Harper v. Bayer Corporation et al, No. 9:2009cv81484 - Document 61 (S.D. Fla. 2013)
Court Description: ORDER granting (12119) Motion in Limine; granting (12120) Motion for Summary Judgment in case 1:08-md-01928-DMM; granting (44) Motion in Limine; granting (45) Motion for Summary Judgment in case 9:09-cv-81484-DMM Signed by Judge Donald M. Middlebrooks on 3/13/2013. Associated Cases: 1:08-md-01928-DMM, 9:09-cv-81484-DMM(sw)
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Harper v. Bayer Corporation et al Doc. 61 UNI TED STATES DI STRI COURT CT SOUTH ERN DI STRI OF FLORI CT DA CASE NO .0 M D- 928- I 8- 01 M DDLEBRO OKSY M NNON I RE:TR ASYLOL PRODUCTS N LI LI LI GATI -M DLABI TY TI ON 1928 Thi Docum e Re a e To: s nt l t s CharoteH ar v Ba rCor ,etJ/, l t per . ye p. . C a eNo. 81 s 09- 484 / OM NI BUS ORDER THI CAUSE c me beo eteCo r u o De e d n s ( ria tr c le tv l, S o s f r h u t p n fn a t' heen fe , olciey $ y r' Moi n : 1 oExeud Te t n b Plitf sCa es e i cEx rs( 1 2 i $ e ' to s ( )t l e si y y an if s - p ct pe t DE 21 0 n Ba ) mo i 0 - 9 8a dDE 4 i 0 - 1 4 ; n ( )f rS mmayJ d me t( 1 1 9i Ca eNo. 812 n 5 n 9 8 48 ) a d 2 o u r u g n DE 21 1 n s 08 md 01 28 DE 4 i Ca eNo. 9- 1 4 .Plitf tld Repo s st t eM oi n ( 1 21 - 9 , 4n s 0 8 48 ) an if se s n e o h to s DEs 2 4 & 1 21 i Ca eNo 0 - 9 8a dDEs4 & 4 i 0 - 1 4 ,owh c Ba e rple ( 2 5 n s . 8 01 2 n 7 8 n 9 8 48 ) t ih y r e id DEs 1 2260& 1 2261i CaeNo.08- 9 a DEs51& 52i 09- 48 . 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Trs l l u igh rmi a v l erp a e n stg r (h G u g r )a Oklho Unv riy ay o d rn e t l av e lc me t t ey t e s r ef' t a ma iest r r s M e c lCe e on Aug t9,2006.4 Plitf o iial fldt i s i a ans Ba es(e en fe di a nt r us anif rgn l ie h s ut g i t y r h ria tr y , c le tv l,h G ris'o M ac 1 , 0 9i t ed src Co r o Ok a o Co ny olciey te s te ' n rh 6 2 0 n h itit u t f lh ma u t, pa l Oklhom aa Ca eNo. 12009a s s C. 2526. TheDe e n st n r move t c e t t Unie f nda t he e d he as o he td Stt sDititCo tf t W esem Diti tofOkl homaon Augus 27, 2 0 ( 4 a !4 5 . a e src ur or he t src a t 0 9.DE 6 t - ) The c s wast r afe tansered t t sCo t r uan t 28U .S. j 1 0 f rp o e dn si ae he e tr r f r o hi ur pu s t o C. 4 7 o r c e ig n conne tonwiht smuli src ltgai ( 11. ci t hi tditit ii ton. DE ) M r . fwasa tedt t hos t ldurng s ond wt k ofAugus, 2006.Shewa s Huf dmit o he pia i ec e t s a s s e wih s ve em ir va vese i wih çmuli epr vi e s sofconge tvehe r s e s d t e r tal l tnos s t t tpl e ous piode si at 2 J iditon i pr m ie on di r iyofciie hi a i t s ed. urs ci s e s d ve st tz ns p nd s mdiput 3Pl i ifwa and sili ar i ntofOklho a a M r .Huf wa acii e of antf s tl s esde a m , nd s f s tz n Oka o a al i sr lv n t t i a to ( 12 DE 45a Ex. . lh ma t ltme ee a to hs cin. DE - ; t B) 4 D E 45, Ex.D a 18 05; 47 Ex.2 a 7 2 -74: t 03- DE , t 2: 25. 5 De e ntBa rCor a i i a I anac or ton wih isprncpalpl c of f nda ye por ton s n ndi op a i t t i i ae busnes i Pe yl ni . De e ntBa rHeat r Pha m a e i l I . i aDelwa e i s n nns va a f nda ye lhca e r c utcas nc s a r c por ton wih isprnci plceofbusnes i N e Je s y.Att tm et sPli if s or a i t t i pal a i s n w re he i hi antf c ompl i wa fl d,Def nda Ba rHeat r AG wasa Ge m a c or i n wih is ant s ie e nt ye lhca e r n om ato t t prncpalpl eofbusnes i Ge ma Ba rHe t r AG wa m e ged i oDe e ntBa r i i ac i s n r ny. ye alhca e s r nt f nda ye Sc rngPha m aAG,efeci De e be 30,2008. Ba rSc rng Pha ma AG i aGe m a he i r f tve c m r ye he i r s r n c portonwihisprncpa plc ofbusne si Gema ( 46a !3) TheCompli or ai t t i i l a e i s n r ny. DE t . ant na Ba rCor a i and Ba rSc rngPha m a A. asDefnda t .Howeve , mes ye por ton ye he i r , G. e ns r Def nda sa s tt tt s t Ba rEntte ha ne rbe n s r ed. Pli ifhasnot e nt s er ha he e wo ye ii s ve ve e e v antf pr vi d a e denc t r f et sale ton. o de ny vi e o e ut hi lga i 2 f it e, all hype t i r na i ufi e y, hit y ofmyoc dili a c i hit y ofsr ke, r renson, e l ns fcinc sor ar a nf r ton, sol to ga o ,a d s iur ds r e . ( 4 a Ex. .He a miso Blo Ur aNi o e luc ma ln l ez e io d r' DE 4 t C) r d s in o d e t g n ' r ($ 'lv lwa 5 a h rce tnnelve wa 25 idc t grna i s fce c u n ç BUN' e e s 3 nd e raii e l s .,n iai e l n ufiin y po ) n a s i 6 On Augus 9, Dr M ar n Pe onpe f med amir lval r plce nt Dur ng dmison. t . vi yt ror ta ve e a me . i M r . fsSur r s wasplc o b sf rt hour and tfy f mi esa r eved s Huf ge y, he a ed n ypas o wo s i t our nut nd ec i Tr s l . a y oli Ther wer no c plcai durng s ge y, a he i ta r ove y fom t s g y e e om i tons i ur r nd r niil ec r r he ur er wa r ltv l u e nf l ( DE 4 a Ex. .l daeyf lo n he s g r , herBUN and s eaiey n ve tu. 5 t D) mme itl olwig r ure y c e tni we e32,a 1. r peci y. On da pos- r tveda 4,s de o d a ra r a i ne r nd 4, es tvel y tope ai y he velpe til fb ilto 'buta trte t e wih me c ton s r t ne t nor a snusr lm . I Dti rlai ns fe r am nt t di a i he eur d o m l i hytl d u ng t poso ai pei s aloe re edi i esofhy tnso (ow bl prsur ) he tpertve rod he s xpeinc ncdenc poe in l ood e s e; 6 A BUN t s i done t çs ehow welyourki ysar wor ng. l yourki ysa eno et s o se l dne e ki f dne r t a et r moveur fom t bl nor l yourBUN l lrs , He r f iur ,de a i or bl o e ea r he ood malys eve ies a t a l e hydr ton, adi hi h i pr t i c n alo ma yourBUN l ve hi r'CW eI D M edi lRef r nc fom et g n o e n a s ke e l ghe . 'C IM ca ee e r He lh it ' 0.W e 9 Aug t201 . at w s ' 201 b. us 0 é e tnnei awa t p o uc f r db t b e k wno as b tn e(r ai ) s aii s se r d t o me y he r a do f u sa c ce t cr ne i o tn f rc n e t gf o i t e ry( tb ls . ec e tnn i flee o o te mp ra t o o v ri o d no neg mea o im) Th raiie s i rd ut f h n t bl by t ki ysa t pa s d o oft bod i urne... . I t ki ysa e d ge ood he dne nd hen s e ut he y n i f he dne r nma d and c nnotf ncto nor al t a ount. . r tni i t bl i r s .' 1 n u i n m ly, he m . c eai ne n he ood nc ea es ' d. Ac or ngl BUN a s r c eai nea e us a amea u e ofr nalf ton. W he c di y, nd e um r tni r ed s sr e unc i n t rvauesae eevaed, e ld f ton i i c t d. ForBUN , anor r ul f lswihi hei l r l t r na ysunc i s ndi a e mal es t a l t n t r ngeof8- ;and f rCr a i ne, nonna r s tf l wihi t r he a 21 o e tni a l e ul als t n he angeof0.7- . The 12. numbe sr pr s ntt val ofm g dt. Pli ifi t Com pli ta ist tt De e n ha r e e e he ue / z antf n he a n dm t ha he c de t d b e da n e wihczo i rn ln u t e c ( mp an a !5 . e n ig osd t l n c e a is f n y Co lit t ) r ki 7 DE 45 a Ex. D t 8 Ati lfbrlato i a ir ulrhe t a . ra i il i n s n reg a arbe t lukoc oss(lvaedwhiebl c lc ) c r ci akaoss(nce s i bl pl duet e yt i ee t t ood el ount; onta ton l l i i ra e n ood ' l o tui l s;a hypovolmi ( ce edbl vol ) Onpos-peai da 6, rBUN a l d os) nd e a de ras ood ume. to rtve y he nd c e tni l vesbe n t rs t 45 a 3. r s c i l a whih poi media i nst r duc r a i ne e l ga o ie o nd 2 e pe tvey, t c nt c to o e e tui r tnton we edi c tnue a s wa g ve abousoffui On Aug t24, n s l d ee i r s on i d, nd he s i n l l d. us whe he wa dshag d h r BUN a dce tn n lv l wee3 a 31 r s e t l g (d) s ic r e , e n raii e e es r 0 nd ., ep ci y. 1 .. ve The ei no e de et tM r . fe re d a a tona med c is sa trher r s vi nc ha s Huf xpei nce ny ddii l i al s ue fe dicha geuntl M a c 9,2007whe s wa a it d t t M i s Reg ona M edia Ce e s r i rh n he s dm te o he dwe t i l c l nt r wihrs rtr d sr s , ul n r t e a dh p tn i n ( 4 a Ex. .S ede sx t epiao y ite s p mo ay d ma n y oe so . DE 6 t D) h id i d ysltr (# a Ex, .Th d ahc ri ael t tec u e o d ah a c r ica dr s rtr a ae . f . t C) e e t e tk t i s h a s s f e t s ad a n epiaoy t s a r s,s pss urna yta ti ec in,a r na f iur .f r e t e i, i r r c nf to nd e l al e #. Pli ifha pr f r d onec e s ii c us ton e r i s a ntf s ofe e as -pecfc a a i xpe t n uppor ofhe c am s t r li : ne ol s,Ca lJ Bl M . .Pli ifal st tM r .Huf hea tf iur r lf iur phr ogit r . ond, D a ntf lege ha s fs r a l e, ena al e, a deah we eca e by he e nd t r us d r xpos et Tr s oldurnghe m ir lval r a m e ts ge y ur o a yl i r ta ve eplce n ur r o Au us 9 20 6. Plitf' Co lit o ssso sv nc t s ( )n gie e ()p od cs n g t, 0 an ifs mpan c n it f e e omt: 1 e l nc ; 2 r u t g la ii ( )n gie tmirp e e tto ( )itn in l se r sn ai n ( )b e c o e p e s iblt 3 e lg n se r sn ain;4 n e to a mirp e e tto ' 5 r a h f x r s y; , wa rny ( )b e c o i idwar ny a d( )p ntv d ma e . ra t ; 6 ra h f mpl e ra t; n 7 u iie a g s Ba rsM otonss ek e uson ofPli ipsc e s cii ca a i e t Dr Bl ye ' i e xcl i antf as - pe fc us ton xper, . ond, a ds mmayj d me t na1sve c u t. n u r u g n o l e n o ns I. I A dm isi lt ofPl nt f ' Cas - c f c Expe ' Te tm ony s biiy ai i f s e spe i i rts s i 9 A fe s r er M r .Huf had be n r t i ng s t nta a ount offui a s s ha t r u g y, s f e e a ni ubs a i l m s l d, nd o he d bee plce on di e i .Doc o snot si cae t the c e i ne lve s kewa ati a e n a d ur tcs tr e ndi td ha r r atni e l pi s trbutbl t pos i e fui deplton a deh ai n.Ac r ngl di e i a nita i wa o sbl l d- e i nd ydr to co di y, ur tc dmi sr ton s dic tnued, M r . fwasgi n tui i r ve s on i and s Huf ve l ds nta nousy.He c ea i nel vel t r he l r r tni e s he ea r be ant de i t dshe a si baelnelvel ( 45) g o clne owar r dmison s i e . DE . 