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The 18 Best Chemical Peels For Instantly Brighter Skin
Glowy skin, right this way.
You can get a potent chemical peel at a dermatologist's office—but why leave your house? There are dozens of options for getting glowier, smoother, brighter, and clearer skin from your bathroom vanity with the best at-home facial chemical peels. The combination of Alpha Hydroxy Acids (like glycolic, lactic, and malic acid), Beta Hydroxy Acids (like the acne-fighting salicylic acid) and gentle exfoliants like fruit enzymes dissolve the so-called glue that holds your dead skin cells together, revealing younger-looking skin in as little as ten minutes. There are even options with skin-soothing ingredients so they're safe for sensitive and reactive skin. These are the 18 dermatologist and editor-approved formulas for getting a chemical peel at-home.
Glowy skin, right this way.
Barry: "We do a lot of business with the Russians" "I met him [Putin] once." "We don't rely on American banks". Donald Trump - David Letterman Show, Oct. 17, 2013 "I do have a relationship with him [Putin] and I can tell you that he's very interested in what we're doing here today," Donald Trump - MSNBC, Nov. 2013 "When I went to Russia with the Miss Universe pageant, he [Putin] contacted me and was so nice." Donald Trump - Fox and Friends, Feb. 10, 2014 "I will tell you that I think in terms of leadership, he [Putin] is getting an 'A' Donald Trump - Bill O' Reilly Sep. 29, 2015 "Yes," Trump says. "Yes, a long time ago. We got along great, by the way." Michael Savage asks Trump if he's met Vladimir Putin. Oct. 6 2015 "I have no relationship with him [Putin]" Donald Trump - Feb. 17, 2016 "Putin has been very nice to me" Donald Trump - Campaign rally in Alabama, Feb. 28, 2016 Asked if he's ever spoken to Vladimir Putin, Trump gives a "no comment" to Fox News' Bret Baier. May 5, 2016 "But I have nothing to do with Russia, nothing to do, I never met Putin, I have nothing to do with Russia whatsoever." Donald Trump - Miami CBS affiliate, July 27, 2016 "I never met Putin," Trump said. "I don't know who Putin is. He said one nice thing about me. He said I'm a genius. I said thank you very much… and that was the end of it. I never met Putin." Donald Trump - News conference, July 27, 2016 "With great respect. I have no relationship with Putin. I don't think I've ever met him. I never met him. I don't think I've ever met him." Donald Trump - July 2016 interview on ABC's "This Week." "Yes, I think so. So I've — I don't think I've ever met him. I mean if he's in the same room or something. But I don't think so."...Donald Trump - ABC's George Stephanopoulos tried to make sense of Trump's contradictory statements, in a July 2016 interview on ABC's "This Week." "I don't know Putin"…Donald Trump - Presidential debate, Oct. 9, 2016


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Do you have a cat lover? - The Unfinished Lesson
There is a reason there is a cat tax on social media. Many people love our feline friends. Do you have a cat lover in your studio? Sam's Life is a collection of rote pieces for the cat lovers in your studio!
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Skincare tips for acne prone skin provided by the beauty and skincare experts at jane iredale. Learn how to cleanse and nourish your skin with a.
Read below to see tips & tricks on makeup for oily skin that will keep your. How to get glowing skin Mattify cosmetics face scrub for acne prone skin face wash.
Jul 15, 2018. Learn how to get rid of oily skin with 12 highly effective tips. But if you're prone to acne, then excessive amounts can cause absolute havoc.
Boxer Puppy Has Acne Jun 06, 2014 · A female Boxer had a head bump operated around 6 days ago by Dr Daniel who incised the bump and released the fluid looking like pus. The owner wanted the dog home immediately. 6. Canine acne is a skin condition that mainly affects the skin of the chin and lips. to get
Learn the best way to navigate sensitive and acne-prone skin with these shaving tips from Gillette.
"I have super oily skin with large pores," says one of our blog readers, "we are talking shiny after an hour of my morning cleanse.". Eight Tips for Oily Types.
Generally speaking, acne prone skin is caused by excessive sebum. Bacteria – Acne prone skin tends to be quite oily as a result of the excess sebum.
How to Make Oily Skin Glow? Oily skin type needs maximum care.Their skin is more prone to blackheads, pimples, and acne.These tips give clear, glowing skin.
Jan 6, 2018. Having oily skin isn't about completely getting rid of your oil, it's about maintaining. witch hazel to help reduce irritation and appearance of acne or inflammatory skin conditions. Oily skin can be prone to having a thick layer of dead skin cells that build up on the. Weekly news and tips for cozy lifestyle.
Jun 29, 2018. Keep your skin from turning into a greasy, shiny mess with these. To keep your face from looking oily all summer, follow these five easy and effective tips to. If you've oily or acne-prone skin, Dr. Palm recommends using a.
For the sake of your skin and overall health, there's no skipping sunscreen in the summer (or really, any season at all), but that doesn't mean SPF settles the concerns of every skin condition.
Mar 22, 2016. Easy tips to treat blemishes, plus the best ways to keep skin looking clear, healthy and youthful.
Some creams are too thick and can make your skin greasy, leading to breakouts. So, here is a list of 15 night creams for oily, acne-prone skin.
Acne is a condition where oils glands of the skin become clogged, forming spots, pimples, and sometimes cysts. Almost three-quarters of all people from age 11 to 30 will develop acne at some point.
Oily skin also makes you prone to white heads, black heads and pimples. Common skin conditions like acne, dandruff and blackheads can easily be.
***Skin Care Products For Oily Acne Prone Skin Neutrogena Ageless Intensives Deep Wrinkle Eye Anti Wrinkle Regimen Skin Care Products For Oily Acne Prone Skin Healthy Skin Anti Wrinkle Cream Neutrogena Products To Remove Skin Tags From Eyes Best Herbal Skin Care Products
Jul 3, 2018. Video: Skincare and Makeup Tips for Oily Skin | My skin is oily / combo and I. Oily skin can need moisturiser if it's dehydration prone (like mine). used for acne, and oil overproduction is one of the factors that leads to acne.
Oil-free, long-wearing foundation is ideal for oily skin. Here are 18 MUA-Approved options to stash in your makeup bag.
10 Best Toners in India For Acne Prone Oily Skin and Large Pores. Recommendations for the best alcohol free face toners to control oil which also suit. Price
Amazon.com: RUGGED & DAPPER – Face Moisturizer for Men – 4oz – Daily Anti-Aging Facial Cream & Aftershave Lotion with Shea – Organic & Natural Ingredients – Damage Defense for Oily, Dry & Acne-Prone Skin: Beauty
Mar 31, 2017. better care for oily skin. Read on for her tips!. It doesn't just take care of oily, acne-prone skin, it also calms skin down and deeply hydrates it.
Lost Weight And Acne I have definitely gotten much more acne than I was before I started losing weight. My skin feels greasier like I did when I was a teenager. Weight loss can improve the appearance of acanthosis nigricans. When weight is rapidly gained or lost, stretch marks may arise on the skin's surface. Stretch. Pop quiz: the
The following tips from dermatologists can help you get started. Give an acne. If your skin feels greasy, dirty, or grimy, you may be tempted to scrub it clean. Don't! Scrubbing can irritate acne-prone skin, which worsens acne. Use skin care.
ACNE-PRONE SKIN SOLUTION: Formulated to absorb deeply, Bl+C Pimples Serum Concentrate is an active serum for improving the appearance of clogged pores, pimples, hormonal acne, and blemishes.
Top 10 Toners in India for Oily Skin Combination Skin. By Contributor: Moupee. Skin toners are necessary to give your skin the perfect PH Balance. Often we ignore the use of a skin toner but it is a mistake that we make.
Homemade Toner For Oily and Acne Prone Skin – Do It Yourself. Hello Lovely Ladies, Happy New Year to all of you. Today, I have come up with a unique blend of natural toner which will help in controlling oil and reduce acne and scars.
While you may be hesitant to add moisture to oily skin, not only can acne. and non-acnegenic (which means it's tested on acne-prone skin and the products are.
Oil-free, long-wearing foundation is ideal for oily skin. Here are 18 MUA-Approved options to stash in your makeup bag.
Homemade Toner For Oily and Acne Prone Skin -Do It Yourself. Boil 50 ml of water, add half a spoon of green tea leaves, cover it and keep it for 20.
Acne is a condition where oils glands of the skin become clogged, forming spots, pimples, and sometimes cysts. Almost three-quarters of all people from age 11 to 30 will develop acne at some point.
Jul 24, 2017. Dermatologists Tell Us How to Manage Oily Skin Once and for All. bark extract and that it has calming properties to reduce acne inflammation.
