Hunter v. Aetna Life Insurance Company
Filing
23
MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 09/20/2012. (ssm)
CL SOFFI U. DI COURT
ERK'
CE S. ST.
AT ROANOKE,
VA
FI
LED
I THE UNI
N
TED STATES DI
STRI COURT
CT
FOR THE W ESTERN DI
STRI OF VI NI
CT
RGI A
R OAN O KE D I I ON
V SI
SE 2 2 2 1
02
J C
UL
BY:
9
'
DEPUW CLERK
CLAREN CE HU N TER
Pli it
antfl
Ci lAci No. 1 c 0011
vi ton 7:2-v- 3
M EM O M ND U M O PI I N
N O
AETNA LI I
FE NSUM N CE COM PANY
By: Hon. e E.Conr d
Gln
a
ChifUnied St t DititJ
e
t
aes src udge
D ef nt
enda .
ThsERI A c s aie fo ted cso b Aen LieI s r n eCo n (% ta' t
i S a e rs s r m h e iin y t a f n u a c mpa y ç n ' o
Ae )
tr naeln -e m ds b lyb n tt p i t M r Clrnc Hu tr(: ne '.Hu trcams
emi t o g tr ia ii e eis ad o , ae e n e ç tr' n e li
t
Hu )
t tAe nawr uly t r nae dia lt beneisowedt hi unde agr p polc pln
ha t
ongf l e mi td s biiy
ft
o m
r ou
iy a
unde wrte by A e na a ofe e t Ht t ra pa t hi e pl m e w ih t H it Hot l
r i tn
t nd f r d o m e s r of s m oy nt t he lon
es
C o por ton. Fort r as s tf r h be ow , he c t ilgr ntA e na sm oton f rs m a y
r ai
he e ons e o t l t our w l a
t '
i o um r
j d me ti isfvo .
ug n nt a r
1
.
Fac ualand Pr edur Backgr
t
oc
al
ound
Efeci J nua y 1 2007,Aenais d agr polc t Hit Ho el Co por ton
f tve a r ,
t s ue
oup iy o lon t s r a i
pr di e i bl e oye gr p lf a cde t ld t a l ng-e m dia lt c r .
ovi ng lgi e mpl es ou ie, c i n a eah, nd o t r s biiy ove age
The l tr dia lt c r ge o f r mont y be ft t e oye who a e (ot l
ong-e m s biiy ove a f e s
hl neis o mpl es
r t aly
t
dia e 'defne as
s bl d,' i d :
Yo a edee d t bet al dia e whieeihe oft f lowi a ist you:
u r
me o ot ly s bl d l t r he o l ng pple o
* D urng t pe i w hi h e r g a t r t fr t 24 m ont be t a e
i he rod
c nds i ht fe he is
h ne ks r
payabl i a perod oft aldi abiiy:
en
i
ot s lt
T
Yo a e n ta e s ll be a s o ij r o d sa e t p ro m t
u r o bl, o ey c u e f nu y r ie s , o ef r he
ma e i ldu i sofyou o oc paton;e e t ti yo sa twor a a
t ra te
r wn cu i xc pt ha f u tr
k t
r as bl oc upato you w ilno l nge be de m e t a l di a e
e ona e c i n
l
o r
e d ot ly s bl d.
* The ea trd i s h perod oft aldiabiiy:
r fe urng uc
i
ot s lt
Yo ae n ta l,s ll be a e o ijzy o d sa e t wo k a an
u r o be o ey c us f nl r ie s , o r t y
r
ra
e sonabl oc paton.
e cu i
( mi itaieRe o d(ç ' a 9 8 (mp ssa d d .
Ad nsrtv c r $ ) t 8 ) e hai d e )
AR'
Thus t r ar t r l ntpe i f de e mi ng û o a dia lt 't fr tt nt
, he e e wo eeva
rods or t r ni t t l s biiy': he is we yt
f m on h pe i whe ac ama i de meddi a e i una et wor i hi orhe own
our
t rod
n l i nt s e
s bld f bl o
kn s
r
occ ton,a t pe i f l ng t fr tt nt f urm on hswhe a cai nti de m e
upa i nd he rod olowi he is we p o
t
n l ma s e d
diabld onl i heors i una et pe f m a r as bl oc upai Thepln defnes
s e
yf
he s bl o ror ny e ona e c ton.
a
i
tr a ona eoc pai n'a t ny ga nf a tviy f rwhih you a e;orma r s na y be om e
te s bl cu to ' s i
a
i ul c i t o
c
r
y ea o bl c ,
fte bye ai tani ore re e. (d.a 999. l a a df dia lt i grntd,
itd duc ton; ri ng; xpe inc ' I t ) f n war or s biiy s a e
'
t pl n r quiest c ai a t fl a i a i f m one a y be tt unde a ot
he a e r he l m nt o ie pplc tons or
t r ne i s
r ny her
potntal a i bl dia lt pr n ,i udi t fde a s i s c iypr n (d. t
e ily pplca e s biiy ogrms ncl ng he e r l ocal e urt ogrm. I a
9 2. Aenate ofst t o ea r sa an tp y n sma eu d rtepln.(d. t9 8)Th
9 ) t h n fes h s wa d g is a me t d n e h a I a 8 . e
pl n alo no e t tAe nai afd ir t rERI a r s r sf is l:
a s t s ha t s i uca y mde
SA nd e e ve or te f
com pl t a ho iy t r vi w a l de e cl i s f be ft unde t s polc I
e e ut r t o e e l ni d a m or ne is
r hi
i y. n
exe c sng s h fduc a y r s nsbiiy,Ae na s l ha dic e i r a hort
r ii uc i i r e po i lt
t hal ve s r tona y ut iy
t de e mi whe he andt wha e e e oyee andbene i a i sa e e il d
o: t r ne t r
o
t xtnt mpl s
fcire r ntte
t be ft ;a co tu a diput d ordo f tr oft spolc
o ne is nd nsr e ny s e
ubtul e ms hi iy.
(d.983.
I
)
I 2007 a 2008 H un e w a a e pl e ofHit H o e sCor a i a w a
n
nd
, t r s n m oye
lon t l
por ton nd s
e i bl f rbe ft u rt pln.He frtr quese s r-e m dia lt i M a c 2007afe a
lgi e o ne is nde he a
is e td ho ttr s biiy n r h
tr
di nos sofs r oi i by D r M i he e Ba l u, unt r s pul onol gi tf r a lr l van pe i .
ag i
a c dos s
. c l lo H e ' m
o s o l e e t rods
(d.a 212 615. l M ac of2008,Hu e s te a he s ttr dia lt cai
l t -4, ) n rh
ntr ubmitd not r hor-em sbiiy l m,
c ani ofba kpan,c s pan,a r xi a ey, re i a s roi i.(d.a
ompli ng
c i he t i no e a, nxit hype tnson, nd ac doss l t
2
8 . Aen a r e Hu trs o ttr be eist o g Oco e 1 2 08 Hu trsls d yo
0) t a wa d d n e h r-em n ft hru h tb r , 0 . ne ' a t a f
woka Hit wasM ac 26, 08.(d.a 55. Hune t r a trr se lng-e m dia lt
r t lon
rh 20 I t ) tr he e fe eque td o tr s biiy
be ft f rhi il s ,a i Augus 2008, t c
ne is o s lnes es nd n
t
Ae na onduced ar viw t dee m i ei i lt
t
e e o tr ne lg biiy.