4 A. Le St gal andar d The a s i lt ofe r t si o i gove e byt fa e k s touti Fe r l dmisbiiy xpe t e tm ny s m d he r m wor e n de a Rul ofEvi nc 702 a Daube tv M e r l D/ Phar ., I . 5 U. 579( 993) The e de e nd r . rel w ms nc, 09 S. 1 . pa t s ki t ha t e r t tmony a ted be r t bur n ofde onsr tng is ry ee ng o ve he xpe t esi dmit a s he de m tai t a m isbiiy by apr ponde a e o pr .Davi on v. U.. p 'o at & Hu nS r ss d si lt e r nc f oof ds S De t fHe l h ma e v . No 70 - 2 . :6 1 9 DCR, 0 W L 3 1 21 a * ( D. No 2 20 7 (ne n lctto o te 20 7 25 9 , t 2 E. Ky. v. , 0 ) i tr a iains mitd s eas UntdSa e v Fr ze , 8 F.d 1 4 1 6 ( 1hCi. 0 4 Cçheb e o e lo i tts . a ir 3 7 3 2 4, 2 0 1 t r 2 0 ) - md n f e r e t bls ng quaik ai n, ela lt a hel ul sr sso t pr sa ihi lf to r i biiy, nd pf nes e t n he opone oft e r nt he xpe t opl *n.) * o ;. nl , Ac di t Rul 702, cor ng o e I s e ik , e hni l o o he s cilz d knowl e wilas itt tiroff tt f cintf t c ca , r t r pe ai e edg l ss he re ac o unde sa t e de e ort de e ne af c i i s a wine sq i d asa e r r tnd he vi nc o tnni a t n s ue, t s ualfe n xpe t b knowl e,s l,e re e, r i ng,ore a i m a t siy t r t i t f m of y edg kil xpe i nc tani duc ton, y e tf he e o n he or a o n o o o h r s , f()t tsi n i b s du o s fi in fcso d t, 2 n piin r t e wie i 1 he e tmo y s a e p n u fce t a t r aa ( ) t t tmonyi t pr tofr ibl prncplsandmehods and( t wine sha he esi s he oduc ela e i i e t , 3) he t s s a pledt prncpl sa me hodsr i y t t f c soft c e. p i he i i e nd t elabl o he a t he as FED. Evt 702.Ac or ngt t Supr m eCour, hei uiyenvii R. D. c di o he e tt nq r soned byRul 702 i a e s te i eo e i whihfdea j d e p ro m aç ae e pngr l't e s r ta s c ltv a d l xbl n ,n c e rl u g s e fr t tk e i oe'o n u e h t pe u aie n g u r l bl o i o sd n tra ht ej r .Da b r, 0 U. a 5 4 95 5 7 (lsg l 7 2' n ei e pnin o o e c h u y u e t 5 9 S. t 9 - , 9 çt Rue 0 s a d ) o e ac igs b e ti tes in ii vai t a dtust e ie tayr lva c a drla iiy of v r rhn u jc s h ce tfc l y n h he v d nir ee n e n eib l di t t prnc plst tunde leapr pos s iso he i i e ha ri o ed ubm s i n.Thef us, c s ,mus bes e yon oc of our e t oll p icpe a dmeh d l g n to t ec n lso sta te g n r t. rn ils n to o o y, o n h o cu in h t h y e e ae' ). I Da b r,h S p e Co r lse svea fco sf d rl u g sma c nsd ri n u e tte u r me u titd e r l a tr e ea j d e y o ie n deer ni whehe t a i e r s intfct si onyunde Rul 702:whe he a e t mi ng t r o dm t xpe t ce ii e tm r e t r n xper' ts 5 t y ort hni c n be a hasbe n tse whet rt t r ort c quehasbe heor ec que a nd e e td; he he heo y e hni en s be tdt p e r ve a dp b iain; ehe tekn o p tnil aeof ro i u jce o e r e iw n u lc to wh t r h own r o e ta rt er r s ac e abl a whehert expe tst r ort c qu i ge r l a ce ed i t s i ik c pt e; nd t he r' heo y e hni e s ne aly c pt n he centt c ommuniy.o 509U. a 593- ( clni t stf t aS fnii c kls ort f). tl S. t 94 de i ng o e orh l i tve hec it es de The Su eme Cour s eque l he dt tt Daube tf t sé a o ma notb pr t ubs nty l ha he r acor ç y r y m e peri i as e sng r la lt de ndi on t naur oft is ,t e r ' pa tc a tnent n s s i ei biiy, pe ng he t e he s ue he xpe ts ri ulr e p rie a dtes b e to hstsi n . . To muc d pe d u ntep riu a x e t , n h u j c f i e t y . . o h e n s po h a t lr s mo c crumsa esoft pa tc a c eatis ' Ku ic tnc he riulr as sue.' mho,526U. a 1 (ntr lcttonsand S. t 50 i ena iai q oain o te ) Ac o dn l,t etilu g mu t a ec nsd rbl le yi d cdn i u tto s mitd . c r igy Sh ra j d e s h v o iea e e wa n e iig n t apa tc a c eho t goaboutde e mi ng whet rpariulre r t si onyi r la e.... riul r as w o t r ni he tc a xpe t e tm s ei bl ( til o r s o l c n ie t s e i fco sie tfe i Dau e twh r t ya e A) ra c u t h ud o sd r he p ct a t r d n i d n b r e e he r k i r as bl mea tr soft r labiiy ofe r t s i e ona e sze he ei lt xpe t e tmony.'1 a 1 Theti c t st ' d. t 52. ral our ha he s mekido lttd i d cdngh w t ts a e e tsrla iiya ie j y wh ni d cd s a n f ai e n e ii o o et n xp r' eib l s t n o s e t e ie u t wheherornott te r ' r lva t tm o i r ibl f t ha xpe ts ee nt esi ny s ela e. #. The El nt Cic te gesi a t e par i r t de e mi t a s i lt of eve h r ui nga n l e t nquiy o t r ne he dmi sbiiy u' e r t si xpe t e tmony unde Rul 7 c i rng whehe : r e 02, onsde i t r ( )( h e p r i q aiidt tsiyc mp tnl r g r igtematr h i tn t 1 Tj e x e ts u lfe o e tf o ee ty e adn h te s e ne ds o a d e s ( )temeh d lg b whc t ee pet e c e h sc n lso i s fi in l d r s; 2 h t o oo y y ih h x r ra h s i o cu ins s u fce t y r l bl a d tnn n db t es r ofnq iyma d tdi Da b r; n ()t etsi n ei e s ee i e y h o t i ur n ae n u e t a d 3 h e tmo y a as it t tiroff t t o h t a iaton ofs i ntfc, e l c l ors i lze sss he re ac , hr ug he pplc i c e i t cmi a , pec ai d e rie, o unde sa t e de e ort de e mi af c i i s xpe ts t rt nd he vi nc o t r ne a t n s ue. 1 I Daube tt SuprmeCour c i rdt fdealudge' gae epi r ei 0n r,he e t onsdee he e r j s tke ng ol n e s rn ta a1 ce t e e te t n i no o l rlv n , trla l .Th S p e Co r n u ig h t 1 s in6c xp r tsi y s t ny ee a tbu eib e e u r me u t mo lt rhe dt tt sba i gae pi oblga i a Daube tsge r lprnci esa yt al a e l ha hi sc tkee ng i ton nd r ' ne a i pl ppl o l e pete tmo y n t u t e tmo yta i ca sfe a s in ii .Ku oTieCo, t.v x r tsi n , o j s t si n h t s lsiid s ce tfc mh r .L d, . Ca mih e, 26U. 1 7 1 7( 9 9 . r c a l5 S. 3 , 4 1 9 ) 6 Que Te h v Hu e- b i UK Lt 3 6F.d 1 3 ,1 4041( 1hCi. 0 )(n e l iain it c . . r lDu os d, 2 3 3 3 3 - 1 t r 20 3 itma ctto s o te ) Th Elv nhCic iha noe t tt prmay p po eof Da e tiq iyi t mitd . e e e t r ut s td ha he i l u s a ub r n ur s o ens et tt e t f t rbasng t si ur ha he xper, ç he whe i e tmony upon pr es i lsudi orperonal of sona t es s e renc ,e oysi t c toom t s me lvelofi el cualrg t tcha a t rz t xpe i e mpl n he ourr he a e nt le t i or ha r c e i es he p a tc o a e pe tnt er lva tfed' Mc ai v Mea o f I tlI c, F.d 1 3 , r cie f n x r i h ee n il. cl n . tb l e n ' n .401 3 2 3 ' , 1 55( 1h Ci. 0 5 ( u tn Ku o 5 6U. a 1 2 . 2 1 t r 2 0 ) q oi g mh , 2 S. t 5 ) B. Par i s A r t e ' gum ent s Pl ntf pr f r Dr Ca lJ Bl M . .Ph. ,a hers ii c us tonl e r. The ai if ofe s . r . ond, D , D. s pec fc a ai l xpe t f lo n if r to h sbe no tie fo Dr Blnd se pet e r ($ po t) DrBlndi olwig n o main a e ban d r m . o ' x r rpo t ç r' . . o s Re ' alc ns d me c lpr c ii ri t sa eofTe , ie e dia a ttone n he t t xas who haspr c ied medii i t Sa a tc cne n he n Ant o a e f t nt eghtyea s Hegr dua e fom m e c ls hoola co plt d hi oni r a or we p i r. a td r dia c nd m ee s i em a medi ner s d y a t Uni r iy ofTexa Heat Sce Ce e i Sa Ant o nt l ci e i enc t he ve st s 1h ince nt r n n oni CUTHS t CSA', n te c mp ee at -e rflo hp i Ne r lg ,h frt e ro whc ) a d h n o ltd wo y a elws i n ph oo y te is y a f ih wasa t Uni e st ofCol a a t s c ye a UTHSCSA .Dr Bl hasbee bo dt he v r iy or do nd he e ond ar t . ond n ar c rii i l e nalM edii snc 1 and i Ne ol y snc 1 4. l a ton t hi e tfed n nt r c ne i e 979 n phr og i e 98 n ddii o s pa intca e Dr Bl i aclni a pr e s ofl e nalM e ci a Ne te r , . ond s i c l of s or nt r di ne nd phor ogy a ol t UTHSCSA . 