Reynolds v. Berryhill, No. 7:2017cv00399 - Document 24 (W.D. Va. 2018)
Court Description: MEMORANDUM OPINION. Signed by Senior Judge Glen E. Conrad on 6/22/2018. (ck)
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CLERK' AT R CE U.S. ST. COURT S OFFI DI OM OKE, VA FI LED JUN I Tll UNI N 'E TED STATES DI STRI COURT CT FOR THE W ESTERN D I STRI OF VI NI CT RGI A ROA NO KE DI I ON V SI JU BM D ousy u sau . KA Y FRAN CES REYN OLD S, Pl ntf, ai if Ci lAc i N o. 1 vi ton 7: 7CV 00 399 M EM O R ANDU M O PI I N N O NAN CY A .BERRYH I A ctng LL, i Co m i s o rofSoc a Se u iy, m s i ne i l c rt By:H on.Gl E.Conrad en Seni Unied St esD it i Judge or t at s rct D ef endant . Pl ntf has fl t s acton chalengi t fnaldeci on oft Com m i si ai if ied hi i l ng he i si he s oner ofSoci al Securt denyi pl ntf ' cl m s f di lt i ur iy ng ai ifs ai or sabiiy ns ance beneft and suppl ent securt is em al iy i omeben f u rt Soca Se urt Ac,a a nde 42U. C.jj41 i a 423,a 42 nc eks nde he il c iy t s me d, S. 6() nd nd U. C.j1 1e s q-rs ci l J iditonoft sc r i puru ntt 42U. C.j405()a S. 38 t e , epe tvey. urs ci hi ou ts s a o S. g nd 4 U. C.j 1 8 ()3 . Th sc utsrviw i l td t ad tr n t n a .owh te teei 2 S. 3 3 c() i o r' e e s i e o eemiai st eh r h r s mi o s t i evi ubsantal dence t s o uppor t Com m i oner' concl on t t pl ntf f l t m eet t t he ssi s usi ha ai if aied o he r r ent f enttem entt beneft undert A c . I s s t i evi nceexi t t fnal equiem s or il o is he t f uch ubs antàl de ss, he i d cii oft Commisone mus b afnne La v. lbrzz 368F. 6 (t Ci.1 ) e son he si r t e fi d. ws Cee e e, 2d 40 4h r 966. St ed brety,subs antalevi at il t i dence has been defned as s r evant evi i uch el dence,consi i t derng he r d as a w hol as m i be f ecor e, ght ound adequa e t suppor a concl on by a r oné e m i t o t usi eas bl nd. Rihads v. ae , U. 389 401( 9 ) c r on Perls 402 S. , 1 71. The pl ntf , K ay Fr ai if ances Reynol w as bor on M ar 20, 1961. She event l ds, n ch ualy Reynolds v. Berryhill Doc. 24 g a t dfo hih s hool ndaloc eedt ye r ofc lge. ( .31 ) M s Re dsha r duae r m g c a s omplt wo a s ole Tr 5 . . ynol s bee empl n oyed asat ser hooker sal at wi t , , es lendant cashi ,sandw i m aker and f f w or , er ch , ast ood ker. She was s ilwor ng atTaco Bel on apa tm e basi att tm e oft adm i s r tve heafng on tl ki l /-i s he i he nit a i i Aprl27,201 ( .51. On Ocobe 3,201 M s Re nol fld a i tonsfrdiabiiy i 6. Tr ) t r 3, . y ds ie pplcai o s l t Dockets.Justia.com ' RK i ur ns ance beneft and suppl ent s iy 'ncom e benefis. I flng her curent cl m s,M s. is em al ecurt i t n ii r ai Reynol aleged t s becam e di abl f al f m s of s t i gai ul empl ent on ds l hat he s ed or 1 or ubsantal nf oym Augu t l , 20 , due t bi a dior r pos-r u a i sr s di o de , a t nto de i i s 5 08 o pol r s de , tt a m tc te s s r r te i n- fc t N hyper i t di der obses ve- pul ve dior ,degener i arhrii i her s der and actviy sor , si com si s der atve t ts n houl s l rba k,bones s lf kne pan,a ki y sone . ( .281 31 . Ms.Re dsnow owe c pur, et e i nd dne t s1 Tr , 4) ynol m ai ai t s hasr ai diabl t t pr enttm e. W ih r pectt herapplcaton f nt ns hat he em ned s ed o he es i t es o i i or . di lt i ur sabiiy ns ance beneft , t r d re s t M s. Reynol m et t i ed s at is he ecor veal hat ds he nsur t us r r ent oft A ctt ough t t r quarer of 2015,but not t eafer. See gener l 42 equiem s he hr he hid t her t aly, U. C.j 41 i a 4 a. Con e enl plitf i e tted t a pei ofdia lt a d S. j 6() nd 23() s qu ty, anif s nil o rod sbiiy n diab l y i s r n e be ft o y i s ha e t bls d t a s be a e di a e f r a 1f ms o s ii n u a c ne is nl f he s sa ihe h t he c m t s bl d o 1 or f s t i gai em pl enton orbef e Sept ber30,2015. ubsantal nful oym or em M s Re nol ' a iatons w e e deni upon i talco i er ton a d r co i e a i . y ds pplc i r ed nii ns d a i n e ns d r ton. Shet r hen equest and r ved a#qnovohe rnga r viw be or a Admi srtveLa J e. ed ecei . a i nd e e f e n nitai w udg . l a opi on da e Augus 1 201 t La J e a s de e m i d,a t r a pl n t fve s e n n ni td t 9, 6, he w udg l o t r ne fe p yi g he i - t p s q ntale l tonpr es t tM s Re d i no dia e Se 20C. R.jj404.520a e ue i vauai oc s,ha . ynols s t s bld. e F. 1 nd 41 920. Ba e ont eani rcodsfom he j a Tac Bel,heLa J frtr edta 6. 2 s d he r ngs e r r r ob t o lt w udge is ul h t M s.Reynol engaged i s t i gai ulactviy durng t t r and f t quarer of 2015, ds n ubs antal nf it i he hid ourh ts and t t diabiiy i r t ef e ended a t fis sep oft sequentale uaton pr s hat he s lt nquiy her or t he r t t he i val i oces 'Plitf fldprorapplc to f dia lt i urnc be ft a s e ntls c iy i om ebe eft, anif ie i iains or s biiy ns a e ne is nd upplme a e urt nc n is whih w eede e byt sae a nc onFebuar 2 201 Sh di no a alte de sons ma n t m fna c r nid he tt ge y r y 4, 0. e d t ppe h cii , kig he i l deem i to . TheLa J tr nains w udgef oundnoba i f rrope ngt prordeem i ton ,a c el orpl ntf di not ss o e ni he i tr nai s nd ouns f ai if d ak h rt d s . ( .51. Acodn l,te La J d ec n iee pani rq etfr cn urn b n Gt s e o o o Tr ) c rigy h w u g o sd rd litps e u s o o c re t e e s f b gn igo Fe ray2 , 0 0 ted yatrh p e o sd tr n to s ( . 