(d a 3 7) Aspa t ft sr ve Aen rc ie a atn i gp ysca ssae n (APS'
l. t 8 .
r o hi e iw, t a e ev d n te d n h iin' ttme t t '
ç )
fo Dr Bal u, c lse aprma ydi gnossofçs r i i/
r m . lo whi h it d i r a i ta co dosshypere i n, a we lasot r
tnso ' s l
'
he
dig o e o lmb rds d sa ea a xit h a a h s ( za 75 ) Hu trss mpo
a n s s f u a ic ie s nd n ey-e d c e . J .t 6. ne ' y t ms
#
icud dç if s p i i ons mu ce , a k& c et ft u . (d. t757. I af low-p
n l e d fu e an nj it, s ls b c h s, ai e' I a ) n ol u
d
g '
lte on Se embe 1 2008, .Bal u wr t
e tr
pt
r 6,
Dr lo o e:
El n e)ha ah so yo s rod ssa sv r d f l t c nr lh p re so .
lu tr s itr f ac io i nd e ee it t o o to y e tn in
ku
The pa int wa doi quie wel,wa f toni no mal a hi diea e
te
s ng t
l s unci ng r ly nd s s s
wasi c r untl Aprl 2008. At t t tme he ha a dr tc i r as i
n ontol i
i
ha i
d
nma i nc e e n
s mp o t lg wihs v r maas , aiu , if s j itds o o tb c p i ,
y t maoo y t e ee lie ftg e dfu e on ic mf r, a k an
w ei t l s a a e a. H i c ton has b n s o t i pr ve w ih t
gh os nd nor xi
s ondii
ee l w o m o
t he
pain c n iun t c mpano sveeftg a dj it i
t t o tn ig o o li f e r aiue n on pan.
e
Att pr s nttm ehi pan woul no al hi t f to f ra 8 hotrpe i
he e e i
s i
d t low m o unci n o n
l rod
o tm e a w or H i pr nos s i g r d. M os patent w ih s r oi i
f i
t
k. s og i s ua de
t i s t a c dos s
rs
e pond t t r py a uli a e y a e a e t go i o r m i son a lve nor al
o he a
nd tm t l r bl o
nt e s i nd i
m
lf t e . Occ i l pai nt, ho ve , f i t r s nd a
iesyl s
asonaly
te s
we r al o e po
nd ha
ve
o
ngoi s m pt a ol
ng y om t ogy.
(d. t753.
l a
)
Aen as rc ie aj bd srp in fo Hi o lsi Hu trsp sto a Die t ro
t a lo e ev d o e cito r m l n it
t
ng n e ' o i n s rco f
i
Event . The de c i i n lsed t physc lr quie e soft poston asf l :
s
s rpto it he
i a e r m nt he ii
olowsl
1 ej bsesnil u cinsicu e
Th o ' se ta fn to n ld d:
40%
25%
Diecsev ma me t m i t e cuton ofnegoit gr s l a ee nt.Thi
r t ent nage nt ea n he xe i
taed oup aes gr me s
s
i l sdie tng alas t ofpr es i t m deveopm e ti l ngr nlt e ,tai ng,
ncude r c i l pecs
of sonalea
l
n ncudi ec im nt r ni
r ognii s ce sonplnni c hi / uns i pe f m a ee uaton,goals ti
ec ton, uc s i a ng, oac ngco elng, ror nc val i
etng,
i ntvepln.
nce i a
M an ansa a
it i n nnuala ountl d of6- gr var ngi sz andco plxiy.
cc
oa
25 oups yi n ie
m e t
1%
5
Hep p o iesrtgcdrcinfrteh tl yp riiae gi)o c mmite a di metn s
ls r vd tae i ieto o h oe b atcp ts sc n o t s n n eig ,
e
i udi butnotlm ie t De rm e H e Exec i Com m ite,Reve M a m e ,
ncl ng,
i td o pa t nt ad,
utve
te
nue nage nt
Gr u P c Up Fo da d Be e a e S ae n, a i , r a d P t n e to M e t gs M a
o p ik , o n v r g , tt me t Qu l y P e n os Co v n i n ei . y
t
n
l
5%
a s pa tci t i ope a i de rm e ,CVB a s e m ee i .
l o r i pa e n r tng pa t nt
nd al s tngs
Diecsdaiydepa t e ope ai ,c t m e co lctr ol in,i e a ton wih Nai Sals
r t l
rm nt r tons uso r nfi es uto ntr c i
t tonal e ,
Sal Te hnolgySu r, r ton ofcor at a hotll lrpo s busnes a m aket
es c o
ppo tgene ai
por e nd e eve e rt, i s nd r
pl deveo
an
lpmen sa i plm e ain,a landm ont y f ec ta bud .
t nd m e ntto nnua
hl or as nd get
Ph i a Ac i t
ysc l tviv
Fr q nc
e ue v
Sitng
ti
W al ng
ki
Clm bi s ais
i ng t r
St ndi
a ng
Cr hi Be ng st pi
ouc ng/ ndi / oo ng
Re chi
a ng
Gr s ng
a pi
Fr nt
eque
Fr
equent
Occ s ona
ai l
Frequent
Occ s ona
ai l
Oc a i l
c s ona
Fr
equent
Oc a i l
c sona
Pus ngguli
hi
lng
(d.a 73 )
l t 4.
Afe r viwi Hu e ' me c lflsa Dr Balou' APS,on Oc obe 22,2008,
tr e e ng nt rs di a ie nd . l s
t r
Aen a p o e lngtr d s bl yp y n st Hu trefcieS p e e 23 2 8 (d a
ta p r v d o -e m ia ii a me t o ne fe tv e tmb r , 00 . L= t
t
3 4) Aen ' rv e c n lde t a Ht e ' tp rcu i nfo wo ko af ltmeb ssi
9 . t a s e iw o cu d h t mtrs t qe lso r m r n uli a i s
l
s ppore duet s c d i .Re or i c t s ve e ftgue, aaie, ghtl s a dif s
u
td
o ar oi oss c ds ndia e e r a i m l s wei os , nd f u e
j ita db c p i '(d a 2 4. Aen c n iu dt rc ieAPS fo Dr Balun tn
on n a k an. I . t 2 ) t a o tn e o e ev
'
S r m . l o ig
o
Hunt rsi biiy t r t n t wo k duet s r dosst o
e ' na lt o eur o r
o a coi i hr ughoutt r s of2008. I Fe a y
he e t
n bnz r
of2009,Hunt rwa no ii d byt SocalSec iy Admi sr to t thewoul begi
e s tfe
he i
urt
nitai n ha
d
n
rc ii s ca s c rt d sbit b n ft i t a u t f$ ,8 0 p rmo t (d a 7 6.
