McCall v. American Electric Power System Long Term Disability Plan

Filing 19

MEMORANDUM OPINION. Signed by Judge Samuel G. Wilson on 06/15/2012. (rkc)

CLERK' OFFI U..Dl O UR
S
GE 5 sm
AT R> œ ,
VA
FI
LED

J 15 2 1
UN
22
I TH E U NI
N
TED STA TES DI
STR I CO U R T
CT
FO R TH E W ESTE RN D I
STRI T O F V I G I I
C
R N A
R O AN O K E D I ISIO N
V

JULI C.
A DUDLE CLERK
Y
BY:

V ERO N ICA L.M C CA LL,
Pl ntf
ai if,

M EM OM NDUM OPI ON
NI

A M ERI N E LECTR I PO W ER
CA
C
SYSTEM LO N G TER M D ISA BI
LITY
PLA N,
Defendant
.

E

Ci lActon N o.7: cvvi
i
11- 00449

V.

ç

By:Sam uelG .W ison
l
Unied St es D i ri Judge
t
at
st ct

Thi i a a ton by pl ntf,Ve o c L. c l,a ns de e
s s n ci
ai if r nia M ca l gai t f ndant Ame ia Elcrc
,
rc n e ti

Po rSyse Lo Tem DiabiiyPln(he(Pln', purua t t Empl eRetrme
we tm ng r s lt a t t a ' 1 s nt o he
)
oye ie nt

l omeSe urt Ac of1974,a a nde 29U. C.j1 e s q.( )(I SA',al i
nc
c iy t
s me d,
S. 000, t e 2006 çERI ' legng
)
t tt Plni opel de edhe l tr diabiiy (S 'be ft. ThePl i awefr
ha he a mpr ry ni r ong-em s lt CLTD' neisz
)
mz s lae

b n ft a manan db Ame ia ElcrcP we S r ieCo p rto (AEP' frt eb n ft
e eipln itie y
rc n e ti o r e vc r o ain û ' o h e ei
i )
ofis e pl yee . M s. c lhasLTD c r unde t Pl a a A EP e pl yee. The
t m o s
M cal
ove age
r he an s n
m o

Pr de ilI urnceCompanyofAmerc (t de il'i t Pln' cam a nitao a
u nta ns a
ia Epnl nta') s he a s li dmi srtr nd
ha dic e i r r s ns biiy t pr s LTD c a m s The m a t ri be or t c to t
s s r tona y e po i lt o oce s
li .
te s f e he our n he

p ris c o smoi n frs mmayj d me t De pt av lmio sa miitaier c r i
a t ' r s- to s o u r u g n. s ie ou n u d nsrtv e od n
e
e es ofs ve hu e page , nc udi t r por sofs x t r pa t e r s d he he r oft
xc s e n ndr d
s i l ng he e t
i hid- r y xpe t , t
t
a t he
m a t r' asM s M c ls c
te ,'
. cal' ouns puti d i or la gum e ,i whe he Pr de i ' de s on t
el
t ur ng a r
nt s
t r u ntals ci i o
de herc ai w a t r s tofa de i a e, i i ed r s ni pr es . A c or ng t M s
ny
l m s he e ul
lber t prnc pl ea o ng oc s
c di o .
1Ther or cont nst pl docum ent , t frtofwhi beca e efectveDece ber31
ec d
ai wo an
s he is
ch
m f i
m

2 8Ct a 1'( 1 ECFNo.111 , n t es c n o whih b c meef cieM a 1 , 0(t a
00 pln ' Ex. ,
)
- ) a d h e o d f c e a fe tv y 6 201 ç n
pl
1' ( 2, No.1 - , ee r dt c lci l a t Pln.
13 Ex. ECF
12) r fre o ol tvey s he a
e
2M S. M ccal fl herorgi com pl nti t Cicui Cour f t Ciy ofRoanoke on Augus
l ied
i nal
ai n he r t
t or he t
t

l , 01 , n t Plnr ve i pu s nto 28U. C.j 1 a 1 6 wihj idci a s re
1 2 1 a d he a emo d t rua t
S. j 441 nd 44 t urs iton se td
u de 28U. C. 1 31.
n r
S. j 3

