Cecil v. Astrue, No. 6:2010cv00009 - Document 28 (W.D. Va. 2011)

Court Description: MEMORANDUM OPINION. Signed by Judge Norman K. Moon on July 8, 2011. (jcf)

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CdpRK' OFFI s CE : A LN H U D: G R . T Y C UE lX QU T B . FI MG V .... * LED .. A . t a ;e . I THE UNI N TED STATESDI STRI COURT CT FOR THE W ESTERN D I STRI OF V I NI CT RGI A LYNCHBURG Dl sl vl oN J 28 2 1 UL 01 Q a ut :?'( . 'Yx % u . x x . DOD E:,cŠe , . -. w-j . 1 CI L ACTI NO.6: cvvI ON 10- 00009 LI A V .CEcl s L, Pl nt ai f M EM OM N DUM OPI ON NI MI CHAEL J. STRUE, A Co si ro i Se urt mmisone fsocal c i y, JUDGE NORMAN K.M OON Dee f ndant . Pl ntf br ai if ought t s acton f r ew of t Com m i s one of Soci Securt s fnal hi i or evi he si r al iy' i decii denyi her cl m s f diabiiy i ur s on ng ai or s lt ns ance beneft and s em ent sec iy i is uppl al urt ncom e unde t So a Se urt Ac (he6 t'.Thematri beor t c ur o c nsdeai oft r he cil c iy t t Wc' ) te s f e he o t n o i rton he flo ng:t pa t 'cos- i f s olwi he ri r smotons or ummayj es r udgme ( ke nos 1 a 1 .t Re r nt doc t . 3 nd 5) he po t , a Re omme ton tç e '' do ke no.23)ofUnie SttsM a srt J nd c ndai it pol,' c t l t td ae gitae udgeMiha lF. c e Ur ki;Pli ifso e tons( c tno.24)t t Re r;o j tons( ke no.25 t t bans l antf' bjci do ke o he po t beci doc t ) o he Re r fld by t Co si rofSo ilSe urt (t po t ie he mmisone ca c iy s commisone, o t e nf';a si r' r refnda l nd ' Pli ifsr po e( ke no. )t Defnda ' obe tons antf es ns doc t 26 o e nts j ci . l hi Re r J n s po q udge Ur ns r c ba ki e omme s t tlde t Co isone ' moto f r nd ha ny he mm s i rs i n o s ummayj r udgme t grntPli ifsmoton f s n, a antf i or ummayj me ,a rma t c et t r udg nt nd e nd he as o he Com m i oner f ssi or f her vocat onal assessm ent pursuant t Sent urt i o ence four of42 U. C.j405() Ast patestmey fld o j ci t t Re t1a oblgae t S. g . he ri i l ie b e tons o he por, m i td o 1On Dece be 1 201 Pr i ntObam anomi e J m r , 0, es de nat d udge Ur ans t t Unie St esDi ti Cour f t b ki o he t d at s rct t or he W eser Dit i tofV igi a on D e m ber l 201 . J t n sr c r ni ce s 0 udge Ur kii s hi Re ton J nua y 27, 20l1. bans s ued s por a r The ea t r o M a 1 2011,t Se e confr ed t no i ton, a dJ d eUr a s rc ie hsj iil r fe , n y 2, he nat im he m na i n u g b nki e ev d i udca c m is on o M a 1 2011. om s i n y 3, .. undetkeadenov rviw oft epori oft Re r t whih o j ci pr rywee ra oee hos tons he po t o c b e tons opel r ma . 28 U. C.j 636( ;Or ano v John on,687 F. 44 48 ( h Ci.1 2) Havng dc S. b) pi . s 2d , 4t r 98 . i c uce s h arviw,1fnd t tt o j ci a ewihoutmei a t tJ ond td uc e e i ha he b e tons r t rt nd ha udgeUr ns ba ki wa c rc i c cl ng t t at h t Ad nitai La J e (WLJ' prpel s ore t n on udi ha, lhoug he mi srtve w udg < ' o ry ) c i r d t m e c l e de e a a s s e Pl ntf s c ed biiy, ca ef l r vi w of t onsde e he di a vi nc nd s e s d ai if r i lt r u e e he vocatonal exper ' t i ony r r r and f f her adm i sr i consder i i ts estm equies em or urt nitatve i aton. Ac or ngl frt ra o sae heen,1wilo r l t o j cins a wila ptt c di y, o he e s ns ttd ri l venle he b e to nd l do he Re ti t o. por n ot 1. The Com m i si r' f t fndi m ustbe uphel i t ar s s one s ac ual i ngs d f hey e upport by s t i ed ubsantal evi dence and w er r che t ough applca i oft cor ectl st e ea d hr i ton he r egal andar Cr g v.Chat 76 d. ai er, F. 585 58 ( h Ci.1 ;s ealo42U. C.j405g)(ç'etndi oft Co sine 3d , 9 4t r 996) e s S. ( df i ngs he mmiso r -h ofSo ilSe urt ast a fc,i sppore by s tnta e d nce s l be c ncusve. ca c iy o ny a t f u td ubsa il vie , hal o l i ' ). Subst i evi antal dence i Esuch rel sd evantevi nce asa r de easonabl m i m i acce as a e nd ght pt dequat t eo s r ac l i 'Ma tov Ap l270F. 1 ,1 ( h Ci. )(iatono te ,a uppo t oncuson, sr . fe, ' 3d 71 76 4t r 2001 ct i mitd) nd consst of im or t n a m er sci il of evi is E e ha e ntla dence but m ay be s ewhat l t om ess han a prpondea e. La v Cee rz e 368F. 640 64 ( h Ci.1 ) e rnc ' ws . lb ez , ' 2d , 2 4t r 966 . The Com m i s o r i r s i e f e l tng t m e c l e de a a s s i g s i ne s e ponsbl or va ua i he di a vi nce nd s e s n sym pt s,si ,and fndi t det ne t f i l capaciy of t cl m ant 20 C .F. om gns i ngs o enmi he unctona t he ai . R. jj 404.527 4.545. Any c nfit i t e de e a e t ber ol d by t Co si ne 1 -40 1 o lc s n he vi nc r o es ve he mmiso r (rhsd sgnae,heALJ,nott c t,a i i i tralwhehe t e de ewilpe mi o i ei t t ) he ours nd t s mmaei t r he vi nc l r t a concl on i usi nconsit wih t oft ALJ. Thom