Best Face Moisturizers for Oily, Acne and Pimple Prone Skin in India. We have rated 10 best moisturizers with prices. They control oil and keep pimples away
These days I have noticed a lot of products claiming to have Salicylic acid in it, considering this is an enemy acne, it has a peeling action on the skin which in turn helps with clogged pores.
Ten tips for preventing acne written just for teens.
More Acne Articles ...
- Bumps On Back Of Legs Like Pimples: Bumps on Buttocks Causes. In general, bumps on buttocks is normally defined as the plugged pores, pimples and the cysts (that goes deeper under the skin than the pimples) that happen on the face, neck, upper arms and the upper back or. What it looks ...
- Redness And Acne On Cheeks: [embedyt]//www.youtube.com/embed/_Hq_Dn0fPCA[/embedyt] Rosacea Redness Relief Treatment Cream - Soothe Anti Inflammatory Natural Face Moisturizer Cream For Rosacea, Eczema, Acne, Dry, Sensitive Skin With Milk Thistle, MSM, Avocado Oil & Chamomile...
- Acne Bumps Below The Skin: Why You're Breaking Out On Your Jawline — & How To Make It Stop Adult acne is a cruel joke of cosmic proportions. Sure, break. As far as pimples go, those deep, humungous cystic-acne ones are probably the most traumatic. Aside from how much surfa...
- Vegetable Juice Recipes For Acne: Juicing may help calm Rosacea Rosacea is often described as the "acne that isn't acne." Common acne originates in clogged pores. Rosacea does not involve clogged pores (although is it possible to have both common acne and rosacea at the same time). H...


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Weslo Cadence G 5.9i treadmill for sale.Never used before.Features-Space saver design. This treadmill can fold up.Six personal trainer workouts.Two-position incline.Comfortable cushioning.Email me if interested.Price is negotiable.
Moving Sale. Bed for sale- includes Queen Mattress, box spring and metal frame for sale. Mattress used with stain and mattress protector . Good condition.
Moving out sale: Full size memory foam mattress with bed frame. The bed frame with head board is made out of faux leather. The bed is in great condition and is $180. Phone: 3462189044
We are moving out of town.
Television, sofa set,6 chair rectangular glass Dining table, 4 wooden side tables for sale.
See the craigslist link.
A fully-loaded family car. 100% well-maintained with on-time oil changes and single owner. Test drive to feel it.
3-Tires replacement needed.
Original Factory/Dealer Equipments Installed:
- Rear spoiler
- Sports Roof Rails
- Adaptive cruise control
- Lane Keeping Assist System including lane departure warning,
- Remote starter
- Aerodynamic running boards
- 7.0-inch central touchscreen
- One-Touch Power Moonroof with Tilt
- 100% Leather Interiors (Beige)
- Front heated seats
- Heated, Body-Colored Power Side Mirrors including Integrated Turn Indicators
- Keyless entry
- 24/28 mpg
- Takes regular unleaded fuel
- 3 Weeks Old Foot mats
- Winter mats
- Collision Mitigation Braking System (CMBS)
- Lane Departure Warning (LDW)
- Vehicle Stability Assist with Traction Control
- Anti-Lock Braking System (ABS)
- Electronic Brake Distribution (EBD)
- Brake Assist
- Multi-Angle Rear view Camera 7 with Dynamic Guidelines
- Tire Pressure Monitoring System (TPMS)
- Daytime Running LED Lights (DRL)
California King Size bed and 12 inch Lucid Memory foam Bed. Original was 500 $ Plus. Moving out Sale for both bed and frame 300$
Hello, looking for soneone who can offer services with help in cooking in evening. Wage is negotiable.
Please email if interested.
Car Seat 3 in 1(Graco 100lbs) and infant car seat(Safety first) in excellent condition. Hardly used. Asking price has been reduced for both to $50. Moving and these items must go. Serious inquires only please. Please email me for pics and any other information.
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Top Nine Worst Things That Could Happen To The World
#4. The Sun Explodes
If earth is gonna be inside the sun we should act fast if we were living on that year. The Universe its self will end. It will be dark and really cold. Earth's oceans will boil away and dries up. 3.3 billion years Earth is too hot and dry for humans and other living things and everything dies. This could lead Eco disaster, well its gonna anyway.


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Picture the problem of parkinson's disease
Every hour, someone in the UK receives the devastating news that they have Parkinson's Disease (PD). In all, around 127,000 people in the UK are living with PD; a startling 1 in 500!
Most people with PD are aged 50 years or older, but younger people can develop it too. PD also affects roughly twice as many men as women.
People with PD cannot make enough of a substance called dopamine, because certain nerve cells in their brain have died. This causes major problems, because the brain uses dopamine to help control movement.
Without sufficient dopamine, movements become slower, so it takes longer to do everyday things, such as dressing, eating and using a phone or computer. Needless to say, this has a huge negative impact on life, which gets progressively worse over time.
While there is currently no cure for PD, a range of treatments are available to help control symptoms and maintain quality-of-life.
Extensive research is also ongoing, offering new hope for those with this devastating disease.
Increased awareness is often the key to greater action, so please take a moment to share our PD infographic on social media.
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Blog – Manitoba
George Kenny: Two poems
George Kenny has generously provided UMP with two unpublished poems. Keep reading »
World War One in Winnipeg
Jim Blanchard contributes an essay on to ActiveHistory.ca's Canada's First World War: A Centennial Series Keep reading »
This Weekend!
Sophie McCall, editor of the new critical edition of Anahareo's Devil in Deerskins, will be featured at an event celebrating the conservation efforts of Grey Owl and Anahareo this Sunday night in Prince Albert, SK. Keep reading »
Favourite Foote Photos: Tin Can Cathedral
Orest T. Martynowych writes on L.B. Foote's 1906 image of one Winnipeg's most unusual churches. Keep reading »
Imagining Winnipeg shortlisted for On the Same Page Programme
Vote! Vote! Attend the shortlist reading! Vote! Keep reading »
Manitoba Book Awards Gala
Sunday, April 27, at the West End Cultural Centre. Keep reading »
Verna Kirkness in PBN
The author of Creating Space is interviewed for the winter 2014 issue. Keep reading »
Verna Kirkness LAUNCH photos!