e evng o il e u i ia l y e eis n he mo n o 10 2.0 e nh. l . t 2 )
y
i
On M a 18 2009,Dr Bal u s ntAe naa APS sai t tHt e coul r tmzt wor
y ,
. lo e
t n
t tng ha mt r
d et o k
wihç r titons' May26,20 (#.a 719- ) Asar s toft APS, t de e
t ç esrci 'on
no
09. J t 20.
eul he
Aena nid
Ht e ' cam f rf rhe b n ft, ndn tfe hm o hi rg tt a p a t d cso .(d a
mtrs li o u t r e eis a oiid i f s ih o p e lhe e ii n 1 . t
45 - 0) OnDe e e 9 20 9, ne a p ae a s b te n w rc r sfo Dr Bal u
95 .
c mb r , 0 Hu tr p e ld nd u mitd e e o d r m . lo ,
whi h not c tnued s r oi i,a we la rghtl gpan tlkey r a e t hi L5- 1dik,'
c
ed on i
a c doss s l s i e i si l elt d o s S s '
hypere i mz çll si da i ftg a se pi s . (d. t71 ) Therpor as
tnson, d texce sve ytme aiue nd le ne s' 1 a 6.
'
e t lo
5%
(d.t7 3)
l a 3.
Tr vel pe i cal f t pum os ofpr e sona d l e ;c t e ori tyeve s
a s rodi ly or he
e
of s i l eveopm nt usom r ndusr
nt,
evauain ofr nuea l sisoff t em e tngs s
l to
eve
nd ogitc ' ur ei ; uppor ofOwnt Gr M ar t
u
t
he oup
ke
i ta i r m uliyea ;i e na comm it pa ii to n
niitves e: t- r ntr l
tee rtcpain; nnualc e e wih dicplne.
onfr nce t s i i
sa e t tHun e ç red goi ba k t wor bu t da hewe hi BP wa hi Hewa
tt d ha
tr t i
t
ng c o k, t he y
nt s
s gh.
s
,2
,
ca
lmmy,s ay,erbl ftgue a wa una et fnci
we t tri y ai d nd s bl o u ton. (.) OnJ r 22,201
J
i
anuay
0,
Aena ove t ned ispr vi de a ofbe ft , i ngt tts fcintdoc
t
rur t e ous ni l
ne is fndi ha tufi e
umen a i e ss
t ton xit
whc s p o t c ni u di ar n. (d a 46 .
ih u p rs o tn e mp ime t' 1 . t 0)
'
Shorl t e tr Aena s ntHunt a lte r mi ng hi t tt û
ty her afe , t e
er e tr e ndi m ha he ç oc upa i '
own c ton'
pe i f hi dia lt de e m i to woul e on Se e
rod or s s biiy t r nai n
d nd
pt mber2 201 andhewoul
2, 0,
d
s eque l ha t s hewa t et pe f m ia r a ona e oc upa i ' o c i
ubs nty ve o how
s mabl o ror iny e s bl c ton't ontnue
r cevi be ft . Ae naa s d Ht e t s
e i ng ne is t dvie mt r o ubmi me c la vo to lr cor i c tng
t di a nd cai na e ds ndia i
whyhewa diabldfom pef nga heroc upain.(d.a 488. On Ma 1 201 Dr
s s e r
ronni not
c to 1 t )
y 3, 0, .
Ba l s bm itd a APS no i t tHuntrwasS o a l/ r ne ty dia e ' nd i t a ng
lou u te n
tng ha
e
s t ly pe ma n l s bld'a s t wi
t
dr
SocalSe trt dia lt ' (d. t695. l t s cinoft APS aki a wor lmiai
i cliy s biiy. l a
'
) n he e to he
s ng bout k i ttons
a dc re ta iiyt p rii t i j btanigp o rms Dr Baluwr t 1 A. (d) Aen
n u r n b l o a t pae n o ri n r g a , . lo oe ç ' l . t a
t
c
N/ '
r c ved a t rAPS fom Dr Ba l onAugus 6,201 no i Ht e ' dignos sof
e ei
no he
r
. lou
t
0, tng mt rs a
e
hy re i s z oi i,c tpan,a e y,a dicdie s Dr Bal u agan i c t d t t
pe tnson, a c doss hes i nxit nd s s a e. . lo
i ndia e ha
Hl e i çoal/ r n n l d sb e . . a d da ngS ca Se miyds blt, a d
mtr s d tl pema e ty ia ld . ln l rwi o il c t ia ii ' n
t y
y'
rs n e ( A't q sin rg r igwok a dtan n lmiain .(d. t6 3)
epo d d I 'o ueto s e adn r n rii g i tto s I a 8 .
N/
Alo i Aug t201 Hun e ' r c dswe e r viwe a Aena' r que tby Dr De s
s n
us
0, t rs e or
r e e d t t se s
. nni
M a alt de e mi i Hunt wa dia e fom pe f mi ( ny occ pai n. Dr M az llse
z o t r ne f
er s s bld r
ror ng t
a
u to ' . a it d
'
E hes pan,f tgue, g bl pr s ur de e so .. c z cf tg L5- diche niton
t t i a i hi h ood e s e, pr s i n . h oni ai ue, S1 s r a i
c
w ih ne v r tc pr s i n a r di ul t ditc t w a ki s r oi i a t co r l d
t r e oo om e s o nd a c opa hy, fi uly l ng, a c dos s nd m nt ole
hypere i ' (Z a 674. Therviw deaisHuntrsme c is a te t ntgoi
tnson. J t )
'
e e tl
e ' dialsues nd rame
ng
bac t hi fr tdi a lt d a m i 2007. Dr M a a a s c t c e D r Ba l by phone on
, o s i s s biiy i n
k
. z l l o on a t d . lou
2Ae aas e t t ti wasi
m
s rs ha t
mposi et tHuntrtidt r tln t wor sncehehadbe t m i e 9om hi
sbl ha
e re o e t o k i
r
en er natd
s
poiini Mac 2 0 .Dee datsBre a l)
sto n rh 0 8 ( fn n' if t .
