Chamberlain v. Clarke et al

Filing 29

MEMORANDUM OPINION. Signed by Judge Samuel G. Wilson on 5/22/2014. (tvt)

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M EM OR ANDVM OPI ON
NI
H A R O LD C LA R K E,etaI,
.
D efendant
s.

By:Sam ue G .W is
l
l on
U nied St esD i t i tJudge
t
at
src

Jer i Chamberan,aVigi a i a epr
am ah
li
r ni nm t oceedi
ngrr/ J brngst sci lrght ac i under
e, i hi vi i s ton

42U. C.j1 3f da ge a ij ncierle a i tWal nsRi eStt Prsn( RSP)
S. 98 or ma s nd nu tv eif gans l dg ae io W
e
physci Dr Dani M ilr and admi sr or M .St or H a ol W .Cl ke,and Gr y Holowa
i an, .
el le ,
nitat s,
anf d, r d
ar
egor
l y,
alegi t wer delber el i f er ntf nottea i hi Hepa ii C becaus t concl
l ng hey e i at y ndif e or
r tng s
tts
e hey
uded i di
t d
notr r tea mentand f pr di i f i tea mentf hi pai The def
equie r t
or ovi ng nefectve r t
or s n.
endant have moved t
s
o

dim is,cl m i Cham berai scom pl ntf l t sat apl i e cl m f r if.Fi ng t
s s ai ng
l n'
ai ais o t e ausbl ai or ele ndi he
compl ntcl l s st W RSP medi pe onneleval t and r ponded t Cha be l n'
ai eary how hat
cal rs
ua ed
es
o m rai s
medi needs,and Chamberai smpl diagr wih t cour e and e f tvenes ofhi teat e ,t
cal
l n i y s ees t he
s
f ec i
s
s r m nt he
c tw ilgr t def nt motonst dim i .
our l ant he enda s' i o s ss

Cha be l n' compl ntalegest f l i f s.Cham berai suf e sfom HepattsC as
m rai s
ai l
he olow ng act
l n fr r
ii
wel aspai i hi al caus by a guns wound he s f ed durng hi a r ti 2011. Shorty a t
l
nn s '
m
ed
hot
uf er
i
s r es n
l fer

a rvi a W RSP o J y 30 201 ,Cha ran s w Dr M ilrf ra itkee lai ( mp . t
ri ng t
n ul , 3 mbe li a . le o n na vau ton.Co l a 2)
Durng t eval i Chamberai t d Dr M il hewant t begi He ii C teat ,a Dr
i hat uaton,
l n ol . ler
ed o
n patts r ment nd .

M ilrr s on dt tdl mbeli s l re yme we eno ma a din' wa rnt ame f rt e
le e p de ha çcha ran') i nz s r r l nd d t r a ke t nt o h
ve
He tts'(d. t2- Cha ran s w Dr M ilra an o Aug t21 2 3a e plie hi t o tn
paii. l a 3) mbe li a . le g i n us , 01 nd x an d s s nsa t
'
c
di com f tand com plc i duet t Hepatts- s
s
or
iatons
o he
ii c ympt s,'butCha be l n ass rt ç M il
om '
m rai e s t
Dr. ler

a i r f s d te t nt'(d. t3 Al g Cha e li ss omspe ss,h cams$ . ilrha
gan e u e r ame . 1 a ) t h mb ran' ympt
'
hou
rit e li E M le s
Dr

no d nea f rhe blodwo kora yt ngi r g r st g s c ans'(d. Cha rai as
t o ny u t r o
r n hi n e a d o hi) omplit. l ) mbel n lo
'

a srsheh sde uetdpanma g me 'a d, ea rtstll atmp wa ma eb (e s frd
set a ' q se i na e nt' n he lboae,dan te t s d ut h q ufee
r
a e s r a ton t t etid me c to . (d. Afe t t Dr M ilrç y p e ci d Tyln , whih
dv re e ci s o h re diains' l ) tr ha, , le s
'
onl r s rbe e ol' c
'

