Alexander v. Colvin

Filing 21

MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 5/15/2014. (lab)

CL S OFFI U.S. ST COURR
ERK'
CE
DI .
AT ROANOKE,VA
FI
LED

MAï 15 2 1
2j
I TH E UN I
N
TED STATES DI
STRI CO U RT
CT
FO R TH E W ESTERN D I
STRI OF V I N I
CT
RGI A
R OAN OK E D I I ON
V SI

JUL
G

BY;

UDLE CL è
Y

DEPUTY CLERK

LA YM ON LEW I A LEXA N DER,J ,
S
R.

Ci lAc i No.7: 3CV00259
vi ton
1
Pl n if
ai t f ,
M EM O M N D UM O PI I N
N O
CA RO LYN W .COLV I ,Ac i
N
tng
Co isone ofSoca Se urt
mm s i r
il e iy,

By:

Hon.Gl n E.Conr d
e
a
Chi Unied St t sDititJ
ef t
a e src udge

Def nt
enda .
Pl ntf hasfld t sa ton cha lngi t fnalde son oft Co mi sone ofSoc a
ai if
ie hi c i
le ng he i
cii
he m s i r
il
Se urt de ng pl i ifsc am f ape i ofdia lt and dia lt i ur ncebe ft unde
e iy nyi
antf l i or rod
s biiy
s biiy ns a
ne is
r

t SocilSec iyAc,asn nded,42 U. C.jj416()and 423. J iditon oft sco ti
he
a urt t me
S.
i
urs ci
hi ur s

p ru n t j2 5 g o teAc, 2U.. j4 ( ) Thi c u t rviw i l tdt ad tr n to
u s a to 0 () fh t4 SC. 05g . s o r' e e s i e o eemiain
s
mi
ast w he he t r i s t ntale de e t s ppo tt Co m i s o rs c l i t tpl i if
o
t r he e s ubs a i vi nc o u r he m s i ne ' onc us on ha a ntf
f l t m e t r quiem e sf en il m e t bene isunde t A c .l s s t i l de
aied o et he e r nt or tte nt o
ft
r he t f uch ubsanta evi nce

e ss t fna de son oft Comm isone mus beafimed.La v.Celbr ze 368F. 640
xit, he i l cii
he
si r t
fr
ws
e ez ,
2d

(t Ci.1 . Stt brefy,s tntalevi nc hasbe n defne ass h rlvan e denc
4h r 966) aed i l ubsa i de e
e i d uc ee t vi e,
c i i t r c d a a whol as m i ht be f
ons derng he e or s
e,
g
ound a ua e t s
deq t o uppo t a conc us on by a
r
l i

ras bl mi lihads v.Peae , 2 U. 389,401( 971.
e ona e nd. tc r on
rls 40 S.
1 )
The pl i if La m on Le i A l xa r J . w as bor on J
a ntf , y
w s e nde , r,
n
une 5, 1
965,a e nt ly
nd ve ua l
co pl t d hi hi h s hool e
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duca i n. M r Al xa r ha w or a a a m unii a s m bl
to
. e nde s
ked s n m
ton s e y
l bor r expl i m a ac tr ng s r i or t c d i r a r ut s l s pe s H e l tw or d
a e , os ve nuf tli upe v s , nl k r ve , nd o e a e r on.
as
ke
i 2008.O n D e m ber8,
n
ce
2009, ai i ff l d a a i a i f a pe i ofdi a lt a di a lt
pl ntf ie n pplc ton or r od
s biiy nd s biiy
i u a be ft . M r A l xa r a l ge t t he be n e di a e f a 1f m s of s t nta
ns r nce ne is
. e nde le d ha
cm
s bl d or l or
ubs a i l

gai u e oy e on Oc obe 1 2007 due t ahea tata f tgue hea t oblm s a hi
nf l mpl m nt
t r 7,
o
r t ck, ai , r pr e , nd gh
bl pr s ur Pl ntf no mai ai t the hasr m aned diabld t t pr e tm e The
ood e s e. ai if w
nt ns ha
e i
s e o he es nt i .
r c dr a st t r Al nde m e t i ur dsa usr r m e sofheAc a a1r l va tm e
e or eve l ha M . exa r t he ns e t t equie nt t
t t l e e nt i s

