n c he
nal d he di l vi nce
r
nd a o

h ro c n l so bae o h ro a s sme tofter w me ia d t . S e d v Co ro
e wn o cu i n s d n e wn se s n h a
dc l aa n e . mm' f
Soc Sec,No.6:3- 1 ORL. .
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5
268
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(ii Mar r v Sulian,957F. 8 8 1(11hCi.99 )Cç'eALJma notû aydocor
ctng buy . lv
2d 37, 4
t r1 2) -h
f
y pl
t'
by s tt i he own uni or d me c e l tons'f t tofa medi lpr e sona.)
ubsiutng r
nf me dial vauai ' or ha
ca ofs i l'
'
30

TheALJba e he RFC on t s bsa ile denc
sd r
he u t nta vi e.
Dr Bat a ' RFC de e m i tonwast tPl i ifc d pe f lghtwor wihnoot r
. laz r s
t r na i
ha antf oul ronn i
k t
he

l tto . Se R.8 - 4;2 C. R.j 41 .6 . I t ALJ SRFC,s e a d d lmiai n
i ains e
mi
3 8 0 F.
69 7 n he
'
h d e i tto s
i l di t Pl ntf c d onl oc sona l soo kne ,c a ,cr h,a ci r m psa
nc u ng hat ai if oul
y ca i ly t p, el r wl ouc nd lmb a
nd

sar. r 2 2 TheALJas f n ta tePlitf i p e ld dfo ci i ld e s r p s
tis R. 4 .
lo ou d h t h an if s r cu e r m lmbng a d r,o e ,
a s a f dsa mus avoi expos et ha ar ,s a he ght.
nd c fol nd
t d
ur o z ds uch s i s

Fi ly,t ALJ f
nal he
ound

t tPli ifi a s lmie t oc aso love he r a hi a lm ied t fe nthandlng and
ha antf s lo i t d o c i na
r ad e c ng, nd i t o r que
i
fnge i
i rng. 1 The lm ia i r ga di r ac ng,
d.
i ttons e r ng e hi handlng, fnge i c m ediec l fom Dr
i or i rng a
r ty r
.

Bema sRFC. g 272;288 . Addii ly,t ALJe ane i he decson t s adde
r n'
R.
1
tonal he
xpli d n r ii hat he
d

te oh rlmiain b sd o t e rc r e i e c ,i cu i g Plitf ss b e tv c mplit.
h te i tto s a e n h e o d v d n e n ld n an if u j cie o ans
( 2 1 De pt te ea dto a l tto ,h ALJf u dt a P an ifc ul p ro m h r ro
R. 8 . s ie h s d iin l i ainst e
mi
o n h t litf o d ef r e p i r
wor a ot rwor i t natonale ono
k nd he k n he i
c my. ( 28- 1 TheALJSRFC anddecson wee
R. 29 .
'
ii
r
clary s
e l uppore by s t i e de
td
ubsantal vi nce. Even i t ALJ had comm itd eror by addi
f he
te r
ng
a tonal i t tonst twe enotpa tofDr Balaz r sRFC,hi woul beha m ls e r . Se
ddii lmia i ha r
r
. t a'
t s
d
r e s ror
e

Hof n v Asr e 25 F. px21 21 ( lhCi. 0 ) I wo dla t a s r r s lsi t e
fma . tu , 9 Ap ' 3, 7 1 t r 2 07 . t ul e d o b u d e ut f h
ALJ Sde son we er vered a r m a d smpl be us s opt t gi Pl i ift bene i
' cii
r e s nd e nde i y ca e he ed o ve antf he
ft
oft doubta i udem or lmia i t n Dr Balaz rdi
he
nd ncl
e i t tons ha
. t a d.
B. W he he t ALJe r d i r l na on t voc tonale r t si ony
t r he
re n eyi
he a i
xpe t e tm
Pli if a gue t tt ALJ i ope l r i on t voc i le ts t si ony i
antf r s ha he
mpr ry eled
he atona xper' e tm
n

d tn nigta Plitf c udpef nn p s rlv n wo ka arti ma a e . ( 2 , 1 .
ee ui n h t an if o l ro a t ee a t r s eal n g r DE 0 p. 41
Pl ntf c e t tt voc tona expe tst tm ony di nott tt e s tnta evi nce
ai if ont nds ha he a i l
r' esi
d
s
consiut ubsa il de
be us i wa e iie i r pons t a i m pl ehypot tc quesi '
ca e t s lc td n es e o n nco et
he ial
ton.
'

