Taulbee v. Commissioner of Social Security

Filing 38

ORDER ON MOTIONS FOR SUMMARY JUDGEMENT [DES 35, 36]: that the decision of the Commissioner is AFFIRMED; denying 35 Plaintiff's Motion for Summary Judgment; granting 36 Defendant's Motion for Summary Judgment. Signed by Magistrate Judge William Matthewman on 7/14/2017. (kza)

UN I
TED STATES DI
STRI COURT
CT
SOUTHERN DI
STRI OF FLORI
CT
DA
CASE NO.1 81 CI M ATTHEW M AN
6- 032- VEVETTA TAULBEE,
Pl i i f
a ntf ,

N AN CY A .
BER RYH I
LL,
Ac i Com m i s one of Soc a Sec iy
tng
si r
i l urt
Adm i sr ton,
nita i
Def nda .
e nt
/

ORDER ON M OTI
ONS FOR SUM M ARY JUDGM ENT I 35.361
DES

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ai if ta bee' ç ntf ) ae nt
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,

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2.
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.
n, 47 2d
1 t r 988 .

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1 FA C TS
.

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ve r
, ai if ie
te 1
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s lt
dia lt i ur nc be ft ,as e tng a dia lt on- e da e ofSe ember28, 2 1 ( 1 12
s biiy ns a e ne is s ri
s biiy s t t
pt
01 . R. 9 .
The c am wa de e i tal a upon r c i r ton. 1 Folowi ahe rng o Oc obe
li
s ni d nii ly nd
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d.
l ng
ai n t r

15,201 t ALJ is a d ii o J nua y 30,201 denyi Pl i ifsr que tf be f .
4, he
s ued ec son n a r
5,
ng antf e s or ne hs

( 1 - 0 . A rq e tf rrviw wa fld wih t Ap e l Co n i a d d ne o Ap i 1
R. 9 3 1
eu s o e e
s ie t he p as u cl n e id n rl 4,
2016. ( 16j
R. - .
A . H e r ng Tes i ony
ai
tm

TheALJhel ahe rngonOcober1 201 g 351 Pli ift stfed t ts was51
d ai
t
5, 4. R. . a ntf e ii ha he
ye sol on t da eoft hea i
ar d
he t
he rng. g 3 1 S el e wi h rh s n a dd sn tc r f r
R. 7 . h i s t e u ba d n oe o ae o
v
h
i
c
ied
a mi chidr g 40) Pl i ifdoesnotdrvebecauseherPer ocetm akesherverytr
ny nor l en. R. . antf

a bl r he vii
nd u s r son. 1 She ls wor d i 20l1asa nur e a a hos t ,buts ha t sop
d.
a t ke n
s t
pial
he d o t

wo ki bec us s c d no l r wak t halsortke c e ofhe paint. ( 41.
r ng a e he oul
onge l he l
a ar
r te s R. )
Pl ntf wasputon pr to f rofe lavi e ry a tc lng of 'd t he pan. I Her
ai if
oba i n o tn e ng a l nd sali
f ue o r i d.

RN lce ewasvai a a tvet ough2015. ( 421
i ns
ld nd ci hr
R. .
Pl i tf expl ne t t s c nnot vac
a n if
ai d ha he a
uum ,m op,or s e p, bu t t s c n c
w e
t ha he a ook ver
y

smpeme l. ( 4 1 Plitf d e n th v fin so u eac mp tri h rd iy lf.
i l as R. 3 . an if o s o a e re d r s o u e n e al ie
She doe pari pa e i s i lm e a o a lm ied ba i. l Pl i if tave s once a ye r by
s tci t n oc a
di n i t
ss d
antf r l
a

ar a ,butta lngma he trd. ( 441 Shewache t t t eehour oft e sona
iplne
rvei
kes r ie R. .
t s wo o hr
s elvii
da fom he r ci r g 45) Plitf ti t ra booksbuthastoubl c e rtng a
yr
r e lne . R. . anif res o e d
r e onc ntai nd

lo igd wnd et h rn c pan.
o kn o u o e e k i

S eu e t e j yg r e n a dg i t teb a h b t
h s d o n o ad nig n ong o h e c , u

s c nno r lypa tci t i t eaci tesa
he a t eal ri pae n hos tvii nymor g 461 Shetist stouti f a
e. R. .
re o i sde or t
2A lr f e e a et t r cor oft adm i srtvepr ee ng Gl by t Comm isone i Doc tEnty 31
l eernc s r o he e d he
nita i oc di
ed he
si r n
ke
r .

l s a ho ada 1
ea t n ur y. d.
Pli tf t tfedt t whies i nota r ofa taumat he ba s ha ar ptzed
a n if esii ha , l he s
wa e ny r
o r ck, he d u lr

ds a dalmie tmyi 201 ( 414 1 S eas h sad g neaied s i h rn c b t
ic n n n co n 2. R. - 2 . h lo a e e rtv ic n e e k, u
s h sn pln t h v s r e y o i. g 45 . Plitf as h sb ltr lc r a tn e . (
he a o a s o a e u g r n t R. 1 anif lo a iaea ap l u n l R.
4 1 S eh sara y h d s r e yo bohamsa dd e n t n t r c iet erla es r ey
8 . h a le d a u g r n t r n o s o wa t o e ev h ee s u g r
rc mme d d t he o e t y a sp irt te h ai u tlhe p i i u e c nr l (
e o n e o r v r wo e r ro o h e rng n i r an s nd r o to . R.
4 -9.
84 1
Pli ifs sahafapac ofcga etsperda a i tyi t qui. ( 461 Sheha
antf moke
l
k i r te
y nd s r ng o t R. .
s
me c l i ur nce I Pl ntf t s t f l ng m e ca i daiy:Pe c t i of n,
dia ns a . d
ai if ake he olowi
di tons l
r oce , bupr e

Xa a , Cy at f r d p e so a d Zei f r hih c lse o . ( 4 - 8 . Ce ti
n x mb la o e r sin, n
ta o g hoetr l R. 7 4 1
ran
me c tonst tPli ifhast ni t pas ha e cebae herpan. g 481
diai ha antf
ake n he t ve xa r td
i R. .

Plitf sae t a h rmo d i n tsa l o h r me iai n ( 49 . Sh i v r
an if ttd h t e o s o tb e n e dc to . R. 1 e s ey
de e s d a suggih, has t as he hus nd t r pe t t ngs a has i s wih he
pr s e nd l s
o k r ba o e a hi , nd
s ues t r
c e r ton a f l wi die tons 1 Pl ntf doe no ha a f malpan m a ge e
onc nta i nd olo ng r c i . d. ai if s t ve or
i
na m nt
docorbec us apa tdoc orwant t i a aTENS u ti he s ne,whih s di notwa ,
t
a e
s
t
ed o mplnt
ni n r pi
c he d
nt

a be us pan ma ge ntdoct s a e mor e
nd ca e i na me
or r
e xpensve t go t ( 50- 1 Pli ifs
i o o. R. 51 . antf
prm a y c r doc or D r Thom a ,m ana s he pa n w ih m e c ton. I
i r ae t , .
s
ge r i t
di a i
d.
Pl i if i no s i a ps hi t i t be us s i l ng f one t t a e s he
a ntf s t ee ng
yc a r s ca e he s ooki or
ha cc pt r

i urnc ( 521 Shedi notlkehe prorps hitit
ns a e. R. .
d i r i yc ars.

Plitf sils e t ngst tae
anif tl e s hi ha r

nott r a hea svoi s a m usc. I She wasdi nos d wih depr s i a a 3 buti
he e nd r ce nd
i d
ag e t
e son t ge 0,
t
was m a ge w ih m e ca i w hie s w a w or ng. I Pl i i fi m or de es e now ,s
na d t
di ton
l he s
ki
d
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e pr s d
o

t me c tonsnol
he diai
ongerwor g 53) Sheha hadnoipaintps hiti hos tlz tons
k. R. .
s
n te yc arc piaiai .
Pl ntf di s e a t r pi t buts no l ers e t t r pitbec us t r py di nothe p
ai i f d e he a s ,
he
ong e s he he a s
a e he a
d
l

he . I She ha no e ge
r d
d
mer ncy r
oom viis i t sx m ont pror t t hea i and no
st n he i
hs i o he rng
hos t lzai f t ye rprort t hea i
piai tons or he a i o he rng. 1 .
d

Pl ntf e re e al ofpai t oughoutherbody. g 5 . Sitngf mor t n 1
ai if xpeinc s ot
n hr
R. 44 ti or e ha 5

t 2 miu e c u e h rlwe b c a h pp i a dt nhe lg sa tog n mb. ( 5 , 6 .
o 0 n ts a s s e o r a k nd i an, n he r e s tr t o u
R. 4 5 1
Plitf wa ç r tyu c mf ra l'stiga t eh a ig. g 5 ) S eu e ac net waka d
an if s ç et n o o tbe' i n t h e rn R. 6 . h s s a o l n
p
t
c n o wakfrmo et a ah l h u p rd y. g 5 . Plitf h sc r a t n e i b t ams
n n t l o r h n af o r e a R. 41 an if a a p l u n ln oh r ,
s s c r otdo c put rw or I Bot of Pl i if s hands a e num b,s c n onl wrt a
o he a m
om e
k. d
h
a ntf
r
he a
y ie

fw lne a atme a s c nno t
e i s t i , nd he a t ype. ( 551 Pli ifsrghtha as s kes a he lf
R. . antf i
nd lo ha , nd r e t
ha oc asonaly s ke aswel I
nd c i l ha s
l. d

Shehaspr e grppi orhol ng onot ngs (
oblms i ng
di t hi . R.

5 1 S eh sto bl se pnga d h st n p d rngted y ( 5 ) Sle me iai n h v
6 . h a r u e le i n a o a u i h a . R. 4 . e p dc to s a e
ha t ma sdeefcsfrPl ntf i t pat ( 551 Pl ntf c r tlf andpouraf l
d oo ny i fe t o ai if n he s. R. . ai if amo it
ul

c nan ro o a ej iewih u h rhu b n ' h l g 5 - 7 .
o tie f rng u c t o t e s a d s ep. R. 6 5 1
Pli ifhasgane 20 poundssnc s soppe wor ng. g 57 . The e r wei
antf
i d
i e he t d ki
R. 1
xta ght
c us s Pl ntf s kne t gi ou . 1 Pl i ifha t oubl dr vi be us s ha a lm ie
a e ai i f
es o ve t d. a ntf s r e i ng ca e he s i t d
r nge of m o i of he ne k. I W hie Pl i i f di brng a ca t t he r ng, i was not
a
ton
r c
d
l a ntf d i
ne o he a i t

p ec ie ( 5 1 He d co d dtl h rs es o l p o byu et c nesn es eha be n
rs rb d. R. 9 . r o tr i el e h h ud r ba l s he a ic h d e
f li
a lng. 1
d.

Pli ifdoe notlkege tng s ge isbe aus t ha ca e s ma pr emsi t
antf
s
i
ti ur re c e hey ve us d o ny obl
n he

pat ( 601 He c pa t
s. R. . r ar lunnels ger i 2007di notrs vehe pr e wihhe ha . f
ur y n
d e ol r oblm t r nds #.

Th p o lm h s a t ly g te wo s . g 61 . Plitf' 2 2 b c s r ey na e h r
e r be a cual otn re R. ) anifs 01 a k u g r n d e
c ton wor e.
ondii
s

He gr t tpani i he ne s des ams a l bac g 62)
r eaes i s n r ck, houl r, r , nd ower k. R. .

Sha p pa n a s r di t i o he l gs i s w a kst f .
r i l o a a es nt r e f he l oo ar

Pl ntf c nnotr ac up a gr b
ai if a
e h
nd a

a hi duet he s de pan,a he wrs gi outa wel. ( 631 Sheca r a h a
nyt ng
o r houl r i nd r it ves
s l R. .
n e c nd
4

g a i fontofhe . I Pli ifsde es i i s ve e,a s wa st se alt tm e. g
rb n r
r d
antf
pr son s e r nd he nt o lep l he i
R.

6 - 4 . S eh sto l wihh rs o ttr me r . g 6 1
36 ) h a rube t e h r-em mo y R. 4 .
Dor Ta o ,t vocai lexpe t tsiid a t he rng. ( 671 The ALJ frt
ma ylr he
tona
r, e tfe t he ai
R. .
is
pos d a hypot tc i whih an i vi loft s me age e
e
hei al n c
ndi dua
he a
, ducai a wo k e ince a
ton, nd r xpere
s
Pli ifha t f lwi lmia i :o y lgh wor wih t a lt t oc sona l lf a o
antf d he olo ng i t tons nl i t k t he biiy o ca i ly i4 nd/ r
c r y up t 20 pounds a f e nty lf a or ca r u t 1 pounds no s ti lm ia i ;
ar
o
nd r que l i t nd/
ry p o 0
;
itng i t tons
s a ng a w a ki lm ie t sx hour i a e ghthourw or y'occ s ona posur f tons
t ndi nd l ng i t d o i
sn n i kda , a i l t al unc i
ofc i bi r ps o s a r ,
lm ng nm
r t i s knee i a s oopi ,no cr w lng a no clm bi ofl dde s r pe ,
lng, nd t ng'
a i nd
i ng a r , o s

ors afol ;no c t ntfnebia e a m a pulton,butfe nta oc asona r
c f ds
onsa i
lt r l ni a i
r que nd c i l emai i ac ;
n nt t no
ove he d lfi no ove he ca r ng, a no ove hea r c ng w ih t bia e al uppe
r a i tng,
r ad r yi
nd
r d ea hi
t he l t r
r

e r mii 'a c pact t r m e r unde sa a ca y outa l s SVP 5 i tuc i a
xte tes nd a iy o e mbe ,
,
r t nd, nd n.
t ea t
nsr tons nd

p ro m a la tSVP 5j bsa c n itn wi tel we te d o s ildwo k ( 686 1 Th
ef r t e s
o s o sse t t h o s n f k l
h
e r . R. - 9 . e
voc tona e r e a ned t ts h a i vi lw oul be a e t pe f m he pa tw or a a
a i l xpe t xpl i
ha uc n ndi dua
d
bl o r or
r s
k s

homeheat c di t onl ( 7 .
lh oor naor y. R. 0J
The ALJ t n a
he dded t t hypot tca t t t i vi l s d be al wed t
o he
he i l ha he ndi dua houl
lo
he
opporuniy t ale nae bewee sti a sa ng,butt tt swo d notc us t i vi l
t t o tr t t n itng nd t ndi
ha hi ul
a e he ndi dua

t b o fts . g 7 ) Th v c to a e p r sae t a, o t h meh at c o dn t ra dal
o e f-a k R. 0 . e o ai n l x e t ttd h tf r he o e lh o r iao n l
d y
s uptve f he
j b ta p r tatr aig sti g a d sa dng p sto s i woul onl be dir i i t
o s h t emi len tn itn n tn i o iin , t
Pl i tf c d nots tf ratl a ta ha fhoura a tm e. f
a n if oul
i o
es
l
t i
#.

Fort t r hypot tc ,t ALJcombi d t fr ta s c hypot tc l a t n
he hid
he ial he
ne he is nd e ond
he ia s nd he

dr dt SVP lve t 3t 4. g 71 . Shet nas di t r ar a ta frbl s lsfom
oppe he
e lo o
R. 1
he ke f hee e ny r nsea e kil r

te p s wo k ta wo l ta se t ohe lg tS 3 t 4j b . f . The v c to a e p r
h a t r h t u d rn fr o t r ih VP o o s #
o ain l x e t
rs o d d t tt eta sea e s il fo p s wok wo l ta se t t ej b o c mp n o
e p n e ha h rn frbl k ls r m a t r ud rn fr o h o s f o a in,

r c p ins, ip th r h s ia a mit gcek, fkehepe, n o de c le . g 717 1 Th
e e to itd s ac e , o ptl d ti lr o t l r a d r r alr R. - 3 . e
n
e p r as e li e ta t o l j bta tt al ftecie i,ss d n ay rq r so c so a
x et lo xpan d h the ny o h t is l o h rtra i e e tr , e uie c a in l
fn ma iulto a di a t eu k l dlve wo l b s r ela es se mo tr g 7 1
ie np ain, n s t h ns il e l ud e u v ilnc y tm nio . R. 3 .
e
Fort f t hypot tca , he A LJ r duce s andi and w a ki t f hour outofan
he ourh
he i l t
e
d t ng
l ng o our
s

eg th u d y ( 7 - 4 . Th v c to a e p r tsiidta t h meh at adej bwo l
ih -o r a . R. 3 7 1 e o ai n l x e te tfe h t he o e l i o ud
h
b ei n td b tt a t j bso c mp nin r c p in s,ds th r a d a mi cek wo l
e l ae , u h t he o f o a o , e e to it ipac e, n d t lr u d
mi
alw f rr d e sa dn a wakng g 7 . Fo t ffh h p te ia,te ALJ rd c d
lo o e uc d tn ig nd li . R. 41 r he it y oh tc l h
eue
sa ng a waki t t hour outofa eghthourda a t e r sa e t tt s me
t ndi nd l ng o wo
s
n i y, nd he xpe t t t d ha he a

j b wo l rman 1 . F rt esxh h p teia,heALJsae t a t eid vd a wo l b
o s ud e i. d o h it y oh tc l t
ttd h t h n i iu l u d e
o fa kp y ial f r n -hr o a eg th u wo k a , ndt e p r sae t t oj b wo l
f ts h sc ly o o et id f n ih - o r r d y a he x e t ttd ha n o s ud
al w f t s
lo or hi.