Photos from the launch of Verna Kirkness' Creating Space on October 10 at McNally Robinson Booksellers. Keep reading »
Hans Werner at Henderson Library
Photos from Hans Werner's September 30 event at Winnipeg's Millennium Library. A second event is planned for October 8 at the Henderson branch at 6:30 pm. (The event is free but you must register in advance at 204 986-4314.) Keep reading »
History, Memory, and the Second World War
Hans Werner will be speaking at the Millennium Library on Monday, September 30 at noon and the Henderson Library on Tuesday, October 8 at 6:30 pm. Hans' latest book, The Constructed Mennonite: History, Memory, and the Second World War, is the story of one man, four identities, and a son's quest to reconcile the public and private histories of his Mennonite father in WWII. Keep reading »


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Shepherd v. Commissioner Social Security Administration
Filing 24
Shepherd v. Commissioner Social Security Administration, No. 3:2017cv01389 - Document 24 (D. Or. 2018)
Court Description:
Opinion and Order: the Court affirms the Commissioners decision. Signed on 9/12/2018 by Judge Marco A. Hernandez. (sss)
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Shepherd v. Commissioner Social Security Administration Doc. 24 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF OREGON MICHAEL S.1, No. 3:17-cv-01389-HZ Plaintiff, OPINION & ORDER v. NANCY A. BERRYHILL, Acting Commissioner, Social Security Administration, Defendant. Sara L. Gabin SARA L. GABIN, P.C., ATTORNEY AT LAW 14523 Westlake Drive Lake Oswego, OR 97035 Attorney for Plaintiff Billy J. Williams UNITED STATES ATTORNEY Renata Gowie ASSISTANT UNITED STATES ATTORNEY U.S. Attorney's Office, District of Oregon 1000 SW Third Avenue, Suite 600 Portland, OR 97204 1 In the interest of privacy, this Opinion uses only the first name and the initial of the last name of the nongovernmental party or parties in this case. Where applicable, this Opinion uses the same designation for a nongovernmental party's immediate family member. 1 - OPINION & ORDER Dockets.Justia.com Sarah L. Martin SPECIAL ASSISTANT UNITED STATES ATTORNEY Office of the General Counsel Social Security Administration 701 Fifth Avenue, Suite 2900 M/S 221A Seattle, WA 98104 Attorneys for Defendant HERNÁNDEZ, District Judge: Plaintiff Michael S. brings this action seeking judicial review of the Commissioner's final decision to deny disability insurance benefits (DIB) and supplemental security income (SSI) under Titles II and XVI of the Social Security Act. This Court has jurisdiction pursuant to 42 U.S.C. § 405(g) (incorporated by 42 U.S.C. § 1383(c)(3)). For the reasons that follow, the Court affirms the Commissioner's decision. PROCEDURAL BACKGROUND Plaintiff applied for DIB and SSI on January 10, 2014, alleging an onset date of October 17, 2012. Tr. 201–11.2 His application was denied initially and on reconsideration. Tr. 90–131, 134–38, 146–51. On March 3, 2016, Plaintiff appeared, with counsel, for a hearing before an Administrative Law Judge (ALJ). Tr. 35–89. On June 21, 2016, the ALJ found Plaintiff not disabled from October 17, 2012 through the date of her decision. Tr. 17–34. The Appeals Council denied review. Tr. 1–5. FACTUAL BACKGROUND Plaintiff alleges disability based on central serous retinopathy, sleep apnea, right knee and right elbow problems, and chronic insomnia. Tr. 90. Plaintiff has a host of other health problems, including: hearing loss, obesity, diabetes, and lumbar disc disease. Pl.'s Br. 2. At the Citations to "Tr." refer to the page(s) indicated in the official transcript of the administrative record, filed herein as Docket No. 14. 2 2 - OPINION & ORDER hearing, Plaintiff also alleged he had depression and post-traumatic stress disorder. Tr. 23. Plaintiff was fifty-seven years old at the time of the hearing and was fifty-four years old at the time of his alleged onset date. Id. He has a GED along with two welding certifications. Tr. 42– 43. His past relevant work experience includes welder supervisor, welder assembler, combination welder, truck assembler, overhead crane operator, and forklift operator. Tr. 29, 67. SEQUENTIAL DISABILITY EVALUATION A claimant is disabled if unable to "engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which . . . has lasted or can be expected to last for a continuous period of not less than 12 months[.]" 42 U.S.C. §§ 423(d)(1)(A), 1382c(3)(a). Disability claims are evaluated according to a five-step procedure. See, e.g., Valentine v. Comm'r, 574 F.3d 685, 689 (9th Cir. 2009). The claimant bears the ultimate burden of proving disability. Id. At the first step, the Commissioner determines whether a claimant is engaged in "substantial gainful activity." If so, the claimant is not disabled. Bowen v. Yuckert, 482 U.S. 137, 140 (1987); 20 C.F.R. §§ 404.1520(b), 416.920(b). At step two, the Commissioner determines whether the claimant has a "medically severe impairment or combination of impairments." Yuckert, 482 U.S. at 140–41; 20 C.F.R. §§ 404.1520(c), 416.920(c). If not, the claimant is not disabled. At step three, the Commissioner determines whether the claimant's impairments, singly or in combination, meet or equal "one of a number of listed impairments that the [Commissioner] acknowledges are so severe as to preclude substantial gainful activity." Yuckert, 482 U.S. at 3 - OPINION & ORDER 141; 20 C.F.R. §§ 404.1520(d), 416.920(d). If so, the claimant is conclusively presumed disabled; if not, the Commissioner proceeds to step four. Yuckert, 482 U.S. at 141. At step four, the Commissioner determines whether the claimant, despite any impairment(s), has the residual functional capacity ("RFC") to perform "past relevant work." 20 C.F.R. §§ 404.1520(e), 416.920(e). If the claimant can perform past relevant work, the claimant is not disabled. If the claimant cannot perform past relevant work, the burden shifts to the Commissioner. At step five, the Commissioner must establish that the claimant can perform other work. Yuckert, 482 U.S. at 141–42; 20 C.F.R. §§ 404.1520(e) & (f), 416.920(e) & (f). If the Commissioner meets his burden and proves that the claimant is able to perform other work which exists in the national economy, the claimant is not disabled. 20 C.F.R. §§ 404.1566, 416.966. THE ALJ'S DECISION At step one, the ALJ determined that Plaintiff had not engaged in substantial gainful activity since the alleged onset date. Tr. 22. Next, at step two, the ALJ found that Plaintiff has the following severe impairments: carpal tunnel syndrome of the right hand, hearing loss, and degenerative disc disease. Id. However, at step three, the ALJ determined that Plaintiff's impairments do not meet or medically equal the severity of any listed impairment. Tr. 23–24. At step four, the ALJ determined that Plaintiff had the residual functional capacity to perform medium work as defined in 20 C.F.R. § 404.1567(b) and § 416.967(b) with exceptions, including postural, manipulative, and environmental limitations. Tr. 24. The ALJ found Plaintiff can, in an environment with a noise level not exceeding the loud level, perform the following: frequently climb ramps or stairs, stoop, kneel, crouch and climb; occasionally climb ladders, ropes or scaffolds; and frequently handle and finger with the right upper extremity. Id. The ALJ 4 - OPINION & ORDER concluded that Plaintiff is able to perform past relevant work as a welder supervisor, welder assembler, combination welder, truck assembler, and overhead crane operator. Tr. 28. In the alternative, the ALJ found at step five that Plaintiff could perform the occupations of laundry worker, janitor, and courtesy clerk. Tr. 30. Thus, the ALJ concluded Plaintiff was not disabled as defined by the Social Security Act. Id. STANDARD OF REVIEW A court may set aside the Commissioner's denial of benefits only when the Commissioner's findings are based on legal error or are not supported by substantial evidence in the record as a whole. Vasquez v. Astrue, 572 F.3d 586, 591 (9th Cir. 2009). "Substantial evidence means more than a mere scintilla but less than a preponderance; it is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Id. (internal quotation marks omitted). The court considers the record as a whole, including both the evidence that supports and detracts from the Commissioner's decision. Id.; Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007). "Where the evidence is susceptible to more than one rational interpretation, the ALJ's decision must be affirmed." Vasquez, 572 F.3d at 591 (internal quotation marks and brackets omitted); see also Massachi v. Astrue, 486 F.3d 1149, 1152 (9th Cir. 2007) ("Where the evidence as a whole can support either a grant or a denial, [the court] may not substitute [its] judgment for the ALJ's") (internal quotation marks omitted). DISCUSSION Plaintiff argues that the ALJ erred by: (1) failing to properly assign severity findings at step two; (2) failing to properly consider Plaintiff's subjective symptom allegations; and (3) failing to support the RFC finding with substantial evidence. /// 5 - OPINION & ORDER I. Non-severe Impairments Plaintiff contends that the ALJ erred at step two of the sequential analysis in finding three of Plaintiff's impairments non-severe. Plaintiff maintains that the ALJ's error in finding Plaintiff's serous retinal pigment epithelial detachments and sleep apnea non-severe impairments, and her failure to mention the right knee torn meniscus, affected the ALJ's analysis at step four. At step two of the analysis, the ALJ considers the medical severity of the plaintiff's impairments. Gonzales v. Berryhill, 261 F. Supp. 3d 1085, 1089 (D. Or. 2017) (citing Yuckert, 482 U.S. at 140–141 and 20 C.F.R. §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii)). "[T]he step two inquiry is a de minimis screening device to dispose of groundless claims." Smolen v. Chater, 80 F.3d 1273, 1290 (9th Cir. 1996) (citing Yuckert, 482 U.S. at 153–54). Where the plaintiff alleges more than one impairment, the ALJ must consider the combined effect of all the plaintiff's impairments on his ability to perform basic work activities without regard to whether each alone is sufficiently severe. Howard ex rel. Wolff v. Barnhart, 341 F.3d 1006, 1012 (9th Cir. 2003); Smolen, 80 F.3d at 1290; see also 42 U.S.C. § 423(d)(2)(B), 20 C.F.R. §§ 404.1523, 416.923. An impairment or combination of impairments is severe if it significantly limits the plaintiff's physical or mental ability to do basic work activities and lasts for at least twelve months. 