1 Spe i ca ai r f r t t is ofwhe he t pl ntf ha de 1 c ûc us ton e e s o he s ue t r he ai if s monsr t t tt taed ha he s b tn ea tal c usdt eij r i hi pa t ua c s . p cfcc u aini dsig iha l u sa c cu ly a e h n u y n s ri lr a e S e ii a s to s itn us be c fom ge r lc us ton,whi r f r t t ge r lis ofwhe he as t ehast pot i r ne a a a i ch e e s o he ne a s ue t r ubsanc he ental t c u etep an ifsij r Gun v Asr ze ac Ph r .6 2F.d 1 45 1 4 ( 1hCi. o a s h litf nu y. in . ta n a a ms, 0 3 2 , 2 9 1 t r 201 (ii Kni v Kib I andMarneI .48 F. 347,351( t Ci. 0) ctng ght . r y nl i nc, 2 3d 5h r 2007) Ge r . neal c a i i noti dipu e i t i tntm oton. TheCour a s e ,wihoutde i ng t t aus ton s n s t n he nsa i t s um s t c di ha g ner lc us ton hasbee esa ihe e a a ai n tbls d. Dr Bl hasc . ond onsne hi pr c i t t a e ofne r og and i e na m e cne, d s a tce o he r as ph ol y nt r l dii and hi pr tc prm a iy ivol pa intc r A r i pa tofhi pr c ie i veste tng poss aci e i rl n ves te a e. outne r s a tc nvol r a i t o ai he r s g r pa int who s f rr na pr e s Spe fcal t si ude pa int per tve a t ur e y te s ufe e l oblm . cii ly,hi ncl d te s wh e o trrna p o lmsa trc r n r atr b p s slg r ( o nc une e l r be fe o o ay rey y a s t ey CABG) h at av s re y r , e rv le ug r, hea tr ns a sa ot rc dic s ge i .Bec us of hi c i c lex re e, . ond i r ta plnt nd he ar a ur res a e s lni a pe i nc Dr Bl s f miirwih t etol esofr na dy f to a r nalf iur aswe la t moralt and a la t he i ogi e l s unc in nd e a l e, l s he t iy mor diyas oc aed wih r naldys u i a r lf l e. bi t s i t t e f ncton nd ena aiur Afe s ti f rh hi qua i to a a expetl Dr Bl nd' r po t ovi as tr e tng o t s lfcai ns s n z z . o s e r pr des f l olows: BRI NARM TI OF EVENTS EF VE Th lt Mr . me t Hu f sas sc l y a- l b a kf mae e ae s Ve sa f wa 4gil3 e rod lc e l whe s wasa mitdt Pr bytra To r( M e c n he d te o es e in we OU dial Ce tr o 0 / 82 0 . h rp re l ha ah so yo mul pe n e) n 8 0 / 0 6 S e e o tdy d itr f t l i prorad isonsf c i m s i or onge tve he r f iu ea s ve em ir l si a t al r nd e r ta se i . n t pa tt pa int a r l a trc uli wih tnoss I he s he te , ppa enty fe ons tng t fmiyme r hadd lne s gey. c rntydonot(i a l mbes eci d ur r I ure l scl de al d prorr or . e t ie i ec ds An choc r og n fom 06 06 was a di r m r / des rbe s c i d howi c e rcLVH,ahy r ynn i lf ng onc nti pe d m c e t ven rculr s ve emir lsenosswih ac c aedm ir lval ti a , e r ta t i t alul t ta ve a e of0. c 2 ra 8 m *Pro me c lpr bl msi ude a CVA i 1 i r di a o e ncl d n 998, t ahit r wih s o y o s i ur ,hel tt toc ure alo i 1 f e z es t as ha c r d s n 998. i s gia Pror ur c l hit r i l d 3 C- e tons he orhoi s ge y a so y ncude s ci , m r d ur r nd a ndecom y. e c lpr e snotd i t r c dsp ovi d ppe t M di a obl m e n he e or r de i l d hy re i n, a om a c oni ki y die e m i r ne ncude pe tnso gl uc , hr c dne s as , g ai 1 Def nda sdo notdipu et tDr Bl -i g r l q lfesasa e r undert 2 e nt s t ha . ond n ene a - uaii n xpe t he fr tpr ofDaube ta l i . is ong r na yss ! M r . fwas6 ye so1 a t r l va tme. Dr Bl 3 s Huf 4 ar d t he e e nt i . ondei hi de ii n s poston r cog z d t se r i hi r por. e nie hi ror n s e t 8 he da sa de es i Thepa intha abre s a che nd pr son. te d i f moki hit y, ng sor a oxi t l 2- pa ye r . ppr ma ey 3 ck a s M r . funde we m ir lvaver pl c m e s ge y on s Huf r nt ta l e a e nt ur r 0 / 92 0 p ro me b Dr M a vnPa tn gi) A snz 8 0 / 0 6 ef r d y . r i yo sc. e m c eai neprort s ge ywas2. m g dL.Thepa inthadan r tni i o ur r 5 / te uncomplc t s ge y. oodpr s ur waswelmai ai d wih a i a ed ur r Bl es e l nt ne t Car nedrpt oodprsur l rngage )Noprsorage s de i bl e s e owei nt. es nt we ei tt ed.Oxyge s t ai n waswe lma n a ne r nsiut n a urto l iti d t oughout hr . Ane t sawasi uc d a m ant i wih Ver e f nt n , she i nd e nd i aned t s d, e a yl Ni mbex a I oftr ne. otni wa i us d a a nd s lla Apr i n s nf e s n a ifb i ytca nt Tot pump tme wa 2 hozsa 54 nt-i rnol i ge . al i s lr nd m i es Cr s cn p tm ewa 2 hour a onem iut Durng nut . os - lm i s s nd n e. i slge y urne o putwa 450 c Thepa intr c i d 2 unisof tr r i ut s c. te e e ve t pac r bl cel durngszge y.M od aehypot r awa ked ed ood ls i lr r er t he mi s i tt e Aferc r o mona y bypa sr or d pul ona y nsiutd. t a di pul r s ec de m r a tr pr s ewa 48 1 r Hg.A25r m M os cval was re y es ur s / 7 om o ai ve pl e a f tt bewe ls t b tans s pha a ac d nd el o l eaed y r e o ge l e hoc r og n . pai ntwaswe ne o fofca di m ona y c a di r m The te a d f r opul r bypa swihoutditc t i sa ec ton. he odil i s t fi uly n t bl ondii A m ayss t mpor y cahe e wa alo pl e a t tme ofs r r i t e ar t t r s s ac d t he i u ge y n he rg s bc a a ven, wela af m or la tr lne f bl i ht u l vin i as l s e a re y i or ood pr s ur m onio i Thepatent posope a i co s i l d es e t rng. i ' t r tve ur e ncude s e ubai o poso r tveda #1. xt ton n t pe a i y Addii lpr e st tona obl m hat de ope i l vel d ncudedta intara fbrlai lukocyt i ,a r nse ti l i il ton, e oss nd a u ek d yij r An iitcc vea ei cud dp i rl c t ine nu y. tb oi o rg n l e rma i y Le vaqui pa inta s r c ve dos ofZos a c ur xi e. n, te lo e ei d es yn, nd ef o m Culur di no r vea a s cik pahoge ors c o i e ton. t es d t e l pe f t n our e f nf c i Thepa intss r m c e tni r e t 3. m g dl a a t tm eof te ' e u r a i ne os o 2 / o nd t he i d s ha gewa 3. m gdt,Som es c i oft i te tr or ic r s 1 / . e tons ht npai n ec ds a enotpr s nty a ia e.Thepa intwasdicha ge t Gr e r e e l val bl te s r d o ac Li ng Centr A s r m cr a i ne o aned a t sf c lt on vi e . e u e tni bt i t hi a iiy 09/ 2006w a 1. m g dl. Unf runael M r . fpa s a y 20/ s 6 / w o t t y s Huf s ed wa on 03/ 5 2007 whe s pr s nt wih s pss r na f iur a 1/ n he e e ed t e i, e l al e nd r piaor f im et M i W e tRe o lM e c lCentr es r t y a l o d s gi na di a e. M EDI CAL OPI ON REGARDI M RS. NI NG VERNESTA HUFF Ea h oft opi onssat d be o a e saedt ar s na e de e c he ni t e l w r t t o ea o bl gr e ofme c lc rant Pa int unde g ng c r o mona ybypas di a e ti y. te s r oi a di pul r s s g r a ea rs frd v lp n a u ekd e ij r . h nt i ure y r t ik o e eo i g c t in y nu y W e h s oc ur ,i i us ly ata i ntphe c s t s ua l r nse nome ,t na hough s m e d r eof o eg e p r ne tij r ma o c rwihe c e io eo a uekin y ema n nu y y c u t a h ps d f c t d e ij r . u e fe u nl icu eh p tnso h p x a o i ai e n u y Ca s s rq e t n ld y oe in, y o i, x d tv y sr sa ne o oxi a nt . orunael e n ta i nta ut tes nd phr t c ge s Unf t t y ve r nse c e kd e ij r i t ec r ip mo a yb p s sti i a s cae in y nu y n h ad o ul n r y a s etng s so itd wih i r s d s r a l -e m m o bi t a m oralt t nc ea e ho t nd ong t r r diy nd t iy. Ne ot xi a nt ofe i l deI c r s,nonse oi ldnls, phr o c ge s tn nc u V onta t tr da g a r r y a she i age s Vms pr s ora nt , r que l us nd a el ne t tc nt. o e s ge s f e nty ed f ma nt ni bl d pr s ur m a c us di i s d r na bl or i ai ng oo e s e, y a e m nihe e l ood fow . l Hypot nson pe i r i y i ofe m ulia t i ,a e i rope atvel s tn tf c oral nd ma s conda y t i par c r acf nc i bl l s ybe e r o m ied a di u ton, ood os , pe ia di lt mponade hy rc r a n , povolm i,a oc asonaly s pss e a nd c i l e i. Cadi m ona y by s i as ocatd fe n l wih ata i nt r opul r pa s s s i e r que ty t r nse dr i gl op n omer a tlr ton. ulr ita i Addii lpr blm st m a oc ur tona o e hat y c a db a s cae wiha uekd e ij r icud h molss n e so itd t c t in y nu y n l e e y i, ahe oe t r mbol, r lvas onsrc i a s cit d wih aori i and ena oc titon s o a e t tc cos ca i . emao i o p te t t a un eg r s lmpng Th j rt f ain s h t d ro y c r ip l n r b p s d n t e lpa a uekd e ij r . a do u mo ay y a s o o d veo n c t in y n u y M uli e rs f c o sha be n i ntfe t ta ea s it d wih a tpl ik a t r ve e de ii d ha r s oca e t hih rrs o d v lpn a a ut kin yij r . a yo te e g e ik f e eo ig n c e d e nu y M n f h s rs f c or ar i e r lt d. h adva d a ,andf l s x a e ik a t s e nt rea e Bot nce ge ema e e r as oca e wih ahi rrs Thepr s nc ofc oni ki y s it d t ghe ik. e e e hr c dne die e i asgnik a rs f t . s as s i t nt ik acor Addii lf cor i ude tona a t s ncl di be e m e lt , hr ni obsr c i pul ona y die e, a t s lius c o c t u tve m r s as hype tnson, ongesi he tf iur ,s re i c tve ar a l e moki hit y, ng sor and pe i r lvas ulrdiea e. ge s g r a r e I c r t rphe a c a s s Ur nt ur e y nd ec nt V ontas a ea s as ocit pr ope a i rs .Sur c rs f c or i l r l o s aed e r tve iks gial ik a t s nc ude bot co plx,a pr onge s ge y.Thi i l h m e nd ol d ur r s ncudesbypa stm e s i s ofgr a e t 2 hour .Theus ofa otni anage t twas e t r han s e pr i n, nt ha us d t di nih bl l s hasbe n as oc ae wih a i r as d e o mi s ood os , e s i td t n nc e e rs o a uekin yij r I t epo tp rt p rod rs fco s ik f c t d e nu y.n h so e ai ei , ik a t r ve i l hypot nson, e i,a dr g t ct i l ng a i otc ncude e i s pss nd u oxi iy ncudi ntbi is t a r rl c nc u ern ln u yb an mb ro me h n s h t aey a a s e a ij r y u e f c a ims i udi t bulrt c t and a ut i e siilne ui i.Thelt ncl ng u a oxiiy c e nt r tta pl ts ae M r. f s fee asa e1o mida uekd e ij y( u e s Hu