as v.Cel ezze, 331F.d 5 ,543 ( h s ent t hat he ebr 2 41 4t Ci.1 4) The c r m a notr - i c lci e de e m a c e biiy dee mi to , r 96 . ou t y e wegh onfitng vi nc , ke r di lt tr nai ns - 2- o s tt eisj me f t tofteALJ.Ha v Sulian,9 F. 1 ,1 6 ( hCi. r ubsiut t udg nt or ha h ys . lv 07 2d 453 45 4t r 1 90) I ta t c tmay onl c nsde whehe t ALJ' fnd ng t tPli if i no 9 . nse d, he our y o i r t r he S i i ha antf s t dia e i s s bl d s uppore by s t nta e de e a d wa r a he ba e upo a co r c a plc ton td ubs a i l vi nc n s ec d sd n re t p iai of t r evant l . Cr g, 76 F. at 589. However det ni whet t e dence he el aw ai 3d , enni ng her he vi pr nt d by t A LJ t s ese e he o uppor hi deci on am ount t s antalevi t s si s o ubst i dence i a ques i of s ton lw,a t rf ewilbec i rda w.Hi sv. c er 7 F. 1 a nd heeor l onsdee ne ck He kl , 56 2d 022,1 4- (t Ci. 02 25 4h r 1 5)( o e o ot rgr ds b Liel v Bo n,858 F.d 1 1 0 (t Ci.1 8) 98 abrgatd n he oun y v y . we 2 77, 8 4h r 98 . Furhe t nnor E LJS have a dut t ana yze E l of t r evant evi e, W y o l a l he el dence' and t pr de a o ovi s fci e anaton f t r çatonal i cr tng cert n evi ufi ent xpl i or hei r i e n edii ai dence.' BilBr '' l anch CoalCor p. v S k ,21 F. 1 1 ( hCi.2 (iai o te . . pars 3 3d 86, 90 4t r 000) cttons mitd) Fe rlRul o Ci lPr e r 7 pemisapa t t s tobeci t ama s e dea e f vi oc du e 2 r t ry o ubmi j tons o gikat j e' r lngt t dititco t t nfure n da o t or r Fe R.Ci P.7 2) s e udg s ui o he src ur wihi o te ys f he de. d. v. 2094 , e . alo 28 U. C.j 636( .The dititc ur c nducsa denov rviw o t epori o a s S. b) src o t o t o e e f hos t ons f ma srt srpor a rc gitae' e t nd e omme tont whihs cfcobe tonsweema .Fe R. v. ndai o c pe ii jci r de d. Ci P. 72( ( ,Or ano,687 F. a 48. Ge rlobe to t a ma itaej ' rpor a b)3) pi ' 2d t nea jcins o gsr t udges e t nd r ecom m endaton,reier i a gum ent aleady pr i t atng r s r esent l t s fciy requied by Rul ed, ack he pecii t r e 72 a ha t smeefe ta afiuet obe t Ve y v Asr 539F.Supp.2d 841 8 nd ve he a fc s alr o jc. ne . tue, , 45 ( 08. Thos porinsoft ma itae j e' rpo ta rc 20 ) e to he gsrt udg s e r nd e omme ton t whih no ndai o c o jci ae ma wilbe up l unls t y ae ce ry er o orc rr t lw. Se be ton r de l hed e s he r lal rone us ontay o a e Or ano,68 F. at47(ii We v Cal no,468F.Supp.825,83 ( D.Ca.9 ) The pi 7 2d ctng bb . fa 0 E. 11 79). diti c ur ma a ce ,rjc,o modiy t rc srct o t y c pt ee t r f he e omme d ds ii ba e o isdeno nde iposton s d n t vo rviw oft rc ee he e omme tona t obe to mad Fe R. v. 7 b)3 . ndai nd he jcins e. d. Ci P. 2( () 1 I. Byc e,Pli ifobe t t J Ur ns ' tndi t tt r wasnoerri t ouns l antf jcs o udge ba kis i ngs ha hee ro n he ALJ' consi aton of t teatng phys ci r e and t cl m ants credi lt and re t S der i he r i i an ul he ai ' biiy, ques s t t cour notadoptt e pori oft Report hat he t hes tons he . 4. a Plit fsae ta tth M a itaeJ d efu dta teALJa p o laeyrj ce te ani tts h t çj e gsrt u g o n h t h f l p r pi tl ee td h o ninsof( r teai physcin'o t gr st tt onl teae ( antfjf as r pi o hej r tng i a ' n he ound ha t he y r td Pli if or hot pei d of tm e, a be a e hi e m i ton fndi lo i nd c us s xa na i i ngs w e e ge r ly unr m a ka e' r ne a l e r bl . ' Cii 20 C. R.j 40 1 27d)2)i,Pli ifc ntnd t tçe h o te me i onl o tng F. 4.5 ( ( () antf o e s ha t ngt f rat nt s y ne l f or f t A LJ t consder when wei ng a m edi opi on and i har y di posii ' act or he o i ghi cal ni s dl s tve.' Pl ntf adds t t teatng phys ci Sexpl ned i hi det l ques i ai if hat he r i i an d ai n s aied tonnaie t m edi l r he caly a c ptbl fndi t tdi s r hi o nin bae on ( s te t ntof'Pl ntf,a t t c e a e i ngs ha d uppo t s pi o sd hi) rame ai if nd ha tgl ALJ f ld t i c t wha a tthe aie o ndia e t boutt s fndi c nta ce Dr Swa t s teame t he e i ngs o r ditd . rz' r t n r ecords.' H ow ever i hi Repor,Judge U r ki ha y dipos of t teatng physci n' ' ,n s t bans rdl s ed he r i ia s o nin wih t sa co i rton i id byPli ifsobe to . I e J Ur ns pi o t he c nt nsdeai mple antf' j cins nde d, udge ba ki em ba ked on a t ough di cus on r di t wei t ALJ gave Dr.Swart s opi ons, r hor s si egar ng he ght he z' ni and det m i t ,i addii t Dr.Sw arz' opi onshavi been r er ned hat n ton o t s ni ng ender a s ttm e af e ed hor i tr te t ntbe a drame rc dsdo nots r ( .Swarz')opi onsa t ( antf') rame g n,' e t nt e or t uppo t Dr t s ni s o Pli ifs fm ctonallm iai ' a t ef ts t i evi nce s t i i t tons,' nd her ore tubs antal de upport t ALJ' deci i 't gi s he S son' o ve Dr.Swarz' opi onsçs e - butnotcontoli - wei .' t s ni tom r lng ght' A te tn p y iin' o iin i t b gv n c nr ln weg tb t ALJ f i 9 r aig h sca s pno s o e ie o tol g ih y he i t su pport by m edi l acce abl clni and l at y di ed caly pt e i cal abor or agnostc t i echni ques and i not s i nconsit w ih ot subst i evi sent t her antal dence i t r n he ecord. M asto, 270 F. a 1 Ct teai r 3d t 78 a r tng physci s opi on on t nat e and s iy of t cl m ed i paim ent i entte t i an' ni he ur evert he ai m r s il d o c r li g w eght i i i w e ls ppor e by m e c ly a c pt bl c i ca a l bor t r onto ln i f t s l- u td di a l c e a e lni l nd a a o y dig tctc quesa i no i onsse wiht ohe s tnta e de ei t rc d.l a nosi ehni nd s t nc itnt t he t r ubsa il vi nc n he e or ' ; ' 20C. R.j 404.5 d)2) 41 92 *4 (d neal wegvemo eweghtt o ninsfo F. j 1 27( ( , 6. 7( 2) K rly, i Ge r i o pi o rm yo te tn s ur s snc t s s ur s a e lke y t be t m e c lpr e s o l m os a e t ur r a i g o ce , i e he e o ce r i l o he di a of s i na s t bl o prvi adeaie l iudi pitr ofy rme ca i ime t)a ma brng auni o de t ld, ongt nal cue ou di l mpar nts nd y i que pes ci t t me c le de et tc nnotbeo ane fom t o j ci me ca fndi s rpe tve o he dia vi nc ha a bti d r he b e tve di l i ng alneo fom rporsofi vi le mi to ...';Soca Se urt Rulng(ç '962p. o r r e t ndi dua xa nains .) il c iy i t ) ' SSR' l det m i ng t wei t gi t a m edi sour s opi on,t ALJ m us consi a n er ni he ght o ve o cal ce' ni he t der numbe o t s i udi whehe t phy iinha e mi d t a ia ,t e se c o r ffacor,ncl ng t r he sca s xa ne he pplc nt he xitn e f an on n ph ii pate rl i s p,t digno tcand clnialsppo t rt o nin, goig yscan- int eaton hi he a si i c u r fo he pi o t o ni ' c sse y wih t r c d, ndwhehe t physcin i a s c ait 2 C. R.jj he pi on s on itnc t he e or a t r he i a s pe i ls. 0 F. 404.527*,41 927*. A te i physca so ni c n berj ce a e t ruasve 1 4 6. 4 ratng iin' pi on n not ee td bsnt ç s i pe contar e de ' and t A LJ m ust pr de hi r r y vi nce,' he ovi s easons f gi ng a t tng physci s or vi rea i i an' opi on cert n wei or expl n w hy he di ni ai ght ai scount a phys ci sopi on. M ast 270 F. at ed i an' ni ro, 3d 1 .20 C. R.jj404.527d)2,41 9274 2)(t e wilawa gi good ras i o 78, F. 1 ( () 6. *4 ( W l l ys ve e ons n ur notceofdet m i i ordec s on f t w ei w e gi t yourteatng s ce' opi on.' i er naton i i or he ght ve o r i our s ni ). The r d dicl es t Dr Swarz' frs opi on as t Pl ntf s f i ecor s os hat . t s i t ni o ai if' unctonal ca ciy pa t (ha s wa una et wor f a las ayer wa s tfrh i t f m ofanot wrte o a t t he s bl o k or t e t a) s e o t n he or e itn n pr crpton pad a m er se n daysaferhe fr texam i he on Oct es i i e ve t is ned r ober 30, 2007. H ow ever , t teat e not fom t i talvii do notpr de a suppor f D r Sw art s concl i he r m nt es r hat nii s t ovi ny t or . z' uson t Pl ntf i com pl el di abl f om a1 w or . Rat ,t not i cat t Pl ntf was hat ai if s et y s ed r l k her he es ndi e hat ai i f i no acut dites a had f r coor na i , normal r l n e sr s nd ai di ton efexes a s nd ensaton, a 5/ m ot i nd 5 or f nci i ale r m ii . ( 3 ) Dr Swa t sae t tPli ifsgatsi l f vor d t u ton n l xte tes R. 05. . rz ttd ha a ntf ' i lghty a e he lght a t ts ha m id rght r r t ton oft t r ci s ne m id e e aton oft rght i , nd ha he d l i wa ds o a i he ho a c pi , l l v i he i s a a t nde es i t ta z us mus l ,a ge r lz d t nde es i t l f sde,whi h c pul , e m s n he r pe i c es nd ne a i e e m s n he e t i c a pe rd t bemusulri naur. ( 3 ) He solosswa a rnt ( 305. Dr Swat p ae o c a n t e R. 05. r c i i s ppae . R. ) . rz di agnosed Pl ntf w ih i opat c t acol ba s i s and com pe at y myof ci pai ai i f t di hi hor um r colosi ns or as al n, p ed i n l i l ng t ta z us m us l , a a t e r g rb-i s ndr m e, a r om na ty nvo vi he r pe i c es nd hr e i ht i tp y o nd rc mme d c e v tve îe t nt i l ng phy ia hea ti e poi ijci ,a e o nde onsr ai ame , ncudi sc lt rpy, rgg r nt ne tons TENSuni,de ptsuemas ge panmedcai a a ii lmmaore . ( 3 ) Not ng t e is sa , i i ton, nd nt-nfa t is R. 05. hi i t s r c r fom he i ta vi i t Dr Sw a t i c t s t t Pl i if i di a e fom a 1 n he e e o ds r r nii l s t o . r z ndi a e ha a ntf s s bl d r 1 wor Accor ngl 1 agr w ih Judge Ur ki t D r Sw arz' pr i i pad not of k. di y, ee t bans hat . t s escrpton e Nove r6,2007,i note ild t co r lng weg . Se 20 C. R.j 40 1 ( ( , mbe s ntte o ntoli iht e F. j 4.527d)2) 41 92 d ( . 6. 