Ch mb rana s rswa t te fci . (d. Cha ranpr po e ( u gial s i l isa o h r
a e li s e t s d fe tve' l ) mbeli o s d i r c po sbii e nd t e
no
'
s
t
r h biiai op i t r l veg s pan, b Dr M ilrr s nd d theei nohighec n d '(d.
e a lttve tons o ei hi) i ' ut . le e po e t r s t n
e
'
t
a o. l )
'
Asf t ot def ndant,Chamberai sat not ng mor t t tt Swer m a a a e oft s
or he her e
s
l n t es hi
e han ha hey t e de w r
hi

st ai 'tr ght gre n p oc s Forhi alg d ij re , mbe l n s e sde lr t y a
iu ton'h ou he iva ce r es .
s le e nu is Cha rai e k caaor nd

ij ci rle, ndc mp nstr a p tv d ma e a ai tDrMilr
nun tve eifa o e aoy nd uniie a g s g ns . le.
Thedef nda sha moved t dim i Cham berai scom pl ntf f l e t sa ea pl i e
e nt ve
o s ss
l n'
ai or aiur o t t
ausbl
cl m f r i and,t
ai or elef
1
hough gi an opporuniy,Cham berai hasf l t r pond.
ven
t t
ln
aied o es
I.
1

Chnmbe li m ant i t de e nt we edelber t y i fe e f de e mi ng t t
ran i a ns he f nda s r i ael ndif r nt or t r ni ha
hi He ttsC di notwa r ntte t e a f f ii t e f c i y te thi pan.Bec us
s pa ii
d
r a r am nt nd or a lng o fe tvel r a s i
a e
Chambe li sc pl ntce l s
ran' om ai lary howst ther c ve m e ca te t nt a t thi
ha
e ei d di l r a me , nd ha s
di s tsa ton wiht tteam e doesnotsae apl i ecl m f r i , heco twilg ant
s a if c i
t ha r t nt
tt
ausbl ai or elef t
ur l r
t def nda s m o i t dimisz
he e nt ' tons o s s .

1Chn be l n br
m rai oughtsm ia de i r t i fe e ecli sa i tW ese n Vigi a
i l r lbe a e ndif r nc am ga ns
t r r ni

Re i n l aln Cha e li v. s l, 01 W L 8 40 9( . Va Ma c 3 2 4 .Fidng
go a Jii
mb ran Rusel2 4
2 0 W D. . r h , 01 ) n i
t unc r re evi ncei t tc s s
he ontove td de
n ha a e howed t tCha be l n r ceved me c te t nt
ha
m rai e i
dial r a me ,

tec u tga tdt ed f n a t' to f rs mmayj d me t
h o r rn e h e e d n s moin o u r u g n .
2Thepur eofFe r lRul ofCi lPr e e 1 b)6 i t Eett s fce yoft
pos
de a e
vi oc dur 2( () s o s s he ufiinc he
t
c
ompli ' t S es vec e t s r mdi t f c s t m e isofacl m , t
ant'not o i ol ont ss urot ng he a t, he rt
r
ai or he

a p ia it o d fns s'Ed r sv Ciyo Go d b r 1 8F.d2 , 434 ( t Ci. 9 9 .
p lc bl y f ee e . wad . t f l s o o, 7 3 31 2 - 4 4 h r 1 9 )
i
'
Und rRue 1 ( ( ) ac ur mu t a et ealg to i t ec mpan a tu a dd a
e l 2b)6 , o t s tk h le ains n h o lit s r e n rw
r as bl i e e e i t pl ntf' f vor l a 244.To s vi t moton,t pli ifmus
e ona e nf r nc s n he ai ifs a . d. t
ur ve he
i he antf
t
alege f s s fci t trai e a ri t r i above t s
l
act uf i ent o d s
ght o elef
he pecul i l ,'Bel A tantc Cor
atve evel' l l i
p.

v.
Twombl 550U. 5 ( ) a t pli ifma notr yonc us yalgai o
y,
S. 44 2007 , nd he antf y el
oncl or le tons r
unr s ei eenc . ne v. yc 293F. 726, ( h Ci.
eaonabl nfr es Ve v W he,
3d
730 4t r 2002)
.
Chnm be l i as apro s ltga ,i entted t lbe a c t c i ofhi c pl n , nd
r a n,
e ii nt s il o i r l ons nz ton
s om ai t a
hi alegai Ss d notbeti
s l tons çhoul
rppedup i c tont c c ni ei s'Ba tev. t of
n our
e hnial c te .' ude t Ciy

Ha on,775F. 1 1 78( h Ci.1 .Li rlconsnlton,howe r i notwihout
mpt
2d 274, 277- 4t r 985) bea
t ci
ve, s
t
2