f u frd tg r l c t in y nur Ac t Kin yIj r Newok a s cae wihh rmi a v l s r ey d e nu y t r) so itd t e t l ave u g r . r I r viwi t c s ofM r . f pr diposng f c or f n e e ng he a e s Huf, e s i a t s or i r s d r na rs i l d he s x,t pr s nc ofc oni nc ea e e l ik nc ude r e he e e e hr c ki y die e, pere i and vavul s g r He bas i dne s as hy tnson, l ar ur e y. r elne r na fmc i i r pored t beab m a a i he a iso e l t ton s e t o nor l s s r dm s in c e tni o 2. m g dl. n viw ofhe sgni a l l r r ai ne f 5 / w l e r i fc nty owe cr ai ne lve i hercon l ce eof1. m g dL, wilnee e tni e l n vaes nc 6 / l l d a tona pr - ur ca medialr c dst el dae he bas lne ddii l e s gi l c e or o uci t r e i r nalf ton.Addiina l s wa on a ACE i bio prort e unc i to ly he s n nhi t r i o s ge y, notpos s ge y,whi h m a aloha afe t d he ur r but t ur r c y s ve f c e r r na f ton. s gi a pr dur wa wel t e at wihout e l unc i The ur c l oce e s l olr ed, t any sgnii anthy t nson.Sur c tmewa gr a e t 2 hour i fc po e i gial i s e t r han s asa a tona rs f c or Theposope ai c s i uded n ddii l ik a t . t r tve our e ncl a i otce ntbi i xpos e, r nse vaue de e i a ltkoc oss ur ta int l plton nd el yt i . Le qui ma r r l ha ne o oxi t The a she i a nt va n y a ey ve phr t ciy. ne t tc ge s us a enota s a e wih ne ot ciy. pai di not ed r s ocit d t phr oxi t The tent d r c vea nonser da d gspr ope ai l .M r . fdi e ei ny t oi l nz e r tvey. s Huf d r ceve a otni a an ifbrnol i a nt t ti now r ogni d e i pr i n, n t- i ytc ge , ha s ec ze a aneph o oxi wih bot sr c ur land f tona r na s r t n, t h tu t a unci l e l a r a iisa s a e wih isus The e i alr e voll of bno m lte s ocit d t t e. r s a g dme me c la s intfclt r t er ga di t as ocaton ofa ut di a nd ce ii ie a ur e r ng he s i i c e k d e ij r wiha r t n a lse i myatc me tAp o ii i n y nu y t p oi , s itd n ta b n r tn n ni a c muae i r n l u ua c ls a dc u e c lua ij r a d c u lts n e a t b lr el, n a s s ellr nu y n de t I a ton t diec r na t bulrt c t a tonal a h. n ddii o r t e l u a oxiiy, ddii me h n s o rna ij r b a r tnnma icud p o t ga dn c a ims f e ln u y y p o ii y n l e r sa ln i i hi ton,a ikali ei e f ct,a m ir t om bossofbl n bii nt- lkr n fe s nd c o-hr i ood ves e s Thee r r por ofF.Ga yToba k, . PhD s t out s l. xpe t e t r c M D. es i deai t m e ha s sandm r ri whih a otni e f ct n t l he c nim mne n c pr i n fe s r na f ton. n a ton,a otni hasbe a s i t d wih a e l unci l ddii pr i n en s oc a e t n i r s mora iywhe us d i c r o mona ybypa ss g y, nc ea ed tlt n e n a di pul r s ur er c ompa e t ot ra ipie i age s The de l pm e ofe n z d o he nte lptc nt. ve o nt ve mida u ek d e ij r i g nea, swel si t s tigo l c t i n y nu y n e r la l a n he et f n c r opul ona y b ss ge y, sas oc ae wih am a ke y a di m r ypas ur r i s i td t r dl i r as d moralt r t A numbe ofm e ca r e e esa e nc e e t iy a e. r di l ef r nc r i ld di rg r t t ea s cainof c t kin yij r i ncu e n e ads o h s o ito a ue d e n u y n c r ot a i s ge yandm oralt I t c eofM r .Huf , he a di hor c c ur r t iy. n he as s ft c us o he r n l nu ywa lk l mutfco il icu ig a e f r e a ij r s iey l a t ra,n l dn i c r opul o r bypa s hypovol mi a a o i n.l a1m e c l a di m na y s, e a nd pr tni n 1 di a c rant a otni wa asgni ntco rbutng f ct .The e ti y, pr i n s i fca nti i a or p e e eo a u ek d e ij r , v nwh nmi h sasg iia t r snc f c t i n y nu y e e e l a in fc n d, l -e m m oralt rs l t te tng physca had b n a e ong t r t iy ik. f he r a i i ins ee war o t i e s d m o tlt rs a s it d wih a o i n,i al f he ncr a e raiy ik s oca e t pr tni n 1 lkelhood t sdr woul notha bee us d. i i hi ug d ve n e ( 4 a Ex A, 4 (Bln Re ' . DE 4 t h. p ) d o d p.) l ' I s ma y, . ond wo d opi t t d nt ca eofM r . f t c us ofhe r l n um r Dr Bl ul ne ha , ç he s l s Huf, he a e r ena ij r wa l eymul fco il icu igc r i p l nayb p s, y v e aa da r t i nu y s i l t a t ra,n l dn ad o umo r y a s h po olmi n p oi n. k i n l a1 d c lc ran y (rs l l wa asg i a t o tiu igf co . ( o dRe a 4 . n 1 me ia e tit, tay o) s inûc n c nrb tn a t r' Bl n p. t ) ' Dr Bln as wo do iet a,: ep e e c o a a uek d e ij r , v nwhe . o d lo ul pn h t $Th r s n e f n c t i n y n u y e e n mid, a sgnii a l t r moralt rs ft te tng physc a had be n a r oft l has i fc nt ong-e m t iy ik.I he r a i ii ns e wa e he i ce s dmo tlt rs a s cae wi ( r s ol i a1l eio dt i d u wo l n t a e n ra e raiy ik s o itd t T ayll,n 1 i l o hs r g u d o h v h k h be n us d. e e ' ' Ba rague t tDr Bl sopi onss dbee ude be a e:( )he% snot ye r s ha . ond' ni houl xcl d c us 1 t doe o i eta Tr s llc u e M r. f de t 'bu i ta o ie t tçin al dc l e tit , p n h t a yo a s d s Hu ps ah, t nse d pn s ha û q 1me ia c ran y ' l ( a yo)wa asgn an c nrb t gf tr,oh rfe a ij r il ( )h dir g r st efc Tr s ll s i sc t o ti ui aco 't e ç n l n u y'4 2 e se ad h a t n r ' ta b f r stg r s ewa s be tt at d rt t hg 'rs o e ein igrna h t eo e tr ey h s u j c o f e ae o ih'ik f xp re cn e l mo i u fce c a trtes r e yr g r ls of ehe Tr s ll ewa f co e i;( )h r l so ns fiin y fe h u g r e a de s wh t r a yo us s a t rd n 3 e ei n e i omplt me c lr c dsa f ist c nc e e di a e or nd a l o onduc apr rdif r nta dignoss i a rvi i hi t ope fe e i l a i n ri ng n s c l in;( hi opi ont tTr yl i asocae wihi r a e moraiyi ir e nti t s oncuso 4) s ni ha as ol s s itd t nc e s d tlt s relva n hi c s ; n ( )h so i o rltn t Dr Pe o s o l b e cu e b c u eh i no q aiidt ae a d 5 i pnin eai g o . ytn h ud e x ld d e a s e s t u lfe o o ne a t whehe Dr Peyt woul no ha pr s i d Tr s o i heha be n a eofs ey pi s o t r . on d t ve e crbe a yl l f d e war af t i or ton whih wasalege y no dic os t t me c lc nf ma i c l dl t s l ed o he dia ommuniy bec us s h opi oni t a e uc ni s s c ai a notbaedons e ii kno e ( 44a 9- 4)1 pe ultve nd s cintfc wldge.DE t 1 .5 Pl i if a a st a g i r pons t Ba ' fr te l i a gumen - t tDr antf ppe r o r ue n es e o yers is xcuson r t ha . Bl sopi on onl goest Tr s olsi ond' ni y o a yl ' mpac on M r .Huf spos- r tve r nali r nt t s f tope a i e mpaime , 1 In t ta Dr Bl n o l rlt sa a uer n ln t. wiha i ce s dc n eo 4 oe h t . o d ny eae n c t e a ijuy t n n ra e ha c f m ora iy.Hedoesnoto net tTr yl wasadie tc us ofM r . f sdeah. tlt pi ha as ol rc a e s Huf t 1 Thi t o s cultve o ni by Dr Bl a ot rpr pos d m e c le rs as 5 s ype f pe a i pi on . ond nd he o e di a xpe t, t wha a t rdoc ormi htormi htno ha donei pr de pa tc a i o m ai ha be n o t no he t g g t ve f ovi d riulr nf r ton, s e r p ae l rjce b t i Co r.Ac o dn l ti o no i i a misb ea r q ie n e e tdy ee td y h s u t c r igy,h s piin s n d sil nd e ur s o f t rdic son. urhe s us i a no he de t - by a s ri t tDr Bl ct t m e ca ltr ur whi h t ovest ta nd t r a h s e tng ha . ond ies o di l ie at e c d pr ha rn ln u y e nwh nmi h sasg f n i c o mo tl y. .whc )ma e imoe e a ij r , ve e l a ini t mpa t n rai . g ih k s t r d, ka t lkel t tTr y olcon rbut dt M r .Huf de t ' a t s h c tton a r i nc i y ha as l ti e o s fs a h, nd hat uc ia i nd ela e ' s f inl te h rrn lnur t he d ah.DE 4 a 7 .Ast De e d n s r mann b s s u fce ty i s e e a ij y o r e t ( 8 t ) o fn a t' e iig a e f re l i Pl ntf c mtr t tDr. ond c o xcuson, ai if ot e s ha Bl onduc t al ga l s fce dif r n i l t d e ly ufi int fe e ta dignossa t t e e t theha no r vi we a 1ofM r . fsm e ca r c dsbe or a i nd, o he xt nt ha d te e d 1 s Huf di l e or f e is nghi r por, uc dei i ywasc edathi De ii Pli ifdoe no r s sui s e t s h tcenc ur s poston. antf s t e pond t o Ba r 'a g e r ltng t Dr Bl sopi onr ga di wha Dr Pe on woul orwoul not ye s r um nt ea i o . ond' ni e r ng t . yt d d ha done.Se s pr no e 15. ve e u a t Ba r i isRe y as e t t tPl ntf sRes ei i ufi intt esa ih t ye ,n t pl s rs ha ai if pons s ns fce o t bls he a s i lt ofDr Bl sopi o . dmisbiiy . ond' ni ns C. Anal i yss I i wele t bls d t tadif r nta di gnoss pr rype f med, t s l- sa ihe ha fe e i l a i, ope l ror consiut a tt es r la eme hodol f de e mi ng me c lc us ton unde Daube t SeeGui v e ibl t ogy or t r ni di a a ai r r. nn . Asr ze ec Phar .LP, F. 1 1 ( t Ci. 0 .Whieadifrnta dignossc n ta n a ms 602 3d 45, 53 11h r 201 ) l fee il a i a pr vi avai bassf ame c lc us ton opi o l n e r doesnotesa ih t r la lt o de ld i or di a a ai ni n,l xpe t a t bls he e ibiiy ofhi t hni s ec quesort vai t ofhi co usonssmpl by cai ngt thepe f m e a he ldiy s ncl i i y l mi ha ror d difr i di g i on apai nt' M ccl n,401F. a 1 fe ental a noss te . ' ai 3d t 253. I t a a c tmus e nse d, our t xmni ne whehe t expe tcorec l a i d t dif r nta dignossmehodol t r he r r ty pple he fe e il a i t ogy.602 F. a 1 3. 