7()2) Dr Swa t o ne a t Pl i if s f nc i l lm ia i ns i a M uli e I panue . rz pi d s o a ntf u tona i t to n tpl m i nt Queto iedae J n r 1 2008,butJ Ur ns wascorcti deemi ngt tti sinnar td a uay 4, udge ba ki re n tr ni ha hs r iua fncina cpa t (t ' a ssme i note ild t c r lng weght l hi esd l u to l a ciy ç RFC' se s nt s ) ntte o ontoli i . n s que to ie r s si nna r e pons s Dr Swa t sa e t tPl i i fc d s tf r 3 4 hou sa sa wal no e , . rz t t d ha a ntf oul i o r nd t nd/ k mor t n o ho i a eg hourda .( 29 ) Hefrhe saedt ts co dnotst sa e ha ne ur n n iht y R. 4. u t r tt ha he ul i, tnd or wa k co i l ntnuousy a ha t g t u a m o a ound e r 30- m i e ;t ts c d l nd d o e p nd ve r ve y 45 nut s ha he oul o y oc s o l lf 5 1 po nl ca i naly it - 0 unds t ts i s g fc n l lm ie i he a lt t r a h, ha l , ' ha he s i nii a ty i t d n r biiy o e c nd e, fnge ;a t ts ha m ode a e lm ia i i he a lt t r a h o r a a v a p ort it i r nd ha he d r t i t tons n r biiy o e c ve he d nd s ws o jcs ( 294-6. Healosae s wo dne dt a i heght, hi puli kne i , b et. R. 9 ) s ttd he ul e o vod i s pus ng, lng, elng be ngorso ng. ( 298. W he ake a tt onstoft elmiains her ponde ndi topi R. ) n s d bou he e hes i tto , es d, t5 ye r /Im ralyuns et behonet' ( 298. ç+ as ' e l ur o s.' R. ) Ho ve ,whe Dr Swa t tle outt M uli e l ime Que ton ie he ha we r n . rz ild he tpl mpar nt si nar , d te t d Pl i ifo y t e tm es a t s ve e lm ia i ns s tf t i t que to ie a e no r a e a ntf nl hr e i , nd he e r i t to e orh n he s i nna r r t s upport by t t m entrecor Recor f om t e vi t i cat t Pl ntf w as i no ed he zeat ds. ds z hes sis ndi e hat ai if n a ut dites a hadnor lsns tona nor lrng ofmoto i he e rmii .( 3 c e srs, nd ma e ai nd ma a e in n r xte tes R. 00, 302,305. Shehadmus l tnd me sa i rae pan wih e e i oft ba k,a Dr ) ce e e s nd nce sd i t xtnson he c nd . S rz da nos d he wih s loss myofsilpan,a l r fc t dsa e ( 30 ) wat ig e r t coi i, aca i nd umba a e ie s . R. 0. Tr a m e r m a ne c e v tve a Pl i tf r pore i p o m e i he s p o s D r e t nt e i d ons r a i , nd a n i f e t d m r ve nt n r ym t m . . S a' e ur ge fe on a 1 r nge ofm oton e r ies a die t d Pl i if t c i w lz nco a d l xi nd eg a t i xe c s , nd r c e a ntf o ontnue he t rpya me c to .( 30 ) r hea nd diains R. 0. Thus o c n s e t t t s ve e lmia i s t f r h i t M uli e l par ent ne a e ha he e r i t tons e o t n he tpl m im hs t r i lng hs Que to ie a e nots re by t te t ntr c ds Thr e m ont afe tli outti sinnar r uppo td he ra me e or . e questonnare,i M az 2008, Dr Sw arz not t he hoped t i eas Pl ntf ' physi i i n ch . t ed hat o ncr e ai if s cal a tviya i o he coemus l srnghe nga posu e ( 335. Pli ifdi nots e ci t nd mprve r r ce te t ni nd tr . R. ) antf d ek teat ent f back pai f ni m ont afer t , untl s pr ent t Dr. Sw arz on r m or n or ne hs t hat i he es ed o t De e r1 2 (heke t ntnoe fo t sviii c t t tPli ifha no flo dup cmbe 9, 008 t ame ts rm hi st ndiae ha antf d t olwe wihDr Swa t be a es ha move a lc ta po tton) ( 332. Att tme s e t . rz c us he d d nd aked ns rai . R. ) he i , h was wor n pa ttm e a a c s e 1 hou s pe we k,a t h s c i d t c pl i of ki g r i s a hi r 5 r r e lhoug he ontnue o om a n pan. ( 33 ) Exa nainr ve ldt tPl nifwa i noac edsr sa soodwiho i R. 2. mi to e ae ha aitf s n ut ites nd t t ut a o o t nde nes ,but t t s ha s e d s om f r wih fe on, ext on and l er ny bvi us e r s ha he d om i c o t t l xi ensi at al be ng. ( 332. Dr Swat notd t tphysc lt rpy wo d be a d y'elme tofhe ndi R. ) . rz e ha ia hea ul ç ' e n ke r teat ent and he contnued he on pai m edi i and ant-nfam m at i . r m , i r n caton ii l or es ( 3 ) R. 32. Si fcanty,Dr Sw arz not he woul S esr cther wor t sedent y dut , e s ntal' ( gnii l . t ed d ç ti r k o ar y s e il ' R. y 333) whih i i onsse wih hi sae ntofNo mbe 6,200 t tPli ifi t bl t , c s nc itnt t s ttmc ve r 7, ha antf s ma e o peror any wor H e s at as ofJ f m k. r t us anuar 2009 r ai ess i l t s e, exceptt s y em ned entaly he am hat he was e r e i i r as d a e y be a e he h e ha bum e a s wa o i a e t xpe inc ng nc e e nxi t c us r ous d d nd he s blg t d o move ( 3 ) Dr Swa t c i dt rc mme t rpya prsrbe medc tonf he . R. 30. . rz ontnue o e o nd hea nd eci d iai or r pai asw el as f n et n, l or nxi y. D1 Sw a t s a e i t q s i na r t t he ba e hi RFC fnd ng o a M RI ' . rz t t d n he ue ton i e ha sd s i i s n per or ed on D ecem ber 26,2007,notng t t st s f m i hat he udy howed m ulil t-evel f arhr s and acet t osi onl m id di k di e i t l bar s ne. These fndi do not s y l s seas n he um pi z i ngs uppor t si tcant t he gnii lmiai stfrh i t Muli eI ime Quetonnar ( 293. No dot digno tc i ttons e o t n he tpl mpar nt si ie. R. ) r he a si sudi i