Augu t8, 0 t dic sHun e ' a lt t wor
s 201 o s us
t rs biiy o
k.Ac di t Dr M a lsnot oft
cor ng o . za ' es he
c
onve s ton,Dr Bal u i c t d t tHt e ' c s x-a a i i sudiss
rai
. lo ndia e ha mt rs he t r ys nd mag ng t e howe
d
i ove nti Huntrss roi i.( .a 676. DrBal as not t tHuntrs
mpr me n
e ' ac doss J , t )
#
lou lo ed ha
e'
hy tnso ha notca e a sg fca t g or n da
pere i n d
us d ny inii nt ar et ga mage a t hi bl pr s ewa
, nd hat s ood es ur s
welc r ld durnghos t lz tonsca i he t bei vet contnuedhype tnson wa a
l ontole
i
piai a i
usng r o le he
i
re i
s
r s lo ( dcn l o c mpl nc . (() Ad iin ly Dr Balusae t a Hu trs
e ut f t iia n n o i e' L . dto al, . lo ttd h t ne '
me
a '
c
ompli sofpai a f tgueha notbee c r aedby physc e m i ton or1b sudis
ant
n nd a i
d
n orobor t
ial xn na i
a t e,
a t hehad e bie no s ns r m o ori r e orde m aom a diti ton ofpa n
nd hat
xhi t d
e o y t mpaim nt
r t l srbu i
i
rltn t t eL5 S1d s h r ito .(d) Fial DrBalun tdt a Hu trh dahso yo
eaig o h - ic enain 1 . n l . l oe h t n e a itr f
y,
o
c oni pan,a t ts r dossca s ei e c us s pan,butt t r wa no
hr c i nd ha a coi i n om tm s a e uch i
hat he e s
d cl n ai no atrtsj its lig, rd ce s dr n eo moin.(d.
o l tto f rh ii,o n wel o e r a e a g f to l )
me
n
Asar s l o hsr ve Dr Ma a c ncu e ta t ee d n eEale )t s p o t
e ut f i e iw, . z l o ld d h t h vie c s ild o u p r
f
f tona i pa r e f t e ie tm e f n e ' a t tHt t r ç houl be a e t pe f m t
unc i l m i m nt or he ntr i r m ,' nd ha m e t
s d
bl o r or he
d i ofa s ntr lght a / me um de nd oc upa i 'a pe ha C ve ahe or
utes
ede a y, i , nd or di
ma
c ton' nd r ps t n
e
avy
v r h a de ndo c p to a ln a hi blo p e slei man n d . .' (d. t6 7 7 .
ey e vy ma c u ain s o g s s o d r st s itie . . I a 7 - 8)
r
'
Ae nat n f war d Dr M a a ' r vi t Dr Ba lu,
t he ol de . z ls e ew o . lo who wasas d whe he s ag ee wih
ke
t r he r d t
t as e s ntt tHunt rwasa et r t n t wor i açs dentr lgh ,
he s s me ha
e
bl o eur o k n de a y, i t medi , avy a
um he
nd
veyh a oc u ain . . nf ltmeb ssef cie92 / 01 . (d a 6 071) Dr Balu
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nitaors ntm ea i '
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d ( u tnc l c i Ag a r Se ea c y ln 4 3 7 , 7 4 h r 2 0 :.
Unde t a e ofdicr ton s a r a c t t a no di t b a l ng t r di a lt
r he bus
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)
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Le br v. etnc eElc. n.747F. 1 208( hCi.1 .Thef tt tapln
Fe e W si hous e Cor ,
2d 97, 4t r 984)
ac ha a
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t r ui
G ntfe i
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qua
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whih t y s
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t t 4) t r he cson- ki oc s s e one
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nd rn ild 5
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te h
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( )Th Ad n srt r moie o a yc nlcso itr s ima ha e
8 e miitao ' t s r n o tit f nee t t y v .
s v
Cha inv. a k& De ke ( S. I c, 5 F.d3 3 3 8(t Ci. 0 8 (uoi:80 t 2
mno Blc
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4 S p 2 79 E. Va 2 0 ) noig n ih a t' a o a h a t r ih d , nd
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Se Duper v.Liel trnceCompmw ofNo t Ameia,63 F. 860,869( hCi. 1 .
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rv
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10
Hu trsag me t f c so t e o te80 t fco s t3 tea e u c o t e
ne ' r u ns o u n hre f h 0h a tr:ç ) h d q a y f h
(
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t il
i rd o ke he ciin
he gre o ch he uppor i;( ( hehe
tt 4) wl t r
t ed cso - kn p o e swa ra o e a dp icpe ' . gn q( )(l eAd n sr trs
h e iin ma ig r c s s e s n d n rn ild . . a d 8 th miitao '
,
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i s ny onti t
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'
co i r d t a o a s c ofi or ton r le onby pln a i sr t si de ng
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i ins
hor
y
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ted di l ec r
ve n e
he es t ç lbe a e nd
prncpl d'pr ed e . W as o 446 F.Supp. a 5
i i e ' oc ur s
s n,
2d t 97.Se 800t 201F. a 344e
h,
3d t
45
( odigta c n ieaino t c mpeeme ia rc r s rla c o id pe d n me ia
h l n h t o sd rto f he o lt dc l e o d ,ein e n n e n e t dc l
e uai ,a avocai la yssco tt e aprncpl r a one pr esl Eli v.
val tons nd
tona nal i nsiutd i i ed e s d oc s; ls
M er ia LieI . ,1 F.d228, 34(t Ci.1 ( di t tade sonba e
topoltn f ns Co. 26 3
233- 4h r 997) hol ng ha cii s d
on i pe nta c am a - u it d me c lr o dsa r s tng fom atlngt and
nde nde nd l i nts bm te
di a ec r nd e uli r
te hy
to o g 'e au t nwa tep o u to ad l rt r a o n pr c s) Domel M er p ltn
h r u h' v lai
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be
a
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ai
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M eLie' de son t t r nae Donne ls diabiiy be is r s t d fom a
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t
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nnel ubm te
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Dor lsvoc tona abiii s pr ur d a i pe
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l Thec tdee m i d t ts h se c tt e at lbe a ea prnci ed de ii nm a ng
d.
our tr ne ha uc t ps onsiut d i i r t nd i pl
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Cic tha s d t twhen t di abiiy defnii t rt pl n i consder bl s m ia t t
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ocil e iy fnii he a dmi sr t s e r d o ve he
t r nai
t iniia t ih . Hie v Un m Liel s Co o Am.1 0F. u p. d4 8 4 8( . Va
t g fc n weg t' n s . u f n . . f , 1 S p 2 5 , 6 W D. .
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oc s'ha s
ç u p re b s b tn il vd n e'Elit S r Le Co o 1 0F.d6 , 05( t Ci,1 9 )
ç p o td y u sa ta e ie c , lo v. aa e r . 9 3 01 6 4h r 9 9 ,
s
'
i udi muli esa e nt by Ht e ' o doc o t theco dr t n t wor
ncl ng
tpl t t me s
mt rs wn t r ha
ul eur o k.
Hunt ra guest tAe sr vi ngdoc or ove l dhi myra heat is a
e r
ha ma' e ewi
t s rooke s id lh s ues nd
i r c l f us d on hi s r oi i a t onl die e lmii hi a lt t wor
ncore ty oc e
s a c doss s he y s as i tng s biiy o k.
