Karen Shields v. Credit One Bank, N.A. ( 2022 )


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  •                  FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    KAREN SHIELDS,                            No. 20-15647
    Plaintiff-Appellant,
    D.C. No.
    v.                       2:19-cv-00934-
    JAD-NJK
    CREDIT ONE BANK, N.A.; CREDIT
    ONE FINANCIAL; SHERMAN
    FINANCIAL GROUP, LLC,                       OPINION
    Defendants-Appellees.
    Appeal from the United States District Court
    for the District of Nevada
    Jennifer A. Dorsey, District Judge, Presiding
    Argued and Submitted August 17, 2021
    Seattle, Washington
    Filed May 6, 2022
    Before: William A. Fletcher, Paul J. Watford, and
    Daniel P. Collins, Circuit Judges.
    Opinion by Judge Collins
    2                SHIELDS V. CREDIT ONE BANK
    SUMMARY *
    Employment Discrimination
    The panel reversed the district court’s dismissal of an
    employment discrimination action under Title I of the
    Americans with Disabilities Act and remanded.
    Kate Shields alleged that her former employer violated
    the ADA by failing to accommodate her disability and
    instead terminating her from her human resources job after
    she underwent a bone biopsy surgery of her right shoulder
    and arm. The district court concluded that Shields failed to
    plead a “disability” because she did not adequately allege
    that she had “a physical or mental impairment that
    substantially limit[ed] one or more major life activities.”
    Applying the ADA Amendments Act of 2008 and
    regulations issued in 2011, the panel held that in order to be
    substantially limiting, an impairment need not involve
    permanent or long-term effects. The panel concluded that
    Shields pleaded facts plausibly establishing that she had a
    physical impairment both during an immediate post-surgical
    period and during an extension period in which her surgeon
    concluded that her injuries had not sufficiently healed to
    permit her to return to work. The panel also concluded that
    the activities that Shields pleaded she was unable to perform
    qualified as “major life activities,” which include caring for
    oneself, performing manual tasks, lifting, and working.
    Finally, the complaint adequately alleged that Shields’s
    *
    This summary constitutes no part of the opinion of the court. It
    has been prepared by court staff for the convenience of the reader.
    SHIELDS V. CREDIT ONE BANK                   3
    impairment substantially limited her ability to perform at
    least one major life activity.
    COUNSEL
    Michael P. Balaban (argued), Law Offices of Michael P.
    Balaban, Las Vegas, Nevada, for Plaintiff-Appellant.
    David Lawrence Schenberg (argued), Ogletree Deakins
    Nash Smoak & Stewart P.C., St. Louis, Missouri; Anthony
    L. Martin, Amy L. Howard, and Dana B. Salmonson,
    Ogletree Deakins Nash Smoak & Stewart P.C., Los Angeles,
    California; for Defendants-Appellees.
    OPINION
    COLLINS, Circuit Judge:
    Karen Shields alleges that her former employer violated
    Title I of the Americans with Disabilities Act (“ADA”) by
    failing to accommodate her disability and instead
    terminating her. Because the district court applied the wrong
    legal standards in holding that Shields had failed to plead a
    “disability,” we reverse its dismissal of Shields’s complaint.
    I
    Because the district court resolved this case on a motion
    to dismiss under Federal Rule of Civil Procedure 12(b)(6),
    we must take as true the operative complaint’s well-pleaded
    allegations, including any such allegations that rely on the
    incorporation of documents attached to the complaint, and
    we draw all reasonable inferences in favor of Shields. See
    Hawkins v. Kroger Co., 
    906 F.3d 763
    , 767 n.2 (9th Cir.
    4              SHIELDS V. CREDIT ONE BANK
    2018); Courthouse News Serv. v. Planet, 
    750 F.3d 776
    , 780
    n.4 (9th Cir. 2014). Applying those standards, we take the
    following facts as established for purposes of this appeal.