t r d. Radi aph a M Rl i ages t t es n he ecor ogr nd m aken i Janua y 2006 r n r eveal pr i om nent s i i butot colos s herwi m id tndi w ih no ne alf am i na r i or ne com pr si se l i ngs, t ur or nal r ow ng rve es on. ( 222,225,228. The rcod i c tst tPli ifhasbe n tetd c e v tvey a R. ) e r ndiae ha antf e r ae onsr ai l, nd do t sha c it ty rco nd physc lt rpy o r s gey ( e R.267. Ha cor ve onssenl e mme ed ia hea ve ur l Se ) ns Hans M . . a pai m anagem ents als w ho t i pe or ed l barf i e ntons on en, D , n peci i t w ce rf m um acet nt rve i Pl ntf ,st ed on Fe ai if at bruar 19,2008,tl do notpl anot i e nton. She i a young vial y t an her nt rve i s t m e be of s i y. l w o d lke he t c i r s m e t pe of voc to r ta ni I d no m r oc et ul i r o onsde o y a i nal e r i ng. o t wa t s ehe godownt pahwa ofpr ong ddia lt ' ( 33 ) nto e r he t y ol e sbiiy. R. 6. ' The A LJ consi ed Dr Sw a z' opi ons r der . rt s ni egardi Pl ntf ' f i ng ai i fs unctonal lm iatons i ti and i por ed i o t RFC t e fndi t wer s ncor at nt he hos i ngs hat e upport by t m edi evi ed he cal dence of r d,e. ,a sts and opton t woul alow Pl ntfft change postons atw iland as ofen ecor g. i/ t i hat d l ai i o ii l t a ne de f c mf t ( 1 ) TheALJc nsdee t tpli ifspan woul i efr wih s e d or o or. R. 8. o i rd ha antf' i d ntree t he a t n i a d co e r to r ti tng he t uns le wor c i tng o non- o pl x, r te ton n nc nta i n, esrc i ro kil d k ons s i f cm e r i re ii t ks i a l - tes envionm entt does notre r w or at a pr outne, pettve as n ow sr s r hat quie k oducton i 2The M RIofDec be 26, 2007,i notpa toft a i sr tve r or . em r s r he dm ni ta i ec d rt ( 1 ) TheALJas i or ae Pli ifspos a lmiainsi o t RFC,tndi ae. R. 8. lo nc portd antf mrl i tto nt he i ng t s coul not clm b l hat he d i adder , r s opes or scaf ol , ca onl occasonaly clm b st r a f ds' n y i l i ais nd r ps;can onl occasi l s oop,bend,kneel cr am y onaly t , ouch or cra l and car ott s m or t w ; m wi t e han rq rd i t c s ofd l lvi ( 1 ) Thi R-C a s sme i c itntwih t e uie n he oure aiy i ng. R. 8. s F s es nt s onsse t he fndi oft c ns ttvee mi r,Dr Rosnbl m ( ia)a Dr Luc s( ntl,a i ngs he o ulai xa nes . e oo physc l nd . a me a) nd t revi ng sat agency phys ci he ewi t e i ans. Dr.Rosenbl oom not t Pl ntf had f lr ed hat ai if ul angc of m oton i her cevi s ne but i n l cal pi decr ed r eas ange ofm oton i t t acol bar s ne i a1 diectons,s i n he hor um pi n 1 r i econdar t m oder et yo at o svee soloss ( 2 . Heas sae t ts ha fl rngeofmoin i he s ules e r c i i. R. 31) lo ttd ha he d ul a to n r ho d r, el bows,w rs s hands fnger ,hi knecsand ankl ,and s had 5/ sr h i herhand gr p. it , , i s ps, es he 5 tengt n as ( 231. He gatwa nor l s c ul riehe ha ove he he d a ma p aes l R. ) r i s ma; he o d as r nds r r a nd niult mal obe t wihbot ha ;he co di ton,snsto a rfe sweenor l a d sr g 1g j cs t h nds r or nai e ain, nd elxe r ma; n taiht e rii wa ne tvebiaeal ( 231) Shec l notsa on he he l a s te a asng s gai ltrly. R. . oud tnd r es nd quatd nd r ewih ge tdifc t ( 231) Dr Rosnbl m c ncl e t tPli ifssvees oloss os t ra fiuly. R. . . e oo o ud d ha antf' e r c i i af ect her abiiy t si,s a m ove a ,lf,cary and tavel butt she had no pr em f ed lt o t t nd, bout it r r , hat obl wih ha dlng lgh obe t,he rng,a s a ng. ( 231) Dr Luc s notd durng he t n i i t jcs ai nd pe ki R. . . a e i r ps ychol cal cons t i t Pl ntf i Eabl t unde t ogi ulaton hat ai i f s t e o rsand,r ai and f l i t ctons. et n olow nsm i Shei a et s ti atntona pefr smpl rutne,rpeii ts t ti gi)lmie s bl o usan te i nd rom i e, o i e ttve aks ha s sc i td o y by he r po t d s oloss c ndii S ha a g d a lt r l i w ih ot r a c ul nl r e r e c i i o ton. he s oo biiy e atng t he s nd o d lke y h ndl s r s o wihoutdit uly. The e i no ps c og c le de e t i c t t t i l a e upe vii n t fk t r s y hol i a vi nc o ndi a e ha s w oul have any m or di fc tes t anyone el t er i t sres and pr ur he d e fi uli han se ol atng he t s ess es as o i td wih da t da wo k a tv t ' ( 246. And,t ALJ' RFC dee mi to i s c ae t y-o- y r c iiy. R. ) ' he S tr nain s consst wih t as m entm ade by r ewi physci n, RobertG ar ,M . . w ho sat i ent t he sess evi ng ia dner D , t ed t tPli ifc ul lf a c ry 20 po ha antf o d it nd a r undsoc a inaly a 1 po c so l nd 0 undsfe nty,waslmie ' que l r i td i he a lt t p ha pul wihhe lwe e rmiis a ha s posu a lmiains ( n r biiy o us nd l t r o r xte te , nd d ome trl i tto . R. 28 8 ) I ee i i noe rhy t tt ot rrviwi sae a nc ph iin,Ro r N. 3-4. nd d, t s two t ha he he e e ng