Fi l f t s ve h hypot tc l t ALJas d i t i vi lco d be
naly, or he e nt
hei a , he
ke f he ndi dua ul

a hom e hea t c di t i s ha t us a c ne w he w a ki t a f om a wor s a i
lh oor na or f he d o e a
n l ng o nd r
k t ton. I
d.

Thee r sae t tt i vi c dno bea homeheat c di t ,butc d wor a a l
xpe t t td ha he ndi dual oul t
lh oor na or
oul
k t1

ofheoh r o sl tde rir g 7 1
t te j b i e ale . R. 5 .
s
Pl ntf s c
ai if ouns a ke t voc tonal e r w he he c ngi t A LJ' fr t
el s d he
ai
xpe t
t r ha ng he
S is
hypot tca by r
he i l educ ng bia er lfne m a pul ton t occ i lw o d i pa tt i vi '
i
lt a i
ni a i o as ona ul m c he ndi duals

a l yt wo ka p sj bs ( 7 ) Th e p r rs n e ta teidv d a c ul sil r a
bit o r t a t o . R. 6 . e x e t epo d d h th n ii u l o d tl wo k s
i
a nur e butnota a hom e he t coo di t .
s,
s
alh r na or

Pl ntf c
ai ifs ouns lalo a ke i t ALJ'
e s s d, f he
S

hypot tc w a lm ie t occ s onal ove he d r ac ng, whe her i w oul pr c ude t
he i al s i t d o
ai
r a e hi
t
t
d el
he

c mp no j b ( 81. Th e p r sae ta i wo l . 1 . Plitf sc u e a k d h w
o a in o . R. j e x e t ttd h t t u d d an if o nsl s e o
misn t ret fv d y o wo kp rmo t wo l af c a idviu ls o , n t ee pet ttd
sig h e o i e a s f r e nh u d fe t n n i d a' j b a d h x r sae
t ts ha i vi woul notbee oya e. g 8 . Ne , ai ifscouns c ng t
ha uc n ndi dual d
mpl bl R. 21 xtPl ntf'
el ha ed he
ALJ Shypot tca t addt lm iai n t tt i vi hasltl r ngeofm oton i he ne k.
'
he i l o
he i t to ha he ndi dual
ite a
i n r c
6

l The e r expl ne t ts h an i vi lwoul notbe a et do ce ialwo k, buts
d.
xpe t ai d ha uc
ndi dua
d
bl o
lrc
r
he

c udd t oh r o s at o g s wo l b ftg e l
o l o he te j b , lh u h he ud e ai u d. d
B. M e c lRe or Evi e
di a c d denc
I r ac ng he de son t de Pl n if s be ft ,t ALJ r e
n e hi
r cii o ny aitf
ne is he
eviwed t m e ca
he di l
evi nc ofr co d, her e n pori ofwhih i s ma i ed e onol cal be o .
de e e r t elva t ton
c s um rz hr ogi ly l w
Fr Odobe 1 2010, t Oc obe 24, 2011 Pl i if s w Dr Andr w Bei f
om
r 0,
o t r
, antf a
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e
ls or

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o tr ltd an. R. 8 - 0 1
b r 0 01 , . ls oe h t h ne to o
Pli tf s rght he l s ha ha good r s t a t t Pli ifs rg f tr alt
a n if i
e pur d d
e uls nd ha antf i ht oot a s unnel

s n rme c nr cu eo j i t a k ea d fo , an i j itiv l n a kea f o , hle
y d o , o ta tr f o n of n l n o t p i n on n ovig n l nd o t Ac ils
tndonii,c l ne s ,c r t eofplnt rf s i ,a neur l anoswe eal i ovi . g
e
ts aca al pur ontacur
a a a c a nd
a gi
r 1 mpr ng R.

3 7 . OnJ n r 1 ,2 1a d J n ay 31 2 1 Dr Bei p ro me a tr c ne i o ah e
01
a uay 7 01 n a u r , 01 , . ls e f r d rh o e tss f e l
s a srppi ofPl ntf srg f f rhe plntrfs its ( 29730;303- .
pur nd ta ng
ai if iht oot o r a a a cii. R. 3041
On Augus 30,2011 Pl ntf we t t e r ncy r wih fank pai ( 2721
t
, ai if nt o he mege oom t l
n. R. .

S ewa dig o e wi p eo p rtsa dwa te td wihme iain ( 2 2 7 4 Plitf
h s a n s d t y lne h ii n s rae t dc to . R. 7 - 3 . anif
h
ha ac s x-a pe f
d he t r y ronneda wasde e m i dt ha s m es egme al t l c a i i t rg
nd
t r ne o ve o ubs
nt a e e t ss n he i ht

lngb s wi n a tv i flrt. g 25 1 Sh as h darna CT s a . ( 26 1 A d co
u a e t o cie n i ae R. 7 . e lo a e l c n R. 0 . o tr
h
t
de e ne t tPli ifha apr bl c ti t lf ki ne
t nni d ha antf d oba e ys n he e4 d y.
On Se e be 1 2011 Pl i ifs w Dr J n' Tho a f ra e r nc r
ptm r 6,
, antf a
.e y
m s o n me ge y oom f l up.
olow-

g 25 ) S ec mp an dta s ewa d p e sd,ha t ed p e so h dbe ng a ua, n t a i
R. 3 . h o lie h t h s e r se t th e r sin a e r d la d h tt
ha be n occ rng i a pe sse pa tr f ye r . I She sa e t ts f l bl s d,a
d e
uri n
r itnt te n or a s d
t t d ha he et ue, a nd
tr d,a t tt de e son ha be n i r a i
ie nd ha he pr s i
d e nc e sng. 1 Pli ifalo compl i ofebow pan
d. a ntf s
aned
l
i

a ne olt a i.
nd phz ihiss

Thephysc e m wasnor l ( 253- . Dr Thomasi e s d
ial xn
ma. R. 541 .
ncra e

Pli ifsde esinme c tona puthe onme c tonf herburii. @ 25 .
antf pr so diai nd
r
diai or
sts R. 41

On Se tmb r2 2 1 Dr Bei n td t tPlitf srg tf o c n rcu eo j ito
pe e 7, 01 , . ls o e ha anif ih o t o ta t r f on f

a kea df o , ani on iv l n a k ea df o , n Ac ilstn o ii weeal re i ,
n l n o tp i nj it n ovig n l n o ta d hle e d nts r lwo s nng
b tta h rc la e ls u wa i r v n . ( 2 6 . Hep ro me srp n r n abo ta d
u h t e ac n a p r s mp o i g R. 9 1
e f r d ta pig n o n
no e t tPli if swo k sauswaslmie t s nt y dut f
t d ha antf
r tt
i t d o ede ar
y. #.
On Oc o r4,2011 Dr Belsno e t tPli tf sM Rlha s wn no Ac lest a ,bu
t be
, . i t d ha a n if
d ho
hil e r t

ha s wnp a trfs i i, d ra na s u , ndt i nn o t ea k ec ria e g 2 2 . He
d ho lna a ci s a o s l v p r a h n ig f h n l atlg . R. 9 1
t
as n td ta Plitf srg tf o c nr cu eo j ito a k ea f o , ani j itiv l n
lo oe h t anif ih o t o ta tr f on f n l nd o t p i n on n ovig
a e a f , a A c les t ndonii wer a l w or e ng,but t t he c c a s w a
nkl nd oot nd hil e
ts
e l
s ni
ha r al ane l pur s

i r vn ( 2 3 . Herpo td ta Plitf h d v n use oim a d tr o i o d e
mp o ig. R. 9 1
e re h t an if a e o mb ls n h omb ss f e p
ves e s of he rght dit l l e e r iy. l Dr Bels ha Pl ntf c i t t ke pai
sl
r i
s a ow r xtem t
d
. i d ai if ontnue o a
n
m e ca i a us a f a ur wal r
di ton nd e r ct e ke .

An Ocobe 6, 2011 M Rl of Pl n ifs rght tbi a fbul s
t r
aitf i
i a nd i a howed no a mal
bnor

mor ogyorsgnaloft Ac lesa ur i. g 3381 TheMlls
phol
i
he hil pone oss R. .
t howedmi ma e ma
ni l de
i t pr m a as c ofKa ' f tdee t t Ac lest
n he oxi l pe t
gers a
p o he hil endon 5 c pr m a t isi e ton.
m oxi l o t ns ri
I
d

OnOco e 2 2 1 Dr Bei noe ta Plitf' rg t o tc nr cu eofoit fa ke
tb r 4, 01 , . ls td h t an ifs ih f o o ta tr j n o n l
a d f o,p i i j iti v li a k ea d f o , nd Ac le tn o tsweea1wo s nn ,b t
n o t an n on n ovng n l n o t a
hi s e d ni
l
i r l re ig u
t thercaca als wa i ovi ( 291 . Herco
ha
l ne pur s mpr ng. R. 1
e mmende t Pl ntf be lmiedt
d hat ai if i t o
lg du y a wor
i ht t t k.
On O c obe 27, 1, ai i fpr e e t D r And e Gr s f pa n m a ge e ofhe
t r 201 Pl ntf es nt d o . r w os or i na m nt
r

l ra nec pan. ( 2841 Henot t tPli ifha anonnal ta a ae wihout
umba nd k i R. .
ed ha antf d
gai nd mbultd t
a lmp. ( 286 .Dr Gr sas not t ti gi ofPli ifsc r c a l
i
R. 1 . os lo ed ha ma ng
antf e vial nd umbars nes
pi
s
howe mid dege r tve dic die e a ose rhrts of t c r ca s ne a m i m a
d l
ne a i
s s as nd t oa t ii
he e vi l pi nd ni l
8

de ne a i dic diea e oft l
ge r tve s s s
he umba s ne. f Dr Gr s di gnos d Pli ifwih ca pa
r pi
#. . os a
e a ntf t r l
t ls ome,c us gi ,s c oiits l
unne yndr
a al a a r lii , umbos cr ls
a a pondyl i wiho m yeopahy, ne k pai
oss t ut
l t
c
n,

a lw b c p i g 2 7 . He rc mme e ij cins me iain,a d p sc lte a y
nd o a k an. R. 8 1
e o nd d ne to , dc to n hy ia h r p .
An Ocober31,2011M RIofPl i ifsl
t
antf umba s ne s
r pi howed f r m i land l t a n ar
o a na
aer l nnul
bul eon t rg sdea 14- wih pa ta e f e e toft pe i ur lf ta oundt e tngrght
g
he i ht i t . 5 t ri l fac m n
he rne a a r
he xii i

14n r er o . g 3 7 .
- e v o t R. 3 1
.
OnNovembe 15, 1 Dr Gr snot t tm e c tonsonl pari lyr ive Pl i ifs
r 201 , . os ed ha di ai
y tal ele d antf

p i g 2 0 . Hee p an dt a Plitf wa n tt r tl t f l d t wo k o a id fn t
an. R. 8 1
x lie h t anif s o o eu' o ul u y r n n n eiie
n
b ss ( 28 1 On De e e 1 2 1 Plitf a an s w Dr Gr s f rh rb c p i. g
a i. R. 2 .
c mb r 9, 01 , an if g i a . o s o e a k an R.
2 6 . He e pan d t a e i u a ij cin h d ete gv n n r le o ma ePlitf p i
7)
x lie h t p d r l ne to s a i r ie o eif r d an ifs an
h
wo s , n h g v he a a dto a ij cin ( 2 6 7 1 Dr Bei as s n Plitf f ra
re a d e a e r n d iin l n e to . R. 7 - 8 . . ls lo e t anif o
s r ia e auai n g 2 1
u g c l v l to . R. 78 .
On J nuay 5,201 Pli ifs w Dr J Sazirf aneur ur ca c ulai g
a r
2, antf a . ohn r e or
os gi l ons tton. R.
31 . Dr Sazirdi
01
. r e agnos d Pli ifwih l rs nalse i a notd t tPli ifha
e antf t umba pi tnoss nd e ha antf d
e used c e v tve t rpy. ( 31 . He ofeed Pli ifs giali er nton,and s
xha t ons r ai hea
R. 3j
fr antf ur c nt ve i
he
satd t ts wihe t pr e t s ge y. I On J nuar 11 201 Pli ifhadarghtsde
t e ha he s d o oc ed o ur r d
a y , 2, a ntf
i -i d

14- f a not (a ltr he lmi omy,medilf ee t a frlt a dice tmy)
. 5 ormi omy fr aeal mia not
a ac tcomy, nd a aerl s co .
g 26 .
R. 41
Pl ntf ha a ec a di a pef d on J nuay 1 201 ( 2581 l wa
ai if d n hoc r ogrm ronne
a r 2, 2. R. . t s

d tr n dt a h re tmae lf v n rc lree to fa to wa 5 - 0 , e rg tv n rc lr
eemi e h t e si td e t e tiu a j cin r cin s 5 6 % h r ih e tiu a
c m be sze a s t i f ton w e e w ih nor a lm is a phys ol c m ir la bi us d
ha r i nd ys olc unc i
r t
m l i t , nd
i ogi t a nd c pi
val r ur t ton c d be o e ve
ve eg gia i
oul
bs r d. l
d

Pl i if w as di nos w ih i r ope atve
a ntf
ag ed t nt a r i

brdycadi g 271 .
a r a. R. 1
9

On J nua y 26, 201 Pl i if s w Dr S r ir fr a p so e ai e v st ( 3 0 .
a r
2, a ntf a
.
a ze o
o t p r tv ii. R. 6 1

Pl i ifsa e t ts ha wor e ng pai buti dif r nta e - i t t rghtgr n a rght
antf tt d ha he d
s ni
n,
n fe e r as n o he i
oi nd i
hi r on. I Shesa e t t pai e e d down t pose i as toft lg a lt wa
p egi
d
t t d hat he n xt nde
he t ror pec he e 1 he y
down t t a e. l Pl ntf e aned t ts ha t us a c ne t wal f f a t ts
o he nkl d. ai if xpl i
ha he d o e a o
k or e r ha he
w oul f l s co r t t w ea
d a l e nda y o he
knes i he l
s n r eg. 1 She s a e t tPe c e a V a i onl
d.
t t d ha r oc t nd lum
y

hel d wih t pan t a e e ta t tt m e c tonsm a he tr d.
pe t he i o n xt n nd ha he di ai
de r ie

On J n r 31 2 2 Plitf ha a M Rlo h r lmb r s n . g 3 4 . l wa
a uay , 01 , an if d n
f e u a pie R. 3 1 t s

d tr n dt a s eh do e aiec a e a t rg t a e j i t t14 5wihe h n e n o te
eemi e h t h a p rtv h ng s t he ih f c t o n a .- t n a c me t f h
r g f a e a ar
i ht or m n nd ound t 15 ne v r w ih i e va de l e ofe nc m e oft sr g
he - r e oot t nt r l ve opm nt nha e nt hi i ht
,

S1ne v r . 1 Shewa notf
r e oot d.
s
ound t ha r c r tdiche nito I
o ve e uren s r a i n. d.

