Valiente Gonzalez v. Commissioner of Social Security Administration

Filing 27

ORDER ON MOTIONS FOR SUMMARY JUDGEMENT [DEs 24, 25]: the decision of the Commissioner is AFFIRMED; denying 24 Plaintiff's Motion for Summary Judgment; granting 25 Defendant's Motion for Summary Judgment. Signed by Magistrate Judge William Matthewman on 9/10/2018. See attached document for full details. (kza)

UNI
TED STATES DI
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CT
SOUTHERN DI
STRI OF FLORI
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ORDER ON M OTI
ONS FOR SUM M ARY JUDG M ENT I 24.
DES 251

THI CAUS i b fr teCo r u o Plitf, d n aVain eGo ae ' (plitf '
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DE 9 . fru aey, o to n y olne rd o c e t anifs ae
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.

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3, ai if ie
te 1 pplcai o
rod
s biiy nd
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s biiy ns a e nett nd
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2

a s rig a d sbit o std t o No e e 1 201 . r 3 1 Th cams wee d ne
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ia l y n-e ae f v mb r , 0 R. 6 . e li
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Folowi a vi he rng on Septm be 1 201 t
l ng
deo a i
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ALJis dade sononNove r1 201 de ngPl ntf' rques f be ft. ( 36- .
sue
cii
mbe 7, 5, nyi ai ifs e t or neis R. 481

A r q e tf rr ve wa fld wih teAp e l Co n i a d d n e o Oco e 1 2 6 (
e u s o e iw s i
e t h p as u cl n e id n tb r 4, 01 . R.
1 201
8- .
A . H e i Te tm ony
arng s i

TheALJhedavi ohe i onSe e
l de arng
ptmber1 201 g 561 Pli ift tfe t ts
6, 5. R. . antf esiid ha he

wa bon o Aug t1 ,1 6 , os ewa 47a t etmeo t h aig. ( 6 1 S ei mare
s r n us 0 9 8 s h s t h i f he e rn R. 0 . h s rid
wi t c ide . g 6 - 1 Plitf d ie ' l e s wa s p n e t y a s p i r
t wo hlr n R. 0 61. an ifs rv rs i n e s us e d d wo e r ro
h
c
be us s di no ha a omo l i ur nc ( 61. Pl ntf c eedt lt grde. f
ca e he d t ve ut bie ns a e. R. q ai if omplt wefh a
J.
She l twor on N o mbe 1 201 bec us ofhe m e c lc to a be a e s no
as
ked
ve r 0, 0, a e
r di a ondii n nd c us he

ln e h d lng tnn dia ii tr ug h re ly r f . Pli tf sls j b wa a a cek
o g r a o -e
s blt h o h e mpo e . # anif at o s s lr
y
tpitprma iypef mi clrca dutesi a ofi g 621
y s, i rl ror ng ei l i n n fce. R. .
Pl ntf e ane t t s be havi difc t wo ki be aus s s f r fom
ai if xpl i d ha he gan
ng fiuly r ng c e he ufe ed r

mi anehe dac , ndt lf sdeofhe bodywoul g numbwhe s stf t lng. g
gri a hes a he e t i
r
d o
n he a or oo o
R.
6 . Lae on,s ha pr e wih de esi I Pli ifbega wor ng rduce hou s
24 tr he d oblms t pr son. d antf
n ki e d r .
1 L Shee nt ly ha t sop wor ng be a e s wa no see ng a ni and hadno e r y
d
ve ua l d o t
ki
c us he s t l pi t ght
ne g

d i t da g 62- . M e c tonheped s tmes ( 631 Pli ifas sae t t
urng he y. R. 631
diai l omei . R. . antf lo ttd ha
s wa notca bl ofwor a or bec us s f tunco f tbl beng a ound pe e. f
he s
pa e
k nym e a e he el
m ora e i r
opl J.
2Al r e e esar t t r or oft a i sr tv pr ee ng fldbyt Comm isone a Docke Enty 1
1 efr nc e o he ec d he dm nitaie oc di ie
he
si r t
t r 0.

2

Pl ntf sat t ts wass i Dr Sa
ai if t ed ha he
eeng . hade on a r gul rbassa t s wast ki
o
e a
i nd hat he
a ng
a ng
al
he
d
svea me cainse c da ( 63 . Pli tf sopped t ki Adder l because s coul not
e rl di to a h y. R. 1 a n if t

a f d t $ urne t s t twas r r d fr a pr c i i rfl. ( 641 Pli iftke
for he 20 i e t ha
equie o
esrpton eil R. . antf a s
Ef e t r whi h does ç om e t ngs 'f Pl ntf . I She f l lke t m e cne i no l e
fce, c
t
s
hi ' or ai if d.
ee s i he di i s
ong r

wo ki a wel I Pl ntf docor put he on a ne a ide es a t m ont pror
r ng s l. d. ai ifs t
r
w nt- pr s nt wo
hs i

be us s washa ngne s oms i udi t
ca e he
vi w ympt , ncl ng houghsofs cde ( 64- . Pli ifs
t uii . R. 651 antf
m edi a i m a he f el çs e i e ve y f t a s e i e ve y s ow ' a i e s he
c tons ke r e lom tm s r as nd om tm s r l ' nd ncr a e r

a tt. ( 65 . Pl nifdoesnotrc vet rpyf a me a c ton. IL
ppeie R. 1 aitf
e ei hea or ny ntl ondii
6
Pli ifsae t ts i i pan. g 661 He soma hhursc tnty, s tme
antf ttd ha he s n i R. . r t c t onsa l and omei s
t l f s de ofhe w a s hur s
he e t i
r it t.

Shec stf 1 mi tsbeor he l 41 goesnumb. (
an i or 0 nue f e r ef eg
R.

66- . Mos of t tme Pl ntf les on t s a. ( 661 Pli if ca sa f
671
t he i , ai if i
he of R. . antf n tnd or
a oxi tl 20 mi e a a tme. ( 671 She c n lf a oxi tl fve pounds f
ppr maey
nuts t i
R. .
a it ppr maey i
. J.
Pl n ifha pr e swih he s tt m memor a hast wrt t ngsdown be a e s i
aitf s oblm
t r hor-er
y nd
o ie hi
c us he s
ve y f ge f . f Pl i if al o ha dif c t m ai a ni a t nton or c e r ton and ha
r or t ul #. a ntf s s f i uly
nt i ng te i
onc nt a i
s

pr e undesa ng i or ton or i tuci . g 67- . She ca tki of'f l
oblms
rtndi nf mai
nsr tons R. 681
n t nd
olow

d rcins ( 6 )
ie to . R. 8 .
Pl n ift tfe t ts hepshe hus nd cook a doe s ala
aitf esii d ha he l
r ba
nd s m l mount ofm o ng,
s
ppi but
t ts doe no dot dihes va uum ,doyar wo k, yt bil,cla do l undr ortkeou
ha he s t he s , c
d r pa he ls e n, a y, a
t

t tah. g 69- . She a ompanisherhus nd t t gocey sor . ( 70) Pli if
he rs R. 701
cc
e
ba o he r r t e R. . antf
cn
nnotpay bil be a e s ca
ls c us he nnotc en r t I Pl i ifdoes notpari i t i any s i l
onc t a e. d. a ntf
tc pa e n
oc a

aci te orla he hous f t ngsot rt n docorsa nt nt. g 73 .
tviis e ve r e or hi
he ha
t ' ppoi me s R. 1
Pl i tf e a ne t t s w oul di a nt a f ur e pl r bec us s doe not
a n if xpl i d ha he
d s ppoi ny m e m oye
a e he
s

rme rbasc c
e mbe i omput ,fx,a c e s lst ts us t kno ( 71 . Pli ifas
er a nd opir kil ha he ed o w. R. J antf lo

sa e t ts wo d notbe a good e oye bec us ofhe s tt nn me or pr e s a
t t d ha he ul
mpl e a e
r hor-e
m y oblm nd
m e c pr blm s I She expli d t ,e n whe s wo ke pa ttme i t pa t s
dial o e . d
a ne hat ve
n he r d r-i n he s , he

mis atlas t ort eeda ofwor pe we k. ( 7 . Pl ntf satdt ts woul mis
sed e t wo hr ys
k r e R. 21 ai if t e ha he
d s
wor m o e t n once a w e k now . 1
k r ha
e
d.

P an ifsils fe sfo mirieh a a h s ( 7 1 Ac o dn t P an it s ewa
litf tl u fr r m g an e d c e . R. 3 . c r ig o litfl h s
di nos d wih muli e s e oss a one poi ,buti t r outt be fbr m ya gi r t r t
ag e t
tpl clr i t
nt
t u ned
o
i o l a ahe han

muli e s e oss
tpl clr i.

Pli ifa s t sii d t ts hasr pi c l g ow t s ome i he
antf lo e tfe ha he
a d el r h yndr
n r

b ai whi h pr est numbnes a pai on t l f sdeofhe body. I
r n, c oduc he
s nd n he e t i
r
d

Elza t La ane,hevoc tonale r,esiida t he rng. ( 741 TheALJfrt
i beh pl t t
ai
xpe tt tfe t he ai
R. .
is
pos a hypo he iali whi h a i vi loft s me age e a i a wor expe i nceas
ed
t tc n
c n ndi dua
he a
, duc ton, nd
k
re
Pli ifc d wo k a a lghte ri l l bu co d onl oc asona l soo kne l c ouch,
antf oul
r t i xe ton eve, t ul
y c i ly t p, e , r
c awl a ci r mps sar ,l r ,r sors afol ;s d avoi conc ntaed e
r , nd lmb a , t is adde s ope
c f ds houl
d
e r t xpos et
ur o
e r mehe t e es i noie vi a i e r
xte
a , xc sve s , br ton, nvionment irt nt,and ha r s h a unpr e t d
al ria s
za ds uc s
ot c e
heiht a da er mac ner ,c d pe f r smpl ,r utne t s ;c d mai an a tnton
g s nd ng ous
hi y' oul r o m i e o i a ks oul
nt i te i
and c e r ton f smpl t s wih c t a y br ks a c d have oc sona s r i
onc nta i or i e a ks t usom r ea ; nd oul
ca i l upe scal

c ac wihc wor r,s r s s a t publc. ( 741 Thevoc tonale r e ane
ont t t o- ke s upe vior, nd he i R. .
ai
xpe t xpli d
t ts h a i vi lc d notperor any ofPl i ifspas wo k.
ha uc n ndi dua oul
f m
antf
t r

She saed t s h
t t hat uc

a idiiu lc u d h we e, ro t ej b o p iemak r lu d yca sfe, n malo m
n n vd a o l , o v r pef nn h o s f rc r e , a n r ls i r a d i o
r
c e k. l
lr d

The ALJ pos d a s ond hy he iali whih a i vi
e
ec
pot tc n
c n ndi dualha t s me lm iatons
d he a
i ti

sae beor e e t e ri lvelwa c nged fom lg t s ntr ( 761 The
ttd f e xc pt he xe tonal e
s ha
r iht o ede ay. R. .

v c t n le pe ttsi e t ts h a i dv d lc ud p ro m t ej b o c l o to eao ,
o ai a x r e tt d ha uc n n iiua o l e fr h o s f al u p rt r
o
i
t l pho i or a i n cl r and doc e pr pa e . 1
e e ne nf m t o e k,
um nt e r r d.
4

TheALJt n pos a t r hy he iali whih a i vi ha t s
he
ed hid pot tc n
c n ndi dual d he ame lmia i
i t tons
fom t frthypot tca , xce t tt i vi lalowoul beof t s about20pe c ntoft
r he is
he i l e pt ha he ndi dua s
d
fak
re
he

wor ya woul mist eeormor da ofwor pe mont ( 771 Thevoc tona e r
kda nd
d s hr
e ys
k r
h. R. .
ai l xpe t
t tfe t tt sw oul pr c ude a lw o k. 1
es ii d ha hi
d el
1 r
d.

Pli ifs couns t pos d a hypot tc l i whih a i vi lof Pl ntf s a
antf
el hen e
he ia n
c n ndi dua
ai if ge,
e atonalba kgr
duc i
c ound, ndvocai lbac ound e incec d wor a alghtors de a y
a
tona
kgr
xpere
oul
k t i
e ntr
e ri l el butcoul onl oc sona l soop,kne ,c ouc c a ,and ci r mps sais
xe ton ev ,
d y ca i ly t
el r h, r wl
lmb n , t r ,
l dde s r pe ors a f ds s d a d conc nt a ed e
a r , o s c f ol ; houl voi
e r t xpos e t exte e he t e e s ve noi e,
ur o r m
a , xc s i
s
vi a i n, e r e a i t nt , and haz r s h a unpr e ed hei s a da r
br to nvi onm nt l ni a s
a ds uc s
ot ct
ght nd nge ous

mac ne y; a was mar dl lmie i he abiiy t r m e
hi r nd
ke y i t d n r lt o e mber l a i and wor lke
oc tons
k-i
pr e e , e m be ,unde sa c ry outbot one a t se diec i ,c r y outde al d
oc dur s r me r
r tnd, a r
h
nd wo- tp r tons a r
t ie
i t uc i , m a nt i a t ton a c e r t o pe f
ns r tons
i a n ten i
nd onc nta i n, r onn a tvii wihi a s hedul a
c i tes t n
c
e nd
c i t n l be punc ua ,s t i or na y r utne,w or i c di ton w ih ot r ,m a s m pl
ons s e ty
t l us a n di r o i
k n oor na i
t he s ke i e

wor r lt d de ii , c
k-ea e
c sons omplt a nor a wo kda pe f
ee
m l r y, ronn a a c it nt pa wihou
t onsse
ce t t
unnec s ar r s pe i ,a ce i t uc i a r s nd t c ii i m fom s r s s g tal
e s y e t r ods c pt ns r tons nd e po o r tc s r
upe vi or , e ong
w ih c w or r ,m a nt i s ci ly a opra e be vi ,r pond a opr a el t c nges s t
t o- ke s
i a n o a l ppr i t ha or es
ppr i t y o ha
,e

r lsi goas a ma plnsi pe ty. ( 77- . Thevocaina e r rs
eaitc l, nd ke a nde ndenl R. 784
to l xpet e ponde t t
d ha

s c a i dvd a wo dn t a a yj b a albet h r g 7 1
u h n n iiu l ul o h ve n o s v ia l o e . R. 8 .
The voc tona e r alo sa e t the t si on wa i a cor nce wih t DOT3
a i l xpe t s tt d ha r e tm y s n c da
t he
.

