A progress note from Sonia Krotkov, PA-C (Obstetrics & Gynecology), dated 04/22/2016, indicated that the claimant presented with a history of gonadal dysgenesis. She also had primary amenorrhea. She complained of frequent bloody discharge on the patch, Angeliq, and Loloestrin. She has osteoporosis due to a long history of low estrogen. Her BMI was 36.02. She was diagnosed with an ovarian dysfunction and gonadal dysgenesis. A visit note from Dr. Lori Calabrese (Psychiatry), dated 04/07/2017, indicated that the claimant stated that she feels overwhelmed by her symptoms. She had an intermittent abrupt onset of eye heaviness, and when her eyes, arms, hands, and upper body was too heavy to hold upright, she was unable to type. She stated that she had to wait for the weakness of the arms to pass before she would be able to lift …show more content…
Calabrese, dated 05/05/2017, indicated that the claimant continued to have muscle weakness with her arms hanging down. She reported feeling down, depressed, hopeless, sleeping too much, and feeling tired on several days. Her PHQ-9 total score was 3. Her mood was very worried, and her affect was anxious and intensely expressed. Continued use of current medications was recommended. A visit note from Dr. Calabrese, dated 06/02/2017, indicated that the claimant reported getting very anxious, stressed out, or stressed out beyond frustration. Her eyes get heavy and close down, and her arms drop. She had been trying to keep herself calm. She reported feeling tired or having little energy on several days. Her PHQ-9 score was 1. Continued use of current medications was recommended. A visit note from Dr. Richard Nowak (Neurology), dated 07/12/2017, indicated that the claimant presented for a follow-up in the EMG laboratory. Electrodiagnostic testing was normal. The antibody test for myasthenia gravis, including AChR and <uSK autoantibodies, were negative/not detected. A referral to neurologist and sleep specialist was