c r b t fna decso o t Commisone .Se ge ,42U. C.jj41 i a 423()
oveed y he i l iin f he
si r e, n.
S.
6() nd a .
M r Alxande ' c am wasde e upon i ta co i r ton and r co i r ton. t n
. e
rs l i
nid
nii l nsde a i
e nsde a i He he

rquese andrc ve aéçnovohe rnga rviw beor a Admi sr tveLaw J e.l a
e td
e ei d
ai nd e e f e n
nitai
udg n n
opi on daedM a 24, 2,t La J ealo de e mi dt tpl ntf i notdia e TheLa
ni
t
y 201 he w udg s t r ne ha ai if s
s bl d.
w
J
udgef
ound t tM r Al xa re re e s ver ls ve ei im e s i udi c ona ya tr
ha . e nde xpe inc s e a e r mpar nt, ncl ng or r re y
die e, sor ofmyoc r a i ar ton, nd sauspos c onar a t yby s gr fi tmesf .
s as hit y
a dil nf ci a t t
t or y rer pa s a tng i
our

( 1 . Be us oft s condii ,t La J
TR 9) ca e he e
tons he w udger edt tpl ntf i diabld f hi pat
ul ha ai if s s e o< s s
r l va wor r e . Howe r t La J
e e nt k ol s
ve , he w udge de e mi d t tM r Alxa rr t ns s t i t
t r ne ha . e nde e ai ufk en
f tona ca ciy t pe f m a lm ied r ng ofs de a y exe tona aci tes The La J
unc i l pa t o ror
i t a e
e nt r
ri l tvii .
w udge
as e s d pl ntf sr i lf i lca ciy a f l s
s s e ai i f es dua unctona pa t s olow :

Aferca e ulc i r ton oft e ie r co d,1 fnd t tt c a mantha t
t r f onsde a i
he ntr e r
i ha he l i
s he

r i lf ina c pa iy t pef m sdenay wor asdefne i 20 C. R.j
esdua uncto l a ct o ror e tr
k
i dn
F.
404.567( M o es ikal hec nlf a c ryupt 1 poundsoc sonaly;
1 *. r pect ly, a it nd ar o 0
ca i l
stf sxhotr i aneg - wor (iqf t hozsa onetme;sa f sx
i or i zs n ihthour k sc or wo tr t i tnd or i
hour i a e g - trwo kda f ro houra onetme;wal f t hour i a
s n n i htho z r y o ne
t
i
k or wo
sn n
eghthourwo kda f 30mi t a o tme.Hec n oc asona l r ac ove he d
i r y or
nu es t ne i
a c i ly e h r a
a pus pul w ih bia e al upper e r m ii ; c n f e nty r c ot r t n
nd
h/ l t l t r
xt e tes a r que l ea h he ha
ove hea w ih bia e aluppe e r m ii ;c n oc s ona l c i b s ais a r m ps
r d t lt r
r xt e tes a ca i ly lm t r nd a ,
c i b l dder ors a f ds ba a e s oo kne l a cr h;butc n ne r c awl
lm a
s c f ol , l nc , t p, e , nd ouc
a ve r .
Furhe m or , he c n neve wor ar
t r e
a
r
k ound unpr eced hei s a c n onl
ot t
ght nd a
y
occ sonalyw o ka o
a i l r r undm ovi
ngmec ni a pa , tfl e , s e r m ecol
ha c l ds dus im s odor , xte
d
a he t a vi a i .Lasl t cli nti lm ie t sm pl r i r ttve,
nd a , nd br tons
ty,he a ma s i t d o i e, outne,epeii
anduns le wo k.
kil d r

