Harris v. Colvin

Filing 25

MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 09/24/2014. (ssm)

CLERK' OFFI U S. SX COUR3
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AT ROANOKE,
VA

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M EM O M NDUM OPI O N
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CA ROLYN W . LV I A c i
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Ho Gl n E.Com a
n. e
d
Chi Unied St t sDititJ
ef t
a e src udge

D e e nt
f nda .

Pl i ifhasfl dt sa tonc lng ngt fna decson of heComm isone ofSocil
antf
ie hi c i hale i he i l ii
t
si r
a
Sec iy de ng pl i ifscli sf rdia lt i ur ncebe ft and s e e als c iy
urt nyi
antf am o s biiy ns a
ne is
uppl m nt e urt

i omebe ft t t SocilSe urt Ac, sa nde 42U. C.jj41 ia 423, nd42
nc
neis mderhe a c iy ta me d,
S.
6() nd
a
U. C.j 1 1#!s q.r pe tvey.J iditonoft sco ti purua t 42U. C.j405(
S.
38 . e , es ci l urs ci
hi ur s s nt o
S.
g)

a d4 U. C. 1 8 ()3 .Th sc t t r ve i l tdt ad tr naina t wh t e te e
n 2 S. j 3 3 c( ) i ol ' e iw s i e o ee mi to s o eh r h r
rs
mi
i s t nta evi ncet s
s ubsa i l de
o uppor t Com misone ' co l i t tpl i iff l t esa ih
the
s i rs ncuson ha antf aied o tbls
e ilm e t be isundert Ad.I s h s tnta e de ee ss t fna de sonoft
ntte nt o neft
he
f uc ubs a i l vi nc xit ,he i l cii
he

Commisone mus beafr d. La v.Ceebrzz 368 F. 640 ( h Ci.1 . Sttd
si r t fime
ws
l e e,
2d
4t r 966) ae
bre l s t nta e de ha bee dei a s h r l va e de e co i rng t r c d
ify, ubsa il vi nce s n tned s uc e e nt vi nc , nsde i he e or
a awhol, m ihtbef
s
e as g
oundade t t s
qua e o uppor aconcusonbyar s bl mi Riha ds
t
l i
ea ona e nd. c r on

v.Peaes 402U. 389,401( 971 .
rl ,
S.
1 )
The pl i if M a t W . Har i , w a bor on Dec m be 6, 1 , a eve ualy
a nt f , rha
rs
s
n
e r
961 nd
nt l
c pl t d he hi s hooleduc ton.M r . a rs e r d a B.S. r e i a m a s e ,a
om e e r gh c
ai
s H r i a ne
deg e n ni l ci nce nd
s c pl t d a tonal r i ng a alc ns dve e i i nt u i i n.Pl i ifw or df a
he om e e ddii t a ni s i e e t r nr a ec c a
a ntf
ke orm ny
ye r a a ve e i ra t hni a She l tw or d o a r gul ra s t i d ba i i 2007. On
a s s t rna i n ec ci n.
as
ke n e a nd us a ne s s n

J nua y 29,2010,M r .Ha s fl a a ia i f a pe i of dia lt a dia lt
a r
s ni ied n pplc ton or
rod
s biiy nd s biiy
i ur nc be ft . Sometm el tr s fl a a ia i f s e e als curt i om e
ns a e ne is
i ae , he ied n pplc ton or upplm nt e iy nc
be ft . M r .H a r s a l ge t t s be a e di a ed f a 1 f m s of s t ntal ga nf
ne is
s r i le d ha he c m
s bl or 1 or
ubs a i
i ul

e oyme on Aug t 1 2007,due t 1 ba k pan r di tng i o he l tl a f t
mpl
nt
us 5,
o ow c i a ai nt r ef eg nd oo ,

de e so a hi h bl pr s e.She now m ant i t ts ha r mai d dia e t t
pr s i n, nd g ood es m
i ans ha he s e ne s bl d o he
pr e tm e.Ast hera i ai f rdia lt i ur nc be is t r cor r al t tM r .
es nt i
o
pplc ton o s biiy ns a e neft, he e d eve s ha s
Ha rsm e t i ur d sausr r m e t oft Ac t ough t t r qua trof2011 butnot
r i t he ns e t t equie n s he t hr
he hid re
,