Pli ifs w Dr SazironFe ay 9, 2. g 3731 Shesatdt ts c i dt
antf a . r e
bnzr 201 R. .
t e ha he ontnue o
ha r g hi a gr n pai t tt a l d t he rghtknee c f a t t ofhe r g f .
ve i ht p nd oi
n ha r ve e o r i
, al, nd he op
r i ht oot

Dr Sa zirnot t tPl ntf ambul edwihoutt us ofa as itvede c a pr crbe he
. r e ed ha ai if
at
t
he e n ss i
vie nd es i d r

a tbo is a d Arh oe t a i h rb d rj cig t e s tr s f . P an ifn x sw Dr
ni itc n tr tc o vod e o y ee t h uu e . # litf e t a .
n
Saze o Fe ay28,201 g 3581 Sheconi t c anofpanprma iyi t rght
rir n bnzr
2. R. .
tnued o ompli
i i rl n he i
butoc and i ot lt r a pe tofhert gh. f Shecl med t ha no i ove tfom
t ks
nt he a e al s c
hi
#.
ai
o ve mpr men r
t s g yandr td s
he ur er
epore omeoc sonal i ngon t bac pa t he c f 1 Pl ntf sa e
ca i tngi
he k r of r al. d. ai if tt d
t t Pe coc t and Valum heped t dul t pan. 1 The docor r omm e d physca
ha r e
i
l
o l he i
d.
t ec
nde
i l
t r py. I On M a ch 1 201 Pl i tf s w D r Sa zi r a c pl i d of pai i herr ght
he a
d
r , 2, a n i f a
. r e nd om a ne
n n
i

butoe t twe i o t lt a a pe ofhert gh. ( 3721 She cli d t ha no
t ks ha nt nt he aerl s ct
hi
R. .
ame o ve
i pr m e snc t s ger a des i d occ i ltnglng i t bac pa tofhe ca f 1
m ove nt i e he ur y nd crbe
as ona i i n he k r
r l. d
l t M a c 23, 201 Di a lt De e na i Expl na i n a t i ta l vel t
n he
rh
2, s biiy t nni ton
a t o t he nii l e , he

m e ca co ula f und t t Pli if c d pe f m s led, s de a y wor a was not
di l ns t nt o
ha antf oul ror kil
e nt r
k nd
10

ds b e . ( 9 - 5 . l t e J e 25 2 2 Dia iiy Deemiain Ex ln to a te
ia ld R. 4 9 ) n h un , 01 , s b l
t tr n to p a ain t h
r c i r ton lvelt medial ons t ntf
e onsde a i e , he
c c ula ound t tPl ntf c d sa a orwak f at a
ha ai if oul t nd nd/
l or ot l
of f hour i a e g our
s n n i hthour wor y,co d pe f
kda
ul ronn s le , s de ar wor a w a not
kil d e nt y
k, nd s

dia e ( 1 4 1 7 .
sbld. R. 0 - 0 1
Pl n if s w Dr Thomas o M a c 29,201 f he de e son. g 4 3 . S
aitf a
.
n
rh
2, or r pr s i
R. 6 1 he

des rbe f elng bl a s d,f elng tr d,beng una e t co e r t , bei a ous a
ci d e i
ue nd a e i ie
i
bl o nc nta e
ng nxi
nd
i fe e , vi ac ngei a tt ha ng e s sofs a ousc y ng, ha ng difc t
ndif r nt ha ng ha
n ppe ie, vi pi odt
pontne
ri
vi f uly
s e pi and an i biiy t t ke pl as e i he f m e i t r t . I Pli if di notha
l e ng,
na lt o a
e ur n r or r n e es s d
antf d
ve

a ey ors ci li a i
nxit
ui da de ton. 1 Dr Thomaspr crbe m e c ton. f .
d. .
es i d di a i
#

Pli ifsw Dr Sari onAprl3,201 ( 371. Sherpore t tphysca t rpy
antf a . zer
i
2. R. )
e td ha
i l hea
ha no he pe t tt s ge y m ay ha m ade he pai w or e,a t ts e
d t l d, ha he ur r
ve
r n
s nd ha he xpere d s if s
i nce t fnes

i he l rba k,a hi s i he hi ,a i biiy t m o ,a hi sa r st ba eofhe s ne,
n r owe c c ne s n r ps n na lt o ve c nes c os he s
r pi
a a r c r e of he c r l t
nd e urenc
r a pa unnelbia e al
lt r ly.

D r Sa zi r e ai d t t Pl ntf '
. r e xpl ne ha ai if s

posope ai i ng ofhe s nea hi di no s
t r tve magi
r pi nd p d t how sgnii a pahol t twoul e ai
i fc nt t ogy ha
d xpl n
Pl ntf s c
ai if ompli s I
ant . d

Dr Sa zir r f r e Pli if t a ps hi tit I
. r e e e r d antf o
yc ars. d

He a s
lo

dico i d Pl ntf sVa i and g he t l s pr s rpton ofPe coc the wa wilng t
s ntnue ai if
lum
ave r he a t e c i i
r e
s li o
pr c i . I
es rbe d

On Ma 1,201 Pli ifs w Dr Robe tM e z r fraps hiti co ulai @
y
2, antf a . r h be g o
ye arc ns tton. R.

3 8 . Dr M e r e gn tdt a Plitf wa o Cee af rh rde rs in.
6 1 . h b r o e h t anif s n lx o e p e so

Heopi d t t
ne ha

Pli ifs fr fom a c oni pai s ome,lkey fbr l a. ( 3701 He noe t t
antf ufe s r
hr c n yndr
i l i omyagi R. .
td ha
Pli ifswi pr d pai i t y wa a 1 a he s
antf
des ea
n nven or s 5, nd r ympt m ss ve iy s or wasa 9. I
o
e rt c e
d

OnJ 7,
une 2012,Pli ifs w Dr J c Clr f ar umaol c ul. ( 3791 He
antf a . a k ak or he t ogy ons t R. .
dignos d he wih fbr li a pr ci d me cai g 3801 Pli ifsw Dr Clr
a e r t omyaga nd esrbe di ton. R. . antf a . ak
11

a an o Aug s 21 2 2. ( 3 3 . Plitf c niu d t c mp an o p i,a d t d co
g i n u t , 01 R. 8 1 an if o tn e o o li f an n he o t r
c a e he me iains ( 3 4 .
h ng d r dc t . R. 8 1
o
Pli if s Dr Thom a on Septm be 5, 201 f a f l up r ga di her
antf aw
.
s
e r
2, or
olow
e r ng

fb o aga a xey a hih lpd . g 4 1 P an ifc mpli d o sg ii a tn c a d
i r my l i, n it , nd g iis R. 61 . litf o ane f in fc n e k n
1 bac pana a ey.
ow k i nd nxit

Dr Thomasatr Pl ntf me c tons. ( 462j Pl ntf
.
leed ai ifs diai
R. . ai if

viied Dr Thom a ag n on Se e r 1 201 be us he m ed c tonshad notco r l d he
st
.
s ai
pt mbe 9, 2, ca e r
iai
ntole r

pan. ( 4 8 . Dr Th ma noe t tPlitf sa x ey wa c nr le wi me iai n a d
i R. 5 1 . o s td ha an if n it s o told t d c to n
h
p e c ie me iainf rP an ifsh pelpd mi a dfbr my li. ( 45 1
r srb d dc to o litf y riie a n i o aga R. 9 .
On Oc obe 1 201 Pl ntf ha ac ul wih Dr Ada Shuse r ga di he c oni
t r 7, 2, ai if d ons t t . m
t r e r ng r hr c

pan,whihha wore dove t l tsxmont . ( 3881 Pli ife ai dt tnot ngi
i
c d s ne r he as i
hs R. . antf xpl ne ha hi n
pa tc a c us he pan,a s de c i d t pai a a hi bur ng,c t nt dee s p,
riulr a ed r i nd he s rbe he n s c ng, ni
onsa , p, har
s i s r s a ng,t nde ,a t obbi
hootng, o e, t bbi e r nd hr ng.

She sa e t the pa n wa m a wor e
tt d ha r i
s de
s

w ih a e y,be ng,t i tng,s a ng,w a ki c
t nxi t
ndi w s i
t ndi
l ng, oughi c d t m pe a ur s s ez ng, a
ng, ol e r t e , ne i
nd

sti
itng. 1 Pl i if e ai d t t t pai was a 9 when s woke u a t t t pai
d. antf xpl ne ha he n
he
p nd ha he n
i e f r w ih he see and da l a tvii . 1 Dr Shus erf
nt r e ed t r l p
iy c i tes d. .
t ound t tPl i ifs or d a 36 on
ha a ntf c e

t Bec de e soni nt y, c i sg fca f de e son, hough Pl ntf ha no s cdal
he k pr s i nve or whih s i nii nt or pr s i t
ai if d
ui i

ie to g 3 0 . Dr S u tr p e c ie Plitf a di o lme iain a t l h rt
d ain. R. 9 )
. h se r srb d an if d t na dc to nd od e o
i
c n iu tkn Cy at . ( 3 1 Heas r c mme d dta Pli tf s eaps h lg s fr
o tn e a ig mb la R. 91 .
lo e o n e h t anif e
yc oo it o
posi ecog tvebe vi a t rpyt hel wihherfbr l a. ( 401 .
sbl nii ha orl he a o p t
i omyagi R. 1
Plitf sw Dr Shuseragan on Nove r20,201 ( 401. Pl ntf rpore a
anif a
.
t
i
mbe
2. R. 1 ai if e td
pa n l ve of 1 a pai i he l bara e ,bia er ll re r m ii ,c r c a e a bia er l
i e l 0 nd n n r um
r a l t a owe xt e tes e vi al r a, nd l t a
uppe exte ii s f om t e bow dow n. I She s a e t t t pai bec m e w or e t pr o
r r m te r
he l
d
t t d ha he n
a
s he i r
w e k a r di t down i o he f e bia e aly and pos e i r y.
e nd a a ed
nt r e t l t r l
t ro l
12

Pl i i fa s r por e pa n
a ntf l o e t d i

i t eva ia ae a d go n a e bltr ly ( 4 2 . Sh sae t a s ewa tkng mo e
n h gn l r a n r i r a i e al . R. 0 1 e ttd h t h s a i
a
r
hydr odonet n had be pr s rbe 1 Dr Shuse not d t tPl ntf wa usng a c ne t
oc
ha
en e c i d. d. .
t r e ha ai if s i
a o

wak. 1 . Heic e sd P an ifsh d o o o e u tls ec ud c me i f rij din t ea y.
l d
n r a e litf y r c d n ni h o l o n o n e o h rp

Pli ifs w Dr Shuse o J nua y3,201 g 41 . Pl ntf co anedofpan i
antf a . tr n a r
3. R. 21 ai if mpli
i n
he l 4 s d a pose i s de sbiae al he a m sdit lt t e bowsbiae al he
r ef houl er nd tror houl r l tr ly, r r
sa o he l
lt r ly, r

lw b c h rb to k a dh rlf k e rd ai gt t eb c o he lg . ( 41 1 S esae
o a k, e u tc , n e e4 n e a itn o h a k f r e s R. 3 . h ttd
t t t pai was an 8.
ha he n

Dr S u tr a j se Plitf' me c to a d p ro d a
. h se du td an ifs diains n ef nne

ta soa n l pd r l tr i ij cina teL5 S1lv l nt erg tsde 1 . Dr S use s w
rn fr mia e iu a seod n e to th - e e o h ih i . d . h tr a
Plit f nJ n ay31 20 3 f raf lo u k 4 4 . Pli t f adt t e p i wa a 8a d
ani o a u r , 1 ,o olw- p. R. 2 1 ani s i ha h r an s n n
f
f
t ts ha pai i he pose i s de sand l ba k a butoc r di tng down t ba of
ha he d n n r tror houl r
ow c nd t k a a i
he ck

h rlg . ( 42 2 1 S etl t ed co ta t ee iu a g v h riiil eifb two eo f
e e s R. 4- 5 . h o d h o tr h t h p d r l a e e nta r l u r f.
e
( 4 1 Dr S u trp rome ac u a e i u a seod ij ci nu d rt r s o i g i a c .
R. 25 . . h se e fr d a d l p d rl tr i ne to n e l o c pc u d n e
uo
f
#.

Pli ifsw Dr Shuse on Marh6, 3,f af l up. ( 435 . Sherpore her
antf a . tr
c 201 or olowR. 1
e td
pai a a 9 a s i t ts e ince pan i he l ba a ea wih bia e a l
n s
nd ad ha he xpere d i n r um r r
t lt r l owere r t
xtemiy
r di ul t a we lasr diul t i o t gr n biaer ly,t a i ar a,a ce v c la e
a c opa hy, s l
a c opa hy nt he oi lt a l hor c c e nd r i a r a.
Pl ntf s a e t tt c udale dur pr de a
ai i f t t d ha he a
pi al ovi d boutt o wee 'r i fata
w
ks ele
bout50% .

Plitf sae t a s eddn twa ta y frh rij cint ea .
anif ttd h t h i o n n u te n e to h rpy

Dr Shusert d Pl i if
.
t ol antf

t co i onhe hydr odone, nafe andga pe i ( 4361
o ntnue
r oc
Za lx,
ba ntn. R. .
Pl ntf s w Dr Shuse onM a 2, 3. ( 4441 Shertdhe pana a9a s i t
ai if a . tr
y 201 R. .
ae r i s nd ad he
pan wasi t l
i
n he umba ar awih biaer ll
r e t lt a owere r m iy r di ul t
xte t a c opahy. I Pli tf sa e t t
d
a n if tt d ha
he hydr odone di not s m sr
r
oc
d
ee tong e
nough,but he Za l x wor d a ni . I Pl i tf
r nafe
ke t ght d
a n if
13

wa u wi ig t ty a s n l c r si ltr g 4 1 Dr Sh se p e c ie Plitf
s n ln o r
l
pia o d tmu ao . R. 45 . . u tr r s rb d an if
hydr odonea s
oc
nd ugge t d s fnd a he doc or 1
se he i not r t . d.
Pli ifs w Dr Thom a on M a 8,201 compl i ng ofs ve efbr
a ntf a
.
s
y
3,
ani
e r
omya gi , s m s i
l a pas n
t rghtl
he i umbarpar s nalr on,d la ng bac pa n,a pai r di i t t rghta l f
a pi egi ul chi
k i nd n a atng o he i
nd e t

lg . ( 4 6 . Dr Th ma n tdPli t fsn r l at ndnoma mu cesrngh a wel s
e s R. 5 1 . o s o e ani o ma g ia
f
r l s l te t , s la
he dec e s d r nge ofmoton a pa a pi usm us l s s s.
r rae a
i nd r s no
ce pa m

Dr Thom a c pl t a
.
s om e ed

tig rp itij dina dc a g dPlitf spanme iain . g 4 7 .
rg e on n e o n h n e an if i d c to s R. 5 1
Pli ifs w Dr Thoma on J 1 201 f a f l up. ( 4541 Dr Thomas
antf a .
s une 3, 3, or olow
R. . .
c i dPl ntf ont s meme c tonsf he pana anxit ( 455 . Pli ifsw Dr
ontnue ai if he a
diai or r i nd ey. R. 1 antf a .

Th ma a an o Au u t1 , 01 , o a a n lvst ( 4 0 . c a g ds meme iains
o s g i n g s 8 2 3 f r n n ua ii. R. 8 1 He h n e o
dc to
a con i
nd tnued ot r ,a he not t tPl ntf s a e y and de es i we e contole by
he s nd
ed ha ai if nxit
pr son r
r ld
m e cai n. 1 Pl n if s w Dr Thom a o Novembe 1 201 f a pa n m e c ton
di to
d. aitf a
.
s n
r 9, 3, or
i
di a i

p e c ito ( 4 8 . Plitf s w Dr Tho so Fe r ay 21 201 a d h n td ta h r
r srp in. R. 7 1 an if a . ma n b u r , 4, n e oe h t e
i
n
d p e so a d a x ey wee c nr ld by me c to g 4 5 7 j H e contnued her pai
e r sin n n it r o tol
e
diain. R. 7 - 6 .

me iain. ( 4 6 .
dc to R. 7 1
OnMa c 2 , 01 , an ifh d i gngo he hp a dp li c mpee ( 4 1 I
r h 7 2 4 Plitf a ma i f r is n ev s o ltd. R. 91 . t
w a de e m i d t ts had no f a t e ordi l a i oft hi bia e a l aswel asno pel c
s t r ne ha he
r c ur s
s oc tons he ps l t r ly,
l
vi

fa t es oseol i oros e asi bony l i . I On t s
r c ur , t ytc
t obl tc
esons d
he ame da e s ha i gi ofhe
t , he d ma ng
r

l rs nea c r ia s ne compltd. ( 489- . l wa deer ne t tPli ifhad
umba pi nd e vc l pi s
ee R. 901 t s t mi d ha antf
no fa t e ors
r c ur
pondyl it i oft l ba s ne ort ce v c ls ne,butha dege r tve
osshess he um r pi
he r i a pi
d
ne a i
s
pond ossoft c vi ls ne mos sgniia a t C5- lve . I
yl i he er ca pi
t i fc nt t he 6 e l d

Plitf s w Dr Th ma o Ma 2 2 4 c mpli ig o a xit . g 47 1 Plitf
an if a . o s n y , 01 , o ann f n ey R. 3 . anif
e a ned t t t a l e y w a a f lng of ne vous s a t t i ha be a s i t d w ih
xpl i
ha he rxi t
s ee i
r
nes nd ha t d en s oc a e
t
14

a t ton. I Dr Thom a no e t tt a et had no c us d physca s m pt sa t ti
gia i
d
.
s t d ha he nxi y
ta e
i l y om nd ha t
ha be n we lc r l by Cee pr ousy. 1 . He c nge Pl ntf' me c ton fom
d e
l- ontoled
lxa evi l d
ha d ai ifs dia i r
Cel xa t Cym bala. 1
e o
t d.