    In November 2017, Shields began working in the Human
    Resources (“HR”) Department of Defendant Credit One
    Bank, N.A. (“Credit One”) in Las Vegas, Nevada. Her
    formal job title was “HR Generalist I,” and the official job
    description for that position listed a variety of basic
    “physical requirements” that “must be met by an employee
    to successfully perform the essential functions of this job.”
    These requirements included the ability to “use hands to
    finger, handle, [and] feel,” to “reach with hands and arms,”
    and, occasionally, to “lift and/or move up to 2 pounds.” The
    job description also stated, however, that “[r]easonable
    accommodations may be made to enable individuals with
    disabilities to perform the essential functions” of the job.
    After a concern arose in January 2018 that Shields might
    have bone cancer, she was scheduled for a bone biopsy
    surgery, which took place on April 20, 2018. The biopsy
    surgery was a significant procedure that required a three-day
    hospitalization. In order to obtain the necessary tissue
    samples from Shields’s right shoulder and arm, the surgeon
    made what the complaint described as a “10 centimeter skin
    incision” and created a window “into the bone measuring
    one centimeter in width by two centimeters in length.”
    Subsequent testing of the samples revealed that “everything
    was benign” and that Shields did not have cancer after all.
    Nonetheless, given the substantial physical impact of the
    biopsy surgery itself, Shields was unable to return to work
    for several months. Specifically, her postsurgical injuries
    prevented her from, inter alia, fully using her right arm,
    shoulder, and hand to lift, pull, push, type, write, tie her
    shoes, or use a hair dryer. In order to verify Shields’s
    SHIELDS V. CREDIT ONE BANK                    5
    inability to work, her surgeon, Dr. Hillock, completed a copy
    of Credit One’s standard “ADA Employee Accommodation
    Medical Certification Form.” In completing the form,
    Dr. Hillock stated that Shields would be unable to perform
    her essential job functions, with or without accommodation,
    for two months. In the portion of the form that asked him to
    identify the “major life activities” that “are substantially
    limited by the medical condition or accompanying
    treatment,” Dr. Hillock listed “sleeping, lifting, writing,
    pushing, pulling [and] manual tasks.” After submission of
    the form, Shields was approved for an unpaid, eight-week
    “medical leave of absence as an accommodation under the
    ADA.” The leave was unpaid rather than paid because
    Shields did not qualify for paid leave under the Family and
    Medical Leave Act.
    Dr. Hillock initially estimated that Shields would be able
    to return to work on June 20, 2018. However, as that date
    approached, Shields still lacked full use of her right
    shoulder, arm, and hand. Accordingly, on June 18, 2018,
    Dr. Hillock prepared a note indicating that Shields was still
    unable to return to work. The relevant portion of the note
    stated, in its entirety: “Patient has an appointment on 7/10 at
    which point a return to work date will be discussed. Unable
    to work until appointment.”
    Shortly after receiving Dr. Hillock’s note, the assistant
    vice president of Credit One’s HR Department called Shields
    and asked her to come into the office the next day. Shields
    asked “if she was being fired,” and the assistant vice
    president said that she was not and that they needed her to
    come in to discuss “her healthcare premium.” When Shields
    reported to the office, however, she was told that her position
    was being eliminated and that she was therefore being
    6              SHIELDS V. CREDIT ONE BANK
    terminated. Her healthcare coverage was consequently
    terminated about a week later.
    Shields filed a complaint with the Equal Employment
    Opportunity Commission (“EEOC”), and she received a
    “Notice of Right to Sue” on March 5, 2019. See 
    42 U.S.C. § 12117
    (a) (stating that employment-based claims under
    Title I of the ADA are generally subject to the remedies and
    procedures set forth in Title VII of the Civil Rights Act of
    1964); see also 42 U.S.C. § 1981a(a)(2) (stating that, in
    addition to the remedies under Title VII, a plaintiff asserting
    “unlawful intentional discrimination” in violation of § 102
    of the ADA may also recover, subject to certain limitations,
    “compensatory and punitive damages”). Shields thereafter
    timely filed this action in the district court in June 2019. Her
    operative first amended complaint asserts a single cause of
    action alleging disability discrimination in violation of § 102
    of the ADA. See 
    42 U.S.C. § 12112
    . Specifically, the
    complaint alleges that, as a reasonable accommodation for
    her temporary disability arising from the biopsy surgery,
    Credit One “had a continuing duty under the ADA to extend
    Shields’[s] medical leave of absence” for the “short”
    additional period of time “until she was able to return to her
    job.” Instead, Shields alleged, Credit One unlawfully
    terminated her. Shields sought, inter alia, back pay,
    compensatory damages, punitive damages, and attorney’s
    fees.
