Church, Jr. v. Berryhill

Filing 17

MEMORANDUM OPINION. Signed by Senior Judge Glen E. Conrad on 5/21/2019. (ck)

CLERK' OFFI U. DI Cotr
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JUL

DUDL CLERK
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BY;

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STEPH EN L.CHURCH,J .
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Pl ntf ,
ai if

Ci lActon N o.7:
vi i
18CV 00088

M EM O RA NDU M OPI O N
NI
N AN CY A .BERRYHI A ctng
LL, i
Com m i sone ofSo a Se urt
si r
ci l c iy,

By:H on.Gl E.Conr
en
ad
Se orU nie St t sD it itJ
ni
t d a e sr c udge

D ef
endant
.

Pl i ifha fl d t s a ton c le ng t fnald ii oft Com m i s o rofSoc al
a ntf s ie hi c i ha l ngi he i eç son he
s i ne
i
Se urt de yi pl i if scl m f ape i o dia lt a diabiiy i ur nc be isund r
c iy p ng a ntf
ai or rod f s biiy nd s lt ns a e neft
e

t So a Se urt Ac,asa de 42U. C.jj41 i a 4 J rs cin oft sc ti
he cil c iy t men d,
S.
6() nd 23. uidito
hi our s
etbls dpurua t 42U. C. 405g) Thi c ur' rviw i lmie t adeemi tona t
sa ihe s nto
S. j ( . s o ts e e s i td o tr nai s o
w het t e i subsantal evi
her her s
t i
dence t suppor t Com m i i ' concl on t x ai if
o
t he
ssoner s
usi hat pl ntf

f ie t m e t t r quie e s f r e tteme t be ft u r t A c . I s h s t n i l
a l d o e he e r m nt o n il nt o ne s nde he t f uc ubs a ta

e di ee ss t Gnalde ii oft Co s i rmus be a fr e La v.Ce e e ze
vi nc xit, he
c son he mmisone
t fim d. ws
lbr z ,

368 F. 6 (t Ci.1 6) Sae brel s tnta e de e hasb n d fne a s h
2d 40 4h r 96 . ttd ity, ubsa il vi nc
ee e d s uc
r l va e de e c i e i t r c d a a w hol ,a m i ht b f
e e nt vi nc , ons d rng he e or s
e s g e ound a eq t t s po ta
d ua e o up r

c l inb ara on bl mi Y c r onv. r e , 2U. 38 401( 9 )
oncuso y e s a e nd. hads Peals 40 S. 9,
1 71.
The pl i if St phe L.Chu c J . w g bo n o D e e be 1 1 72. H e e nt l
a ntf , e n
r h, r, s r n c m r 3, 9
ve ualy

g a uaed fo hi shool ( .33) Mr Churh hasprvi l wor d a a gaa e d
r d t rm gh c ; Tr . . c
e ousy ke s rg oor
i t lra pai i spevs . ( .
nsale nd ntng u r ior Tr44-45 . Helswoke o arg a a s ti dba i i
)
at r d n e ulr nd usane ss n
201 ( . 1 ) OnAprl 201 Mr ChurhGlda a plc to f apei o dsbiiy
2. Tr45, 71.
i29, 4, . c e n p iain or rod f ia lt
and diabiiy i ur
s lt ns ance benef I f lng hi cur entcl m ,M r.Chur h aleged t he becam e
ks. n ii
s r
ai
c l
hat

dia edf ra l ol o s t n ilganf e oyme to J 1 201 d t deg ne a i dic
s bl o l f ' f ubsa ta i ul mpl
ms
n n une , 2, ue o e r tve s
die e l m ba f c t s ndr m e l ba s
s as , u r a e y o , um r pond os s fb om ya gi , pol t al i ,de e son,
yl i, i r
la
yarhr g a pr s i

a xit dibee,a dgo . ( .1 7) Mr Churhno mananst thehasrmane dia e
n ey, a ts n ut Tr 7 . . c w iti ha
e i d s bld
t t pr e tm e Ther co d r ve st t r Chur h m e t i ur d s a usr q r m e soft
o he es nt i .
e r e al ha M .
c
t he ns e t t e uie nt he

Ac a a1r lva tme c r d b t fna de ii o t Co isone . Se a ne al 42
t t l ee nt i s ove e y he l c son f he mm s i r
e e r lv

U. C. 41 i a 423()
S. jj 6() nd a .
M r Chur h' a i a i w a d ni d u i ta co i e a i a r c i r to H e
.
c s pplc ton s e e pon nii l ns d r ton nd e onsde a i n.