( 78 .
R. 1
B . M e ca R e or Evi nce
di l c d de
I r ac ng hi de i i t de Pl i if s be i s t A LJ r vi w e t m e ca
n e hi
s c son o ny a ntf
neft , he
e e d he di l
3D itona yofOc tona Til
ci r
cupai l tes

e de ofr or t r l ntpori ofwhi h i s ma ied c o ogi a l beow. The
vi nce
ec d, he eeva
ton
c s um rz hr nol c ly l
Cou t snots m a i i Pl i if sm e ca r c dsw hi h pe t i t m i o ir l vantil s es
ri
um r z ng a ntf
di l e or
c r a n o nor r r e e
lne s .

Pl i ifpr e e t Dr Dem i Femi ron De embe 3,2009,f a i ta e l ton
antf es nt d o . l s i de
c
r
or n nii l vaua i

a d n u oo ia a ssme t ( 4 1 Th n u oo ia e a n to wa n r l ( 4 7 .
n e r lgc l se s n . R. 26 . e e r lg c l x miain s o ma. R. 2 1
Dr Femi rnotd t tt t RIquesi t pos i lt ofade ye i tng pr s ,alhough I
. i de e ha he t
M
tons he sbiiy
m lna i
oce s t
s pe tt ti woul be m or m ir i . The pai nthasno upperm ot rne on fndi on
us c ha t
d
e g anous
te
o ur i ngs
e m i ton.' I Thedocorconcude t tPl i ifs f e fom &al l'ofde es i a
xa na i ' d
t
l d ha antf ufer d r t eve '
pr son nd
sr s andr omm e d t t f t eis ,a f Pl i ifshe dac ma ge e ,s t ke
te s
ec
nde ha , or hos s ues nd or antf
a he na m nt he a

Trz d ne I Plitf sw Dr F i d rf raf lo u o De e e 2 ,2 0 ( 42 1
a o o . d an if a . emi e o o lw-p n c mb r 3 0 9. R. 5 .
The doc orf
t ound t ti w asve y unlke y t tPl i ifha m uli e s e os s 1 He not d t t
ha t
r
i l ha a ntf d
tpl cl r i . d.
e ha
Pl i ifhad t ke Tr odone f onl t o da ,a ne rnotfed hi ofi e t ts ha s oppe
a ntf
a n az
or y w
ys nd ve
ii
s f c ha he d t d
t ki i. I D r Fe m i rde e ne t tPl i if s s pt sw e e m uli a t i ,s
a ng t d
. i de t nui d ha a ntf ym om
r
tf c oral ugge t d
se
s s a m e a he lh c
he ee
nt l a t ouns l ,a s t he he m edi a i t Pn el . I
e or nd wic d r
c ton o m or d.

l 2011 Pl nifprs ntd t Agrsia Asocaes muli e tme . ( 640- 1
n
, aitf e e e o e t nd s it
tpl i s R. 648 .
How e r t r c dsa e il gi e.
ve , he e or r le bl

Pl ntf pr s t d t Dr J e Zuni on De e be 9,2011 c
ai if e en e o . os
ga
cm r
, ompli ng ofhe dac ,
ani
a hes

a ey,de esi a REM beha ordior r ( 4471 Pli ifrpore t the svee
nxit pr son, nd
vi s de . R. . antf e td ha r e r
m i a nes ha i pr d,butt t s c i d t s f r f om a e y,difculy s e pi a
gr i
d m ove
ha he ontnue o uf e r
nxi t f i t l e ng, nd
d e sdm o
epr s e
od. I Pl i ifha notbe n a et s e he ps hi t i tf a f w m ont bec us
d. a ntf d
e bl o e r yc a r s or e
hs a e
he w a m ovi hi of i e. 1 Dr Zuni i r as Pl i i f sCial n dos untls c d
s
ng s f c
d. .
ga nc e ed a ntf
t opr m
age i he oul
s e he ps hi ti t I
e
r yc a r s . d

D r Zuni not t t Pl i i f w a t ki m edi a i f r he
.
ga
ed ha a ntf
s a ng
c tons o
r

m i a nes 1 H e a s no e t t bec us of he REM be vi a di or r Pl n if ne d
gr i . d.
l o t d ha , a e
r
ha or l s de , ai t f ede
Cl na e m ,butt ts w a al o us ng t m e c ton t ale a e he a e y.
o z pa
ha he s s i he di a i o l vi t r nxi t
6

Pl i if s
a ntf '

physc e m i ton wasnor e e f mid de e e s a i n i t diti i n oft
ial xa na i
mal xc pt or l cr as d ens to n he srbuto
he

me a nel e i t u r e rmii . ( 447- . Dr Zuni dignosd Pli if wih
din ' n he ppe xte tes R. 481
v
. ga a e antf t
mi ane(ommo i r tbl) REM se be vi dior r cevi ac a s ome( fu e,
gri c
n ntaca e,
lep ha or s de , r obr hil yndr
dif s )

d p e sv d s r e , n dz ie sa dgd ie s g 4 8 . Hea k dPlitf t f lw u wih
e r sie io d r a d izn s n idn s . R. 4 1
s e an if o ol p t
o
he ps hi t i t i s x wee due t he pe s s e s pt s of de es i a r om m e d
r yc a rs n i
ks
o r r i t nt ym om
pr s on nd ec
nde
a ua i t r py f rhe ne pa n.
q tc he a o r ck i
Pl n if pr e e t D r Zuni on J 28 201 f he m i a nes m e o y l s a
ai t f es nt d o .
ga
une , 2, or r gr i , m r os , nd

capa t l g 4441 Sher poredt the s veemi ane ha i ove bu t ts sil
r l unne. R. .
e t ha r e r gri s d mpr d, t ha he tl
s f r f om az e y,dif c t s e pi and de es e m ood. 1 She s a e t ts w ass il
uf e ed r
l t f i uly l e ng,
xi
pr s d
d.
t t d ha he
tl

on me c ton, c di hep he de es i butt ts hadnotbee a et s ehe ps hitit
di a i whih d l r pr son, ha he
n bl o e r yc ars .
1 Pli if c
d. antf ompl i of ditc t wih he lf a m- m anl numbnes a te . 1
aned
fi uly t r e t r
iy
s nd r mor d.
Pl i ifw a s ilt ki m e c ton f rhe m i a ne , EM be vi aldi or r a a e y. 1
a ntf s tl a ng di a i o r gr i s R
ha or s de , nd nxi t d.
Pl ntf sphys ca e m i ton wasnor al e f m id dec e ed s ns ton i t dit i i
ai if
i l xa na i
m exc pt or l
r as e a i n he s rbuton

oft medinne v i t uppe e rmiis ( 444- 1 Dr Zuni e ane t ti Pli if
he
a r e n he r xte te . R. 45 . . ga xpli d ha,f antf
c i d t ha difc t wih he l f a m,s woul ne di nosi sudisa he nextvi i.
ontnue o ve fiuly t r e t r he
d ed ag tc t e t r
st

g 4454 Healoor r anEM G mus l ts f Pl ntf slmbs 1
R. .
s deed
ce e t or ai if i . d.
On Dec mbe 1 201 Pl ntf c ee a Supplme alPan Que tor ie,sai
e r 7, 3, ai if ompltd
e nt i
si mar ttng
t ts e renc dpai daiy. ( 3 251 Ont s medae,s alo c ee aFuncin
ha he xpei e n l R. 23- .
he n
t he s ompltd
to
Re tg 3 - .
por R. 26 331
Pli ifs ade t ogit Dr J hBe ln,r Augus 1 2011 t J 5, 3. (
antf aw nnaol s, . os ri fom
t 7, ,o une 201 R.
453- 1 l a a st s s fr fo a mi s n c ton,butt docorsnot a
71. t ppe r hat he ufes rm
nor ki ondii
he t ' es nd
r c ds a e il gi e. On J 7,201 a l Pl i if ha a s n bi y of he l twr s ,i w a
e or r le bl
une
3, fer a ntf d ki ops
r ef i t t s

deer ne t tPl ntf ha c oni hype toni ( ora ior demaii ( 4501
t mi d ha ai if d hr c rr c ps isf m) r tts. R. .
7

On Se e be 4,201 Pli ifpr s nt d t t e e ge de rme a J M e c l
ptm r
3, antf e e e o he m r ncy pa t nt t FK
di a

Ce e c ani ofar h s ha ha f t wee . g 4721 Shewa dignos d wih
ntr ompli ng
as he d d or wo ks R. .
s a e t
c a demaii a af usi e tonoft s na dic r d. ( 479)
ontct r tts nd ung nfci
he ki nd shage R. .
On N ove be 5, 201 Pl ntf pr e e t D r W om e h Sa
m r
3, ai i f es nt d o .
s
hade of t Pa m Bea h
o
he l
c

Ps hiti a AdditonCe e . ( 483- 1 Thedocorsnot aeil bl OnJ nuay9,
yc arc nd
ci
ntr R. 85 .
t ' es r legi e. a r

2 4, litf a anp e e tdt Dr S ha e g 48 48 1 Th d co ' n tsaeg n r l
01 P an if g i rs n e o . a d o. R. 2, 5 . e o t rs oe r e eal
y
il gi e, Dr Sa de di tnd t tPl i ifdi nots f fom c i d ps
le bl but . ha o d i ha antf d
ufer r
ontnue ychoss s cdal
i , uii

o homii i ai orhal i to . g 4821 Dr Sa oas f t tPli ifhadf i
r
cdalde ton, lucnains R. . . hade lo ound ha antf
ar
i pul e c r ,dys r c m ood,bl e a f c ,nonnals ec or ni e t ug pr e s f r
m s ontol pho i
unt d f e t
pe h, ga z d ho ht oc s , ai

isg ta dj d me tfi e ec na t a d fi h ge e
n ih n u g n, ar y o tc, n ar y in .
l t D i a lt D e e na i n Expl na i a t l ta Le da e J nua y 30, 4, t
n he s biiy t nni to
a tons t he nii l vel t d a r
201 i
w a de e m i d t t Pl i t f s f e f o t f l w i s ve e i pai men s: tbr yal a,
s t r ne ha a n if ufer d r m he olo ng e r m r t i om gi

a ey dior r,a afci dior r. ( 8 . M a i Rudmann,PI. ,f
nxit s des nd fe tve s des R. 44
urce
AD. ound t t
ha
Pli tf ha m ode a e difc t i m a n ai ng s i fmc i ng, m ode a e difc tes i
a n if d
r t f ul n
i t ni ocal t toni
r t fi uli n
m ai a ni c e r ton,pe s s e orpa e, nd no r a e e s
nt i ng onc nt a i
r it nce
c a
epe t d pi odesofde m pe a i e h
co ns ton, ac

ofe e d durton. g 85 . Dr Rudmal alof
xtnde ai R. 1 .
m s ound t tt e de edi notesa ih t
ha he vi nc d
tbls he
pr s nc oft ' rt ra IL Hede e mi dt tPl i ifwasonl pa ta l c e bl bec us t
e e e 1 c ie i . (
C'
t r ne ha antf
y rily r di e a e he

me c le de edi nots pporhe alegai . ( 861 Dr Rudma concude t tPl nif
dia vi nc d u t r l tons R. . .
nn l d ha aitf
i m ode a ey lm ied i t a lt t unde sa a r membe de aiedi tuci ,hea lt t
s
r t l i t n he biiy o
r t nd nd e
r t l nsr tons t biiy o
c r y o de a l d i t uc i ,t a lt t m a nt i a t nton a c e r ton f e e d
a r ut t ie ns r tons he biiy o i a n te i nd onc nt a i or xt nde
pe i ,t a lt t i e ac a opra el w ih t ge a publc a t a lt t r pond
rods he biiy o nt r t ppr i t y t he ner l
i , nd he biiy o es

a o itl t c
pprpraey o hange i t wor sti
s n he
k etng.

g 86- . The Stt dia lt
R. 881
ae s biiy

aj dc t re n n r Lomi M i u', eemie t a Plitf i n td sb e . ( 9 1
du iao /x mi e, r e l l d tr n d h t an if s o ia ld R. 0 .
b n
8

OnM ac 7, 4, antf c ee ascondSupplmentlPanQuesi ie, ttng
rh 201 Pli if ompltd e
e a i
tonnar sai

ta s ee p de c dpanal ft etme ( 3 9 51. OnM ac 8 2 4 s eas c mpltda
h t h x e n e i lo h i . R. 4 - 1
rh , 01 , h lo o ee
FuncinRe r ( 352- .
to po t R. 651
On Aprl 1 201 Dr St ve L.Kar rc plt d a e
i 5, 4, . e n
me om e e n xami i ofPli tf upon a
naton
a n if

rfnulfom t Stt of Fl i Ofie ofDia lt Deemi tons g 51 . Pli if
ee r he ae
orda fc
sbiiy tr nai . R. 21 antf
r po td t ts coul notwor be us s s f r fom r pi c lgr h s ome,s ver
e re ha he
d
k ca e he ufe ed r a d el owt yndr
e e
mi ai he dac s blzr vii n,num bne son t lf sde ofhe body,ex r m e a ey a
gr ne a he , lred so
s
he e t i
r
te
nxi t nd
de e son wih s c da t
pr s i
t uii l hought,i om ni a pa ca t kst tc us pi hi i he c s .
s ns
a, nd ni tac ha a ed nc ng n r he t
I Pl i ifalo sa e t t s s f r fom dizi s a ha t us a c ne a tm e
d
antf s tt d ha he ufe ed r
z nes nd d o e a t i s.
Pli ifa tonaly r po td l rbac pa n a f pan and s d t s c d onl sto
antf ddii l e re owe
k i nd oot i
ai hat he oul
y i r
s a f fve t 1 m i e .
t nd or i o 5 nut s

ned ha ai if
n n
Dr Ka re mi d Pl ntf g 51 1 . He opi t tPl ntf has pai i her
. nne xa ne ai if R. 3-41

l bac butno moorrte ors ns y dei t. ( 51 . Dr Ka rnot t tPli if
ower k,
t el x e or fcis R. 41 . nne ed ha antf
ambult d ea iy w ihouta ssi de c s a di nota art be of balnc
a e sl t
s itve vi e nd d
ppe o
f a e.
no e t Pli ifde
t d hat a ntf monsr e no ove tps hi ti dys unc i durng t i er iw .
tatd
r yc arc f ton i he nt ve

He a s
lo
Dr
.