t r fe .Seeg neal 42U. C.jj41 i a 423( . Cons que l pli ifi e ildt
heeatr
e rly,
S.
6() nd a)
e nty, antf s ntte o
dia lt i ur ncebe ft onl i s ha e t bls t ts be m ediabl f a1f m sof
s biiy ns a
ne is y f he s sa ihed ha he ca
s ed or l or

s tnta ganf e oymen o orbeor Se e r30,2011.Seege r l 42U. C.j
ubsa il i ul mpl
tn
f e ptmbe
nealv,
S.
423()
a.
M r . r i' ai swe ede e uponi ta co i ai a r consde a i Shet n
s Ha rs cl m
r nid
nii l nsder ton nd e
i r ton.
he

rquetdandrcevedad novohe rnga rviw beor a Admi sr tveLa J
e se
e i
ai nd e e f e n
nitai w udge.l a
nn
opi onda e Ocober25, 1 t La J
ni
td t
201 ,he w udgeas deer ne t tpl ntf i notdia ed.The
lo t mi d ha ai if s
s bl
Law l
udgef
oundt tM r . n' s f r s r i par e sca edb dege r tvedicdie e
ha s Ha i ufe s eve e m im nt us y
s
ne a i s s as

sauspos a e i / t i l rf ina L4- a L5- 1 ( 1 .TheLa J alo
tt
t ntrorposeror umba uso t L5 nd S . TR 4)
w udge s
no e t t ai if sahit yofe o i pr e s i udi de e son, nxit a m ood
t d ha pl ntf ha
sor
m tonal oblm ,ncl ng pr s i a e y, nd

dioderwhihaeno s veei i t ( 1 .Be aus oft bac co to t La J
s r , c r t e r n mpac. TR 4) c e he k ndiin,he w udge
r e t tM r . ri i dia ed f he pas r lva wo k a tviy. Howe r t La J
uld ha s Ha rs s s bl or r t ee nt r c i t
ve , he w udge

dee mi t tpl i ifr t i s fce f to lea e t f alm ied r nge oflg wo k
tr ned ha antf e ans ufi int unci na pa iy or i t a
i ht r
a tviy. The La J
ci t
w udge a s s d M r . a r s r i ua f tonalc pa iy a f l w s:
s es e
s H r i ' es d l unc i
a c t s olo

Afe ca e ulc i r ton oft e ie r co d,t unde sg tndst tt
tr r f onsde a i
he ntr e r he
r i ned i
ha he
ca ma ha t r i ua f tona c pa t t pe f m lghtwor a de i d i
li nt s he esd l unc i l a ciy o ror i
k s fne n

20CFR404.567( a 41 967*)e pt hec oc asonal i a a
1 b) nd 6.
xce s an c i lyclmbr mps nd
s a r bu no l dder ,r pe ,or s a f ds She c n oc as ona l ba a e,knee ,
t i, t t a
s o s
c f ol .
a c i ly l nc
l
soo c ouc a c a . She s d a d c
t p, r h, nd r wl
houl voi onee ta ed e
n r t xpos et ha r ,
ur o za ds
s h asda r m o ng mac ne y a unpr e t heght .
uc
nge ous vi
hi r nd
ot ced i s

( l5 . Gi n s h a r iua f tonalc pa iy,a a trc i rng pli ifsage
TR ) ve uc esd l unci
a ct nd fe onsdei antf
,
e
ducai a prorwo k e re ,a wel a t tm o fom avocai le r,t La
ton, nd i
r xpe ince s l s esi ny r
tona xpe t he w

