Freeman v. United States of America

Filing 19

MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 6/30/2014. (lab)

CLERK' OFFt U.S. ST.
:
CE
DI GOURT
AT R- oc ,
VA

FI:D
L

I THE UN I
N
TED STATES D I
STRI COU RT
CT
FOR THE W ESTERN DI
STRI OF VI I I
CT
RG N A
R OAN O K E DI I ON
V SI

J 3û 2 1
UN
29
:J t c Du
y.u.
.
pwxm

TI O TH Y LEE FREEM A N ,
M

'

s
w

,

Ci lA c i N o.7: 3CV 0056
vi ton
1
4

Cu '

Pl n i f
ai t f ,
V.

M EM O M N D UM O PI IO N
N

UN I
TED STATES OF A M ERI ,
CA

By;Hon.Gl n E.Conr d
e
a
Chi fU nied St t D i ti tJ
e
t
a es s r c udge

De e nt
f nda .

Thi m a t ri pr s nty be or t c t t de e nt sm oto f s m a y
s te s e e l f e he our on he f nda '
i n or um r

j me .Fort f l ngr a ons t motonwilbega e
udg nt
he olowi e s ,he i l rntd.
Backeround

upe i , i
hi
The pl ntf ,Ti ot Fr e a pr e ng p o y a i f
ai if m hy e m n, oc edi r t nd n onna pa r s br ngst s
.
.

m e ca m apr tc cli ag ns t Unie St t sunde t Fe r lTo1 Cli sAc a t
di l l aci e a m ai t he t d a e
r he de a
4 am
t nd he
V i gi a M edi alM a pr tc A c . The f l i f ct a e pr en e i t lghtm os f vor bl
r ni
c
l ac i e t
olow ng a s r es t d n he i
ta a e

t t pli if Se Ande s v, bet Lobby,nc.477U. 2 255(
o he antf. e
ron Li ry
l ,
S. 42, 1986)( tngt tal
noi ha 1
evi nce m us be c t ue i t lgh m os f vo a e t t pa t o
de
t ons r d n he i t
l a r bl o he r y pposng s m a y
i um r

j g n)
ud me t.
OnJ 20,201 doco sa t Sae Veea Afar M e c lCe tr(ç C'
une
2, tr t he lm trns fis dia ne iVAM '
)
pr c i d t pl i i fa 300 m g da l dos o t dr A lopurnol On J 25, 2, he
es r be he a ntf
iy e f he ug l i .
une 201 t
pl i ifvi ie t V A M C e e ge r m ,wher he w a di gnos d w ih a s r t t optc
a ntf s t d he
m r ncy oo
e
s a
e t toke o he i
ne ve a 30% l te blnd s D e pie t s di gnos s V A M C s a fe
r nd
ef ye i nes . s t hi a
i,
t f ncou a d t pl i if
r ge he a ntf
t contnue t ng A lopurnol M r.Fr an' l eye blndnes i
o
i
aki
l i .
eem s eft
i
s ncreased t appr m at y
o
oxi el

50% w ihi one houroft ng hi ne d e. The f l i ni ,one houra t rt ng a he
t n
aki
s xt os
olow ng ght
f e aki not r
300 m g dose oft dr t pl ntf sblndnes i eas t 98% i hi l 4eye and 5% i hi
he ug, he ai if' i
s ncr ed o
n s ef
n s

rghteye. The pl i t f di c tnued us ofA lo i a t blndnes pr es e no f t r
i
a n i f s on i
e
l pur nol nd he i
s ogr s d
urhe .