N

M c l i wasnott r ul ofadelbe a eprnci e r as ngpr s be a ePr nta
cal, t
he es t
i r t i pld e oni
oce s c us ude i l
f ied t c i rand a cou f a r po tf o a te tng phys c a a t s r s t s po tng
a l o ons de
c nt or e r r m r a i
i i n nd e t e uls up r i
hi concl ons whi i cat t M s.M ccal hasia s e cognii i paim ent' The cour
s
usi
ch ndi e hat
l
û ever
tve m r
.'
t

c n ld sta P u nil drve c nsd r a rj c t a e ie ei a c r n ewi is
o cu e h t r de ta di e iw, o ie , nd ee t h t vd nc n c o da c t t
h
ds rto Ac o dn l, h c u t r nst ePln' moinf rs mma yj d me t
icein. c r igy t e o r ga t h a s to o u r u g n .
1
.

M s M c ls i tm e be w e n dute asa ca lc nt rr pr s nt tve a asa
. cal plt i
t e
is
l e e e e e a i nd
n

a nitai a s aei t hlma r ouresde rme a AEP.( n. 68 Nov.
dmi srtve socit n he l n es c pa t nt t
Admi R. 4,
23,

201 . He j bd te we eS e na y'h t n ov dl t go yt e l i eweg t' n ta
1) r o uis r k de tr 't a i v le i i nl d gi bl ih 'a d h t
s
fn
n g
weepe f me û tysti '(#. t592. On Se tmbe 25,
r ror d i l itng. J-a
mos
'
)
pe r 2009,s be name c
he ga
dial
l a ofa e fom AEP duet ba k pan, pr s i c oni f tg ,a c tvea
e ve bs nce r
o c i de e son, hr c ai ue nd ognii nd
m em or i ues. She underwents
y ss
urger on t day,f om w hi s l ers fer
y
hat
r
ch he at uf ed

c plc i ,a s a s ha t oi is s t tcul i t d i at oi c o y. On Fe u r
om i atons nd he l o d hyr d s ue ha m na e n hyr de t m
br a y
1 201 no l be or he pai s c l ve w a due t e r s a i f LTD be tt
9, 0, t ong f e r d i k ea
s
o xpie, he ppled or
ne i s

unde t Pln duet cognii pr e ( a unknown ei ogyo peha s c r t he
r he a
o
tve oblms of n
tol r r ps e onday o r
physc lpr e a t teame oft epr ems t ts cli prve edherfo
ia oblms nd he r t nt hos obl ) ha he ams e nt
rm
r t ni t w o k. Pr ntalde e M s M c l' i ta c a m a hera i s r tve a al .
e ur ng o r
ude i ni d . ca l s nii l l i nd
dm ni ta i ppe s
Fort fr tt e y- ourm ont f om t d t ofdi a lt ,3 S s biiy' i de i d unde
he is w nt f
hs r he a e
s biiy t a lt ' s fne
di
r

tePa a d nile so ij yt a r q ie t erg lrte t n o ad l q aiidp y iin
h ln s i ln s r nur h t e u rs h e ua rame t f uy u l e h sca
a
f
t tma ras bl beex ce t prve (hee oye jfom peronni t maeildute
ha y e ona y
pe td o e nt t mpl e r
f ng he tra is
ofg r o occ pai wihAEP'f ove 1 hou sofrgul l s he e wok (we y-i
hej wn u ton t
'or r 040 r e ary c duld r t nt sx

3The Pl agr Sept
an ees
ember25 2009 i M s. M ccal' da eofdiabiiy f pur esofherLTD
s
ls t
s lt or pos

cam .Ad n. 661.
li ( mi R. )
2

4

we f af t ho wor we k) ( a Ia 3,ECFNo.11 1 Pln1 a 4,ECFNo.1 2.
eks or ory- ur k e .P1n t
-; a 1 t
1- )