( 2 ) Gi e s c ar sd a f cin l a ct , n a trc n ie igp an ifsa e e u ain,
TR 0 . v n u h e i u l t to a c pa iy a d fe o sd rn litf g , d c to
m
and pr orw or e renc a w e la t tm ony f om a voc tonal xpe t t La J
i
k xpe i e, s l s es i
r
a i e r , he w udge f
ound t t
ha
M r A l xa rr t i s fc e f tona c pa iyf s ve al pe ii s de a yw o kr e e s i
. e nde e a ns ufi i nt unc i l a c t or e r s c tc e nt r r ol s xi tng
2

i sg tca numberi t nai lec
n i nii nt
n he tona onomy.Acc di l t La J
or ngy,he w udgeuli a ey c l
tm t l oncuded
t M r A l xa ri notdi a e and t the i note il d t a pe i ofdi a lt ordi a lt
hat . e nde s
s bl d,
ha
s
ntte o
r od
s biiy
s biiy

i urnc beneis See20C. R. 40 1 20() TheLa J
ns a e tt.
F. j 4.5 g .
w udge' opi onwasa eda t fnal
s ni
dopt s he i
de ii oft Com mi sone by t Soc a Sec iy Admi sr ton' Appe l Counc l Ha ng
c son he
s i r he i l urt
nitai s
as
i. vi
e used a1a ia ea i sr tver m e es M r Al xa rha now a ald t t scour.
xha t 1 va lbl dm nitai e di , . e nde s
ppe e o hi
t
W hie pl ntf m a be di a ed f ce t i f m s of e pl e , t c u i l f c ua
l ai i f y
s bl or ra n or
m oym nt he r c a a t l
de e na i i whe he a ntf w asdi a e f a 1 or sofs t ntal i ul m pl e .Se
t nni ton s
t rpl i i f
s bl d or 1 f m
ubs a i ga nf e oym nt e

42U. C. 423( () Theear furelment ofpr whihmus bec i rdi maki s
S. j d)2 . r e o e s oof c
t onsdee n
ng uch

a a ay i. Th s ee n saes mma ie a f lo :( )o j cieme ia fcsa dci c l
n n lss e e lme t r u rz d s ol ws 1 b e tv dc l a t n l a
ni
fn ig ;2 t o i o sa dc ncuso o te t p y iin ;3 s b e tv e ie eo p y ia
i dn s ( )he pnin n o l ins fr ai h sca s () u j cie vd nc f h sc l
ng
ma f ttonsofi ime s a des rbe tr hacli ntstsi
niesai
mpar nt, s ci d houg
ama ' etmony' nd( t cli nts
, 4) he ama '
a

e u ain v ain l itr ,e iu l k l , n a e Vie v Fic 4 F. 11 7 1 5 - 0(t
d c to , oc to a h so y rsd a s il a d g . tk . n h, 38 2d 5 , 1 9 6 4h
s
Ci.1 ) Unde woodv. biof, F. 850,851( hCi.1 .
r 971;
r
Ri c f 298 2d
4t r 962)
Af e a r vi w of t x or i t s c e,t co ti co t a ne t c ude t t t
tr e e
he ec d n hi as he ur s ns r i d o oncl
ha he

Comm isone ' fnal cii i s
s i rs i de son s uppo tdbys t nta e de e.M r Alxa
re
ubsa i l vi nc
. e nders f e ahe r
ufer d a t
a t ck i Oc obe of2007. H e unde w e q dr e cor r a t r by s sl g y t ne da
ta n t r
r nt ua upl
ona y r e y pa s tr er he xt y.

Folo ngt s ge y, ai ifi tal di wel a hewa a et r t nt wor Howe , r
l wi he ur r pl ntf niily d l, nd
s bl o e ur o k.
ver M .
A l nde be n t s f f om i r asng s pt a ol
exa r ga o uf er r
nc e i ym om t ogy,i l ng c t pai s t s of
nc udi hes
n, hor ne s

br t f tg ,we knes ,and num b s ,e pecaly i hi lf uppe e r m iy. He now c r isa
eah, ai ue a s
ne s s i l n s e t
r xte t
a re
dignos sofc r a i ufi inc a c ona y are y die e. He a s s f r fom hi bl
a
i
a di c ns fce y nd or r tr s as
lo ufe s r
gh ood
pr s tr a e e t d c e t r l vel
e sle nd l va e hol s e ol e s.