Pl ntf f r he
ai i f u t r

as e t t tt hypot tc lque ton pos d t t voc i na e r di notpr pe l a countf ra 1
s r s ha he
he i a
si
e o he ato l xpe t d
o ry c
o 1
31

ofPl i ifslm ia i ,i l ng many pr de by Dr Be man. 1 Fi ly,Pl n ifa gues
antf i ttons ncudi
ovi d
. r
d. na l aitf r

t tlthsh lst ef rt eatm ai Se 5 fn ig t a te ei oh rwo k i t en to a
ha t q i od nz o h l t tp i dn h t h r s te r n h ain l
g
e ve
ec
onomy t tPli ifca pe f
ha antf n ronn, c et tc uson waslkewiebas d upon voc tonal
be aus ha oncl i
i s
e
ai
e r t si ony ei ie i r pons t a i omplt hypot tc lque ton.'
xpe t e tm
lct d n es e o n nc
ee
he ia
si '
De e ntar
f nda
gues i r pons t t S antf' s cond ar
n es e ha ç i ifs e
pl
gume r r t Cour t
nt equies he
to

a c pt e frt r u n r g r i gDr Be n' o no ' g 21 p. 0 . Dee d n c ne s
c e h r is a g me t e ad n . nna s piin. DE , 1 1 fn a t o tnd
'
t tt ALJwa notr quied t i l a a tonallm ia i i t hypot tca a t ALJ
ha he
s
e r o ncude ny ddii
i t tons n he
he i l s he

h d p o el rj ce t e a u s p re 1 . Ac o d n t Dee d n ,tetsi n o te
a r p ry ee td h m s n u po td. d
c r i g o f n a t h e tmo y f h
voc tona e r i bas d upon aconsde a i ofa lt r e nte de ea i r pons t
a i l xpe t t
was e
i r ton l he elva vi nc nd n es es o
ahypot i lq si t tf ry s to al ofPl ntf c e bl lm ia i ns'
hetca ue ton ha ail e ut l
ai ifs r di e i tto .
'
An ALJma utlzet s viesofavoc i e tt m a adetr i i ofwhehe
y ii he er c
atonal xper o ke
e m naton
t r
acli a ca pe f m t i pas r l ntwor gi n t cai ntsr sdualf tona c pact
am nt n ror her t eeva
k, ve he l ma ' e i
unc i l a iy.

20C. R.
F. j404.560( ( . çnor rfravoc inale r' tsi nyt co tt es tntal
1 b)2) i de o
l
ato xpe ts etmo o nsiut ubsa i
e de ,t ALJ mus pos a hypot tc l que ton whih c
vi nce he
t e
he ia
si
c omprs a lof t c am a '
ies l
he l i nts

i ime s' Gor v. tue,249 Fed.
mpar nt.
'
don Asr
Appx.81 81 ( 1hCi.2007) Howe r t ALJ
0 2 1t r
.
ve ,he
nee onl i l i t hypot tc ca ma ' i
d y ncude n he
he ial li nts mpaiment t t t ALJ ha f
r
s ha he
s ound t be
o
s
uppored by t evi nce. I a 81
t
he de
d t 3.

The ALJ' frthypot i lt t voc tona e twa r ar ng an i vi loft
S is
hetca o he a i l xper s eg di
ndi dua
he
s e a ,e
am ge duca i a wor expe i e a Pl i i fw ho had t f l i lm ia i :w or a
ton, nd
k
renc s a ntf
he olow ng i t tons
k t

t lghtlve onl oc sona soopi knee i c awlng,cr hi a clm bi ,c i ng
he i e l y; ca i l t ng,
lng, r i
ouc ng nd i ng' lmbi
r m ps a s a r , but not l dde , r
a
nd t i s
a r opes or s afol ; a di ha r s h a hei s and
c f ds voi ng za ds uc s ght ;

occ sona ove he r rac ng. ( 661 Thevoc i le te anedt ts ha i vi l
a i l r ad e hi
R. .
atona xper xpli ha uc n ndi dua
woul beabl t pef m asbot a rt ls pe vs a a a nai tcmii asbot j a e
d
e o ror
h eai u r ior nd s
l e l can
h obs r
32

ge r ly peror d. f He saed t ts h a i vi
ne a l
f me
#.
t t ha uc n ndi dualc d a s pe f m lght uns led
oul lo ror i , kil

wo k a ,f re a l,ap o uci n a s mb e,a ce n r o a fs f od wo k r g 6 1 Th
r s o x mpe r d to se lr la e , r at o
r e. R. 7 . e
voca i nal e
to
xper t tfed t t t ge r l e pl
t es ii ha he ne a m oyer of -as t e a
f t k ol r nce f a t c w o kday
or ypi al r