    The district court granted Credit One’s motion to dismiss
    the complaint under Rule 12(b)(6). The court concluded
    that, for two reasons, Shields had failed adequately to plead
    a disability within the meaning of the ADA. First, citing the
    2010 version of the EEOC regulations defining disability,
    the court held that Shields had failed to plead facts showing
    “any permanent or long-term effects for her impairment”
    SHIELDS V. CREDIT ONE BANK                             7
    (emphasis added). Second, the court concluded that Shields
    failed to allege sufficient factual detail to “state a plausible
    impairment” during the requested extension of her medical
    leave of absence. The court entered judgment, and Shields
    filed a timely notice of appeal. 1
    II
    In dismissing this action, the district court relied solely
    on the ground that the operative complaint failed adequately
    to allege the threshold element that Shields had a “disability”
    within the meaning of the ADA. Section 3, paragraph (1),
    of the ADA defines the term “disability” as follows:
    1
    At the time the district court ruled on Credit One’s motion to
    dismiss, the record was unclear as to whether two additional Defendants,
    Credit One Financial and Sherman Financial Group, LLC, had been
    served. As it turned out, they had been served at the outset of the case,
    but the district court did not know that because Shields at that point had
    failed to file proofs of service as required by Federal Rule of Civil
    Procedure 4(l)(1). Shortly before the district court ruled, the court clerk
    issued a notice stating that, unless Shields filed proofs of service before
    April 11, 2020, these additional Defendants would be dismissed without
    prejudice for lack of service under Rule 4(m). But without awaiting
    Shields’s response to that notice (which was not filed until after
    judgment was entered), the district court granted Credit One’s motion
    and ordered dismissal of “this case with prejudice” and instructed the
    clerk to “enter judgment accordingly and close this case” (emphasis
    added). Because the district court’s reasons for granting Credit One’s
    motion to dismiss were fatal to the underlying substantive viability of
    Shields’s claim as a whole, the court had authority to enter such a case-
    dispositive order without resolving the question of whether the
    remaining Defendants had been served. See, e.g., Columbia Steel
    Fabricators, Inc. v. Ahlstrom Recovery, 
    44 F.3d 800
    , 802 (9th Cir. 1995)
    (“We have upheld dismissal with prejudice in favor of a party which had
    not yet appeared, on the basis of facts presented by other defendants
    which had appeared.”). The district court’s judgment was therefore final
    and reviewable, and we have jurisdiction under 
    28 U.S.C. § 1291
    .
    8              SHIELDS V. CREDIT ONE BANK
    The term “disability means, with respect to
    an individual—
    (A) a physical or mental
    impairment that substantially limits
    one or more major life activities of
    such individual;
    (B) a record         of   such   an
    impairment; or
    (C) being regarded as having such
    an impairment (as described in
    paragraph (3)).
    
    42 U.S.C. § 12102
    (1). On appeal, Shields relies solely on
    the first of these three alternatives. Accordingly, the
    question here is whether Shields adequately pleaded that she
    has “a physical or mental impairment that substantially
    limits one or more major life activities.” 
    Id.
     § 12102(1)(A).
    The district court concluded that Shields had failed
    adequately to plead that she had a “disability” under this
    definition, because (1) she had failed to allege enough facts
    to establish that she had an “impairment”; and (2) even if she
    had alleged an “impairment,” she had failed to establish a
    substantial limitation arising from that impairment, because
    she had not pleaded “facts that plausibly show any
    permanent or long-term effects for her impairment.”