Ka rpoi e o t t whiePl ntf r pore t tt lf sdeofhe bodywasnumb be aus of
nne nt d ut ha , l ai if e td ha he e t i
r
c e
r pi c lgr hs ome, ai ifsne o us a e mi tonwaswihi no ma lmis 1
a d el owt yndr
Pl ntf ' ur m culr xa nai
t n r l i t. d
Fi l he no e t t Pli tf ha no difc t wih nor c
naly,
t d ha a n if d
fi uly t
mal onve s tonals e
rai
pe ch. 1 Dr
d. .

Kame o i e t a Plitf c udstsa d, l,itc ny, n h ndeo j cs t o t ifc ly
r r p n d h t anif o l i,tn wak l , a a d a l be t wih u d fiut ,
f
t t Pl i if s he rng a s e w e e e ele ,t t he m e o y w a i a t a t t s
ha a ntf ' a i nd pe ch r xc l nt ha r m r
s nt c , nd ha he
i e a e w e ldurng t i e vi w .
nt r ct d l i he nt r e

On Aprl22,201 Dr Ronal L.Se f r a lce e ps hol s ,c
i
4, .
d
ie , i ns d yc ogit omplt d a g r
ee
ene al

ci c le l inwihmentlsauso Pl ntf ( 51 . Dr Seie noe t theque to d
lnia vauato t
a tt f ai if R. 64 . fr td ha
sine

Pli ifsr ibiiy be us t r wa aç sbl dismultng c pone t he pr en a i '
antf ela lt ca e he e s l i e s i a i om
pos
nt o r es t ton.
'
1 Hea s no e t tPl ntf ha at omplx pr e a i ' I Dr Sef rf
d.
lo t d ha ai if d û
c
e es nt ton.' d. . ie ound t tPl i if
ha antf

wa puposf l i pprpraeyans rnghi quesi . ( 51 . Hes re dPli ifwih
s r euly na o itl we i s tons R. 8j
ce ne antf t
t Re Viua M e y Tes, Pl ntf obt i a7/ 4.
he y s l mor
t and ai if aned 1

Dr Seie opi dt tPl i ifs
. f r ne ha antf

s or e de e a ç s i ultng viual m e y r c d. I
c e vi nc d ç sm a i
di
s
mor e or ' d
'

The doc or co l
t
ncuded t t
ha

Pl i i f sco pl x pr s nt to m a be due t t a r e efec s ofm e c ton,a di sm ul tng
a ntf ' m e e e a i n y
o he dve s f t
di a i
si ai

c m pone , sbl lnguagedif r nce ,a pos i e bona fde ment he lh ditc te . f
o
nt pos i e a
fe e s nd sbl
i
al at fi uli s #.
Dr Seie f
. f r oundt tPl i ifspr
ha antf ' ognos sc d bei ovedwihm e a he t te t nt f miy
i oul
mpr
t nt l alh r a me , a l

t ea y a d me iain rg me rv e ( 51 1 He wa u a l t d tr n Plitf s
h rp n
dc to e i n e iw. R. 9 .
s n b e o eemie anif
fm c i
t tonallm ia i ns 1
i t to . d.
I aD i a lt D e e m i to Expl na i a t Re
n
s biiy t r na i n
a ton t he cons de a i Le da ed M a 8, 4,
i r ton vel t
y 201
Dr M i K is m a ur hy de e m i d t tPl i if s m i a ne w e e s a e w ih m e c t o ,t t
. nal r l m t
t r ne ha a ntf
gr i s r t bl t
di a i n' ha

s c d st sa w ak,lh a c ry wihoutdifc t t tt r wasno e de ofdignos s
he oul i, t nd, l i nd a r t
fi uly; ha he e
vi nce
a
i
f m uli e s e oss a t t Pli tf s i par e s do no r ul i f ton l s a a e
or tpl clr i' nd ha a n if m im nt
,
t es t n unc i os nd r

t rf e no s vee. ( 11 . Stve W ie,PI. ,dee ne t tPlitf s fr d fom
heeor t e r R. 41 e n s ZD. tnni d ha anif ufe e r
afci dior sa anxit dior r. g 11 . Hef mdt tPli ifhadmidr srci
fe tve s der nd ey s des R. 41
ot ha antf
l etiton
of ac i tes of da l lvi m ode a e di fc t i m a nt i ng s i l f nc i ng, m ode a e
tvii
iy i ng,
r t f i uly n
i a ni oc a u toni
rt
difc tes i m a nt i ng co e r to pe s s e e or pa e, and no r pea e e s s of
f i uli n
i a ni
nc nt a i n, r i t nc
c
e t d pi ode

de ompens ton,e hofe e d dur ton. g 1 51 Dr W ieas f
c
a i ac
xt nde
ai
R. 1 . . s lo oundt tt evi nc di
ha he de e d
. s oncl
ha a ntf s
rtl
note t bls t pr e e ofEC' c ie i f D r W i e c uded t tPl i ifw a m ode a e y
s a ih he es nc
t ' rt r a. #.
lm ied i t a lt t unde s a a r m e be de a l d i t u tons t abiiy t c r out
i t n he biiy o
r t nd nd e m r t ie ns r c i , he lt o ary
de aie i t uc i , he a lt t m a nt i a t nton a c
t l d ns r tons t biiy o i a n te i nd once r ton f e e
nta i or xt nded pe i , he
rods t
a lt t i e a ta oprat l w ih t ge r publc a t a lt t r s
biiy o nt r c ppr i e y t he ne al
i , nd he biiy o e pond a opr a el t
ppr i t y o

c a g si tewok stig. g 1 7 1 1 Hen td ta P an ifwa no f l ce il. (
h n e n h r et
n R. 1 - 8 .
o e h t litf s t ul r db e R.
y
1 8 . Th Saeds b l ya j dc tre a n r Ama ir Zu f , ee n dt t anif sn t
1 4 e tt ia ii du iao /x mie , dee o a d tnnie ha Pli tf i o
t
diabld. ( 1 .
s e R. 201
OnJ 8 201 Pli ifsmot compl e aFuncinRepor- Adul- ThidPa t g
une , 4, antf
her
etd
to
t
t
r ry R.
376-34 Pli ifsmot re anedt tPli ifha be sc f t l tfw yeas s fr d
8 . antf
he xpli ha antf d en ik or he as e
r, ufe e
fom s ve e de es i l tm os ofhera lt t per onn e n s al t ks ga ned a l tofw e gh ,
r
e r pr son, os
t
biiy o f
ve m l as , i
o
i t

a ha no desr t parii t i s ala tviis g 3761 Pli ifs mot rr ponded
nd d
ie o tcpae n oci ci te . R. . antf
he es
t oug
hr houtt Func i Re t ha Pl i ifw a s t taly i pa t by he aim e s
he
ton por t t a ntf s ubs an i l m c ed
r l nt .

Plitf prs nt t Dr Sa o aha ulmor tmesi 201 tloughJ y 201 g
anif e e ed o . hade
ndf
e i n 4 lr
ul 4. R.
5 244 Thedoco ' notsae g r l il bl,butDr Sa deo di fnd a e ch vii t t
20- .
trs e r enealy legi e
. ha
d i t a st ha
Pl i ifdi nots f rfom c i
a ntf d
uf e r
ontnued ps hos s s c da orhom i i li ton,o haluci tons
yc i , ui i l
c da dea i
r l na i .
f D r Sa
#. . hade a s f
o l o ound t tPl i ifha f ri pul e c r ,f i ordys i m ood,bl ed
ha a ntf d ai m s ont ol a r
phor c
unt

af c,n r ls e h,o g nz d to g tp o e s fi i sg ta j d me t f i o p o e e
fe t o ma pe c r a ie h u h r c s , ar n ih nd u g n, ar r o r y
c ac , nd f i hygi
ont t a a r
ene. 1
d.

OnJ y 1 201 Dr Sa de c ee aM e ca SoureStt nt M e al ( 5351
ul , 4, . ha o ompltd
di l c aeme - nt . R. .
The doc o opi d t tPl i ifha m a ke lm ia i i he a lt t unde s a r m e be a
t r ne ha a ntf s r d i t tons n r biiy o
r t nd, e m r nd
c r y outs r ,s m pl i t uc i ,t co wih s m pl ,wor r l t d s r s s t m a sm pl
ar
ho t i e ns r tons o pe t i e
k- e a e t es or , o ke i e

wor r a e de sonsa wor i pe nty, o a ksmpl que tonsa r s
k-elt d cii nd k nde nde l t s i e si
nd e ponda o it l
ppr pra ey
t c ii i m f om s r i or ,t ge al a oprat y w ih pe r ,t be awa e ofnonnal z r
o rtc s r
upe v s s o t ong ppr i el t e s o
r
ha a ds

a tke a o it pr c tons a t pe f a tvii ofdal lvi ( 536- . Dr
nd a ppr prae e aui , nd o ronn ci tes
iy i ng. R. 371 .
Sa de a s opi d t Pl ntf ha e r e lm ia i i he a lt t unde s a r m e be ,
ha o l o ne hat ai i f s xtem i t tons n r biiy o
r t nd, e m r
a c r y out de aied i t uc i , t pe f nn a tvii s w ihi a s he e m a nt i r a
nd a r
t l ns r tons o r o
c i te t n
c dul , i a n egul r
a t nda e,a be punc ua ,t s t i o di r w or r i w ihout s c al s r i i t
te nc nd
t l o us a n r na y
k outne t
pe i upe v s on, o

r pond a opra e yt cha
es
ppr it l o ngesi t wor s ti t m ant i s i lf tons a t mai ai
n he k elng, o i an oc a unc i , nd o nt n
c nc nta i pe s senc a pa e r uli i c pl ton ofw or lke t ksi a tm e y m ar e .
o e r ton, r i t e nd c es tng n om e i
k- i as n i l
m r

f Dr Sa
#. . hade f
o ound t tPli ifhad s f r d fom m o et n t eeepiodesofdee i a i
ha antf
ufe e r
r ha hr
s
tror ton

orde ompe ain i awor lkesti ( 5371 Thedocornot t tPli ifwass veel
c
ns to n
k-i etng. R. .
t ed ha antf
e ry
de e s d a s f r d fom a pa c a anxit dior r
pr s e nd uf e e r
ni nd
e y s de .

The doct f t r not d t t
or urhe
e ha

Pl ntf ha difc t c
ai if d fi uly once r tng a i ea iy ditaced. I Dr Sa
nta i nd s sl sr t
d
. hade co l d t t
o ncude ha
Pl ntf w asc r nty una e t s ek e pl e a w asdi a e
ai i f
ur e l
bl o e m oym nt nd
s bl d.

On J y 3,201 Pli ifpr s nt t Dr Tom Cofma g 5324 He dignos
ul
4, antf e e ed o .
f n. R. .
a ed
Pl ntf wih i l m ed pi
ai if t nta
nguec ae 1 Dr Cof m a not t t i l m e pi cul e us ly
ul . d. . f n ed ha nta d ngue a ua l

r pond t t piall ia s se oi ,a N SAI ,butt tt y c n be s gialy e s d i
es
o o c ubrc nt , tr ds nd
DS
ha he a
ur c l xcie f
t e t e tf is 1
r a m n a l . d.
On Se e be 9,201 Pl ntf pr s nt d t D r Ca
pt m r
4, ai if e e e o . nnen Tor e c pl i ng off tgue.
r s om a ni
ai

( 5 . Dr Tore not t tPli ifs fr fom ftgue c o cfbr l a hea c ,
R. 391 . r s ed ha antf ufeed r ai , hrni omyagi, da hes
r
s
e ha a ntf
a ng
a d j itp i g 5 1. Dr.Tores alo not d t t Pli if w as nott ki her headache
n on an. R. 4 1
m edi a i
c ton. 1
d.
On Se em be 1 201 Pl i if pr s nt t Dr J f r Rubi c pl i ng of t e
pt
r 8, 4, a ntf e e ed o . e f ey
n om a ni
hr e

we k o p if lds o o ti te lf s b c iia r go ofh rh a . ( 5 2 . Dr Ru i
e s f an u ic mfr n h e t u o cp tl e in e e d R. 4 1 . bn
e ai d t tPli ifsc r ha bee ta f r e t hi fom Dr Zuni whoPl i ifha l s
xpl ne ha antf a e d n r nse r d o m r
.
ga,
antf d a t
s n i Nove be 201 I Dr Ru n not d Pl i ifs l hit y of he dac . I Dr
ee n
m r 2. d
. bi
e antf ong sor
a hes d
.
Rubi e mi d Pl i if a f und t ts wa t nde i t r gi n of t g e t r oc i t l
n xa ne antf nd o
ha he s e r n he e o
he r a e c pia

f rme o t elf sd , u t a s edi n t ufe fo r daigp i. ( 5 1 Hed a n s d
o n n n h e t ie b t h t h d o s fr r m a itn an R. 44 .
ig o e
he w ih r e o e l f oc i t lne al a wih c s i c oni de e s on a a l e y,a
r t ec nt ns t e t c pia ur gi t oexi tng hr c pr s i nd r t s
xi

welasc o ctnson he c a pei c mi ane wihou a a. g 5451 Dr Rubi
l hrni e i ada hes nd rodi gri s t t ur R. . . n

rc
e omm e d moithe ta ia i a a c nge i m e ca i 1
nde
s a pplc tons nd ha
n di ton. d.