OnM a 7 2 4, anif iie Al e P ysc l ea u o Dr Th ma 'e er l (
y , 01 Pli tf v std l d h ia Th rpy p n . o s r fra. R.
i
485 . Plitf sae t ts ha ne k a mi bac pan a wa e t de r s he pan a
1 anif ttd ha he d c nd d k i nd ntd o cea e r i nd
bec
ome ls r la on pan medi to 1 Dr M at w Ha kne s c e t a pln t i pr ve
e s ei nt
i
cai n. d. . the
r s r a ed
a o m o
Pl i ifsf tonallm iai ,ove hea a viy t e a
antf unc i
i t tons
r d di t ol r nce,a lt t perol r peii uppe
biiy o f ' e ttve
m
r
e r m iy a tviy, a a ne k posur uppe e r m iy posur fe biiy,a ba k e e i
xte t c i t he d nd c
t e,
r xte t
t e, l xi lt nd c xt nson,

fe on, a r ai
lxi
nd otton. ( 486- . He di nos Pl ntf wih cevi l a posur
R.
871
ag ed ai if t r cagi, t al

d f n to ,a d d g n rtv j itds a eoft ec r ia s i / rcc s i e g 4 7 . Dr
ysu cin n e e eaie on ie s h e vc l pnet a i p n . R. 8 1 .
ho
Ha knes de e m i d t Pli ifs ul comei f physc t r t e tm e we kl f f
r s t r ne hat antf ho d
n or
i al he apy hr e i s e y or our
w e ks
e .

Pl ntf a t d physca t a a A li d Phys ca Ther py 1 tm esf om M a 1
ai i f tende
i l her py t le
i l
a 3i
r
y 2,

e e e i
ng
2 4,oSe tmb r2 2 4 ( 5 4 5 1 A tt l tvii,sher portd f elng w eak and havi
01 t pe e , 01 . R. 2 - 9 . he as st
s t e ha
he
he
d fiut wi h rwakng ( 5 8 . She alo sat d t therneck att base oft neck had
ifc ly t e li . R. 5 )
h

be pai ul I The physc t r pit no e t Pli if ha s c a t nde es and
en nf . d
y
ial he a s t d hat a ntf s ubs apulr e m s
difc t wih e r
fi uly t nd angepostonsoft ne k a u re r m ii s 1
ii
he c nd ppe xte te . d.

Pli ifs w Dr ThomasonM a 24,201 a Augus 29,201 ( 51 51 . Ea
antf a .
y
4, nd
t
4. R. 0, 2j ch

tmeh n tdt a h ra x eya d fb o ag aweec n r le b me iain. ( 51 , 3 .
i e oe h t e n it n i r my li r o to ld y d c to R. 1 51 1
C . ALJ D e s on
ci i

The ALJis d herde son on Pl ntf' cai f be ft on J nuay 30,201 (
sue
cii
ai ifs l m or ne s a r
5. R.
1 301 TheALJe anedt fvese squenile uai pr es f deemi ngwheher
9- .
xpli he i -tp e ta val ton oc s or tr ni
t
a i vi
n ndi dual i dia e ( 1 21. She f
s s bld. R. 9- 1
ound t t Pl ntf me t i urd saus
ha ai if t he ns e tt
r qui e e s of t Soc al Se urt Ac t oug D e m be 31 2016,a ha no e ge i
e r m nt
he
i
c iy t hr h ce r ,
nd d t nga d n
15

s t n i ganf a viy snce Se e
ubsa tal i ul di t i
pt mber28, 2 1 ,h alg do s td t . ( 21 . Th ALJ
0 1 te le e n e ae R. 1 e
t nf
he ound t tPli ifs f r fom t f l ng s ve e i im e :l ba m yeopat a
ha a ntf ufe s r he olowi e r mpar nt um r
l hy nd
senoss fbr m ya gi,a mid c r i alde
t i, o l a nd l e v c
gene a i dicdie e wih s
r tve s s as t pondyl i. I
oss d
The ALJ s cfc l de e m i d t t Pli tf s û e ca l deer na e m e al
pe ii aly t r ne ha
a n if s di ly t mi bl
m
nt

i par nt ofde e son a a ey,c i r sngl a i c bi ton,do notc us m or
m ime s
pr s i nd nxit onsde ed i y nd n om na i
a e
e

t n mii ll tto i Plitf s a ii t p ro m b sc me tlwok a tvi e a ae
ha nma i ain n anif l b ly o ef r a i n a r ci t s nd r
mi
t
i
t r f enon- e r '
he e or
s ve e.
'

Shee ane t ts had c i e t l r a B' c ie i f
xpli d ha he
onsder d he t agr ph ' rt ra or
pa

e ua i m e al s r r a f
val tng nt di o de s nd oundt tPli ifhasnolm ia i i aci te ofda l lvi or
ha a ntf
i t ton n tviis
iy i ng,
s i lf toni ha m id lm ia i n i c enta i pe s s e o pa ,a has e r e ed
oc a unc i ng, s l i t to n onc r ton, r i t nce r ce nd
xpe i nc

no e s s ofdec
piode
ompens i of a e e d durton. g 21221 The ALJ notd t t
aton
n xtnde
ai
R. - .
e ha
medialr cor fom Dr J r y Thomas s
c e ds r
. er
howe t t Pl i ifs de es i a a ey we e
d ha antf
pr son nd nxi t
r
c r l on mediato and a s t tPli ifhasnotenga d i f
ontoled
c in
lo ha antf
ge n onnalps a rcte t ntor
ychiti r a me

be plc d i aps hiti hos tl ( 221 TheALJe anedt tthef l ng rsdua
en a e n yc arc pia. R. .
xpli ha t olowi e i l
t
f tona c pact a s s
unc i l a iy s es mentr fecst de ee oflm ia i t unde sgne ha f
e l t he gr
i t ton he
r i d s ound i t
n he
ç r r ph B'm e a f ton a l i . 1
pa ag a
nt l unc i na ys s ' d.
'

Nextt ALJdeenni t tPli ifshit yofc r lt
,he
t ned ha antf
sor
a pa unnels om ewasnon- e r
yndr
s ve e
a t i r ntwasc r t by s ge y a Pli ifhadti ac e
s he mpaime
oreced
ur r nd antf
int t xami tonswihsr ng has
nai
t te t

5 5 b ltr l ' ( 2 1 Sh as f u d ta Pli tf srg tha d te rtsn tme ial
/ iaeal ' R. 2 . e lo o n h t anif ih n rmo l o dc l
y.
i
y
d tn n be b c u e P litf h sno e tbls e b o j cie me ia e i e c t a i i a
ee nia l e a s an io a t sa ih d y be tv dc l v d n e h t t s

me ial d tr na l i an n . I The ALJ e pan d t t Plitf lu j cie
d c ly ee mi be mp iue t' d
'
x lie ha an ifs d b e tv
s
c pl i s o s m pt or com bi ton of s pt s by is f ca
om a nt r y om
na i
ym om
t el nnot c tt e a m edi aly
ons iut
c l

deer na ei r . ( 231 Shenotd t tno rg handte wasme i i t
t mi bl mpaiment' R. .
'
e ha
iht
rmor
ntoned n he
ne ol ca e m i tons a t t Pl n if s prm a y c r phys c a D r Thom a , di not
ur ogi l xa na i
nd ha ai t f
i r ae
i i n, .
s d
16

doc e a rghtha te . I Fi ly,t ALJ sae t tPl ntf t s a argh ha
um nt i
nd r mor d. na l he
t td ha ai if d plyed i t nd
di
te ora t he i butwhiet voc tonale r wast tf ng,s hadno te o . I .
rm
t he arng
l he a i
xpe t
esiyi he
r m r' d
'
TheALJf
ound t tPl i ifdoesnotha a i
ha antf
ve n mpaime orc
r nt ombi ton ofi ime s
na i
mpa r nt
t tm e t o medialy e st s vert ofone oft lse i i nt i 20 CFR PM 404,
ha e s r
c l qual he e iy
he it d mpanne s n

Subpar P,Appe x 1. ( 231 TheALJf undt tPli if
t
ndi
R. .
o ha antf
i c pa e ofper onni a w i r nge oflghtw or w ih t a lt t oc as ona l
s a bl
f ng
de a
i
k t he biiy o c i ly
lf and orc ry up t 20 poundsasdefne i t Di tona y ofOc upai lTil
it / a r
o
i d n he ci r
c tona te

(
DOT)a rg lto s a wela ,l tc ry (i) 1 p u dsfe u n l Th s
nd e u ain s l s i ar sc 0 o n r q e ty. i
f

i l
ncudess de a y wor a de i i DOT and t r a i . The cai a tha
e nt r
k s fned n
he egultons
lm n s
no lm isf sti i a eihthourwor y. She i ca bl ofsa ng a or
i t or itng n n g kda
s pa e t ndi nd/
waki f up t sx hour i a e g l ng or
o i
s n n i hthour wor y. She i a e t pe f
kda
s bl o ronn
oc sona posur f tons ofclm bi r mps sais kne lng,a soopi
ca i l t al unc i
i ng a , t r , e i
nd t ng.

Shei t pe fnn nocawlnga noclmbi ofldde sr s afol (il I
s o ro
r i nd
i ng a r opes c f ds sc . n
t c s ofwor s i t pe f m no c t ntfnebiae a mani ato . The
he oure
k, he s o ror
onsa i l tr l
pul i ns
cli a i t pe f m no ove he lfi no ove hea ca r ng a no ov he d
am nt s o r or
r ad itng,
r d ryi nd
er a
r a ng w ih t bia e al uppe exte ii . Se onda y t non- e r m e a
e chi
t he l t r
r r m tes
c
r o
s ve e nt l
i panne s t cai a r t ns t c pa iy t unde sand, r
m i nt, he l m nt eai he a ct o
rt
emembe a
r nd

c ry u (i)a la tS 5 i tu to sa d p ro S 5 ts sa c n itn
ar o t sc t e s VP nsr ci n n ef nn VP a k s o sse t
wih l te ofs le wor
t owes nd kild
k.

The ALJ at t d t ts ha c i r d al ofPl i ifs s pt m s a û he e e t
tese ha he d onsde e l
antf ym o
nd s xtnt o
t

xh e t e e s np o l c n ra o bl be a c pe a o itn wi t e o j cie me ia
v ih h s y l t ns a e s na y
c e td sc nsse t t h b e tv dc l
h
e ie c a doh r vd nc , a wela al fteo no e d n e g 2 1 S et e f lo d
vd n e n te e ie e' s l s 1o h piin vie c . R. 4 . h h n olwe
'
t t se pr s - sr t de e m i ng whe he t r i a u ryi detr i bl physc lor
he wo-t p oce s
s, t r ni
t r he e s n nde l ng e m na e
ia
me a i r
nt l mpaiment t t co d r s bl be e c e t pr
ha ul ea ona y
xpe t d o oduc Pli ifs pan or ot r
e a ntf
i
he
s
ympt , a t n e l tng t i e iy,pe sse e and lmii e f ct of Pl ntf s
oms nd he vaua i he nt nst
r itnc ,
i tng fe s
ai if
s pt m s t de e m i t e e tt w hi h t y lm i he f i
ym o o t r ne he xt n o
c he i t r und ons.

The A LJ sum m arzed
i

Pl ntf st si ony a f nd t t khe cai a ' m e c ly de e m i bl i r t c d
ai if e tm
nd ou ha ç l m nts di a l t r na e mpaimen s oul
t
r s bl be e
ea ona y
xpeced t c e t alege s pt s howe r t cli a ' sa e t
t o aus he l d ym om ;
ve , he am nts tt men s

17

c em i t i t nst pe sse e a lmii efe t of t e s
onc ng he n e iy, r it nc nd i tng f c s
hes ympt
oms a e not e iey
r
ntr l
c e bl f t r s e aned i t sdecson. 1 . Shenot d t tPl ntf i a t ough a
r di e or he ea ons xpl i n hi
ii ' d
'
e ha ai if l t hr
s
n
hourhe rng wihouta e dites .' I The ALJa s notd t tPl ntf us d a a ssi
ai
t
ppar nt sr s' d
lo e ha ai if e n s itve
de cef n b a i a t he rng, t t a s ve a e m i tonsi t r cor , Pl ntf was
vi or m ulton t he a i but ha , t e r l xa na i n he e d ai if
no no e t us ac a wa no edt a bul t no ma l 1 TheALJf rhe e ai d t t
t t d o e ane nd s t o m ae r ly. d.
u t r xpl ne ha
s l r f l o e ve ' ai if a Pli ifl sno i a obvi pan ordico f r durng
he t e uly bs r d'Pl ntf, nd antf ç
ca
wa t n ny
ous i
s m ot i
t co s oft hea i ' a tlcke t ge r lphysc a a a eofape s whom i htha
he ur e he rng' nd da d he ne a
i al ppe r nc
r on
g
ve

b e e p re cngpr ln e o sv r p i ' g 25 .
e n x ein i oo g d r e e e an. R. 1
'
TheALJf ndt tme c sgnsa l aor fndi di nots tntat a physc
ou ha di al i
nd abor t y i ngs d
ubsa i e ny
ial

i anne t a a eo p o ucn t ealg dp i a doh rs mpo . ( 25 . Sh d tn n d
mp i n c p bl f r d ig h le e an n t e y tms R. J e ee uie
ta t e le o d s p rst a ( anio h sn n s v r me tli i n s b tte e ae n t
h t h % c r u po t h t Plitf a o -e ee na mpanne t, u h s r o
r
s ppori ofbeng a c us f c or r ga di pa n.'
u
tve
i
a al a t e r ng i '

The ALJ concuded t t Pli ifs
l
ha antf

t u j ci p i c mplit aen tf ly ce il a d t er c r s p o t t i i o sse c o
d be t an o ans r o u l r dbe n h e o d u p rs h s nc n itn y f
s
ve
s be tv c mp an v ru o j ci e tndn s o e mi ai n' I . S f rh rc n ld d,
u j cie o lit es s be tv i ig n xa n to . d he u te o cu e
'

ia l o g g an ifs s b e tv c mpan sma ha es memei,h t tl yo t es p ri
û lt u h plitf') u j cie o lit y v o
l h
rt te oai f h u po t
t
ng
me c l e de does notpr de c i ca c r a i of he s
dia vi nce
ovi lni l orelton
r ympt
omol t t degr e of
ogy o he
e

d blt alg d wi o j ciefn i so e a n to ' I . TheALJt n s mmaie alo
e ii le e t b e tv i dng n x miain. d
y
h
'
he u rz d l f
te me ia rc r e i e c . ( 252 1 S e g v te S ae a e c me ia c ns tn '
h
dc l e o d v d n e R. - 7 . h a e h tt g n y d c l o ul ts
a
phys c l as es m e s gnii a wei , b onl ga t cons t t s s c fc f ndi t t
i a s s nt i t c nt
ght ut y ve he
ulan ' pe ii i ng ha

Pli ifcoul sanda / wak f f hour i aneghthourwor y modeat wei . (
antf
d t ndor l or our s n i kda
r e ght R.
271
.
The ALJ ne f
xt ound t tPl ntf i ca bl of pe f ng he pas r l va wor as a
ha ai if s pa e
ronni
r t e e nt k
hom e he lh c di t a t t s h w or ac om m oda e t sfs a o i n a doe no
a t oor na or nd ha uc
k c
t s he i t nd pt o nd
s t
1
8

r quie pe f m a e of wor r l td a vii s pr cl d by Pl ntf r sdua f tona
e r ror nc
k-e ae di te e ude
ai ifs e i l unc i l

c p ct . g 2 - ) TheALJas f u dta , lh u hPlitf i c p bl o pef r n p s
a a iy R. 728 .
lo o n h t at o g anif s a a e f ro mig a t
rlv n wo k t r a eoh rj bse sig i tenai n le o o t tPlitf i as a et
ee a t r ,hee r te o xitn n h to a c n my ha anif s lo bl o
pef n g 28 . Sh te ma eatr aiefn n sf rse tv oft s q e ta e au to
ro n. R. 1 e h n d len tv idig o tp i e he e u n il v lain
pr s . 1
oce s d.