Spe iialy, t rpoi so t tDr Bal a Dr Cos o bo h c hedt i sae e st t
c fc l Hun e nt ut ha . lou nd . m
t ouc
her tt m nt ha
Hunt rc d r t n t w or asc i f o a m er y t m o r pe s tve ' w hi h
e oul e ur o
k
om ng r m
el t
pul na y r pec i ,' c
i srmi t y o rooke hi ma y ohe di nosdc tons ( a 591 603. Howe r
ndic i nael vel d s n t r ag e ondii . AR t , )
ve,
Hunt rsa gume ei st f c t tDr Balou ha l be n awa eoft br dt ofHun e '
e' r
nt lde he a t ha . l
d ong e
r
he ea h
t rs
cl i e condii ns s w a ,i f c , he doc o w ho di nos d t m . Apa tf o Dr W e d a
am d
to - he s n a t t
tr
ag e he
r r m . i m n,
w ho tea ed Hunt rf kne pr e s D r Ba l i t onl phys c a w ho s it an
r t
e or e obl m , . lou s he y
ii n
ubm ted y
s a e e sordoc e t ton on Hunt r sbe l r a di hi he t D r Ba l i ta l t e t d
t t m nt
um n a i
e ' ha f eg r ng s alh. . lou nii ly r a e
12
Hunt rf apul ona y c ton,s r oi i,a monio edhi f hype tnso c s pan,
e or
m r ondii a c doss nd
tr
m or
re i n, he t i
l ba di c di e s a e y, nd o he c tons H e m uli e A PSSe ua e Hunt r s
um r s s a e, nxi t a t r ondii . r tpl
val t d
e'
o alhe t a s r e a t e usveba i f rgr ntng Ht e s t and l tr
ver l alh nd e v d s he xcl i
ss o a i
mt r horong-e m
be f . On t s pa a eocc sonsd i t a al pr s ,Dr Bal u i or e Aena of
ne hs
wo e r t
ai
urng he ppe s oce s . lo nf m d t
h ro no t a Ht e c udp ro m lg to s d naywok.( aa 6 8 (t ret a h c ud
e piin h t mtr o l ef r ih r e e tr r J .t 7 ) t e h t e o l
#
Ag
p ro m s d n ay lg td t ' ; i. t5 )($ y uaea r If l w ( nelf rs ro d i
e f r e e tr ,ih uy.) (d a 91 ç o r wa e ol Hu tr o ac ioss
'
As
o
and s ve ehypere i Fr apul
e r
tnson. om
monar san nt ldo no bei vehe i dia e f lg
y t dpoi ,
t le
s s bld or iht
dut a notdbyyouri pe ntrviwera lwoul ag e wiht tc uson.).
ys e
nde nde e e nd
d r e t ha oncl i '
Addii ly,durng aphone c l wih Dr M a al Dr Ba l r ma ke upon Hunt ' ove al
tona l
i
a l t , z , . lou e r d
ers r l
heat a a lt t r t n t wor
lh nd biiy o eur o k.Thedef nda sc r c l s
e nt ore ty umm a i Dr M az lsr por,i
rze . a ' e t n
w hi h he no esD r Ba l s sa e e st tHt t r
c
t
. lou' t t m nt ha m e :
s f r d no c i c ly s gnii n t r tor n da a as a r ul of unc r l d
uf e e
lni a l i fca t a ge ga m ge
es t
ont ole
h p re so ta panifss be tv c mplit o pan a d ftg e h d n t
y e tn in; h t litf u jcie o an s f i n aiu a o
bee co r ae by a ph i a e m i to fndi , l bor t y da a or
n robor td
ny ysc l xn nai n i ngs a aor
t,
i gi sudi s t t t r wa no s ns r mot r i par e or a
ma ng t e ; ha he e
s
e oy
o m im nt
ny
de m a om a di ti i n ofpai t tt r w a no m us e w e knes , abno m a
r t l sl buto
n; ha he e s
cl
n
s
r l
gai,l sofmus l t ,ormus l a r
t os
ce one
ce tophy;t t t che t x-a had s
ha he
s r ys
hown
i pr me w11 r pe tt t pul
m ove nt t es c o he mona y s r doss a t t t r wa no
4
r a coi i ; nd ha he e s
doc l e a i ofa c i c ly t c
lm nt ton
ny lni a l a hypnea t c
, a hyca di
r a,
hy
poxe i ,
m a
o
r
de a m e tofpul
r nge n
monar f ton mec ni t twoul pr c ude
y unc i
ha cs ha
d el
pli if
antf
f om pe f r i t du i sofa oc upa i
r
r o m ng he t e
ny c ton.
( fn a tsBre p. 0 1 )(iigAR a 6 6)Dr Balu' sae n sce ryidc t t a he
Dee d n ' if 1 - 1 ctn
t 7 . . lo s ttme t la l n iae h t r
opi o t tHunt rwasca bl ofr t ni t wor wa no lm ie t a sngl die s ors tof
ni n ha
e
pa e e ur ng o k s t i t d o i e s a e e
s
ympt s Ra he ,s s r e asHunt rsprma y teai physcan dt i t r e nttm e
om . t r he e v d
e ' i r r tng
ii l ng he elva i
r
pe i ds a he sat m e sr ga di hi he t r l c t br d s ope oft ttea m ent'
ro nd r t e nt e r ng s alh ete t he oa c
ha r t
.
3Hunt ' agum e i f rherw e ne b hi own dicl m e ofa la ts eofhi alge c to . D urng a
ers r
nt s u t
ake d y s
s ai r t e s om
s le d ondiins
i
phonecalwihanAet rpr s nttvedl i t rviw pr e s Hun e s edt thi cai wasnotbas d o
l t
na e e e ai z ng he e e oc s , t r Gt ha s l m
r
e n
i n it, te s CP (h s pan)o a oe a' (d.t3 6)
t xey srs, c et i , r n rxi. l a 5 .
a
'
I a ton t Dr Bal u,Ae naha t e i pe ntd t sr viw Hun e ' medial
n ddii o . lo
t
d hr e nde nde ocor e e
trs
c
flsf ro j ci e i e c o d sbit .Dr M a a is e asx-a erp r clo cigHu trs
ie o b e t v d n e f ia l y . z lsu d i p g e o t l niln n e'
ve
i
r
c tons a te t e s nc ea l 2007. Hi r po tdi c s s a ong ot rt ngs H unt r s
ondii
nd r a m nt i e ry
s e r s us e , m
he hi ,
e'
bl pr s er a ngs m e c i ,M RIa x-a r uls sr i ht1 r sng t tr uls
ood esur e di , diatons
nd r y es t, ta g eg aii es es t ,
c mpan so p i a dftg , n a1o Dr Balu se au to s I a 6 3 7 . l r a hng
o lit f an n aiue a d 1 f . lo ' v lai n .(d. t 7 - 8) n e c i
t de s on t tHunt rw a c pa e ofpe f r i lg ors e a y dut Dr M a alr le on
he ci i ha
e s a bl
r o m ng i ht ed nt r
y, . z e i d
hi r viw ofa 1t a ia eme c lr o ds aswela hi c
se e
l he va lbl di a ec r l s s onve s ton wih Dr Bal u,
rai
t . lo who
i c t d s be ived hewa c pa eofwor ng- a i no wa lmie hi s ft apa tc a
ndia e he le
s a bl
ki
nd n
y i t d m el o
riulr
diea eors tofs
s s
e
ympt s
om .