Pl ntf prs nt t Dr Sa de i Ocobe 7,201 g 5461 Thedocorsnot ar
ai if e e ed o . ha o n t r
4. R. .
t ' es e
g ne a l il bl butD r Sa deo di f nd t tPl ntf di nots f rf om c i d ps hos s
e r ly legi e,
. ha
d i ha ai if d
uf e r
ontnue yc i ,

s ci lorhomi da i a i orhaluci tons I Dr Sa de a s f
ui da
ci l de ton,
l na i . d
. ha o lo ound t tPl i ifha
ha antf d
fi i
a r mpule c r ,f i a dys i m ood,bl t afe t nor ls c or nied t ug
s ontol ar nd phorc
un ed f c , ma pee h, ga z ho ht

p o e s fi isg t ndj d me t fi e ec n a t a df i h ge e 1 .
r c s, ar n ih a u g n , ar y o tc, n ar y in . d
On M a c 1 201 Pl ntf pr s nt d t t J M edi al Cent r com pl i ng of
r h 7,
5, ai i f e e e o he FK
c
e
a ni

s o te so b e t a dc e t an g 61 1 S wa d sh r e ten x d ya trtsig g
h rn s f rah n h s p i. R. 4 . he s ic a g d h e t a fe e tn . R.
61 1 . Pli ifwasdignosd wih c tpai a s t s ofbrat buta t c ona y
4- 51 antf
a e t hes n nd horne s
e h,
cue or r
sndomewa r e out ( 615 .
y r
s uld . R. 4
On Aprl1 201 Pl ntf pr e e t Dr Da d Si
i 0, 5, ai if esntd o . vi mon. ( 593- . Hi not ae
R. 941 s es r
il gi e buti a
le bl ,
t ppea st the c i d Pl i i f sc r ntm e ca i . I
r ha
ontnue a ntf ur e
di tons d

Pl ntf sw Dr Sa de fve a tonaltme bewee J nuay a J y 201 (
ai if a
. ha o i ddii
i s t n a r nd ul
5. R.

5 7 9 1 Th d co ' n tsaeg n r l ilgb e b tDr S h d oddfn ta Plitf d dn t
8 - 2 . e o t rs o e r e eal l il, u . a a e i id h t anif i o
y e
s f r fom c i d ps hoss s ci or hom ii l i ton, o haluci tons 1 Dr
ufe r
ontnue
yc i, ui dal
c da dea i
r l na i . d.
.

Sa de alof t tPli ifha fi i s c r ,fi a dys i mood(nd o tme
ha o s ound ha antf d ar mpule ontol ar nd phorc
a ne i

a g ymo d , ln e af c, o ma s e c o g nie t o g tp o e s fi i sg ta dj d me t
n r o )bu td fe tn r l p e h, r a z d h u h r c s, ar n ih n u g n,
f i e c t c ,and f i hygi ne. 1 I alo a
a r ye on a t
ar
e
d t s ppea s t t Dr Sa de r f e t g ve Pl i if
r ha . ha o e us d o i
a ntf

a mor Addealbec us s woul nots tt aurnes e. ( 5891
ny e
rl a e he
d
ubmi o i ampl R. .
On J y 1,201 Dr Sa de c ee a M e a l i nt Quesi ie a
ul
5, . ha o ompltd
ntl mpanne
tonnar nd
e ai d t t Pl i if ha bee di gnos d w ih pa c di or r a ntonxpl ne ha a ntf d
n a
e
t ni s de , ûe i defc G yper c i t
i
a tviy

ds r e ,a d mao d prs ie afcie ds r e . ( 5 7 6 1 Dr S h d o n t d ta
iod r n
j r e e sv fe tv io d r R. 9 - 01. . a a e oe h t
Pl ntf ha not r quie hos t i ton o i pa i nt t e t e f he s pt s but t t
ai i f d
e rd
pialza i
r n- te r a m nt or r ym om ,
ha

Pli ifs dignos s and lm ia i we e e c e t l s a l s 1 mont . ( 5 7 . Dr
a ntf
a
e
i ttons r xpe t d o a t t ea t 2
hs R. 9 1
.
Sa de f
ha o ound t tPl n ifwasnotam ai er r 1 .
ha aitf
lng e . d

The doc ors a e t tPl i ifs f r d
t t t d ha a ntf uf e e

fo d pr s edm ood, r it ntorge r lz d a ey, bl a ta a f c ,f e i ofg l or
r m e es
pe sse
ne ai e nxi t unt nd l t fe t e lngs uit

worhl s nes ,hosiiy orirt biiy,s ci li ton,difc t t nki o c
t e s s tlt
ria lt ui da dea i
fi uly hi ng r once r ton, easy
nta i
dita tbiiy,fi ofi s a poori e ae/e ntmemor . g 5981 Dr Sa deoalo
sr ci lt lght dea , nd
mm di t r ce
y R.
. . ha
s
f
ound t Pl i ife
hat a ntf xpere d e s s ofdec pens i i a w or o w or lke s ti .
i nce pi ode
om
aton n
k r k- i e tng

5991
.
Dr Sa de de e ne t Pl ntf had ma ked lm iai i t a lt t r m be
. ha o t nni d hat ai if
r
i t tons n he biiy o eme r
l ai a wor lkepr du e ,t unde sa a r m e rone t t se i tuci , t
oc tons nd
k-i
oce r s o
r tnd nd e mbe
-o-wo t p nsr tons o
unde sa a r m e
r tnd nd e mberde a ld i tuc i ,t ca y outsmpl , one-o-w o s ep i t uctons,
t ie nsr tons o n'
i e
t t t ns r i
t c r o de a ld i tudi , o mai an a tnton a c en r ton f re ende pe i , t
o ary ut t ie nsr ons t
nt i te i nd onc ta i o xt d rods o
pe f a tvii wihi a s he e a co it nty bepuncua, t s t i a o di r r i
ronn c i tes t n c dul nd nsse l
t l o usa n n r na y outne
wihou s r ii t wor i coor na i ornea o he swihoutbei ditaced by t , t
t t upe v son, o
k n
di ton
r t r t
ng sr t
hem o
make smpl wor r l t d de ii ns t c
i e
k-e a e
c so , o ompl t a wor y wihout i e r i ns fom
ee
kda
t
nt rupto
r
ps hol c s
yc ogial ympt ,t pe f nu ata c it ntpac wihoutr tpe i of unr as bl
oms o r o
onsse
e t
es rods
e ona e
lngt orfe
e h r quenc t a e i tudi nsa r s nda o it l t c ii s f o s r ior ,
y, o cc pt nsr o nd e po ppr pra ey o rtcim r m upe v s s
t ge a ong w ih eo or r or pee s wihout dit a i t m , t m a nt i s a l a opda e
o tl
t w ke s
r t
s r d ng he o i a n oci ly ppr
t

be vi ,t r s
ha or o e pond a opra ey t wor ac c nges t s tr aitc g l,a t m a pl ns
ppr it l o kpl e ha , o e e lsi oa s nd o ke a

i pe
nde ndenty. g 6001 Dr Sa o f t tPli ifas ha mode aelmiai i he
l R. . . hade ound ha antf lo d
r t i ttons n r
a lt t a t a opra el wih t publc a t a r t ba i sa r of ne t s a
biiy o c ppr it y t he
i nd o dhe e o sc t nda ds
a ne s nd
m ode ae-o- r lmia i i he a lt t a k smpl q si nso r ue tas it e, t be
r t t ma ked i t tons n r biiy o s i e ue to r eq s s sanc o
a r ofhaz r a t ke a opra epr a i , a t ta lt unf mii rpl e orus publc
wa e
a ds nd a ppr it ec utons nd o r ve o n la ac s
e
i
ta pora i
r ns t ton. 1 D r Sa de opi d t t Pl i if w oul lke y be abs ntf om w or due t
d. . ha o ne ha a ntf
d i l
e r
k
o

h ri an n sf rmo et a t red y amo t . ( 6 1
e mp i ne t o r h n h e a s n h R. 01.
Plitf p e e td t Dr Alj n r Ara ,a ps c lgs,o J l 6 2 4 f r a
anif rs n e o . ea d o is
y hoo it n uy , 01 , o
ps hol c levauai g 6084 Plitf rpore t ts had no enegy and wasver
yc ogia l ton. R. . anif e td ha he
r
y
sr s e a the sna i lcr ums a es
te s d bou r nc a ic t nc .

She sa e t t on a t pi lda s s aye a
t t d ha ,
y ca y, he t d t

c ac
home, e e he me l, ndtl dt hernei s ( 6091 Pl ntffr portd pani att ks
prpard r as a ake o
ghbor. R. . ai i e e

a sa e t ta pa c a tc ha l t he hos t lz ton t ee mont pror 1 Dr Aras
nd t t d ha
ni ta k d ed o r piai ai hr
hs i . d. . i
no e t tPl ntf wa c
t d ha ai if s oope a i a motva e madeag deg e ofe c a ha s c
r tve nd
i t d,
ood r e ye ont d, d pee h
a lnguag s lst twe es t ntvea gr mm a ialwast aruld i t s s i r po td
nd a
e kil ha r ubsa i nd a
tc ,
e f urng he e son, e re
a de e s d m ood, de e a s cdalhom i da i tons de ed ha l na i , a was
pr s e
ni d ny uii /
ci l deai , ni
luci tons nd

o int d t tm e,pe s and pl c 1 Dr Aras a s no ed t Pl i if di poory on t
re e o i
r on,
a e. d. . i lo t hat antf d
l
he
recent m em or t t
y es .

Dr Aras f
. i ound t t Pl i if ha good pe ss e e,sow pa ,a
ha antf d
r it nc l
ce nd

or
ude ha a ntf
f m
he
i ar dc n e tain. g 61 1 Thedoct concl d t tPli if speror anceon t Rey
mp ie o c nrto R. 0 .

1 -t m Tes wa wihi e c a y,a t the r ulso t Be Anxit l t y a Be k
5 1e
t s t n xpe t nc nd ha r es t n he ck
ey nven or nd c
De e son Anxit - l endo s s ve e s
pr s i
ey l
r ed e r ympt s ofa e y a de e son. 1 Dr Aras
om
nxit nd pr s i
d. . i
f
ound t tPl i ifspr nosswa gua ded,t ts woul be i fom ps hi rc te t e
ha antf
og i s r
ha he
d neft r
yc ati r am nt
a e
nd ouns lng,a t the r tz t wor a t ttm ewasgua d
ei nd ha r e t o k t ha i
m
r ed.

On J y 6,2015 Dr Arasco ee a MenalHe lh Que to ie g 602- . He
ul
, . i mpltd
t at
sinnar . R. 61
no e t theha neve teaed Pl i ifpr vi usy a t tt swa t tr ttm ehehad me he .
t d ha
d
rr t
antf e o l nd ha hi s he i s i
t r

( 6 2 . He d a n s d P an ifwih mao d p e sve ds r e,u pe iid. I Dr Ara
R. 0 1
ig o e litf t j r e r si io d r ns cfe d . is
r po td t tPl i ifhad r uie hos t lz ton ori te team e i Aprl201 1 . He
e re ha antf
eq r d pia ia i
npai nt r t nt n
i
5. d
as sa e t tPli ifsdignossa lm ia i we ee c e t l ta la t1 mont a
lo tt d ha a ntf
a
i nd i ttons r xpe t d o as t e s 2
hs nd
t s wasnotam alnger
hat he
i er.