J
udgef
oundt tM r . ni r t i s tce f nci na ca ct ope f m s ve a s cii lght
ha s Ha s e ans ufi int u to l pa iyt ror e r l pe fc i
w or r e e s i i s gnii a num be i t na i le ono y. A c or ngl t La J
k ol s xi tng n i f c nt
r n he tona c m
c di y, he w udge

uli t l co l
tma ey ncudedt tpl ntf i notdiabld,a t ts i note ild t be isunder
ha ai if s
s e nd ha he s
ntte o neft

et e fd rlp o rm. S eg n rly 2 C. R.j 40 .5 0 g a 41 .2 () TheLa
ih r e e a r g a
e e eal, 0 F. j 4 1 2 ( ) nd 69 0 g .
w
J
udge' opi on wa a e ast fna dec son oft Comm isone by t SocalSe urt
s ni
s dopt d he i l i i
he
s i r he i c iy
Ad i sr ton' Appe sCo i.Ha nge use a l va lbl a i sr tver me e , r .
m nita i s
al uncl vi xha t d 1 a ia e dm nitai e di s M s
H a rs ha now a
ri s
ppea e t t sc t
l d o hi our .

W hie pl ntf ma be dia e f ce t n f
l ai if y
s bld or rai onnsofempl ym e ,t c uc a f cua
o nt he r l l a t l
detnni toni whehe antf i dia edf ralf msofs tntal i ul mpl
e na i s t rpli if s s bl o 1 or
ubsa i ganf e oyme .Se
nt e

4 U. C. j4 3 d ( ) n 1 2 () Th r aef t ee n so p o f ihmu t ec nsd r d
2 S. j 2 ( )2 a d 38 ca . ee r ol lme t f r o whc s b o iee
r
i ma igs c a a ay i.The eee n saes mma ie a f l ws ( )o j cieme ia
n kn u h n n lss
s lme t r u rz d s ol : 1 b e tv d c l
o

fcsa dci c lid n s ( ) h o i o sa dc n lso so te tn p y iins ( ) u jcie
a t n l a fn i g ;2 t e pnin n o cu in f raig h sca ; 3 s be t
ni
v
e denc of
vi e physca m a f t tonsofi r nt , des rbe t o h acai a ' t tm ony'
i l niesa i
mpaime s as c i d hr ug l m nts esi
,

a ( t cli ntse ai voc tonal sor rsdua s ls andage Viekv. nc 438
nd 4)he ama ' duc ton, ai hit y,e i l kil,
. t Fi h,
F. 115 11 60( hCi.1 ) Undewoodv. bi f298F. 850,851( hCi.1 .
2d 7, 59- 4t r 971;
r
Ri cof,
2d
4t r 962)

Afe a r viw oft r or i t sca e,t c ti consr i d t co l t tt
tr e e
he ec d n hi s he our s
ta ne o ncude ha he
Com mi sonersfna de son i s
s i ' i l cii s uppore b s t n i le de
td y ubsa ta vi nce.M r . r i ha ahit yof
s Ha rs s sor
l bac obl m s Shehasa s be r at d f pa n, bne s a i t biiyi rl t o e
ow
kpr e .
l o ente e or i num
s , nd ns a lt nhe ef l w r
extem iy. M r . Ha shasr cevedte t ntf rherba ka 1 gc to fom t e m e c l
r t l s ni
e i r a me o
c nd e ondii ns r hr e dia

s c a i t ' r J m esM . i g,a orhope c szgeo Dr Cl m e A . e hi aneur ogi t
pe i ls s D . a
.
Le pzi n t di lr n; . e nt El c ,
ol s ,
'
a D r M ur a E.J ne ,J . apa n s ci ls . Folow i a e m i ton on J y 5, 1 D r
nd . r y
oi r r , i pe a it
l ng n xa na i
ul 201 , .
J ne od e aphys c as e s e w hi h i c t t tM r . a r si t a l a
oi rpr uc d
i al s s m nt c ndi a es ha s H r i s ot ly ndpe m a nty
r ne l

dia e f a1f
sbld or l onnsofwor ( 796- . Howe r t cour beleve t tt rc d
k. TR
97)
ve , he
t i s ha he e or
s
upporst Admi sr tveLa J
t he
nita i
w udge' r la eon r porsfom Dr Lei i and Dr El c i
s ei nc
e t r
. pz g
. e hi n
c udi t pl i ifs mus ul ke ealpr e sand r lt d pai a e nots s ve e a t
oncl ng hat antf
c os l t oblm
ea e
n r
o e r so
pr ve pe f
e nt r onna e ofa lm ie r nge oflgh w or M or
nc
i td a
i t k.
eove ,t cour tnds t tt La
r he
ti
ha he w