Dr Cos o' r viw c r aed Dr M a alsa Dr Ba lu' opi onswih r pec t
. m s e e orobor t
. z ' nd . lo s ni
t es t o
Hu trsp l n r ds r e .td a 6 4. Hewr t ta t eea pe rdt b (aci c ly
ne ' umo ay io d r L= t 0 )
o e h t h r p ae o e < l al
ni
sa ebe gn c s ofc oni pul
tbl ni our e hr c mona y s r oi i,whi h ha be n pr e f s ve a
r a c dos s
c s e es nt or e r l
y a s' (4. t 0 ) Aspat fhse auain, . s atmp e t s e kwihDr Baluo
e r. Lza 6 3.
'
r o i v l to Dr Co mo te td o p a t . l n
o
t s pa aeocc sonsbutwa u bl t r c he .Hi r r yil d t s m ec uson a
wo e r t
ai
s na e o ea h r s epo t e de he a
oncl i s
t toft ot rdocor- t tHune wa a et r t nt wok.Hewr e,çt r iqal kof
ha he he t s ha tr s bl o eur o r
ot çghee s ac
s
uppori m e c ldoc e a i t s
t
ve di a
um nt ton o uppor a sgnii a f nc i li paim e f o
t ny i fc nt ' tona m r nt r m
u
1130201 t ough08 1 2011 fom apul r pes ci ,t twoul pr cude( e l
/ / 0 hr
/ 7/ ,r
monay rpe tve ha
d e l Huntr
fo f n to i wihna yo c pai n' (d,
r m ' cinng t i n c u to . I )
u
'
Hun e a s a gue t tAe nadi notgi s fcintc i r tont Ht e ' kne pa n.
t r lo r s ha t d
ve ufi e onsde ai o mt rs e i
Howe ,Dr Swotns s i al addr s e Ht e ' ca m on a
ver .
i ky pecûc ly
e s d mt rs li
ppea ofc oni kne pai
l hr c e n
r l tng t de ne a i kne di or ra hi r co r f om arhr copi slge y on hi l t
e a i o ge r tve e s de nd s e ve y r
t os c tr r
s ef
kne H i r por no e t ûs an ' e m r s t f om Hunt r svi ist Dr W e dm a a
e. s e t t s he éc t' xa e uls '
r
e ' st o . i n, nd
conc ude t tt r w asi ufi i nti or aton i t r porst i c t Hunt rc d not
l s ha he e
ns tc e nf m i n he e t o ndi a e
e oul
14
pe f m s de a y wor Dr W eim a se m r po t c itofbrefno e f l ng ea h of
ror e ntr
k. . d n' xa e rs onss
i t s olowi
c
H unt r svi is a t y r c
e ' st , nd he e ountva y ng deg e s ofpa n a m obiiy. The r por si ude
re
i nd
lt 4
e t ncl
ri
s
uggesed se f Hunt rsr ha bu ne rme i a hi i c i t Hun e ' kne
t t ps or
e ' e b, t ve nton nyt ng ndiatng hat t rs e
pr blm sr nder hi t a l dia e Uli t l Dr Swo i ky c l d t tHunt rsknee
o e e ed m otly s bld. tma ey, . tns oncude ha
e'
pai woul lmi hi fom posto r quii r peii be ng,ci bi orhe vylfi bu
n
di t m r
iins e rng e ttve ndi lm ng,
a itng, t
d dn t e uti ttl ia l y (d a 61 .
i o r s l n oa d sbit . 1 . t 2)
i
Fi ly,Hu e ar est tAenadi no gi s fce weghtt Hunt ' cli t t
na l
nt r gu ha t d t ve ufiint i o
ers a ms ha
c o cpai a f tguer nder d hi unabl t wo k.I Dupe y, heFou t Cic tr ve s d a
hr ni n nd a i e e m
eo r n
n' t
rh r ui e r e
pl n a i sr t ' de ii d ngbe ft be us i c ude t a nitaorhad
a dm nitaors c son enyi
ne is ca e t oncl d he dmi sr t
u j siibyd se a d dtecama tsfb o agaa da s cae p i a dftg e Dup rv
n u tfa l ir g r e h li n ' ir my li n so itd an n aiu . er ,
632 F. a 873. l t tc s ,howe r t r wasc e ri ca in fom t cli a ' doc o t t
3d t
n ha a e
ve , he e
l a ndi to r he am nts t r ha
s w ast a e t r t t w or a ar s tofhe c ton. The Cour no e t the m ai
he
m bl o e mm o
k s e ul
r ondii
t t d ha r n
t e tng phys c a t i e e es l i ca e t t a i s r t t i hi opi on t cl i a
rai
i i n w c xpr s y ndi t d o he dm nit a or hat n s ni he a m nt
wa d sb e fo wo k:ç per i)n ta l t wo k (u t pana dftg J ' a d( h i
s ia ld r m r çDu ry s o be o r d e o1 i n aiug e' n d e s
g
;
s
nota et r tun t a pr vi wo k d i .'l a 871 72. TheCour f ndt tt
bl o et ' o ny e ous r utes' d. t t ou ha he
ad nitaorsdocor ha f ldt c ntrt tubsa tale de fom g ry'l
mi srt ' t s d aie o ou e he t tni vi nce r Duper s
s
p y iinsta (e)d s ae d ,nf c, rv n he fo wo kng' 1 a 8 3
h sca h t h r ie s s o i a t p e e t r r m r i . d. t 7 .
'
He e, ntmbe oft doc o swho e
r a l r he t r
xami d Huntrorr vi wed hi fl di no ehi
ne
e
e e
s ies d t s
c pl nt ofge r pa n a f tgue Fore m pl on J y 11 2008, r Ba l r pored t t
om ai s
ne al i nd a i .
xa e, ul ,
D . lou e t ha
Huntrs fr dfom t fus pai i muli eplc ,ba k, bdo n,l .... ( a 792.
e ufe e r t f e n n tpl a es c a me egs ' AR t )
di
'
l Sept berof2008,D r.Balou repored t Hl t contnued t com pl n ofts e f i
n
em
l
t hat m er
i
o
ai
çever atgue
4Ther rsi l t f l i s t e s ( hepaintw akswih am id lm p, usng noas itvede c
epo t ncude he olow ng G em nt:T
te
l
t
l i
i
ssi
vie.
Th r i tn en s a teme ilon l e'(d.t6 1)( eh sami l td y,malef so . . Heha
ee s e d res th daj iti . l a 3 . ; a
n '
H
l i o a s l fuin . .
d mp
s
q a arp ya c mp rdt t n n-peaielg.(d.t6 3)tf ek e lo sg dtd y h sn efso o
u d to h s o ae o he o o rt e ' l a 3 . ç' n e o k oo o a , a o fuin r
v
'
h
a ysgntc n eyte . (d a 6 2. t ealh k e lo sg o .Th r i n ef so Th r imii l
n i i a t r h ma' l . t 3 ) < rlte n e o k o d ee s o fu in. ee s nma
i
'
ov
ce i a s metn en s a o tt me ilon l ea dsmeq dar p yi n td' (d.t6 9)
rpms nd o e d re s b u he daj iti n o ua to h s oe . I a 2 .
n
'
15
a dj it an' (d a 7 7) OnJ l 6 20 9, ne c mplie t Dr Baluof ana d
n on p i. I . t 4 .