Thi 1 ho watngpei i t t lmi tonpei '( n.R.660. Ms. c lwoul
s 040 ur ii rod s he ç i nai rod. Admi
e
'
) M cal d
ha s tsi dt elm i ton pe i o M a c 27, 0 ha s ot l ie me t t s f
ve aife he i na i
rod n r h 201 d he hew s t he e t or

ds blt. I . t 61) Th Plnr q ie t be tv me ia e i n e' n c uinsta aSetr
ia ii (d a 6 . e a e urs t jcie dc l vde c 'a d a to h t d te
y
o
l
fom (hee oye s te tngphysca meel satngt t(hee o i)una et wor
r t mpl e'l rai
iin r y t i ha t mplyee s bl o k
wihou a s ri i or tonwilnotbec i rdasc usvepr ofofg r
t t ny uppo tng nf mai l
onsdee
oncl i o
he l

dia lt '( a Ia 1 seas Pln1 a 1 )
s biiy.'Pln t 2; e lo a 1 t 4.
M s M c ls it d e e i m e c lr o dsi s
. cal ubm te xt ns ve di a ec r n uppor ofhe LTD c a m and o f r
t
r
li
f e ed
s em e ale de e i c m ec i w ih he a i sr tve a a s Pr de i r t ne a t a
uppl nt vi nc n ol ton t r dm ni ta i ppe l . u ntal e ai d ot l
ofsx t r pa t e rs t ee c i c ps
i hid- ry xpe t- hr lni al ychol s s a orho di t a r ha lt to phys c a
ogit , n t pe s , e biia i n
i i n,
a a oc upa i lphys c a t pe f f lr c d r vi w s Thos expe t f
nd n c tona
i i n- o r onn ul e or e e .
e
r s ound no
i pa nue pr ve tng M s M c l f om r t ni t w or 5 The e e i a i s r tve
m i nt e n i
xt nsve dm nit a i
ca l r e ur ng o
k.
.

r or not t t ndi M s M c lss tf us se iey o a na r r ngeofevi nc
ec d wihsa ng, . cal' ui oc e ntr l n
row a
de e:
4Afert p f mont fom t dat ofdiabiiy, t defnii ofdiabiiy changest San
t went our
hs r he e
s lt he i ton
s lt
oç

il s o ij yt a rquie t r g a te t n ofaduyqu lfe p ysca t a ma r a on bybe
l s r nur h t e r s he e ulr r ame t
ne
l aiid h iin h t y e s a l
e e tdt p e e (hee o e)fo p ror n t du isofa yoc u to frwhih (he
xp ce o r v nt t mplye r m e f mig he te n c pain o c t
e lye i1r a o byquaiid b ge )e uc to taniga e re e. ( n. 66
mpo e s e s na l lfe y h r d ain,ri n nd xpeinc ' Admi R. 0)
'
(mph ssa e )
e a i dd d .
5Dr Je ierNash- rght clni ps
W i , i cal ychol s,c uded t tt clni evi
. nn f
ogit oncl
ha he i cal dence di not
d

s pp r dun ton li ime tfo aps c l ia c dii o dign i a p e e t'( n. 58 )
u o tt ci a mpar n r m y hoogc l on ton r a oss t r s n . Admi R. 3 .
f
'
Dr.W ilam Hum phres orhopedit concl
li
i , t
s,
udedt M s M ccal wasphyscaly capabl ofr t ni t
hat .
l
i l
e e ur ng o

wor i as de tr c p ct (d. t5 6. Dr BabaaPa k ,rha lttonp sca ,c l e t t
k n e na y a a iy. I a 7 ) . r r r e e biiai hy iin oncud d ha
out i ofone day of ofwor f M s. ccal' l barpuncur and t weeksof ofwor f he
sde
f
k or M
ls um
t e
wo
f
k or r
t oi t
hyr dec omy a r
nd ecover t e de di %nots
y, he vi nce d d uppor any medi l necess y r ti i or
t
caly
ar esrctons

lmiainsf s de tr a tviis. . t r fom g gu t7, 09 f r r '(d. t61 ) Dr Ro r
i tto or e na y ci te . a wo k r Au s 20 1 o wa d. l a 8. . be t
'
Yohman,clni ps
i cal ychol s,concl
ogit
uded t tt r wasEno c sentandvald evi
ha he e
t onsit
i dencet tM s.
ha