Thedoc o f
t r ound t tPl i ifs f r df o de e s dm ood,
ha antf ufe e r m pr s e

pe sse orge r lz d a ey,i t bl a f t f lngs ofworhls ne s i t biiy, s c da
r it nt
ne ai e nxi t ni a e fec , ee i
t e s s , nia lt ui i l
15

i a in,dit uly t nki or co e r tng,e y dita i lt a doni / va i l s of
de to
fk t hi ng
nc ntai
as sr ctbiiy, nhe aper sve os
i e ess weghtc nge, r as e r s i wihd awaloriol to a de r a e nee f
ntr t, i ha
dec e ed ne gy, ocal t r
s ai n, nd c e s d d or

see 4 g . . Dr Ara alof t tPl ntf e re e e s ofde ompe ai i a
l p. R 6031 . is s ound ha ai if xpeinc d piodes c
ns ton n

woko wo k l stig g 6 4 .
r r r -i etn . R. 0 1
ke
Dr Ara dee mi t tPli ifha nomakedlmiai
. is tr ned ha antf d
r i ttons. g 605 . Hefundt t
R. 1
o ha
Pl ntf ha mode ae-o- r d lm iatonsi t a lt t unde sa a r m e
ai if d
r t t ma ke i t i n he biiy o
r t nd nd e mberdeaied
tl
i t u tons t c r y outde a l d i t uc i ns t m a nt i a t nton a c e r ton f re e
nsr c i , o a r
t ie nsr to , o i a n te i nd onc nt a i o xt nded

pe i ,t c
rods o ompl t awor y wihouti e z i fom ps hol ca s
ee
kda t
nt m ptons r
yc ogi l ympt s t ge aong
om , o t l
w ih c or r orpee sw iho di t a tng t m , o m ai t n s i ly a opra ebe vi r a t
t ow ke s
r t ut s r c i he t
n ai oc a l ppr i t ha o , nd o
rs
e pond a opra e y t w o kpl c c
ppr i t l o
r a e hange . 1
s d

D r A ras f
. i ound t t Pl i if a s had
ha a ntf l o

m ode a e lm ia i ns i he a lt t per or a tvii s w ihi a s dul a c i t ty be
r t i t t o n r biiy o f m c i te t n che e nd ons s en l

puncualt wor i c di tonwih ornea ot r wihoutbeng dita t d byt m , ope f m
t , o k n oor na i
t
r he s t
i
sr c e
he t ror
a a c it nt pa wihout r s pe i
t
ons s e
ce t
e t rods of unr as
e onabl l ngt or f e ncy, t i t r c
e e h
r que
o nea t

a opra ey wih t publc,t ac e i tu tonsa r s
ppr it l t he
i o c pt nsr c i
nd e pond a opra ey t c ii s fom
ppr it l o rtcim r
s r s s a t adhe e t basc s a r ofne nes . f Fi ly,D r A rasde e m i d t t
upe vior , nd o
r o i t nda ds
at s J. na l
. i
t r ne ha
Pl i if ha none t m id lm ia i
a ntf d
-o- l i t tons i he abiiy t r m e be l a i
n r lt o e m r oc tons a w or lke
nd
k-i

pr e es t unde sa a r m be one-o-wo se i tu i ,t ca r out smpl,
oc dur , o
rt nd nd eme r
t t
tp nsr ctons o ry
i e
one t t o s e i t u tons t s t n or nar r i w ihou s r s on, t m a s m pl
-o-w t p ns r c i , o us ai di y outne t t upe vi i
o ke i e
wor r a ed de i i ,t a k s m pl ques i orr ques a s s a ,t be a a e ofha r a
k- el t
c s ons o s i e
tons e
t s i t nce o
w r
za ds nd
t ke a opr a e pr ca i ,t t a l t unf m ii r pl e or us publc t a po t ton,t s t
a ppr i t e utons o r ve o n la ac s
e
i r ns r a i o e
r a i tc goa s a t m a pl i pe nty. f Dr A rasopi t tPl i i fw oul lkel
e ls i
l , nd o ke ans nde nde l J. . i
ned ha a ntf
di y

4 Thewa t tDr Ara fledoutt c kboxe i ve yconf i
y ha . is il
he hec
ss r
usng. Heputnot ng i s eboxe ,c km a ksi
hi n om
s hec r n
s eboxe ,a sr i lne i s eboxe .
om
s nd taght i s n om
s

1
6

bea e tfom wor duet heri i nt f mor t nt e da amont ( 601.
bs n r
k
o mpanne s or e ha hre ys
h. R. 1
C. A LJ Dec s on
ii

TheALJis dhi de ii onPl ntf scli f be ft onNove
sue s cson
ai if am or neis
mber1 201 g
7, 5. R.
3648. TheALJe anedt fvese s que ile l ton pr es f detr ni wheher
- 1
xpli he i -tp e nta vauai oc s or emi ng t
a i vi i dia e g 37- . He f
n ndi dual s sbld. R. 384
ound t t Pl ntf meest i urnce saus
ha ai if t he ns a
tt
r qui e e s of t Soc a Se trt Ac t oug D e m be 31 2016,a ha not e ge i
e r m nt
he
i l c liy t hr h ce r ,
nd s
nga d n

s tnta ganf aci t snceNovembe 1 201 t alege ons dae. ( 381 TheALJ
ubsa il i ul tviy i
r , 0, he l d et t R. .
t nf
he ound t tPl ntf s f r f om t f l i s ve e i paim e s c r t
ha ai i f uf e s r he olow ng e r m r nt : a pal unnels om eof
yndr
t no dom i nt l f ha m i a ne , obe iy, de e s o a a e y. 1 H e s c fc l
he nna e t nd, gr i s
st
pr s i n, nd nxi t d.
pe i i aly
not d t t Pl i if s ha a non- e r m e c ly de e m i bl i pa r e i t f r of
e ha a ntf
s
s ve e di a l
t r na e m im nt n he o m

pi cule a f
ngue a nd ound t tt medialr co d doe noti caet tt sc ton i pos smor
ha he
c e r
s
ndi t ha hi ondii m e
e

t n mi ma r tito on Pl ntf sa lt t pef m ba i wor rlt ts . g 37- 1
ha ni l esrcins
ai if biiy o ror sc k eaed a ks R. 38 .
Fi ly, t A LJ f
na l he
ound t t t r a e no di gnos s f om a e a e s c s whi h s
ha he e r
a
e r
cc pt bl our e
c uppor
t
Pl i if s as e tons t t s s f r f om r pi c lgr t s ndr e o m uli e s e os s a
a ntf
s ri
ha he uf e s r
a d el ow h y om r
tpl cl r i nd
not d t t Pl i if s a e a t he i t t s di notac ualy s f r f om m uli e s l r i .
e ha a ntf t t d t he arng ha he d
t l uf e r
tpl c e os s

g 381
R. .
TheALJf
ound t tPl ntf doe no ha a i nne orc
ha ai if s t ve n mpai nt ombi ton ofi panne s
nai
m i nt
t tm e t or m e c ly equa st s ve iy of one oft ls e i pa nne s i 20 CFR Pa t404,
ha
es
di a l
l he e rt
he it d m i nt n
r

Subpa t Appe x 1 g 391 TheALJdeemi dt tlhe ei s t ile de t tt
r P,
ndi . R. .
tr ne ha t r s ubsanta vi nce ha he
t
c ai a ,a a i vi
l m nt s n ndi dualw ih obe iy,e r e s gr a e pai and f tonal lm ia i t n
t
s t xpe i nce e t r n
unc i
i t ton ha
m i be e pe t d f om he m e c ly de e na e i paim e s i vi ua l ' 1 The A LJ
ght
x ce r
r di a l t nni bl m r nt ndi d ly. d.
'
a s de enni t t t s ve iy of Pl ntf s m e a i paim en s cons de e sngl a i
l o t ned ha he e rt
ai i f
nt l m r t ,
i r d i y nd n
c bi ton,di no m e tor m e c l e
om na i
d t e
di aly qualt c ie i of ls i 1 04 and 1 06 as Pl i if
he rt r a itngs 2.
2.
a ntf
17

ha m id r titons i aci te of dal lvi , moder t difc te i s i l f toni
s l esrc i
n tvii s
iy i ng
ae fiuli s n oc a unc i ng,
mode a e difc te wih r ga d t conc ntai , pe ss e e or pa e, a no e s s of
r t fi ulis t e r o
e r ton r i t nc
c nd
pi ode
de m pe ai n ofa e e
co ns to
n xt nded d ai . g 3 - J TheALJas fu d ta telsig 1 .4
ur ton R. 940 .
lo o n h t h itn 20
S r r ph C'c ie i ha no be n m e i t sc e ( 40q
ç ag a
pa
' rt ra d t e
t n hi as . R. .
TheALJf
ound t tPl ntf ha
ha ai if s
t r sdua f to c pa iy t pe f m lght wor as detne i 20 CFR
he e i l unc i nal a ct o ror i
k
i d n

4 4 1 6 *)a d41 .6 (9 e e tta s ec no c so al so p, e l co c ,
0 .5 7 n 69 7 1 xc p h t h a c a in ly to kn e, r u h

c awl and ci ldder ,r , s a f ds r
r ,
lmb a s opes c fol , nmps or sar . She i t a d
,
t is
s o voi
c e rt e
onc nt a ed xpos e t e r m e hea ,e e s ve noi e, vi a i e r
ur o xt e
t xc s i
s br ton, nvionme a
nt l
irt nt,a haz r s h a da r m a hi r a unpr t c e heght . She
ria s nd a ds uc s nge ous c ne y nd
oe td i s
i c pa e of pe f m i s m pl , r utne t ks c n m ant i a tnton a
s a bl
r or ng i e o i as , a
i a n te i
nd
c e r ton f smpl t kswih c t m a y br a , a ca have oc as onalor
onc ntai or i e as
t uso r e ks nd n
c i
s ri a c a twih s vior , wor s and t publc
upe fcil ontc t uper s s co- ker ,
he
i.

( 40- 1
R. 41 .
The ALJ a tse t the ha c i e a1 ofPl ntf s s
te td ha
d onsder d l
ai if ympt s a çhe e e t
om nd û xtnt o
t

wh c t s s mp o c n r a o a l b a c p e a c n itn wi t o j cie me ia
ih he e y t ms a e s n by e c e td s o sse t t he b e tv
h
dc l
e de e a ot r e denc ' a wel asal oft opi on e de e. g 41. Het nf l
vi nc nd he vi e, s l
'
l he ni vi nc
R. 1
he olowed

t t se pr es- fr t dee ni whe he t r i a unde l ng de e m i bl physca or
he wo- tp oc s is, t nni ng
t r he e s n
ryi
t r na e
i l
me a i iment t t c d r s na y be e
nt l mpar
ha oul ea o bl
xpece t pr e Pl ntf pa n or o he
td o oduc ai ifs i
t r
s pt s a t n e l tng t i e iy, pe s s e , a lm ii efec s of Pl i ifs
ym om , nd he va ua i he nt ns t
r i t nce nd i tng f t
antf
s m pt s t de enni t e e t whi h t y lm i he f tons 1 The A LJ fr t
y om o t ne he xt nt o
c he i t r unc i . d.
is

s
umm a i d Pl ntf dia lt r por pan quesi ie a f ton r por. 1 He t
rze ai ifs s biiy e q i
tonna r , nd unci e t d.
hen
s
umma iedt t r pary f nc i r por compl t byPl ntf' m ot . I The A LJf
rz he hid t ' ton e t
u
eed
ai ifs her d
ound
t t w hie Pl i ifsm ot r ss a e en sw e e t ne a l c r a i o Pl i if s a l ga i ns
ha , l a ntf
he ' t t m t r ç r ly or obor tve f a ntf le to ,
ge

a ha be dul c i r t cl er lto hi bewe n M s V ai nt a t ea ma ,a
nd ve en y onsde ed, he os e ai ns p t e
.
le e nd he li nt nd
t pos i lt t t sa e
he sbiiy hat he tt ment we e i l ed i f
s r nfuenc n avoroft c am a by a de iet hel t
he l i nt
sr o p he

18

cli a c nno bee iel i nor d i de di how muc we g t y des r .' 1
am nt n t ntr y g e n ci ng
h i ht he
e ve ' d.
The ALJ t n s ma ied Pl i ifs he i t si ony a f
he um rz
antf
arng e tm
nd ound t t t Pl i ifs
ha he antf
û
t c l dee na e i ime s e d r s bl be e
medialy t nni bl mpar nt oul ea ona y
xpeded t ca e t a lge
o us he le d

s oms ho ve,( antf'lsae nt co eni t i e iy,peritnce a lmii
ympt ; we r Pli ifs ttme s nc r ng he ntnst
sse
nd i tng
e f d s of t e s pt m s a. not c edi e t t e e t y a e i ns s e w ih t a ve
fe
hes ym o
î
e
r bl o he xt nt he r neo i t nt t he bo
r i ua f nd i l c pa iy a s s m e .' g 41421 He wentt ough t vai me c l
es d l u ona a c t s e s nt ' R. - .
hr
he rous dia

r co ds i d t i a not d Pli tf s ts a c hit y of r i m e c c r ', her l ck of
e r n e a l nd e a n if ûpor di sor
outne di al a e'
a
tnpa int hos t i a i f r i r ca e pan',a he l k of l ur r f he pur tdl
û te
i
pialz tons o nta tbl i ' nd r ac
ç ge y or r pore y
s

de lttngc tons' ( 42- . TheALJalonotdt tPli ifha notrceve ma s
biiai ondii .' R. 431
s e ha antf s e i d sage

te a o boo ij cinsfrmiri r le, sn tr q rd ap e ci e a ssi d vc f r
h rpy r tx ne to o g ane eif ha o e uie r srb d s itve e ie o
a ai a hasno til aTENS uni f pai co r . g 431 TheALJconcude t t
mbulton, nd
t raed
t or n ntol R. .
l d ha
Pli ifs t sor ofs a c l r l c er a i team e doe nots
antf' s t y
hi
por di, a ge y ons v tve, r t nt s
uppor al ga i of
t le tons

ds big c ndto . 1 . The ALJ as fu ta t o j cie me ia e i e c dd n t
ia l o i ns' d
n
i '
lo o nd h t he b e tv d c l v d n e i o
s ppo tPl ntf alegai a t s veiy ofhe me a i ime s g 43441 The
u r ai ifs l tons bout he e rt
r ntl mpar nt. R. - .
ALJc i r t f c o se
onsde ed he a t r nume ae i SSR 96- a f
r td n
7p nd ound t tPl i ifsteam e r c d
ha antf r t nt e or

doesno s ppo the al ai o dia i co tons g 441 Hec ude t tPli ifs
t u r r leg tons f sblng ndii . R. .
oncl d ha antf
i uc es f c e v tvete t e i c t st the s
l c s ul ons r a i r am nt ndia e ha r ympt sa enota di a i aspur td.'
s
om r
s s blng
pore '
I
d

TheALJs k a l not dt tPl i ifst tmony wa Cge r ly notf t omi a t
pedt ly e ha antf esi
s û ne al
orhc ng t he

he rng. ( 444 Henotdt tPl ntf wasa et r mai s t f t e iehe i a
ai ' R. .
'
e ha ai if
bl o e n eaed or he ntr arng nd
wa a e t pa tci t f l wihou sgnsofdita i orpai I The ALJ sa e t thi
s bl o ri pa e uly t t i
sr cton
n. d
tt d ha s
o e v tonsw e e lo y o ofm a f c o sr le o ' f H e a s no e t t w hie Pl i i f
bs r a i
r i nl ne
ny a t r e i d n. #.
'
l o t d ha , l a ntf

des rbed herdal adi te a f ry lmie t al dl lmie dal a tviis c d notbe
ci
iy vii s s ail i t d, he lege y i td iy c i te oul
19

o j cieyveiid a d e e i ted i a tvte weev r l td i wo l b t ifc l t
be tv l rfe , n , v n f h al ci iis r e y i e , t u d e d fiut o
y
mi
d
a ti et tde eeoflm iai n t t cai
trbut ha gr
i t to o he l mantsm e ca c ton. 1 TheALJalopoi e
' di l ondii ' d.
'
s
nt d
o t t whie Pli if alege y wa una e t ha e sm pl c l ul tons s wa t
ut ha , l a ntf l dl
s
bl o ndl i e a c ai , he s he
r pr s nt tve pa on he c l s Suppl m en a Se iy I
e e e ai
yee
r hid'
e t l curt ncom e a i ton ofDec m be 201
pplca i
e r 4.
1
d.