'
uy , 0 Hu tr o an d o . lo p i n
e esi ftg (d.a 71 ) Addii ly,nDr Maz lsrpor, noe t tçg- ejdoe
xc sve aiue. I t 6.
tonal i . a' e the td ha tluntr s
l
h v ahso yo c r ncp i t t sg n rlz da das iv le mu t ej it . .' (d. t
a e it r f h o i an ha i e eaie n lo n ov s li on s . . l a
pl
'
6 6) Ho v r no e ei t r c r d a yo Hu trsd co ss yhsp i h sd s be hm
7 . we e , wh r n he e o d o n f ne ' o tr a i an a ia ld i
f om wor ng. Dur ng he c
r
ki
i
r onve s to wih Dr M a al i whi h s i ca ed t tH unt r
r a in t . z , n
c he ndi t ha
e
c udrt r t wo k Dr Balusae t a Hu trss b e tv c mplit of i h dn t e
o l eu n o r , . l ttd h t ne ' u j cie o an s pan a o be n
o
c ro o ae b e n n to fn i g .( )Smi ry Dr W ed nn ve sae t a Hu trs
o r b rtd y x miain d n s J i l l, . ima e r ttd h t n e'
A
a
pai eihe fom hi kne ormor ge r ly,
n, t r r
s e
e ne a l woul r nde hi dia ed. Hunt rha sm pl put
d e r m s bl
e si y
f rh i ufk i ntm e ca e de e, tc a l fom hi own doc or ,i c tng t ta ofhi
o t ns t e
di l vi nc pariul ry r
s
t s ndia i ha ny
s
c tons i l ng c oni pai a f tgue lf hi t bl t pe f a o upa i
ondii , ncudi hr c n nd ai , e t m ma e o ronn ny cc ton.
l a tont r l ng o t opi onsofmuli emedia pr e sonas Ae nabas d is
n ddii o eyi n he ni
tpl
c l of s i l, t
e t
de son on t r s t ofa voca i nala l i i ha c m i sone t de e m i H unt r s
ci i
he e uls
to
na ys s t d om s i d o t r ne
e'
s ia ii a c r igt hsh at a de p re c ,o j b i ten to a e o my Th rp r
utblt c o dn o i e lh n x ein e f r o s n h ain l c no . e e o t
y,
co l
ncudedt tt r we et n diecl ta f r bl o upai nsr quii onl lg ors ntr
ha he e r e r ty r ns e a e cc to e rng y iht ede a y
physca aci t f whih s
i l tviy or c omeo ofHun e ' e a i a e re lvelc d q iy.
ne
t r s duc ton nd xpe ince e
oul ualf
(d. t656. Afe Dr Swotns deemi t tHt e woul ha s r titonsduet hi
1 a
) tr . i ky tr ned ha mtr d ve ome esrci
o s
kne pa n, e na r s it H unt r s fl t isvoc tona c ns t ntw ho de e m i t tt
e i A t e ubm ted
e ' ie o t
a i l o ula
t r ned ha he
physc rquieme soft ta frbl oc upainsdi notc lc wiht ersrci .(d.
ial e r nt he r nsea e c to d
onfit t hos e titons I
a 5 0) Hu trag e t t n o tepo iin r q ies c n aye u ainh d e n t
t 6 . n e r u s ha ma y f h sto s e ur e o d r d c to e o s o
pos es ;how e r i f c , hos pos tons m e el ls co l ge deg ee a o t ofr l va
s s
ve , n a t t e ii
r y i t le
r s s ne ype e e nt
qualfcaton. Forexam pl t lM anagerRes
ii i
e, he ç
ervatons' pos ton as t çM anagem ent
i ' ii
ks hat s
t a ne s f l r rups l ho e c i a m os al a nee aba hel ' orm a t r s de e
r i e or a ge
ca e t l ha ns l t w ys d
c or s
s e ' gr e
pr f r bl i hos t lt orhot lm a e e .l notc i f o s h a c l ge bac ound,
e e a y n pia iy
e nag m nt f
om ng r m uc
ole
kgr
16
e pein ewo kn a ah tl sg n rlyrq ie t g t p sto a ald i ma a e . (d
x re c r ig t oe i e eal e ur d o e a o i n s o gng n g r' I .
i
'
a 651) Huntrsfr rpostonwihHitnwoul quaiyast st ofe re e.
t .
e ' ome ii t lo
d lf hi ype xpe inc
l s t t s i no a ca e whe e t c t sas d t dec de be w e n r yi on t
n hor, hi s t s
r he our i ke o i
t e el ng
he
cli a ' doc or ,
am nts t s who pe s lyte t d apa inta m a c e rsa e t r ga di hi or
r ona l r a e
te nd de l a tt men s e r ng s
he i biiyt r tu' t wor a t o ni ofd t shiedbyt pl n a nita o who
r na lt o et n o k, nd he pi ons oc or r
he a dmi sr t r
e l t d heat r c dsa mader c
vaua e
lh e or nd
e omm e to c r ci t c am a ' teai
ndai ns ontaditng he l i nts r tng
p y iin .S eStpv. m Lie I s Co o Ame ia 3 0F.d 3 , 0 ( t Ci. 0 4
h sca s e u Unu f .n . . f rc , 9 3 01 3 8 4h r 2 0 )
(e e sn ad n a o b neiswh nfc dwihc nlcige ie eo d sb ly .I t sc s ,
rv r ig e il f e ft e a e t o fitn vd nc f ia ii ) n hi a e
t
Huntr sown physca t s c oft dignos upon whi h Ht e r le f t i ta
e'
i in, he our e he a es
c mt r e id or he niil
c e r lo bene is hasr peaedl saedt ts be ive Hunt ri c pa eofr t m i t
onf ra f
ft ,
e t y t t ha he le s
e s a bl
e u ng o
wor Li w ie,
k. ke s Hunt rha f ie t s i e de efom Dr W ei n i c tng a hi
e s a ld o ubm t vi nc r
. dma ndia i nyt ng
a
bouthi a lt t pe f m lghtors de a y wor Ae nahie tte i pe ntdocor t
s biiy o ror i
e ntr
k. t r d lr e nde nde
t so
c
onductt row n r vi w , c ofwhom a tm p e t g n m or i onna i f o Hunt r s
hei
e e ea h
te t d o ai
e nf
ton r m
e'
physc a r ga di hi condii ns a ea h ofwhom de e m i d Ht e c d pe f m a las
ii ns e r ng s
to , nd c
t r ne mt r oul ror t e t
lgh ors de a y wor
i t e nt r
k.