20 C.F.R. §§ 404. 1509, 404.1520(a)(4)(ii), 416.920(a)(4)(ii). An impairment is deemed non-severe "if it is merely a 'slight abnormality (or combination of slight abnormalities) that has no more than a minimal effect on the ability to do basic work activities.'" Webb v. Barnhart, 433 F.3d 683, 686 (9th Cir. 2005) (quoting SSR 96-3p, 1996 WL 374181). If the ALJ finds that the plaintiff's impairments are non-severe or do not meet the duration requirement, she ends her inquiry and denies the disability claim. Yuckert, 482 U.S. at 6 - OPINION & ORDER 141; see also 20 C.F.R. §§ 404.1520(a)(4)(ii), 404.1520(c), 416.920(a)(4)(ii), 416.920(c). If the ALJ identifies at least one severe impairment, the analysis proceeds and the ALJ is to take into account all the plaintiff's limitations, regardless of whether they are severe or not. Howard ex rel. Wolff, 341 F.3d at 1012 (citing 20 C.F.R. § 416.923); 20 C.F.R. §§ 404.1525(a)(2), (e). At this step, the plaintiff bears the burden of showing that he has a medically determinable severe impairment or combination of impairments. Yuckert, 482 U.S. at 146 n.5. To satisfy step two, the plaintiff must establish the existence of his impairment(s) by providing objective medical evidence from an acceptable medical source; the plaintiff's own statement of symptoms alone will not suffice. See 20 C.F.R. §§ 404.1521, 416.921. Once the plaintiff produces objective medical evidence of an underlying impairment or combination of impairments, the ALJ must "consider the claimant's subjective symptom testimony, such as pain or fatigue, in determining severity." Smolen, 80 F.3d at 1290; 20 C.F.R. § 404.1529(d)(1), 416.929(d)(1) ("Your symptoms, such as pain, fatigue, shortness of breath, weakness, or nervousness, are considered in making a determination as to whether your impairment or combination of impairment(s) is severe."). In this case, the ALJ found that Plaintiff's serous retinal pigment epithelial detachments and sleep apnea were non-severe and failed to mention his right knee torn meniscus. Tr. 22–23. Citing the objective medical evidence, the ALJ first determined that Plaintiff had three impairments: carpal tunnel syndrome of the right hand, hearing loss, and degenerative disc disease. Tr. 22. Next, the ALJ found that Plaintiff's non-severe impairments, considered singly or together, caused only transient and mild symptoms and limitations, are well controlled with treatment, or are otherwise not adequately supported by medical evidence in the record. Tr. 23. In making this finding, the ALJ noted that the Plaintiff did not allege any limitations due to his 7 - OPINION & ORDER sleep apnea or right knee torn meniscus at the hearing. Id. Finally, the ALJ also stated that she considered all of Plaintiff's complaints and their secondary impacts in conjunction with the Plaintiff's severe impairments. Id. A. Right Knee Torn Meniscus Plaintiff argues that the ALJ silently disregarded his right knee torn meniscus and was required to make severity findings. Plaintiff was required to produce medical evidence consisting of "signs—the results of 'medically acceptable clinical diagnostic techniques,' such as tests—as well as symptoms" of his knee impairment. Ukolov v. Barnhart, 420 F.3d 1002, 1005 (9th Cir. 2005). Here, Plaintiff cites to one page of the record—a progress note from 2011—to indicate that he had surgery for a meniscus and tendon tear in 2008 after some welding equipment fell on his right knee. Tr. 392, 395. As a result of the incident, Plaintiff alleges some chronic arthralgia and takes Motrin when necessary. Tr. 391–92. There is no other mention of this impairment in the objective medical record. The only medical evidence Plaitniff produced was a progress note that pre-dates the relevant time period and which mentions "[r]ight knee in 2008" in a section regarding past surgical history. Tr. 392. There is no objective, contemporaneous record demonstrating an injury, surgery, treatment, or other care regarding this impairment. This passing reference is insufficient to establish his knee impairment at step two. Accordingly, the ALJ did not err by failing to make severity findings as to this impairment. B. Vision Impairment and Sleep Apnea In response to Plaintiff's argument that the ALJ erred in not finding his serous retinal pigment epithelial detachments and sleep apnea non-severe, Defendant contends that there was no error. Even if the ALJ erred, Defendant further contends that her error was harmless. For the purposes of this Opinion only, the Court assumes that Plaintiff's vision impairment and sleep 8 - OPINION & ORDER apnea meet the de minimis standard of severity at step two. However, for the reasons discussed below, the Court agrees with Defendant that the ALJ's error was harmless. II. Plaintiff's Credibility Plaintiff argues that the ALJ failed to properly consider his symptom testimony. The ALJ engages in a two-step analysis to assess the credibility of a claimant's testimony regarding subjective pain or the intensity of symptoms. 20 C.F.R. §§ 404.1529, 416.929. First, the ALJ determines whether there is objective medical evidence of an underlying impairment that could reasonably be expected to produce some degree of symptoms. Smolen, 80 F.3d at 1282. If such evidence exists and there is no evidence of malingering, the ALJ must give clear and convincing reasons for discrediting the claimant's testimony regarding the severity of the symptoms. Id. at 1284; see also Lingenfelter, 504 F.3d at 1036. When weighing a plaintiff's credibility, the ALJ may consider factors that include: (1) ordinary techniques of credibility evaluation, such as the claimant's reputation for lying, prior inconsistent statements concerning the symptoms, and other testimony by the claimant that appears less than candid; (2) unexplained or inadequately explained failure to seek treatment or to follow a prescribed course of treatment; and (3) the plaintiff's daily activities. Tommasetti v. Astrue, 533 F.3d 1035, 1039 (9th Cir. 2008). The ALJ must make findings that are sufficiently specific to permit the reviewing court to conclude that the ALJ did not arbitrarily discredit the plaintiff's testimony. Ghanim v. Colvin, 763 F.3d 1154, 1163 (9th Cir. 2014); Brown-Hunter v. Colvin, 806 F.3d 487, 493 (9th Cir. 2015). For example, a general assertion that the plaintiff is not credible is insufficient because the ALJ must "state which . . . testimony is not credible and what evidence suggests the complaints are not credible." Dodrill v. Shalala, 12 F.3d 915, 918 (9th Cir. 1993); see also Morgan v. Comm'r of Soc. Sec. Admin., 169 F.3d 595, 599 (9th Cir. 9 - OPINION & ORDER 1999). Where the ALJ's credibility findings are supported by substantial evidence in the record, the court "may not engage in second-guessing." Thomas v. Barnhart, 278 F.3d 947, 959 (9th Cir. 2002). In this case, the ALJ determined that Plaintiff's medically determinable impairments could reasonably be expected to produce some degree of symptoms, but that his statements regarding the extent of these symptoms were not credible. Tr. 25. The ALJ provided several reasons for finding Plaintiff's testimony not credible: (1) Plaintiff's complaints regarding three of his impairments were inconsistent with the objective medical record; (2) Plaintiff failed to pursue treatment for his back impairment until after he stopped work and failed to obtain photodynamic therapy for his vision impairment; and (3) Plaintiff's complaints concerning his limitations were inconsistent with his activities of daily living. Tr. 25–27. A. Inconsistency with the Medical Evidence "The ALJ is responsible for determining credibility[.]" Edlund v. Massanari, 253 F.3d 1152, 1156 (9th Cir. 2001) (citing Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995)). The ALJ may reject a plaintiff's allegations if the "statements at [the] hearing do not comport with the objective medical evidence in [the] record." Bray v. Comm'r of Soc. Sec. Admin., 554 F.3d 1219, 1227 (9th Cir. 2009). Inconsistency between a plaintiff's symptom allegations and objective medical evidence is a clear and convincing reason to reject a plaintiff's credibility. Shaw v. Berryhill, No. 6:16-CV-02188-PK, 2018 WL 1406601, at *9 (D. Or. Jan. 23, 2018), report and recommendation adopted, No. 6:16-CV-02188-PK, 2018 WL 1402587 (D. Or. Mar. 19, 2018); see also Thomas v. Barnhart, 278 F.3d 947, 959 (9th Cir. 2002). /// /// 10 - OPINION & ORDER 1. Vision Impairment At the hearing, Plaintiff testified that one of the reasons that he is unable to work is because his vision impairment prevents him from doing his job correctly as a welder. Tr. 47. Plaintiff testified that his vision issues were so pronounced as to create problems with welding straight lines and seeing tape measures. Tr. 55. His coworkers had to redo some of his work because he made mistakes due to his vision impairment, which ultimately led to his termination. Tr. 43, 55. He no longer drives due to his vision distortions and blind spots. Tr. 54. The ALJ found that Plaintiff's vision distortion was intermittent and mild with his visual acuity consistently described as good or excellent. Tr. 26. Because Plaintiff was not interested in pursuing photodynamic therapy for his vision problem, the ALJ found that Plaintiff's disinterest was inconsistent with the alleged severity of his symptoms. Id. Here, the ALJ correctly noted that the objective medical evidence consistently showed: (1) Plaintiff's physicians described his vision as "great" upon examination; (2) Plaintiff refused photodynamic therapy; and (3) Plaintiff no longer qualifies for photodynamic therapy based on his continued stable vision. Tr. 418, 420–21, 501. The ALJ was justified in finding that Plaintiff's consistent "great" visual acuity combined with his failure to pursue treatment, compounded with the fact that he does not qualify for any sort of treatment for his vision beyond glasses, was inconsistent with the severity of symptoms Plaintiff described. 