doctor and decided that without a medical opinion and against the evidence that he could use his hands frequently so he was found disabled from june frequent use of the on the basis of an internal medicine examination that did not include the tests for tremors which limited him to occasionally there was a neurological exam in june two thousand and fifteen that employed the correct maneuvers to determine whether there were tremors and those at the consultative medical examination on which the administrative water judge will why true decided that his condition had improved from occasional there is no mention at all of tremors not not only not detected from the testing i know it's incorrect testing right i mean you've made your points very clear on that but the the claimant doesn't seem to mention tremors tremors separate and apart from whatever the test results showed in whether they're correct tests or not especially a matter of days after he had been examined didn't june two thousand and fifty remember an exam in their labs almost as if rumors so if you wanted to find out about it he could have asked around and he could've if you knew the tests to employ to detect trimmers he might well of done them but it seems to me that i m further he either didn't know the tests or he didn't care and i ask you one other question yes ok if it's a point of confusion ok maybe you just help me out here there are there's a bunch flying around in the in the briefing in the orders about the claimants loss of insurance coverage or loss of medical coverage some time as best i can figure it out around this mid two thousand and fifteen time period and the question i had is how does that affect what we see in don't see in the medical records in your view ok well i just i'm just not another words and i need your help on this is a factual matter i'm not sure what to make of this i'm happy to help if i can well once it once your medical insurance changes you've got to get a new primary care doctor that happened here when in mid fifteen sometime in mid fifteen and it took kind of insurance anymore so then then yet the natural course of things would have been for brown to get his own get a new primary cure  got to remember that brown was his he lived with a woman who was disabled so here you've got these two disabled people and it's not well the best side of the police this together i think i might be mistaken the governor the commissioner will correct me on this if i'm wrong that the commissioner is kind of casting this is he went for a one year period and we don't have any idea whether the tremors were going on or not going on and maybe they disappeared and came back later i'm not so sure that that's the correct view of the record though because if he lost the coverage in mid fifteen this new primary care doctor this rogers fella prescribe strummer medicine in january of sixteen so it's best we have a six month gap as i read the record where there's no tremor medication and the reason for that may be this insurance question that i was asking right not not that they're not that the tremors disappeared as a medical or health matter saw these tremors as an on again off again and i read your brief to say no no no it's not and it's not like an on off switch they're always on well the reason we don't see evidence of it is because of this insurance issue four or five days while they're actively disabling him the administrative law judge failed to get a medical opinion no medical opinion supports her finding that his condition improved and the as as i said the evidence goes the other way likewise the evidence supports the treating physicians opinion dr no not the body his his legs so either because he was limited to no more than sedentary or because the administrative law judge was incorrect and playing doctor and finding that he could use his hands intern is both of them qualified to observe tremors if they exist if mr doesn't let me let me i want you to go back to your narrative but i don't i mean the interview it is energetic one question why are you focused on that period of time because i don't understand you you're not a you're not asking us to reverse this award of benefits right from that march th to july th that's the only thing that confuses me i thought you if you're going to talk about a time period you'd be talking about july two thousand and fifteen and fifteen he had already gotten he had just gotten the blue cross blue shield medicaid insurance that there's a note at that at that point and record so for that period from june two thousand and fifteen to june twenty six  he had medical care but wasn't going to the doctor for tremors now the ael to know that hold on hold on in january of two thousand and sixteen is it not true that dr rogers the new primary care physician prescribed  tremor medicaid did that we saw we saw some doctor in term or somehow missed a come up but didn't report tremors didn't complain of tremors and that's not the prescription i mean the doctor's not just going to randomly prescribe termer medicine certainly not but if if a prescription controls symptoms such that the tremors are not causing limitation then that's also not a reason to based on tremors and then didn't seek specific treatment for the transcript with persistent daily tremors that caused him to be unable to hold a hamburger to move a chess piece to season meat season chicken on his own and claim that that was he daily had these tremors and the algae reasonably contrasted that work against the record that often showed him not to exhibit tremors and indeed at both counsel tape examinations not even to report them and then not have them observed cited the foreigner the artery bypass graft and the broken ankle as two of the three impairments underpinning her opinion which ran from march of two thousand and fourteen through the period here but i don't believe that those limitations are in place afterwards and in fact says with respect to dr nobody's the treating sources opinion during the closed period of disability be under some gives the claim of the benefit of the doubt  has decreased ability to use the s this is consistent with medical evidence supporting more problems with other conditions and the record supporting tremors could increase with the stress of other additional medical issues and that's on page twenty two of the record citing d established care six months later with an interest and at that time didn't complain of active trends and didn't exhibit tremors on examination although he did he did receive the guy st ride did i mean right brought rodgers prescribed trauma medicine but it wasn't even listed in his active diagnoses for the three of the three visits with rocks the reason i meant it so the concern that i have is this on again off again recently when roger is prescribed medication in i don't know where the off again part of this comes from maybe i mean it seems like they're always on to me i think that's a difficult that i think my response would be that the i see that my my time is is about persistent and daily and that the j could have been in this case did reasonably think that the clash between his statements about the intense and indeed the onset of those limitations rendered his statements about twenty seven federal pandects two o two there was a medical expert called at the at the final hearing in that case i was there i did that case i did mother fi versus the whole thing which was the predecessor o that case where fees murphy's claim went to this court twice so there should have been a doctor and if there was a truck trimmer absent on this opinion are they up well dr