J
udger s
ea onabl we g dpl i ifst tmony i co l ngt the c pl nt ofde lt tng
y i he antf esi
n ncudi ha r om ai s
biia i
pa n a phys c lm ia i a e no f ly c e bl The c tbe i vest tt Adm i s r tve
i nd
i al i t tons r t u l r di e.
our le
ha he
ni t a i

La J
w udgepr pe l r le o t si onyfom avoc tona ex r i co l ngt tM r . ri
o ry ei d n e tm
r
a i l pe tn ncudi ha s Ha rs
hasr mai d c pa eofpe f m i s ve als cii wo k r e e si i sg fca numbe i
e ne a bl
ror ng e r pe fc r ols xitng n i nii nt
rn
t na i
he tonalec
onom y a a l r l va tm e . I s t t c tt nds s t nta e de e t
t l e e nt i s n hor , he our s
ubs a i l vi nc o

s
uppor t La J e' uli ae c l i n t tpl i if i notdi a ed f r a1 f r of
t he w udg s tm t oncuso ha antf s
s bl o l o ms
s t nta ganf empl ym e . l f l t tt Comm isone ' fnalde ii m us be
ubsa i l i ul
o nt t olows ha he
si rs i
c son
t
a fr e
fim d.
1The medi al ec d a s e t bls st tpl ntf hasbee tea ed f a va i t ofot rco tons i l ng
c r or l o s a i he ha ai if
n r t or r e y
he ndii , ncudi
c oni r nii,di i s f nm es ,snust hyc di,andhi bl p estr Shehasbe te ed f de esi
hr c hi ts zznes, ai
s i ac ar a
gh ood r ste.
en r at or pr son,
a ey,aco a e,and m ood dior . H owe r t cou tag e t tt medialr co d i caest t s
nxit l hol bus
s der
ve , he r r es ha he
c e r ndi t hat he e

df lish v ete po e ta ioyo sb etorao a l me ia c nr .Th c r fn ssbsa t l vd nc
it te a e i r rv n rnstr r u jc t e sn be dc l o tol e outid u tni e ie e
ku
h
a
t s r t La J
o uppo t he w udge' de e mi tont tt s ot rdif ulisa eno s s r ast lm ipe f m anc oft
s t r nai ha he e he fk te r t o eve e o i t ror
e he
physca a tviy f whihplitf i ot r s ca bl
i l c i t or c an if s he wie pa e.