The me c r cor i
dial e d ndudesanumbe ofr porsa ci ca not fom M r Al xa rs
r e t nd lni l es r
. e nde '
prm a y t e tng phys c a Dr M a t w S. Kma z. D r Kaa z c i r pl ntf t be t a l
i r rai
i i n, . the
t
.
t ons de s ai if o
ot ly
di abl d. Fore pl ,on M ar h 6,201 D r Kaa z r pored a f l s:
s e
xam e
c
3, . t e t s olow

M r Alxa rha bee apa intofmi f t pas 3 % ye r durng whi h tm e
. e nde s n
te
ne or he t
as i
c i
l ha te t d hi f a hit y of hy re i n,hype c eser e i ,a ey,
ve r a e m or
sor
pe tnso
r hol t olm a nxi t
de e sona c ona ydi e s sauspos quadr eb
pr s i nd or r s a e t t
t
upl ypas wihr fa t ya i
s t e r c or ng na
a pan on adal bass 1l ts w hi i t ofk eon M ar h 6ha whih poi he
nd i
iy i . as a m n he t
c t t c
nt
was t ki nir l e i e r da t hep r i hi br kt ough c s pan
a ng tog yc rn ve y y o l eleve s ea hr
he t i
s
ympt s Hei now t c feea hasdonee yt ng he c n t optm i hi
om .
s
obac o r nd
ver hi
a o i ze s
he t howe r unf tma eyi una et e r s be aus of sr c r tunsa e
alh,
ve , ort t l s bl o xe cie c e hi e uren
tbl
mv i .I le hi t bet t ly a pe m a nty di a e a t stm e a I e
na be i ve m o o a l nd r ne l s bl d t hi i nd r ques
t
t tyou t ke t ti o c i r ton a you c e pl t hi c e.
ha
a ha nt ons de a i s
ont m a e s as

( 480) DrKmtzas s te ar iualf i c pa t q si iedae Fe uay23,
TR
. . r lo ubmitd esd unctonal a ciy uetonnar td br r
t

201 ( 450-2) Att tmeoft a nitai he rng,avoc tona ex r tsiidt tt
2. TR
5 . he i
he dmi srtve ai
ai l pe tetfe ha he
r i lf nc i na fndi ofDr Ka t m. s si oft a dia lt f alf r s ofwor
esdua u to l i ngs
. a z e ugge tve ot l s biiy or 1 o m
k

aci t ( 76- .
tviy. TR 79)
TheAdmi sr tveLa J
nita i
w udgede lne t gi c r lngwe g oDr Ka t sr porsa
c i d o ve ontoli
i htt . a z' e t nd
opi o ,notng t tt physca sm o er c ntopi o i i onsse wih o he e denc of
ni ns i ha he
i in' r e e
ni n s nc itnt t t r vi e

rc d, i notde ci i ofpli ifsc rntcondii ( 24) TheLa J eg mor
e or and s
s rptve antf ure
ton. TR .
w udg ave e
w e ghtt a c ula i r por ge r t d by D r Davi Boone on M a c 31 201 Folowi a
i o ons t tve e t ne a e
.
d
r h , 2. l ng
phys c exa i ton,D r Boone di gnos d c o r a tr di e e a hi h bl pr s e D r
i al m na i
.
a
e or na y re y s as nd g ood es ur . .
Boone lsed ove al fndi a f nc i la s s e a f l w s
it
r l i ngs nd u tona s es m nt s olo :

