it appointments and twenty two over twenty thirty in the claimants had eleven or more counterpoints dessie that i don't see the evidence that supports that when i looked at all the doctor reports i saw a maximum of one that might have used tender points and what's not clear ya know when he was the only one that made specific reference to tender points trigger point tenderness and they didn't come up with eleven he came up with a list which you turned into eleven but he doesn't come up with  eight times the tender points were found and i ask you to point you places in the record and you haven't done that so let's in which you have something else to point to all this to have to take is a given there isn't anything in the record that supports that assertion and so i'm not trying to find out what else might be supported ok the made that finding but in fact when you go to look at the record they don't seem to talk about the pressure points at all there's just a lot more about the general fight of my game right down to these sites that are among the numbered potential pressure points and so i just don't find the evidence supportive of your statement with regard to that criteria so do i move to the other one or is yeah no i would agree the move to the second set and it's it's the second set and you're giving me a long i'm asking about the record in this case what evidence there is of your client meeting that qualification i have no quarrel with the qualification with the criteria but i'm asking you what and i ask you more than once now where in the record and the answer you've given me is throughout the whole record which really isn't much of an answer and i haven't i looked and i did not find the evidence to support of the proposition it's been documented in your client suffered from the repeated manifestation of six or more symptoms more than fulfilled a second step with the the minutes and well you report on page twenty nine of your opening brief dr armin found a total of fourteen tender points which more than satisfied the s s r twelve days to piece first set of criteria reports pain in various areas some of those areas don't correspond to the tender points specified in the s s r and there's no reference that i see in that paragraph to tender point or pressure point analysis at all that seems to just saying that something different than the standard set out on the s s r and you've abandoned the first set of criteria and tried to move to the second yet you keep coming back to the first based on what you read in the doctor's reports which i have to tell you i don't read in the doctors reports so i ask you ok using the second criteria can you point me to things in the record the documented how to got to tell you so far your answers haven't been very satisfied to the tender points sites in a fight in the u s s r can you show me something else in three twenty five that shows how she meets the second set of criteria ok this is the second sa but two points first dr were did have the benefit of reviewing the entirety of the record that existed the administrative level and issued his conclusions based on his review of the entirety of the record and i think we've spent time sort of to this discussing the diagnosis by her primary physician who noted that she had chronic pain and prescribed her drug he notes his notes not indicate any other specific basis for the diagnosis he refers her places where a trying experience pain as well as well as other symptoms including fatigue depression and dizziness it is not clear from the notes that he conducted a tender points examination so i'm obviously not a doctor elbows lateral aspect hips medial aspect knees his notes do not clearly specify how many tender points at each location were present at the  unique insight into his condition and dr cohen again like most of the physicians who saw claim it found normal gait strength the range of motion but perhaps more importantly dr cohen said as part of his plan for claimant said that she should fully participate in work activities home activities and extracurricular activities and he expressed lee discouraged disability expressly discouraged narcotic medication usage and i think that's a key key point here because i think distinguishing th the treatment plan was with essentially persisting work activities and extracurricular activities he also recommended daily exercise meditation pite she herself testified that her pain medication was comprised of ibuprofen and didn't  making a judgment of value judgment about that it's more comparing this case to the treatment found revels in what this court criticizing rebels and here the circumstance these are entirely different and if you look at revels and the spirit of revels which says the di  requires claims to show that they have evidence of a disability and they have to show the objective evidence that they are in fact disabled and nowhere is there exception to that rule for an impairment like fire my knowledge of and here based on criteria they're correct that relates again your honor to the diagram there is no no there's not an explicit discussion i look for and i don't see that you're correct your honor that when it came to the diagnosis itself the ecstatic split discussion was not there when it came to the the i mean that to seem to be correct i think here your honor even if you were to disk even if you were to say there's contrary opinions still have to look at them and it doesn't mean you just totally zero them out if they don't exist but days ultimate non disability terminations are now i see my time is up and the question ok thank you thank your honor i'll give you a minute for about