around the block at least once or twice a day. Reports that this fatigues her tremendously. She's attempting to do some simple ROM exercises at home.
Ibid. Nurse Linn further noted that the plaintiff had gained ten pounds in the last six weeks, was "a little teary eyed" when the plaintiff spoke about her pain, maintained good eye contact, had no red, swollen, or tender joints, and complained of muscle tenderness in "her extremities and in the scapular areas." Ibid. Nurse Linn's *595 assessment was "fibromyalgia w/significant pain/fatigue." Ibid.
Nurse Linn's final entry in the administrative record is dated December 8, 2003. AR at 129. She wrote that because of insurance problems, the plaintiff had changed primary care physicians. The plaintiff's new physician had sent her to a rheumatologist, andposition.
AR at 152.
As part of the appeals process, the plaintiff also submitted a letter from Nurse Linn. Nurse Linn wrote that the plaintiff was under the care of Dr. Blieberg and that the plaintiff was "so uncomfortable that she is unable to walk up a flight of stairs to access her children's rooms. Her husband has taken over most of the household chores and shopping type activities." AR at 162. Nurse Linn further recounted:
On exam, she has normal deep tendon reflexes with negative Homan's sign. Her cranial nerves were grossly intact. She does have decreased range of motion of the cervical spine with complaint of pain as well as decreased range of motion in the lumbar spine. She is able to extend her upper extremities to about 90