Thenumbe ofho lst cli a c sa wo dbe sx hotr outofa e g r
tr he am nt an t nd ul
i ls
n i hthour

wor ba e o t y' e m a wha hedoeson a eveyda bass He(ij
kday s d n oda s xa nd t
n r y i. sc
numbe ofhour t cai ntc d wak woul be t hour outofa eghthour
r
s he l ma oul l
d wo
s
n i w o kda a n ba e o t s m e The ntm be ofhour t c ai antc n stw oul
r y, gai s d n he a .
l r
s he l m
a i
d
be s x hour outofa e g i
s
' n i ht hom wor y ba ed o t s m e.
kda s n he a

4

The a ountofw ei t c a m a c n be expe t d t lf and c r y w oul be 1
m
ght he l i nt a
c e o it
ar
d
0
pounds oc as ona l and l s t 1 po
c i ly
es han 0 undsf e
r quenty.
l
H e doesnota
ppea t ha a m a pul tve orpos ur lm ia i . H e i a e t
r o ve ny ni a i
t al i t tons
s bl o
be ove ,s ua dow n a pi k up a qua tr s z d buton a pa rc i e ha
nd r q t
nd c
re - i e
t nd pe lp, xc nge
t ef om ha t ha and gi t e ba k t m e.A n OD A R f m H A 11 w il
hos r
nd o nd
ve hos c o
or
5 l be
a t c d.
t a he
N o vi ualorc m uni tve lm ia i . N o ne d f a s si de c t n bul t
s
om
ca i i t tons
e or s i tve vi e o m a e.

( 458) Dr Boonealoco ee aphysca ase s ntofpl nifsphysc a lt f wor
TR
. .
s mpltd
i l s sme
aitf'
ial biiy or krltda tvii .( 459- .W he as dt consde rsdualfmci lc pact ass sed
eae ci tes TR
64)
n ke o
i r ei
t tona a iy ugge t
i Dr Boone' a s s nt t voc tonal xpe tde ii s ve a s c fcs nt r wor r e i
n .
s s es me , he a i e r i ntted e r l pe ii ede a y k ols n

whihM r Alxa rcoul bee ce t pef m .( 73- )
c . e nde
d xpe td o ror TR 76 .
W hiet m e ca r or i i c ld , he c t le s t tt r i s t nta e de
l he di l ee d s n onf i t our be i ve ha he e s ubs a i l vi nce
t s
o uppor t La J e' de s on t c e tt fndi ofD r Boo overt e of Dr K a t
t he w udg s ci i o r di he i ngs
. ne
hos
. a z.
St t d s i ty,t c t a e t t Dr Kaa z' opi ons a e nott aly c i t nt w ih hi
a e ucc nc l he our gr es ha . t s ni
r
ot l ons s e
t s

ci c lnot s a t t he ea enor al i ngswhi hwoul s
lnia e , nd ha t r r
e fndi
c
d uppor t noto t tM r Alxa r
the i n ha . e nde
no l r pos es e t phys c l abiiy t e ge i s nt r w or a tvii . M o e r a
onge
s s s he
ia
lt o nga n ede a y
k c i tes
r ove , s

pr ry not byt La J
ope l ed he w udge t r co dco im st tDr Kmazhadno s n ore m i d M r
, he e r nfr ha . t
t ee
xa ne
.
Alxa rf mor t n one a one hafye r prort c pl ton oft r i lfmdi
e nde or
e ha
nd - l a s i o om e i
he esdua t onal
ca iy e ua i on Fe u r 23,201 I d,t r i no r li c ton t t Dr K a z has
pac t val ton
br a y
2. ndee he e s
ea ndi a i ha . at

peronalyte t dpli ifo ar gul bass Gi n s h cr umsanc , hec t le t tt
s l r a e antf n e ar i . ve uc ic t es t our be ives ha he
Law l
udger s bl de e m i dt t .
ea ona y t r ne ha Dr Boone' r por pr de am or doc e e a upda e
s e t ovi d
e um nt d nd
td
a s s e ofpl ntf ' r s dua f tona ca ciy.
s es m nt
ai if s e i l unc i l pa t
M r A l xa r snone r i na i pa r e t e e as m e ha d os rques i Dr Pa e a
. e nde '
xe to l m im n spr s nt o w t e
ton. . m l
S. s ne r a clni al yc ogit c pl t d a c pr he i e l ton on Fe ua y 20,201
Te s a , i c ps hol s , om e e
om e ns ve va ua i
br r
2.