M c l h sgr ha a yps c o c l c gntves t mst t drsrc o lmit es lsn e
cal a o q d n y holgia or o ii ymp o ha woul e tit r i t h kil otd
i t qu sinorf rt etmepei s cte '(d. t1 . Dr Ru s lGr e o c aina ph iin
n he e to
o h i
rod pe i d. l a 76) . s el e n, c up to l ysca ,
i '
not t conce n ofs ver ot physi anst M s M ccal çi unabl t wor a al,butt bassf
ed he
r
e al her
ci hat .
l cs
eo
k t l
he i or

t i o nin g b le e di no tk it a c n tee tr t o teme c lrc d. (d. t1 . Dr
her pi o he eiv d dl t a e n o c ou t h n iey f h dia e or ' I a 6) .
'
Alons M a i clni alps
f o rtnez, i c ychol s,concl
ogit
udedt M s.M c lstlm ia i sari Sept
hat
cal' ûi ttons t tng
ember25,
2009 s d have been s tt
houl
hor-enn,a do notc tt ea per
nd
ons iut
manentf tonali nnentt woul
unc i
mpai
hat
d

c ntn t i i t cama ' a lt t wok o af ltmeba i. (d. t23.
o iue o mpar he li nts biiy o r n ul-i
ss' l a )
'
3

ne o yc a r c t tng by D r Thom asG ua te i ps hi t it on J r a y 28, 0;f l ur ps hi ti es i
.
li r, yc a rs , a m r
201 olow up
ne o yc a r c t tng by D r Sa e V a s m a , ychi ti t on Apr l29, 0'a a r t
ur ps hi ti es i
. nde p l l vi ps a r s ,
i
201 , nd epor
by Dr J l He l c i ca ps hol s ,da ed M a 7,2011 Dr G ua te i st s i c ns sed of
. o m i, lni l yc ogit t
y
. . li r ' e tng o i t
pa i ntc pl t s l ofps hol c - m otona fm c i ng,a t ry- i e ba t r of
te - om e ed ca es
yc ogi ale i l t toni
hit m nut te y

c
omputrz c nii s re ng,a f fc t fc ne ops hol c ts .Ad n.
eied og tve ce ni nd our a e-o-a e ur yc ogial aks ( mi R.
20. Dr Guater' t tngas i ude ak ldiyi c t 'pur t ydesg t a s s
) . li is esi lo ncl d û i t ndiaor' poredl ined o ses
va
M s M c lsef t(d. Dr Vas vic mpltdhi f l u e l tonofM s M c lafe
. cal' for.l ) . lhna o ee s olow-p vauai
. cal tr
s soppe tki s vealme c tons (d.a 1 ) Dr Vasma frt mos par duplc t
he t d a ng e r
diai . I t 53. . ll vi o he t t iaed

Dr Gu l eisn u o s h arctsi a drpo tdta M s M c l' û e r l gce m ( s
. at r' e r p yc iti e t n e re h t . cals t u o o i xa wa j
i
ng
n
ese i l unc
s ntaly hange '(d. Dr Helte tdM s M c l,eviwe he me c lr or , nd
d.' 1 ) . i rae . calr e d r dia ec ds a
pe f m e a f tona ca ciy e l i D r He ls a e t tM s M cca lw as s f rng f om
r or d unc i l pa t va uaton. . i t t d ha
.
l
uf e i r
$ pr r c ed he lh c i i' a t ti s r t d t wor i r c ton w o d c r a nl
$ ot a t
a
a t r s s' nd ha f he e unw o
k t ondii
he
ul e t i y