    Because the latter argument implicates the legal standards
    governing such a claim of disability, we address it first.
    A
    In holding that an impairment is not substantially
    limiting unless it involves “permanent or long-term effects,”
    SHIELDS V. CREDIT ONE BANK                     9
    the district court relied dispositively on Curley v. City of
    North Las Vegas, which held that an impairment is not
    “substantially limiting” if its “expected long term impact . . .
    is small.” 
    2012 WL 1439060
    , at *3 (D. Nev. 2012)
    (emphasis added), aff’d on other grounds, 
    772 F.3d 629
     (9th
    Cir. 2014). Curley purported to derive this temporal
    requirement from the definition of “substantially limits” that
    was contained in the EEOC’s 2010 regulations concerning
    the ADA. Specifically, Curley stated that the EEOC
    regulations provided that, in “determining whether an
    individual is substantially limited in a major life activity,” a
    court should consider: “(i) the nature and severity of the
    impairment[;] (ii) the duration or expected duration of the
    impairment; and (iii) the permanent or long-term impact, or
    the expected permanent or long-term impact resulting from
    the impairment.” 
    Id.
     (quoting 
    29 C.F.R. § 1630.2
    (j)(2)
    (2010)) (emphasis added). The district court’s reliance on
    Curley and the 2010 regulations was legally erroneous.
    Section 106 of the ADA has long granted the EEOC
    authority to “issue regulations” to “carry out” Title I of the
    ADA, see 
    42 U.S.C. § 12116
    , and as Curley noted, the
    EEOC invoked that authority in issuing regulations
    elaborating on the definition of “disability” in the
    employment context. In 2008, however, Congress enacted
    the ADA Amendments Act of 2008 (“ADAAA”) for the
    express purpose, inter alia, of rejecting the narrow
    understanding of “substantially limits” that had been
    adopted in several Supreme Court decisions. See ADAAA,
    Pub. L. No. 110-325, § 2(b)(2), (4)–(5), 
    122 Stat. 3553
    , 3554
    (2008), 
    42 U.S.C. § 12101
     note. In particular, the ADAAA
    declares that one of its purposes is to “reject” the Supreme
    Court’s holdings that (1) the phrase “substantially limits” in
    the ADA’s definition of “disability” needs “to be interpreted
    strictly to create a demanding standard for qualifying as
    10                SHIELDS V. CREDIT ONE BANK
    disabled”; and (2) in order to establish a substantially
    limiting impairment, “an individual must have an
    impairment that prevents or severely restricts the individual
    from doing activities that are of central importance to most
    people’s daily lives.” 
    Id.
     § 2(b)(4) (quoting Toyota Motor
    Mfg., Ky., Inc. v. Williams, 
    534 U.S. 184
    , 197–98 (2002)).
    Notably, the ADAAA’s findings also expressly state that the
    “current [EEOC] ADA regulations defining the term
    ‘substantially limits’ as ‘significantly restricted’ are
    inconsistent with congressional intent, by expressing too
    high a standard.” 
    Id.
     § 2(a)(8), 122 Stat. at 3554. The
    referenced 2008 version of the EEOC regulations that the
    ADAAA expressly rejects as too restrictive are identical to
    the 2010 version of the regulations applied by the district
    court in Curley and, derivatively, by the district court in this
    case. 2
    Although the ADAAA expressly rejects the narrow
    definition of “substantially limits” in the then-existing
    EEOC regulations and in Toyota Motor, the ADAAA did not
    enact a new general definition of “disabled” or “substantially
    limits.”3 The ADAAA instead accomplishes its purpose to
    alter the then-existing state of the law through a series of
    more indirect measures. First, the ADAAA amended § 3 of
    the ADA by adding several “[r]ules of construction,”
    together with language directing that the “definition of
    2
    Curley assumed that the 2010 version of the EEOC regulations
    constituted an amended “post-ADAAA” version, see 
    2012 WL 1439060
    ,
    at *3, but it was mistaken in that view.