5. e inn n bu r 5 2 1 ,h a f te rviu eemiain . Tr 1 ) e 2Th p o s r quie t La J get c i r i sq e c , eh r cama t()ie g g di s btnil e r ce s e r s he w ud o onsde , n e u n e wh te a li n:1 s n a e n u sa t a g ifl ci t;2 h sasv r i ar n;()h sa i ar n ta met o e u l terq i me t o altd anu at y () a e ee mp i t 3 a n mp ime th t es r q as h e ur ns f i e vi me e s i ar n'4 cnrtr t h r atee a t r; n ()in twh te sec np rom oh r r i ten to a mp ime t() a eun o e p s rlv n wok a d 5 f o, eh r h a efr te wok n h ain l , e o o . 2 C. R. j 4 4.5 0 a d 41 .2 I ad cso c nb r a h d a a y se i t es q e ta e lai n c n my 0 F. j 0 1 2 n 69 0. f e ii n a e e c e t n t p n h e u nil vau to pr e s f rhe e ua i i unn e s r l oc s , u t r val ton s ec s a y. d. wih rs c t t tpe id. ( . 1 . Ho ve,t La J t epe t o ha ro Tr 7) we r he w udge fund t tt r ha b e o ha hee d e n contnuous lz- ont perods durng w hi t cl m a di not engage i s t i gai ul i m h i i ch he ai nt d n ubs antal nf * , a tviy. ( .l ) Ac or n y,t La J gef usd te rmande ofhe d iin on s h ci t Tr 8 . c digl he w ud oc e h e i r r ecso uc pe i s The La J rod . w udge f und t t M s Re ol s s f r f om s ve a s ve e i i n s o ha . yn d ufe s r e r l e r mpa nne t , i udi (cervi and l bar degener i di dieas compr si f act e at L1, obest ncl ng s cal um atve sc s e, es on r ur iy, bi a afci dior , tta mai srs ds de ( polr fe tve s derpos-ru tc te s ior r PTSD) a xit diode ,ndapes lt , n ey s r r a ronaiy dior ,' but t t t e i r ent do not eiher i vi l or i com bi i m ee or s der'. ha hes mpaim s , t ndi dualy n naton, t w hen me c ly e ua t rquie ns o a lse i ime . ( .1 - 9 . The La Judge t dial q l he e rme t f itd mpar nt Tr 8 1 ) ass sed M s.Reynol r dualf i capaciy asf l s: es ds' esi unctonal t olow A fer car f consder i of t entr r d, 1 fnd t t t e ul i aton he ie ecor i hat he cl m anthas t r i ai he esdualf i unctonalca t t per or l s t a paciy o f m es han f lrng oflgh wor asdei d i 20' F. 40 1 749 a ul a e i t k fne n C. R. 4.56 1 nd 41 96 e e :oc aina sar a rmps no ld r,rpesor 6. 7*) xc pt c so l tis nd a ; a des o s f ds;occasi bal ng,soopi kneelng,cr caf ol onal anci t ng, i ouchi a no ng nd cr w lng;m oder e noi envionm e ;and occasi a i at se r nt onalexpos e t ur o extem e col vi a i and w or ace ha ds such as danger r d, br tons kpl zar ous m ovi m achi y butno expos et unpr ect hei s.3 Shecan ng ner ur o ot ed ght per or unskil wor at an SVP l or 2 wher t pace of f m led k e he pr oductviy i not di at ext nal out i her contol s it s ct ed er s de r , uch as conveyorbels. t4 ( .20 . Gi n s h a rsdu f ton' c pa t a aferc i rng tsi ny fom a Tr ) ve uc e i al unci al a ciy, nd t onsdei etmo r voca i expert t Law Judgedet r i t M s.Reynol r ai ca e ofper or i her tonal , he e m ned hat ds em ns pabl f m ng pa tr lva wor a af s f dwo ke . I t atr tve t La J s ee nt k s a t oo r r n he le na i ,he w udgef l t ti e n i M s ouf ha f ve f . d Reynol i diabl f pas r e ds s s ed or t elvantw or s r t ns t capaciy t per or ot w or r es k, he e ai he t o f m her k ol 3 çl çv ih wok'a d fn di terg lt n ,ç 'ole lt gn mo eta 2 p u d a at wihfe u n j t ry s eie n h e uai sçn v s i i o r h n 0 o n s t i t rq e t ' o iv fn me l t go cnylgo oj csweg t! t 1 p u d . 2 C. R. j4 4.5 7b a d41 ,6 ( . Gf heflrn eo ii r a n f be t ih t o 0 o n s' 0 F. j 0 1 6 () n 69 71 fl ula g f fn p ' $ gl lghtwo k r quiessa n o wa ki of a on, orat t ofa oxi a ey 6 ho so a z- wor y. Sitng i r e r t ndi g r l ng, f nd f o al ppr m t l ur f n hour kda ti ma o c ritr tetyd r gtermann tme' S R 8 -0 1 8 SS LEXI 3 , t 1 (a .1 1 8 ) y cu nemi nl ui h e iig i . S 3 1 , 9 3 R t n ' S 0 a # 4 Jn , 9 3. 4 <SVP' i s tf rfs cii voc to pr pa ai 'a Cr f st t tme r uie by a t ca wor rt E ' s hor o spe fc a i nal e r ton' nd çe er o he i eq r d' ypi l ke o l a n t t ch qu ,a uie t i or a i a de l p t f c lt ne ed f r a a pe f m a e i a s cii e r he e ni es cq r he nf m ton, nd ve o he a iiy ed o ver ge r or nc n pe fc j bwok rstain' Vii v Covn 8 5F.d1 9 ,1 0 n2(0hdi. 5 (nen lq oainmak o te ) o - re i t . al . li, 0 3 1 9 2 0 . 1t r 21) itr a u tt u o ' o r s mi d. t t j ba S o er q ie as o'd mo srto o ya da S t r q ie a yhn b y n as o t e n tain ç o t VP n e u rs h l e n tai n nl n t VP wo e u r s n t ig e o d h r d mo srto A t u t a dicu ig1mo t ' I.atrt na ditra q oainmak o t d. p o n n ldn nh. d (l ai n nen l u tto rs mit ) ' e o e 3 exitng i si fcant num ber i t na i s i n gnii n he tonaleconom y. A ccor ngl t Law Judge concl di y, he uded t t M s Re d i not dia e a t t s i n e il d t be ft unde eihe f de al ha . ynol s s s bl d, nd ha he s ot ntte o ne is r t re r pr rm. Se g neal 20 C. R.jj 404.5 9-g)a 41 920( () The La J ge' oga e e rl v F. 1 20( ( nd 6. 9-g . w ud s opi on was adopt as t fnal decii of t Com m i i ni ed he i son he ssoner by t Soci Securiy he al t Adm i s r i s Appeal Counci. Havi exhaus ed al avaiabl adm i sra i r nit aton' s l ng t l l e nit tve emedi ,M s. es Reynol has now a ds ppeal t t s court ed o hi . W hie pl ntf m ay be di ed f cerai f m s of em pl ent t cr al f ual l ai if sabl or t n or oym , he uci act det m i i i w het pl ntf i diabl f a1 f m s ofsubs antalgai ulem pl ent See er naton s her ai if s s ed or 1 or t i nf oym . 