The Ei ht Am e e pr c i sprs ofi a sfom a tng wih dei a e
g h
ndm nt os rbe ion tcil '
r
ci
t lber t

idifrnc t a imae ss ro sme ia n e s Esel v. mbe 4 9U. 9 ,1 ( 9 6 ;
n fee e o n n t' ei u dc l e d . tle Gn l, 2 S. 7 05 1 7 )
J c o v. n s n, 3 F. p' 3 6 3 7( t Ci. 3 (e c rn ; tp e v. . o' o
a ks n S mp o 5 6 Ap x 5 , 5 4h r 201 ) p r u im) S a ls Va De t f
Co .9 4F. u p. 8 , 9 ( D. .1 9 ) A prs no fca i E ei rtl i dfe e t' n y
n' 0 S p 4 7 4 2 E. Va 9 5 . io f il s ç l aey n ifr n'o l
,
d be
i he û
f s
knowsofa dir ga dsan e es i rs t i m a ehe t ors f t 'Fa me v. e
nd se r
xc sve ik o n t alh a e y. r r Br nnan,
'

51 U. 8 5 8 7( 9 4 .A çe iu me ia n e 'i S n t a ha b e dig o e b a
1 S. 2 , 3 1 9 ) s ro s d c l e d' s ç e h t s e n a n s d y
s
o
phys c a asm a tng tea m e orone t ti s obvi t te n a l y pe s n w oul e s l
ii n
nda i r t nt
ha s o
ous ha ve a r o
d a iy

rc g z t en c si f rad co ' atnin. I ov Sh e e 5 5F.d2 , 41( t Ci.
e o nie h e e st o o t rs te t ' k . rv , 3 3 25 2 4h r
y
o '
2008) C edialmal aciedoesnotbec ac tt i vi ainmeel be aus t
.ç c
M
pr tc
ome onsiutonal olto r y c e he
vitm i aprs r'Esel ,429 U. a 1 l t d, o sa eavald cai ofdei r t
c i s ione . t le
'
S. t 06. nsea t tt
i lm
lbe ae
i fe e e,heme c pr de ' a tonsm us beçs gr sy i
ndif r nc t
dial ovi rs c i
t do os l ncompe e ,i dequae,
t nt na
t or
e es i ast s k t c ce eort bei olr bl t f m e a f ine s'J ks 536
xc sve o hoc he ons inc
o nt e a e o undn ntl ar s . ac on,
'

F.App' a 357.Tha a i ae sm pl diagr eswih t co s ofte t e tort team e ti
x t
t n nm t i y s e
t he ur e r a m n
he r t n s
uns e s u wilno r i e a de i r t i f e enc c a m . r ghtv. lns 766 F. 841 849
ucc s f l l t a s
lbe a e ndif r e l i W i
Coli ,
2d
,

( t Ci. 98 ) J h o v. e n 75 F.d 1 3 ,1 38( t Ci.1 8 ) Ha sv. u ry, 61F.
4 h r 1 5 ; o ns n Tr e , 9 2 2 6 2 5h r 9 5 ; ni M ra 7
S p 4 9 41 ( D. .1 9 )
u p. 0 , 4 E. Va 9 0 .
A.

l i c e rfom Cha rai sve son ofe t t tDr M il s w hi s ve altme ,
t s la r
mbe l n' r i
ven s ha . ler a m e r i s
wasawar ofhi He ttsC,e ua e hi lvere ym e ,a i c t d t tte t ntwasnot
e
s pa ii
val t d s i nz s nd ndia e ha r a me

warnt Se Le v. ur v, : CV- 61 2011W L 2681 ,a *56( D. J y 8 2011
ra ed. e e G ne 3 08- 1 ,
225 t - E. Va. ul , )
(ii ca e hol ngt trf a t pr dece t nhe ttsC teame sa e amedia
ctng s s di ha eus l o ovi rai paii r t nt bs nt
cl
ne siywa notdelbe aei fe e ) Asf Cha ran' c oni pai t Ei h
ce st s
i r t ndifr nce. or mbeli s hr c n,he ght

lmisa dd e n t e ur t ec u tod o jzeu q eto n v rs u rl p ee td. I . t
i t n o s o r q ie h o r t t nl p u sins e e q a ey r sn e ' d a
c r
'
1278.
3