TheALJnotdt tPli ifwa ayounge i viua ( - yeasol on t al d
e ha antf s
r ndi d l 1849 r d) he lege
o e dia lt da e,ha s ha a l s ahi s hoole a i t ts i a et co muni ae
ns t s biiy t t t he s t ea t gh e
duc ton, ha he s bl o m
ct

i Engls a t ts ac rdwor s lsfo patr lvantwor g 281 TheALJexpl ne
n ih, nd ha he quie
k kil r m s ee
k. R. .
ai d
t tt vocai na expe t e tfe t tPli ifhad tansera ehe t c es lsofpa intc r
ha he
to l
r t sii d ha antf
r f r bl alh ar kil
te a e

a u eo id p n e t u g n whih c ud b ta fre t t ej b o c mp n o . 1 . Th
nd s f n e e d n j d me t c o l e rnser d o h o f o a i n d e
ALJf rhe e a ne t tPl ntf alo ha ta f rabl c e i l s hedulng, omputrwor a
u t r xpli d ha ai if s d r nse r e l rca , c
i c
e
k, nd

c so rs r ie s il, ihc ud b ta ser dt t ej b o r c p in s, ip th r a d o
u t me e vc k l whc o l e rn fre o h o s f e e to it d s ac e , n / r
s
hos t lad i c er l
pia m t l k. d
TheA LJ not t t w he s pos d he i ta hypot tc , he voc i na e r t tfed
ed ha , n he e r nii l
he i al t
ato l xpe t es ii

t tPli ifc dwor a a ofiehel r or clr ors wela es tm. ( 291 The
ha antf oul
k s n fc pe , der ek, ul ilnc yse
R. .
ALJ as e ai d t t e when s c nged he hypot tca t a a tona r titons
lo xpl ne ha, ven
he ha
r
he i l o dd ddii l esrc i ,
i l ng t tPl ntf c d onl s a orw a k f t or f hour i an e ghthour wor
nc udi ha ai if oul
y t nd
l or wo
our
sn
i kday,

te e t r si a sg iia tn mb ro j bsi e itn e a t e s d n ay j bsctd wo l
h r s e tl i nfc n u e f o n x se c , s h e e tr o i
we
l
e ud
rman. I S enoe t a l lof h lg ta ds d n ayj bsctda c mmo aet o to t
e i ' d h td h tû l t e ih n e e tr o ie c o d t he pin o
'
a
a t r t be w e n s ti a sandi ' a t
le na e t e itng nd t ng,' lhough t A LJdi note i ty a t e lm ia i t
he
d
xplcil dd hes i t tons o

te RFC. 1 . Fial te ALJ e p an d th a o e ctd j bs.alw f ra y r srcie
h
d nl h
y,
x lie , l e b v -ie o ..l o n e titv
t
o
lmiainst ta ealgedby g ai if. Thevocai lexpe tf t t tfe t t us ofa
i tto ha r le
pl ntfl
tona
r urher esiid hathe e
c ne whe waki t fom (ija wor tton alowsf t home he t c di t and al
a
n l ng o r sc
ksai l or he
alh oor naor
l
19

s d na yj b rman. l .
e e tr o s e i ' d
'
The ALJ dee ned t t t lhough ( antf'l a to l lmiai do not al
tnni ha i t
a
Pli ifs ddiina i ttons
low

( an it t pef r a f l r n e o lg two k c n i ei g anifs a e e u ain a d
Plitf o ro m ul a g f ih r , o sd rng pli tf ) g , d c to n
l
ta f r bl wor s ls a fndi of û dia e i a opra e unde t fame k of
r ns e a e
k kil, i ng
not s bl d' s ppr it
r he r wor

M e ca- ai Rul 202. a Rul 20 1 ' ( 29- . The ALJ concuded t t
di lvoc tonal e
22 nd e 2.5. R. 301
'
l
ha
Pl ntf ha notbe nunde adia lt snc Se embe 28, 1 g 301
ai if s
e
r sbiiy i e pt r 201 . R. .
l .M OTI
I
ONS FOR SUM M ARY JUDGM ENT

I herMoton f Summay J
n
i or
r udgme ,Pli ifma t eeman agume s. g 351
nt antf kes hr
i r nt DE .
Fis,s ar s t tt ALJ' cr di lt a s s m e r r ng Pl i if i nots ppored by
rt he gue ha he
S e biiy s e s nt ega di
antf s
u
t

s bsa ta e i e c b c u et ALJi r p rye g g di t i a s uim'j rs r d n e I
u tnil v d n e e a s he
mp o e l n a e n t t nd q r 'u ip u e c . d
s
Sec
ond,Pl ntf as e t t tt ALJco mit ha mf e r by fndi t tPl i ifsm e al
ai if s rs ha he
m ted r ul r or i ng ha antf' nt
i r nt we enon- e r a ti al 1 Thid,Pl n ifc e t tt ALJ SRFC i no
mpaime s r
s ve e nd rvi . d.
r aitf ont nds ha he
'
s t
s
uppor e by s t nta e de e bec us t A LJ di not a ount f Pl i if s m e al
td
ubs a i l vi nc
a e he
d
cc
or a ntf
nt

i ime s l
mpar nt . d
l Def nda ' M oton f Sum m a y J
n
e nt s
i or
r udgm e w ih Suppor i M e or
nt t
tng m andum ofLa and
w

Res e t Pl i ifs M oton f Summ a y J m e , s co e
pons o antf
i or
r udg nt he nt nds s t nta e de e
ubsa il vi nc

s
upporst ALJ' e l in ofPli ifsce biiy. ( 361 Ne ,Dee ntar st t
t he
S vauato
antf' rdi lt DE . xt fnda gue ha
s t nta e de e s
ubsa i l vi nc uppo t t ALJ Sfndi t tPl n ifsal ged m e a i ime swe e
rs he
' i ng ha aitf le
nt l mpax nt r
not s ve e. I Fi l D e enda a gue t t s t tal e de
e r d
naly, f
nt r s ha ubsan i vi nce s
uppors t A LJ' RFC
t he
S
fndi
i ng. 1
d.
11 LEG A L A N ALY SIS
1.

J c a r vi w oft f c ua f ndi i di a lt c esi lm ied t de e m i ng w he her
udi i l e e
he a t l i ngs n s biiy as s i t o t r ni
t

t Co mi so r s de son i çs
he m s i ne ' cii s suppore by s t nta e de e a ba e o pr pe lga
td
ubsa il vi nc nd s d n o r e l
20

sa ds Subsa il e de
tndar .
t nta vi nce i m o e t n a s ntla a i s h r e nt e denc a a
s r ha
ci il nd s uc elva vi e s
r as bl pe s woul ac eptas a uae t s
e ona e ron
d c
deq t o uppor a concuson.' 42 U. C.j 405()
t
l i '
S.
g;

Cr w o d v Co ' o c S c,3 3 F.d 1 5 ,1 58( 1h Ci. 00 )( rc ra (ne l
a f r . mm r fso . e . 6 3 1 5 1 1 t r 2 4 pe u im) itma
ctto o te )(uoigfe sv Ca lh n l 5F.d 1 3 ,1 3 ( 1hCi. 9 7 ) Co rsma
iain mi d q tn wi . la a , 2 3 4 6 4 9 1 t r 1 9 ). u t y
t

n tt e ie te fcsa e rweg t e d n e o s bsiu e (h i)j d me tfrta o t
o k cd h a t n w, e ih he vie c , r u ttt t er u g n o h t f he
d
g mmiso el' Phli v Ba n a t 35 F.d 1 3 ,1 4 ,n.8 ( 1h Ci.20 4 (uoig
co sin r. il . r h r, 7 3 2 2 2 0
'
ps
1 t r 0 ) q tn
Bl worhv He klr 703F. 1 1 ( 1hCi.1 )
oods t . c e ,
2d 233, 239 1 t r 983).
The r src i sa r ofr e s t outa
e titve t nda d
eviw e
bove a i onl t fndi of f d . No
pples y o i ngs
a
pr um pton of va i t a t c s t t Com m i s one ' c l i of l w . Bro v.Su lvan,
es
i
ldiy ta he o he
s i r s onc us ons a
wn
li

9 F. 1 1 ( 1h Ci.1 ) Mari v Sulian,894F. 1 20,1 ( 1hCi.1 .
21 2d 233, 236 1 t r 991; tn . lv
2d 5 529 1 t r 990)

'l e g mmiso e ')fi r t a py te c re tlw o t p o d t e rv e n c ur wih
t- co sin rs al e o p l h o r c a r o r vie h e iwig o t t
-h
u
s tc e r as ng f de e m i ng t pr pe l al a l i ha bee c
ufi i nt e oni or t r ni he o r eg na yss s n onductd m a t
e
ndaes

rv ra. Igr m v Co 'o o . e . mi.4 6F.d 1 5 ,1 6 ( 1hCi. 0 7 ( u tn
e e s l' n a . mm r fs c S c Ad n , 9 3 2 3 2 0 1 t r 2 0 ) q oi g
'
Cor lu v. lv 936F. 11 11 46( 1h Ci.1 ).
neis Sulian,
2d 43, 45- 1 t r 991)
SocalSe urt r gul i esa ih a tve se s nta anayss t a ve a a fna
i
c iy e atons t bls
i - tp eque i l l i o ni t i l

deemi to ofdia lt 20 C. R.j40 1 20 C. R.j41 920( -f. TheALJmus
tr nain
s biiy.
F.
4.520;
F.
6. a)()
t
fr tde e ne whe he t cli a i pr en l e oye l s a fndi ofnon- s biiy i
is t nni
t r he am nt s es ty mpl d. f o, i ng
dia lt s

ma a t i r c l . 20 C. R.j 404.520( . l t s ond se t ALJmus
de, nd he nquiy oncudes
F.
1 b) n he ec
tp, he
t
deenni whe he t cai a s f r fom a s ve ei pa r ntorc
t ne
t r he l m nt ufe s r
e r m ime
ombi ton ofi par e s
na i
m im nt .
I t ALJ fnds t t c am a doe not s f r fom a s ve e i i nt or c
f he
i
ha l i nt s
ufe r
e r mpanne
ombi to of
nai n

i i nt, t n a fndi of non- sbiiy r uls a t i r e . 20 C. R. j
mpanne s he
i ng
dia lt es t, nd he nquiy nds
F.
40 15 c .
4. 20()

Stpt e rquie t ALJt compa et cama ' sveei ime t)t t ei t
e hr e e r s he
o
r he li nts e r mpar nts o hos n he
21

lsigo i ime t. 20C. R. 40 .5 0 d , u p r P, p e dx 1 Ce ti i ar n sae
itn f mpar ns
F. j 4 1 2 ( ) s b a t a p n i . ran mp ime t r

s svee wh t rc nsd rd ao e o i c nu cin wih o h ri ar ns t a,i t y ae
o e r, ehe o i ee ln r n o j n t
o t t e mp ime t, h t f he r
e t bls
sa ihed, t r ul tons r quie a fndi of dia lt wihout f t r i r i t t
he eg a i
e r
i ng
s biiy t
urhe nquiy n o he

cai ntsa lt t pef m ot rwor SeeGi onv He klr 762F. 1 6,1 8,n.1( 1h
l ma ' biiy o ror he k.
bs . c e ,
2d 51 51
1t
Ci.1 5) I t i ime meesore sa lsed i ime ,diabiiy i prs
r 98 . f he mpar nt t
qual it mpar nt s lt s e umed a
nd

be ft a ea r
neis r waded. 20C. R.j404.5 d)
F.
1 20( .
St f i vesade e m i ton ofwhehe t cli a ' i im e spr ve hi or
ep our nvol
t r na i
t r he am nts mpa r nt e nt m
he fom pe f m i hi orhe pas r l ntwor l t cai a ca
rr
ror ng s
r t eeva
k. f he l m nt nnotpe f m hi o he pa t
ror s r r s

rlv n wo k,h na i a i c s of ia ii i e tb ihe . 2 C. R. 40 1 20e . The
ee a t r te prmaf ce a e d s blt s sa ls d 0 F. j 4.5 ()
y
b den t n s fst t ALJt s
ur
he hit o he
o how a sep fvet t de piet cai a ' i nnen s he or
t t i ha , s t he l m nts mpai t ,
s i a e t pe f m w or i t na i le
he s bl o r or
k n he tona conom y i lg oft cl m a ' RFC, ,
n i ht he ai nt s
age educ ton,
ai

a d wo k e pein e 2 C. R.j 4 4 1 2 ( Phli ,3 7 F.3 a 1 3 . l o d rt
n
r x re c . 0 F.
0 .5 0 9; i ps 5
l
d t 2 9 n re o
d tr n wh te t ecama t a t ea iiyt a j t oo h rwo ki t en to a e o o ,h
eemie eh r h li n h s h b l o dus t t e r n h ain l c n my t e
t
ALJ may et ra y t M e c lVocai lGui i s 20 C. R.pt 404 s pt P,a z,or
ihe ppl he di a
tona
delne ,
F. .
ub . pp.
u ii e t as i t nce ofa voca i le r . See Philps 357 F.3d a 1 40.
t lz he s s a
tona xpe t
li ,
t 239-

A. W hehe t ALJi pr ryutlz l i a s r i ipr
t r he
m ope l iied û t nd quim urs udenc '
s
e'

Pan ifa srsta t eALJe rd i u i gû i a d s ur j rs r d n e'me nn ta
litf se t h t h
re n sn i t n q im u ip u e c , a ig h t
s
'
t A LJ i pr ry m a m e ca c l i
he
m ope l
de
di l onc us ons ba e on he obs r a i
sd
r
e v tons a t he r ng.
t he a i

Def nt contnds t t s t ntal e de e s
enda
e
ha ubsa i vi nc uppors t ALJ S eva uai of Pli ifs
t he
'
l ton
a ntf
c e biiy.
r di lt
The A LJw r e i t de s on t f l i
ot n he ci i he olow ng:
The u r i d not s t t t c ai a s t t ough a hour hea i w ihou
nde s gne
e ha he l m nt a hr
n
rng t t
a r nt di tes . She pr e e a a tc a e cohe en , i eli nt a
ppa e
sr s
es nt d s r i ul t ,
r t nt lge
nd
dem ons r t d good m em or She utlz a as i tve de c f a bul ton a
ta e
y.
ii ed n s s i
vi e or m a i nd
22

s rs
he e ponded a opra e yt a1quesi wih mai e nceofgood eyec a t
ppr it l o l
tons t
nt na
ont c .
I be r notng t ta s ve a e m i tonsi t r cor , t c a m a i N O T not d
t a s i ha t e r l xa na i n he e d he l i nt s
e
t us a c ne a s i notd t a
o e
a
nd he s
e o mbult nor l ..
ae
maly..The underi ne
sg d

Ad nsrtv La J d ec r f l o e v dcama ta dn tsta h (ilwa
miitaie w u g aeul bs r e li n n o e h t e sc s
y
no i a obvi pai or dic f t durng t c s of t hea i . I
t n ny
ous n
s om or
i he our e
he
rng n
addii n,t cli a lcke t ge r physca a a anc of a pe s who
to he am nt a d he ne al
i l ppe r e
r on
m i ha be expe i nc ngpr onge ors r pan.
ght ve en
re i
ol d eve e i

( 24- .
R. 251

Plitf i c re tt ta ALJi n tp r te t u i z t i a d s uim'j rs u e c .
anif s or c ha n
s o e mi d o tl e i t n q r ' u ipr d n e
t
i s
Fr manv Sc i r 681F. 727,73l( 1h Ci.1 . Theco ti Fr mandei d S i
ee
. hweke ,
2d
1 t r 982)
ur n ee
tne l t
s

a s unn'u ipr e c a f lo : $nti a p o c a ALJwhoi n t me ia e p r wil
nd q i 'j rs ud n e s o lws ç h s p r a h, n
1
s o a dc l x e t l

s be tv l a rv a a id x o tat whc h e p cst ecama tt ma f s a t h ai .
u j ciey ri e t n n e f ris ih e x e t h li n o nie t t he e rng
l t cli a f lss toft si x, hecli i de e ' I atp.
f he am nt a l hor hi nde t a m s nid- d.
'
731.
Her , heALJdi sa et tPl ntf wasa et pari pa ei t he i wihou sgnsof
et
d t t ha ai if
bl o tci t n he arng t t i
obvi pa n o di c f t H oweve , t Cour fr t no es t t ç he A LJ m a c i r a
ous i r s om or .
r he
t i s t ha '
t
y ons de

cai ts de a r a ong o he c iera i ma ng c e biiy dee mi to . Nor i v
l man ' me no m
t r rt i n ki r di lt tr nai ns'
'
rs .