deei ae'(d. t31 )Hec l dt tt C ombi to ofme c la ps hol c
trort.'l a -32.
oncude ha he d
c nain
dia nd yc ogial
c tonsr re heruna et wok i a e r nta ghaqtme. (d.a 32.
ondii ende ldj
bl o r n ny nvionme t t t i ' l t )
'
Dr Y o a a c i c ps hol s w ho c l d t t r w asû co i t nta
. hm n, lni al yc ogi t
onc ude hat he e
t
no ns s e nd

vai e de t tM s M ccalhas( lhada ps hol ca orc tves omst t
ld vi nce ha .
l
or
ny yc ogi l ognii ympt ha
wo dr src o lmit s lsnotdi t q si o f t tmepe i s cfe '(d. t
ul etit r i the kil e n he ueton r or he i
rod pe iid,'i a
1 ,rviwe Dr Guate istsi a Dr Yohmanc rcei di a t welvai tdas
76) e e d . lir' e tng, nd .
haa trze t s t
not l ldae

a( aur ot s om valdiya efor ma ge ntbyc rntrs a c ltrtze'( a
me s e l ympt
i t nd f t na me
ure e e r h iealr,'1 t
1 ) Ac or ngt Dr Alons M a tne aci c lps hol s whoc l t tM s
75 . c di o . f o ri z, lnia yc ogit
oncuded ha .
M cca ls d i ia i s m i Se em be 25,2009 s d ha be n s tt r , do not
l' t m t tons t ng pt
l
r
houl ve e hor -e m and
co tt e ape m a n f t o li pa r e tt tw oul c i t i pa rt cl m a ' a lt
ns iut
r ne t unc i na m im n ha
d ontnue o m i he ai nt s biiy

t wor onaf ltmebass'(d.a 23 ,hevaldiyi c t us byDr Guali it ts efr
o k
ul-i
i,'i t ) t
i t ndiaor ed
. ter o et fo t

4

i M s M c l ' fr tr
n . ca ls is ound ofne ops hi t i t s i t s f le outoff vorbe a e i i not
ur yc a rc e tng û a l n
ha
a
c us t s

s fcenl s nstvet s
ufii ty e ii o uboptma ef t'(d. t24) c l i ' dbea er t
i l for, i a .He oncuded t t
'
woul
n ror o

drw a c l insa tt cama ' e f tba e ont 'vai t i c trusd.1 ) Dr
a ny oncuso bou he li nts for s d he' ldiy ndiao e (d. .
M a tne a s not t tDr V a sm a di notus a t tt a s s e f t ort A prlt s i
ri z l o ed ha . l l vi d
e es o s es f or f he
i e tng.

(d. Dr M atne f rhe c
I ) . ri z u t r omme e t tt ne ops hiti t tngdi C tbe nt a e s
ntd ha he ur yc arc esi d i
no gi o ddrs
g s M c l')c nii f toni t wa t ttadii ,fc t fcene ops hol c l
M . Ca1s og tve unci ng he y ha r tonal a e-o-a ur yc ogia
t tn c n.'I a 22. hDr M atne a DrRuselGre anoc upai lphysca
esig a '(d. t )Bot . ri z nd . s l e n,
c tona
iin,

n tdDr Helsr p r i t ero rp rs (d. t1 , - 2 *ae i h srpo tDr Gre
oe . i' e o t n h i wn e o t,i a 4 21 2 ) ltr n i e r, . e n
,
sae t thediag e d wih r c me tonspr d by M s M ccal fom va i use rs
t td ha
s r e t e om nda i
ovi ed
.
lr
ro xpe t

be a eSheba i f t ropi on( dlnottkeit a co t e trt oft me c l
c us ç
t ss or hei ni di
a no c unt he niey he dia