4

M r .Ha rsha e re d l rbac a l f lg pr e sf m a ye r . Shehas
s r i s xpe ince owe
k nd e t e obl m or ny a s
bee te t d by Dr J mesM . pzi t orhopa c s ge ove ape i ofs ver lye r .
n rae
.n
Lei g, he t edi ur on, r rod e a a s
Dr Lepz gpe f r d a a e i rpose i l
. i i r o me n nt ro / t ror umba f i a 14- a L5- i e ry M a c of
r uson t - 5 nd S1 n a l
,
rh
201 Prort t ts gi lpr ed le Dr Lepzg s ma iedM r Ha s' sor a f l :
0. i o ha ur ca oc tr , . i i um rz
s. ni hit y s olows
Thi i a pa i ntt tIi taly e l t d bac i J y 2005 a t r
ss
te ha nii l va ua e
k n ul
t he eques ofD r
t
W at rKe s hl Att tpoi s wasa4o- a - d pa int Shea t tpoi wa
le r c . ha nt he
ye rol te .
t ha nt s
s a uspos prorl tL5 S1 s ge y by D rEdga W e ve .She ha pe s s e l t
tt
t i ef - ur r
r a r
d r i t nt ef
S1 r di ul r c pl i s a num bnes a w a e ua e by a M l l
a c a om a nt nd
s nd
s val t d
n
t
demonsr tng pos i e dik r c r e. She was not d,howeve ,t ha a
ta i
sbl s e urenc
e
r o ve
c o cS1r di opa hya aloe dur fbr i . wasr e r t DrJ ne
hr ni
a cul t nd s pi al i oss She
ef red o
oi r
f rt snons gi lis a ha bee f l d byDrJ ne f ma ye r .
o hi
ur ca s ue nd s n olowe
oi r or ny a s Dr
El hit n as d t tlr e ua ehe i Dec m be 2009.Att tpoi s has
ec he ke ha e val t r n
e r
ha nt he
ha de opmen ofsgnii a bac s
d vel
t i fc nt k ympt a welashe hr cl tegpan,
oms s l
rc oni ef l
i
now f m a ye r dur ton. Dr Elc ha evauae her wih a EM G
or ny a s a i
e hi d
l td
t n
de o tai e s ntalynor a sudy. wasnot dt haveadva dc lps
m nsr tng s e i l m l t She
e o
nce ola e
ofL5- 1dik, i nii nt a slf a na se i, hr clh S1r diul rpan,
S s sg fca ts- or mi l t noss c oni e
a c a i
a s wa r f r dt DrJ ne f dikogr phy. s de onsr t dnopan a
nd he s e ere o
oi r or s a
The e m ta e
i t
L3- c or ntpai a L4- w ih a g a 4 a
L4, onc da
n t L5 t r de nnul rt a ,s ve e c or nt
a e r e r onc da
pan a L5 S1 a t l f L5 S1lm i omy de e t
i t - , nd he e t - n not
fc.

Alho ht r i nogood s gi l ns rf herlf 1 panwhi hi no m a
t ug he e s
ur ca a we or e teg i
c s w ny
ye r dlr ton,i i f l t ta tr sswoul havea opport t t de r s
a s' za i t s et ha rh ode i
d
n
tmiy o c ea e
t ba k pa n a c t hi t
he c
i nd a c ng ype s m pt w hi w as r pr
y om
ch
e oduce w ih t
d t he
di kogr ph Folow i di cus i w ih r ga d t o i f m a em e ,w e
s a y. l ng s s on t e r o ptons or nag nt
ara d f he t pr e wih szge y.
r nge or r o oc ed t t r
r

( 707)
TR
.
On J 21 201 D r Le pzi r pored on a f l - e i i A tt ttm e M r .
une , 0, . i g e t
olow up xnm naton.
ha i , s

Harsi c tdt ts wa doi quiewelandflmuc betr ( 747) DrLepzgnot
ri ndiae ha he s ng t l et h te. TR
. . i i ed
t tpli tf sf wa d te on wa um e a ka ea t ts sood uprg wihoutdifc t
ha a n if or r l xi
s
m x bl nd ha he t
iht t
fi uly.

( 747) Thes ge c l dt tûhepainti doi quiewe1. ( 747) Mr.Ha s
TR
.
ur on oncude ha c te s ng t l' TR
t
'
. s ni
r m ai d unde t c r of D r Cl m e El hi t neur ogi t f pa n, ntm bnes , and
e ne
r he a e
. e nt ec , he
ol s , or i
l
s
i t lt i he l f l O n M a c 7, 1, . e s m a i d pl i ics sa usasf l s
nsabiiy n r e t eg.
r h 201 Dr El chi um rze a ntf t t
olow :

M s Ha rsco e i f f l p ofhe 1 pai Sheha l ba s ne s ge y
. r i m s n or olowu
r eg n.
d um r pi ur r
r ug y ayea ag Tha di hel he ba k pan, he 1 s
o hl
r o.
t d p r c i but r eg ympt di not
oms d
c nge. She s ilhasa ac ng pai a s e num bnes ,es ci l t w ar t
ha
tl
n hi
n nd om
s pe aly o d he
l f f . She i us ly am bul , r ndom l a i ennit nty l t1 gi s
e t oot
s ua l
ant but a
y nd nt te l ef eg ve
wa a s f ls Sheca pik he s l up rgh a y.Ri ht1 gha bee nor a .
y nd he al .
n c r ef i t wa
g e s n m l
N o u re r m iy s pt s N o o he ne z ol c fndi .
ppe xt e t ym om .
t r lr ogi al i ngs