Hec lr 760 F. 11 F 11 ( 1h Ci. 1 . The smpl fctt tt ALJ co i rd
ke ,
2d 54 58 1 t r 985)
i e a ha he
nsdee
Pli ifs de nordurng t hea i doesnotm e t tt ALJne s a iy comm it d a
antf
mea
i he rng
an ha he
ce s rl
te ny

er r I i ata i o la d wela c pe r eo aj d et o s r ete d me n ro awi s
ro . t s r dt na n l-c e td ol f u g o b ev h e a o f t s
i
ne
when m a ng cr di lt de e na i .
ki
e biiy t nni tons

M or over i t s c e,t ALJ e aned i deai i he de i i how Pli ifs
e , n hi as he
xpl i
n t l n r c son
a ntf'

s b e tv c mpanswee a o dswih t o j ci etn ig o e a n to S e R.2 - 7
u j ci e o lit r t d
t he be tv i dn s n x miain. e
52 .
The A LJ di not a s gn gr a wei t he obs r a i of Pl i if a her obs r tons of
d
si
e t ght o r e v tons
a ntf , nd
e va i

Pli ifwe ei a e ntwih aloft ot re denc i t sca e Thus r ve s oft ALJ'
a ntf r n gr eme
t l he he vi e n hi s .
, e r al he
S
dec s on w o d be i pr r See Es obe v As r , o.08- 640- V ,2009 W L 2905732,a
ii
ul
m ope .
c do . t ue N
61
C1
t

*1 ( D.Fl.Se .1 2009)(û edont mi ma weg a sgne t t pli ifsobsr ed
5 S. a pt 0,
l
Bas
he ni l iht si d o he antf
ev
23

be vi a t he rng,t unde sg tndst tt ALJdi no ba ehi de e mi to on t
ha or t he a i he
r i ned i
ha he
d t s s t r nai n
he

tp o 'i a d s unn'u ip u e c c n e db Fr e n spr ' .
y e f st n q i j rs r d n e o d mne y e ma , u a.j
'
TheEl nt Cic tha e tbls d at e par û i sanda d't be u iiedby t ALJ
eve h r ui s sa ihe hr e t s n t r ' o
pa
tlz
he

whe a cli ntti t t t ih diabiiy t ough hi o he own t tm o ofpan orot
n
a ma res o û abls s lt hr
es
s r r
esi ny
i
her

s be t s mpo . Ho tv Sulv n 9 F.d 1 21 1 2 ( 1h Ci.1 91. Thesa d r
u j ci y tms' l . lia , 21 2 2 , 2 3 1 t r 9 )
ve
'
tn a d
r q rs $ 1 e ie c ofa u d ryng me ia c n iin a et e 2 o j ci e me c l
e uie : ) vd n e
(
n n eli
d c l o dto nd ih r( ) be tv dia
evi ncet tc imst s ve iy oft alge pana ii fom t tcondii o ( t tt
de ha onfr he e rt he le d i rsng r ha
ton r 3) ha he

o j cieyd tr n dme ia c n ii ni o s c asveiyt tt a ber a o a ye pe tdt
b e tv l eemie d c l o d to s f u h e rt ha ic n e s n bl x ce o
gi rs t t al ge pai ' 1
ve ie o he le d n.' d.

The A LJ pr ry e oye t t t t and ba ed he
ope l mpl d ha es
s
r

c edi lt deer na i onm a dif r f c or whih a el d outi he de ii i l ngt
r biiy t mi ton
ny fe ent a t s c r ai
n r c son,ncudi he

m e ca e de e, ai ifsacuala lga i ofpan a t hea i a Pli ifswo k hit y.
di l vi nc Pl ntf' t le tons
i t he rng, nd a nff
r sor

Seej404.529.
1

Fial, te ALJS c n lso ta t e o j cie me ia v d n e dd n t s p o t
n ly h
' o cu in h t h b e tv
dc le i e c i o u p r
Pl ntf saleg pa n i bas on t s t nta r c d e de e. On Oc obe 27,2011 Dr
ai if l ed i s ed
he ubsa il e or vi nc
t r
, .

Andrw Gr snot t Pli ifha anor lg ta ambult wihouta lmp. ( 2861
e os ed hat antf d
ma ai nd
aed t
i
R. .
D r G r s a s no ed t t i agi of Pl i i f s c r c a l ba s ne s e m id
. os l o t ha m ng
a ntf
e vi al nd um r pi s how d l

deg r tve dic die s a ose rhrtsoft c r c s ne and mi maldeg ne a i dic
ene a i
s s a e nd t oa t ii
he e vial pi
ni
e r tve s
diea e of t l ba s ne. I Dr Gr s di gnos d Pl i if wih ca palt l s ome,
s s
he um r pi
d
. os a
e antf t r unne yndr
ca al a, a r lii ,l bos cr ls
us gi s c oiits um a a pondyl i w ihoutm yel t ne k pa n, l ba k pa n.
oss t
opa hy, c i and ow c i

( 2 7 . Herc mme d d ij cin , dc to ,a d p y ia te a y. I An Oco r31
R. 8 1
e o n e n e to s me iain n h sc l h rp d
tbe ,
2011 M R1ofPl i tf ' l ba s ne s
a n if s um r pi howed f r m i a l t r a m ul rbul on t rghts de
o a nal nd a e al r a
ge he i i

a 14- wih pa ta efa eme oft perne alftaoundt e tng rght14 nel er t (
t . 5 t ril fc nt he i ur a r
he xii i . ' oo. R.
v

24

OnNove be 1 2011 Dr Gr snot t tmedi tonsonl pa tal r le Pl i ifs
m r 5,
, . os ed ha
cai
y ri ly e ived antf

p i g 28 1 Hee p an dta Plitf wa n tt r tr t f l d t wo k o a i d tnt
an. R. 0 .
x lie h t an if s o o eu n o ul u y r n n n ei ie
ba i. g 2 2 . On De e e 1 ,2 1 Dr Gr s n td ta e iu a ij cin ha ete
ss R. 8 1
c mb r 9 01 , . o s oe h t pd r l n e to s d i r
h
gve n rle o ma e Pli tf sp i wo s ,a d he g v h ra a di o a ij cin g
i n o eif r d anif an re n
a e e n d t n l ne to . R.
i
2 6 7 ) Ba e u o Dr Gr s rfra , nJ n ay5, 01 Plitf s w Dr J h Saze f ra
7 - 8 . s d p n . os ' eer lo a u r 2 2, an if a . o n r ir o
ne os gc lco ulai ( 31 .
ur ur ia ns tton. R. 01

Dr Sa zi di gnos d Pl ntf wih l
. r er a
e ai if t umba s na
r pi l

senoss a notd t tPli if ha exha t c e v tve t rpy. ( 31 . He ofeed
t i nd e ha antf d
used ons r ai hea
R. 31
fr
Pl ntf s gi li t r ton,a s sa e t ts wihe t pr e t s ger 1 On
ai if ur ca n e ven i
nd he tt d ha he s d o oc ed o ur y. d.

J nua y 11 201 Pli ifhad a rg -i d 14- t a not (a ltr he lmi o
a r , 2, antf
ihtsde - 5 brmi omy fr aeal min notmy,
,

me il a ee t my, n frltrl ic co ) ( 2 4 .
da fc tco a d a ae a d s e t my . R. 6 1
On J nuar 31 201 Pli ifha a M RI ofhe l r s ne. ( 33 . l wa
a y , 2, antf d n
r umba pi
R. 41 t s

d tr n dta s eh do e ai ec a g sa t erg tfc t oit t14 5wihe h n e n o te
eemie h t h a p r tv h n e t h ih a e j n a w - t n a c me t f h
rgh f a e a a ound t 15 ne v r wih i e va de l e ofe nc m e oft srg
i t or m n nd r
he - r e oot t nt r l veopm nt nha e nt hi i ht
,
Sl ne ve r t 1 She wasnotf und t have r cure dic he niton. I On Fe u y 9,
r oo . d.
o
o
e r nt s r a i
d
br ar

201 Dr Saze noe ta P an ifa ultdwih u teus o a a ssied vie ( 3 3 .
2, . rir td h t litf mb ae t o t h e f n sitv e c . R. 7 1
OnFe uay28,201 Dr Saze rco
br r
2, . rir e mmende physca t rpy. ( 3581
d
i lhea
R. .
I t M a c 23, 201 D i a lt D e e m i ton Expl na i a t i ta l ve , t
n he
rh
2, s biiy t r na i
a ton t he nii l e l he

m e ca co ula f
di l ns t nt ound t t Pl ntf c d peror s led,s nt r wor a was not
ha ai if oul
f m kil
ede a y
k nd

d s be ( 9 - 5 . I t J n 2 ,2 2 Dia lt Deemiain Ex ln to a te
ia ld. R. 4 9 1 n he u e 5 01 , sbi y tr n to
i
pa ain t h
r consde a i lvelt m e ca c ula f
e
i r ton e ,he di l ons t nt oundt tPli ifc dsa a / wa kf at a
ha antf oul tnd nd or l or otl
of f hour i a e ghthour wor
our
s n n i kday, c d pe f
oul r onn s le s de a y w or a w a not
kil d, e nt r
k, nd s

diabld. g 1 1 .
s e R. 04- 071
O n Apr l3,201 D r Sa z e not t tPl i if s pos oper tve i a ng ofhe s ne and
i
2, . r i r ed ha a ntf
t a i m gi
r pi
25

hi di no s
p d t how sg fc pahol t twoul expl n Pli tf ' c
i niiant t ogy ha
d
ai a n ifs ompli s 1 Dr Sa zir
a nt. d. . r e

rfre P an ift aps c itit ( 3 1. Heas d s o tn e Plitf' Vaim a d g v
eer d litf o y h ars. R. 7 )
lo ic ni u d an ifs l n a e
u
he t ls pr s rpton ofPer oc thewa wilng t pr s rbe. 1
r he a t e c i i
c e
s li o e c i
d.

On M a 1 201 Pl ntf sw Dr Robe tMel beg f a ps hiti c ulai g
y , 2, ai if a .
r l r or yc arc ons tton. R.
r
3681 Heopi d t tPlitf s fr fom ac oni pan s ndr
.
ne ha anif ufe s r
hr c i y ome,lkey fbr
i l i omyal a. (
gi R.
3701 OnJ 7,201 Pli ifs Dr J kClr f ar umaol c ul. ( 3791 He
.
une
2, antf aw . ac ak or he t ogy ons t R. .
di nosd he wih fbr l aa pr c i d me cai g 3801 Pli ifs Dr Clr
ag e r t i omyagi nd esrbe di ton. R. . antf aw . ak

a an o Au u t21 2 2 ( 38 1 Plitf c n iu d t c mpli o pan,a d t e d co
g i n g s , 01 . R. 3 . anif o tn e o o an f i n h o tr
c ng he me c tons g 3844
ha ed r diai . R. .
Pl i if s w Dr Thomas on Se e r 5, 201 f a f l up r r ng her
antf a
.
pt mbe
2, or
olow
ega di

fb o ag a a xey a d hih lpds ( 461. Dr Th ma atr d P an ifsme iains
ir my li, n it , n g ii . R. 1 . o s lee litf
dc to .
( 46 1 Plitf vstdDr Th ma a ano Se tmb r1 , 01 , c us h r dc to sh d
R. 2 . an if iie . o s g i n pe e 9 2 2 be a e e me iai n a
not c r ld her pan. ( 4581 Dr Tho
ontole
i
R.
.
. mas pr c i d me c ton f Pli ifs
esrbe
diai or antf

h p rii e aa dfb o aga ( 4 9 .
y e l d mi n ir my l i. R. 5 1
p
On Oc obe 1 201 Pli tf ha ac ul wih Dr Adnm Sh t rr ar nghercuoni
t r 7, 2, a n if d ons t t .
use eg di
l c

pan,whi ha wo s d ove t ls sx mont . ( 3881 Dr Shuse pr c i d Pl ntf
i
ch d rene
r he a t i
hs R. . . tr esrbe ai if

a dto lme iain. ( 3 1 He as rc mme d d t a P an ifs e a p y h lg s fr
d i na dc to R. 91.
i
lo e o n e h t litf e
s c oo it o
po sbec g iieb ha ir lh rp t h l wi he fb o aga ( 4 1 Plitf sw Dr
sil o ntv e vo a te a y o ep t r ir my l i. R. 01. anif a .
h
S u tra ano No e e 2 , 01 . ( 4 1 Dr Sh se noe ta Plitf wa u igac n
h se g i n v mb r 0 2 2 R. 01 . . u tr td h t an if s sn a e

t wak 1 . Hei ra e Plitf sh d o o o eu tl h c udc mei f rij cint rp .
o l. d
nce s d an if y r c d n n i s e o l o n o n e to hea y
1
d.
On Januar 3, 2013, Dr. S se a j td
y
hu tr duse

Plitf' me iains a d p rome a
an ifs dc to n ef r d

ta f rmi a e iu a seo d ij cin a te L5 Sl lve o t e rg tsd . ( 41 1 On
rnso a n l pd rl tr i n e to t h - e l n h ih i e R. 3 .
26

Jn r 3l 2 3 Dr S use p ro me a c u a e d r lseoi ij ci n u d rtu r c p c
a uay , 0l , . h tr ef r d a d l piu a tr d n e to n e l o oso i
g da e. g 4251 On M ac 6,201 Pli ift d Dr Shuse t ts di no wan a
ui nc R. .
rh
3, antf ol . tr ha he d t t ny

frh rij cin t ea y. ( 4 1 Dr S u trt l Plitf t c n iu o h rh d o o o ,
u te ne to h rp R. 35 . . h se od anif o o tn e n e y r c d ne
Za fe and ga pe i g 4361 On M a 2,201 Pli ift d Dr Shuse s wa
nalx,
ba ntn. R. .
y
3, antf ol . tr he s
unwilngt tyas na c dsi aor g 4451 Dr Shuse prs rbe Pl ntf hydr
li o r pi l or tmult . R. . . tr e ci d ai if ocodone
a s
nd uggese s fnd ano he docor 1
t d he i
t r t . d.
On M ay 8,201 D r Thom a on M a 8 201 not Pl i i f s nonna gai a nor al
3, .
s
y , 3, ed a ntf '
l t nd m

mus l sr t aswelashe de r s d rngeofmoton and paas nousmus es s .(
ce tengh,
l
r cea e a
i
r pi
cl pa ms R.

4 6 . Dr Th ma c mpee atig rp itij ci na d c a g d Plitf span me c to s
5 1 . o s o ltd rg e on ne to n h n e an if i diain .
( 4 7 . OnJ n 1 , 01 , . o sc niue Plitf o tes meme iain f r r an
R. 5 1
u e 3 2 3 Dr Th ma o tn d an if n h n
d c to s o he p i.
g 45 1 Plitf s w Dr Th ma o No mb r1 2 3, o ap i me iain p e cito
R. 5 . an if a . o s n ve e 9, 01 f r an d c to rs rp in.
( 4 8 . OnF b u r 21 2 4, . o sc n iu dPlitf spanme c to g 4 6 .
R. 7 1
e r ay , 01 Dr Th ma o tn e an if i diain. R. 7 1
OnM ac 27,201 Pl ntf hadi ngofhe hi a pel scomplt ( 491 . I
rh
4, ai if magi
r ps nd vi
eed. R. 1 t
wasdee m i d t s hadno fa ur ordil atonsoft hi biaer ly, we l no pevi
tr ne hat he
r ct es
soc i
he ps l t a l as l as
l c
f a t es os e ytc o os e a tc bony l s ons f O n t s m e da e s ha i agi ofher
r c ur , t ol i r t obl s i
e i . #.
he a
t , he d m ng

lmb rs iea dc r ia s ie c mpltd. g 48 - 0 . l wa d tr n d t tPli t fh d
u a pn n evc l pn s o ee R. 9 9 1 t s eemie ha ani a
f
no fac u e ors
r tr
pondyl it s soft l b s ne ort c r c s ne,buthad de ne ai
osshe i
he um ar pi
he e vial pi
ge r tve
s
pondyl i oft c r i als ne m os s gnii a a t C 5 6 l ve . I
os s he e v c pi
t i f c nt t he - e l d

OnM a 7, 4, ai ifviiedAlidPhysc lThea uponDr Thoma 'r er . (
y 201 Pl ntf st le
ia rpy
.
s efral R.
4851 Dr M at w Hakne scrae aplnt i ovePl ntf' fnci llmiai , r a
. . the r s e td a o mpr
ai ifs u tona i ttons ovehe d
a tviy t e a e,a lt t pe f
c i t ol r nc biiy o r onn r pe ii uppe exte iy a tviy,hea a nec pos ur
e ttve
r rm t ci t
d nd
k
t e,

uppe e rmiy posur fexi lt a ba e enson,te on,and r ai ( 486- .
r xte t t e, l biiy, nd ck xt i l xi
otton. R. 871
Pl i if a t nde phys ca t r py a A li Phys c l Ther py 1 tm e f om M ay 1 201 t
a ntf te d
i l he a
t led
ia
a
3 i s r
2, 4, o
27

S pe e 2, 0 4. g 5 4- 9 . At h ls vst tep y ia t e a s noe t a Plitf ha
e tmb r 2 1 R. 2 5 1 t e a t ii,h h sc l h rpit td h t an if s
s c a t nde ne sa difc t wih e r
ubs apulr e r s nd fi uly t nd angepostonsoft ne k a uppe e r m ii s
ii
he c nd
r xte te .