42U. C.jj4 d ( a l 2ca. Th r aef elme t ofprofwhihmus bec nsdee S. 23()2) nd 38 () ee r our e ns o c t o i rd i ma ngs ha a l i. The eelme t aes n ki uc n nayss s e ns r ummaieda f lws ( )obe tveme c lfcs rz s olo : 1 j ci dia a t a ci c lfndi ;( he opi on a c l i ofte tng ph iins () s jci nd lnia i ngs 2)t ni s nd oncusons rai ysca ' 3 ube tve , evi dence ofphyscalm aniest i of i paim ent as descrbed t ough a cl m ant' t tm ony' i f atons m r s, i hr ai s es i , a ( t cli n ' e ai vo tona hit y,r i ls ls a a Vie v.Fi h,438 nd 4) he ama ts ducton, cai l sor esdua kil, nd ge. tk nc F. 11 7,1 59-0(t Ci.1 71; 2d 5 1 6 4h r 9 )Undewoo v. bi f, F. 85 851(t Ci.1 2) r d Ri cof298 2d 0, 4h r 96 . Afer a r ew of t r d i t s cas t cour i constai t concl t t t t evi he ecor n hi e, he ts r ned o ude ha he Com m isi s oner' fnal deci on i s s i si s upport by subs antal evi ed t i dence. The Law J udge' opi on s ni r l s a t ough eval i of M s.Reynol m edi pr em s and t ext t w hi t efect hor uaton ds' cal obl he ent o ch hey af ect he abiiy t w or A lhough M s.Reynol s f s f om a com bi i of physi and f r lt o k. t ds uf er r naton cal em otonal i paiment , s t i evi i m r s ubsantal dence s uppors t La Judge' det m i i t t she t he w s er naton ha r ai t r i f tonalca t t peror a lm ied r et ns he esdual unc i paciy o f m i t ange oflght uns led w or i , kil k. The r ecord r eveal t t M s.Reynol was i cer t f om N ovem ber 2011 t ough s ha ds ncar a ed r hr Au t201 atrbeig c nvitd o sauo' bur ay a grnd lre ( .321 4 ) gus 3, fe n o ce f tttl y glr nd a ac ny. Tr , 41. Recor f om t Vigi a D eparm entofCor ectons cont n r er ds r he r ni t r i ai ef ences t an abnor alaf ec ,an o m f t 4 i ie mo a musul keea panf whihpli ifrceve me ctons ( . 4-63) mpard od, nd c os ltl i or c antf e i d diai . Tr 48 6 . l M ay of2011,con- i of ce f n ectonal fi rs ound t y-s car m aza net et ,w hi pl ntf was went tve ba pi abl s ch ai if s pposdt betki t c ada i plitf c l ( .66 . Ms Reyn dswa as fundt u e o a ng wie y,n anips el. Tr 3) . ol s lo o o beh r ngl pr e a Be dr . ( . ) Theprs physcinr o nde ta plitf oadi bu ofn nd na yl Tr663 . ion i a ec mme d h t anif so rc i ngme c to a t ttme. ( .66 . tp e evi diains t ha i Tr 2) l Sept berof20l f l i herr eas f om i cer i M s.Reynol r t i n em 3, olow ng el e r ncar aton, dsxeesablshed te t ta Ba st Fa l Prcie ( .43738 . She c ane o fei de ese a ramen t set miy a tc . Tr - ) ompli d f e lng pr s d nd a ke t betse frobss i c s d o etd o e sve-ompuli diode ( sve s r r OCD)a atni dei thypea tviy nd te ton- fci rci t diode ( s r r ADHD) ( .437 . Dr Kwa Nke noe t tM s Re dswa h rci . Tr ) . mba mbe td ha . ynol s ypea tve duri t exam i i and had t ng he naton roubl sayi on t ack,butt t s w as al ta ori ed w ih e t ng r ha he er nd ent t nor s mal peech f m and cont . He di or ent agnos pl ntf w ih bi araf ec i di derand OCD . ed ai if t pol f ftve sor ( . ) DrNke ea s h t c i tki Te rtl(aba z pi )a r erdh rt Tr437. . mb dvied ero ontnue a ng geo c r ma a ne nd efre e o a c ns l . ( .438 . Heas wrt a Co who i ma c nc r lter'i c tng t tMs ou eor Tr ) lo oe s t m t y o en et ' ndiai ha . Re olswa i a bl ofwor ng. ( .43 . yn d s nc pa e ki Tr 4) On Sept ber 17,2013,M s R e dsm etw ih Ern Jenki ,LPC f a i talbehavi em . ynol t i nj or n nii oral healh eval ti M s.Reynol r t t s had been f ced t s op t ng colege cl esas t ua on. ds epored hat he or o t aki l ass ars tofbeng i re ae bu t ts ha snc r-nr l t wok L a he de e . ( . e ul i ncacrtd, t ha he d i e ee oled o r m not r gre Tr Duri t e ua i pl ntf s t ng he val ton, ai if' houghtpr ocess a ppear t be scater and hers ed o t ed peech wa prsurd. ( .4 . Ho ve,Ms J n nsnotdt ts wa welgr me wih nomal s e s e Tr 42) we r . e ki e ha he s l- oo d t r eye cont t ar tve af ec ,an engaged and cooper i a tt nor alt ac , eac i f t atve tiude, m houghtcont ,and f r ent ai i ihta j dgme t ( .4 . nsg nd u n. Tr 42) M s. Reynol r t ned t Dr Nkembe on O c ober2,2013 w ih com pl nt ofneck pai and ds e ur o . l t ai s n musl s s i he ba k. ( .443 . On e mi ton,pl ntf e bie nomalrng o ce pams n r c Tr ) xa nai ai if xhi td r a e f m oton i her s ne and her sr ghtl r se t t was nor al D r N kem be pr crbed a 15- . i n pi tai eg ai es m . . es i day s ppl o Lora f pana amus l rlxa tfrs s . ( . ) u y f tb or i nd ce ea n o pa ms Tr 443 . D urng a f l up a n m e t wih M s J nki on Oc obe 2 201 M s Re l s i olow- ppoi t n t . e ns t r 2, 3, . yno d r t ongoi confi swih herf herand br her butnot t s had been goi t chur epored ng lct t at ot , ed hat he ng o ch a s a ng wih he pat a hi wie. ( .452 . Alhoug plitf c tnue t ha nd pe ki t r sor nd s f Tr ) t h anif oni d o ve pr ured s ess peech,s was w el gr he l oomed,exhi t a l cal goaldiect t bied ogi , - r çd houghtpr ocess w as , ore tdi alfurs rs a de nsrtdfi i i ta j ine n l o phee , nd mo tae ar nsgh nd udgme t ( . 2) n . Tr 45 . Pl ntf s sym pt ai if' oms r ai r atvel unchanged t ough Novem ber and Dece ber of em ned el i y hr m 201 ( . 4, . OnDe e e 1 201 ,Ms J nki me wihM e anEli, a Ba st 3. Tr45 456) c mb r 2, 3 . e ns t t g ls LPC t set Fa l Prci . ( .456 . Alho s c mpl ne ofongoi is swih he ft r Ms miy a tce Tr ) t ugh he o ai d ng sue t r ahe, . Reynol r ds eport t s had devel ed hat he oped agood r atons p w ih herpasor t s w asatendi el i hi t t , hat he t ng bi e s udy and si ng i t chur choi,and t s had compl ed t f lsem es era s bl t ngi n he ch r hat he et he al t t chool . Pl ntf s m edi r ai if' cal ecords f om t trs hal of 2014 r fl contnued i ovem ent. l r he s t f e ect i mpr n Januar of201 M s.Reynol r port t she w as t ng f cl s att l com m uniy y 4, ds e ed hat aki our as es he ocal t cole a dt ts wa s c sul ma gi shool ( . ) W he se i Fe uay201 lge n ha he s uc esf l na ng c . Tr458. y n e n n br r 4, M s.J ns advi t s w as doi w el i her cl es,exer si m or ofen,and goi t enki sed hat he ng l n ass ci ng e t ng o c c rgulry. ( .46 . Durng a s bs q nta nme ti Marh 201 Ms Re l hurh e al Tr 2) i u e ue ppoit n n c 4, . ynods r t t she had been goi t s epored hat ng o choolr ary,cl ng out her hous and pari patng i egul l eani e, tci i n c c a tviis ( .46 . M s Eli obsr e t tplitf was plaa ,e a d,a hurh ci te . Tr 4) . ls e v d ha anif e snt ng ge nd w e lg oo e a t ts s kew ihou pr s e Addii ly,he t ughtpr e sw a l i l l- r m d, nd ha he po t t es ur . tona l r ho oc s s og ca a go -ie td,a d s e e bie f ri i a j men. ( .464) Ms Eli noe t t nd aldrce n h xhi td ai nsght nd udg t Tr . . ls td ha pl ntf was Scopi and f ti ng w el' and t t s w as çt yi t i pr her lf t ough ai if t ng unc oni l' ha he çr ng o m ove ie hr s hoo,c rh,a pattmee o nt' ( . 