Aena' r viw c itd ofa e ua i oft e ieme c lr or a lofHunt rs
t s e e onsse
n val ton he ntr di a ec d, l
e'
c to ,t o ni ofbo h t cam a tsdocor a i pe
ondii ns he pi ons
t he li n '
t s nd nde nden physca , ndt
t
i ins a he
e itn eo j b s ie t hi h at a lv l fe p re c .Aenaiiil p i ln -em
x se c f o s utd o s e l nd e e o x e in e t ntal ad o gtr
h
y
di a lt f rt o yea sbe or r ce vi i o ton f om H unt r sdoc o t the wasno l e
s biiy o w
r f e e i ng nf nna i r
e'
t r ha
ong r
d sb e Se 80 t 2 F.da 3 4(idngapln' rv ra o iso d cso d n ig
ia ld. e 0h 01 3 t 4 fn i
a s e es l f t wn e iin e yn
be isatli sg ofat ughtu d ii
neft elng in
ho f l ecsonmaki pr e s;Champi 5 F. a 3
ng oc s)
on, 50 3d t 62
(i ngt tt nt Pln o ruldt i ta de a ofs r-em ds biiybe tt ...i
fndi ha é
whe he a ve r e he niil nil ho ttr ia lt neis t
ma fseda a oa h de tai a unbis di eett tfvord (hecai nt' .Aena
niet n ppr c monsrtng n a e ntrs ha a e t l ma l' t
)
a s ke tHt e we li or t oug utt pr es ,a sng hi oft ne d t s i
lo p mt r l nf med hr ho he oc s dvii m
he e o ubm t
a tona m e ca r cor a hi rghtt a pe . SeeBr n v.Hola 1 F. 1 1 66
ddii l di l e ds nd s i o p al
oga
lnd 05 3d 58, 65-
( h Ci.1 (tpjantf wa gve af l a fi rviw ofhi cli be a ehewasnotfed
4t r 997) tg li if s i n ul nd ar e e
s am c us
ii
o s cfcr a o f rt eb n ftd n a a do ter lv n pa p o iin . .I lg to a1
f pe ii e s ns o h e ei e il n f h ee a t ln r vso s' n ih f 1
)
t s i ca tbe s i t tAe naa e isdic e i whe i t m i t d Hun e ' be ft .
hi , t nno
ad ha t bus d t s r ton
n t er na e
t rs ne is
Ha ng de e mi d t tAenapr ry c i e a e l t t r e ntme c l
vi
t r ne ha t ope l onsder d nd va uaed he elva
dia
e de e, he c t w co i r w he he A e na ga a opra e s g fc nce t t SSA '
vi nc t our no
ns de s
t r t
ve ppr i t i nii a
o he
S
de e mi ton t tHuntrwast al dia e l islte notf ng Hunt rt ti was
t r nai ha
e
ot ly s bld. n t e tr iyi
e ha t
dic i ng hi l ng-er dia lt awa ds Aet a knowl dt tHunt rwasr evi
s ontnui
s o t m s biiy r , na c
edge ha
e
ec i ng
s ils urt be ft butsa e t t
oca ec iy ne is
t t d ha :
(tldia lt dee mi ton mz t SSD deemi ton aema i pe nty
is sbiiy tr nai d he
tr nai r de nde nde l
a a e nota w a t s m e. dif e e be wee otrde e m i ton
nd r
l ys he n The fer nc t n l t r na i
a t
nd he
SSD dee mi to ma be drve b t So a Se urt Admi sr ton (
tr nain y
i n y he cil c iy
nitai SSA)
r gul tons For e m pl SSA r g a i ns r quie t t c r a n di e e di gnos
e ai .
xa e,
e ul to e r ha e t i s as / a
es
o c ran e
r e t i duca i o a l ve s be gi n he vi r or e n c nt oli w e g i
ton r ge e l
ve a e
ve o r lng i ht n
dee m i ng whet r a i vi l i e ild t SSD be ft . Or i ma be
tr ni
he n ndi dua s ntte o
ne is
,t y
d i n by t f c t tweha i or ton t t i dif r nt fom wha SSA
rve
he a t ha
ve nf ma i ha s fe e r
t
c i r W eha notbe n pr de wih t bassf t SSD dee m i ton,
onsde ed,
ve
e ovi d t he i or he
tr na i
a t e de e t t wa r le on f t SSD de e mi to has no be n
nd he vi nc ha
s e id
or he
t r nai n
t e
ie tfe t us T e eo e e e t o g yo a e r c iig S D b nft, we
d n iid o . h rf r , v n h u h u r e evn S e e s
a eu a et giei sgn a t ih i o rd tr n in.. .
r n bl o v t i 6c n weg t n u ee miat
o .
(d.a 539)(mpha i a d) Aenat ac wldg isrs nsbiiyt weght SSA
I t
e
ss dde . t hus kno e ed t epo i lt o i he
detr na i butwa una et e an wh i r ac d adif r ntc l i be a ei l ke
e mi ton
s bl o xpl i y t e he
fe e onc uson c us t ac d
an i or ton r r ng t a r Huntrbega r c vi s als urt benehsi
y nf ma i ega di he wa d.
e
n e ei ng oci ec iy
f n
Fe u r 2009, o e D r Ba l u' s a e e st tHunt rc d r t t wor A s s h, ti
br a y
bef r . lo s t t m nt ha
e oul e um o
k.
uc i s
pos i e t tA e na sco l i w a ba ed o a m or c pl t m e ca r cor t n t SSA ' .
sbl ha t ' nc uson s s n
e om e e di l e d ha he
s
The onl i or a i n r r ng t s i ls c iy a a d i t r or be or t s c t sa copy
y nf m to ega di he oc a e urt w r n he ec d f e hi our i
oft l te s ntt Hunt ri onni hi oft a oun ofhi be ft a t da e he w oul
he e t r e o
e nf ng m
he m
t
s ne is nd he t
d
be nr c i ngt m.(d. t7 ) Thelte i l snoe a tonf isde sonorwha
gi e evi he 1 a 26.
etr ncude
xplnai or t cii
t
18
i or ton wa r le on.Lac ng mor ,Aena c d notf il ber quie t gi gr a e
nf ma i
s ei d
ki
e t oul
a ry e r d o ve e t r
e a ton f how isdec son dif r d fo t SSA'.
xpl nai or
t
ii fe e r m he
s
11
1.
Conc us o
l in
A se aneda
xpl i
bove t cour dee m i sAenadi nota e isdic e i i
, he
t tr ne t
d
bus t s r ton n
t r i tng H unt r s l t r di a lt be ft . A c or ng y, he c tgr nt A e na' m oton
e m na i
e ' ong-e m s biiy ne is
c di l t our a s t s i
f rs mmayj d me t Th Clr i drce t s n c riidc piso ti me rn u
o u r u g n . e ek s ie td o e d e t e o e f h s mo a d m
f
opi on a t a com pa ng or rt a lc
ni nd he c
nyi
de o 1 ouns ofr c d.
el e or
EN TER : Thi D ci da ofSe e r 2012.
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s
pt mbe ,
t
V
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T
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1
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% b cvd
Y,
Chi fUnie Stt sDititJ
e
t d a e src udge
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