    The ADAAA did enact a new definition of § 3’s third alternative
    3
    method of establishing a “disability,” namely, that an individual has been
    “regarded as having such an impairment,” 
    42 U.S.C. § 12102
    (1)(C)
    (emphasis added). See 
    42 U.S.C. § 12102
    (3)(A) (defining that phrase).
    As noted earlier, Shields does not rely on that alternative.
    SHIELDS V. CREDIT ONE BANK                       11
    ‘disability’ in paragraph (1) shall be construed in accordance
    with” them. See 
    42 U.S.C. § 12102
    (4). These rules of
    construction include the principles that (1) “[t]he definition
    of disability in [the ADA] shall be construed in favor of
    broad coverage of individuals under [the ADA], to the
    maximum extent permitted by the terms of [the ADA]”;
    (2) “[t]he term ‘substantially limits’ shall be interpreted
    consistently with the findings and purposes of the ADA
    Amendments Act of 2008”; and (3) “[a]n impairment that is
    episodic or in remission is a disability if it would
    substantially limit a major life activity when active.” 
    Id.
    § 12102(4)(A), (B), (D). Second, the ADAAA directs the
    EEOC to “revise that portion of its current regulations that
    defines the term ‘substantially limits’ as ‘significantly
    restricted’ to be consistent with [the ADAAA], including the
    amendments made by [the ADAAA].” See ADAAA,
    § 2(b)(6), 122 Stat. at 3554. Third, the ADAAA amended
    the ADA to include, as § 506, the following new provision
    describing the EEOC’s regulatory authority under Title I of
    the ADA:
    The authority to issue regulations granted to
    the Equal Employment Opportunity
    Commission . . . under this [Act] includes the
    authority to issue regulations implementing
    the definitions of disability in section [3 of
    the ADA, 
    42 U.S.C. § 12102
    ] (including
    rules of construction) . . . , consistent with the
    ADA Amendments Act of 2008.
    42 U.S.C. § 12205a. 4
    4
    Prior to the addition of this language, the EEOC’s express
    regulatory authority in § 106 extended only to issuing regulations to
    12                SHIELDS V. CREDIT ONE BANK
    The EEOC issued new regulations in 2011 that
    significantly amended the regulatory definition of
    “[s]ubstantially limits” in 
    29 C.F.R. § 1630.2
    (j) and that also
    revised the accompanying “Appendix” to the rules that
    included, inter alia, “interpretive guidance” concerning that
    definition. These new provisions confirm that the district
    court in this case (and the district court in Curley) erred in
    holding that an impairment is “substantially limiting” only if
    it involves “permanent or long-term” effects.
    In particular, the new regulations contain a specific
    provision, and accompanying guidance, that expressly
    address the question of whether a temporary impairment can
    count as a “disability” within the meaning of the ADA. As
    amended in 2011, the EEOC regulation that defines the
    phrase “substantially limits” now contains a subsection
    stating that “[t]he effects of an impairment lasting or
    expected to last fewer than six months can be substantially
    limiting.” 
    29 C.F.R. § 1630.2
    (j)(1)(ix) (emphasis added).
    By its plain terms, the regulation thus explicitly rejects the
    sort of categorical rule applied by the district court here,
    under which a “disability” would require a showing of
    “permanent or long-term effects.”
    carry out Title I of the ADA, see 
    42 U.S.C. § 12116
     (codified version of
    § 106) (recognizing regulatory authority to “carry out this subchapter,”
    which corresponds to Title I) (emphasis added). The definition of
    “disability,” however, is not in Title I (or, in the codified version,
    “subchapter I”), but in preliminary provisions that precede it. That might
    conceivably have supported an argument questioning the EEOC’s
    authority to issue regulations construing that definition. The ADAAA’s
    addition of a new § 506 eliminates any such argument by confirming that
    the EEOC’s regulatory authority affirmatively extends to
    “implementing” the ADA’s definition of “disability . . . (including rules
    of construction),” even though that definition and its accompanying rules
    of construction are not in Title I. See 42 U.S.C. § 12205a.