t nrquetda rc ve aéqnovohe rnga rviw beoea Ad nitai La J .
he e se nd e ei d
ai nd e e fr n mi srtve w udge
l a o ni n da e J nua y 23,201 t La J e alo d t r i d, fe a yi t fve s e
n n pi o t d a r
7, he w udg s e e m ne a tr ppl ng he i - t p

sque il valai pr es t tM rCh c i no dsbld. Se 20C. R. 404.520. Tl
e nta e u ton oc s,ha . urh s t ia e ? e
F. j 1
w
La J
w udgef nd t tM r Chur h s f r f om s r s ve e i im e s i l n de ne a i
ou ha .
c uf e s r eve al e r mpa r nt, nc udi g ge r tve
dic di e s ,s ndyl i w ih myel pa hy, rphe a ne r t y,o st a ose rhrts bu
s s a e po os s t
o t pe i r l u opa h be iy, nd t oa t ii , t
t tt s i pa r e s do no ,e t ri vi ly o i c m bi to m e to m e c ly eq lt
ha he e m im nt
t ihe ndi dua l r n o na i n, e r di a l ua he

rquie nt o alse i ime . ( .1 7) TheLa J et nasese Mr Chuc s
e rme s f itd mpar nt Tr 6-1 .
w udg he s s d . rh'
r s d f nc i lc pa t a f l :
e i ual u tona a ciy s olows
Af e c r f c ns de a i o t e ie r c r t un r i ed
tr a e ul o i r ton f he ntr e o d, he de sgn
Gnds t t t cl m ant has t r i
ha he ai
he es dual f i
unctonal capaciy t
t o

ef m lgh wokasdei d i 20C. R.(1404.5674 e e
ror i t r
fne n
F. j
1 1 xc pt
9

lfado cnyt nyp u d o c so al,e p u d fe u nl,
l n /r a ' wet o n s cain l tn o n s rq ety
t
y
s tf rsx hour t t l n a e ghtho da s a f rsx ho st t ll
i o i
s o a i n i - ur y, t nd o i ur o a n
an ei ghthour day,w al f si hour t ali an ei k or x
s ot n
ghthour day,

oc asonàl ci rmpsa sar, ve clmbld rg)rpe or
c i ly lmb a
nd tis ne r i a des, o s
s a f ds oc a i ly s o a c ouc ne r kne l ne r
c f ol , c sona l t op nd r h, ve
e , ve
balnc n ve c a l of t s fve pe ce of t wor y i
a e, e r r w , f a k
r nt
he
kda n
addii t nor albr
ton o m
eaks,and abs one day perm ont
ent
h.

*Th po esrq ie teLa J d e t c n ie,i sq e c ,wh te a cama t ()i e g g d i
e rc s eurs h w u g o o sd r n e u n e eh r li n: 1 s n a e n
sb tnil anu atvt;2 h sasv r i ar n;3 h sa i ar n ta met o e u lterq ie ns
u sata g ifl cii () a e ee mp ime t() a n mp ime th t es r q ash e urme t
y
o alse i ar n;4 c nrtr t hs atee a t r ;n ()f o, eh rh cnp rom oh r r i te
f itd mp imet() a eun o ip s rlv n wok a d 5 in twh te e a efr te wok n h
n t n le o o . 2 C. R.j4 4 1 2 . I a d cso c n b ra h d a a y se i t e s q e t le au t n
ai a c n my 0 F.
o
0 .5 0 f e iin a e e c e t n tp n h e u n i v lai
a
o
pr e s f t re uain i unne esay. I
oc s , urhe val to s
c sr d.

2

( .1 . Gi n s h a rsd f to lca ciy,a a tr c nsdei tsi ny fo a
Tr 8) ve uc e iual uncina pa t nd fe o i rng etmo rm
voc tona e r t La J edee mi dt tM r Chtr h i una et pe f m a y ofhi pa t
a i l xpe q he w udg tr ne ha . lc s bl o ror n
s s

rlva wor ( . ) Howe r t La J fundt tMr Churhrti t c pa iyt
ee nt k. Tr21.
ve,he w udge o ha . c eans he a ct o
pe f ' ohe wor r e e si i sg t n nu r i t nai le nomy. ( .21.
rol t r k ols xitng n ini t mbe n he tona co
m
ka
Tr )
A c or ngl t La J e c nc ude t tM r Ch c i no dia e a t the i note il d
c di y, he w udg o l d ha . ur h s t s bl d, nd ha
s
ntte

t apei ofdia lt ordia lt i ua be f . Se 20C. R.j40 1 20( . Th Law
o rqd s biiy
sbiiy nsrnce neks e
F.
4.5 g) e
J e' opi o w a a pt d as t fna de i i of t Com m i sone by t So a Se urt
udg s ni n s do e
he i l c son
he
si r
he ci l c iy
A dm i sr i sAppeal Counci. H a ng e ha t d a 1a l bl a i s r tve r m e es M r
nitaton'
s
l
vi x us e 1 vaia e dm nit a i e di , .
Chur hasnow a
ch
ppeal t t scourt
ed o hi
.

W hie pl i if m a be di a e f r c ra n f m s of e o e ,t c uc a f c u
l a ntf
y
s bl d o e t i or
mpl ym nt he r i l a t al

d t r nai i whe he pli if i dia e f r a1f r ofs t n i ganf e oyme t
e e mi ton s t r antf s s bld o 1 o ms ubsa tal i ul mpl
n.