Ba ed on a ci c i e viw ,a i e pr ai ofps hol ca t tng r s t ,Dr Te s r
s
lnial ntr e nd ntr etton
yc ogi l esi e uls . s nea

da n s d sn l e io e mao d p e sv ds r e o mo e ae s v rt;g n rlz d a xit
ig o e ige p s d j r e rs ie io d r f d r t e eiy e eaie n ey
dior r pa cdior rwiho a a
s de ; ni s de t ut gor phobi ;a s m epos-r tma i sr sis s Dr Tes ne r
a nd o
tta l tc tes s ue . . s a
no e Gl l A s e s e of Func i ni of 50. The ps ho ogit a s s d pl i i f s r i l
t d oba s s m nt
to ng
1
ye l s s es e a ntf es dua
f tona c pac t asf l s
unc i l a iy olow :

M r Alxande i a et unde sa a f l sm pl i tuc i .Co e r ton
. e
r s bl o
r tnd nd olow i e nsr tons nc ntai
i g r ly a quaeuntlhe f l a ousa be
s ene a l de t i
ee s nxi
nd comess l- cous W he he
e fcons i .
n
l eshi t a n oft
os
s ri
houghtorm a an e r , s o and goesba k t t be nni
kes r or he t ps
c o he gi ng.
Hedoesno r quie s ci s r ii buthedo s e c t f ed c be us
t e r pe al upe v son
es e k onsant e ba k ca e
ofhi f arofm a ngmit kes Hei a et g talngwihpe ebuthi irt biiy
se
ki
sa . s bl o e o
t opl
s r ia lt
lm ishi efe tve swiht publc.Hedoespooryi c owds Hi a lt t de
i t s f c i nes t he
i
l n r
. s biiy o al

wihsr s i rd c da dh ha dfiul ma n a j t n st c a e .
t te s s e u e n e s ifc t kig dusme t o h ng s
y
( 475)
TR
.
Ba e on Dr Te s rsr por t co tbe ivest tt Law J eere i fndi t t
sd
. s nea ' e q he ur le
ha he
udg r d n i ng ha
M r Alxa rdoes note re a s ve e i nnen bas on hi de es i a a ey.
. e nde
xpe ince e r mpai t ed
s pr son nd nxi t z
H o eve , he c t l o be i ve t tt Law J e ade t l a cou e f Dr Tes nea ' m o e
w r t our a s le s ha he
udg
qua e y c nt d or . s r s r

i pora fndi i sa s s m e ofpl i ifsr i ua fmc i e pa iya i sque to ng
m tnt i ngs nhi s e s nt antf esd l t tonal a ct nd nhi
si ni
oft voc tona e r .Asno eda
he ai l xpe t
t bove,heLa J
t
w udges ii a l c udedt tM r Alxande
pecfc ly oncl
ha . e
r
i lm ied t sm pl r tne r pe ii a uns le t ks
s i t o i e, ou i , e ttve, nd kil d as .TheLa J
w udgei l
ncuded t ewor
hes
k-

rltdlmiai i hi hypot tc lq si t t vocaina e r.( 71- .Thec ti
eae i ttons n s
heia ueton o he to l xpe t TR 72)
our s
s m pl una e t c l t t D r Tes ne r s f ndi ar i ons s e w ih t La J
i y
bl o onc ude ha
. s a ' i ngs e nc i t nt t he w udge'
s

a s s e . Theps hol s no e t tM r Al nde i a et undert a f l sm pl
s es m nt
yc ogit t d ha . exa r s bl o
sand nd olow i e
1Thego a a ssme t ff to ng,o GAF,s e orpoth ciiin'j d me t fh s bets veal
lb l se s n o uncini r
iusdt e rte l ca su g n o te u j c'o rl
n

lve off toni A GAF s r bet e 41a 50 i i c i ofsrouss omsoran srousi nne i
e l unci ng.
co e we n nd s ndiatve e i ympt
y e i mpai nt n
s ca , c u a in l o s h ol u c inig. Ame ia Ps c iti As o ito ,Dlg si a d S aitc l a u lo
o il o g p to a, r c o f n to n
rc n y h arc s cai n a no tc n ttsia M n a f
Me tl s res48(t e tx r v 20 0 .
na Dlod r 4h d.e t e . 0 )