    SHIELDS V. CREDIT ONE BANK                    13
    This same regulation contains additional language that
    confirms how the EEOC’s rejection of any such categorical
    “long-term effects” requirement follows from the post-
    ADAAA language of the ADA. As noted earlier, the ADA
    contains three alternative definitions of “disability”—i.e.,
    (1) substantially limiting impairments, (2) a “record of such
    an impairment,” and (3) “being regarded as having such an
    impairment”—and the ADAAA amended only the third of
    those three alternatives, which is contained in § 3(1)(C) of
    the ADA. See supra at 7–8, 10–11 & n.3. Specifically, the
    ADAAA added, inter alia, the following limitation on this
    third “regarded as” alternative definition of disability:
    “Paragraph (1)(C) shall not apply to impairments that are
    transitory and minor. A transitory impairment is an
    impairment with an actual or expected duration of 6 months
    or less.” 
    42 U.S.C. § 12102
    (3)(B) (emphasis added). The
    fact that Congress added such a “transitory and minor”
    limitation only to the “regarded as” alternative in § 3(1)(C)
    and not in the other two alternative definitions of “disability”
    strongly confirms that no such temporal limitation applies to
    those other two alternatives. See Russello v. United States,
    
    464 U.S. 16
    , 23 (1983) (“[W]here Congress includes
    particular language in one section of a statute but omits it in
    another section of the same Act, it is generally presumed that
    Congress acts intentionally and purposely in the disparate
    inclusion or exclusion.”) (citation omitted). The EEOC’s
    regulation recognizes this statutory distinction by expressly
    providing that the six-month “transitory and minor”
    limitation applies only to the “regarded as” prong of the
    definition of disability and “does not apply to the definition
    of ‘disability’ under paragraphs (g)(1)(i) (the ‘actual
    disability’ prong) or (g)(1)(ii) (the ‘record of’ prong) of this
    section.” 
    29 C.F.R. § 1630.2
    (j)(1)(ix).
    14             SHIELDS V. CREDIT ONE BANK
    The explanatory guidance that accompanies
    § 1630.2(j)(1)(ix) further confirms that the “effects of an
    impairment lasting fewer than six months can be
    substantially limiting.” 29 C.F.R., Pt. 1630, App. (portion
    addressing § 16302.(j)(1)(ix)) (capitalization omitted). The
    guidance explains that, although the “duration of an
    impairment” remains “one factor that is relevant in
    determining whether the impairment substantially limits a
    major life activity,” there is no categorical rule excluding
    short-term impairments, which “may be covered if
    sufficiently severe.” Id. (citation omitted). As the guidance
    explains:
    [A]n impairment does not have to last for
    more than six months in order to be
    considered substantially limiting under the
    first or the second prong of the definition of
    disability. For example, as noted above, if an
    individual has a back impairment that results
    in a 20-pound lifting restriction that lasts for
    several months, he is substantially limited in
    the major life activity of lifting, and therefore
    covered under the first prong of the definition
    of disability.
    Id. (emphasis added).
    Because the ADA and its implementing EEOC
    regulations make clear that the actual-impairment prong of
    the definition of “disability” in § 3(1)(A) of the ADA is not
    subject to any categorical temporal limitation, the district
    court committed legal error in holding, based on the pre-
    ADAAA regulations, that a claim of such an actual
    “impairment” requires a showing of long-term effects. Cf.
    Summers v. Altarum Inst., Corp., 
    740 F.3d 325
    , 331–32 (4th
    SHIELDS V. CREDIT ONE BANK                         15
    Cir. 2014) (upholding as reasonable under Chevron U.S.A.
    Inc. v. Natural Res. Def. Council, Inc., 
    467 U.S. 837
     (1984),
    the EEOC regulation’s inclusion of “severe temporary
    impairments” within § 3(1)(A)’s definition of actual
    “disability”). 5
    B
    The only remaining question is whether Shields
    adequately pleaded that she had a “disability” under the
    correct legal standards. To establish a “disability” under the
    first alternative definition in § 3(1)(A), Shields had to plead
    facts plausibly establishing that she had “[1] a physical or
    mental impairment [2] that substantially limits [3] one or
    more major life activities.” 