( 45 1 Plitf s w Dr Th ma o Ma 2 ,2 4,a Au us 2 2 4. g 51 ,5 2 .
R. 8. anif a . o s n y 4 01 nd g t 9, 01 R. 0 1 1
Ea htmeh n tdta h rfb o agawa c n r le b me iain. g 51 , 3 .
c i e oe h t e ir my l i s o to ld y d c to R. 1 51 1
The ALJ' de i i i s
S c son s uppore by s tntale de e,whi h i s marz abo .
td
ubsa i vi nc
c s um
ied ve
TheALJ Sde ii i no smpl ba e o he obs r a i ofPl ntf a t he rng. A r vi w
' cson s t i y s d n r e v tons
ai if t he a i
e e
of t r cor s
he e d hows t tt ALJ di no bas her de son on t t of G i a s r '
ha he
d t e
cii
he ype
û t nd quim'
s

j rs u e c c n e e b Fr e n, u a. Th ALJd dn ts b tt t h r u g n f rta
u ipr d n e o d mn d y e ma spr
e
i o u siue e j d me t o h t
oft medi la voc tonale rs a oc ured i Fr e
he
ca nd a i
xpe t, s c r n e man, pr 681F. a 73. Rahe ,he
su a,
2d t
t rt
A LJ' obs r a i w e e i ac or w ih t m e ca and voc tonale de e. Furhe ,t A LJ'
S e v tons r n c d t he di l
ai
vi nc
t r he
S

obs r a i ofPl ntf a t he rng wa onl one s a lbasss
e v ton
ai if t he a i
s y
m l i uppori t ALJ S de i i
tng he
' c son.
The e w a ot rs t nta e denc s
r s he ubs a i l vi e uppor i t ALJ' de s on. The A LJ t r or ,di not
tng he
S ci i
, he ef e d
co m i r ve s bl e r .
m t e r i e r or

B. W hehert ALJe r i fndi t tPl ntf sm e a i
t he
red n i nc ha ai if
nt l moaim e swe enon-e r
r nt r
s ve e
a ti a
nd r vi l
Pl i t f a gues t tt A LJ s d have ls e Pl i i f s m e ali pa nne s a s ve e
a n if r
ha he
houl
i t d a nt f
nt m i nt s e r

i ime s g 35, 1 1 . Pli ifase tt tlhemediale denc ofr c di c t
mpar nt. DE pp. 2- 81 antf s rs ha s
t
c vi e e or ndiaes
t tPli ifhasc nge m e cai m uli e tm e ,whih sr y s
ha antf
ha d di tons tpl i s
c tongl ugge t t the s
ss ha r ympt m s
o
ofde e son a a ey we e no wel- r ld a a 1tm e .' I a p.1 Pl i iff t r
pr s i nd nxi t r t lcontole t l i s' d t 3. antf urhe
c endst tt ALJ ç r e by notc i i t o ng nee t a trPli ifsm e cai ns
ont
ha he
l rd
e
onsderng he ngoi
d o le a ntf
di to
due t e e ba i o s pt s A ddii ly,r co ds f om M ay 201 i ca e t tPl ntf s
o xac r ton f ym om .
tona l e r r
4 ndi t ha ai i f

a e y wa wo s ni a notwe lc r l ' 1 a pp.1 1 Pl ntf co e t tt
nxit
s r e ng nd
l- ontoled.' d. t
3- 4. ai if nt nds ha he
ALJ f l d t pr pe l cons de Pl ntf ' m e a i pa nne s a e r i fndi t tt have
aie o o ry
i r ai if s nt l m i nt nd r ed n i ng ha hey

28

no efec on Pl ntf sabiiy t wor l a p.1
f t
ai if
lt o
k. d t 4.
De e ntc e t tt ALJdi not Pl ntf sm e ali
f nda ont nds ha he
d e ai if
nt mpaime sbutdi no fnd
r nt
d ti

t m t bes vee. ( 36, 1 . Dee ntmai ai t tt ALJf i Pli ifsfvora
he o e r DE p. 3j fnda
nt ns ha he
ound n antf a t
se 2 a pr ee d wih t ot s e oft s quen i le l t o pr es ,s Pl ntf c nnot
t p nd oc de t he her t ps he e
t a va ua i n oc s o ai if a

s
how e r . 1 De e ntalo a s rst tPli iff ie t pr t ts ha a s ve em e a
ror d. f nda s s e t ha antf a ld o ove ha he d e r
ntl
i par e . I a pp. 1 -1 De enda a gue t t ç ai if ha not cied a media
m im nt d t
3 4.
f nt r s ha i ntf s
pl
t ny
cl

e ie c e tb ihn ta s eh dwo krltd l tto 'a dta Sd ig o e d no e tbls
vd n e sa ls ig h t h a r eae i ains' n h t l la n s s o t sa ih
mi
g
wor r l t lm ia i .' 1 a p.1 Ne ,Def nda a guest tt r c d e de û s
k-e aed i t tons' d. t 4. xt
e nt r
ha he e or vi nce ç
doe
nots
uppor Pli ifst tmony t the m e ali i nt we enegai l a f c i he a lt
t a ntf esi
ha r nt mpanne s r
tvey fe tng r biiy
t co nta e,s t n a tnton,a f l die tons'
o nce r t usai te i
nd olow r c i .
'

Fi l Def nda co e t t
naly, e nt nt nds ha

i antf f ld t pr t herde e son a a ey,whet r s r ornots r ,ca e
t i if aie o ove hat
pl
pr s i nd nxi t
he eve e
eve e us d
a tona lm iatonson he abiiy t w or ' I atp.1
ddii l i t i
r lt o
k. d
'
5.

An ALJ i r q ie a se t o 2 C. R.j 40 1 2 t d tr n wh te t e
s e urd t tp wo f 0 F.
4.5 0 o eemi e eh r h
c am a ' i ime i s ve e ornots r tst t i a t e hol i r l alowsonl
l i nts mpa r nt s e r
eve e. s ep wo s hr s d nquiy. t l
y

camsb s do temo trva i ar nst b rj ce Thecama tsb r e a se t i
li a e n h s ti il mp ime t o e ee td.
li n ' u d n t tp wo s
m id. An i imenti nots ve eonl i t a
l
mpar
s
e r
y f he bnonualt i s si hta ise f c s m i ma
iy s o lg nd t fe t o ni l
t i woul cla l not be e ctd t i ere e wih t i vi ' a lt t wor ....
hat t
d e ry
xpe e o nt f r t he ndi duals biiy o
k
'
'

Mc elv.Bowe 800 F. 1026,1 ( 1h Ci.1 . The El nt Cic tCour of
Dani
n,
2d
031 1 t r 986)
eve h rui
t
Appe sha frhe ex ane t t çfno s r i i nti s
al s u t r pli d ha,ç
i evee mpanue s hown gtse t t cai i
a tp woj he l m s
de e butt fndi ofa s r i r nt whehe ornoti qualfe a a dia lt and
nid,
he i ng
ny eve e mpaime , t r
t
ii s s s biiy
whe he or noti r s t fom a s ngl s ve e i paim entor a c bi ton of i pa nne s t t
t r
t e uls r
i e e r m r
om na i
m i nt ha

t t quaiy ass ver ,i e
ogeher lf
e e s nough t s ts y t r quie e ofse t ' Jamion v Br
o a if he e r m nt tp wo.
'
s . own,

81 F. 58 588 ( 1h Ci.1 . Ast ALJc i t se t e f ,a tveoft
4 2d 5,
1 t r 987)
he
ontnues o tps hre, our nd i
he
29

r quie a yss t A LJ t st c i t cai a ' e ie medialc ton,i l ng a
e r d nal i, he
d o onsder he l m nts ntr
i
c ondii ncudi ny
i r nt or c
mpaime
ombi ton of i nne s whehe s ve e or no .' Chide s v Soci Se .
na i
mpai nt ,
t r e r
t'
l r .
al c

Ad n,Co ', 21F d App 8 9 81 ( 1hCi.1 3 (iigJ mio , 4F.da 5 8 .
mi. mm r 5 e . x. 0 , 1 1 t r 01 ) ctn a s n 81 2 t 8 )
A ts e t o oft r r a ys s t A LJ f
tp w
he equied nal i , he
ound t tPl i ifs f sf om t f l i
ha a ntf ufer r he olow ng
s ve e i pa r e s l ba m yel t a
e r m im nt : um r
opa hy nd s e i , f br yal a a
t nos s i om gi , nd m id ce vi al
l
r c

de neai dic die e wih s
ge rtve s s as t pondyl i. ( 21. The ALJ s ciialy dee ned t t
oss R. )
pe fc l tnni ha
Pl i ifs S e cal dee mi e m e ali i nt of de es i a a et c i r d
antf t di ly tr nabl
m
nt mpanne s
pr son nd nxi y, onsde e

sngy a d i c mb n to ,d n tc us mo et a mii ll tto i ( litf ja iiyt
i l n n o i ai n o o a e r h n nma i ain n P an ifs b l o
mi
t
pero m bascm e alwor a tviisand a e t r f e non- e r ' f Shee ai d t ts
fr
i nt
k ci te
r he e or
s ve e. #.
'
xpl ne ha he
had c i r t ûpa ag aph B' crt ra f e l tng m e aldi or r and f
ons de ed he t r r
' ie i or va ua i
nt s de s
ound t tPl i if
ha a ntf

has no lm ia i i a tvii of dal lvi
i tton n c i tes
iy i ng,or s i l f nci ng, has m id lm iai n i
oc a u toni
l i t to n
c e r to pe sse e or pa e,a has e re d no e s s of de
onc nta in, r it nc
c nd
xpe i nce
piode
compe a i whi h
ns ton
c

wo l h veb e o a e tn e d rto . ( 212 . Th ALJnoe t t dc l e o dsfo
ud a e n f n xe d d u ain R. -21 e
td ha me ia rc r r m
Dr J ry Tho a s
. er
m s howed t tPl i ifs de e son a a ey we e c r l d on me c ton
ha antf
pr s i nd nxit r ontole
di a i
and alo t Pli if ha no enga
s hat antf s t
ged i f m a ps hi ti team e o be pl c i a
n or l yc arc r t nt r en a ed n

ps hiti hos tl ( 221 The ALJ e aned t t %he f l ng rsdualf nci
yc arc pia. R. .
xpli ha t olowi e i
t
' tonal
u
c pa t a s s ntr l t t deg eeoflm iai t unde sg d ha f
a ciy s es me etecs he r
i t ton he
r i ne s ound i t û r r ph
n he pa ag a
B'm e alf ton a ys s ' 1
nt unc i nal i .' d.

TheCour fndst tt r or e de e s
t i ha he ec d vi nc upporst ALJ' fndi t Pl ntf sm e a
t he
S i ng he ai if
nt l
i pai nt w e e not s r O n Se em be 1 2011,Dr J r y Thom a i r as Pl ntf s
m nue s r
eve e.
pt
r 6,
. er
s nc e ed ai i f

de e so medi ton. ( 25 . On Ocober 1 2011 Dr Thomas not t tPl ntf
prsin
cai
R. 41
t
0,
, .
ed ha ai ifs
de e so wa c r ld on mediai g 2521 Pli ifs w Dr Thoma on M ac 29,
prsin s ontole
c ton. R. . antf a .
s
rh
201 f he de esi ( 4631 Pli ifdi no ha a ey ors cda i ai I
2,or r pr son. R. . antf d t ve nxit uii l de ton. d
30

Tho a pr s rbedm e c ton. 1
m s e ci
di a i
d.

On Ma 1 2012,Pli ifs w Dr Ro r M e beg f aps hiti cons tton. (
y ,
antf a . bet hr r or yc arc
ulai
R.

3 1 Dr Me r eg n td ta Plitf wa o Cee f rh rd p e son 1 . Heo n dt a
68 . . h b r oe h t an if s n lxa o e e r si . d
pie h t
Pl ntf s fr fom ac oni pan s ome lkey fbr
ai if ufes r
hr c i yndr ,i l i omyali. ( 370)
ga R. .
On Ocobe 1 201 Dr Shuse f
t r 7, 2, .
tr ound t Pl ntf s or d a36 on t Bec de es i
hat ai if c e
he k pr son

i nt y,whih i sgniia f de e son,t gh Pli ifha nots cda i ai (
nve or
c s i fc nt or prs i hou
antf d
uii l de ton. R.
39 . Dr Shuserpr crbe Pli ifaddii lmediai a t d he t coni tki
01 . t es i d antf
tona
c ton nd ol r o tnue a ng
Cymbat. ( 391. He as rcommende t t Pli if s a ps hol s f posi e
la R. 1
lo e
d ha antf ee
yc ogit or sbl
c nii be vi a t rpyt hel wihhe fbr l a g 401 .
og tve ha orl hea o p t r i omyagi. R. 1
On J l 201 D r Thom asc i d Pl i i fon t s m e m e c tons f he a e y.
une 3, 3, .
ontnue a ntf
he a
di a i or r nxi t

( 45 2 OnAu u tl , 01 Dr Th ma c a g ds meme iai n a dc ni e oh r, n
R. 5 .
g s 8 2 3, . o s h n e o
dc to s n o t d tes a d
nu
he not t t Pli ips a ey a de esi wee contole by mediaton. ( 48 .
ed ha antf nxit nd pr son r
r ld
ci
R. 02
Pli ifs w Dr Thom a onFe u r 21 201 a henotd t therdepr s i a a ey wer
antf a
.
s
br a y , 4, nd
e ha
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e

c r ldbymedi ton. ( 475- . Pli ifs w Dr ThomasonMay2,201 co ai ng
ontole
cai
R. 761 antf a .
4, mpl ni
ofa et g 4731 Dr Thoma not t tt a eyha no ca e physca s omsa
nxi y. R. . .
s ed ha he nxit d t us d
i l ympt
nd
t i had be n welc r l by Celxa pr vi l 1 He c
hat t
e
l- ontoled
e
e ousy. d.
hange Pli ifsm e cai n
d antf
di to
f om Ce e t Cy ba t
r
l xa o m la.