3d t 25 Ther s blnes ofa yi t sa oa h, ong wih t valdiy oft e r' pa tc ar ea ona e s ppl ng hi ppr c al t he i t he xpe ts ri ul me hodol f ra l i t daa a d dr wi c l i fom t da a, l de e m i t ogy o nayz ng he t n a ng oncusons r he t wil t r ne wheh rt edfee ta d a n ssi rla l.He d i v Ev nl Co, 0 F.d 1 8 ,1 9 ( 1h te h ifr nil ig o i s eibe n rx . e jo .6 9 3 1 3 1 5 1 t 13 Ci. 01 ) r2 0 . A dif r ntaldi gnossi a C te -pe fcpr es ofei na i t tm e ca fe e i a i s l ints cii oc s lmi ton ha di l pa p a tto sus t i ntf t m os lkey c us ofa s tofsgnsa s r cii ner e o de iy he ti l a e e i nd ympt sfom a ls of om r it p s il c u e . Ru ge ov Wa n rla e t .42 F.d2 9, 4 (d Ci. 0 5 .l o sbe a s s' g ir . r e -vmb r Co, 4 3 4 25 2 r 2 0 ) t ' rq r sa e p r t û eemi e t ep si l c u e frt ep te tss mp o a dt e e uie n x e to t tr ng) h o sbe a s s o h ain ' y t ms n h n d ei n te e c o tepoe ta c u e u tl e c n o eta c tb r ldo to d tr nn l all a h f h tn il a s s ni ra hig n h t mmo e ue u r eemiig mi whiho tos t t n n t e cu e i t emo tl l ' Gun 6 2F.da 1 5 ( u tn c f h e ha c n o be x l d d s h s i y. in, 0 3 t 2 3 q oig ke ' We te r v Gilv dGu AB,1 8F.d25 , 2( t Ci. 9 9 . sb ry . sa e mmi 7 3 7 26 4h r 1 9 ) Att fr toft t se ,t dr ei 'se t e r mus compiea c he is he wo t ps he tul n' t p,he xpe t t l ompr hensve e i ls oft ist c d e an t pa intss m pt s Sc f 609F. a 11 M ccl n, it heore hat oul xpl i he te ' y om . nJrx, 3d t 95; ai 4 F.da 1 5 Cl u e v M/ 01 3 t 2 3; a s n . VNEW CARI S 3 9F.d 1 49 1 5 (t Ci. 0 3 .ç p r S A, 3 3 0 , 0 7 9 h r 2 0 ) s et Ex tsi n ta r lsi ap tnil a e(fap te tss mpo o mo tlt)t t sno s etmo y h t ue n oe ta c us o ain ' y tms r raiy ha i t o c pa ei unrla e.'Mccl n,401F. a 1 ( i Cl e 339F. a 11 .Thi i a bl s eibl ' ai 3d t 253 quotng aus n, 3d t 58) s s b c u e( f n a na a s mp in u d ryn ( fee ta da n ss i t t h fn l s p ce e a s t u d me tl s u to n elig difrn il ig o ij s ha t e ia, us e td a S caus e' . . . mu ta t al b c p bl o c u i gt eij r . 1 . atrto i o iia) Atte s cu ly e a a e f a sn h n u y' d (leain n rgn l. h ' s co sep ofadif e i ldi gnoss t t tl out'se t e r mus a l s c i rt e nd t fer nta a i, he t ze ' t p, he xpe t t t ea t onsde he r oh rc u e t a c udh v s ll gve rs t p an ipsij r Gun , 0 F.d a 1 3 te a s s h t o l a e oey i n ie o litf nu y. in 6 2 3 t 25 . Howeve , heex r ûne d no r eoutalpos i eat m a i ca es'f hi dif e i l rt pe t t e t ul 1 sbl le tve us ' or s fer nta dig i t berla e f ; s v ftwe'Ho Ctw,I ,5 F. 1 ,1 l( hCi. a noss o eibl. #.Be t . p s me l nc. 63 3d 71 8 6t r 2009) , . We t ry v Gil e Gummi 178F. 257,265;He lrv Shaw I . I . 1 F. 1 s be r . s av d AB, 3d le . ndus, nc , 67 3d 46, 1 6( dCi. 9 9 ; nr Me o Cop.71 F. u p. d 1 48 1 7 ( . Ga 2 0 .Bu s e 5 3 r 1 9 ) I e ntr r , 1 S p 2 3 , 3 2 M D. . 01 ) t e He d i 6 9F.da 1 9 (çTl ee p r mu tei n t a1c u e b to e.) n rx, 0 3 t 1 5 1 h x e t s lmi ae 1 a s s u n ' . l ' Crtc t bot se , we r i t r et ti m a ngboh t $.1 i 'a ç ul out' iial o h t ps ho ve , s he ul ha n ki t he çu e n' nd s e ' 1 r dee m i tons a e r mus enga i t s m e lve ofdnt le t lrgort tcha ace i es tr na i , n xpe t t ge n he n e l i el cua i ha i r t rz t pr tceofa e r i t r e ntfed. Gui ,602F. a 1 ( tngKumho TieCo he aci n xpet n he elva il ' nn ' 3d t 255 cii r . v.Car c ,526U. 1 1 2,119S. .11 11 ( 9 ) Ane r e gngi a mihael S. 37, 5 Ct 67, 76 1 99 . xpet nga i n d fe e ildi gnossmus a r t t rsa d di nosi tcl i if r nta a i t dhe e o hei tndar ag tc e m quest bec i e o onsder d r la e.I W ih t eco pt i m i It n t Dr Bl spr f r t tm ony. ei bl d t hes nce s n nd, ur o . ond' ofe ed esi Dr Bl n o ie t tf c us o ( r . f lr n liit wa lk l mu tfco il . o d pn s ha dhe a e f M s Hu fs e a n uy s i ey lia tra, t i l ng c r o mona yby s , ncudi a di pul r pa s hypovolm i and a otni ' A r viw oft evi nce e a pr i n. ' e e he de r ve st tM r .Huf s f r f o nume ouspr - xitngco tons m a ofwhi h pl e he e al ha s f ufe ed r m r e e si ndii , ny c ac d r a rs ofe re i aposope a i de i i ki y fmc i The ec to i l d t ik xpe i ncng t r tve clne n dne t ton. s ondii ns ncude c oni ki y diea e, hr c dne s s hype t i dibe e c rtnson, a t s, ongesi he r f iur ,s tve a t al e moki a pr vi ng, nd e ous sr .Complc t d a pr onge s g r e e tokes i a e nd ol d ur e y, xt ndedplc nto hea tb s ,ta f i a eme n r ypa s r ns uson wih bl pr t onl adde t t ls ofrs f t ss f c be or a du i t s ge y. t ood oduc s y d o he it ik acor he a ed f e nd rng he ur r Pos- r tve f c o si r asnghe rs ofr lsr si ude a i otcs hypovol mi , tope a i a t r nc e i r ik ena tes ncl d ntbi i , e a lukocyt i, urtca nitai aralfbrlai a conrci akal i.( 4 a Ex. e oss di ei dmi srton, ti i ilton, nd ta ton l oss DE 4 t A) (d. tEx. . ;i a B) I as e sngwhe he Dr Bl e n s si t r . ond ngag i ar ibl m ehodol lke p i m i t ed n ela e t ogy, e n nd he El ve h Cic tsi tuc i t tthe p i r pur eofa Daube ti r i f rt ditit e nt r ui' nsr ton ha é rma y pos t ny r nquiy s o he src c r t de e mi whehe t te r,t t rbasng t si o upon pr es i na sudi sor ou t o t r ne t r ha xpe t whe he i e tm ny of so l t e pe s na e ince e oysi t cou toom t s r o l xpere , mpl n he rr he ame lve ofit l t rg t t e l n elecual i or ha c rce ie tep a tc o a e p r i t rlv n fed' M c anv Mea o # I tlI c, haa trz s h rcie f n x e tn he ee a t il .' cl i . t b l n ' n . ' , 4 F.d 1 3 ,1 5 ( 1h Ci. 0 5 (u tn Ku o 5 6U. a 1 2. Ic n o syta Dr 01 3 2 3 2 5 1 t r 2 0 ) q o ig mh , 2 S. t 5 ) a n t a h t . . 1 5 Bl ha e o dt s m el lo i e lc ua rgort tonewoul ho c r trz t ond s mplye he a eve f nt le t l i ha d pe ha ace ies he pr c ie ofa e ti hi r e tfel Dr Bl ma hi c l i o a woeuly a tc n xper n s elvan i d. . ond kes s oncusons n fl i omplt s tofme c r co ds nc ee e dial e r . Specfc ly, t abo -e e e e potntalrs f dor , . ond,i bot hi Re t ii a l of he ve r f r nc d e i ik a s Dr Bl n h s por andhi De ston,f ie t s fcen l c i rM r Huf sdibe e ,conge tvehe r f iu el s po ii a ld o ufi i ty onsde s. f a t s si a t al r ,6 s o ng,;di e i te t nt a ra fbrlai n,Fhy tnson,ga c r c i a kaossa t m ki l ur tc r a me , ti l i ilto l pere i l nd onta ton l l i t he d t ei 'sa z Addii ly, e f rt ers f c or t the di c i r hi opi on was t z n' t ge. rl o tona l ev n o hos ik a t s ha d onsde , s ni 1 Dr Bl t sii d t thedi ç s e a m e ca r or i ca i M s Huf spas 6 . ond e tte ha d i e ny di l ec ds ndi tng . f not t hit yofmyoca di i arto . Hedi tt vet er cor . W he p es e wih sor r al nf ci ns' ' dn' < ha hos e ds' ' n r entd t me c lr or r ve i s h pas hi t yofm y a di i ar to ,he a te t ts ha dia ec ds e alng uc t sor oc r al nf ci ns dmitd ha he d i e dh ds c ah so yo h m'atc .( o d De a 5 1 1 (1d ntk o he --l n' nd e a u h it r f e t ta ks Bl n p. t 8: 2- 7 $ o ' n w r do t i h vet o erc r (eaigt M r. f shit r o my ada ifrto ) Re o tdy, h a h s e o ds rltn o s Hu f so y f oc r iln acins. p re l s e h dnoc r n r atr d sa ei t o h rrp l . a o o ay rey ie s n he t e e of) d ve he ore t nf m ton s Huf 1 Dr Bl t tfe t thedi notha t c r c i or ai on M r . fs 7 . ond esii d ha s kngo r ce to a d u - eh so y ( o dDe a 6 23-2 (No, i.An p ra ss e mo i r e rain l r gus it r . Bl n p. t 2: 5 $ sr d eh p h t di ti l .. i r s et aquesi a dn' nha e. ' n e pons o ' ton boutt i c ac ofM r Huf ss he nac ur y s. f moki hit y ng sor n tdi h se p r rp r) 6 6 ( oi ghedd ts erc r id c tn M r. f so c so l o e n i x e t e o t; 3-4 n tn in' e e ods n iaig s Hu f c a ina u eo r ce to a d u s. s f e rain l r g ) 1 Dr Bl n t si e t a ara fb ilto c nla t rn ln u yi t h a tsbe tn 8 . o d e tf d h t til irl in a e d o e a ij r f he e r i ai g i a a al r r pi r t ' a t theha nokno edgeofwha M r . f she tr t wa d i t ' y a d ae, nd ha ve ' d wl t s Huf ' ar a e s urng he e s ofara tb ilton.Bl Dep.a 72- . r piode tili rlai ( ond t 73) 1 I .a 6 1 2 ( 1 v n'r ve dtos r c r s( fMr . f ste tn p y iins 9 d t 2:2-0 $ ha e t e iwe h e e o d o s Hu f r aig h sca $ rve ln ta he kd e d s a ewa s c n ayt h rh p re so ) b tc ran ysvee e aig h t r in y ie s s e o d r o e y e tn in ; u e til e r h re i i ac ype tnson s ommonca eofc oni ki ydiea e.) us hr c dne s s ' . ' 2 I pe tne pa t Dr Bl sls ofç e s i f c or f i r as d r nalrs 0 n ri nt r, . ond' it d diposng a t s or nc e e e ik pr i uded' he s t pr s nc ofc oni ki y die s ,hype tnso a val ars g r ... ncl ' r ex, he e e e hr c dne s a e re i n, nd vul ur e y , ( p po tdy a noma ( a ei e rn lf n to . . (l dio al