( 7 ) Att ttme, .El hilse clnia fndi a f lws:
TR 91 . ha i Dr ec itd i c l i ngs s olo
No mus ul rar
c a tophy. No f ciul i . Ste h t si i 5 5 i i vi
as c atons r ngt e tng s / n ndi dual
m us e gr upsbia e a l A bl t s a on t sa he l .N or a , ym m e r c
cl o
l t r ly. e o t nd oe nd e s
m ls
t i al
r fe s N o gai pa hol
e l xe .
t t ogy.

( 791 . Dr El hidignosd lf lg pan and lf 1g we kne swihoutsg of a
TR ) . ec a e et e i
et e a s t
ins ny

sg t n a o a ij r ar p y o c n rl r o ss se p t lg .( 7 ) Ac o d n
ini t x n l nu y, to h , r e ta nev u y tm ahoo y TR 91. c r i g
ka
t t ne ol s,Mr . ri e re ednor titonsr gadi daiya i te .( 791.
o he ur ogit s Hars xpe inc
esrci e r ng l ctviis TR )
The c tbeleve t tt Ad i sr tve Law J
our i s ha he m nitai
udger s na y r i d on t r pors
ea o bl ele
he e t
f om t t o t e tng m e c s c a i t i de e m i ng t tM r . a r s m us ul kel t la
r he w r a i
di al pe i ls s n t r ni ha
s H r i'
c os e a nd
ne lol c pr e s a e not s s ve e as t pr ve pe f
tr ogi al obl m r
o e r
o e nt r onna e of lg e f m s of w or
nc
i ht r or
k

aci t Si y saed, t rs cals i ntfe a physca c ton, ihe be or ora tr
tviy. mpl t t neihe pe i it de ii d ny
i l ondii et r f e fe
t mor r e s gi l oc r whihco dbee c e oca edia i l lgs m pt s
he e ec nt ur ca pr edu e, c ul
xpe t dt us s blng eh e y om .
M or ove ,i a ar undiput d t tt s gia pr dur pe f m e b Dr Lei g i M a c
e r t ppe s
s e ha he ur c l oce e ror d y . pzi n r h
of201 wass ce s u i r m e ng pl ntf sl rbac pr ems
0
uc s f l n e dyi ai if owe
k obl .
W hiei i tu t tDr J ne c i d t cr di pli ifsc pl nt,a saed t t
l t s r e ha . oi r ontnue o e t antf om ai s nd t t ha
M r . ri i dia e f a1f nnsofwor a tviy,hec t le st t r i s t nta
s Ha rs s s bl d or 1 o
k c i t t our bei ve hat he e s ubsa il
e de e i s
vi nc n uppor oft La J
t he w udge' de e m i ton t gi gr a e w ei tt t r por sofD r
s t r na i o ve e t r gh o he e t
.
Le pz g and Dr El hi I t s c e ,t c t a s not t t t r i s
i i
. ec . n hi ont xt he our l o
es ha he e s uppor f t
t or he
Com m i s one ' a gum e t tD r J ne ' clni a fndi ha notbe n s h ast s
s i rs r
nt ha . oi r s i c l i ngs ve
e uc
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r

6

de e mi tonoft a dia lt Fore mpl , Augus 30, 0, . oi rr pore t tM r .
t r nai
otl s biiy.
xa e on
t 201 Dr J ne e td ha s