rc d,'i a 1 .
e or '(d. t 6)
O n J y 28, 1 Pr ntali s istna dec s on t de M s M c l' cl i a
ul
201 , ude i s ued t i l i i o ny . ca ls a m nd
i or e M s M c lofhe rghtt fl a c ai t de ERI . l Pr nta ' l te i or i
nf m d . cal
r i o ie l m m r SA n ude i l s e t r nf m ng
M s M cca lofis de alofhe s co a fna a
.
l t ni
r e nd nd i l ppea ,Appe l Spe i ls K i be l Cyrquot d
l
a s c a it m r y
e
e e i y fom t r por sofDr M a tne a Dr Gr n a s a e t tPr nta ha
xt ns vel r he e t
. r i z nd . ee nd t t d ha ude i l d
t hor
t oughl e l t t m e c li or a i n on f l ,a wel ast doc e a i n r e ved
t
y va ua ed he di a nf m to
ie s l he um nt t o ec i

wihM s Mccalsa l'(d.a 666. Cyrsae t ti wa Pr de i ' concusont twhie
t .
l' ppea. l t )
'
ttd ha t s u ntals l i ha l
Ms Mccalt dpei ofi ime duet he l rpuncur ( t 1 2009t o h
.
lt
ha rods mpar nt o r umba
t e Ocober ,
hrug
Oco r3, 09 ,hyr de t (
tbe 20 ) t oi comy Augus 4,201 tloughAugus 1 201 ,a de e so
t
0 lr
t 8, 0) nd prs in
( ptmbe 25,2009t oughM ac 25,
Se e r
hr
rh 2009 gij (i mont l,'s wa S c i rd
sc) sx
hsl' he s t onsdee
not
dia e a ofM ar 27,201 t daehe ei nai perod'woul ha be n stsi d.1 )
sbld s
ch
0,he t r lmi ton i ' d ve e aite (d.
I
l.

M s M c l c endst tPr nta a e is d s r ton by s l c i l r l ng on
. ca l ont
ha ude i l bus d t i c e i
e e tve y e yi
evi
dence t tseem ed t s
ha
o upportis deni whie i i evi
t
al l gnorng dence t f ed hercl m of
hat avor
ai
5

dia lt i pa tc a Dr Helsr po ta ne ops hi ti t tng r s t .Thec t
s biiy, n riulr . i' e r nd ur yc arc esi e uls
our
c ud t ta f i r di oft r c d i i a e t tPr n i ldi no f i t co i rt
oncl es ha a r ea ng he e or nd c t s ha ude t a d t a l o nsde he

e i e c , u rt e c n iee a drj ce i o t eg o n st t . i' rpo t s
v d n e b t ah r o sd rd n ee td t n h r u d ha Dr Hels e r wa
uns ppo t d a t tt ne ops hi t i t s i f ie t a qua el a s s M s M cca ls e f t
u r e nd ha he ur yc a rc e tng a l d o de t y s e s .
l' f or.
Be us t c tfnds c lc i vi w s oft e de c e ni t s ve iy o M s
ca e, he our i
onf i tng e
he vi nce onc r ng he e rt f .
M c l' c tve i pai nt t c r fndst tPr nta ' de i i w a no un e s bl
ca l s ognii m nne , he ou t i ha ude i ls c s on s t z a ona e

i ac e i onea rj ci t ohe .
n c ptng
nd ee tng he t r6
Ast Pl c e s di c e i on Pr n i t de e m i e i biiy,t c t e e st
he an onf r s r ton
ude tal o t r ne lgi lt he our r vi w he
de i i n t de be t t unde t a e ofdi c e i s a r Fie t Tie & Rub rCo.
c s o o ny ne i s
r he bus
s r ton t nda d. r s one r
be
v.