tt ge y ysca be t Pyl ,M . . de e m i d t tPl i ifw a m uc l s r s rc e b he i pa r e s fndi g s e D , t r ne ha a ntf s h e s e ti t d y r m im nt, i n he coul occas onaly lf and car y 50 pounds and f equenty lf and car y 25 pounds w ih d i l it r r l it r t unlmie pus ngandpuli wihnoot rpos a lmiains ( 237. i td hi lng t he mrli tto . R. ) G i t r d,ladoptJudgeUr kis concl on t ven he ecor bans ' usi hat g)hed cso no t gveDr Swat so ninsc ntoli weg i s re t e iin t o i . rz' pi o o r lng iht s uppo td by s t i evi ubsantal dence,gi t s t dur i of Dr Swart s t eat ent t ven he hor aton . z' r m , he c n e v t en tr o hste t n,a d telc o o jciefn ig t s p o t o sr ai au e f i rame t n h a k f be tv idn s o u p r v t degr of lm iaton s f t by Dr Swart he ee i ti et orh . z. Thi as s pect of t he Com m isi r' deci on i s s one s si s uppored by s antale de t ubst i vi nce. Ac odi y t obe to i o rued. c r ngl,he jcin s verl 3 3 l itf a s i cu e af o n t c n e igt a K eM a itaeJ g f ist a dr s t f c t a i t eAL P an if lo n l d s o t o e o tndn h txh g sr t ud e a l o d e s he a t h t f h J f ound t e de i ufi entorc lctng,heha an a fnuai dut t de l t r d,'a t t he vi nce ns fci onfi i d fi tve y o veop he ecor ' nd hat he Repor 'aist a e sPl ntf sa g entt tt m edials ce r i uponby t ALJa enots tntal ti l o ddr s ai if' r um f ha he c our s eled he r ubsa i e de uponw hih hewasenttedt r y. vi nce c il o el ' ' Ese tal,h frt teeo j cinsld di tef onoeas rsta t ALJdi n t 51h r uy snily te isofh s be t o ge n h o t t set h the o d o 91 1 e d t t de op t r or bec e s di notr - ont tDr Sw a t Thi ar e f l f t r s . Fis ,i i o vel he ec d aus he d e c ac . rz. s gum nt ais or wo ea ons r t t s Plitf' b r e t p o ie e d n e po n h r dsbit 4 U. C. j 4 ()1( ,()2( , anifs u d n o r vd vie c rvig e ia ly. 2 S. j 23d ()A) d()A) i 1 8 ca()A) ()2 ( ; C. R. j4 4.5 () 4 41 2a, 6.05a, 6. 2 a.S c n , nALJi 3 2 ()3 ( ,d ()A) 20 F. j 0 1 05a, 0 .51 ()41 9 () 41 91 () e o d a s r quied t s k a tonali onna i onl whe t e denc ofr or i i dequa e t det m i whet ra e r o ee ddii nf ton y n he vi e ec d s na t o er ne he c ama ti d s b e 20 C. R.j 4 4 1 2 e () 41 . 2 ()i.Th e i e e wa s fiin t s o ta li n s ia ld. F. j 0 . 51 ()i, 691 )e () e v d nc s u fc e t o h w h t Pl i ifwasnotdi a ed f o al w o k.Acc di y, heALJhadnodut t r cont ct phys c a ofr cor antf s bl r m l r or ngl t y o e- a any i i ns e d. Myr viw ofher cor asr ount a e e t e d, ec ed bove,ndi est t ALJs fci l deveopedt r r a pr de i cat hathe ufi enty l he eco d nd ovi d a bunda r s ngf dic i i pa qDr Swat so ni nt ea oni or s ountng, n r . rz' pi ons. Re r ng çpl ntf s ar um e t t m e ca s c r le upon by t ALJ ar nots t i l ga di ç ai if' g nt hat he di l our es e i d he e ubsanta evi e upon w hih he w a entted t r y, Pli ifc ended i he brefi s denc c s il o el ' antf ont ' n r i n uppor ofherm oi f t ton or s mmayj g n t a Dr Ros n o m ç i no s e iy t wha d g e ( an iq wo l bel td i st n , u r ud me t h t . e bl o ç d t p c f o t e r e Pli tf u d i e n it g d mi i sa ng,movi lfi car ng,a ta lng, a t ta K ca ,i es e ,fl i t bl f t tndi ng,itng, ryi nd rvei ' nd ha n K ' ALJ nnot n s nce il n he anks or he me c l o s la t'Ciig2 C. R. 40 1 1 pa dj41 . 9 , anifsae ta ttheRe ult n a vie dia c n utn . t 0 F. j 4.5 9 n ' n 691 p Plitf tts h tçl g ai s d s g o t t he acons t tveexa i ton r ti i om pl t ,t Comm i s o ri r quie t cont ct he s c a ha w n ula i m na i epor s nc e e he s i ne s e r d o a t our e nd obt i t m is ng i onna i ' H oweve , r y t Pl ntf ' as e tons Dr Ros bl ' fndi w e enot a n he s i nf ton.' r contar o ai if s s r i , . e oom s i ngs r ç ç pz '; r count a ambi ous' as e ed bove Dr Ros oom c ude t ,alhough Pl i if ss r s i i afec e , . enbl oncl d hat t a ntf ' eve e colos s f t d h r blyt stsa d, v a o tl tc rya ta e,heha n p o e wihh n l l h o jcshe rn , e a ii o i,tn mo e b u ,i , ar nd rv ls d o rblm t a di i t be t, aig t f ng g a ds e kn ( 2 . F rh r e(nda r c u t da o e , e iwi gp y iinRo r Gad r M . sae n p a ig. R. 31) u t e mor a s e o n e b v )r v e n h sca be t r ne , D.t td t Pl ntf coul lf a ca r 20 pounds oc s onaly and 10 po hat ai if d it nd r y ca i l unds fequenty, alho s w a lm ied i r l t ugh he s i t n ( o tn e . c n i u d.) . #. Pl ntf as ert t ai if s s hat (j Ma srt J the gitae udgef nd t tt ALJa r itl dice td M s Ce i' ou ha he ppopraey srdie . cls s jci c mpli sbe us t r wee rpe td rfrnc s t he sti f ube tve o ant ca e hee r e ae eee e o r itng or m or t n t 20 t 3 m i e pe i d s a l g d wa he lm i f r s ti a on e ha he o 0 nut r o he le e s r i t o itng nd t bai t the dal a tviisweei onsse wih he al ains( he ss ha r iy ci te r nc itnt t r leg to R&R,p. 1. 