2Und r 0C. R. 4 41 21a, sv r i ar n ic aa trz da o ewhihsg iia tyl tp y ia
e 2 F. j 0 .5 ()a e ee mp ime ts h rceie s n c infc nl i s h sc l
mi
orm e ala lt f ba i wor a i te .
nt biiy or sc k ctviis

6

i tucins ( 475) She a s sed c e rton asgeneal a
nsr to . TR
.
s e s onc ntai
rly dequae ( 475 . She
t. TR )
de e m i d t tpl ntf r qui esno s ci ls r s on a t the i ge r ly a e t ge a ong
t r ne ha ai i f e r
pe a upe vii nd ha
s ne a l bl o t l

wih peo e. ( 475) She rpore t the i a e t e ge i a tvii i whih sr si
t pl TR
.
e td ha
s bl o nga n ci tes n c tes s

mi mie a d whih d no r q ie fe u n a j sme t. ( 4 5 . Thu ,whiet c u t
ni z d, n
c o t e ur rq e t du t ns TR 7 )
s l he o r
be i vest tt La J
le
ha he w udge e r d i notfndi a s ve e em otona i paim e , he c t i s
re n
i ng e r
i l m r nt t our beleve
t tt La J
ha he w udge uli a el a co e f t lm ia i i n i d by t c i ca ps hol s .
tm t y c unt d or he i t tons de t fe
he lni l yc ogit

I c i rng pl i ifs ca iy f r ale ae wor r e ,t La J
n onsde i
antf
pact o tm t
k ols he w udge c edie t
r t d he
t tm on oft vocai le r .Ha ngr vi we ale de ofr or t co tbele t t
esi y he
tona xpe t vi e e d l vi nce ec d, he ur ives ha
t e r ' e l ton of t voca i l f c or , a t as um ptons t de w hi h t expe t
he xpe ts va ua i
he
tona a t s nd he s
i
m r
c he
r

dei r t d,a e bot r as bl a c it ntwih ot re de of r c d. Thus t c t
lbe a e r
h e ona e nd onsse
t he vi nce
e or
, he our
c l st tt r i s t nta evi ncet s
onc ude ha he e s ubs a i l de
o uppor t La J
t he w udge' f ndi t tM r A l xa
s i ng ha
. e nder

r t nss fc e fmc i lca ciy t pe f s ve a s cii s nt r wor r eswhih e s
eai ufi i nt t tona pa t o ronn e r l pe tc ede a y k ol
c xit
i s gnii a num be i hena i na e
n i tc nt
r nt
to l conom y.l f l st t hefnal ci i oft C o m i s o r
t olow ha t i de s on he m s i ne
m us be a fr e
t f im d.

Ona a t t sc tpl ntf a guest tt La J
ppe l o hi our, ai if r
ha he w udgef ie t ac or pr rwei t
al d o c d ope
ght o

t rporsandopi onsfom t te tng physcan,Dr Ka t ti tuet tunder20 C. R.j
he e t
ni r he r ai
ii
. az.I s r ha
F.