2. Back Impairment At the hearing, Plaintiff testified his back impairment interfered with his welding because he was unable to hold a comfortable position. Tr. 47, 56. Plaintiff testified that his back impairment first started bothering him in the late 1990s or early 2000s. Tr. 55. He said that he could be incapacitated for up to a week at a time if he twists, steps, or picks something up 11 - OPINION & ORDER incorrectly at work. Id. According to Plaintiff, his daily pain medication "only really help[s] about 50 percent of the way." Tr. 50. Even with medication, Plaintiff described his pain level as a five and stated that it jumps to a seven or eight for four or five hours per day. Tr. 56. As to his limitations, Plaintiff said he can sit or stand for about forty minutes at a time and must lay down for sixty to ninety minutes each day. Tr. 56–59. Plaintiff explained that standing is more difficult for him than walking. Tr. 59. Plaintiff then admitted that his prescribed cane helps with his back impairment. Tr. 60. The objective medical evidence reflects that Plaintiff has degenerative changes of his lower lumbar spine, bilateral pars interarticularis defects of L5, and moderate to several neural foramina stenosis. Tr. 534, 553. However, improvement with conservative treatment is a convincing reason to discount a plaintiff's allegation of disabling symptoms. See Tommasetti, 533 F.3d at 1040 (noting that the record reflected that the plaintiff's positive response to conservative treatment that included physical therapy, medication, a TENS unit, and a lumbosacral corset undermined his reports regarding the disabling nature of his pain). The ALJ noted that Plaintiff rated his back pain a two to three out of ten after he started physical therapy and was prescribed a cane along with a TENS unit in 2015. Tr. 25–26 (citing 549, 562, 570) (describing Plaintiff's prescribed treatment and subjective reports of decreased pain and increased function in response to his treatment). The ALJ, therefore, reasonably relied on Plaintiff's positive response to conservative treatment to discount his subjective symptom testimony regarding his back impairment. Furthermore, as a testament to the success of his conservative treatment, Plaintiff has increased his activities of daily living, which is discussed more below. /// 12 - OPINION & ORDER B. Failure to Pursue Treatment Lack of treatment for an alleged impairment is "powerful evidence" that can be used to discount a plaintiff's credibility. See Burch, 400 F.3d at 681 (affirming the ALJ's decision to partially discredit the plaintiff's back pain testimony for lack of consistent treatment). While Plaintiff testified that he has suffered from chronic back pain since the late 1990s or early 2000s, the ALJ was correct to point out that Plaintiff failed to treat for any symptoms until 2015. Tr. 25. Because Plaintiff did not complain of or treat any symptoms related to his degenerative disc disease until over two years after he stopped working, the ALJ found that this evidence suggested his symptoms "were not as severe as he has alleged at that time nor did they prevent him from working." Id. Furthermore, because Plaintiff was not interested in pursuing photodynamic therapy for his vision problem when he was still eligible for it, the ALJ found that Plaintiff's disinterest was inconsistent with the alleged severity of his symptoms. Tr. 26. The record supports the ALJ's finding that Plaintiff's failure to pursue treatment undermined his subjective allegations. C. Activities of Daily Living There are two grounds for using daily activities to form the basis of an adverse credibility determination. Orn v. Astrue, 495 F.3d 625, 639 (9th Cir. 2007). The first ground is whether the plaintiff's activities meet the threshold for transferable work skills. Id. The second ground, which is at play here, allows the ALJ to discredit the plaintiff if his daily activities are inconsistent with his alleged symptoms. Id.; Molina, 674 F.3d at 1112. "Daily activities that are inconsistent with alleged symptoms are a relevant credibility consideration because they bear on the plaintiff's ability to tell the truth." Caldwell v. Astrue, 804 F. Supp. 2d 1098, 1103 (D. Or. 2011) (citing Rollins v. Massanari, 261 F.3d 853, 857 (9th Cir.2001)). A plaintiff does not need 13 - OPINION & ORDER to "vegetate in a dark room in order to be eligible for benefits[.]" Molina, 674 F.3d at 1112 (citing Cooper v. Bowen, 815 F.2d 557, 561 (9th Cir. 1987)). However, "[e]ven where [daily] activities suggest some difficulty functioning, they may be grounds for discrediting the [plaintiff's] testimony to the extent that they contradict claims of a totally debilitating impairment." Id. at 1113 (citing Turner v. Comm'r of Soc. Sec., 613 F.3d 1217, 1225 (9th Cir. 2010)). Both at the hearing and in his function report, Plaintiff explained his daily activities. In the mornings, Plaintiff completes his physical therapy exercises for his lower core and back. Tr. 52. In the afternoons, Plaintiff completes additional physical therapy exercises for his back. Id. Plaintiff aims for sixty minutes of walking per day. Id. Plaintiff also testified that he does the dishes, helps clean the house, and shops. Tr. 53. Indeed, he can take care of his brother's dog along with his wife, has no problems with personal care, takes out the garbage and recycling, and mows the lawn with a riding lawn mower. Tr. 259–61. Plaintiff testified he has not hunted or fished in a couple of years because "it hurts [him] too bad." Tr. 53–54. By contrast, in his function report, he stated that he hunts and fishes as much as his physical limitations allow, qualifying that it is difficult for him to carry his rifle or fishing pole for long periods, read maps, tie fishing knots, and walk long distances. Tr. 262. Here, the ALJ found that Plaintiff's allegations of disabling symptoms and limitations were inconsistent with his daily activities. Tr. 27. For example, Plaintiff reported he is able to care for his personal care needs independently, prepare meals, clean, sweep, do the dishes, take out the garbage, complete some yard work, and mow the lawn with a riding lawn mower. Id. The ALJ also found that Plaintiff is "quite physically active" because he completes physical therapy and walks in the morning and afternoon, sometimes up to two miles. Id. Notably, the 14 - OPINION & ORDER ALJ found that Plaintiff had testified he had not hunted or fished in two years but indicated in April 2014 that he hunted and fished well. Id. However, the ALJ noted that Plaintiff indicated he had difficulties with those hobbies because of his impairments, including: holding the rifle and fishing pole for long periods, walking long distances, reading maps, and tying knots. Id. Plaintiff argues that the ALJ erred because none of Plaintiff's daily activities are transferrable to a work setting. This argument fails because, as noted above, the ALJ may rely on Plaintiff's daily activities to discredit his symptom testimony without establishing transferability to a competitive work environment. The Court finds that the ALJ reasonably concluded that Plaintiff's daily activities undermine his credibility because they are inconsistent with his alleged symptoms of disabling pain and functional limitations. For example, Plaintiff's ability to hunt, fish, and complete yard work as well as a variety of household and personal tasks independently despite his testimony that his back prevents him from holding a comfortable position is indicative of the inconsistency with his subjective symptoms. Accordingly, the inconsistencies between Plaintiff's daily activities and his testimony meet the requirement of a clear, convincing, and specific reason to discredit Plaintiff's testimony regarding his impairments. See Batson v. Comm'r of Soc. Sec. Admin., 359 F.3d 1190, 1196 (9th Cir. 2004) (affirming the ALJ's adverse credibility determination where the plaintiff claimed he was unable to return to work because of pain yet testified that he tended to his animals, walked outdoors, went out for coffee, and visited with neighbors). D. Overall Credibility Finding The Ninth Circuit has held that an ALJ errs where she fails to identify testimony she found not credible and does not link that testimony to the particular parts of the record 15 - OPINION & ORDER supporting her adverse credibility determination. Brown-Hunter, 806 F.3d at 494. In this case, contrary to Plaintiff's suggestion that the ALJ merely summarized the medical evidence, the ALJ specified which testimony she found not credible, noting that Plaintiff was inconsistent regarding his back, vision, and right carpal tunnel syndrome.3 Based on the above, Plaintiff's inconsistent testimony, daily activities, and the objective medical evidence permitted the ALJ to discount Plaintiff's credibility. The ALJ gave clear and convincing reasons for discounting portions of Plaintiff's testimony, and substantial evidence supports those reasons. Therefore, this Court upholds the ALJ's credibility finding. As previously mentioned, Plaintiff's vision impairment and sleep apnea are assumed to be severe at step two. But the ALJ ultimately rejected Plaintiff's subjective symptom testimony by giving clear and convincing reasons supported by substantial evidence. Given that the RFC accounted for the Plaintiff's limitations that the ALJ found credible, the ALJ's error in finding these impairments non-severe was harmless. See Bayliss v. Barnhart, 427 F.3d 1211, 1217 (9th Cir. 2005) (the ALJ's RFC need include only "those limitations for which there is record support" and does not need to analyze conditions or impairments found non-credible); see also Batson, 359 F.3d at 1197 (the ALJ is not required to incorporate subjective limitations which the ALJ properly found non-credible into the RFC). III. RFC Finding Plaintiff contends that the ALJ lacked substantial evidence for her RFC determination because the ALJ did not properly develop the record as to Plaintiff's retinal, lumbar, sleep apnea, and knee impairments. Defendant counters that Plaintiff merely repeats his earlier arguments 3 Plaintiff also makes the argument that the ALJ did not properly develop the record with regard to his lumbar and vision impairments, but the Court rejects this argument because the record was neither ambiguous nor inadequate. See Mayes v. Massanari, 276 F.3d 453, 460–61 (9th Cir. 2001) (noting that the plaintiff must prove she is disabled and cannot shift her own burden to the ALJ by virtue of the ALJ's duty to develop the record). 