Ha sha i caedt the 1 ba kflsr rdes t s meconi ngpai ( 774) On
ni d ndi t ha row c et tonge pie o
tnui
n. TR
.
t t oc as o D r J ner not d t t pl i if w a vol t rng a a hos t , t ug s
ha c i n, . oi
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c mpli do d fiut stigo sa dn toln .( 7 4 . o e v r i terp l i wh c
o ane f ifc ly itn r tn ig o o g TR 7 ) M r o e,n h e o' n ih
t
he c l d t tM r .Ha s i t t ly dia e Dr J ne ofe e no physca fndi i
onc ude ha
s ni s o a l s bl d, . oi r f r d
i l i ngs n
s
uppor of hi c l i n a t pli tf s pe mane a t t i biiy t pa tci t i
t
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r
nt nd o al na lt o ri pa e n
e pl ym en . l d,i t tr po t D r J ne a t i e pl i if sphys ca lm ia i nst he
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l rba kpr e s r t rt n he l
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e fi uli .
e ousy e t r s i y

n o j ciee ie et s p o t fn i t a p an ifslwe b c pr be aes s v r a
o b e tv vd nc o u p r a i dng h t litf o r a k o lms r o e e e s
t pr ve r gul r w or a tviy. l f l s t tt r i s t nta e de e t s
o e nt e a
k c i t t olow ha he e s ubs a i l vi nc o uppor t
t he
Com m i s one ' de s on nott c e tt opi on e de f om D r J ner
s i r s ci i
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Ona
ppea t t scour,pl i ifa g t tt A dm i s r tve La J
l o hi
t a ntf r ues ha he
nit a i
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s ni s

defcinti s ve a r pe t .M r .Ha rsc endst tt La J
i e n e r l es c s s ri ont
ha he w udge f l t ac or pr r
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we g ot opi onofDr J ne .Howeve , not da
i htt he ni
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r as e bove,hec t le t tDr J ners
t our be ives ha . oi '
opi on i i c lc wih r pors fo o he te tng physcans aswela Dr J ne ' own
ni s n ontit t e t r m t r r a i
ii ,
l s . oi rs
c i c fndi . I s h c r um s a es t c tm us c ude t t t e i s t nta
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ha her s ubs a i l

e denc t s
vi e o uppor t La J
t he w udge' r ol i oft c lc si t m e c lr or
s es uton he onfit n he di a ec d.
M r . a r sal o m ai a nst t La J
s H ri s
nt i hat he w udge fl t a or pr
ied o cc d operw e g t pl i if s
i ht o a ntf

t si on a gi n a t ad i sr tveheai on Odobe 11 2011.W iho quesi M r
e tm y s ve t he m nitai
rng
r ,
t ut
ton, s.
Ha 't si ony i c est ts i no l rabl t wor on ar gulra s t i bass
nis e tm
ndiat ha he s onge e o
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e a nd usaned i

be us oft pr e wihhe lflg.Howe ri tr of anifss j tvec ant,
ca e he oblms t r ete
ve,n e ms plitf ubeci ompli s
i mus benotdt ,i o de f pant bede me dia i t r mus beob e tveme c l
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j ci
dia

e de e e t bls ng s
vi nc sa ihi ome c ton t tco d r as bl be e c e t pr e t pai
ondii ha ul e ona y
xpe t d o oduc he n

aleg Cri v. tr 76F.d585,5 93( hCi.1 ; trv. c e,780F. 11
l ed. az Chae , 3
92- 4t r 996) Fose He klr
2d 25,
11 ( hCi.1 6) l t i tntc e, pieme c li tfom avait ofs i it,he
29 4t r 98 . n he nsa as des t dia npu r
rey pecalsst

c u tfnd t tn p y iin h sie tte a y o jcie p ysc lc n iin whc c ud b
o r i s ha o h sca a d ni d n be tv , h ia o dto ih o l e
i
e
xpecedt pr
t o oducet l ve ofdicomf t c i d byM r . ni i hert si ony.Fort t
he e l
s
or des rbe
s Ha s n
e tm
ha
m a t , he c t le t tpl ntf st s i ony i s e ha i ons s e w ih t co pl nt
ter t our be i ves ha ai i f e tm
s om w t nc i t nt t he m ai s