Di
scussi
on

U nde V igi a l w ,a pl ntf alegi m e c lm a pr tce m us ob a n a e r
r r ni a
ai i f l ng di a l ac i
t t i n xpe t

c tfc ton ofm e i prort s r i t de e an unl sthe pli tfli good f ih,a lge a
eriia i
rt i o e vng he f nd t es i a n it n
t
at le s
m e ca m a pr tc ac i t ta s r sa t or ofla lt w he e e r t s i ony i
di l l ac i e ton ha s e t he y i biiy
r xpe t e tm
s

unnec s r be us t alge a tofne i nc ceal le wihi t r ngeoft ga t
esay ca e he le d c
glge e l ry is t n he a
he fctnde'lc
i rs ommo kno e a e re ' Va.
n wldge nd xpeince.
' Codej8. - 1.l mos me c l
0120. n t dia
m a pr t c ca es V i gi a 1 w a s r quiese r t s i o t a s s t f ttnde i
l ac i e s , r ni a l o e r xpe t e tm ny o s i t he ac -i r n
de e m i ng t a opr a e sml r ofc r a w he he t he lh c e pr de de a e f om
t r ni he ppr i t t da d
a e nd
t r he a t ar ovi r vi t d r

t tsa r Dike s v. thi484S. 2d880,881(997)( tngRanesv. z,
ha tndad. c ron Fae ,
E.
1
cii
i
Lut 341
S. 2d 1 1 ( 98 ) Onl i rr i tnce wilt alge a tofnegi nceclal 1e
E. 94, 96 1 6). y n a e nsa s l he le d c
lge
e ry i
wihi t f tsnde ' c
t n he ac rs omm o kno edgea e inces h t te r t tm ony i
n wl
nd xpere
uc ha xpe t esi
s

unne sa y.1 ;s ealoBe rvEntr rs - l v. c s 441S. 2d1,3( 994)
ce sr d. e s vel e piesva.nc. Nihol,
E.
1 .
A st c te a ne a t hea i on t m o i t s i no one oft e r r
he our xpl i d t he rng he ton, hi s t
hos a e
i t es St t d s m pl whe he t VA M C s a fa t d ne i nty by pr s rbi A lopurnol
nsanc . a e i y, t r he
t f c e glge l
e c i ng l i
w iho i or i t pl i ifa t t rs ofblndnes ,o by enc a ng M r Fr em a t
t ut nf m ng he a ntf s o he ik
i
s r
our gi
. e n o
c i is us des t hi e bied s pt s i notw ihi t c m o kno l dge a
ontnue t age pie s xhi t ym om , s
t n he om n
w e
nd
e
xpere ofa l r on. Li wi e, he he A lopurnolus pr m a el c us d t
i nce
aype s
ke s w t r l i
age oxi t y a e he

plitf se ij isi ac e q tonofp r c ogyo sdet pur e oft a r ge
anif ye nure s omplx uesi
ha ma ol uti he viw he ve a

fc- n e .Co aeDik ro 48 S. 2 8 0(idngt tt ej r c udu d rtn , t o t
a tt d r mp r c es n, 4 E.d 8 fn i ha h u y o l n e sa d wih u
i
t ai ofe
he d
xper t tm ony,t f ii t r ove a hypode m i ne dl f om t pl ntf snec
t es i
hat a lng o em
r c e e r he ai if
k

afe s geywo dc es veepani t plitf srg a' ,ha a ne k) wihBelv.
tr ur r ul aus e r i n he anif iht t nd, nd c , t l
m
Unie Stts 2011W L 373
td ae ,
4458( D. .Aug.2 2011 (i ngt tt ge rlsandadof
E. Va
4, ) fndi ha he nea t r
ca e f t e tng di be i pa i nt w ih Glpi i ,o w he he t pl i ips di betc s k a
r or r a i
a tc te s t i z de r
t r he a ntf
a i hoc nd
va vul rf l e w e e p oxi a el c us d by t a ountofG lpi i pr s rbe i no w ihi t
l a aiur r r m t y a e
he m
i z de e c i d, s t t n he

e,
tt i
i
c
ommonknowldgea e re o alype s .Her aeerik aton ofm ertand expert
e
nd xpe ince f a ron)
3