40 1 c( ,i i pr de t t ge r l mor weg s ul bea or d t o ninsfom
4.527()2) t s ovi d ha, nealy, e iht ho d cc de o pi o r
t e tng s c .H oweve , nt i t tc e, heco t le t t he ei s ebas st c le
r a i our es
r i he nsan as t
ur be i ves ha t r s om
i o ha l nge

t r ul rt ofDr K a t ste t nt l a e nt t cour a ee t tt m e ca r or doe
he eg a iy
. az' r a me . n ny ve , he
t gr s ha he di l ec d s
noti l ci c lfndi whih woul s
ncude lnia i ngs c
d uppor a de e m i ton ofdia lt f ra1 s den a y
t t r na i
s biiy o 1 e t r
l ve so w or l s h cic s a es t co tc l st tt La J
e l f k. n uc r um t nc , he ur onc ude ha he w udge r as bl de lne
e ona y c i d

t gveco r lngweghtt t opi onso Dr Ka t Se 20C. R.j404. *4 a ( .
o i ntoli
i o he ni f . az. e
F.
1527( 3) nd 4)
7

l a tr i t fna de ii oft Comm iso r t cour doesnots
n fim ng he i l c son he
s i ne , he
t
ugges t tM r
t ha .
A l xa ri f e ofa 1w e kne s f tgue, s m f t a de es i I ed,t m e c lr c d
e nde s r e
1 a s , a i di co or, nd pr son. nde he di a e or

confr st tpl i ifs f sfom s ve a s rouspr e swhihca e c e or s ti many
im ha antf ufer r e r l e i
obl m
c nbe xpe t dt e ul n

s b e tv c mp an s a o ti db M rAlxa d ri hi tsi n M o e v rt ec u t eive
u j ci e o lit, s u l
ne y . e n e n s e tmo y. ro e ,h o r b le s
t tDr Te s a ' r por gi sgood i i hta t t e o i pr e sa s i t w ih pl i if s
ha . s ne r s e t ve
ns g s o he m tonal obl m s oe a ed t a ntf
m e c l c ton a hi i biiy t enga i a f l r ng of e ri
di a ondii nd s na lt o
ge n u l a e
xe ton. H ow e r i m us be
ve , t
t

rc z dt tdia lt f patwor ort i biiyt dowor a tviywihouts s jctve
e ognie ha sbiiy or s k, he na lt o
k ci t t
ome ube i
dic o tdonotende acama t al dia e Cri v. tr 76F. 585, 4- ( hCi.
s omfr,
r r li ntotly s bld. ag Chae , 3d
59 95 4t r

1 .I appe r t t co tt tt Admi sr tveLa J ec i rd al oft s j ci
996) t as o he ur ha he
nitai w udg onsdee 1 he ub e tve

fco sra o bys p o tdb teme ia rc r i a j dc t pan ifscamsf rb n ft.
a t r e s na l u p re y h d c l e o d n du iai litf' li o e e is
ng
l f l t talf cesoft Comm iso rsfna de sona es
t olows ha l a t he
s i ne ' i l cii r uppore b s t nta e de e.
td y ubsa i l vi nc
Asa g r lnze, e ol i ofc lc si t e denc i am at rwihi t pr nc of
ene a l r s uton onfit n he vi e s
te t n he ovi e
t Com m i s one eve i t c tm i htr s ve t c lc sdi f r nty. Ri r on v. r l s
he
s i r n f he our g e ol he onf i t f e e l
cha ds
Pe a e ,

s a; nhei v. nc 495F. 396( hCi.1 .Fort r s nssaed,hec tfndst
upr Oppe m Fi h,
2d
4t r 974)
he ea o tt t our i he
Com m i s one ' r s uto oft pe tne c l c s i t r co d i t s ca e t be s
s i rs e ol i n
he r i nt onti t n he e r n hi s o
uppor e by
td

s t nta e de e.Acc di y,hetna de sonoft Com mi sonerm us beafimed.La
ubsa il vi nc
or ngl t i l cii
he
si
t
fr
ws

v. lb e z , u r .An a p o raej d me ta do d rwil ee tr dti d y.
Cee rz e s p a
p r p it u g n n r e l b n ee h s a
Thec e k i die t d t s ndce tfedco esoft so ni t a 1c m s lofr cor
lr s rce o e
rii
pi
hi pi on o 1 ot e
e d.

DATED: s /
Thi S

da ofMa 201
y
y, 4.

Chi U nied St t sD i t i tJ
ef t
a e s rc udge

8