5) I Aprl 4 pli ifh anoma ba k c l huc nd r-i mplyme . Tr 46 . n i201 , antf ad r l c ' 6 e mi ton. ( . . Shewa as f t be( i wela wihou c ant'durn a xa nai Tr 466) s lo ound o t ng l nd t t ompli s' ig do f lw- e l tono he bi a diode . ( .4 ) olo up vauai f r polr s r r Tr 68 . M s Re dscontnued t i pr t oughoutt summ e of2014. I M ay,s advied . ynol i o m ove hr he r n he s M s.Eli t s was wal ng fi da a w eek and had l t f pounds. A lhough pl ntf ls hat he ki ve ys os our t ai if r t exper e ng a (ltl anxit 'i deci ng whet t a t s m er cl es her m ood, epored i nci dite e y' n di her o tend um ass , afct s e h,att e,a t htpr eswer wihi nor lmis ( .666 . l J of fe , pe c tiud nd houg oc s e t n mal i t. Tr ) n une 201 Ms Eli n ed t tplitf was( ng wela wiho c mpli s' ( .6 . 4, . ls ot ha anif C doi l nd t ut o ant. Tr 68) ' depr i scr yi ded a t al s e of 4,w hi w as i catve of m i m aldepr si M s. esson een el ot cor ch ndi i ni es on. Re dsrtr dt DrNke ei J yo 201 f af lw-pa nt n. ( . 2- . She ynol eune o . mb n ul f 4 or olo u ppoi me t Tr67 73) h n a u e c m pl i s a d r pore t tBus rha hepe w ih he a xit On e m i to ad o c t o a nt n e t d ha pa d l d t r n e y. xa na i n, M s.Reynol back,gai,and ext em ii w e nor al as wer he m ood a s ds' t r tes re m , e r nd peech. A lhough t M s. Reynol a ds ppear dslghty m or de ess ' i Jul afer experi ng som e fnanci ed t i l e pr ed' n y t enci i al pr em s s w as Sdoi wel' and had no com pl nt i Sept ber at whi tm e s w as obl , he s ng l' ai s n em , ch i he wor ngt nt houspe we kwihac rhatrc olprgrm. ( . ,676 . ki we y r r e t huc fes ho o a Tr 670 ) l Oc obe o 201 M s Re ol e re d a e c ba i n. fhe ba k pr bl m s She n t r f 4, . yn ds xpe i nce n xa er to o r c o e . pr e tdt DrNke f aSolo u t dia lt cli 'a t obai ads biiyf m. ( . esne o . mbe or t lw p o s biiy am' nd o t n ia lt or Tr f 6 . Onph ia e mi ton, aitf h dmi s drngeo mo' i he ba k,he sr g 79) ysc l xa nai pl nif ad i nihe a f ton n r c r taiht i 1grii ts wa po ii a s ha mo rt l rtndene s s coiicj nttnden s , e asng et s stve, nd he d deae umbe e r s, a r la oi e re s a s melmba s nes s . ( .6 . Att c l in oft a nt nt Dr Nke nd o u r pi pams Tr 79) he oncuso he ppoi me , . mbe complt a m edi s ce sat entof pl ntf s physcalabiiy t do wor r at actvii e ed cal our t em ai if' i lt o k-el ed i tes. ( .480483 . Dr Nke o ne t tpl nifc n oc so ly lf a orc ry ls t n tn Tr - ) . mbe pi d ha aitf a cainal it nd/ ar e s ha e pounds;s a and/ w al f l t t hour i an ei t nd or k or ess han wo sn ghthourw or kday;si l t t o hour t ess han w s i an ei n ghthour w or kday; engage i lm ied pushi and/ puli wih he upper extem ii n i t ng or lng t r r tes; ne rkne lorco h;a o ainal ci couc ca ,a soo ( . - ) ve e ruc nd cc so ly lmb, r h, rwl nd t p. Tr 480481 . M s.Reynol r ur t Bas et Fam iy Prac i on December30,2014. She r t a ds et ned o s t l tce epored onewe k hit y o fa pan atr f lng i he ho - e sor f lnk i fe ali n r me. ( .681. She ha be n usng Tr ) d e i m edi i pr cri i M ay of2014 t teather s pt s The phys calexam i i r caton es bed n or ym om . i naton eveal ed nosg ofa ut dites he e rmiisa gatweenomal ( .68 . Pli ifde lne t ins c e srs; r xte te nd i r r . Tr 2) antf ci d o rpo tot e re yr m t tni tf i gig,bu notdt ts Ss yha t dois (he e r t he meg nc oo ha gh or ma n t e ha he sma ve o t o s ) c n ge s pan me cne .' ( .68 . On Jnuay 4,20l M s Re nol prs ne t t a t ome i dii s'' Tr 2) a r 5, . y ds e e td o he e r nc r wihba kpan. ( .69 . Onph ia e mi ton, anifha mi i ba k mege y oom t c i Tr 3) ysc l xa nai plitf d dlne c tndenesbu nor mu c os ltlrngeofmoton, ma srngt a i a tsns ton. ( . e r s t mal s ul keea a i nor l te h, nd ntc e ai Tr 69 . Thorci s nex-a rve ldamidc e so fat eofunkno a ( . 4- ) 4) a c pi rys e ae l omprsin rcur wn ge. Tr 69 96 . Plitf wa prsrb panme c tona a vie t c ulwihane osr on. ( .6 ) anif s ec ied i diai nd d s d o ons t t ur uge Tr 96 . On Januar 29,2015,M s Reynol under ent a neur ur y consulaton a Carii y . ds w os ger ti t lon Clni wihJ si Co e FNP. ( . - . Pl nifrpo t e peincngong ngb kpan i c t e sca nly, Tr72532) aitf e red x re i oi ac i snc h rDecmbe 201 fl. ( .7 . Thephysc e mi tonrve e f lrngeo moi i e e e r 4 al Tr 26) ial xa nai e ald ul a f ton i herneck and extem ii wihoutpai cl ng,cyanos s or edem a;i act s aton;and f l n r tes t n, ubbi i, nt ens i ul srngt i he e rmii . ( .7 ) Ms Re dsas ha ase dyg twihnof a deiis te h n r xte tes Tr 28. . ynol lo d ta ai t oc l fct. ( .72829 . Ms Conly oree a ba kbrcea a redt tpli ifc ul c ntnueon he Tr - ) . e d rd c a nd ge ha antf o d o i r c rn me c ton rgi n. ( .729 . She alo arnge f uprgh i ng o pl nifs ure t diai e me Tr ) s ra d or i t magi f aitf' l umba s ne The i a n r ve ld a d ntro c r pi . m gig e ae n t e ir ompr s i d o miy ofL1wih ne ry 50 a e son ef r t t al % ve tbrlbo heg l s' ndSg ichegh l s'a t Tl L1lve. ( . ) re a dy iht os'a kdls i t os' the 2- e l Tr 733 . Ms Re dsrt ne t DrNke o Aprl28 201 ( . 