On M a 24,201 D r Thom asnot d t tPl ntf a e y a
y
4, .
e ha ai ifs nxi t nd

t
4,
n
fbr l aweecontole b me c ton. ( 51 . O n A ugus 29,20l Dr.Thom asagai
i omyagi r
r ld y diai
R. 3q

n tdta P an ifsa xeya d fb o agawe ec n r le b me iai n g 51 j
oe h t litf n it n i r my li r o told y dc to . R. l.
The e de e s
vi nc uppors t ALJ S fndi t Pli ifs m e al i r t we e not
t he
' i ng he antf
nt mpaimen s r
s ve e. M or ove ,e n i t ALJ' fndi wasi eror i woul be aha es e r rsnc t
e r
e r ve f he
S i ng
n r ,t
d
nnl s r o i e he
ALJ c plt d t s nta i r a wa a alo c i e Pl i ifs m e a
om e e he eque i l nquiy ny
y nd s onsder d antf
ntl

i ann n s efc o h ra ii t wo k Se Dei v Co ' o o ilS c, 3 Fe Ap x.
mp i e t' fe t n e bl y o r . e l . mm r fs ca e . 4 3 d. p
t
a
31

8 5( 1h Ci.2 1. Re es lo s c a b ss(sumi i wa er ra came b Plitf
8 1 t r 01 ) v ra n u h a i a s ng t s ro s li d y an ig
woul i ope l plcef m ove s t nc I t sc s ,a not pr vi l t e denc doe
d mpr ry a or
r ubsa e. n hi a e s ed e ousy,he vi e s
s
uppor t ALJ' fndi t tPl i if sm en ali pa nne sw e e nots ve e.
t he
S i ng ha a ntf
t m i nt r
e r

C. W he he t ALJe r
t r he
roneousy f ie t pr pe l as es t i pa tofPli ifsm e t l
l al d o o ry s s he m c
a ntf ' n a
i par e son he ResdualFunci lCa ciy whe t ALJ di noti l any
m im nt
r i
tona pa t
n he
d
ncude
scnii a r srctonsi Pl i ifsa lt t pe f m ba i me a wor a tvii
i fc nt e ti i n antf biiv o ror
sc nt l k c i tes
Pli tf contnds t tt ALJ e r d bec us s di fnd t t Pl ntf a ey a
a n if
e
ha he
re
a e he d i ha ai ifs nxit nd
de es i ca e s e lm iatonst Pl i if sa lt t pe f
pr son us d om i t i
o a nt f biiy o r onn ba i w o k a tvii ,butç he
s c r c i tes
f
t
onl lm ia i a tc a e i t RFC a s s e was t Pl i i f çe ai t c pac t t
y i t ton r i ul t d n he
s es m nt
hat a ntf r t ns he a iy o
unde s a r m e be , a c r o a l as SV P 5 i t uc i and pe f m SV P 5 t s a
r t nd, e m r nd ar y- ut t e t
ns r tons
r or
a ks s

c nsse twih t l we te d o s ild wo k. ( 3 p 1 1 Plitf a g s ta t i
o itn t he o s n f kle r ' DE 5, . 5 . anif r ue h t hs
'
lmia i i i ufii ntas i i ç f e tvey no lm iai a a1' a i i
i t ton s ns fc e
t s i f ci l
e
i t ton t l' nd s nconsse wih t
it nt t he
pr e oflm ia i i c
es nce i t tons n once r ton,pe s senc a pa e. 1 a p.1 Pl i ifa s a s rs
nta i
r i t e, nd c
d. t 5. a ntf l o s e t

t tt RFC i ç pr ry f mul t ' a et RFC i s
ha he
si
not ope l or aed'bec us he
s uppos t i cae t Pli tf s
ed o ndi t he a n if
maxi
mum c pa lte a nott m i mum s c n do. 1 atp.16. Pl ntf c e t tt
a biii s nd
he ni
he a
d.
ai if ont nds ha he

ALJ e r d i t t s f l t t s e s f tona lmia i i t a lt t m ant i
re n ha he aied o s s s unci l i t tons n he biiy o
a
i an
co e r ton, r i t nc a pa e' a i t a s cul t d ast w ha l ve of SV P Pl ntf ca
nc nt a i pe s s e e, nd c ' nd ns e d pe a e
,
o
te l
ai i f n

pe fnn. I Fi l Pl ntf ague t tçl ec us t ALJdi notpr ry a co f al
ro
d naly, ai if r s ha 'bl a e he
d
opel c unt or l
m e c i r nt i t hypot i l que ton pos d t t VE,hi t si ony c
dial mpaime s n he
hetca
si
e o he
s e tm
anno be
t
ac e e a r
c pt d nd ende s t ALJ' D e i i uns
r he
S c s on uppo t d by s t t a e de e. 1 a p.1
re
ubs an i l vi nc
d. t 7.

De e ntar s t tihe m e c e denc doe notesabls t tPl ntf wa mor
f nda
gue ha l
t
dial vi e s
t ih ha ai if s
e

lmie t t ALJ f ' g 36,p.1 . Dee
i td han he
ound. DE
'
51 fndantc e t tt r i no evi nce
ontnds ha hee s
de
s i t t Pl i if û
how ng ha a ntf s
had w o k r l t d m e al lm ia i
r ea e
nt i t tons t t w oul pr ve he f o
ha
d e nt r r m

p ro n tej b ie tfe b teALJ' 1 a p.1 .
e fnnig h o s d n iid y h
. d. t 6
'
32

The ALJ s c fc l de e m i d t t Pl ntf s tme c l de e mi bl m e al
pe ii aly t r ne ha ai if l di aly t r na e
nt
i nne sofde es i a a ey,c i r sngl a i combi ton,do notc us mor
mpai nt
pr son nd nxit onsde ed i y nd n
nai
a e
e

t n mi ma lmiai i ( antf'labiiy t pef m bascme a wor a tviis a ae
ha ni l i tton n Pli ifs lt o ror
i ntl k ci te nd r
t r or non-e r ' f Shee ai d t ts ha co i r t l r gr ph B'c ie i f
he ef e
s ve e. #.
'
xpl ne ha he d nsde ed he t a a
pa
' rt ra or
e l tngme a dior r a f
vauai
nt l s de s nd oundt tPl ntf hasnolm ia i i a tvii sofdaiy lvi or
ha ai if
i tton n c i te
l i ng,
s a f nci ng,hasm id lmia i i c
ocil u toni
l i tton n once r i pe ssenc orpac a ha e re d
ntaton, r it e
e, nd s xpe ince

no e io e o d c mp n ain whc wo l h v b e o a e tnd d d rto . ( 212 1
p s d s f e o e s to ih ud a e e n f n xe e u ain R. -2 .
TheALJnot t tm e ca r or fom Dr J ry Thomass
ed ha di l ec ds r
. er
howe t tPli ifsde es i a
d ha antf
pr son nd
a e ywe eco r l onm e cai andalot tPl ntf hasnote ge i f malps hiti
nxit r ntoled
di ton
s ha ai if
nga d n or
yc arc

te t n o b e pa e i a ps c iti h s tl ( 2 1 Th ALJ e p an d t a th
rame t r e n lc d n
y h arc o pi . R. 2 . e
a
x lie h t l e
t
f l wi r i f tona ca ciy a s s m e r l c st deg eeoflm iai t unde sgned
olo ng esdual unc i l pa t s e s nt ete t he r
i t ton he
ri
hasf
ound i t C r r ph B'ment f ton a l i.'
n he pa ag a
al unc i nayss'
The A LJ f
ound t Pl ntf
hat ai i f

i c pa eofpe f ng awi r
s a bl
ronni
de angeoflg wor wiht abiiy t occ i ly
i ht k t he lt o asonal
lf a orc ry up t 20 po
it nd/ a r
o
undsasde i d i t Ditonar ofOcc i lTil
fne n he c i y
upatona te

(
DOT)a rgultons a wela ,lf c ry (il 1 pounds feque l Thi
nd e ai s l s it ar sc 0
r nty. s
i ude s nt r wor asdefne i DOT a t r ultons Thecli ntha
ncl s ede a y
k
i dn
nd he eg a i .
a ma
s
no lm isf sti i a e gh i t or itng n n i thourwo kda Shei c bl ofsa ng a or
r y.
s apa e t ndi nd/
waki f up t sx hour i a ei l ng or
o i
s n n ghthour wor
kday. She i a e t pe f m
s bl o r or
occ s onal pos ur l f tons of c i bi r m ps s a r , kne i and s oopi
ai
t a unc i
lm ng a , t i s
elng,
t ng.

S ei t p ro m n ca iga dn ci igo ld e sr p ss a f ls(ij l
h s o e fr o r wln n o l n f a d r o e c fod sc . n
mb

t cou s ofwor s i t pe f m no c t ntfnebiae a m a pul tons The
he r e
k, he s o ror
onsa i l tr l ni ai .
cai nti t pe f m no ove hea lfi no ove he d c ryi and no ove hea
l ma s o ror
r d itng,
r a a r ng
r d
r c ng wih t biaer luppe e r m iis Se onda y t no s r me a
ea hi
t he lt a
r xte te . c
r o n-eve e nt l
i ime s t cli nt r t i t ca ciy t undert nd, r m e
mpar nt , he a ma e ans he pa t o
sa
e mber a
nd

c ry u (i)a latS 5 isr cinsa p ro u S 5 ts sa c nsse t
ar o t sc t e s VP n tu to nd ef n VP a k s o itn
wih l e te ofs led wor
t ow s nd kil
k.

( 231
R. .
ûf e l t t s ve iy of a c a m a ' m ent i pai nt i s e t o a t ee t
l ' va ua e he e r t
'o
l i nts
al m nne s n t ps w nd hr , he

33

r g ain drc t eALJt u eas e il y hiti Re iw Te h q e( . Hie - h r v
e ulto s ie t h
o s p ca Ps c arc v e c niu PRT)' n ss ap .
'
Co ro c S c, 1F. p' 91 , 5( 1h Ci. 01 )( i n M o r v Ba n a t4 F.d
mm' fso . e .51 Ap x 3 91 1 t r 2 3 ct g o e . r h r, 05 3
i

1 08 1 4 ( 1hCi.0 5 ;Wis h lv Co ro o . c, 31F.d 1 7 1 8 - ( 1h Ci.
2 , 21 1 t r2 0 ) n c e . mm' fs c Se . 6 3 1 6, 1 0 81 1 t r
2011 . Usngt PRT,t ALJi rquiedt de dei acl ma ' me a i nne sca e
) i he
he
s e r o ci f ai nts ntl mpai nt us
lmia i i one ofk ourbr f tonala ea ,'i l ng t c am a ' a lt t mai ai
i ttons n
s
f
oad unc i
r s' ncudi he l i nts biiy o
nt n

d e rto pe sse e,orpa ..' 20 C. R.j404.520a()3) $ft ALJfndss h a
ç ntain, ritnc
conc
ce..
'
F.
1
c( . t he
1
i uc
lm ia i t n t ALJ mus i l i a par ofa de c i i of t cli a ' R- i a
i tton, he he
t nc ude t s t
s rpton
he am nts FC n ny

hy heialquetonpos dt t VE. Hi sshar 511F. xa 91 (ii Wi c l631
pot tc
si
e o he ' ne - p,
'
App' t 5 ctng ns he,
F. a 11 -81.
3d t 80 )
ç
' hypot tca ne onl i ude t cli a ' i panne s not ea h a eve y
The
he i l ed y ncl
he am nts m i nt ,
c nd
r

s mptm o t ecama t'Mo a o v Co ' o o .S c,No 2:5 CV- 8 - - 2 7
y o f h li n . n c . mm r fs c e . . 1 - 6 5 FTM CM, 01
'
W L 6 2 1 a * ( . Fl. b. 6 2 7 ( u tn I gr m v Comm 'o o . e . mi.49
3 51 , t 9 M D. a Fe 1 , 01 ) q o ig n a .
r fs c S c Ad n , 6
F. 1 1 ( 1h Ci.2007)(iai an quotton maksomitd) t t h a ALJS
3d 253, 270 1 t r
ctton d
ai
r
te . t houg n '
Al
hypot tc que ton m us t ke i o ac ot a1 ofa cl i a ' i pa nne s..he ques i nee
he i al s i
t a nt c mt l
a m nts m i nt .t
ton d

noti l i r e st t ALJhaspr l de e m i t be uns
ncude mpaim nt hat he
opery t r ned o
uppore by t e de e
td he vi nc

i terc r a teALJddhee' I ( ingCr f r , 6 F.da 1 61.
n h e od, s h
i r . d ct
'
i aw o d 3 3 3 t 1 )
He e t Cour not t ti has ar dy f nd t tt ALJ di noter i fndi t t
r , he
t es ha t
lea ou ha he
d
r n i ng ha
Pl i ifs m e a i pa nne s w e e non- e r W hie t A LJ di s a e i her dec son t
a ntf
nt l m i nt
r
s ve e.
l he
d tt n
i i hat
Pl ntf ha a m id lm ia i i conc nt a i pe s s e e orpac t A LJ w a notr qui e t
ai i f d
l i t ton n
e r ton, r it nc
e, he
s
e rd o

icu es c afn igi he RF o i h rh p teiast t v c to l xp r. ( 2 ) Th s
n ld u h i dn n r C r n e y oh tc l o he o aina e e t R. 2 . i
c s i ditnguiha e fom Wi c ,t c us t ALJ c ude ba e on t evi nc t t
a e s si s bl r
ns hel û a e he
be
oncl d s d
he de e ha
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w i . vi
3
4

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t N. a. r
3) miary, n he as

ctdb De e d n ,Wof v Co vn, 8 1 - 9 3 T- , 3W L 3 5 5 , t* ( .
ie y fn a t le . li No. :2 CV- 0 - TGW 201
28 3 8 a 6 M D.
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l. u e 7 2 3 , h o r o n h t d l i t f h s l i ai n , c n iae ha
g g
mi
t c tons do not s g fca l a f c t pl i ifs a lt t w or , s e 20 C . R.
he ondii
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4 4.5 0 ( )1 ,t r wee n l tto s t be icu e i a hy oh tc lq sin t t
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Fi l Ssoci Se iy Rulng 96 de i a i vi lsr i lfmc i c pa t
naly,ç al curt
i
-8p fnes n ndi dua ' esdua b tonal a ciy
a t peron' m a mum r m ani a lt ûo do s t i wor a tvii i an or na y wor
s he s s xi
e i ng biiy t
usaned
k c i tes n
di r
k
s ti on ar a a c i ng ba i .' S. R .
e tng
egul r nd ontnui
s s '' S. 96-8 a 2. Rye v
p t

.

Co 'o o . c Ad n,
mm r fs c Se . mi.

27 F.App' 938,93 ( 1h Ci.2008 . The l ts ntnc of t ALJS RFC sae t t
0
x
9 1t r
)
as e e e he '
tts ha,
tgl ondayt non-eveeme a i ime s t cl ma r t nst ca ciy t unde sa
tsec r o
s r ntl mpar nt, he ai nt eai he pa t o
rtnd,

rme e a dc ry u (i) t e s S 5isnlto a dp ro m S 5t s a c nsse t t
e mb r n ar o t sc a la t VP n t cins n e f r VP a ks s o itn wih
lwes endofs ledwor ' ( 231
o t
kil
k. R. .
'
W hiet ALJ' RFC f Pl i ifi awkwa dl c afe i i clart tt A LJi e
l he
S
or antf s
r y r td, t s e ha he
nt ndedt
o
s a e t tt Pl i if c d c r y outa pe f m a m axi um of SVP 5 t s . The A LJ' fr t
t t ha he a ntf oul a r
nd r or
m
a ks
S is

hy t tc t t vocai
po hei al o he
tonale r i l
xpe t ncuded,i r e n pa t t tt i vi l ha t
n elva t r , ha he ndi dua
ve he
S a c t t r m e be ,under t nd,a c r y outa l a tSV P 5 i tuc i a per or a l a t
ç pa iy o e m r
c
sa
nd a r
tes
ns r tons nd f m t e s

S 5j b a c n itn wiht elwe te d o s ildwo k. g 686 1 Th n f rtet id
VP o s s o sse t t h o s n f k l
e r ' R. - 9 . e , o h hr
'
hypot i l t ALJc bi d t frtand s cond hy he i l a t n dr ppe t SPV lvel
hetca , he
om ne he is
e
pot tca s nd he o d he
e

t 3t 4 fom 5. g 71 . Shet nas d i t r aea ta fr bl s lsfom t patwo k
o o r
R. 1
he ke f hee r ny rnse a e kil r he s r

ta wo dta frt o h rl h S 3t 4j b . I
h t ul rnse o t e i t VP o o s d
g
Re r e s e i t A LJ i pr r y c a t t l s s nt nce oft RFC a a m i m um
ga dl s , ven f he
m ope l r fed he a t e e
he
s
ni
35

r t rt a ma mum ,t s woul be ha e s e r . C
a he han
xi
hi
d
nnl s ror I
SVP' sa f ûspe fc Voc tona
' tnds or ç cii
ai l
Pr pa a i ' whi h i t S
e r ton', c s he t
nmount of lps tme r quie by a t c wor r t l r t
a ed i
e rd
ypial ke o ea n he
t hni s ac r t i or a i a de l t f ciiy ne d f ave agepe f m a i a
ec que , quie he nf m ton, nd ve op he a lt ede or r
ror nce n

s cfcj b wo k rstain. 20C. R. 6 63 I VP 5'stelwe tlv l flkildwo k'
pe ii o - r e i to '
u
'
F. j 5 .. S
S 'i h o s e e o l le r '
s
i t DOT. See htps:www.s g op Home> lngsdi02/
n he
t /
/
sa.ov/
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04- - hm1 l t
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std
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opery e i ttons or antf nd ttd ha he
c pabl ofpe f mi t l s e ofs le wor The RFC i note r ne des t t
a e
ror ng he owe t nd
kild
k.
s
r o ous pie he
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l C O N C LU SI N
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l lg oft f e ng,i i her by O RDERED AND ADJUD GED t tt de ii of
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36

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