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Bensenv. piacae.l ,70F.d78 788(t Ci.1 .Su tn ile de ei
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6

g o n sb d No e v. toCo .8 5F.d 1 8 (t Ci. 9 9 (iain o te )
r u d y e b l Vir m , 8 2 1 0 4h r 1 8 ) ctto s mitd .
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t nta vi e d ons s s
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vi nc
y
o w t es

t naprpondea 'ofe de .I (ntr quoai maksa ciai omitd)
ha
e
rnce' vi nce d. i enal tton r nd tton te .
A c a m a i s r t m a notç el c i l r y upo bisa pi c ofi onna i n t t
l i dm nit a or y
s e tve y el
s
n t nd e es nf
to ha

s ppo t 1ade iint de be ft,rt rt nradi t physca 'a cot si a
u rg
cso o ny neis ahe ha e ng he iins c mt n
ras bl mn r'Ca ev. ' Ca .Co.289F.Supp.2d732,740( D. .2003) s as
e ona e nne . s Contl s ,
'
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; ee lo
Myesv.Hec e,25 F. 761 7 ( hCi. )
r
r uls 3 3d , 66 4t r 2001.Howe r i i note h t tadifrnt
ve, ts noug ha fee
c l i m a ha bee a l c ore n a be t rde s on.M ver , F. a 766. The c t
onc us on y ve n ogi al ve
te ci i
s 253 3d t
our
m us a c pt' ny r a ona e i e pr t ton' g ve by t Pl n.
t ce '
a e s bl nt r e a i ' i n
he a Ecke be r v.Re i st rLi e I .
l ry
la a f ns

Co.469F. 3 3 (t Ci.2006 .ûl i notl ea o bl ...oraplna nitaort
,
3d 40, 43 4h r
) tt s mr s na e f
a dmi srt o
gi e g ea e wei t isow n c ulan s det nui i t n t t r om m e tonsoft
v r t r ght o t
ons t t ' e natons ha o he ec
nda i
he
be t i r s o n doc or' M a sele v. f I .Co. N o t Am . 24 F.Supp. 593,596
ne k a y' w
t . r t l r Lie ns
'
of r h
,
2d

( . Va.1 (iai omit .
W D. 998) ctton ted)

M s M c l' mo inf rs mmayj g n f c s so wh ts ec a a trz sa a
. cals to o u r ud me t o u e n a h h r ce ie s
s e tvepa s ng ofm edi le de . M s M cca la g t tPr nta di notf l a
el c i
ri
ca vi nce
.
l r ues ha ude i l d
olow
de i r t ,prnc pl d r as ng pr s bec us i i nor d ne r ps a rc t s i a D r
lbe a e i i e e oni
oce s a e t g e u o ychi t i e tng nd .
He lsr por .1 The Pl n a guest r pors w e e i or a e i o t f lr vi w by ist r
i' e t
a r
he e t r nc por t d nt he ul e e
t hidpa t e r sa pr l di c
r y xpe t nd opery s ount d. The co tc l s t tPr dentalcons de e t t
e
ur onc ude ha u i
i r d ha
e de e a a t d w ihi isdi c e i i dicou i i. Bot t ne ops hi ti t tng a
vi nc nd c e t n t s r ton n s ntng t
h he ur yc a r c es i nd
D r Hei' r por w e e r f r nc d i r pors fom t r pa t e rst tPr nta r le upon
. ls e t r e e e e n e t r hid- ry xpe t ha ude i l e i d
hea l i is d t m i ton. D r Y o a di c e D r Guali r ' t tng be a e he
viy n t e er na i
. hm n s ount d .
t e is es i
c us
1M S M ccal al ar
l so guest ti Pr ntalf
ha f ude i ound t t tng s pr ded i ufk i t i
he es i he ovi ns f ent hen t
.
s d ha r
houl ve equesed addii
t
tonalt tng.Buteac ofPr
esi
h
udentalst r part experswasa et c
i ' hid- y
t
bl o omet
o
a concl i ast M s M ccal' i pai
uson o .
ls m nnentafe dic i t neur yc ati t tng and wei ng i
tr s ountng he
ops hi rc esi
ghi t
agai tt ot evi
ns he her dence i t r d.
n he ecor
7