Ame d n d e no rq ieDr M ilrt ç e p ( n ran p i-rei teatr t o
n me t o s t e u r . l o : e Ch mbelij an fe n h fe mah f
e k
pr p rme ia te t n . S ie v. Tel, 5F.d 5 6 5 2(t Ci.1 9 ) Ca hv.
o e dc lr ame t' np s De l 9 3 8 , 9 7h r 9 6 ; s
'
a
Tow nl v, No. 1 -v 0 6 2 3W L 1 4 2 3( . Va M a.1 , 01 )3 D r M il r
e
7:2 c - 01 9, 01
1 6 3 W D. . r 9 2 3 . . le

a tmpt d t te tCha be l i span wih mediatonsot rt n Tylnol butonl pr s rbed
te e o r a
m ran' i t
c i
he ha
e ,
y e ci
Tyl nolw he Cham be l i ha a a
e
n
r a n d n dver e r a ton t t m . U li a e y, D r M il r s m e c
s e c i o he 4 tm t l
. le ' di al

c n lso saen ts b e t ohnd ih j d ca rv e S eRu s lv. h f r 5 8F.d4 48
o cu in r o u j c t i sg t u iil e iw. e sel S e e, 2 2 4,
( t Ci.1 7 )(ç eto o me ia j g n aen ts b e tt j iil e iw.)
4h r 9 5 ç sins f dc lud me t r o u j c o udca rv e ' .
ou
'
Chn be l n' a r ntdiag e mentwih t coure a e f tve sofhi te t nt
m rai s ppa e s r e
t he
s nd feci nes
s r a me

fist saeaplusbl j 1 cam.Hars 761F.Supp. t41 Seeas Pees v.Davi,
al o tt a i e 983 li
ri,
a 4.
lo tron
s

5 F. u p. 3 ,1 ( M d. 9 2 (ç- me ef i r t te t lme ia p o lmst a
51 S p 1 7 46 D. 1 8 ) çl
-he r al e o ra al dc l r b e o
u
prs rss tsaci e n i t tf iur nmount t m e ca m apr tc i i ufi i ntt
ione ' aif ton, ve f ha a l e
s o di l l aci e, s ns fc e o

s p r acam u d rj1 8 .) Ch mbeli d e n t se th ta yp y iinh sd tr n d
u po t li n e 9 35 . n ran o s o a sr t a n h sca a temi e
'
t tteam e He ii C ora aler tveteam e f rpai mana m e wo d ha bee
ha r t nt patts
n t nai r t nt o n
ge nt ul ve n
a oprae. Cha rai sown compl nts
ppr i t
mbe l n'
ai howst tDr M ilre a ed t e l t a
ha . le nde vor o vaua e nd
r pond t Cha ran' va i me c lne ds Cha be l i sdis tsac i wih hi c s
es
o
mbe l i s rous di a e . m ran' s aif ton t s our e

ofte t ntdoe saeaplusbl j 1 cam.
r ame
s tt a i e 983 li
3I dee ,aprs physcin' d ii t pr s rbemedia i co er tvey,'i
ion
i a s t son o e c i
dec
c ton ns vai l ' n
n d
r pons t a i t scompl i sofpai doe no vi ae hi c tt i lrg s Re sv.
es e o n nma e'
ant
n, s t olt s onsiutona i ht . ve

Gade ,93Fed.Appx.283,285( Ci.
r ner
2d r 2004) Fl v.Owe ,1 W L 11 a *1( D.
; oyd
ns 987
906, t E.
Pa.1 7)( s si a fi o ani t sj1 cam t tme c lsafG houl ha
98 dimisng s rvolus nmae' 983 li ha dia tf ç d ve
s
p e ci e ap i me iai nmo ep tn t a M orn'
r srb d an dc to r o e t h n ti ).
4Chnmbe l i vag l alege t tTyl i f
ran uey l s ha
enol s f
dnmagi t t lve 'a ha mf i
ng o he i r' nd r ul n

c n u cinwi h sHe aii C, u h d e n talg t a s c ham i i n n o t a a
o j n to t i p tts b t e o s o le e h t u h r s mmie t r h t
h
physc a hasa s hi t tTyl i ha m f t hi .Se Ogl byv.Abbas i 2013W L
ii n
dvied m ha
enol s r ' o m e es
ul
s,