Se 42U. C. 423( () Theeaef ee nt o pr whihmus bec i rdi ma ng
e
S. j d)2 . r r our lme s f oof c
t onsdee n ki

s c a a ayss Th s ee nsaes mmaie a f l ws ()o j cieme ia fcsa d
u h n n l i. ee lme t r u r d s ol : 1 be t
z
o
v dc l a t n
ciia sn ig ;2 teo iin a dc n lso so tetn p y iin ; 3 s be tv e ie c
l c l dn s () h pno s n o cu in f raig h sca s ( ) u jcie vd n e
n
o ph ialma f ttonsofi ime s asd ci dtr h acli ntst tmony;a (
f ysc
niesai
mpar nt, esrbe houg
ama ' esi
nd 4)
t c ai a ' e a i n,vo a i lhit y,r sdua s ls a a . Vie v.Fi h,438 F. d
he l m nt s duc to
c tona sor e i l kil , nd ge
tk
nc
2

11 1 59-60(t Ci.1 ) Undewoodv. biof, F. 850,8 ( hCi.1 )
57, 1 . 4h r 971 ; r
Ri c f 298 2d
51 4t r 962 .
A fe a r vi w of t r c r i t s c e t co t i c nsr i d t c l t a t
tr e e
he e o d n hi as , he ur s o ta ne o onc ude h t he
Co m is o r s fna de i i n i s
m s i ne ' i l c s o s uppo t d by s bs a tale de e The r or r ve l t to
re
u t n i vi nc .
ec d e a s ha n
t aleged ons dat ofJune 1,2012,M r Chur pr
he l
et e
.
ch esent t hi prm ar care physci Dr.
ed o s i y
i an,

Qu srRa a wi c mplit o p i i hsb c a dlwe j it, c wa ç rea hsplc
a a z , t o an s f an n i a k n o r ons whih s < s t i a e
h
wo
ofwor ' ( . . M r Churhrpore t theha e re e oi pai snc bengsr c
k. Tf 270) . c e td ha
'
d xpeinc dj nt n i e i tu k
bylg e nga o maey20ye r e rir ( .270 30 . Dr Ra anoe t tpl nifwa
ihtni pprxi tl
as ale. Tr , 5) . z td ha aitf s

çm o bi y o s ' b i ç di te s' a t a hi ale d pai di no r di t o r s ti tnglng
ç r dl be e ' ut n t sr s ,' nd h t s l ge
no
n d t a a e r e ul n i i

orr uc dsrngt i hi l re rmiis ( .270 ) Dr Ra or rdavait o tss
ed e te h n s owe xte te . Tr -71. . za dee
rey f et,
i l ngs r ogi sudisf us i a ssi plitf c ant o pan. ( .2 )
ncudi eol c t e or e n se sng anifs ompli s f i Tr 71.
M r Chu c r t r d t Dr Ra a f ra f l u e m i to on J y 20 201 Dr Ra a
. r h e u ne o . z o olow- p xa na i n
ul , 2. . z

n tdta t eIb rtr tssKh we ta g an i jr e maodfco wa n g tv 'a dt a
oe h t h a oaoy e t d o d h tplitf h u ti a tr s e aie' n h t
s
rs
E
WNA wa ne tve. ( . ) Alhoug pl nifc ntn t c mpl nofç c sa pans
s gai ' Tr 268 . t h aitf o iued o o ai ç he nd i
'
a

i vai plc s' he wa i G dites'a e bie no ed ma. ( .268) Dr Ra a
n rous a e ,
'
s n t srs' nd xhi td
no
e
Tr
. . z
p e c i d Sa l f pos i e fbr ya gi . He alo di gnos d pl i if w ih e ry- ns t
r s rbe
vela or sbl i om l a
s a
e a ntf t a l o e

dibeesmeltsa rc
a t lii nd e omme dt tpl ntf utlz R ggrsi wegh l ssrtgis' ( .
nde ha ai if iie a esve i t os tae e . Tr
'
268.
)
M r Chu c di no s e Dr Ra a a ai untlApr l 1 ,201 a t rm i s ng or c nc li
. rh d t e . z g n i
i 1
3, f e s i
a e lng

muli ea nt nt. By ta poit plitf da tswa ç l c r ld. ( .265 .
tpl ppoi me s
h t n, anifs ibee s < y ontole ' Tr )
poor
'
DrRa prs rbe Le mi(ns i)a pl e pli ifonac o i-etitddit W h nMr
. za e ci d ve r i uln nd ac d antf
alrersrce e. e .
Chur h r t ne t D r Ra a t w e ksl t r hi bl s ga l ve sha i pr d a he a a e
c e ur d o . z wo e a e , s ood u r e l d m ove nd ppe r d

t bedoi ' hbetr' ( . . Alhoughx-a ofpli i ss nes we onl K l '
o
ng ç
muc te - Tr 265) t
'
rys antT pi ho d y ç d'
mi

de neai c ng ( .331,Dr Ra anotd t tplitf c i dt c qi ofpan a d
ge rtve ha es Tr ) . z e ha anif ontnue o ompl n
i n
a pe rdt beE ese wihi- ( . )
p ae o ç s d t t' Tr 263.
obs
'
On J nua y 23, 4, r Ch c s w Dr M a c Sw a o a Bl Ri Pa n M a ge e
a r
201 M . ur h a
. r
ns n t ue dge i
na m nt