s ewa o a ACE a u re lj b r l b s ln ! e a u ci n . , ad t n l h s n n i y i biorprort s ge y,butnotpos s r y, c m a a s ha a f td he r na f nci n. nhi t i o ur r t u gel whih y lo ve fece r e l u to ' ' Asf t pos- ai f t s Dr Bl nd o ne t tM r .Huf t e ae t s g c or he toper tve acor , . o pi d ha s f olr td he ur i al pr ce r wel,s t o du e l twihouta sgnikan hy t nson, butno edt tt s gi a tm ebeng ove ny i f t po e i ' ' t ha he ur c l i i r 2 ho swa asa a tona rs f c or aong wih (a i otce ur s n ddii l ik a t , l t tntbi i xpos e, r nse vauede e i ur ta int l plton no ba e on r la em ehodol t s d ei bl t ogy. A r vi w ofa loft m e ca r or , hedeposto ,a e e 1 he di l ec ds t ii ns nd t flng r veast tDr Bl ma hi concuso wiha glrngl i omplt medial he ii s e l ha . ond de s l i ns t a i y nc ee c hit r Spe ii aly,i m a ng hi co l i ,Dr Blnd ne rr viwe a r cor so y. c fc l n ki s ncusons . o ve e e d ny e ds pr dai M r Huf Augus 2006 hos t lz ton f he s ge y, di heha a c e tng s. fs t pia ia i or r ur r nor d ve ompl t ee s t fme ia rc r f rteAu u t 0 6h s iaiain.Bln De At512 5 . e o dc l e o ds o h g s 2 0 o ptlz to ( o d p. :-) Fore mpl Dr Bl t sii d t tM r . fsadmison c eai nel ve of2. was xa e, . ond e tfe ha s Huf s i r tni e l 5 n ts f ce t oe tb ih ahit r o t h o i rn l s a e' e a ei wa as mpl fo j t o u t in t sa ls so y ft r nc e a die s'b c us t s n e r m us i c onepoi i tme,a s wihoutm o e,i wa notlkel co rbut yt he ta ut ' t nt n i nd o t r t s i y nti or o r tc e'pose t y e tt ha e o ook he o e aier n lij r However,he r peaedl t sised t thehadwant d t l atot r p rtv e a nu y. me c lr or t e tbls t vai t oft 2, a s i c e tni lvel butha no . di a ec ds o sa ih he ldiy he 5 dmison r ai ne e , d t ( o dDe 2 6-4; :- 40 1 - 2(l hn t a t eewees mep g smisngt a ldlk Bln p. 0: 1 213 6; : 1 1 i t ik h t h r r o a e si h t ' ie i t l a a s poi ) 41:- (shehase de ofpre si ki die s onhe o ook t t ome nf'; 16 ts vi nce e xitng dney s a e r lbo a or butldon' ha t dea l of--t t And t tsoneoft t ngs1d lket l a, a r t y; t ve he t is ha . ha ' he hi ' i o ook t wha he ... o f t rve iywha he bas lneki y f ncto i o wasbec us ce t nl o t r t urhe rf t r e i dne u i n s r a e rai y ne t s does tgi - ne es a iy e t bls t tueba ei So Iwoul --you know,i lha et n' ve c s rl sa ih he r s lne. d f ve s memo ep irrc r sa dc nrve t o e igvememo ei omainrg r n g e o r ro e o d n a e iw h s ,t i r nf r to e adig h r p e xitngk d e ds a e' 4 9 1 ($' lk t s es mea dto a p eh ptlz to re si i n y ie s l); 4: - 1 i d i e o e o d iin l r -os iaiain l rc r (eaigt M r . fstu ce tnn ba ei e' ; :1 - 8($ h wa o a ACE e o ds rltn o s Huf r e raiie s ln l' 44 3 1 ds e s n n ) ihbi r 1d ntk o wh n E )wa sa td, i ia fc h r i n yf n to ' 51 2 6 n i t , o ' n w e i s tre dd t fe t e k d e u cin); : o t (ns rngt 't t que ton ofwhehe Dr Bl ha rviweda ofMr . fsme c l a wei t o he si no' t r . ond d e e ny s Huf' dia a l u yt i. t e qui m a r r l ha ne o oxi iy. a t i a nt us d a enot nd e koc oss' t va n y a ey ve phr t ct The neshetc ge s e r ' as oc ae wih ne o oxi iy. pai ntdi notr cevean no t r daldr gs s it d t phr t ct The te d e i y nse oi u Pr o r tvey. e pe ai l ' ' rc r sf rh s i l ai na miso p irt t eAu u t2 0 a miso ) 5 - 3( eal gDr e o d o o pt i to d sins ro o h g s 0 6 d sin ; 1 5 d tii . az n Bl n ' lc o rviw o a yo Mr . f p irh ptlz to sa dd a n ss; 4 6 ( oi o d s a k f e e f n f s Hu ps ro os iaiain n ig o i) 6 - 5 n tng t theha nots enr c dsoft hos tla iso fom Fe u yand J of2006whe e ha d e e or wo pia dm s i ns r br ar une r M r. fsce tni lvel wer ee tdbewe n 1. -2. a 15-2. rs ci l ) 66 s Huf rai ne e s e lvae t e 7 4, nd . 3, epe tvey.; ( i t theha nots nrc dsoft hos t a si fom e ryandlt J y2006 notng ha d ee e or wo pial dmisons r a l ae ul wheeMr . fsceai nelvesweeelvae bewe n2. 2. a 2. r s tvey.. r s Huf' r tni e l r e td t e 0- 6, nd 6, epeci l ) Thevai t ofM r . fspr s ge y c e tni lve a degr eofc o cr nal ldiy s Huf e-ur r r a i ne e l nd e hr ni e f iu e woul a a t bec ii lt a s s i M r . pspos- r tves kei r nal al r d ppe r o rtca o s e sng s Huf tope ai pi n e de e y.Dr Bl c fcinc . ond omplt l sde se t f c t tM r Huf ss ge s bei ve t t e ey i -t ps he a t ha s. f ur on o le d ha s woul e re pos- ur i a ki y dites t thei e td alnef r na di l i, c he d xpei nce ts g c l dne sr s ha ns re i or e l ayss whih fru aey, sn v rr q ie ( o dDe a 6 1 - ) Afe bengp o i e wi o tn tl wa e e e urd.Bl n p. t 8: 4 20 . tr i r v d d t h a tona me c lr or ,Dr Bl t sii d t M r . fwo d ha ha at ode a et ddii l di a ec ds . ond e tfe hat s Huf ul ve d s m rt o hi h rs 'ofpos- per tver nalf iu e, t orwihou a i sr i o Tr s l .1 a 68: g ik' to ai e a lr wih t t dm nitaton f a y ol d. t 26.1Howe r a no poi d i hi de ii doe hee an why,de piehe m ode a et 2 ve , t nt urng s poston, s xpli s t r rt o hi rs ofr na f iu e, nd des t t s g n' a ii ton ofr na i ufk inc he gh ik e l al r a pie he ur eo s ntc pai e l ns t e y, r c omplx s ge y,he pr vi l unknown orpa tal known hit r ofmyoc di i a c i e ur r r e ousy ri ly so y ar al nf r ton, rce to a d u s s k n , n h p re so M r. f dmid'c t r n lij r 'wa e rain l r g , mo i g a d y e tn in, s Hu ps s l a u e e a nu y' s d t , . ond,n s e t i c t s ha he a t s ha ati a et Tr yl .Furher Dr Bl i hi r por,ndia e t toneoft f c or t the trbutbl o as ol r le upon i m a nghi dee mi ton wa t f tt ti me ael pos-ur r M r .Huf s e id n ki s tr na i s he ac ha m dit y ts ge y, s f 2 I h sr p r, . o dn tdt a heSd dn th v )d ti d p irrc r s'a dt l 1 n i e o tDr Bln oe h t ç i o a e eal ro e o d , n t l l e ' wi ne add to lpr - ur c lm e ca r or t euci t he bas i r lf ton. Dr Bl nd ed ii na e s gi a di l ec ds o l da e r elne ena unci ' . o ' ne ra ndedhi r por t r te tr ceptofs h a tona m e cal e or net rbe or no ve me s e t o el c e i uc ddii l di r c ds ihe f e r afe hi de ii tr s poston. c e tni de r as t 1. Thi , c di t hi t tmony,l hi t bei vet ther2. r a i ne c e ed o 4. s ac or ng o s esi ed m o le ha 5 bas lneha bee a ano ay a nota a ur t r feci ofong ng c oni r na die e. ei d n n m l nd n cc ae el ton oi hr c e l s as Howe r durng hi de ii Dr Bl wa pr s nt wih M r . fspr a pos -szgi l ve , i s poston, . ond s e e ed t s Huf e nd t lr ca wei sof50. a 65. kios r peci l n o i t s ee r 30 poundsoffui Upon ght 9 nd 6 l , es tvey m untng o om xta l d. rv e o t e erc r , . o dsae t ti wa çieyt a t e(os-u g c l raiielv l e iw f h s e ods Dr Bln ttd ha t s lk l h t h p ts r ia c e tnn e e l o 14 wa s me a rltdt av r lr en u t gl i rtni n 'whc ddn t f .) s o wh t eae o ey ag mo n of fud ee to l' ih i o a c rt l r fe th rrn l u cin.( o dDe a 7 6-8 7 .The ea eb tafw o t e c u aey elc e e a f n to Bln p. t 0: 3:) s r u e f h defcencest tIfnd i Dr Bl sdifr nta dignoss Aswih t physc a i Gui i i i ha i n . ond' fe e i l a i. t he i in n nn, Dr Bl n o l ç e iwe s lcin fo ( r. f ) d c l e o d p e a e b he . o d ny t ve d ee to s r m M s Hu fs me ia r c r s rp r d y r r atr e s No o ydo st i c s d u to gi)d fe e ta d a n ss b ti as v oae a to n y . t nl e hs a t o b n h s ifr nil ig o i, u t lo i lts prma ypup os ofDaube t t e ur t e r tm pl i t c toom t s m el ve of i r e r : o ns e he xpe t e oys n he ourr he a e l i el cua rg t tc r c e i st pr tc ofa expe ti t r e tfel '' Gui 60 nt le t l i or ha ha a t rze he aci e n r n he elvan i d.' nn, 2 F3 a 1 5 ( 1h Ci. 01 ) Ac o dngy l idt a Dr Bln se pet pnin aeno b s d d t 2 5 1 t r 2 0 . c r i l, fn h t . o d' x r o i o s r t a e on ar la e mehodol a wilno as itt tiroff c .The a et r f ei dm isbl e ibl t ogy nd l t ss he re at y r he e or na s i e. 1 1. 1 Summ ar Judgm e y nt A. Le St gal andar d Su r ud me ti a prp it i çh r i n g n n is ea t a ymaeil mmayj g n s p o rae ft ee s o e uie su s o n tra t fc'a dSh mo a ti e tte t j dg n a amatro lw.2 F o. CI P. 6 c; a t n s e v n s n i d o u me t s te f a '2 E R. V. 5 () ' t l ' 2 Ac or ngt t Supr m eCour,i t m ae ilt t s t ntvel w wili en iy 2 c di o he e t çAs o tra iy,he ubsa i a l d tf whih f t a em aera .Onl diput sove f c st tmi hta f c t o c eoft s tt r c acs r t il y s e r a t ha g fe t he ut om he ui mde t eg v r ig1w wil r p ryp e l et ee tyo s mmayj d me t F cu lds u e ta h o enn a lp o e l r cud h nr f u r u g n . a t a ip t s h t y, nc, S. a eir e ntorun c s r wilnotbec e ' Ande s v.Lf r.pLobb I . 