2) Ho v r a d tie i Plit ' o nn b i teo e v t n b te we e, s ea ld n an# s pe ig re h bsr ai s y h s o ALJ a a 1 y s c a s c iy c e k,w ho l di t d M s Ce i s t a di no nd a o i l e urt l r n ca e . c l a nd d t a a i dite saee ild t ltl weght( .Me ,p.20) l a to t ppe r n srs r ntte o ite i Pl m. . n ddiin,he ALJdi notrj c Ms Ce i' c ant on t bassofhe dal aci te . d ee t . cls ompli s he i r iy tviis As noe i Pl nt ' rpl b if t s agu ntwa a i r si e postd n ai # s e y re hi r me s n mpemisbl thoc rtonaiai byt Commiso r( .Re y p.2-) Reg r e s he a tvte ai lz ton he s ine Pl pl, 3 . adls, r ciiis wer noti e ncons sentw ih her a l tons. #. it t lega i f ( Empha i a ed. ss dd ) As l ha ara o e v d,g nea ob eto t a ma srt j s rpo ta ve le dy bsr e e rl jcins o gitae udge' e r nd r c m m e ton,r ie a i a gu e s a r a pr s nt d,l c t s c fc t r q r d by Rul eo nda i e t r tng r m nt le dy e e e a k he pe ii iy e uie e 7 a ha t s meefc asafiur t obe t Ve e 539 F.Sup 2dat8 Thei tnt 2 nd ve he a fe t al e o jc. ny, p. 45. nsa o jci meey i or rts a rpe t agu nt ara prsntd - e sntaly,t be ton r l nc poae nd e as r me s le dy ee e se i l he 3.c n iu d t. o t e ) . n h ra ii t p s a p l t h rIwe e te te , ndha s mep sua l tto s( 28 8 ) a dte e bly o u h nd ulwi e o r xrmi s a d o o trl i ain R. 3-4., n h t h i mi ot rr ewi saeage physci Rober N .Pyl M . ,detr i t Pl ntf w a muc l sr titd he evi ng tt ncy i an, t e, D. em ned hat ai if s h es esrce by he i pai nt,fndi s c d oc i l lf and ca r 50 poundsand feque l lf a c r 25 r m nne s i ng he oul casonaly it ry r nty it nd ary poundswih unlm ie pus ng and puli w ih no o herpos ur lm iatons The r atonss cii aly c ge t i t d hi lng t t t al i t i . egul i pe fc l har a ALJwi t ed t t e au t me ia o i i n . 2 C. R. j40 1 27 41 9 7.I d n s , n ALJwil n t h u y o v l ae d c l p n o s 0 F. j 4.5 , 6.2 n oig o a h l gi t opi on t wei s dee sa oprat bas d on f ctr s h aswhehera physci e ve he ni he ght he m ppr i e e a o s uc t i an xami or ned te e t cl m ant w he hert opi on i s r at d he ai , t he ni s uppored by m e c s gnsa l bor or fndi , whe he t t di al i nd a at y i ngs and t r he opi on i conssentwih t physcin' r or ofteame ,a wih t r or a a whol 20 C. R.jj ni s it t he i a s ec ds r t nt nd t he ec d s e. F. 4 41 27d()( , 69 ()1-4 . eCo sin rs o bo db te tn h iin'o iin a 0 .5 ( )1-4)41 .27d( )( ) Th mmiso e in t un ya raigp ysca s pno ,ndma y rj c i,fh r i aIc o ci c l aas p ri i o Ite eic nr l me ial vd n e S e eg.Mic el ee ttitee s ak f l a d t u pot t r h r s o tay dc e ie c . e , . , th l ni ng , v Asr e 2 0 W L 48 3 6 , a * ( D. Va De . 1 , 2 9 ( iig SS 9 - p) (< a p o rae . tu , 0 9 2 8 2 t 7 E. . c 1 00 ) ct n R 6 6 t n p r p it l c r sa es. .t opi on ofanon- m i ng m edi ls ce s asa sat age medi alorps hol c icum t nc . he ni exa ni ca our , uch t e ncy c yc ogi al c ula ,m a beentted t m or w eghtt n t opi on ofan e m i ng s ur ,ore t opi on ofa ons tnt y il o e i ha he ni xa ni o ce ven he ni te i s ur n .TheALJexa ne t opi on ofDr Swa t,and f t t at r atng o ce ) mi d he ni . rz ound ha , lhough Dr Swarz' opi on . t s ni w a note il t gr at e ght i wase il t s w e ght and t AL2i r a ed t lm ia i i ii s ntted o e w i , t ntted o ome i , he nco por t he i t tons dentfed by Dr Swa t t tw e e c i t ntwih t evi . r z ha r ons s e t he dence ofr cor i t Pl ntf ' RFC. e d n o ai if s obe ton smpl r er t a prvius agu nt - a t i fis t s cfc ly o j c. j ci i y ef s o e o r me s nd hus t al o pe iial b e t No t ls ,o ofa a a ofc uton,lwila rs t ob eto Asdic s di t nehee s ut n bund nce a i l dde s he jcin. suse n he prviuss ci rgadngPli ifsfrtobe i t ALJdic ntd Pli ifss jci e o e ton, e ri antf' is jcton, he s ou e antf' ube tve co pl i s on t ba i of a m a nt he s s bunda e de e i t r c d,tnd ng t tPl i ips s a e e s nt vi nc n he e or i i ha a ntf t t m nt r g r ng t lm ii e f c s ofhe pa n we e no c e bl t t e e t y w e e i ons se e a di he i tng f e t r i r t r di e o he xt nt he r nc i t nt wih t R-C de e mi ton. The d s biiy a i a i n doe ,i f c ,i c t t tPl i if s t t he F t r na i i a lt pplc to s n a t ndi a e ha a ntf a tr h t e ie7 mi ei e ve wiho movi ors fi ors ngsr sofpan ( houg he ntr 0 nut ntr iw t ut ng hitng howi i i R. 1 ) a t si,i f t co itntwih t ALJSo e vton t tPli ifstt oug t 53, nd hi s n ac, nsse t he ' bsr ai ha antf a hr h he e ie a nitatve he rng i no a rntdic or ( 1 ) a wel a rfeto i t ntr dmi sr i ai n ppae s omf t R. 9, s