6) Sherquetdarfl . ynol eur d o . mbe n i , 5. Tr 68 . e se eil ofherpai medi ton,butasked i herpr cri i f Fl i coul bepl n ca i f es pton or exer l d aced on hol becauseshe d 8 aleady had sx botl a hom e and us i onl asneeded. D r N kembe adm i ser adepr si r i tes t ed t y . nit ed es on s r e ng t t yi l d a s or of 5, whi h wa i c tve of m id de e son. O n ph i a c e ni ha e de c e c s ndi a i l pr s i ys c l exam i i pl ntf had r naton, ai if educed r ange of m oton i her s ne and m id l bar t i n pi l um ender s. nes Howe r h r gai a e rmiis wee nor l ( .68 ) Du i s e n f l u ve, e t nd xte te r ma. Tr 6 . rng ubsque t olow-p a nme si Ocobe 20l a Mac 201 Ms Re dsha S ac ec ant. ( . ppoit nt n t r 5 nd rh 6, . ynol d s ut ompli s' Tr no ' 723 736 . DrNk mbe' e mi tonn e i c t ta s wasie ln fne' ndt the bak , ) . e s xa nai ots ndiae h t he ç eig i 'a ha r c f panwa ( tbl ongh jc rn rgi n. ( . ) i s d a e te ure t e me ' Tr 736 . s ' At t adm i statve hearng hel i Apri 201 M s Reynol t tfed t s w as he ni r i i d n l 6, . ds es ii hat he wor ngpa ttmea a c s e a Ta o Bel ( .5 . He d isi l d opeai t c s ki r-i s a hir t c l. Tr 4) r ute ncude rtng he ah r ser, t ng or s, maki t w i ng dèwn t es, s eepi m oppi cl ng t egit aki der ng ea, pi abl w ng, ng, eani he bahroms a d soc ngt c ndi ns ( .5 . Plitf tsiidt th rs r s al d t o , n t ki he o me t. Tr 4) anif e tfe àa e upevior lowe he t tkes tbe kst rs is ee re e a pai ( . ) Sheetmae t ts wo d ro a hor ra o etf h xpeinc d ny n. Tr 55. si td ha he ul ' tk o eo t b e k lsiga p o i tl tno ffe nmiue d p n igo h w s eflo a a e n r wo ra s a t p r xmaey e r ite n ts e e dn n o h et ' n n patc a da ( .55 . M s Re ds a kn e e t the j a Ta o Belh ped h riulr y. Tr ) . ynol c owldg d ha r ob t c l el er ! çrme usy, a dt the me tli ime sdi no lmihe a lt t wok. ( . ) 'e ndo l ' n ha r na mpar nt d t i t r biiy o r Tr 63 . t ' A fer consi i al of t evi t derng 1 he dence of r d, t Law J ecor he udge det m i t M s. er ned hat Reynol physi i paim ent ar notso s e as t pr ventperor ance of lght f m s of ds' cal m r s e ever o e f m i er or wor actviy. l m aki t s det m i i t Law Judge f k it n ng hi er naton, he ound t M s Reynol alegatons hat . ds' l i ofdi i physi lm ia i ar notentr y cr bl The La J sablng cal i t tons e iel edi e. w udge not t t clni ed hat he i cal eval i dicuss above i ude (r atvel beni fi ngs'and r l ta (l ofsi fcant uatons s ed ncl tel i y gn ndi ' efec çack gnii te t nt lkeph ialt rpy,ijcin t rpy,o s g r ' ( .2 . TheLa J e as rame , i ysc hea ne to hea r urey. Tr 3) ' w udg lo em phaszed t pl ntf ' alega i wer i i hat ai if s l tons e nconss entw ih her daiy ac i tes w hi i uded it t l tvii , ch ncl wor ng par-i e and atendi colege and c ch. ki ttm t ng l hur 9 The La J e a s de lne t a ce Dr N ke be so ni nsr gp di pl i if sph i a w udg l o c i d o c pt . m ' pi o e r ng a ntf ' ys c l abiiy t wor The Law J lt o k. udge f ound t t lm iatons not by Dr. kem be wer i hat he i t i ed N e ncons sent it w ih t r c r a a w h e i l ng t r l tvel unr m a ka e fndi on e m i to a t t he e o d s ol , nc udi he e a i y e r bl i ngs xa na i n nd he plitf ' do me eda l yt atnd s hool wor pa ttme, paiii t i c c a tvii . an ifs cu nt bii o te c , k r-i and l cpae n hur h ci tes t ( .23 . TheLa J asgne grae wegh t t o ninsofDr Donad W ila ,who Tr ) w udge si d e tr i t o he pi o . l lims re ewed t r d att r vi he ecor he eques of t s a e agency. Dr.W ilam s not t M s.Re ds' t he t t li ed hat ynol physi i r ent çhave notbee sever y f tonaly lm ii over t year ' and t t s cal mpaim s.t n el unc i l i tng he s,' ha he 'ha a t l manane goodf ton. ( .11 ) Heo ne t tpli ifi cpa eoflfi t s cual iti d y unci ' Tr 9. ' pi d ha antf s a bl itng t pounds f equenty and t y pounds occasi l sandi and/ wal ng si hour i an en r l went onaly, t ng or ki x sn egh-ourwor a an stigf sxhour i a egh-ourwor y. ( .1 ) TheLa J dge i th kd y, d itn or i s n n i th kda Tr 20 . w u f ound t D r W ilam s'as sm entwas m or consit w ih t r d asa whol i udi t hat . li ses e s ent t he ecor e, ncl ng he physi fndi on e i ton, t conser i nat e of t t t ent pr ded, and t cal i ngs xam na i he vatve ur he rea m ovi he plitf' a tviis ( . ) anifs ci te . Tr 23 . The Law J udge al concl d t M s.Reynol m ent i paim ent do notr so ude hat ds' al m r s enderher diabl f al f m s of s t i gai ul empl ent or ot wi cont i e t a over l s ed or l or ubs antal nf oym her se rbut o n al dia l y. I e ua i he m e t lippa r e s u r s e t e of t s que i pr e s t s bii t n val tng r n a r im nt nde t p hr e he e ntal oc s , he Law Judge de er i t M s.Reynol hasdm oder t difculi wih pace and m id difiuli t m ned hat ds d a e f i tes t l f c tes wih c nc ntain a d pesse e' ( .1 ) TheLa J ge noe t twhie Ms Re ds t o e rto n ritnc . Tr 9 . ' w ud td ha l . ynol appear t . s o have m i concentaton and m em or difculi tshe dri ,s nor r i y f i tes, t ves hops f f or ood,r eads, doescr t plys solt r w a chest evi on,lsenst m usc,t afs, a iaie, t el si it o i akesonlne cl ses,and contnues i as i t wor parttm e, al of whi r r s e concentaton, per sence, or pace.' o k -i 1 ch equies om ri sit ' 1) 9. Nonehee sC vi he t