16 - OPINION & ORDER that the ALJ erred in considering his impairments at step two. The Court agrees with Defendant. An ALJ must propose a hypothetical based on medical assumptions supported by substantial evidence in the record that reflects each of the plaintiff's limitations. Osenbrock v. Apfel, 240 F.3d 1157, 1163–64 (9th Cir. 2001) (citing Roberts v. Shalala, 66 F.3d 179, 184 (9th Cir. 1995)). Because the Court affirms the ALJ's decision to reject Plaintiff's symptom testimony, there is no error in the ALJ's RFC or hypothetical. CONCLUSION Based on the foregoing, the Court affirms the Commissioner's decision. IT IS SO ORDERED. Dated this day of ________________, 2018. MARCO A. HERNÁNDEZ United States District Judge 17 - OPINION & ORDER
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text:
Serum electrolytes, mean corpuscular volume (MCV) and serum uric acid levels are also indicative of ALD in combination with results from other tests.[hopkinsmedicine.org] There is increased serum activity of gamma glutamyl transpeptidase (GGTP) in chronic alcohol users.[hopkinsmedicine.org]
The child may also have: Poor feeding, choking episodes Constipation Dry, brittle hair Hoarse cry Jaundice (skin and whites of the eyes look yellow) Lack of muscle tone ([mountsinai.org] The symptoms of congenital hypothyroidism may include the following: Puffy face Coarse facial features Dull look Thick protruding tongue Poor feeding Choking episodes Constipation[health.cvs.com] Two infants who have coarse facial features and growth and developmental delay. Pediatrics in Review, 24 , 16–21.[link.springer.com]
Symptoms of this rare but potentially deadly complication include enlarged tongue, swollen facial features, hoarseness, and physical and mental sluggishness.[medical-dictionary.thefreedictionary.com] […] consumption of goitrogens (e.g. cassava) Symptoms of hypothyroidism Tiredness, weakness Dry skin Feeling cold Hair loss Constipation Weight gain with poor appetite Dyspnea Hoarse[quizlet.com] We will find pressure symptoms such as hoarseness, dysphagia, aphonia, tightness in the throat, a feeling of pressure over the neck, stridor, coughing and hoarseness.[homeoint.org]
Cretinism Fetal or infantile hypothyroidism Endemic and sporadic Sporadic –agenesis ,dyshormonogenesis Hoarse cry, macroglossia, umbilical hernia Immediate diagnosis[slideshare.net] The cretin is generally deaf and dumb, or only able to give a hoarse cry. He is indifferent to heat and cold, and even to the most revolting odors.[aolib.com] Constipation is a normal rule. j) Speech is slow and sluggish, voice is hoarse.[homeomagnet.com]
Peripheral neuropathy, myopathy, hoarseness, and hearing loss Cerebellar ataxia infantile with progressive external ophthalmoplegia 5-Oxoprolinase deficiency ABO BLOOD GROUP[amp.pharm.mssm.edu] Clinical signs of the severe form include hernias, facial dysmorphism (macroglossia, constantly opened mouth, coarse features), hepatosplenomegaly, limited joint motion, carpal[pliem.co.za] […] recessive Charcot-Marie-Tooth disease type 2 with neuromyotonia Autosomal recessive Charcot-Marie-Tooth disease type 2B1 Autosomal recessive Charcot-Marie-Tooth disease with hoarseness[csbg.cnb.csic.es]
[…] transient compartment-like syndrome 4 Cases 139426 Perioral myoclonia with absences 10 Cases 563 Peripartum cardiomyopathy 30.0 BP 397744 Peripheral neuropathy- myopathy-hoarseness-hearing[azkurs.org] facial features Gait ataxia Absent speech Patent ductus arteriosus Congestive heart failure Intellectual disability, mild Infantile onset Spasticity Forearm reduction defects[mendelian.co] mean corpuscular volume, Attention deficit hyperactivity disorder, Metopic synostosis, Heart murmur, Ventricular septal defect, Attention deficit hyperactivity disorder,[ncbi.nlm.nih.gov]
Other findings include cutaneous ezema, high-pitched or hoarse voice, hypospadias and cryptorchidism.[findzebra.com] This syndrome is characterized by coarse facial features such as midfacial retraction, bulging forehead, short nose with anteverted nostrils, low-set malformed ears, protruding[chikd.org] […] muscle fatiguability Abnormal electroretinogram Decreased mean corpuscular volume Myoglobinuria Progressive encephalopathy Facial hypotonia Rhabdomyolysis Acute kidney injury[mendelian.co]
The children did not have a triangular face, hoarse voice, bulbous nose or abnormal ears; eczema was present in one of the children.[journals.plos.org] Face Mental Retardation, Microcephaly, Growth Retardation, Joint Contractures, and Facial Dysmorphism Mental Retardation, Short Stature, Facial Anomalies, and Joint Dislocations[rgd.mcw.edu] In addition, fetal red cell mean corpuscular volume rose, which further indicated that the exogenous cholesterol was incorporated into the fetal erythrocytes.[ncbi.nlm.nih.gov]
A: Compression or destruction of nerve (e.g. recurrent laryngeal nerve by lung or thyroid cancer causes hoarseness) Q: What causes the paraneoplastic effect gout?[usmleforum.com] General nonneurologic manifestations of neurometabolic disorders include skeletal abnormalities and coarse facial features (e.g., with muco-polysaccharidoses), macular or[aafp.org] Abnormal laboratory studies included a haematocrit of 0.67, a haemoglobin of 2.25 g/l, and a mean corpuscular volume of 79.3 fL.[adc.bmj.com]
This is a self-limiting, typically non-life-threatening disorder that mostly affects middle-aged women and is associated with thyroid pain, difficulty swallowing, hoarseness[verywell.com] Pale, yellow skin; loss of the outer edge of the eyebrows; thin and brittle hair; coarse facial features; brittle nails; firm swelling of the arms and legs; and mental slowing[alzheimer-europe.org] The majority of patients have increased mean corpuscular volume, elevated erythrocyte adenosine deaminase activity, and persistence of hemoglobin F.[mendelian.co]


text:
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CIN 1 And 2
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text:
Leaves and Accommodation Specialist
Category: Human Resources
Posted Date: November 26, 2019
Louisville, KY
Louisville, KY
ADP is hiring for a LOA Specialist
Position Summary :
This position is responsible for coordinating, administering, tracking and concluding all escalated leave of absences instances (medical/workers compensation) and ALL accommodation requests (medical, religious and military). All cases must be in accordance with all company policies as wellas local, state, and federal guidelines.Serves as the subject matter for leaves/accommodations in alignment with HR and Legal.
Job Responsibilities :
Responsible for handling escalated leaves which include long term continuous and complex leaves and engaging in the interactive process. Engage with associates to support and facilitate their return to work and formulate recommendations regarding continued leave as a reasonable accommodation.Manages the ADA accommodation process, using industry experience to conduct exploratory discussions with mangers and associates to arrive at optimal solutions, and
Education Amd Certification required :
Bachelor Degree in Human Resources or other related field preferred · Minimum of 3 years' experience in Leave of Absence Program Administration is required.
Preference will be given to candidates who have the below :
We're designing a better way to work, so you can achieve what you're working for. Consistently named one of the 'Most Admired Companies' by FORTUNE® Magazine, and recognized by DiversityInc® as one of the 'Top 50 Companies for Diversity,' ADP works with more than 740,000 organizations across the globe to help their people work smarter, embrace new challenges, and unleash their talent. "Always Designing for People" means we're creating platforms that will transform how great work gets done, so together we can unlock a world of opportunity.
At ADP, we believe that diversity fuels innovation. ADP is committed to equal employment opportunities regardless of race, color, genetic information, creed, religion, sex, sexual orientation, gender identity, lawful alien status, national origin, age, marital status, or protected veteran status. We support an inclusive workplace where associates excel based on personal merit, qualifications, experience, ability, and job performance.
Isn't this what life is all about? Finding something meaningful that you love doing in a place you enjoy doing it? ADP can give you that opportunity.
"There is a lot happening at ADP. A lot of really exciting things. We are underway with a few different transformational efforts. We are moving from essentially what has been traditionally known as a payroll company to this broad-based really exciting human capital management company. It gives you the opportunity to get involved in a lot of different initiatives that have different levels of purpose and value for the organization. What I get most excited about are the opportunities we have here and to contribute to something, something big, that will be meaningful for our clients and people's lives."