The ALJ f rhe not d t t Pli ifs wor hit y f l t s
u t r e ha antf
k sor ais o uppor he al ga i of
t r le tons
diablng c tons i t ts r e ve une pl e bene is i 201 and e r d i m e i
s i ondii n ha he ec i d m oym nt
ft n
3
n ne nco
n

20 1 ( 45 . Fial,h ALJc nsd rdtev ro si o sse tsae n swihnPlitf
1 . R. 1 n ly t e
o ie e h ai u nc n itn ttme t t i an ifs
m e c r co d a he rng t tm o r gar ng he a lt t pe f per o lca e a dal
dial e r nd a i esi ny e di
r biiy o ronn s na r nd iy
aci tes I
tvii . d

He e aned t t whie Pl i if m a no ha i e i l pr ded
xpli
ha ,
l antf
y t ve ntntonaly ovi

i
ncons s e i or a i l he i ons s e y s
it nt nf m ton, t
t nc it nc ugges s t t t i onna i pr ded by t
t ha he nf
ton ovi
he

cli ntge r lyma notbee ieyr la e.' ( 454
ama ne al y
ntrl eibl ' R. .
The ALJ ne consdee t medialo ni . ( 45 . He ga ltl wei t t
xt i rd he
c pi ons R. 1
ve ite ght o he
s a e e ofDr Sa
t t m nt
. hade f om J y 201 bec us i r e r d t Pl i if sçgl la lt t w or
o r
ul
4 a e t ef r e o a ntf t oba biiy o
k,

whih i ade e mi to r e v f t Comm isone .
c s t r nai n es r ed or he
s i r'
'

The A LJ a s ga lt l w e ghtt
l o ve ite i o

t J y 201 s a e e ofDr Saha o be us i di r d f om t tea m e not sa be us i
he ul
5 t t m nt
.
de ca e t ve ge r he r t nt e nd ca e t
was pos i e t t D r Sa de w as t yi t a s s Pl ntf be us t phys ci n s pa hi e
s bl ha . ha o
r ng o s it ai if ca e he
i a ym t z d
w ih he . 1
t r d.
The A LJ ga Dr Ar a m e ca s ce s a e e w ei ç y t t ext t t t i i
ve . i s' di l our t t m nt ght s
onl o he en ha t s

c itntwiht opi onofDr W ie. g 451 TheALJexpli dt tDr Arass te a
onsse t he ni
. s ' R. .
'
ane ha . i ubmitd
m e c ls ce s a e e on t s m e day t the fr te ount r d Pl i if I The A LJ t n
di a our t t m nt he a
ha
i s nc
e e a ntf . d
he
s a e t t t RFC i ba e i pa tu
t t d ha he
s s d n r pon t opi on of Dr W i e,t ps
he ni
. s he ychol c c ula
ogi al ons t nt

fo t Dia lt Dee nai Sevi . g 464 The ALJgaveDr W iesopi on gra
r m he s biiy tnni ton r ce R. .
. s ' ni e t

we gh a f
i t nd ound t Dr W ie' o ni n wasc it ntwih Pl i ifsr pore s m pt s and
hat . s s pi o
onsse
t antf e td y om ,
alowe f s pt i e f r nce. 1 Fi ly, t ALJ di no afor muc wei t t
l d or ym om nt re e
d. na l he
d t f d
h
ght o he
opi on ofDr Kr s m ur hy bec us t m e c e de doe , i f c ,s
ni
. ihna t
a e he di al vi nce s n a t uppor a c
t nd onobor t
ae

s meo Plitf ss b e tv camsr g r i he lmiai n .
o f an if u j cie li e adng r i tto s
The ALJ ne f
xt ound t tPli ifi una e t pe f r a pas r e ntwo k. g 4 1
ha antf s bl o ro m ny t elva
r R. 6 .

He not d t t Pli tf was 42 yea s ol on t alege dia lt ons t dae. I The A LJ
e ha a n if
r d
he l d s biiy
e t d.
e a ne t tPl ntf hasa las ahi s hoole a i a i a et communia ei Engls .
xpli d ha ai if
t e t gh c
duc ton nd s bl o
ct n
ih

( 4 4 Th ALJ as e plie t t ta se a ii o j b s il i no maeilt t e
R. 7 . e
lo x an d ha r n fr blt f o k ls s t tra o h
y
de e mi to ofdia lt be us t M e ca- a i Rulss
t r nai n
s biiy ca e he di lvoc tonal e uppor afndi t tPli ifi
t i ng ha antf s

ç o d sbe ' wh t e o no Plitf ha ta sea l j b s ls 1 . He c n ld d t t
' t ia ld' eh r r t an if s r n frb e o ki . d
n
l
o cu e ha,
c i rng Pl ntf s a ed a i wo k e re e,a RFC, t ee aej bst te s i
onsde i
ai if ge, uc ton, r xpe i nc nd
h r r o ha xit n
sg tca tnumbe si t na i le onomy t tPl i ifca pe f
ini n
i
r n he tona c
ha antf n ronn,i l ng prce ma ke ,
nc udi
i
r r
l undr c as ii r a m ai r
a
y l sf e , nd
l oom c e k. 1
lr
d

The A LJ f
ound t t t voc tonal e r '
ha he
ai
xpe ts

tsi n wa c n itn wi t eif r to fu d i t eDOT. g 25 . Th ALJc ncu e
etmo y s o sse t t h n o main o n n h
h
R. 1 e
o ld d
t tPli ifhasno bee unde a dia lt snce Nove be 1 201 t oug t da e oft
ha antf
t n
r
s biiy i
m r , 0, hr h he t
he

d cso . g 48 .
e iin R. 1
l . O TI N S FO R SUM M A RY JU D G M EN T
IM
O

I he os M otonf SummayJ
n rpr e i or
r udgme g 241 Pli ifge al ague t ts i
nt DE , antf nerly r s ha he s
ve y sc a t s doesno f e s wast ve af rc nce'durnghe vi hea i wih t
r ik nd hat he
t e l he
t n ai ha ' i
gi
r deo rng t he

ALJ. Pli ifaloalege t tt ALJi dno e l eme ca e de ea andgi)prpel
antf s l s ha he
t
di t vauat di l vi nc nd
sc o ry
c i rt opi ons'ofhe tea i phys c a . f atpp.1ons de he ni '
r r tng
i i ns J
2.
.

I Def nda ' M o i f Sum m a y J
n
e nt s ton or
r udgm e w ih Suppo tng M e or ndum ofLa a
nt t
ri
m a
w nd

Res et Pli ifsM oton fr Summay J me g 251 s contndst tt ALJ'
pons o antf
i o
r udg nt DE , he e ha he
S

decson i s ppo td by s t nta e de i t r or .
ii s u re
ubsa il vi nce n he ec d
1 1 LEG A L A NA LY SI
1.
S

J calr vi oft f c ua fndi i dia lt c s i lmie t de e mi ngwhe he
udii e ew he a t l i ngs n s biiy a es s i t d o t r ni
t r
t Comm isone ' dec so i t u
he
s i rs ii n s t ppore by s t nta e de a bas d on pr r l l
s
td
ubsa il vi nce nd e
ope ega
sa r . Subsa il e de e i m o e t n a s ntla a i s h r lvant e de e as a
t nda ds
tnta vi nc s r ha
ci il nd s uc ee
vi nc
r a o bl pe s w oul a c pt as a qua e t s
e s na e r on
d ce
de t o uppor a c us on.' 42 U. C.j 405( ;
t oncl i '
S.
g)

Cr f r v Co ' o o .S c,3 3 F.d 1 5 ,1 5 ( 1h Ci. 0 4 ( e c ra (n e l
aw o d . mm r fs c e . 6 3 1 5 1 8 1 t r 2 0 ) p r u im) itma
ctto o te )(uoi fc v Ca lh n 1 F.d 1 3 , 43 ( 1hCi. 99 :. Co rsma
iain mitd q tng wg . la a , 25 3 4 6 1 9 1 t r 1 7
ut y
no i e iet fcsa e r weg t ee d n e o s bsiu e g ilj d me tf rt a o te
t û cd he a t n w, e ih h vie c , r u t t t r u g n o h t f h
d
t he
( mmiso el' Phli v Ba n a t ? 7 F.d 1 2,1 4 ,n.8 ( 1h Ci.2 0 )( u tn
Co sin r. i ps . r h r, 5 3 23 2 0
'
l
1 t r 0 4 q oig
Bl o s rhv He ke , 0 F.d 1 3 1 3 ( 1hCi.1 8 (
o d wo t . c lr 7 3 2 23 , 2 9 1 t r 9 39.
The r srdi sa r of r viw s tout a
e ti ve t nda d
e e e
bove a is onl t fndi of f d. No
pple
y o i ngs
a
p es
r umpton ofvaldiy a tc t t Co mi sonersc usons oflw . Br
i
i t ta hes o he m s i ' oncl i
a
own v.Suli ,
lvan

921F. 1 1 ( t Ci.1 ) Mari v.Suli 8 F. 1 1 ( t Ci.1 .
2d 233, 236 11h r 991 ) tn
lvan, 94 2d 520, 529 11h r 990)
ilhe g
û- commisone 'lfiur t a y t cor c l ort prvi t rviwi c twih
s i rs al e o ppl he re t aw o o de he e e ng our t
s tc e r as ng f de e mi ng t pr r l l a yss ha bee c
ufi i nt e oni or t r ni he ope ega nal i s n onduc e m a t
t d ndaes

rv ra. I g a v Co ' o c Se . mi.4 F.d 1 5 , 26 ( 1hCi. 0 7 ( u tng
e e s l' n r m . mm r fso . c Ad n , 96 3 2 3 1 0 1 t r 2 0 ) q oi
'
Cor lu v Sulian,936F. 11 11 46( t Ci.1 (.
neis . lv
2d 43, 45- 11h r 9919
Soca Se iy r ultons e t bls a fve se s nta anayss t a rve ata fna
il curt eg a i
sa ih i - tp eque i l l i o ri
i l

d tnniaino ds b l y 2 C. R.j40 1 2 ;2 C. R.j41 .20()() Th ALJmu t
ee n to f ia ii . 0 F.
t
4.5 0 0 F.
69 a-t. e
s
frtde e ne whe he t cli nti pr e l e pl d. l s , a fndi ofno dia lt i
is t nni
t r he a ma s es nty m oye
f o i ng
n- s biiy s

ma a t i r concudes 20 C. R.j 404.520( . l t s ond se t ALJmus
de, nd he nquiy
l .
F.
1 b) n he ec
tp,he
t
de e m i whe he t c a m a ts f r f om a s ver i pa r e orcom bi ton ofi pa r e t .
t r ne
t r he l i n uf e s r
e e m i m nt
na i
m im n s

l t ALJ fnds t t cai t doe not s f f o a s ve e i i nt or c
f he
i
ha l man
s
ufer r m
e r mpa nne
ombi ton of
na i
i i nt, t n a fndi of non- s biiy r uls a t i r e . 20 C.F. .
mpa nne s he
i ng
dia lt es t , nd he nquiy nds
R

404.520()
1 c.
Stpt e r quiest ALJt co r t cli ntss ve ei ime t)t t ei t
e hre e r he
o mpae he ama ' e r mpar nts o hos n he
ls i ofi paim e s 20 C. R.j404.520( , ubpa t a ndi 1 Ce t ni ime sar
i tng m r nt .
F.
1 d) s r P, ppe x . rai mpar nt e

s s v r ,wh t e c n i ee ao e o i c nu cin wih oh ri ar n s ta,i t e ae
o e ee eh r o sd rd ln r n o j n to t te mp ime t, h t f h y r
esa ihe t r gultons r r a fndi of dia lt wihout f rhe i r i o t
t bls d, he e a i
equie
i ng
s biiy t
u t r nquiy nt he
dam a ' a lt t pe f m ot rwo k. See G i on v.Hec l r 762 F. 1 6, 1 S, 1( 1h
i nts biiy o ror he r
bs
ke ,
2d 51 51 n. 1 t