    42 U.S.C. § 12102
    (1)(A). We
    conclude that Shields adequately pleaded all three elements.
    First, the operative complaint pleads sufficient facts to
    establish an “impairment.” The complaint alleges that
    Shields’s bone biopsy surgery involved a 10-centimeter
    incision that “created a wi[n]dow into the bone measuring
    one centimeter in width by two centimeters in length for the
    purpose of harvesting tissue from [Shields’s] shoulder and
    arm.” The substantial injuries inherent in this intrusive
    surgery rendered Shields, according to the complaint,
    “unable to fully use her right shoulder, arm and hand” and
    unable to perform such tasks as “lifting, pushing and pulling
    things with her shoulder, arm and hand, typing on a
    computer keyboard or otherwise, handwrit[ing], or even
    [tying] her shoes or lift[ing] a hair dryer to dry her hair.”
    5
    In contrast to the defendant in Summers, Credit One has not
    “contend[ed] that the EEOC regulations defining a disability to include
    short-term impairments do not warrant deference under Chevron.”
    740 F.3d at 331.
    16             SHIELDS V. CREDIT ONE BANK
    Although it was anticipated that Shields would recover from
    these surgery-related injuries by June 20, 2018, the
    complaint alleges that Dr. Hillock concluded on June 18,
    2018 that Shields was still unable to work. These allegations
    adequately allege that, due to her biopsy surgery, Shields had
    a physical “impairment,” both in the ordinary sense of that
    term and in the sense described in the EEOC’s regulations.
    See Impairment, WEBSTER’S THIRD NEW INTERNATIONAL
    DICTIONARY (1981 ed.) (“the state of being impaired:
    INJURY”); Impair, id. (“to make worse: diminish in quantity,
    value, excellence, or strength: do harm to: DAMAGE,
    LESSEN”); see also 
    29 C.F.R. § 1630.2
    (h)(1) (defining a
    physical impairment to include “[a]ny physiological
    disorder or condition . . . affecting one or more body
    systems”).
    In reaching a contrary conclusion, the district court drew
    a distinction between Shields’s initial condition in the first
    eight weeks after her surgery and her condition “during the
    extension period.” As to the latter, the court held, Shields
    needed to plead additional facts “explaining the cause for the
    extension” and setting forth more specifically “her
    limitations during the extension period.” We disagree. As
    the district court implicitly recognized, the allegations
    concerning Shields’s condition during the initial eight weeks
    are sufficiently “well-pleaded” to “give rise to a plausible
    inference” that she had an impairment, Ashcroft v. Iqbal,
    
    556 U.S. 662
    , 682 (2009), and we think the same is true
    when the complaint adds the further factual allegation that
    Shields’s surgeon had concluded that her condition had not
    improved sufficiently by the end of those eight weeks to
    permit her to return to work. While it perhaps would have
    been a wise legal strategy for Shields to have supplied, in her
    amended complaint, the additional detail that the district
    court had requested, Iqbal did not require Shields to include
    SHIELDS V. CREDIT ONE BANK                    17
    more granular details about the exact nature of her then-
    existing limitations that caused the surgeon to conclude that
    her injuries had not sufficiently healed. See 
    id. at 678
    (although the “pleading standard Rule 8 announces” requires
    more than “unadorned” conclusory assertions, it “does not
    require ‘detailed factual allegations’”) (citation omitted).
    Second, the activities that Shields pleaded she was
    unable to perform qualify as “major life activities” under the
    ADA. 
    42 U.S.C. § 12102
    (1)(A). The ADA expressly states
    that “major life activities include, but are not limited to,
    caring for oneself, performing manual tasks, seeing, hearing,
    eating, sleeping, walking, standing, lifting, bending,
    speaking, breathing, learning, reading, concentrating,
    thinking, communicating, and working.” 
    Id.