477 U. r relva ne es a y l ount d. ' r on bc l 2 2 2 8( 9 6 .F rh r r ,tu r j dg n wil o 1eit edipuea u amaeil 4 , 4 1 8 ) u te mo e l mmay u me t l n t i f h s t bo t tra s f c i Se un ,t a i,ftee ie c i s c t t r a o bej r c udrt r av r it o a t s g n ie' h t s i h vd n e s u h ha a e s na l u y o l eu n e dc f r t nonhe movi pa t ' 1 ng ry. d. ' Ceo e v Car t, 7 U. 31 , 2 ( 9 6 .l d cd n amo inf rs ltx . tet4 7 S. 7 3 2 1 8 ) n e ii g to o ummayj d me t te r u g n ,h tilco tl tconsde alt e de i t lgh mos fvorbl t t non- ngpar ' ra ur s mus i r 1 he vi nce n he i t t a a e o he movi y ' a t es vea lr s na e dou si f voroft nonnd ç ol 1 ea o bl r bt n a he movi pm4 ' ng y. 'Eare v Champi I 1 ly . on nt Cop.9 7F.d 1 7 1 0( 1hCi.1 9 )(ne n l i to o te ) r , 0 2 0 7, 08 1 t r 9 0 itr a ct ins mitd . a Themovi pa t l r t i talr s ng ry d s he nii e ponsbiiy ofi or ngt dititc toft bea i lt nf mi he src our he ba i f ismoton, nd i ntf ngt e pori nsofthe pl di , ss or t i a de iyi hos to t ea ngs depostons a we st ii , ns r o i e r t i s a a isonson fl t et rwih t af vis i a 'whih i bele nt rogaore , nd dm s i ie, og he t he ûda t , f ny, c t ives de taet abs nc ofage neis ofmaera fc. Ceoe 477U. a 323(ii monsrt he e e nui sue t il a t' ltx, ' S. t ctng F D. CI P. 6().Th mo n p ryc nme t h sb r e b p e e tn e d n es o n E R. V. 5 c) e vig a t a e t i u d n y r sn ig vie c h wig t tt r i no diput ofma e i lf c ,orbypoitng o t t diti tco tt t nonmovi ha he e s s e t ra a t n i ut o he src ur hat he ng pa t hasf ie t m a as fce s ry a ld o ke ufi int howi on an e s nta elm e tofisc s wih r s c t ng s e il e n t a e t e pe t o whih i hast bur n ofpr .I a 3 23,3 c t he de oof d t 22- 25. Onc t m ovi pa t ha m e isbur n,he no m ovi pa t bea st bur n of e he ng ry s t t de t nng ry r he de c migf r r wihe i e c o e c e sn ilee n o iscam, uc t a ar ao a eju o n o wad t v d n e f a h se ta lme t f t li s h h t e s n bl ty c udfn i isfvo .Se Ea ly 9 7F.da 1 0( 1h Ci. 9 0 .Rue5 ()de uie t e o l id n t a r e re , 0 2 t 08 1 t r 1 9 ) l 6 e t q rs h r n n v n pat t g b y n t pe dn sa dbygt)o at a t, rb t eçe sto , o mo i g ry o o e o d he la ig n is wn f vi o y h d po iins k s a we st i e r t i ,a a s i o fl 'de i t tpe ii f t s wi t tt r i ns r o ntroga ores nd dmisons n ie, sgna e s cfc acs ho ng ha he e s age neis f ti .' Ceotx, U. 3 kfhem e ee se e ofas n il ofevi nc nui s ue or ral'' l e 477 S. 24. ç r r xit nc citla de e i s p o t ft e(o - v n 'jp sto wi b is fi in ;h r mu t ee ie c o whc n u p r o h n n mo a ts o i n l e n u fce tt ee s b vd n e n ih i l tej r c udra o a yfn f r h ( n- v nl'3An e s nv Lie t Lo b , 7 U. h u y o l e s n bl i d o t e no mo a t.z d r o . b ry b y 4 7 S. ' 2 Ac di t t Ande s c t f ft e de e i me el c or e, i not 3 cor ng o he r on our,û he vi nc s r y ol abl or s l sg iia t p o aie s mmayj d me tma b g a td. An e s n, 7U. a 2 9 5 infc nl r b tv , u r u g n y e rn e ' d r o 47 S. t 4 - 0 y ' (ntr lciai omitd) i ena ttons te . 20 2 2, 5 ( 9 6 .Th f i r o p o f o c mi ga e s nil lme t ft en n mo i gpat s 4 2 2 1 8 ) e al e f r o c n e n n se ta ee n o h o - v n ry' u c s ne es a iyr r a lo he f c si ma e i a r uie t c tt g a t moton f a e c s rl ende s 1 t r a t m t ral nd eq r s he our o r nt he i or s mmayj d me t Ceo e , 7 U. a 3 2 2 u r u g n . ltx 4 7 S. t 2 - 3. Ba e a g e t a s mmayj d me t ho l b g a tda t e c o Plitf scams y r ru s h t u r u g n s ud e rn e s o a h f anif li b c u e()u de Ok a o 1w, e c o te ecam srq ie d ut o 'p o fo c u ain i e a s 1 n r lh ma a 2 a h f h s li e ur s t f r' r o f a s to n 4 b fc;2 Plitf c n tetb ihpr xmaec u ain wih u a misbee p r tsi n a d a t () anif n no sa ls o i t a sto t o t d s il x e te tmo y n Plitf e p rs c u ai nt si n i ia misbe a d( )Plitf fist p e dfa d anips x e t' a s to e tmo y s n d s il; n 3 an ips al o la ru wihs ii t a rquie byt Cour' eale Or s ( 45a 2- . t pecfciy s e r d he ts rir der. DE t 3) P an ifag e t ts mma yj g n s o l b d n e b c u ePlitf i n t e urd litf r u s ha u r ud me t h u d e e id e a s an if s o r q ie t esa ih ( tf 'ca ai a s ha pr de s tcinta s i ee r t si o t t o t bls ç or' us ton nd he s ovi d ufi e dmi sbl xpe t e tm ny ha bu e p s r t Tr s llwa t sg iia tc nrb tngf co 'i c u igM r. fsrn lnu y x o u e o ayo s $ in fc n o tiu i a t r'n a sn s Huf e a ij r , a a d s tfara o a l p ro c l b le et th (p o u twa t c u eo teij r , n o ' e s n b e e s n oud eiv ha te l r d c s he a s f h nu y i l a s t n'saq e t noffc go t j r l' ( 4 a 3 4 . d u ai 'i u si c o o a t f r he u y . DE 7 t -) ' B. Anayss l i Plitf sCo litc n it of e e c u t: 1 n g ie c ;2 p o u t l bit ; 3 an if mp an o sss s v n o ns ( ) e lg n e ( ) r d cs i l y ( ) a i n gie t se r sn ai n ( )itni n l se rs nai n ( )b e c o e p e swarny ( ) e lg n mirp e e tto ; 4 n e to a mirp e e tto ; 5 ra h f x r s ra t; 6 bea hofi idwarnt a ( punii dn s.1tket s cli ou ofor rf r c mple ra y; nd 7) tve mage a he e ams t de or smplfcai oft anayss i ii ton he l i. Un e Oka malw, panifse igd ma e f p ro lij r alg dyc u e b d r lho a a litf e kn a g s or e s na nu y le e l a s d y ad f ci o d n eo p o u tmu te tbihtr eee nt: 1 tep o u t a s dte ee t r a g r us r d c s sa ls h e lme s ( ) h r d c c u e h ve p an ifsij r ; 2 tep o u twa d f ci ewhe ilh t edee d n' c n r l a d( ) h litf nu y ( ) h r d c s e e tv n t e h fn a ts o to ; n 3 t e 2 ThePa tesa e t t 1w ofOklhom agove nst sa ton. 4 ri gr e hat he a a r hi ci d fc rn e e tep o u t nra o byd n eo s ( eKika d v Ge e a M oo sCop. e e t e d rd h r d c u e s na l a g r u . Se r ln . n r l tr r , 5 P. 1 3 1 63( 1.1 7 ) I i wel sa ls e t a i o d rt s tsytefrtp o g a 21 2d 35 , 3 Oka 9 4 . t s le tbih d h t n r e o aif h is r n , pli ifmus ha a e r t e tbls m e ca c ai Se ,e. ,Chrs i v.Gr y,65 P. antf t ve n xpe t o sa ih di l aus ton. e g. itan a 3d 5 , 010 ( l . 0 3 (s h na ij r i ofanau erq ii gas ilda dp o eso a 91 6 - 2 Ok a 2 0 ) i e n n u y s W tr e urn k le n r f sin l pe s n t dee m i ca ean t e e t e ,t s intt que to pr s nt m us r o o tr ne us d he xt nt her of he ce ik si n e e ed t n c saiyb d tr ne b tsi n o s ild a dp o e so a pes ns') fet n vCi o e e s rl e ee mi d y e tmo y f kle n r fsi n l ro . ; jha d t f ' y Ok l e 9 8P.d 1 2 1 2 ( 1.1 9 ) Wi imsv Sf wa Str s I c, 1 P.d2 3 muge , 6 2 2 4, 2 6 Ok a 9 8 ; l a . ae y o e , n . 5 5 2 2 , l 2 7( 1. 9 ) Age v Pu d ePh r c u ias I c, 0 W L 5 5 9 9a * ( . Oka 2 Oka 1 73 ; e . r u a ma e tc l, n .20 4 3 2 8 t 4 W D. l. 2004) . A r vi oft e d er a st Pl ntf ha no s h expe tt esabls c a i n. e ew he vi enc eve l hat ai if s uc r o t ih aus to F rt I vej t x ld dDr Bln sc u aintsi n f rt ra o s t o t a o e is, ha us e cu e . o d' a s t e t y o he e s ns e f rh b v . o mo Se nd, n i Dr Bl st tmony we epe s i e, twoul note t bls t tTr yl wa co cve f . ond' esi r nnisbl i d sa ih ha as ol s t c us ofPli ifsde de ' de t Atbe t i wo d e tbls t tTr s olc us d a he a e antf ce nts a h. s ,t ul sa ih ha a yl a e t mpor r rs i Pli ifsalea ee t s r m c e tni l lwhi r quiedno dil s s e a y ie n antf r dy lvaed e u r a i ne eve ch e r ay i a whih r ol d wihi da . nd c es ve t n ys Addii l Pli ifsc am sf i f f iur t e t bls pr m ae c us ton whi h i tonaly, a ntf' l i a l or a l e o sa ih oxi t a a i c s a e s nta e e e o pr n s e il lm nt f oductla lt a neglge a tonsunde Oklho a lw .Se , ibiiy nd i nce c i r a m a e J c v nv J n s 9 7P.d 1 6 ,1 7 ( l.1 9 )( gie e ; arv Ea epih r a k o . o e , 0 2 0 7 0 2 Oka 9 5 ne lg nc ) Bli . gl- c e I d sre , n .96 F.d 1 9 ,1 9 - 6( 0hCi.1 9 ) Kika dv Ge e a M oo sCop. n u tis I c, 2 2 4 2 4 5 9 1 t r 9 2 ; r l n . n r l tr r , 5 P.d 1 5 ,1 63( l.1 7 ) Th d r xi t c u eo a e e to ij r mu t et t 21 2 3 3 3 Oka 9 4 . e t o mae a s f n v n r n u y s b ha p whih i anaur la contnu s que c n t a nd i ous e nce, oke by a i de ndentors r e ng c us , unbr n n n pe upe v ni a e p o u e tee e t ij r a dwih u wh c t e e to ij r wo l n t v o c re . r d c s h v n or nu y n t o t ih he v n r nu y ud o ha e c u rd' ' Gan s T b v 1 Ex o ie ,US I c, 9 F. p 1 0 ,1 1( . Oka 1 6 ; n s ie - a b . Cl plsv s A, n .9 5 Su p. 3 4 31 W D. l. 99 ) Gaie v Pr vd n eA t ns 7 0P.d 1 5 1 - ( l.1 8 ) . o ie c parme t, 5 2 2 , 2627 Oka 9 7 . S dn rl, tc nsi tstep o i t c u eo a ij r i aq sino f c . . s ia i wha o tt e h r x mae a s f n n uy s ueto f a t . or y u El we e,h q eto o p o i t c us be o saq sino 1w wh nt ef csae h o v r te u sin f r x mae a e c me ueto f a e h a t r u dip tda dte ei n e d n efo whihaj r c udra o a l fn ac u a c r ci n n s u e n h r s o vie c r m c u y o l e s n b y i d a s l ome to b t e t ealg dywr n f l c a dt eij r . fe an v Ci o muge ,9 8P.d ewe n h le e l o g u a t n h n u y' hh d . t fok l a 6 2 ' y 1 2 1 2 ( l.1 8 ;T o o v Pr s y e inHop.65 P.d2 