Ci.1 ) I t i imen me t o e l a lse i ime ,dia lt i prs
r 985 . f he mpar t es r quas itd mpar nt s biiy s e umed a
nd
beneisaea r d. 20C. R.j404.520( .
ft r wade
F.
1 d)
St p f uri vesade e na i ofwhet rt c am a ' i nne spr ve hi o
e o nvol
t nni ton
he he l i nts mpai nt e nt m r
he fom pe f m i hi orhe pas r e ntwor . l t cl i a c l otpe f m hi orhe pa t
rr
ror ng s
r t elva
k f he a m nt a m
r or s
r s

rlva two k,h ngprmaf cec s o ds b lyi e tbls e 2 C. R. 40 1 2 () The
ee n r te
i a i a e f ia ii s sa ih d. 0 F. j 4.5 0 e .
t
bur n t n s fst t ALJt s w a se fvet t des t t c ai ant s i paim e s he or
de he hit o he
o ho t t p i ha , pie he l m ' m r nt ,
s i a et pe f wor i t na i ec
he s bl o ronn k n he tonal onomy i lg oft cl m a ' R FC,a educ ton,
n iht he ai nts
ge,
ai
-

a d wo k e einc . 2 C. R.j 4 4.5 0 9;Phi is 3 7 F.3 a 1 3 . I o d r t
n
r xp re e 0 F.
0 12 (
lp , 5
l
d t 2 9 n re o
d tr n wh te t cama t st ea ii t a j s t oh rwo ki t n to l c no ,h
ee mie eh r he li n ha h blt o du t o t e r n he aina e o my t e
y
ALJ m a eihe a y t M edialVoc tona Gui lne , 20 C . R.pt 404 s
y t r ppl he
c
a i l dei s
F.
.
ubpt P,a z,or
. pp.
utlz t a ssa eofa voc tonale r. Se Phil , 357 F.3d a 1 40.
ii e he s it nc
ai
xpe t e li
ps
t 239A. W he he Pli ifwa m ovi dwih duepr e sr ga di he hea i wiht ALJ
t r antf s
de t
oc s e r ng r rng t he
Pl i if s m s t a gue fr t t s w a no pr de w ih d pr es be us i w as
a ntf ee o r
s hat he s t ovi d t ue oc s ca e t

ditc tt c
fi ul o omm uni t t oug avi ohe rngwih t ALJa s wa onl pr deda
cae hr h de a i
t he
nd he s y ovi
bout20
m i esf t he i
nut or he arng. Thi a g e i s
s r um nt s umm a iy dimi s d. The Cour ha r vi we t
rl s s e
t s e e d he
23

he rn ta cit( 5 - 9 ,n tsta Plitf wa rp e e td b c u s la t eh a i , and
aig rnsrp R. 67 1 oe h t an if s e r sn e y o n e t h e rng
fndst tPl ntf wa pr d wih af la f i hea i . Pl i ifa herc ns we e gi n
i ha ai if s ovi ed t ' nd a r rng
ul
a ntf nd
ou el r ve
a f la f i opport t t pr s Pl i ifs poston a t vi o hea i be or t ALJ
ul nd ar
tmiy o e ent antf'
ii t he de
rng f e he
.
M or ove , ai ifhadnotc ahe d oftmet tt hea i woul notbe i pe s wih t ALJ
e r Pl ntf
ie a
i ha he rng
d
n- r on t he

a dddn to j c. Se R. 8 .
n i o be t e 1 7
B. W hehe t ALJe r d b notgi ng c toli we g t t te i physca
t r he
re y
vi on r lng i ht o he r atng
i ins
-

Pli ifa g st tt ALJdi notgi s fc e we g t he te tngphyscins The
antf r ue ha he
d
ve ufii nt i ht o r r a i
ia .

Elve t Cic i Co r o Ap e l h se plie t a a ALJ t y rj c t o no o a y
e nh rut u t f p as a x an d h t n
d
ma ee t he piin f n
physci n when t evi nc s
ia
he de e uppor sa c r y co l i ,'butt tt ALJi r quie to sae
t ontar nc uson ' ha he
s e r d % tt

wih pa tc a iy t we g he gi t dif r nt m e ca opi ons a t r as why.''
t ri ulrt he i ht
ves o fe e
di l ni
nd he e ons

Mc oud v.Bar t 1 Fed.
cl
nhar, 66
Appx.41 41841 ( t Ci.2006) (ii Blods t v
0, - 9 11h r
ctng o worh

.

Se ke , 03F.d 1 3 1 4 ( 1h Ci. 98 ) S af r v Bo n 8 F.d2 8 2 9 ( 1hCi.
c lr 7 2 23 , 2 0 1 t r 1 3 ; h ra z . we , 25 2 7 , 7 1 t r
1 8 :. Th o iin o ate t p ysca ç s b gve s b tn ilo c nsd rb eweg t
97
e pn o f r ai h iin ç t e i n u sa ta r o i ea l ih
ng
mu
unl sS ood c us i s
es g
a e' s hownt t c r r ' fe s 1 F. a 1 . Ctl c us'e ss
o he onta y.
' wi, 25 3d t 440 t lood a e' xit
g

when t $()te tng physcin' opi on wa notbolt e by t e denc ( c de
he: t1 rai
i a s ni
s
serd
he vi e; 2) vi nce

s p o tdac nrr fn i g o ( )hete tn p ysca so no wa c n ls r o ic n itn
u p re o ta y id n ; r 3 t r aig h iin' piin s o cu o y r n o sse t
wih t doc or s ow n m e ca r cor . Phil s 357 F. a 1 . l t ALJ de i s t
t he
t '
di l e ds'
'
li ,
p
3d t 241 f he
c de o
di r r t opi on ofa t e tng phys c an, he A LJm us c ea l a tcul t hi orhe r as f
s ega d he ni
rai
ii t
t l ry ri a e s
r e ons or
doi so. I 5
ng
d

The ALJ ga ltl w e ght t t s a e e of Dr Sa deo fom J y 201 bec us i
ve it e i o he t t m nt
.
ha
r
ul
4 a e t
r f r ed t Pl ntf' Sgl l a lt t w or , w hi h i a de e m i ton r s r e f t
e e r o ai i f s t oba biiy o
k
c s
t r na i e e v d or he
5Th Cour notst tt lw ont defr nc t gi te i physca h cha , butonl f cl m s5l ahe
e
t e ha he a
he e e e o ve ratng
iins as nged
y or ai
ed r

M ac 2 , 0l . S e2 C. R. 4 4 1 27 He e Pl itf' cam wa fldp i t M a c 2 2 7
r h 7 2 7 e 0 F. j 0 . 5 . r , an ifs l i s i ror o r h 7, 01 .
e
24

Co s in r' g 45 . Th ALJas g v lte weg tt t e J l 2 5 sae n o Dr
mmiso e. R. 1 e
'
lo a e i l ih o h uy 01 ttme t f .
t
Sa
hade be us i di r d fom t te t tnot sa bec us i wa pos i et tDr Sa de
o ca e t ve ge r he r a men e nd a e t s sbl ha . ha o
wa tyi t as itPl ntf be us he s
s r ng o ss ai if ca e
ympahied wih he . I The ALJ ga Dr Aras
t z
t r d.
ve . i '
m e c s c sae e weihtC y t t e e t ti i c it wih t opi o ofDr
dial our e tt m nt g ç
onl o he xtnt ha t s onssent t he ni n
.

W ie' g 45 . Th ALJe pan dt t . iss b te ame ia s u c sae n o t e
s . R. 1 e
'
x li e ha Dr Ara u mitd
d c l o r e ttme t n h
s m e day t the fr te ount r d Pl i tf .
a
ha
is nc
e e a n if

The ALJ t n s a e t tt R FC i ba e i
he t t d ha he
s sd n

pa tu n t opi on ofDr W i e t ps hol c lco ula f om t D i a lt D e er i ton
r po he ni
. s , he yc ogi a ns t nt r he s biiy t m na i

S r ie ( 4 1 Th ALJ g v Dr W ie so n o g e tweg ta d f u d t a Dr W ies
e vc . R. 6 . e
a e . s ' piin ra ih n o n h t . s '
o ni w a c ns s e w ih Pl i if sr po t d s pt s a a l
pi on s o i t nt t a ntf e r e ym om , nd lowed f s pt i t r e enc
or ym om n e f r e.
1 Fi ly, he A LJ di notafor m uch wei t t o ni ofDr K r s m urhy bec us t
d. na l t
d
f d
ght o he pi on
. i hna t
a e he

me ia e i e c d e ,i fc,s p o ta d c nob rt s me o Plitf s s b e tv cams
dc l v d n e o s n a t u p r n o o ae o
f an if u j cie li
r ga di he lmia i .
e r ng r i t tons
TheCour ha r viwe t ALJ Sdecson a fndst tt ALJsa e wih pa tc a iy
t s e e d he
'
ii nd i ha he
t t d t riul rt
t weghthe g vet dif r n m e c opi o a t r as why,a r r
he i
a o f e e t dial ni ns nd he e ons
s equied. TheALJalo
s
e t bls d good ca e f not gi ng s t nta wei t Pl i t f' t e tng phys c ans
s a i he
us or
vi
ubs a i l
ght o a n i fs r a i
ii .

Fi l t Cour not t tt Elve h Cicui hashedt tCgl teai physcin' rpor
naly, he
t es ha he e nt r t
l ha tthe r tng
ia se t

ma b ds o ne wh n i i n ta c mp n e b o j ci me ia e d n e o i wh l
y e ic u td e t s o c o a id y be t
ve d c l vie c r s ol
y
c l or ' Edwar v Suli 9?7 F. 58 583 ( 1h Ci. 1 91 (ii Sc r v
oncus y.
'
ds . lvan,
2d 0,
1 t r 9 ) ctng hnor .
Bowe 81 F. 578,582 ( t Ci. 1
n, 6 2d
11h r 987:. Hee,svea oft me ca quesi mar
r e rl he di l
tor ies
c m pl t d i t r c d, whi h c it d a m os c pl t y of c k m a ks w ihout a
o e e n he e or
c ons s e l t om e el
hec
r
t
ny
expl i wha soever w er w holy concl or
anaton
t
, e
l
us y.

W he he t A LJ fndi a e s ppo t d bv t s t nta e denc
t r he
i nzs r u r e
he ubs a i l vi e
Pl n ifa gue t tt A LJ Sfndi a RFC a e no s
ai tf r s ha he
' i ngs nd
r t uppor e by s t nta e de e,
td
ubs a i l vi nc

whitDe e ntcon e t tt y a e.
l f nda
t nds ha he r

An ALJ i rquie a se t of 20 C. R.j 404.520 t ddemi whehe t
s e rd t tp wo
F.
1
o
r ne t r ht
c ai a ' i paim e i s ve e ornots ve e. tst p t i a t e hol i r l a l s o y
l m nt s m r nt s e r
e r t e wo s hr s d nquiy. t low nl

camsb sdo temo tti a i ar n st b rjce Th cama tsb e a se t i
li a e n h s rvil mp ime t o e ee td. e li n ' md n t tp wo s
m id. An i i nti nots ver onl i t a or aiy i s si a isefe ts m i m a
l
mpa nne s
e e y f he bn m lt s o lght nd t f c o ni l
t ti woul cea l no be e ced t i e f r wih t i vi ua ' a lt t wor .
ha t
d l ry t
xpe t o ntr e e t he ndi d ls biiy o
k

Mc elv Sowe 8 F. 1
Dani .
n, 00 2d 026,1 ( t Ci.1 . The Elve h Cic tCour o
031 11h r 986)
e nt rui
tf
Appe l ha f rherexpli dt t Si no sve ei r nti s
as s u t
ane ha,çf e r mpaime s hown (tse t t dam i
a tp wol he i s
de e butt fndi ofa s ve e i ime ,whe he ornoti qualfesasa dia lt a
ni d,
he i ng
ny e r mpa r nt
t r
t
ii
s biiy nd
w he he or noti r s t f om a sngl s ve e i pai nt or a c bi ton of i pa nne s t t
t r
t e uls '
r
i e e r m nne
om na i
m i nt ha
t t rqua iy as s ve e,i e
oge he
lf
e r s noug t s ts y t r qui e e of s e t ' J ion v Brown,
h o a i f he e r m nt t p wo. am s .
'

81 F.d 585 588 ( t Ci.1 7) Ast ALJc i t se t e ,f z,a tveoft
4 2
,
11h r 98 .
he
ontnues o tps hr e olr nd i
he
r qui e a l i ,t A LJ i st c i rt c ai a ' entr m e ca co ton,i l ng a
e r d na ys s he
û o ons de he l m nts ie di l ndii nc udi ny
i
i pa r e t or co bi ton of i pa r e s w he he s ve e or not' Chider v.Soc al Se .
m im n
m na i
m i m nt ,
t r e r
.
'
l s
i
c

Admi ,Comm ',521Fed.Appx.8 811( 1h Ci.201 (ii Jamion,81 F. a 588)
n.
r
09, 1 t r 3) ctng
s
4 2d t .
Thet eepa tpan sa r rquie :ç 1 e de ofa undel ng medialc ton
hr - r i tndad e r s $ ) vi nce n
(
ryi
c ondii

a d ete ( )o j cieme ia e ie et a c ni mst sv rt o t e alg d pan a iig
n i r 2 b e tv dc l vd nc h t o tr he e e i f h le e i rsn
h
y
fo t a c n to o ()t a teo j ci l d tr n dme ia c n i o i o s c as v rt
r m h t o di n r 3 h t h be t y eemie dc l o dt n s f u h e eiy
i
ve
i
t ti ca be r as bl expe t d t g ve rs t t al d pa n.' Hol v.Sulian,921 F.
ha t n
e ona y
c e o i ie o he lege i '
t
lv
2d

1 21 1 2 ( 1hCi. 9 ) i h ne laigacama tss b e tv s mp o ,h ALJmu t
2 , 2 3 1 t r 1 91. d e vau tn li n ' u j cie y t ms t e
W
s
c i rs ht ngsas ( )t cli ntsdal a tvii ;2)t na e,oc ton,ons tdurton,
onsde uc hi
: 1 he ama ' iy ci tes ( he mr l ai
e, ai
fe ue y,r ito a itnst ofpan a ohe s o '()pr cpiai a a rvai
r q nc adain, nd ne iy
i nd t r ymptms 3 e i ttng nd gg a tng
,
fdor;( a re sd efds ofme cai ;a ( )te t ntor mea t e tke by t
a s 4) dves ie-fe
di tons nd 5 rame
sl s a n
r
he
26

cam a f r i ofs m pt s'Ro r v Be r l,No.1 CV- 906,201 W L 5634303, at
li nt or elef y om . ge s
'
ryhil
6- 21
7
.

*1 ( D. a No 6 2 7 ,e r a r c mme ain a o tds b n m. g r v Co 'o
0 S. Fl. v. , 01 )rpo t nd e o nd to d pe u o Ro e s . mm r f
Soc Se . No.16- 906- V,201 W L 5598660 ( D.Fl Nov.21 2017 ( i Davi v
. c,
21 CI
7
S. a.
, ) quotng
s
.

Asr
tue,

28
7

Fe Appx.
d.