Asocae f a i tal ons tto ( . 05) Pl ntf rpo tdt theha be ne pe inci
s its or n nii c ulain. Tr 3 . ai if e re ha
d e x re ng
G od r t l s ve e dif e pa n i t ba k, f e ,a ha y'w hi h w or e d w ih e r i n,
m e a e y e r f us i n he c e t nd nds'
c
s ne
t xe to

we t rc nge ,a c ughi ( .30 . On physc e mi ton,M r Churh e bied
ahe ha s nd o ng. Tr 5)
ial xa nai
.
c xhi t
t
endenz s i t l bosacr s ne w ih m oder el lm ied r
es n he um
al pi
t
at y i t ange of m oton. How e r,
i
ve
pl ntf m us et wasw ihi nor allm is,s r ghtl r sng t t w er negatvebiat aly,
ai ifs cl one
t n m i t tai eg ai i es s e
i l er l

4

h s on sa ii wa wi i n r ll t,a dh a uae wi o tdfiut. Dr S n o
i j it tbly s t n oma i s n e mb ltd t u ifc l
t
h
mi
h
y . wa s n
di g e pl ntf w ih c oni pa n s o e f w hi h he pr s r b d Nor o a r o m e d
a nos d ai if t hr c i yndr m or c
e c ie
c nd ec m nde

wam wae e rie a wegh l s ( .308. W he pl ntf s w Dr Ra sx d ysltr
r tr xecs s nd i t os. Tr )
n ai if a . za i a ae,
plitf rpore ta hefl S h,muc betr'a rsatngt panme cai ( .25 .
anif e td h t ets
muc
h te' Re tri he i di ton. Tr 7)
Li wie o Fe r a y 1 ,201 M r Chur h' mus ul keea e m i to wa <u e r a e'
ke s , n b u r 9
4, .
c s c os ltl xa na in s çnr ma k bl'

a DrRa anotdt tt panme c to c tnu t beE fe tve. ( . -54)
nd . z e ha he i diain oni ed o E fci ' Tr 253 .
e
'
On

Fe r ay 2 ,2 1 ,Dr S n o p ro me a lmb r p rv re rlfc tj it
b u r 6 0 4 . wa s n efr d u a aa etb a a e on

.

ij cin wih tuor c
ne to t l osopy. ( .31 ) Pl nift eae t pr e e wel,a he was
Tr 3. aitf olrtd he oc dur
l nd
dic r d i s ts a t r c ton. N o e f om a f l w - p vi i on M a 29, 4 i c t t t
s ha ge n a if c o y ondii
ts r
olo u s t
y 201 ndi a e ha

plitf panwa ç h betr' ( .31 ) Ane mi to o pli ifsl s ca s ne
anirs i s ç
muc te . Tr 8 .
'
xa nain f antf umbo a rl pi

rve ld s metnd r sandrduc d rngeo moto ( .320 . Ho ve,t sri t1g
e ae o e enes
e e a f in. Tr ) we r he tagh e

riigts w> n g tv bltrl , litf son sa ii wa wi i n r li t, i g iwa
asn et s e qie i eal pan if j it tb ly s t n o ma l sh s at s
a y
t
h
mi
n l an he wa abl t sa wihou difc t ( .3 . Dr S ns n co i d t
onna, d
s e o tnd t t f uly. Tr 20) . wa o ntnue o

rc
e omme wam wae e riesa wegh l s ( .3 ) AnMRIc uce a pl nifs
nd r tr xecs nd i t os. Tr 21.
ond td t aitf
r qu ton J 3,201 r ve l a Gs a l i htf a i ldi c he ni ton' t tdi t a a t
e es
une
4 e a ed m l r g or m na s r a i ' ha d t ppe r o
not

afc t e tngneve' ( .31 3 )
fet he xii r . Tr 7, 51.
'
Folo - p no e f o Dr Swa on i c t t a M r Chur h c tnue t c m pl i ofpa n
l w u t s r m . ns ndia e h t .
c on i d o o a n
i

i hi l rba k a lgsdui t sc hafof201 ( .353,357,361. Howe r
n s owe c nd e
rng he e ond l
4. Tr
)
ve ,
m us ul kelt l e m i tons r m a ne unc a d f om pror vi is A lhoug M r Chu c
c os e a xa na i
e i d
h nge r
i
st . t h .
rh
e bie s g oft nde e s a r uc r nge ofm o i hi sr ngt m o orf nc i r te s
xhi t d i ns e m s nd ed ed a
ton, s te h, t u ton, el xe

snston,gat a sai weenor l a hewasabl t sa wiho difc t ( .355,
e ai
i, nd tton r ma, nd
e o tnd t ut fiuly. Tr
35 36 .
9, 3)

5

ch
r ed
n
The r c d i c t s t M r. Chur w as not teat by Dr. Swanson i 2015.
e or ndi a e hat
N one hel , on Februar 27, 2015, D r Swans compl ed a physi r i
t ess
y
.
on
et
cal esdual f i
unctonal

c pa iy a s s m e t i w hi h he o ne t tpl n ifc n oc asona l lf up t t nt po
a ct s e s n , n
c
pi d ha ai tf a c i ly it o we y unds
,
f e ue l lf u t t n poun ,s a a / r wa k f ra o m a e y t ho si a e gh - ur
r q nty it p o e
ds t nd nd o l o ppr xi t l wo ur n n i t ho

wor a a stf ra pr mael sx hou s i a eg kd y, nd i o p oxi t y i
r n n ihthourwo kda a lng a he i a e t
r y, s o s s bl o