ben ftoft doub, ndi c i rto o he o j ci fndi , t t ls,c ng rhe ei he ta n onsdeain f r b etve i ngs' he gi ' La J w udgef ound t tplitf h mo rt lmiai wih pa e. ( .1 ) TheLa J ge ha an if as deae i ttons t c Tr 9 . w ud f t f urher ound t ,des t such lm iatons,M s.Reynol i capabl ofper or i uns led w or hat pie i ti ds s e f m ng kil k atan SVP 1or2 wher t pace ofpr tviy i notdi a ed by an ext m alsour overw hi s e he oduc i t ' s ct t el ce ch he ha noc tol ( .20 . l rac ngt sd iin,t La J gerle a lati patont s onr . Tr ) n e hi hi ecso he w ud eid, t e s n r, he opi on ofLesi M ont er Ph. . w ho r vi ni le gom y, D , e ewed t r d att r he ecor he eques oft sat agency. t he t e Dr M ont er opi t des t cerai m oder e lm ia i i t ca egol of Ssusai . gom y ned hat pie t n at i t tons n he t y ' t ned concent ton a per s e ' pl ntf (i capabl of a l si pl r i wor on a r ar ra i nd sit nce,' ai if ûs e t east m e outne k egul ba i.' ( .1 - . TheLa J ge f ss' Tr 3637) w ud ound t sc l in t be c nsse twih t me c l hi oncuso o o itn t he dia rc da awhol, wela t pli ifsa lt t atndc lgea wokpattme. ( . ) e or s e as l s he antf biiy o te ole nd r r-i Tr 23 . The c r b i ve t t s s a i e de e s ou t ele s ha ub t ntal vi nc uppors t La J t he w udge' r la e on t s e i nc he opi ons of t st e agency consulant i ni he at t s, nasm uch as t coul agr t t r opi ons ar he ' ees hat hei ni t e c itn wiht o j tvefndi a ohe e de ei t rcod. Thrughhe c ieain onsse t t he beci i ngs nd t r vi nc n he e r o r onsd rto oft s a e agenc r t,t Law J he t t y epors he udgew asabl t pr l consdert s gitc efectofal e o opery i he yner s i f 1 oft pl ntf ' physi and emotonalpr em s. St ed dif enty,t cour beleves t ,i he ai ifs cal i obl at f er l he t i hat n t s casejt s at agency r t pr de s t i evi hi he t e epors ovi ubs antal dence t s o upportt Law J he udge' fndi s i ng t ,des t hercom bi i of physi and nonexer i lm ia i pl ntf r t ns suf i ent hat pie naton cal tonal i t tons, ai if e ai fci f tonalcapaciy t peror a lm ied r unc i t o f m i t ange oflght uns led w or i , kil k. On a ppealt t scour,M s.Reynol ,t ough couns ,m akesf ar ent i s o hi t ds hr el our gum s n upportof he moto fr s mmay j me . Pl nifsfrtagu ntPrsnt s me t o a cos r in o u r udg nt aitf' is r me ee s o wha f l e ques i A srelec ed a ton. t t bove,t Law Judge s fcaly f he pecii l ound t pl ntf sem otonalpr em s hat ai if' i obl . r t i m oder e difculi w ih pace and mid difculi w ih concent a i and per it esul n at f i tes t l f i tes t r ton ss ence. ( .1 ) Ye,i f multng he fndi r ga di pli ifs r sd f to c pa t t Tr 9 . t n or ai r i ngs e r ng antf ' e i ual unc inal a ciy, he Law J udge di not s fcaly i ude s d pecii l ncl uch defi enci ci es. N or di t Law J d he udge i ude ncl lm iatons i concentaton or per sence i t hypot i ques i pr i ti n r i sit n he hetcal tons opounded t t o he 11 vocatonalexper att adm i statve hearng. Cii a varet ofdeci ons,m ostnot y t of i t he ni r i i tng iy si abl hat t Unie SttsCo t Appe sf heFou t cic ti M aci v. vi 78 F.d6 (t Ci. he td ae urof al ort rhi rui n s o Col n, 0 3 32 4h r 201 ,plitf ague t tt La J 5) anif r s ha he w udge di no s fce l a o d t ufiinty cc mmodae he lmiai s i t r i tton n c e r ton, r itnc ,a dpa b me eylm ii h rt u kil wor a a SVP 1o 2whe e onc ntai pe sse e n èe y r l i tng e o ns led k t n r r tepac o poduci t i n dittd b a e ena s c ove whihs h sno c r . ( . h e f r tviy s ot cae y n xtr l oure r c he a ontol Tr 20) Whiet sc t sa pt s hra o ngonmuli eoc a ins s e e..Se o v. vi . l hi ourha do ed uc e s ni tpl c so , e , c, xtn Col n, 21F.Su 3d639,64 43( . Va 201 ) t c tdoe no bele t ttee de ei Ms pp. 2- W D. . 4 ,he our s t ive ha h vi nc n . Reynol case s ds' upporst applcaton oft sr e. t he i i hi ul AsM s.Reynol r ds ecogni i herbref M asci doesnots and f t proposii t m id zes n i, o t or he ton hat l orm oder t lm iatonsi concentaton,per s ence,orpace al ayst anslt i o alm iaton i t ae i t i n ri sit w r a e nt i t i n he r dualf tonalcapaciy as m ent Se e. ,Ri ds v.Ber vhil N o.7: esi unc i t sess . e, :. char r l, 16CV00246,2018 U. DitLEXI 5 S. s. S 0535,a *11( . Va Mar 2 201 ) Rahe,t de sonund sorst t W D. . . 7, 8 . t r he cii erc e he Law Judge' dut t expl n how herr dualf i capaciy fndi adequat y accountf a s yo ai eti unctonal t s ngs el or cli n ' wor r ae lmiains Se M aci 78 F. a 638(t r psteALJc ne pli ama ts k-eltd i tto . e s o, 0 3d t ç ha h pe a x an w hy M asci s m oder e lm iaton i concentaton,per i ence, or pace at st t ee does not o' at i t i n r i sst ep hr t ansat i o a lm iaton i M as o' r dualf tonalcapaciy. Forexam pl t ALJm ay fi r l e nt i t i n ci s esi unc i t e, he nd t tt concent aton,per s e ha he r i sit nce,orpace lm iaton does notaf ectM asci s abiiy t wor i i ti f o' lt o k, n w hi case i w oul have been appr i e t e ude i f om t hypot i t ch t d oprat o xcl t r he hetcal ender t t ed o he voc to le r. Bu be a e te ALJ h e ga no e a ton,a rma i i ore .) aina xpet t c us h er ve xplnai e nd s n d r' . ' M or eover dw hen m edi evi ,' cal dence dem ons r t t a cl m antcan e t a es hat ai ngage i si e,r i t n mpl outne asks orunskil w or des t lm iatonsi concentaton,per sence,and pace,courshave concl led k pie i t i n ri sit t uded t t lm ii t hypot i t i ude onl uns led wor s fci l account f s ha i tng he hetcal o ncl y kil k uf i enty s or uch ' ns r lmiains' W i chelv.Com m k of Soc Se ,631F. 11 ,11 ( lhCi.20l )(ie i i tto . c. 3d 76 80 1 t r 1 ctd n . 