     § 12102(2)(A)
    (emphasis added). Here, the complaint specifically alleges
    that Shields’s post-surgery injuries impeded her ability to
    lift, to perform basic grooming tasks necessary to care for
    herself, and to perform manual tasks such as pushing or
    pulling. The complaint further alleges that Shields was
    unable to perform some of the core physical tasks included
    in her job description, such as lifting, reaching, fingering,
    and handling, which indicates that her ability to “work” was
    implicated as well. Cf. Weaving v. City of Hillsboro,
    
    763 F.3d 1106
    , 1112 (9th Cir. 2014) (stating that, under post-
    ADAAA law, a claim that a plaintiff has a “substantial
    limitation on his [or her] ability to work” would require
    “showing that [the plaintiff] was limited in his [or her] ability
    to work compared to ‘most people in the general
    population’” (quoting 
    29 C.F.R. § 1630.2
    (j)(1)(ii)). These
    allegations amply describe “major life activities” as defined
    by the ADA.
    Finally, the complaint adequately alleges that Shields’s
    impairment “substantially limit[ed]” her ability to perform
    18              SHIELDS V. CREDIT ONE BANK
    these major life activities. As amended by the ADAAA, the
    ADA expressly provides that the “determination of whether
    an impairment substantially limits a major life activity shall
    be made without regard to the ameliorative effects of
    mitigating measures,” such as medication, medical supplies,
    or other aids. 
    42 U.S.C. § 12102
    (4)(E)(i) (emphasis added).
    The ADA further states that an impairment need only
    substantially limit one major life activity in order to give rise
    to a covered disability. 
    Id.
     § 12102(4)(C). The statute also
    provides that, as a general matter, the definition of
    “disability” is to be “construed in favor of broad coverage of
    individuals” under the ADA, “to the maximum extent
    permitted by the terms” of the Act. Id. § 12102(4)(A). The
    definition of “substantially limits,” in particular, is to “be
    interpreted consistently with the findings and purposes” of
    the ADAAA, id. § 12102(4)(B), which include the
    admonition that “the question of whether an individual’s
    impairment is a disability under the ADA should not demand
    extensive analysis,” see ADAAA, § 2(b)(5), 122 Stat. at
    3554. See also 
    29 C.F.R. § 1630.2
    (j)(1)(i) (“‘Substantially
    limits’ is not meant to be a demanding standard.”). Taking
    these standards together with those we have set forth earlier,
    see supra at 12–15, we conclude that Shields’s complaint
    sufficiently pleads a substantial limitation on her ability to
    perform at least one major life activity.
    As we have explained, see supra at 14, the formal
    guidance accompanying the amended EEOC regulations
    specifically states that a temporary impairment that impedes
    the performance of a major life activity and that “lasts for
    several months” is “sufficiently severe” to qualify as
    “substantially limiting” within the meaning of the ADA and
    the EEOC regulations. 29 C.F.R., Pt. 1630, App. (portion
    addressing § 1630.2 (j)(1)(ix)). Thus, while Credit One is
    correct in noting that the guidelines confirm that the
    SHIELDS V. CREDIT ONE BANK                  19
    “duration of an impairment” remains “one factor that is
    relevant in determining whether the impairment
    substantially limits a major life activity,” Shields’s alleged
    impairment—which involved a substantial inability to
    perform certain major life tasks for more than two months—
    is clearly of sufficient duration and impact to qualify. Id.;
    see also Nunies v. HIE Holdings, Inc., 
    908 F.3d 428
    , 436
    (9th Cir. 2018) (holding that, under post-ADAAA
    amendments and regulations, plaintiff was substantially
    limited in the major life activities of “lifting and possibly
    working” when his “shoulder injury” impaired his ability to
    lift his arm “above chest height” without experiencing
    “stabbing pain and numbness” and precluded him from
    lifting more than 25 pounds).
    *       *       *
    Because Shields adequately alleged that, during the
    period of her requested extension, she suffered from a
    “disability” within the meaning of the ADA, we reverse the
    district court’s dismissal of her operative complaint.
    REVERSED and REMANDED.