gi n t he docor a t tm e ofofi vi is Fore mpl ,M r .Ha rst tfed t ts
ve o r t s t he i
fce st .
xa e s r i esi
ha he

e renc sve epani he l ba ki s sa f mor t nhala hour ( 49) Ye,
xpei es e r i n r ower c f he tnds or e ha f n . TR . t
a outi d a
s lne bove, loft me c lr porsi caet tpl ntf sl bac pai s t nta l
al he dia e t ndi t ha ai if ow
k n ubsa i ly
i ove afe Dr Lepzi ss gial oce e.I s tt c ti s t ntal vi ncet
mpr d tr . i g' ur c pr dur n hor, he our tnds ubsa i e de
o
s
uppor t La J
t he w udge' r ol i oft c e biiy i s s i M r .Ha r s cas
s es uton he r di lt s ue n s r i ' e.

I afimi t fna dec sonoft Comm iso r t cour doesnots
n fr ng he i l ii
he
s i ne , he
t
ugges t tM s
t ha .

Ha rsi fe ofa l n, s om f qwe knes , ndl te i t biiy.l e t m e ca r or
ri s r e l pai dic or a s a ef 1g nsa lt nde dshe di l ec d
c i m s t t pl i if ha t de gone t o s gi l pr edtr s a t t s contnue t
ontr
ha a ntf s m r
w ur ca oc le , nd ha he
i s o

e re r sdua si he l rba k a l t e Howeve , pier ulrmediala tnton,
xpe ince e i l n r owe c nd ef l g.
r des t eg a
c te i
no doc or ha i ntfed a m ec ni a pr e whi h c d be expe t d t pr
t
s de ii ny
ha c l obl m
c oul
c e o oduce t a l
ot ly

di a i mus ul kelt lorne ol c ldic o t I i wels tld t tt i lt t do
s blng
c os e a
ur ogia s omf r. t s l e te ha he nabiiy o
w or w ihout a di c f t doe not of is f r nde a cl m a t t ly di a e Cr i v.
k t
ny s om or , s
t el e r ai nt o a l s bl d. a :

Cha ç , upr ,594- I a
t r s a.
95. t ppea st t co t ha t Adm i sr tveLa J e c i r a1
r o he ur t t he
nita i
w udg onsde ed l

o tes be tv fco sr a o bys p o tdb terc r i a j iaigpli tf scamsfr
fh u jcie a tr e s na l u p re y h e o d n dudc tn anif li o
be is l f l s t t a 1f e s of t Com m i s oner s fnal de s on a e s
neft . t olow ha 1 ac t
he
si ' i
ci i r uppor e by
td
subs antalevi
t i
dence.

8

Asage r lr e, es u i n ofconfi t i t e denc i a ma t wihi t pr nc
ne a ul r olto
lcs n he vi e s
ter t n he ovi e
oft Com m i s one e n i t c tm i r ol t c lc s di f r nty. Ri ha ds n v.
he
s i r ve f he our ght es ve he onfi t f e e l
c r o

Perl ,s a;Oppe m v.Fi h, F. 396( hCi.1 .Fort r s sae t
aes upr
nhei
nc 495 2d
4t r 974)
he ea ons ttd,he
c ttndst Comm isone ' r s uton oft pe tne c lc si t r or i t sc et
our i
he
s i rs e ol i
he ri nt onfit n he ec d n hi as o
bes
uppore by s t ntal vi nc Ac or ngl t fnal cii oft Comm isone m us
td ubsa i e de e. c di y,he i de son he
si r t

b afr d La v. lb e z ,u r .Ana p o rae u g n a o d rwi b e trdti
e fime . ws Cee rz e s p a
p r p it j d me t nd r e l e n ee h s
l
da
y.
TheCl r i diecedt s nd c rii d c esoft sopi o t al c
e k s r t o e e tfe opi
hi ni n o 1 ouns lofr or
e
ec d.

DATED :Th s 2: - d yo Se tmb r 2 4
i
1& a f pe e , 01

.

Chi fUnie St t Di t i tJ
e
t d a es sr c udge

9