atr t bewe n sti a sa ngt rle pai a dsomfr. ( .367 . Dr S ns
lenae t e it nd tndi o eive n nd ic o t Tr ) . wa on
ng
f rhe o ne t tM r Chu c c n oc a i na l soop,c ouc a c i b r mpso s a r , nd t t
u t r pi d ha . r h a c s o ly t
r h, nd lm a
r t is a ha

h c nn ve ca , ne , lnc o ci ld r,o , saf ds ( . . Dr S ns
e a e r rwlk elbaa e, r lmb a des rpesor c fol . Tr768) . wa on
as c
l o omplt d a l ba s ne med c l o c sa e e t i w hi h heopi d t t a ntf c n w a k
e e um r pi
i a s ur e t t m n , n c
ne ha pl i if a
l
a pr xi a el t ciy bl c w iho r t o s ve e pa n,t the c n s tf r no m o e t n t
p o m t y wo t o ks t ut es r e r i ha
a i o
r ha wo
hour w iho ne ng t ge up,a t the c n s a f a o m a e y t ry m i e be or
s t ut edi o t
nd ha
a t nd or ppr xi t l hit nut s f e
n di t stdo n orw a k a o
ee ng o i w
l r und. D r Sw ans f t opi t tpl ntf w oul need t t
.
on urher ned ha ai if
d
o ake

t ort e br a pe da f a r ma ey f e n mi t s t thewoul lkey be S f t s '
wo hr e e ks r y or pp oxi t l m e nu e , ha
di l
l f a k'
o
f ra oxi t y t e n pe c n e c da a t thewoul lkey bea e fom wo k a
o ppr mael m e r e t a h y, nd ha
di l
bs nt r
r bout

t e da pe mont ( .37 )
hre ys r h. Tr 4-75 .
M or t n t m ont l t r o J nua y 6,201 M r Chu c r t m e t Dr Ra a a
e ha en
hs a e , n a r
6, . r h e u d o . z nd

rp re t a h h dl s weg t n flç eywel o eal ( . 4 ) Plitf a n j ito
e o td h t e a ot ih a d etç r l' v rl. Tr 5 5 . an i d o on r
v
'
fh
mus epana hi physc le mi to wa nor l ( .545 46 . Noe fo as e nt
cl i nd s ia xa nain s ma. Tr - ) ts rm ubsque
vii o Fe uay 9 201 lke s i c t t t pli if ha e re e Gsgnii a
st n br r ,
6 i wie ndi> e ha antf d xpe inc d fi fc nt

i o me 'wihhi blod s rlvesa ha l ta tvepou . ( .548 . Pli if
mprve nt' t s o uga e l nd d os bouts
nds Tr ) antf
o ea i c ane ofnoj n ormus l pan, ndhi physca e mi tonwa no ma. ( .
nc gan ompli d
oit
ce i a s i l xa nai
s r l Tr
5 - )
48 49 .

6

Appr m at y fve m ont l er on Jul 30,201 M r Chur r ur t D r Sw ans
oxi el i
hs at ,
y
6, .
ch et ned o .
on

wih c mpl nsofE depradpai ' ( .40 . Dr Swa o notd t tpl nifha be n
t o ait ç s e
wi
n. Tr 3) . ns n e ha aitf d e
'
<snl i ' t bengtkeno fof c a t theh r c n l t se postvef c ai bu
<t gglng'afer i a
f Nor o, nd ha
ad e e ty e t d ii or oc ne t

d e usngtedr go ac itntba i. ( .40 . Dr Swa onas noe t tMr Churh
enid i h u n onsse ss Tr 3) . ns lo td ha . c
wa she e t rceveas na c dsi ao i a f pai ( . )
s c duld o e i pi l or tmultr mplnt or n. Tr403 .
Pl i ifunde we tt i a tpr e e o Augu t5, 6. H et e a e t pr ed e
a ntf
r n he mpl n oc dur n
s 201
ol r t d he oc ur

wela wa dic r dwihnoc iains ( . ) Att tme oft pr e r Mr
l nd s s hage t
omplc to . Tr 431 .
he i
he oc due, .
Churhrpo t t theha l t65poundsa wa nol ge tki i uln. ( . )
c e red ha
d os
nd s on r a ng ns i Tr 427 .
Fi da l t r M r Chur h r t n d t Dr Ra f af l w - vi i. D r Ra a no edt t
ve ys a e , .
c e ur e o . za or olo up st
. z t ha

plit fsda ee wa E t o t o iain' n ta h ddn t e r a yj it r s l p i
ani ib ts s ç h u c mpl to 'a d h t e i o rpo t n on o mu ce an.
f
wi
c
( .55 ) Plitf physc le mi ton wasunrmak e a Dr R.z i tuce.hi t
Tr 0 . anirs ia xa nai
e rabl, nd . a a nsr td m o
rt ni f rmonhs ( . )
eur n ou
t . Tr 551 .
At t a i s r tve he rng hel o D e e be 8 201 ,M r Chur h t s ii d t t hi
he dm nit a i
ai
d n cm r , 6
.
c e tfe ha s
m us e ,ar s a b k H c a lt tm e ' a t tt pa n pr ve s hi f om s e pi m o e
cl s m , nd ac a he l he i , nd ha he i e nt m r
'
l e ng r