1 2 M aci,780F. a 638;s eas Sie ev.Ber l,878F.d72,81( hCi.201 ( di so 3d t ) e lo z mor rvhil 3 4t r 7) hol ng t r m and w as not r r under M as o wher t opi ons of t m edi prof i s hat e equied ci e he ni wo cal essonal Spr ded s t i suppol f t ALJ' f ndi t , des t Si or s over l m ode at s ovi ubsantal ' or he t S i ng hat pie zem e' al r e difculi w ih concent aton,per sence,orpace,he w oul nonet ess be abl t s a on t k f i tes t ri sit d hel e o ty as whie pe f m i t i e one t -tp t s y a l a he wa d r ng i l sr k l ror ng smpl , wo se a ks' s ong s s wo ki n ow te s non- od to j wihn publcc t t' (mpha i omit ) pr ucin obs t o i onac'' e ss ted . ) l t scas t cour concl t tt La Judge' decii com port w ih M asci As n hi e, he t udes ha he w s son s t o. i cat above,even aferr ndi ed t ecogni ng t tM s.Reynol experencescerai m oder e lm iatons zi ha ds i tn at i t i i t ar of(s t ned concentaton and per it n he ea sus ai ri ss ence,'Dr.M ont er nonet ess opi t ' gom y hel ned hat s r i c pa eofpef mi ça latsmpl r tnewor o argulrba i. ( .1 . he emans a bl ror ng 't e s i e oui k n e a ss' Tr 22) ' The cour beleves t t Law Judge r t i hat he easonabl r i on Dr.M ont er s as s ent i y eled gom y' ses m n concl ng t t des t her diiculi w ih concent aton,per sence,and pace,M s.Reynol udi ha , pie f tes t r i sit ds r ai t capaciy t per or unskil wor f whi t pace ofpr et ns he t o f m led k or ch he oductviy i notout i her it s s de co r . The La J e s cii a l f und t t s h r s rc i ns w f i i nty a c m oda e he ntol w udg pe fc ly o ha uc e ti to f c e l c om t r perodi m ood is ,anxi y,and hyper i t and t t r d as a w hol Cpari arl t i c s ues et actviy, hat he ecor e, t tcul y he cl m ants abiiy t a t colege and wor par-i ey'i cat t t t s does notr r ai ' lt o tend l k ttm ' ndi es ha hat he equie gr er lm iatons.5 ( . . I s o',t courti s ifed t t Law J eat i t i t s ats i hat he udge pr ded an ovi Tr 23) n h l he adequat expl i of how her r i e anaton esdual f i unctonal ca t Gndi f l account f M s. paciy ngs uly ed or Reynol m ent i paiment and t lm iatons r tng t ef om ,and t her as sm ent i ds' al m r s he i t i esuli her r hat ses s s uppored by s t i evi t ubs antal dence. A ccordi y,r and i notr r underM asci ngl em s equied o. Second,M s.Re dsar ynol guest t La J hat he w udgeer ed i f lng t gi si fca w ei r n aii o ve gnii nt ght 5 Thec tno e t tt La J ge pr ry c i r pli if spa ttme e o ntasa i i a i of our t s ha he w ud ope l onsde ed a ntf ' r-i mplyme n nd c ton h rfn to ai . Se 2 C.. j 4 4171a d41 .7 (Ev n i tewoky uh v d n wa n tsb tnil e u cin ly e 0 FR. j 0 .5 n 69 1 t e f h r o a e o e s o u sata t ç g ifl mpo me tima s o ta y uaea l t d mo ewokta y ua tal dd'. anu e ly n,t y h w ht o r be o o r r h n o cu l i.) y ' t t opi ons of herteatng physi an,Dr.N kembe. A s i cat above,t Law J o he ni r i ci ndi ed he udge f ound cal paciy o rf m k- el ed t t Dr. Nkem be' as m ent of M s. Reynol physi ca t t pe or w or r at ha s sess ds' actvii w as i i tes nconsit w ih t r d as a whol,i l ng t obetve fndi o sent t he ecor e ncudi he jci i ngs n exam i i and t pl ntf ' pr naton he ai ifs oven abiiy t wor par-i e and atend school Havi lt o k ttm t . ng r ew ed t r d i is entr y,t coultconcl evi he ecor n t iet he ' udest s t i evi hat ubs antal dence s uppors t Law t he Judge' decii t notgi contoli w ei t Dr N kem be' opi ons A lhough t opi ons s son o ve r lng ght o . s ni . t he ni ' of a t eatng s ce ar gener l entted t gr e w ei under t adm i sr i r a i r i our e aly il o eat r ght he nit atve egul tons a i bl t pli ifs cams s e 20 C. R.jj 40 1 7/)2)a 41 927c() t c t pplca e o antf' li , e F. 4.52 ( nd 6. ()2 , he our bele st t i t i t ntc s , heLa J i ve ha , n he ns a a e t w udgepr ery de e m i d t gi g e t rw e gh t o he op l t r ne o ve r a e i t o t r m edi e dence,i udi t r tf om Dr.W ilam s The Law Judge cor ecty obs ved t t cal vi ncl ng he epor r li . r l er ha D r W ilam j'opi ons r di pl ntf s w or r at lm iatons ar s . li ni egar ng ai if' k- el ed i t i e uppored by s t i t ubsantal evi dence i t r d,i udi t physi fndi on exam i i t l ofmor aggr si n he ecor ncl ng he cal i ngs naton, he ack e es ve teat ent and t pl ntf s daiy ac i tes. l shor ,t cour beleves t t Law J r m , he ai if' l tvii n t he t i hat he udge' s de son t di c ntt o ni ofe e by D r N ke cii o s ou he pi ons f r d . mbe, nd t r l i t a on t o ni ns o t a o e y nse d he pi o f he sat agency physi an,i w el support by t r d. te ci s l ed he ecor / Thid,M s.Reynol ar r ds gues t t t Law Judge f l t conduct a pr ha he aied o oper f i by uncton functon anal i i ass si he r dual f i i yss n es ng r esi unctonal ca t I pa i ar M s. Reynol paciy. n rtcul , ds cont ends t t Law Judge f l t m ake s fci fndi r di her aleged need t le hat he aied o uf i ent i ngs egar ng l o i down and r tduri t day asar tofpai I i cl f om t Law Judge' deci on,however es ng he esul n. t s ear r he s si , t t t Law Judge consi ed a1 of M s.Reynol cl med lm iatons but f ha he der l ds' ai i ti , ound t t s ha uch lm iatons w er i i t i e nconsit w ih t clni fi ngs t conser tve nat e of t teat ent sent t he i cal ndi , he va i ur he r m pr ded,and t evi ovi he dence of her daiy actvii Accor ngl t cour bele t t Law l i tes. di y; he t ives hat he Judge' t eat entofM s. sr m Reynol cl m ed lm ia i i consit w ih t pr ocoles ablshed i ds' ai i t tons s s ent t he ot t i n 14 Ma