Vice President, Global Talent and Development


text:
Bulgarians Celebrate Christmas Eve
People around Bulgaria are honoring with their families Christmas traditions celebrating Christmas Eve Monday night.
In the Bulgarian Orthodox tradition Christmas Eve – in Bulgarian "Badni Vecher" ("Бъдни вечер") – the night when Jesus Christ was born – the entire family comes around a Christmas table marking the end of Lent.
Practices may vary across the country, but there are some basic traditions observed throughout Bulgaria.
The numbers attending the celebratory evening meal have to be uneven in number, with at least seven people present. The food is Lenten, marking the end of the 40-day Lent fast. Therefore there is no meat on the table of the strict traditionalists.
The number of dishes is also uneven. Favorites include stuffed peppers, rice wrapped in leaves, beans, lentils, pumpkin and dried fruit. The more dishes there are on the table, the richer should the following year be.
Bread plays a central part in the meal. The head of the family breaks the freshly-prepared loaf after uttering a prayer. The first piece is placed to the left of a religious icon in the room; the second is for the house; and the reminder is shared by all present. The person who finds a coin buried in the dough is regarded as especially lucky throughout the coming year.
No-one should leave the table during the meal and, when it is finished, the dishes remain there – they are not cleared up. It is believed that the deceased later come to enjoy the remainder of the meal.
Strict tradition demanded that a fire be built in the hearth, with enough wood to burn all night and into Christmas Day, to help with the new birth of the sun.
Nowadays, Christmas tree with lighted candles symbolize this ritual. The main colors of all decorations are red, yellow and gold - the colors of sun and fire, and lit candles are like the sparks from the burning Yule log.
At midnight, carol singers may begin their rounds, calling at neighbors' houses, or the family may attend a midnight mass, bearing candles, ushering in Christmas Day.
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- To instil interest and passion for mathematics among the participants and to let them have a positive approach towards this subject.
- To enhance and broaden participants' understanding in basic mathematics.
- To boost the participants' confidence in mathematics and helps them to strengthen their critical thinking skills.
- To develop participants' leadership and teamwork skills throughout this workshop.
To register, please click the link : http://bit.ly/mathcamp2019
The deadline is 29th November 2019. Hope to hear from you soon! Act fast as the seats are limited!!!
Should you need any further information, please do not hesitate to contact us:
- Maisurah Binti Shamsuddin (JSKM) - 019-4002590
- Muniroh Hamat (Koordinator JSKM) – 012-5374253


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waht support package level are you in .
there are some OSS notes available.
may be you can use ICF recorder (as explained in OSS note no. 0000724804) to trace the error.
Hi Luke,
if you are on 620 and have a Basis Support Package between 43 and 51, (or 640 SP11 or 12) please apply note 779502 and test it again. Please note that you have to make some changes by hand (everything is described in the long text of the note).
The application class for the system BSP application is CL_BSP_LOGIN_APPLICATION.
If you still encounter problems after applying the note I would recommend to open a BSP message to BC-BSP and refer to this thread.
Hi Luke,
if you are on SP53, don't forget to apply note 851647 which is a major bug fix, but this is only a side note.
Now to your described problem: Do you use our standard system application or have you written a login handler (something like CL_BSP_LOGIN_HANDLER_HTMLB) which manages the logon page?
Hi Rainer,
We use the standard SYSTEM login. Those users who haven't been into the BSP app. for 30+ days & have an expired password get the strange error message ("You have incorrectly entered the current password that is allowed. Enter it again"). They can not get in until the administrator resets their password for them. We have never seen this error message before the support packs were applied.
Thanks for your help to date.
Hi Luke,
what happens when the user with the expired password tries to login to the SAPGui?
Not sure. We can't replicate the problem very easily (we need users who haven't been into the BSP in 30+ days). Gernerally our users only ever use the BSP i.e. none login in through the SAPgui and those that do, use the BSP application often. As far as I'm aware none of our SAPgui users have reported a problem.
I also have noticed that there is very similar message in the OTR but it is not exactly the same. Is there a way to find where this particular message is being raised?
Thanks heaps for your help
Hi Luke,
I can reproduce the error message when I try to change my password and enter for the current password a wrong value.
You can debug the login application by setting the breakpoint at the beginning of CHANGE_PW_PROCESSING in the class CL_BSP_LOGIN_APPLICATION.
The text element you get is number 024 of this class.
Hoping this helps.
Can it be that you change the password after expiration to a default value?
Hi Luke,
some other customers encountered the same problem and we found the reason for that. The error is fixed in the latest version of note 779502.
Sorry for the late reply, but we finally revised the note today and you are one of the first who get to know the answer. 😉


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Bands & Ensembles in Phoenix, Arizona
Wanna hire a rockstar? Yea you do... or maybe you don't and are just looking for a Jazz singer (BTW, we think Jazz soloists are total rockstars). No matter the genre or style, the Special Guest band category will not disappoint. Scroll through our talent to book the perfect entertainment for your next big bash (or intimate cocktail party).
Moonlite DriveMoonlite Drive
North Las Vegas, NV
Hard rocking cover band rocking the river since 2008! No Mustang Sally band here! Ozzy , AC/DC, Metallica, Judas Preist, Poison, Incubus just to name a few is what we're all about! Want a rocking good time, then we're the band for you! Justin Marshall on vocals, Dylan Barnick on guitar, Steve Mock on drums and Mark Arroyo on Bass.
PushHigh Energy Dance, Groove & Party Band
North Las Vegas, NV
Push is a high energy dance and groove band featuring R & B, Soul, Motown, Classic Rock & Country music for any occasion. PUSH is from Lake Havasu City but, willing to travel. Push consists of Billy Latta Lead Vocal & Guitar, Steven Yates Drums & Vocals, Virgil Venditto Bass & Vocals & Greg Shumake Keyboards & Vocals. Push has appeared @ Aquarius, Tropicana, Blue Water, AVI Casinos and many more local establishments. You won't be disappointed with this band musical performance is top notch.
Az/dz "the Ultimate Ac/dc Experience"AZ/DZ "The Ultimate AC/DC Experience"
Phoenix, AZ
Since 2008 AZ/DZ has been replicating the "HIGH VOLTAGE" Rock and Roll of AC/DC. Playing the hits of both the Bon Scott and Brian Johnson eras, the set list contains over 50 AC/DC songs that leave the audience "THUNDERSTRUCK". The Live Bagpiper, authentic AC/DC Guitars, Bass and Drums, Replica Cannons and Hells Bell will "SHAKE YOUR FOUNDATION". With years of experience at Casino's, Corporate and Private Gig's, Concerts, Clubs and Bars, AZ/DZ is ready and able to Travel to your next Event.
Rob Zombie/white Zombie Tribute BandThe Ultimate Tribute to Rob/White Zombie
Phoenix, AZ
These musicians, along with a support cast, bring a recreation of a Zombie show with an accuracy rivaled only by Rob Zombie himself. This show includes costumes, make-up, simulated pyro barrels (no actual flammables), dancers, computer-based sampling systems and an unforgettable display of energy . A truly, horror-filled showcase presented by top industry professionals available for national and international bookings.
Tom Petty Tribute Band - "breakdown"The Ultimate Tom Petty Tribute Experience
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Take a trip into the vast world of Tom Petty with one of the finest tribute shows on the planet. "Breakdown" the Ultimate Tribute to Tom Petty and the Heartbreakers is as near a real experience as can be delivered by anyone other than the actual band. A favorite among fans ranging from teens to seniors this show covers a massive demographic. From the vocals to the layered guitar melodies, harmonicas to harmonies and keys and everything else that makes up the great sounds of Tom Petty.
City Nights BandVariety Dance/Party Band
Phoenix, AZ
Voted by KOOL FM as one of the top 10 Cover Bands in Arizona, the City Nights Band is a high energy variety dance band that plays great music from Bruno Mars to the Beatles, Michael Jackson to Journey, Pink to the Band Perry. Our music is designed to make your event fun for every taste in music, and most of all - keep you on the dance floor!