t nt e h spe ni t ( . 4, . MrChuc as tsiidt thec n'ç iorral sa
ha hre our r gh Tr 3 35) . rh lo e tfe ha a tt t e ly tnd
s

muc 'a t th i onl c otbl i hi rci rt lwa i i d. ( .35 ) Pli if
h' nd ha e s y omfra e n s e lne s f y nclne ' Tr -36 . antf
ha
'
e tm a e t t he c n st f r a m a m um of ffee o t ry m i t s be o e n di t s ic
s i t d ha
a i o
xi
i t n r hit nu e f r ee ng o w t h

po iinsa t thec o ysa f ffe nort nymi tsa atme ( . . MrChurh
sto nd ha an nl tnd or ite we t nue t i . Tr36) . c
a s t s i d t theca o y s a f c e f ra pr m a ey t ry m i e be o ebe ng di ta t d
l o e tfe ha
n nl t y o us d o p oxi t l hit nut s f r i s r c e

b hi s omsa ta itke hi a o matl t ho st g tba onts ( . )
y s ympt
nd h t ta s m pprxi ey wo ur o e ck a k. Tr 37 .
A fe c i rn a l of t e d nc o r c d, t La J ge de e ne t t M r
t r ons de i g l
he vi e e f e or he w ud
t nni d ha
.
Chur h' phys c lpr e sar nots s ve e a t pr ve pe f m a e ofa lm ie r nge o lght
c s
i a obl m e
o e r s o e nt ror nc
i td a
fi
w or a tviy. I m a ng t sde e m i ton, h La J
k c i t n ki hi t r na i t e w udge f und t tM r Chur h' a l ga i
o
ha .
c s le tons

of t aly di ablng physi lm ia i ar i
ot l s i
cal i t tons e nconsit nt w ih t clni fndi and ot
se
t he i cal i ngs
her

evi nc i t rcod. ( .1 ) The La J ef t re
de e n he e r Tr 9 .
w udg urhe mpha i d t tplitf physca
sze ha anifs
il
i im e t h ve be n te t d w ih r l tvel c ns r tve m e ur a d t tnone ofpl ntf
mpa r n s a
e r a e t e a i y o e va i
as es n ha
ai ifs
t e tng phys c a ha r co m e d m or i vasve s gi a pr e e f r pa n o o iy.
rai
i i ns ve e m nde
e n i ur c l oc dur s o i r best

( .1 -20)
Tr 9 .
TheLa J
w udgealo de i d t a e tDr Sw a on' opi onsr a di pl ntf a lt
s clne o cc p . ns s ni eg r ng ai ifs biiy
t w o k. TheLa J
o r
w udgee pha i d t tt lm ia i not d by Dr Swa o w e e i o it n
m sze ha he i t tons e
. ns n r nc ns s e t
w ih t m edi a e de e as a w hol , i l ng t physc sndi d um e e i Dr
t he
c l vi nc
e nc udi he
i al
ngs oc nt d n .

Swa on' own teame not . ( .20 . TheLa J dgeobsr e t tt ç nl a
ns s
r t nt es Tr )
w u
e v d ha he s y bnonna
o
l
Gnd ngsw e e oft nde n s a Im ie r nge ofm o i n,' nd t tç r Swa on t pi ly f und
i
r
e r es nd i t d a
to ' a ha ç . ns y ca l o
D

t ecama tt h v n nn lsrn t,s n ain rfe e ,a dj itsa ii ,wi n r lg i
h li n o a e o a te gh e sto , elx s n on tb ly t oma at
t h
,
a lt t sa wihou difc t a nomalt wihnoarph ' ( . . Thus t La
biiy o tnd t t f uly, nd r one t
to y. Tr 20)
'
,he w
J
udgefundt tç( .S ns n'jte t n noe dono s po t sme c s c sae n .
o ha çDr wa o s rame t ts
t up r hi dial oure ttme t'
'

( . )
Tr20 .
The La J
w udge assgned s ewhatgr e w ei t t opi ons ofD r BertSpe zl ,
i
om
eat r ght o he ni
.
t er

w ho r vi w e t r c d a t r que toft sa e a nc Dr Spe z e o ne t tpl i if i
e e d he e or t he e s
he t t ge y. . t l r pi d ha a ntf s

c pa eo m e tngt lfi r quie n sf rlgh wor a t t c n st sa a orwal f r
a bl f ei he itng e r me t o i t k nd ha he a i, tnd, nd/
k o

a o maey sx ho s i a egh- wokda ( .6 . Dr S tlr as f
pprxi tl i ur n n i thour r y. Tr 9) . peze lo ound t t
ha
pli ifha oc a i lpos a lmiains ( .69) The La J
antf s c sona mrl i tto . Tr .
w udge deemi t tDr
tr ned ha .
Spe zl rs as e s e t of pl i if s c pa t t wor i E ne a l c ns s e t w ih t r c r '
t e ' s sm n
a ntf ' a ciy o
k s e r ly o it n t he e o d.
ge
'

( . . Howe r bae one de erc ve a t he rnglve,heLa J dgeas i ude
Tr20)
ve, sd vi nc e ei d the ai e lt w u lo ncl d
ç f t s a a e e e pe t to ' i hi r s du f nc i na ca iy a s s m e , whi h he
t a k nd bs nc x c a i ns' n s e i al u to l pac t s e s nt
of
c