l s elcins n he te t ntr odst ts a ae t bei nopanordites(e eg.R.3 302,3 3 ) rame ec r ha he ppe rd o n i sr s s e, . , 00, 05, 21, s move ao t e m r wel( 267 ,a s wa a et ge on a oft e m he d rund he xa oom l R. ) nd he s bl o t nd f he xa tbl wiho difc t ( 223) Fu t nnor,t rc di iae t tPli if a e t ut fiuly R. . rhe e he e or ndc ts ha antf r t t Dr.Lucas durng t cons t i e i i t s t cpored o i he ulatve xam naton hat he akes her dog f a wal each day,does chor does l or k es, aundr cooks,cl y, eans a g'oce y s nd r r hops frt houshol a ne e sr ( 2 ) Shetsiid t ts i a et d t o he e d s c say. R. 45. e tfe ha he s bl o o he dihes,wi of t t bl dr sher f m ake t bed,and t t s ais i o her s pe f he a e, es sel, he ake he t r nt ho e ( 38,39. She heps he sn wih home r a atnds shoo us . R. ) l ro t wok nd te c l c nfrnc s ( 40. S tsiidt the pan i mi miedwih me c ton. o ee e . R. ) he etfe ha r i s ni z t diai ( 35. Ceclwa e urge by he phy ia t rpitt i ra ehe a i t R. ) i s nco a d r sc l hea s o nce s r ctviy l vel and tm e out of bed,and s was not t be t ng her son t f bal e i he ed o aki o oot l prcie a ga f tme pe wek. ( 271 272. Ce i l twor d i a tc nd mes our i s r e R. , ) cl as ke n M ar 2007 as a cus om e s vi r ese a i i a cal cent r. A lhough s ch, t r er ce epr nt tve n l e t he tsiidt ts te t j g ' t bac pr e ( 29 ,s rpore t Dr e tfe ha he t t he ob o'due o k oblms R. ) he e td o . l Lucas durng her cons t i exam i ton t t s w as fr f f geti t i ulatve na i ha he ied or or tng o tas aboutw om a s l t nam e on t phone and i was bei m oniored.' ( lk n' as he t ng t ' R. 245. ) ( por 1 1 ) Ac o di l J Re t 2- 3. c r ngy, udge Ur ns c r ty f und no r a o t dit b t ALJ S ba ki orecl o e s n o sur he ' cr biiy det naton. The ALJca uly consder t m edi evi nce and account f edi lt ermi i ref l i ed he cal de ed or Pl i if s pa n a i pa r e s i fndi s c ul pe f r a lm ie r nge of lght wor . a ntf ' i nd m im nt n i ng he o d r o m i td a i k - l2 Subsantale de i t r d s t i vi nce n he ecor upporst s as oft Com m i si r' deci on. t hi pect he s one s si 11 1. aina xpet t ) VE' Dee nt o j cs on t gr nd t t rma f f t r voc to le r (t ' fnda b e t he ou ha e nd or urhe t i ony i not r r becaus t onl uncl VE t i ony was i res estm s equied e he y ear estm n ponse t a o hy heia queto t twa f nd t beuns potd. Howe r t sobecin fis The pot tc l sin ha s ou o up re ve, hi j to al. tansc ptoft VE' t i ony s r ri he s estm upport Pl ntf cont i t t VE a enty beleves s ai ifs entons hat he ppar l i t ta pe s ne d o y w or f ur h s a da t w o k f ltm e or t ta i vi lne o y ha r on e nl k o our y o r ul- i , ha n ndi dua ed nl c e r t f r t a a hal ho s o of a e ghtho d y t pe f m f l-i e w o k. As onc nt a e o wo- nd- - f ur ut n i - ur a o r or u ltm r Judge Ur kiobserved,t A LJ' deci on f l t acknowl bans he S si aied o edge t i pr son oft VE' he m eci i he s t i ony,D ef estm endants openi bref f l t addr s Pl ntf chalenges t t cl iy of t ' ng i ais o es ai ifs l o he art he VE' tsi ny,a tE rviwi c ur o htno beplc di apostonrquii gues r s etmo nd ça) e e ng o t ug t ae n ii e rng swok as t what t VE m eant by her t tm ony.' J o he esi ' udge Ur nski f ba ound t t V E' entr hat he s ie t i ony w as cale i o queston becaus i w asuncl i t expertw as awar t w or m us estm l d nt i et ear f he e hat k t be a ia e f r t c a m a i a f l-i e c pa iy. D e e a ha f ie t c t a y e de va l bl o he l i nt n u ltm a c t f nd nt s a l d o ie n vi nce t ts essohe wie.Ac ori y, fnda ' obe to i o r ld. ha ugg t t r s c dngl Dee nts jcin s verue lV. Ha ngu e tke adent rviw o t s po to o t Re r t whih o j cins vi nd ra n wo e e f ho e rins f he pot o c b eto weema ,1fnd t t pa te 'o jcinsaewihoutmei. Ac or ngl 1wile e a r de i hat he ris be to r t rt c di y, l ntr n ode ove i t o j ci , doptngt Re r i t o de ngt Co si rsmoton r r nulng he b e tons a i he potn ot, nyi he mmisone' i frs o ummayj r udgme ,ga i Pli ifsmoton frs nt rntng antf' i o ummayj r udgme t a rma ng t n, nd e ndi he c s t t Co m is one f r f r he voc tona a s s m e pur ua t Se e a e o he m s i r o u t r a i l s e s nt s nt o nt nce f r ou of4 U. C.j405 g) 2 S. (. Th Cl r of t Cour w ilbe die e t s nd a c ri i d c py o t s m e or ndum e ek he t l r ct d o e e tfe o f hi m a o n o a t a co pa ng or e t a 1c ns lofr co d a t U nie St t s Di ti tJ pi i n nd he c m nyi d r o 1 ou e e r nd o t d a e src udge Mi chaelF.Ur ki bans . u @ f'oJl2011. d y ty fu . a e , Ent ed t s er hi , - > NO K.M OO UNI TED STATES DI STRI J CT UDGE

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