coa Monoev.Col n,8 F. 1 (t Ci. 6)andt ts sa i e d nc s ppors s i nd r vi 26 3d 76 4h r 201 , ha ubtntal vie e u t t Law J he udge' eval i ofM s Reynol r dualf i capaciy. s uaton . ds' bsi unctonal t Fi l r yi on t Fourh Cicui' deci on i Br n v.Comm isi ,873 F. 251 naly, el ng he t r ts si n ow s oner 3d (t Ci.201 ,Ms Re dsco e t tt La J ge' a s sme ofh rtsi y a 4h r 7) . ynol ntnds ha he w ud s s es nt e etmon nd s be t ec mplit i n t u p re b s b tnil vd n e W hl Ms Re n lstsiida te u jci o ans s o s p o td y u sa ta e ie c . i . y od etfe th v e adm i sr i hearng t t s experences chr c pai m us e s m s,f i nitatve i ha he i oni n, cl pas atgue,and difculi f i tes wih m em or and concentaton,t La Judge f t y r i he w ound t tt pl ntf s sat ent r ha he ai if' t em s egardi t ng he i ensiy. lm ii efect of t e sympt s w er not entr y consit w ih t m edi nt t and i tng f s hes om e iel s ent t he cal evi dence and ot e de i t r d. The Law Judge t pr ded s fc r her vi nce n he ecor hen ovi pecii easons f her or deci on t notf l cr tt pl ntf' s a em ent r di t severt ofhers pt s. The si o uly edi he ai if s t t s egar ng he iy ym om La J w udgeo ev d t t(g epiehe algainsofsgniia pan a me ali tbiiy,h r bs re ha sdls t r le to i fc nt i nd nt nsa l e t fi ngs have been r atvel beni and herr ai f i iy s ndi el i y gn, et ned unctonalt ugges shers pt s a e not t ym om r a sveèa alge ' ( .21. TheLa J geas noe t tM s Re nols i ime t h ve s e r s le d. Tr ) ' w ud lo td ha . y d ' mpar ns a be n t e t d wih r tne c s r a i m e s e t tha be n g ne aly s c s f i c t oli e r a e t ou i , on e v tve a ur s ha ve e e r l uc e s ul n on r lng hersym pt s,and t herf l et us pr crbed m edi i suggest t hersym pt jar nét om hat aiur o e es i catons s hat om e a s veea ale d. ( .2122) Uponrviw oft r od,t co ti una et dicena y s e r s lge Tr - . ee he ec r he ur s bl o s r n er ori t Law J r n he udge' cr biiy fndi s edi lt i ngs. U nlke Br n,t Law J i ow he udge car uly consi ed ef l der pl i if sm e ca hit y a on w ih he o n a l ga i ns r ga di t s pt m s ofhe ph i a a ntf ' di l s or l g t r w le to r r ng he ym o r ys c l and m ent i paim ent The court agrees t t pl ntf ' alega i of t aly di i al m r s. hat he ai ifs l tons ot l sablng s pt s ar dipr ym om e s opoMi e t t clni fndi and i onat o he i cal i ngs nconsit w ih t f t t sent t he act ha cons va i t ea m entm eas es,i udi m edi tons ha ef ectvel contoled hersympt s. er tve r t ur ncl ng ca i , ve f i y r l om l ndeed, exam i i r ds f om t perod i m edi t y pr naton ecor r he i m a el ecedi t adm i s r tve hearng ng he nit a i i i cat t t pl ntf w as(f i fne,'t s had no acut com pl nt ,and t therback pai ndi e hat he ai if teelng i ' hat he e ai s ha n ' wa sa e on t c ntrg' q ( .7 3 .3 ) Aç o dn l,t e c u ti sts t a s tbl he nae .e N n. Tr 3 ,7 6 . ç yl gy h o r s aisM h t . . . ' ' . . .* 1 . . . ; . . . .. ': v . s bes le de es pporst La J e' dedsoqnot,qfll c e tM s Re l 'tel ny. u nEa vl nc u t he w udg s i t l y r di . ynods e mo l I s ml t Commlso rs Gnn dxiin,t c ur d I s no;s gge tRarMs n mr ng he sine' l so he o t to: t ' s t ;. u ' Re l l 9œ o alpa' .dic . ome' a e yno ds s f l m ' :s pmf nd moGons dysnnc l - f ion. I e ' t me 4c lr c d nde d. he dia e or ' ' . c nl ta p#p lf.!. m . i, nnn ns tn c n b e p ce t rs l i s be Gv o fmp h t l t Kfe f mp l e t h t a e x e td o e ut n u j c e f 1 mm . . * * # *. * : . f > . .. $ h œ 4 . -. ** @ . ' * ' ' e h t e r l dla peca.it . ve vam e lmla ns Ho ve ,l mus u m' .benot dt s s ve a me c ls ilsqwho,ha e l td l tuo . we r t t n : . . . . . .' . * .r . . . . . ' : . I' ' .. ' . .. . .. . . . @ ' . .. . . .# . I pl ntœ sph iala e nl i ysc nd mofo lpr bl mqbei et ts r tl t c pa iy t pe f m r gu a nn o e lev hs he e nnK he a ct o ror e l r wok afvt. l mu t r c g le t a tei a ll t wok wl o t n s be i ec mpans r c i t s be e o nz d h t h n b ly o r t u a y u l c v o lit y t h d sno ofl l e racnms dla e Se Cr l 76F.da 592. I a a st t C U/ t t oe t lefr nde ll nt s bld. e a m 3 t t ppe r o he O bn ' . . ; . . .. . -: 9. . r . .; - . : . teLa Jd ec v drd a1o teme ka e ie c,a we a alo ' essetv fcos h w u g o ee 1 f l d l 'd n e s 2 s l fi 'u cie atr i v h ra o a l s p re b ter c r ,n al laig Ms Re n l s cnmnf rb n s s Th s te e s n by u potd y h e od l dudc i ' n . y od ' ll o e e t. u ,h ' ' ' . c o c ncude t t o l s ha . . f c l o t Commlso rs a e f he s lne ' * % :œ .. ( lp' @ e . '. e..lv K v 'q @. ' . ' * , de ii n s e s po t b s bsn ' cso g up red y u ln e de e vl nc . Asag n r l ue ter s lfo o c nlcsi h e' e c i apatr tl tep o c o e ea rl ,k e ou n f o flt nte vd n e s te wi n ù r e e f l b ' . . . t Commlso r ev n i hec ur ml tr s vet c nqlt dx e e ty. Riha ds v. r l . he qi ne , e ft o t gh e ol he o cs rnl c r on Pe aes s r .Onne hem v.V' h.495 F. 39t(t Ci. 9 4 . Fo ter ao ssae ,b c u t d up a ' n i l nc 2d 4h r 1 7 ) r h e s n . td t e o r % s t . . .. . t Commlso rsr s l he n ine ' e ouGono t pe ne c lcsi her c r 1 h1 c s k) s ppo tdb f he e nt onfit nt e o d n1 K a e be u re y s e ta e de e. Ac o di y,tl Gns de son of t Co s ine mus be n r dubs il vi nc c r ngl lè l cii hq mmlso r t m me La v. l b ez e s r ws Ce e r z . uo m TheClr l die td t s nd c pi oft l me a m o nin t alc = e o r c d. e k s r ce o e o es b s mor ndu pi o o l o l f e or DATED:Thi M d da o Jme 201 s y f l , 8. Se o Unie Stt sDid c J nlr t d ae s t udge 16
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