4 5 2 9 a #8( D. . p . 2 1 )(i dn p io d co wa no d lb rtl idfe e t
7 9 4 , t E. Va Se t4, 0 3 fn ig rs n o t r s t eieaey n ifr n
wheei t alege Tylnolc dt c eat'hi Hepaii C co ton) Notbl
r nmae l d e oul s elr e' s
ac
tts ndii . a y,
Chn be l n doesnota s r t the pr vi l r uie H e tts C t e t en ort tt
m rai
s e t ha
e ous y eq r d piii r a m t ha he

deenda sdic i He ttsC te t nt CfErc onv. r ,551U. 89,90- ( )
f nt sontnued paii r ame . . iks Padus
S.
4 2007
( di a i t whoha be di nos a nee ngHe ttsC te t nta pr s rbed
hol ng n nmae
d en ag ed s di
paii r ame nd e ci
s h tea m e s a e a Ei h Am e
uc r t nt t t d n ght
ndm e C l i when t de e nt di c i d t t
nt a m
he f nda s s ontnue ha

teame )
r t nt.
4

Thea nc ofaplusbl de i r t i fe e e ca m a s e t i r ast t
bse e
a i e lbe ae ndif r nc li l o nds he nquiy o he
a nita i def nda s Eve s a i ae c nno pr vai on adei r t i fe e t
dmi sr tve e nt . n o, n nm t a t e l
lbe a e ndif r nce o
me c lne dscli a ns non- e c prs pe s me unl st we epe s ly i ve
di a e
am gai t
m dial ion r or l es hey r r ona l nvol d
wih adenilofteam e s i r t y i e f r wih aprs doc orsteam e ,ort cty
t
a
r t nt delbe ael nt re ed t
ion t ' r t nt a il

a horz d o we edt i r t l i ftr ntt aprs doc orsm ic
ut ie r r lbe a e y ndif e o ion t ' s onduc . ite v.Beo ,896
t M lir
m

F.d 8 8 8 4 5 (t Ci.1 9 ) Le sv. g lae 9 6F. u p. 9 7 ( . Va 1 9 ) As
2 4 , 5 - 5 4h r 9 0 ; wi An eo , 2 S p 6 , 3 W D. . 9 6 .
f rc am sr a e t gre ncer s
o l i elt d o i va
e pons s i t do notha aco tmtonal pr e t d rght
e , nma es
ve nsi i ly ot c e i

t agre ncepr dur a t r i nola lt underj 1 fraprs ofi i ' giva
o iva
oce e nd hee s ibiiy
983 o ion tcals re nce

rs o s . a v. c , 0F.d7 , 5( t Ci.1 9 )(u e s d do ohe g o n s; o
e p n e Ad ms Rie 4 3 2 7 4h r 9 4 s p re e n t r r u d ) Br wn
v Va De t r.No. 0 c 0 0 3 2 0 W L 8 4 9 a * 3 ( . Va J n 9 2 0 ) He e
. . p' Co r, 6:7 v 0 3 , 0 9
7 5 , t 1 .W D. . a . , 0 9 . r ,
Cha be l i a s rs not ng m or t n t St o d,Cl r a H olo a w e e t a a a e
m ra n s e t hi
e ha hat anf r
a ke, nd
l w y r t de w r
m

oft sst ton'tloug t gre ncepr es .Hedoesnots es t y we e e n r m o el
hi iua i 'lr h he i va
oc s
ugg t he
r ve e t y

i ve wih hi m e c lte t t a hi i plctdis tsaci n wih t rr s
nvol d t s di a r a men , nd s m ii s aif to t hei t pons st hi
e o s
gre nc i a non- t rer
i va es s
sa t .
11
1.

Al i al i i cea fo t c
l n l, t s l r r m he ompl i t tt si notac ewhe et de e an s
ant ha hi s
as
r he f nd t

r us t pr deapr c i d te t ntorr f e t e l t a r s
ef ed o ovi
es rbe r a me
e us d o vauae nd e pond t Cha ran'
o
mbe li s
va i aim e t Cha rai smpl t kese e i t t coure ofte mentW RSP
rous l n s. mbe l n i y a
xc pton o he
s
r at
pr de hi a t c r wilt r or gr ntt def nda s m oto t dim is
ovi d m, nd he ou t l he ef e a he e nt ' i ns o s s .
ENTER :M a 22, 4.
y 201

UN I
TED STA TES D I
STRI J D GE
CT U