Brenton PackerSideman Guitarist For Your Band or Recording
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Solomon TrioSolomon Trio
Phoenix, AZ
Percussionist Israel Solomon, keyboardist Carly Bates, and saxophonist Armando Salas formed Solomon Trio in 2017. Rooted in jazz, they fuse many musical genres from Afro-Latin to R&B, funk to free improvisation, bebop to blues. Solomon Trio has experience providing music for private and public events alike, including small private gatherings, larger company socials, and community events of all sizes. No matter the occasion, Solomon Trio offers a variety of repertoire and a fresh all around sound
Christopher ShayneSouther Rock with a Country Twist
Phoenix, AZ
CHRISTOPHER SHAYNE hails from Arizona Genre: Southern Rock / Desert Rock / Country Rock / Outlaw Americana Debut album Turning Stones released August 12, 2016, New Single "Burn Me Down" May 4th 2018, New cover single "Chip away the Stone" December 7th 2018. Debut single "Give A Damn" played on Sirius XM Octane Touring has included: NASCAR, Country Thunder, Major Bike Week Events and PBR events and World Finals Direct support for ZZ Top, Lynyrd Skynyrd, Molly Hatchet,
AaliyahLet me show you what I got
Phoenix, AZ
My name is Aaliyah Baldwin, I'm 19 years old. I'm a creative person like singing, dancing, and also acting with my siblings. I can handle any task that comes to me and I do it while having fun. I'm a friendly and honest person and I get along with kids and adults.


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ETP to NETKO
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Currenciess: 158
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The Metaverse dropped by 3.3% on Thursday 5th of December 2019
And we have data for yesterday. ETP price dropped by 3.3% between min. and max. value. The average value Metaverse price for convert (or exchange rate) during the day was $0.391. Max. ETP price was $0.398. Min. Metaverse value was $0.386. We see that the value at the end of the day has fallen. Let's see how it turns out today.
Daily news NETKO price during Thursday 5th of December 2019
How was the currency exchange rate changed on yesterday? NETKO price remained the same between min. and max. value. The average value Netko price for convert (or exchange rate) during the day was $0.01579. Max. NETKO price was $0.01579. Min. Netko value was $0.01579. See next day, if it is same.
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About Thesen Islands Penthouse
This luxurious penthouse offers the ultimate in comfort, taste, views & amenities. Being fully equipped for self catering, it allows for one to spend a romantic evening in, but it's in close proximity to award winning restaurants on Thesen Islands ! You have access to the whole of Thesen Islands for walks, bird watching, playing a game of tennis or squash or spend the day in the sun on one of the beaches on Thesen Islands.Large open plan lounge opening up on large patio with stunning views of the Knysna lagoon and The Heads, dining room and kitchen. Double glazing windows. Kitchen and scullary with gas hob, electric oven and microwave with fridge, freezer, dishwasher, washing machine & tumble dryer.Lounge with 57 cm flat screen Tv with Bose Surround Sound/DVD System and Air-conditioning in living room with satellite TVLarge patio overlooking Knysna Lagoon and Heads with Gas BBQ 4 seater patio table and chairs, 2 sun loungers and 2 sun deck chairsDining room with dining room table and six chairsBedroom consists of extra large king size bed, ample built-in cupboard space, luggage rack, air-con and TvLush tiled bathroom with splendid bath tub, separate shower, wc, basin and heated towel rail and underfloor heating.
- Response Rate: 100%
- Enquiry Response Time: an hour
- Minimum stay: 2 Days
- Type: Self-catering
- Sleeps: 2
- Check-in: 3:00 PM Check-out: 10:00 AM
- Reviews: 5 Reviews
- Braai/Barbecue
- Credit Card Facilities
Languages Spoken
- English
- Afrikaans
- 5 Stars - Tourism Grading Council of South Africa
Important Information
1. I agree to pay the rental charges as agreed upon prior to arrival, and shall not withhold, defer, or make any deduction from any payment due in terms of the rental agreement.
2. I agree that at no point will more than the than the number of persons stipulated above occupy the property.
3. I agree to notify Thesen Island Destinations of... 1. I agree to pay the rental charges as agreed upon prior to arrival, and shall not withhold, defer, or make any deduction from any payment due in terms of the rental agreement.
2. I agree that at no point will more than the than the number of persons stipulated above occupy the property.
3. I agree to notify Thesen Island Destinations of any damages in the villa, visible to me on arrival. I duly accept that I will be held liable for any discrepancies discovered on arrival not reported to Thesen Islands Destinations, as well as any damages / breakages incurred during the stay.
4. Rates are quoted per villa/apartment per night and are quoted in South African Rand.
5. The property owners and management of Thesen Islands Destinations cannot be held responsible for any loss or damage to any possessions of the guest occupying the villa/ apartment.
8. Amendments to bookings: It is unlikely that we will need to make changes to confirmed bookings. If however, for any reason beyond our control, a situation should arise where we are unable to provide you with the property you have booked, we reserve the right to transfer you to a similar property. However if this is not possible, and you do not wish to be transferred, we will cancel the booking and refund the deposit and Thesen Islands Destinations will not be liable for any cancellation charges for travel arrangements.
9. Our check-in time is 15H00 and our check-out time is 10H00. In most cases we will allow early check-ins and late check-outs if the unit/apartment is available. Please advise us of your travel details.
10. Reservations are subject to terms and conditions on check-in.
11. No pets allowed, unless prior arrangements had been made with management.
12. A 1.5% cash handling fee will be charged for cash payments of more than R5000.
14. I agree to read and abide by the Thesen Islands Homeowners Association Rules and Regulations hereafter noted.
I will comply with the Thesen Islands rules and regulations, and I hold Thesen Islands Homeowners Association, Thesen Islands Destinations cc. and the property owner harmless against any claim for any loss of damage to property, personal injury or any loss of life, howsoever caused, including but not limited to gross negligence. see more
Reviews for Thesen Islands Penthouse5 guest reviews Reviews of
5 out of 5 stars
Thesen Islands Penthouse Map
*Distances are shown as the crow flies and not necessarily the actual travelling


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New year, new kitchen trends. While minimalism and increased gold appliances were huge for 2018, the new year is bringing in a few unique suggestions for the heart of the home. If you're planning a kitchen reno--or just need to be inspired--you will need to understand what designers are doing for 2019. We spoke with a few of our trusted sources to listen to what they are seeing--and installing--this season.
"I love the swing toward bold colored cabinetry rather than the anticipated white," designer Danielle Rollins tells House Beautiful. "It actually gives a kitchen a personality and complete. "Denise McGaha agrees, stating she is using color on walls, cabinets, and even appliances (such as a plum-colored LaCanche range she is currently installing for one lucky client). Need a push? What is this pantry by Jim Dove for inspiration
2. Minty Fresh
Even more specifically, designers say mint green is the color du jour. Everybody seems to need light green cabinetry," says Jennifer Beek Hunter, demonstrating this kitchen by Young Huh from 2012 is still piled in style.
3. Natural Stone
To balance out all this color, incorporate natural elements. In accordance with Los Angeles-based Natalie Meyers,"people are falling in love with all the abstract canvases painted by Mother Nature and using natural rock beyond countertops. Designers are continuing the rock material to waterfall edges and tall backsplashes." Sometimes they take the rock all the way to the ceiling, and you can also create drawer fronts and hood vent covers out of natural stone.
4. Matte Black Everything
Meanwhile, as cupboards are becoming warmer, some appliances are carrying a different type of remarkable turn. "Matte black fixtures and hardware are increasing in popularity," Meyers says. "What was a minimal and stark option in all white modern kitchens is presently a fun approach to subtly add contrast to timber cabinets and more traditional, Shaker-style kitchens."
5. High Tech
As our devices get smarter, so, too, do our kitchens. 1 trend designer Niki Papadopoulos does not see going anywhere is"tech seamlessly integrated into appliances," she says. The perfect example? Samsung's Family Hub fridge, which includes a touch screen, interior cameras, and WiFi connectivity, so you can search recipes in the fridge, see what's inside while you're searching, and leave notes and reminders to relatives. Does not get much smarter than that.


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Photo Gallery of Toyota Cynos
Uploaded by: mika
Date: 22.10.2018
Image "HEX" Code: #2695806
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Recent automotive trends, reviews, test drives and the latest news from the world of cars
VW Group confirms new Panamera and Tiguan
Two important innovations were announced by Volkswagen Group in 2016. Porsche has confirmed the launch of the new Panamera and Vokswagen launch in the same year the new generation of the Tiguan.
New Ka will not compete with low-cost models
Ford denied that the next generation Ka will compete with low-cost models, such as the Dacia Sandero in Europe. Stephen Odell, head of Ford Europe, said the new car will be positioned above this segment.
Jaguar XKR-S shows Sportbrake
Jaguar surrendered to the club of supersports turkeys. The XFR-S Sportbrake coming soon to the streets of Europe to try to obfuscate their arquirrivais Audi RS6 and Mercedes-Benz E 63 AMG.
Honda Vision display concept XS-1
Honda showed on Wednesday (5) Vision XS-1 concept at the New Delhi. The model is inspired by the concept M / M developed by Japanese automaker (Man Maximum, Machine Minimum), who preaches to maximize the space available for people.