c ne d dta i wa ç twel aiae a ag a u eols mp o vai t a d efr
o tn e h tt s ç
no l v ld td s me s r t y t m l y n fo t
di
ma ge ntbyc rntr e r hltrt e. ( mi R.1 ) Dr M a tne fundDr
na me
ure esa c ieaur ' Ad n. 75. . ri z o
'
.
Gua te i st tng unpe s i be a e i w a t ts tci nty s ns tve t s
li r ' es i
r uasve c us t s s ufi e l e ii o uboptm a e f t
no
i l for '
'

andnotdt tDr Vas vidi notus ats t ase sef tf t Aprlt tng(4.t24.
e ha . lhna d
ed et o s s for or he i esi Lza )
D r M a tne a Dr G r en bot r f r nc d D r H e ls r po t l t r i hi r por ,Dr G r e s a ed
. r i z nd . e
h e ee e
. i' e r ; a e n s e t . e n t t
t the di a ee wih r com m e tonspr d by M s M c lf om va i e r sbe us
ha
s gr d t e
nda i
ovi ed
. cal r
rous xpe t ca e

theba i frt i opi on g dqno tkei oa oun t e iey oft me c lr or '(d.a
t
t ss o her ni di t a nt cc t he ntrt he dia ec d.'l t

1 1 21 2. Pnz nta rfrnc dDr Guateist tngi islte i or ngM s M c l
4, 6, -2 ) de il eee e . lir' esi n t etr nf mi
. cal

o isi ta d cso , i a 7 8 , . ateisa dDr Vasma ' tsi i islte
f t ni l e iin (d. t 0 ) Dr Gu lir' n . ll vis e t n t etr
i
ng
i or ngM s Mccalofisdecsont de he frtap a,i a 68
nf mi
.
l t ii o ny r is pe l(d. t 7-88,6
90-91,a Dr
) nd .
M a tne sa ai a oft i t s i i isl te i o m i M s M cca lofisdec s on t de he
r i z' ppr s l he r e tng n t e t r nf r ng .
l t
i i o ny r

s c a fna a al(4,a 665-66) Cons q nty,fil rad,hercor s
e ond nd i l ppe , t t
.
e ue l ary e t e d upporst
t he
c l i t tPnl nta c i r a rjce t c ncl i ofM s M c lse rs
oncuson ha de il onsdeed nd ee td he o usons
. cal' xpe t.
Gi n c lc i opi ons of e e by di f r nte r s Pnz nta had di c e i t g ve g e t r
ve onfi tng ni
frd
fe e xpe t , de i l
s r ton o i r a e
wei tt t e l tons oft t r pa t e r s i f
gh o he va ua i
he hid- ry xpe t t ound m or pe s s ve.See M a s e l . 24
e r ua i
r t le ,

F. u p 2 a 5 6.Ac o dn l tec u t rn stePln' mo inf rs mmayj d me t
Sp.d t9
c r igy,h o r g a t h a s to o u r u g n .
11
1.

The a i s r tve r or s w s e de t tco d s ppo ta co l i t tM s
dm ni t a i ec d ho
vi nce ha ul u r
nc us on ha
.
M ccal w a diabl d a e de e t tco d s
l s s e nd vi nc ha ul uppor a co us on t ts w a no . I i t
t ncl i ha he s t t s he
e l i pr nc oft c a m a i sr t t w e gh c lc i e de e. Pr de i l
xc us ve ovi e he l i dm nit a or o i onfi tng vi nc
u nta
exer sed t di eton and concl
ci hat scr i
uded t t r d asa w hol di notsuppor a f ndi t
hat he ecor
e d
t i ng hat
M s.M ccal wasdi ed. The courtconcl
l
sabl
udest Pr
hat udentals det naton w as t r ul of
i ' enui i
he es t
a delber e,prnci ed reas ng pr
i at i pl
oni
ocessand w as s
uppored by s t i evi
t
ubs antal dence. Thus i
,t

8

wa no a a eofdic eto
s t n bus
s r i n.Ast r a eno ge neis sofm a e i f c ,t c ur gr n s
he e r
nui s ue
t ral a t he o t a t

t P a ' moinf rs mmayj d me t
he ln s to o u r u g n .
Ent June 15,2012.
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