8

de e m i d w o d a q t l a c m oda eEa y dita to o de k i nc i t cl i a t sa lt
t r ne
ul de ua e y c om
t & n sr c i n r f e y n he a m n ' biiy

t f uso c e rt be a eofpanorsdeefcso me c to . ( . .
o oc r onc ntae c us
i i fe t f diains' Tr20)
'
On a pe lt t s c r , r Chu c t ough co el m a t a g e s i s
p a o hi ou t M . r h, hr
uns , kes wo r um nt n uppo to
r f

hsmoinf rs mmayj d me t Fis, lit fag e ta teLa J d eerd i f in t
i t o u r u g n . rt pan i r u s h t h w u g re n al g o
o
f
i
gi sg fc twegh t Dr Swa o sopi ons Havi r viwe t r c d i ise iey,
ve iniian i t o . ns n' ni .
ng e e d he e or n t ntr t
ho e r t c t c cl es t t s t n i e de e s ppors t La J
w ve , he our on ud ha ubs a tal vi nc u
t he w udge s de i i
' c s on.
A lho
t ugh t o ni of a te tng s c a e g ne aly e il d t g ea e wei ht und r t
he pi ons
r a i our e r e r l ntte o r t r g
e he

a nitai rg ai a ia et pli ifscam, e 20C. R. 40 1 27()2 ,hec ur
dmi srtve e ultons pplc bl o antf li s e
F. j 4.5 c() t o t
be i vest t i t i t ntc s ,t La J
le
ha , n he ns a a e he w udge pr pe l de e m i d t gi l s e wei tt t
o ry t r ne o ve e s r gh o he
opi ons of er by Dr.Swanson. ''e Law Judge r
ni
f ed
Ih
easonabl concl
y
uded t Dr Swanson'
hat .
s
opi ons :r uns
ni . e uppore b t qbç t Gndi on e mi to a . onsse wi t
t d y he j ci
ve
ngs xa nain nd i itnt t he
nc
h
.

c s of te t e t pr vi e I s t t c t be i ves t t t La J ge' de i i n t
our e
r a m n o d d. n hor, he our le
ha he w ud s c s o o

ds o n teo n o so fréb Dr S n o , n t p o iege tr ih t teo n o so te
ic u th piin fee y . wa s n a d o r vd rae weg t o h piin fh
s at agency physci i wel s
t e
i an, s l upport by t r d. See.e. ,Shar v.Col n,660 F.App'
ed he ecor
R.
p
vi
x

251 25 ( h Ci.201 )(fi ngt La J ' deemi to t it plitf me ca
, 9 4t r 6 afnui he w udges tr nain ha he anirs di l

te t n, ih icu e ijcin , an me iain a d p y ia tea y R sc n ev tv ,
rame t whc n ld d ne to s p i dc to , n h sc lh rp , wa o sr aie
a t the c s oft e t e s
nd ha r our e r a m nt gppo t d a c l i n t ts w a a e t m a nt n a r tne
re
onc us o ha he s bl o i ai ou i

wok she e);Ke nD.v. rv l. 4:7c 000 201 U. Dit LEXI 21 53,a
r c dul' vi
Ber hilNo. 1 -v- 68, 8 S. s.
S 80 t
* ( . Va. c 26,2018,e ta rc
35 W D. De .
)rpor nd e omme tonad td, 9U. DitLEXI 8
ndai ope 201 S. s.
S 506

( . Va.J n.1 201 ) (i ng no rvesbl err i te weght asgne t c ntitng
W D.
a 7, 9 fndi
e ri e ro n h i s si d o o lci
m e c o ni whe e e m i to no esi c t d t tt pl i ifss pt m sr s nde w e l
di al pi ons r xa na i n t ndi a e ha he a ntf ym o e po d l

t Keai l rutn tet n 'i l ngç s na c dsi ao'.
o rltvey o ie rame t' ncudi E pi l or tmultr'
a
)

9

I hi s c
n s e ond a gu e ,M r Chur h c e t tt La J
r m nt .
c ont nds ha he w udge s a s s m e t o hi
' se s n f s

tsi a s j ciec ant i n s ppore bys tnta e de c W hieM r Churh
e tmony nd ube tv ompli s s ot u td ubsa il vi n e.
l . c
t tt e a t a i s r tve he rng t t he e pere e co t n pa n t t pr ve t hi f o
es i d t he dm nit a i
s
a i ha
x i nc s ns a t i ha e n s m r m
s e pi a s t n i ly lm ishi abiiy t storse d, heLa J
l e ng nd ubs a ta l i t s lt o i t t
m
w udge f und t tt pl i ifs
o
ha he a ntf