0, 63( 1.1 8 ; k 2 4, 2 6 Oka 99 ) h mps n . e b tra s , 2 2 6 2 Ok a 9 2)Ec v Pa k , vs& Co , 6F.d 1 3 1 7( 0h Ci. 0 ) Ba nse v F wao b e Oka, . r e Da i .25 3 01 , 01 1 t r 2 01; n itr . / fNo l, l. 81 F.d 1 6 ,1 6 ( 0hCi.1 8 ) Plitf,h r f r, a teb d no p o u i gs fiin 2 2 2 5 2 7 1 t r 9 7 . an if tee o e h s h ure f r d cn u fce t e i e c t alw ar a o a l j r t fn t a i i mo el eyt a n tMr . f se p s r t v d n e o lo e s n b e u y o id h t t s r i l h n o s Hu f x o u e o k Trs l l sac u ewhc ,nan trla dc ni o ssq n e p o uc dh rrna iju a d a yo wa a s ih i au a n o t u e ue c , r d e e e l nty n nu wi o twhc h rij r wo l no h v oc u rd. e i Fo t es mera o d su s da t t u ih e n u y ud t a e c ze S e d r h a e s ns ic s e s o h die tc us ton a r c a a i bove,5 Itnd t tt r or lcksan compe e e de ofpr m ae 2 q ha he ec d a y t nt vi nce oxi t c u ain a db c us s c e i e c i e sn ilt Plitf cams s mmayj g n i a sto , n e a e u h vd n e s s e ta o anips li , u r ud me t s g antd i f vorofBa ron Pli ifspr t la lt a ne i nc c am s r e na ye a ntf oduc s i biiy nd glge e l i . Pli tf alo b i ca msf br a ofexpr s a i id wara y. Oklhom a a n if s rngs li or e ch e s nd mple r nt a pr t labiiy lwsha s ume ab e c ofi i d wa r nt ca m i t st o dr g oducs i lt a ve ubs d r a h mple ra y l i n hi ype f u ma ufcu i gl bii cam.Se , r l n , 21P. a 1 6 ) Alx d rv S t t Ne e n a trn i lt li a y e Kika d 5 2d t 3 5 ; e an e . mih f ph w, P. . , 0F. u p 2 1 2 1 3 ( D. l. 0 0 .Thsla e o l Pli t f b e c o L C.9 S p . d 2 5, 2 5 N. Oka 2 0 ) i e v s ny ani s ra h f f 2 spe i a l e n i Dr Bl st tm o we ead isbl heonl opi st tt 5 cfc ly, ve f . ond' esi ny r m s i e, y ne ha he dr wa a t inii ntco rbutng f ct 'i M r . fse e t d c eai nel ve . He d not ug s t g fca s nti i a or'n s Huf l va e r tni e l oes t siy t tTr s olwa açb f 'ca e ofM r Huf t e tf ha a yl s 'ut or' us s. ps empor r s r m cr a i ne lvelrs , a y e u e tni e ie nordi heopi t ti wa albu f 'c e ofhe de t d ne ha t s t t or' aus r a h. e es wa a t c am .I Oklho a i or rt r c xpr s n'n y li n a m , n de o e overf br a h ofwa r n y,apl i ifmus or e c ra t antf t e tbih: 1 e se c o tewa rny ( )t a tewa rnywa b o n; n ( )ta t eb e c sa ls ( ) xitn e f h ra t; 2 h th ra t s rke a d 3 h t h r a h wast pr m ae c us oft l ss t ne I Asnot d a he oxi t a e he os usai d. d. e bove,Pli ifhasno evi ncet t antf de ha Trs llp o i tl c u e M r. f sij r Ac o dn l t warnycamsaed et be ayo r xmaey a s d s Hu f n uy. c r igy,he ra t li r u o dim is d, s se Pl ntf cli f Fal et W a n i smia l defce unde Okl ai ifs am or iur o r s i lry i int r ahoma1 w a i due a nd s t b dimis d Toe tbihzprmaf cec s o fiu et wa n P an ifmus e tbih: 1 o e s se . sa ls i a i a e f alr o r , litf t sa ls ( ) t a Tr s l lnfc c u e Mr . f sij r ; n ( )t t y rsfiu et wa. wa t h t ay o i a t a s d s Hu f n u y a d 2 ha Ba e ' alr o l s he n p o i t c u eo h rij r .Se Ec , 5 F.da 1 7 I gr m v Nov ri Ph r c uias r xmae a s f e nu y e k 2 6 3 t 01 ) n a . a ts a ma e tc l Cop.2 2W L 29 27 6a * ( . Oka 291 .Ok a o a h rst t eLe r e r , 01 2 1 t 2 W D. l. 2) lh ma d ee o h nn d l t r e a y Docrnewhih m e nst i ca e i vi pr s i i media i ns a n e m dir ti c a hat n s s nvol ng e crpton c to , ma a t e i r r d t wa', tt pai ,butt pr c i ng physcan.1 Thi m e ns nuf c ur r s equie o l no he tent n he es rbi i i d. s a t Pl n ifm us e tbls t tha Ba rpr de Dr Pe o wih adif r ntwmmi he hat aitf t sa ih ha d ye ovi d . ytn t fe e ng, woul ha c d ve hang hi rs be ftanayssand wo d no havepr s rbe Tr s olt M r . ed s ik- ne i l i ul t e c i d a yl o s Huf.Ec 256F. a 1 24;I am, 2W L 2992271 a * f k 3d t 022- ngr 201 6 t 2. ltr tno et tPl i ifc nnota a ma troflw e t bls t trtpr l s t ha antf a s te a sa ih he l s ong,t tTr yl i ha as ol n fc c us dM r . f ij r ,o t es mer a o st a h rp o u t la iiya dn gi e c a t a e s Hu fs n u y fr h a e s n h t e r d cs ib l n e lg n e t cai sf i.Tha beng s d,he f l et wa ncl m f isf t addii r a on t tDr l m al t i ai r aim o r ai a l or he tonal e s ha . Pe on t tfe t ta t tmehepr s rbe Tr y olf us durngM r . psszge y, was yt esii d ha t he i e c i d as l or e i s Huf lr r he a r oft d ug' pot nta as ociton wih bot r lf iur a t m por r rs si s r m wa e he r s e i l s ai t h ena a l e nd e a y ie n e u c e tni l vel, wei d t rs verusbe r ai ne e s had ghe he iks s nelt ofusng t dr a hede i d t tt s i he ug, nd cde ha he p tn il e eisi M r. f c s o t ih dters o usngt me iai n ( ePe tn o e ta b n ft n s Hu ps a e uweg e h iks f i he dc to . Se yo 24 De At6 - 3 . Dr Pe o si e n e tk o e g o t ers o rna c mpiain p. 7 7 )2 . ytn' nd pe d n n wld e f h ik f e l o l to s 6 c po e ily a s i t d wih Tr s olr quiesdim is ofPl ntf f iur t war c am unde t nta l s oc a e t a yl e r s s al ai ifs a l e o n l i r t Le r I e medir Do rne. he a ned nt r a y cti Pli ifa s brngscli sf neglg nta i e i lmir pr e a i t antf lo i am or i e nd nt ntona se es nt ton. ç unde r Okl homal a cai ofm ir pr e aton i a l z a afa cli be us Oklhom aha a aw, l m s e es nt i s na y ed s r ud am ca e a s notr cog z a i e i lmi r pr s nt to c us ofaci s pa ae fo a a i n ba e on e nied n nt ntona se e e ai n a e ton e r t r m n cto s d fa ' Dobb v Wyet Ph mac utc s,8 F. p. 1 1 ( . Okl 201 ; rud. ' s . h ar e ial 48 Sup 2d 335, 339 W D. a. 2) Nih l v Pr y Wak r J c ma ,Wil ms n d Ma lr #. ,1 4P. d 9 7 91 ( 1 . v. c os , a , le, a k n li o r re, C. 4 3 0 , 2 Ok a Ci a Ap 2 0 ) Pli t fscam f rfa dwa ds se p ru n t myp e iu Or r d td p. 0 6 . ani li o ru s imis d u s a t o f r vo s des ae Ap i 1 2 09( d rt S o Ca s , 91 i Ca eNo 0 - 0 9 )(imisn a y rl , 0 Or e o h w u e DE 6 n s . 8md- 1 28 ds sig n c ommon 1 w fa cli i a co da ewiht M a c 5 Or r unls apli iftmel a r ud a ms n c r nc t he r h dt , e s a ntf i y r s o d do a n e t ec mplit, n M ac 5 2 0 ( d ro Mo inst Dimis DE 8 9 e p n e r me d d h o an ) a d rh , 0 9 Or e n to o s s, 0 i Ca eNo 0 - - 9 8(ttn t a $ b o dcam ta ap an ifo ap an ifsp y iin n s . 8 md 01 2 saig h tt r a li h t litf r litf h sca a r le onf a ulntormil di sa e nt ... ents ei d rud e sea ng tt me s abs omer iato o wha or lorwrte ect i n f t a it n sa e ntapa tc a dr r pr s nt tv m a t as c tcphysc a a wha pa tc a poi i t t me ri ul r ug e e e ai e de o pe ii i i n t t ri ul r nt n tm e i a i ufi i ntba i f a l ngpli if t pr e wih a cai f fa ' a gi ng i , s n ns fc e ss or lowi a ntfs o oce d t l m or r ud, nd vi ' p an if tit d y wihnwhc t pla fa dwihs csct) Plitf ddn t e p n t litfs h ry a s t i ih o e d r u t pe i iy . anif i o r s o d o t eOr r . Pl i ifsfa and mir pr e ai cai wer a or ngl dimi s d i pa t hes de s antf' r ud se es nt ton l ms e cc di y s s e n r a l ng he t ryda t pr de s ii al gai nsoffa a r la e.The ei nor or lowi r hit ys o ovi pecfc le to r ud nd ei nc r s ec d e d et tPl n ifr leson s cii m ila ng sat e st tc ed t us ofTr s l i vi enc ha aitf ei pe fc se di t tm nt ha aus he e a yol n 2 Dr Peyt a s t sii d t thewa a r oft M a no a tcl publs d i t 6 . on l o e tfe ha s wa e he nga ri e ihe n he Ne Englnd J alofM e ci a t tm eofM r . pss g y. w a oum di ne t he i s Huf ur er 25 t de e ntsca e nordoe s s he c de ' s , s he uppo thi br d cli soffa wih a e de e o r la , r s oa am r ud t ny vi nc f e ince a e s nil lme to t e ecams S eHo lv T x c , n . 1 2P.d 1 5 1 61( 1. n s e ta ee n f h s li . e wel . e a o I c, 1 3 1 4, 1 Oka 20 4 (einc i a e sn il lme tfracam o b t a t l n c nsrci efa di 0 ) rla e s n se ta ee n o li f oh cua a d o tu tv ru n Oklhoma .Ac di y,Plitf' mirprs nttona fa camsaeduet bedimis d a ) cor ngl anifs se e e ai nd rud li r o s se i 1 1. n 1 S mmayj dg n i g a td o Plitf sp n t d ma e cam b c us id rv tv u r u me t s rne n an if u ii a g s li e a e t ei ai e ve ofhe undery ng ca m se h ofwhih ha f l d.Se ,Thiy v. msron Word I sre r l i li ac c ve aie e r Ar t g l ndu tis, 6 P.d 51 , 6( 1 1 8 ) 61 2 5 51 Ok . 9 3 . I V. Conc uson l i Fort r as s tf t her i i i a or ngl he e ons e orh en,t s cc di y, ORDERED AND ADJ UDGED t tBa es M oins ( ) t Ex ld Tetmo yb ha y r ' to : 1 o cu e si n y P anifsCa e s e i Exp rs( 1 20i 08 1 28a d DE 45i 0 - 4 4 ; n ()fr litf s - p cfc et DE 21 n - 9 n n 9 81 8 ) a d 2 o SummayJ me ( 1 1 i Cas No. md- 928, 44i CaeNo.09- 48 be r udg nt DE 21 19 n e 08- 01 DE n s 81 4) a a eHEREBY GRANTED. nd r DONE AND ORDERED i nChambe sa W es Pal Bea r t t m c orda t ' 1 h da of i , 3t y M a c 2013. r h, NALD M . I M DDLEBROOKS UNI TED STATES DI STRI J CT UDGE Copi st e o: Couns lofRe or e c d 26
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