woul bea t20% . 1 Hea s t sii d t tt orgr t abs nce pe mont woul i
d
bou
d.
lo e tte ha wo
eaer e s r
h
d mpac
t

t ea iiyt mananwok. ( 6 2
h b l o i ti r R. 8 .
t
The ALJ pos d a s ond hy he iali whih a i vi lha t s
e
ec
pot tc n
c n ndi dua d he ame lmiai
i t tons

sae beor butwa alolmie t fe ntha i a fe ntfngei (ahe t n c tnt
ttd f e
s s i td o r que ndlng nd rque i rng rt r ha onsa

h n ln o fn e ig . ( 6 1 Thev c to a e p r tsiid ta s c a idviu lwo d
a d ig r ig rn ) R. 8 .
o ai n l x e t e tfe h t u h n n i d a ul

silb a l t p ro m t e r ti s p r io j b b two d n tb a e t p ro n t e n i
tl e be o e f r h eal u e vs r o , u ul o e bl o e f n h al
tc nca j b I S h a idv d a wo d as b a l t p ro m t e ce n r a d te
e h iin o . d uc n n ii u l ul lo e be o ef r h la e n h
a s mbe j b , u n t h f s fo wo ke j b. I
s e lr o s b t o t e a t o d r r o d
The ALJ de e ne t Pli if ha t r sdua f i lc pa iy t pe f m lg
t nni d hat antf s he e i l unctona a c t o ror i ht

wor asdefne i 20CFR 41 967( exc ptPli ifi lmie t occ i lsoopi kne lng,
k
i dn
6. b) e antf s i td o asona t ng, ei
c a i c ouc ng, ndc i ngr m psa sais i pr ude fo clm bi l r , opes a
r wlng, r hi a lmbi a
nd t r , s ecl d r m i ng adde s r , nd
s afol ,mus a d e
c f ds
t voi xpos e t ha r ,s a heght ,i lm ie t oc asona ove he d
ur o za ds uch s i s s i t d o c i l r a

ra hig a d i lmie t fe u n ha di g a fng rn g 2 . Thsr sd lfncina
e c n , n s i td o r q e t n ln nd i e ig. R. 4) i e iua u to l
ca ciy i s ppore byt r co devi nc ,a ase aned i deai above t ALJdi note r
pa t s u
td he e r
de e nd, xpl i n t l
, he
d
r
i gi ng t opi on Pli if steai physcin,Dr Be m a ltl wei .
n vi he ni
antf r tng
ia
. r n, ite ght
Thelmia i c ai d wihi t ALJ Shypot tc sa et s m east ec ai
i t tons ont ne t n he
'
he ial r he a
hos ont ned
wihi t ALJ SRFC f Pl ntf. Theh t tca quesi pr entd t t voc tonale r
t n he
'
or ai if
ypo he i l
tons es e o he a i
xpe t
byt ALJwe ec itntwiht m e c r or e de eandot re de e. Thus t Cour
he
r onsse
t he dial ec d vi nc
he vi nc
,he
t
fnds t tt ALJ' hypot tc s t t voc i
i ha he
S
he ial o he atonalex r pr ry c prs d al ofPl i ifs
pe t ope l om ie 1
antf '
i pa r e s The hypot tc s we e not i
m im nt .
he i al
r
ncom pl t a t A LJ pr pe l r le on t
e e, nd he
o ry e i d
he

voc tona e r' t tmonyi de e mi ng t tPl i ifi notdia e
a i l xpe ts esi
n t r ni ha antf s
s bl d.
I CONCLUSI
V.
ON
l lg oft f egoi i i he e ORDERED AND ADJUDG ED t tt dec son of
n i ht he or ng,t s r by
ha he ii

t Commisone i AFFI ED. Ac di y, antf sM otonf Summa yJ
he
si r s
RM
cor ngl Pli if
i or
r udgment(
DE

2 ) i h rb DENI a d Dee d n ' M o in f rS mmay J d me t( 2I i h r b
0 s ee y
ED, n f n a ts to o u r u g n DE J s ee y
G R AN TED .
O RD ER ED A N D A DJU DG ED i Cha be s a W e tPal Bea h, m Bea h Co y,
n
m r t s
m
c Pal
c
unt

Foia tiQ# J yolrd ,hs à f

, 01
2 7.

R =
W I A M M A TTH W M AN
LLI
U nie St t M a sr t J
t d a es gi t a e udge

34