7
48,

760

( 1h
1t

Ci.
r

2008
)

(
unpubls d)
ihe

(iig2 C. R. 4 4 1 2 ()3 ()v ).
ctn 0 F. j 0 .5 9 c( )i(i)
Atse t oft r quie a l i, heALJf
t p wo he e r d nayss t
oundt tPli tf s f r f o t f lowi
ha a n if ufe s r m he o l ng
s ve e i imen s ca pa t ls ome oft non- m i ntl 4 ha , mi r i ,obest
e r mpar t : r l unne yndr
he
do na ef nd g anes
iy,

d pe so a da x ey. ( 3 1 Hes e iial n tdt t anifh san n s v r me ial
e r sin, n n it R. 8 .
p cfc ly oe ha Plitf a o -t ee dc l
y
dee m i bl i panne i t f m ofpi cule a f
tr na e m i nt n he or
ngue a nd ound t tt medialr c d doe not
ha he
c e or
s
i c t t tt sc ton i
ndia e ha hi ondii mpos smor t nm i m a r src i onPl i ifsa lt t pe f m
e
e ha ni l e titons
antf biiy o ror

b scwo k rltd ts . ( 3 - 8 . Fial,teALJf u d ta t e eaen d a n s sfo
a i r eae a ks R. 7 3 1 n ly h
o n h t h r r o ig o e r m
a c pt bl s ur s w hi h s
c t a e o ce
c uppor Pl i if s a s ri ns t t s s f r f o r pi c l g o t
t a ntf s e to ha he uf e s r m a d e l r w h
s r e or m uli e s l r i a no e t t Pl i i f s a e a t hea i t t s di not
ynd om
tpl c e os s nd t d ha a ntf t t d t he
rng ha he d

a mal s frfo mutp es lr ss g 3 1
c l ufe r m lil ce o i. R. 8 .
y
The ALJf
ound t tPl ntf doe notha a i nne orc bi to ofi r nt
ha ai if s
ve n mpai nt om na i n mpaime s
t tm e t ormedialy e l t s ve iy ofo oft lse i nne si 20 CFR PM 40
ha e s
c l qua s he e rt
ne he it d mpai nt n
4,

Su rP, pe x 1. g 3 . TheALJdeemi dt tûheei s tnta e de t tt
bpat Ap ndi
R. 9)
tr ne ha s r s ubsa il vi nce ha he
t
c a m a ,a a i vi
l i nt s n ndi dualw ih obe iy,expe i e gr t pa n a f i l lm ia i t n
t
st
renc s ea er i nd unctona i t ton ha

mi htbe e c e fom he me c ly de e mi bl i par e s i vi ly.' 1 The ALJ
g
xpe t d r
r di a l t r na e m im nt ndi dua l ' d.
a s deer i d t tt s vert ofPl i ifs me a i r
lo t m ne ha he e iy
antf
nt l mpaiment,c i r d sngl a i
s onsde e i y nd n
c bi ton,di no m e torm e c ly e lt c ie i ofls i 1 04 a 1 06 as Pl i if
om na i
d t e
di a l qua he r t r a itngs 2. nd 2.
a ntf

ha mid r srci ns i a tvii s o da l lvi mode ae difc te i s i fmc i ng,
s l e tito n ci te f iy i ng,
r t fi uli s n ocal t toni
m ode ae dif tes wih r ga d t c e r ton, pe sse e o pa e, a no e s s o
r t fkuli
t e r o onc nta i
r itnc r c nd
piode f
27

de ompe a i ofa extnded dur ton. g 3 4 1 Th ALJas f u dta t elsig 1 .4
c
ns ton n e
ai
R. 9-0 . e
lo o n h t h itn 20
k a a C'c ie i ha notbe n m e i t sc e. ( 40j
s gr ph ' rt ra d
par
e
t n hi as R. .
The ALJ at t d t the ha co i r d a1ofPl i ifs s
tese ha
d nsde e l
antf' ympt
oms a çhe ex e t
nd d
t
t nt o

wh c te e s mpo
ih h s y tmsc n ra o a l b a c pe a c n itn wih t e o j cie me ia
a e s n by e c e td s o sse t t h b e tv
dc l
e de e a ot re de e'aswe la a 1oft o ni e de . g 41 . Het nf l
vi nc nd he vi nc ,'
l s 1 he pi on vi nce R. j
he olowed
t t o-t p pr s - fr t de e m i ng whe hert r i a unde l ng de e na e phys c or
he w s e oce s i s , t r ni
t he e s n
ryi
t nni bl
i al

me a i r t t t c d r as bl be e ced t pr e Pl i ifs pa n or o he
nt l mpaimen ha oul e ona y
xpe t o oduc
antf
i
t r
S m pt s a t
y om , nd hen e ua i t i t nst pe s se , a lm ii efec s of Pl ntf
val tng he n e iy, r i t nce nd i tng f t
ai ifs

s
ympt
oms t de e mi t e en t whih t y lm i he f to . f The ALJ c i r d
o t r ne he xt t o
c he i t r unc i ns #.
onsde e
Pli ifs dia lt r por,pa n q tonnaie a f nc i r po t a we la t t r pa t
antf' s biiy e t i uesi
r , nd u ton e r, s l s he hid ry
f i r por com pl t d by Pl ntf sm ot r 1
und on e t
ee
ai if
he . d.
The ALJ t n s m arz Pl i if s he rng t tm ony a f
he um
i ed a ntf
a i es i
nd ound t t Pl i if s
hat he a ntf '

d e cal deer i bl i r nt c d r as bl be e c e t c us t al ge
t di ly t m na e mpaime s oul e ona y
m
xpe t d o a e he le d

s mpo ;h we e ,( an ifs sae n sc n enng te itnst p ritn e a d l t
y tms o v r Plitf ) ttme t o c r i h ne iy, e sse c n i i
ming
e f c s o t s s pt s ar not c e bl t t e e t y a e i ons s en w ih t abo
f e t f he e ym om
e
r di e o he xt nt he r nc i t t t he
ve

rsdua hmci ca ct a s sme . g 41421 He wen t o h t vaiusme c
e i l tonal pa iy s e s nt' R. - .
'
t hrug he ro
dial
r c dsi dea la concudedt tPl ntf sS sol ofs a c l y c e vai , t eat ent
e or n ti nd
l
ha ai if t t '
hi y por di , rgel ons r tve r m

doesno s
t uppor al tonsofdia i c tons' ( 42- 1 TheALJas f undt tt
t legai
sblng ondii . R. 43 .
'
lo o ha he
obeci me ca evi ncedi nots
j tve di l de
d
uppor Pli ifsalgai a t sveiy ofhe me a
t antf le tons bout he e rt
r ntl

i ime t. g 434 J Th ALJc n iee t fco se t rtd i SS 9 - p a df u d
mpar n s R. - 4 . e
o sd r d he a tr nz ae n R 6 7 n o n
me
t tPl i if stea m e r cor doe nots
ha a ntf ' r t nt e d s
uppor he a l ga i ofdi a i c tons ( 44j
t r le tons
s blng ondii . R. .

He c l ed t tPl i ifsS uc ts f lc e vai te t e i c t st the s
oncud ha antf t c s u ons r tve r am nt ndi a e ha r ympt
s
oms a e
r
nota d s blng a pur t d. I
s i a i s pore ' d.
'
28

TheALJs c fc l notd t Pl i ifst si on wa S ner lynotf t omi a t
pe iialy e hat antf e tm y s ç
ge al
orhc ng t he

h aig. g 4 ) Hef rh rnoe t a Plitf swo kh so yfist s p r he alg to s
e rn ' R. 4 .
'
u te td h t anif r it r al o u po t r le ain
ofdia i c tonsi t ts r ctvedune o e be t i 2013 a ea e i m ei
s blng ondii n ha he e i
mplym nt neks n
nd m d nco n

2011. g 451 Fi l t ALJc i rdt vai i onsse sae nt wihi Pli ifs
R. . naly,he
onsdee he rous nc itnt ttme s t n antf
me c lr c d a hea i t si ony r r ng he abiiy t pe f m per o c r a daiy
di a e or nd rng e tm
ega di
r lt o ror
s nal a e nd l
a tvii s. I
c i te
d. H e expl i d t t w hie Pl i i f m a no ha i e i ly pr vi d
a ne ha ,
l
a ntf
y t ve nt ntona l
o de

i onsse i or to G he i onsse y s s s t t t i or ai pr de by t
nc it nt nf mai n, t nc it nc ugge t ha he nf m ton ovi d
t
he
c a m a g r ly m a notbe e ie y r i e.' ( 45)
l i nt ene a l y
ntr l elabl ' R. .

Th ALJn x c nsd rdteme ia o i in . ( 4 1 Hef u dt a Plitf i un be
e
e t o i ee h d c l p no s R. 5 .
o n h t anif s a l
t pef m a patr e wor ( 461 Henotd t tPl ntf wa 42 ye sol on t
o ror ny s elvant k. R. .
e ha ai if s
ar d he
ale d dia lt ons tda e. 1 The ALJ e ane t t Pli if ha a las a hi s hool
lge s biiy
e t d.
xpl i d ha antf s t e t
gh c

e ucain a i a e t c
d to nd s bl o ommuniae i Engls g 47 . The ALJ as e ane t t
ct n
ih. R. 2
lo xpli d ha

ta frbit o j b s il i n t maeil t t d tr nain o dia ii b c u e te
rnse a l y f o k ls s o tra o he ee mi to f s blt e a s h
i
y
M e ca- a i lRul ss ppo tafndi t tPl ntf i S dia e ' t rornotPl ntf
di lvoc tona
e u r i ng ha ai if s i
not s bld'whe he
ai if

h sta se a l j b s il. 1 . Hec n ld d t t c nsd rn Plitf sa e e u ain wo k
a rn frbe o kls d
o cu e ha, o ie ig an if g , d c to , r
e p re c , n RFC,h r aej b t a e iti sg i n n mb r i tenaina e o o ta
x ein e a d
tee r o s h t xs n int t u e s n h to l c n my h t
ka
Pl i ifca pe f m ,i l ng prce m a ke ,l und y cl s fe ,a m a lr
a ntf n r or nc udi
i
r r a r as ii r nd i oom cl r 1 . The
e k. d
ALJ f
ound t tt voca i le r ' t s i o wasc i t tw ih t i onna i f
ha he
tona xpe ts e tm ny
ons s en t he nf
ton ound i t
n he

DOT. ( 251 TheALJc ude t tPli ifhasnotbe underadia lt snc Nove r
R. .
oncl d ha antf
en
s biiy i e
mbe
1 201 t
, 0,l
uought daeoft de son. ( 481
he t he cii R. .
The Cour tndst tt ALJpr ry f l we t t i sa r ' s us ed i Hol. As
ti ha he
ope l olo d he ' n t nda d'dic s n t
pa
sa e i H ol:S f t A LJ de des not t c edi s h t s i ony,he m us a tc a e explc t a
tt d n
t k he
l
ci
o r t uc e tm
t r i ul t
i i nd

a qua er a onsf doi s ' 921F. a 12
de t e s
or ng o.
'
2d t 23. Afe ac r ulr vi oft r c d, t Cour
tr a ef e ew he e or he
t
29

fndst tt ALJdi a tc a e s ve a e i i a a ua e r as nsf di c e tng Pl i ifs
i ha he
d ri ult e r l xplct nd deq t e o or s r dii
antf

tsi n Th sCo r c n t e ihtee d n eo s b t ueis u g n f r h t fteALJ
etmo y. i u t a no r weg h vie c r u si t tj d me t o t a o h
t
.

Furhe m or t Cour fnds t ts t i le de e, whih i de c i i dea la ve
t r e, he
ti
ha ubsanta vi nc
c s s rbed n ti bo

,

s pporst ALJ' m e a a physc RFC a fndi . The Cour fndst tt ALJc e ry
u
t he
S nt l nd
ial
nd i ngs
t i ha he
lal
c i r d Pl i ifse iemedi lcondii i t a e t i e l i Pli ifsRFC a
onsde e antf' ntr
ca
ton n he ggr ga e n vauatng antf
nd

t ec e iii o Plit fss b e tv cams Th Co r as fn st ttev c to a tn ig
h rdblt f ani ' u j ci e li . e u t lo i d ha h o ain l i dn s
y
f
bas d ont RFC a es
e
he
r uppore byt s t i r c d e de . TheCour c l st tt
td he ubsantal e or vi nce
t oncude ha he
r c d c ans s tntale de e t s ppor t de alof be ks t Pli ifa t tt
e or ont i ubsa i vi nc o u
t he ni
net o antf nd ha he
c r c lga sa r ha bee a id. Acc di y, heALJ' de son i duet bea fr e .
ore t e l tnda ds ve n pple
or ngl t
S cii s
o
fim d
I .CO N CLU SI N
V
O

The Cour tnds t tt r cor c ans s t nta e de t s
ti
ha he e d ont i ubsa il vi nce o uppo tt de alof
r he ni
be ist Pli if TheCour f rhe fndst t ALJa i t c r c l lsanda ds
neft o antf.
t u t r i hat he
ppled he ore t ega t r .
I lghtoft f e ng,i i he e ORDERED AND ADJUDGED t tt decson of
n i
he or goi t s r by
ha he ii
t Commisone i AFFI ED . Ac o dn l , an ifsM o inf rS mmayJ d me tg
he
si r s
RM
c r ig y Plitf
to o u r u g n DE

24)i heeby DENI a Defnda ' M oton f Summar J me g 25Ji herb
s r
ED, nd e nts i or
y udg nt DE
s ey
G R AN TED .

J
udgme wilbe e er s pa a ey.
nt l
nt ed e r t l
O RDERED AND ADJUDGED i Cha be sa W es Pal Bea h, Pa m Bea h Cot y,
n
m r t
t m
c
l
c
mt

Flrd ,hs /;d yo S pe r2 8
oia ti
a f e tmbe, 01 .
%

W I AM M ATTH W M A N
LLI
U nie St t M a sr t J
t d a es gi t a e udge

30