Sttmensc enig t i e iy,pesse ea lmii efcsof( s s o aeno
û ae t onc r p he ntnst ritnc nd i tng fe t hi) ymptms r t
s
e iel c itntwiht me c le d nc a ohe e d nc o rc d. ( .1 . TheLa
ntr y onsse t he dia vie e nd t r vie e f e or ' Tr 9)
'
w
J ge e pha i d t tt e m i ton no es i c t t tt r l tve y c e v tve te t e t
ud m sze ha he xa na i
t ndi a e ha he e a i l ons r a i r a m n
m e s r spr vi d b Dr Swa o e f c i l m a ge pl i ifs pa n a d s om f r a t t
a u e o de y . ns n f e tve y na d a ntf
i nd i c o t nd ha

hewa a et sa wiho dif t ( . ) TheLa J alonotdt t rCh c wa
s bl o tnd t ut fkuly. Tr20 .
w udge s e ha M . urh s
c it nty f m d t ha nor m o o s r ngt a m us l t ne, nt ts ns to a a no m a
ons se l ot o ve mal t r te h nd
c e o i ac e a i n, nd
r l

gat ( .20) Uponrviw o t rc d,t c r i una et dic r a y er i t La
i. Tr .
e e f he e or he ou t s bl o s en n ror n he w
Judge' cr biiy fndi . The cour agr t M r.Chur h' a l ga i oft aly .di a i
s edi lt i ngs
t ees hat
c s le tons ot l s blng
.

.

.

sympt s ar dipr tonat t t c i c l fndi a i o it n w ih t e de e
om
e s opor i e o he lni a i ngs nd nc ns s e t t he vi nc

i c tng t t pl ntf pai a di c m f r ha be n e f c i l c ntole w ih r a i l
ndia i ha ai ifs n nd s o o t ve e fe tve y o r l d t eltve y
c ns r tve t e t e m e s r . I e Dr Ra a' no e f o t pe i i m e a e y
o e va i r a m nt a u es nde d, . z s t s r m he rod m di t l

p e e igt ea miitaieh aigidc t t a arve o s tmswa t e aief r on p i
rc dn h d n srt e rn n iae h t e iw f yse
v
s ç g t o j it an
n v
(ndj musl pan,'a t tpli ifs physc e a n to wa e sntal nomal ( .
a
ce i ' nd ha antf'
ial x miain s se ily r . Tr
5 -51 . Ac or ngl t c r i s tsidt ts tnile d nc spporst La J ge'
50 )
c di y,he ou ts aife ha ubsa ta vie e u t he w ud s
de son n t f l c e tM r Ch c st s i ony.
cii ot o uly r di . ur h' e tm

I >f mi t Commisone ' Gna de ii t c r doe no s ge tt tM r Ch c
n fr ng he
s i rs l c son,he ou t s t ug s ha . ur h
i f e ofal pa n a dic f t l de t m e c e de e c im s t tpl ntf s f r
s re
l i nd s om or. n ed, he di al vi nc onfr ha ai if ufe s
f op
r

.

a c nai of ph iali i nt t t c n be e petd t r ul i s b etve
ombi ton
ysc mpanne s ha a
x ce o es t n u j ci

lm iatons However t r d sm pl doesnoti ude clni fndi or jci t t eul
i t i .
, he ecor i y
ncl
i cal
ngs obe tve esr s t
s
.

10

t ta e c it n wih t t ly dia i s
ha r onsse t t o al s blng ymp*ma oogy,a l la i c t t tpli
tl
nd ns d ndiaes ha ane s

s mpo ae sb e tt r ao a l me la c n ltr u h rlt l c n ev u ke t n
y tms r u jc o es n be dc l o ko h o g eai y o sr a ve ame t
ve
me s s Imu t erc g ie ta t ela lt t wo kwi o t n s be G c mp an sd e
ame . t s b e o nz d h th n bly o r t u a y u j c ve o lit o s
i
h
noto is l e rac nm a dia e Se Cr i . F. a 592. I a cst t C I t the
f te frnde l l nt s bl d. e a g 76 3d t
t ppe o he O M ha t

La J d e c n iee a1o t me la e le c ,a wela alo t s b etv fcos
w u g o sd r d l f he dc l vd n e s l s l f he u j cie a tr
ra è a l sp o tdb t rc r i a j dc tn M r Ch h' csm f rb n ft. Th , h
e s n by u p re y he e o i n du iaig . = s ll o è e s us t e
c tc l e t talf c t oft Co q i ne ' Nnnlde ki a e s ppo t by s
our oncud s ha l a e s he mmlso rs
c on r u red
ube nta
il
e de e.
vi nc
1

Asage lr l, her o u l ofc lt i t e dq ei am atrwl%l t pr nc
n- ae t es l ton oM c s n he vi nc s
te l n he ovi e
oft Commlsone ,é n l tl c tmi tr s l t c nflt d e e l Riha ds v.
he
s l r ve f le our gh e ove he o lcq x r nty. c r on

Peae.s p Op e b l v. nc ,4 5F.d 3 6 (t Ci.1 7 ) Fo tl r ao ssae , h
rls u a p n em Fi h 9 2 9 4h r 9 4 . r l e s n ttd t e
e
c t md t Co ml so rsr s l Gonoft pe e c lt l t r co d i t sc s t be
our f s he m s lne ' e o u
he e nt oM cs n he e r n bi a e o
s ppore b s t n ile de e Acc r gl t Gnn de i o t Co s ine mus be
u td y ubsa ta vi nc .
o e y,he l dson f he mmlsp r .
t
a cn d. La v.Cee e e, u a.
m e
ws
lbr zz s pr
TheClr l dle t dt s ndc r e c pisoft sme a um o ni nt alc ms lof
e k s r c e o e e o d o e bi mor nd
pi o o l ol e
r c d.
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DATB :w s& ( da o M a 2019.
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