botox injections necessary to treat her migraine headaches well the commissioner suggests many reasons why the claimant was not disabled during this period most of those reasons are not stated by the  headaches when they were properly treated you know it's a period of several years which we calculated as two and a half years when they were not properly treated but yet he finds no limitations from the migraine headaches at all even for the period of time when they were not properly treated this court has held generally that l j is must the logical bridge from the evidence of their conclusions and here they are j did not do that by recognizing doctors and for the lawyers and judges and the old days involved in these cases where and when doctors were saying botox controlled her migraines that mean she was not getting migraines at that point no no it did not and in fact she was still having what seemed to three a month rent or am i misremembering at times there were there migraines varied when she was on botox at one point i think the least frequency it showed was she had four migraines in the previous three months but then there was a period in two thousand and twelve when she was getting the injections where she was having still like believe twelve migraines a month or more wash was getting the botox so it did a very but the bump in the botox was a huge improvement for her in terms of quality of life the kind of which we might leave a doctor to say she's improved this is controlled or well controlled with botox in essence botox is making her life better but it doesn't necessarily mean she was ready to work full time preciado mean we noted in another reply brief that botox is actually not even that point she was only on medicaid and she was having a very hard time finding a doctor who would minister the botox treatment and as usual it's kind of follow up on a on i think an aspect to judge hamilton's question just try to be a little  ask you to be a specific if you can for what you recall from the record so let's move outside the thirty month period ok out side of that period i have a note here i don't know where i got it from but i got it from somewhere  preparing for this that either she testified or the record shows that with the botox so once she was getting it that she was experiencing one dollar to two dollars migraines per month ok and i think this is where we get into this this terminology of breakthrough migraines or that that lingo or that description breakthrough migraines one dollar to two dollars per month i don't recall and so on the only the only reason i'm asking you that is b is the frequency with which you know what what the record shows or doesn't show with respect to the frequency after she starts receiving the treatment seems important to me long time and during much of that time pre buy she was able to struggle through it and work that that's what so what i'm wondering eyes with the botox which has been immen helpful it seems you know can't dishy have the capacity to function if she's experiencing i say just realizing how miserable they are one dollar to two dollars migraines per month according to the vocational the competitive aflame and the payment had told her doctors and i think it's one contradicted in the record that when she got a migraine that they lasted at least one day sometimes up to three days one of the issues we may face here if we agree with you that it remained as needed would be the scope of that  gotten this case back before with instructions to hear from a vocational expert and as i apparently asked that locational expert no questions that that's really that's correct the claimants attorney asked a vocational expert about please the court good morning your honor mr sholes please and gentlemen daniel robert james i'm the half the commissioner your honors when an individual plays for disability the agency begins by asking a simple yet very important question why are you twenty five dollars per month each lasting days at a time leaving her unable to do anything during that time in other words migraines are not minor or forgettable and they're not lost in the shuffle of other impairments over ten alleges there so that significant so significant that she spends entire still were not among those impairments then till we reached the federal court level that over ten express the importance of migraines calling it the sole issue in faulting the l j for relying on her own statements that migraines were not severe so finding that should not have come to a surprise to overton given her representations on the other hand that l j authored an extraordinarily thorough sixty page decision in this case that addressed migraine sixty times and considered overton's other impairments and arguments that overton presented as the most prominent  important at that time no migraines there's no diagnostic test that can detect migraines there's no examination and indeed no doctor in this case found migraine related limitations that's the l d had to look to other evidence in determining the liability of overton's migraine complaints the standard for that is patently wrong which means this court will only reverse if that if the decision lets any explanation for court that we've provided multiple reasons in our brief that we'd like to bring your attention to five reasons today that show  inconsistent claims about her migraines even without botox now overton specifies a period of january two thousand and fourteen to june th seen it in the st ten months of that period over ten receive treatment but never mentioned her migraines to her treating sources in fact in the st fourteen months that's relatively half the period or written only made two mentions of her migraines to her providers and as the evidence went on she called him a green stable at times improved and she told her doctors that she walked three miles a day for exercise so they'll do was right to question the casual manner in which over to pursue treatment th were overton's inconsistent statements about other impairments the overton tells the l j she needs a walker and that she's used this walker for eight years she can't walk a single block without it overturned at the same time told her doctor that she walks three miles a day for exercise they all day offered miss overton the opportunity to explain this discrepancy but overton just simply said she could not remember finally migraines are not a new impairment overton's been claiming migrant what was their best case here when a thirty five page brief to the l j overton's counsel so that migraines were not severe and now she's trying to turn around and fall fail jay for a lie and counsels representation for relying on her counsel representation concerts and if we do it will to do so and should be helped to making their best case before the hail j this court judges the case under the patently wrong standard it's a very deferential standard and the court were reversed if and only if there was no explanation or support we purposes at least in part of getting testimony from the confessional expert yes that was part of it she goes back to the same meal journey yes what happened in that hearing with respect to the vocational expert i will be reached that they reached the vocational expert testimony and they all did realize that the the r of c was basically the same very very similar the same as what it was before so they could rely they have already had vocational expert testimony on that on that issue so they just relied on the faces to the vocational expert in the case law expert testified about those limitations testimony would have been redundant because we already had a vocational expert who testified about that and what was the point of that part of the remit of the point was to look into that that's not at issue before the court today that was that was not brought sarg argument and on that issue as waiver many impairment having had a shoulder replaced and then have to have a revision of the shoulder the placement new replaced and then a new cap replaced after that bone chips in the in the good me rotator cuff repair in the other shoulder lumbar ridiculous at the end she was seeing a psychiatrist for depression and anxiety and she was on medicaid so the fact that she and she couldn't get the one treatment that really helped her the botox so the fact that she didn't seek more treatment for the migrants wouldn't be a reasonable basis to reject the limitations during th