Grooms v. Colvin, No. 3:2014cv00037 - Document 15 (W.D. Va. 2015)

Court Description: MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 4/28/2015. (lab)

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r pnxsog l ùs ul a ' ycs smcoua T A R 6 ,A Tx A v FI EO L I THE UN I N TED STA TES D I STRI COU RT CT FOR TH E W ESTERN D I STRI O F V I N I CT RGI A CH ARLO TTESV I LLE DI I ON V SI AF 2 8 2 1 i 25 UL1 . DLEM ; z RK N ORM AN G RO OM S, Ci lA c i N o. 3: 4CV 00037 vi ton 1 Pl i t f, a n if M EM O R AN D UM O PI I N N O CA ROLY N W . LVW , c i CO A tng Com m i s one ofSoc alSe trt , si r i c liy By: Hon. l E.Conr d G en a ChifUnie St t sDiti J e e t d a e srd udg Def nda . e nt Pl ntf hasfld t s a ton c le ng t tnalde son oft Comm isone of Socil ai if ie hi c i ha lngi he i cii he si r a Se trt de ng pl ntf sc am f s e e a s c iy i omebeneksunde t SocilSe urt cziy nyi ai if l i or upplm ntl e urt nc t r he a c iy S. Ad,a a nde 42 U. C.j 1 ç s g J idi o oft sc ti pms ntt 42 U. C.j s me d, S. 381 1 e urs din hi our s ua o . . 1 c( ,whihi mort j205( oft Soca Se urt Ac,42U. C.j405( .Asrfeced 383()3) c nco aes g) he il c iy t S. g) el t b t m e a a a gume s y he mor nda nd r nt ubmitd byt pa te , heis sbef et sc t r whehe t te he ri s t s ue or hi our a e t r he Commi sone 'fna de soni s s i rs i l cii s upporedbys t n i e de , ndi i i no , t rpli ifhas t ubsa tal vi nce a f t s t whehe antf m e t bur n ofpr a pr c i by a purua t t Ac .St t brel s t n i le de e t he de oof s es rbed nd s nt o he t aed i ty, ubsa ta vi nc ha be n defned a s h r e nte de e,c i rng t r c d asa whol ,asm ihtbe f s e i s uc elva vi nc onsde i he e or e g ound a qua e t s por a c us on b a r a ona e m i Ri ha ds v.Pe a e ,402 U . 389,401 de t o up t oncl i y e s bl nd. c r on rls S. (971 . 1 ) The pl ntf , onna Gr s w asbor on J 1 1 a e nt ly co pl t d hi hi h ai i f N n oom , n une 0, 955 nd ve ua l m e e s g Grooms v. Colvin shoole to Healoc ee at ye rc urea abusne sc lge a e r ade e ( c ducain. s ompltd wo a o s t i s ole , nd aned gre. TR Doc. 15 56 .Mr Gr ) . oomswo ke a alndsa i 2008, t ent difrntpei ofi reai On r d s a c pern bewe wo fee rods ncac rton. A prl1 2011 pl i iff l d a a i a i n f rs e e a s c iy i om ebe is H e a l ge t t i 9, , a ntf ie n pplc to o uppl m nt l e urt nc neft . le d ha he be m e di a e f r a 1f m s ofs t nta g nf e pl e on M a 1 201 due t s a i ca s bl d o l or ubs a i l ai ul m oym nt y 8, 0, o ci tc Dockets.Justia.com ne'e pr e s He tts C,a t ii,a he o r ds M r Gr s now m ant i t t he ha l v obl m , paii rhrts nd m rhoi . . oom i ans ha s r m aned dia e t t pr e tm e e i s bld o he es nt i . Pl i if sc a m f s e e a s c iyi om ebe isw asde edupo i ta co i r ton a ntf' l i or uppl m nt l e urt nc neft ni n nii l ns de a i a rc i rton.Mr Gr nd e onsdeai . oomst nrquese a rc ve aX novohe rnga r viw beor a he e td nd e ei d ai nd e e f e n Admi sr tveLa J nita i w udge.I a opi on d t d J nua y 9, 4,t La J n n ni a e a r 201 he w udge as de e mi d t t lo t r ne ha pl i ifi notdia ed.TheLa l antf s s bl w udgef oundt tM r Gr ha . oomss fr fom de ne atvedicdie s , ufe s r ge r i s s a e He ttsC,a t ii,a rg a eose paii rhrts nd iht nkl tophyts ( 29) s t s hpr blms t La J e . TR .De pie uc o e , he w udge de e mi d t tpl i ifr t i t c pa t t pe f m a m e um r ng ofe ri t r ne ha antf e ans he a ciy o ror di a e xe tonala tviy,a ci t s d fn di 2 C. R. 41 .6 /) l a s sigp anifs e iua f n to l a a i teLa J d e ei e n 0 F. j 69 7 . n se sn litf r sd l u cina c p ct h w u g y, f ound t t M r Gr m s ca e ag i medi wo k i vi fe nt clm bi r ha . oo n ng e n um r nvol ng r que i ng ampssa r ' /tis , oc sona soopi kne i c o hi c a i or c i ng' a no i ve e i f ca i l t ng, elng, r uc ng, r wlng, lmbi , nd nvol m nt n ood p e rto o sr ie ( 3 ) Th La J d er ldt a panifi ds be f rh sp s rlv n rpaai n r e vc . TR 0 . e w u g ue h t litf s ia ld o i a t ee a t wo kasalnds a r whihi l dhe vye ri la tviy.( 3 .Ho ve,gi npli ifs r a c pe , c nvove a xe tona ci t TR 4) we r ve antf r sdua f tona c pact a a tr c i rng M r Gr m s age e e i l unc i l a iy, nd fe onsde i . oo ' , ducai a pror wo k ton, nd i r e re e,a wel a t si y fom avoc tona expe tt La J e f md t tpl i ifr t i xpe i nc s l s e tmon r ai l r, he w udg ot ha antf e a ns s t i tf tonalc pact t e gei ava it ofwo k r ese si i sgnii a numbe i t ufk en unci a iy o nga n rey r ol xitng n i fc nt r n he nai le nom y. c di y,heLa J tona co Ac or ngl t w udgeuli t l c ude t tpl ntf i notdia ed, nd tma ey oncl d ha ai if s s bl a t thei note ildt s e nt sc iyi omebe ft.Se 20C. R.j41 920( .TheLa ha s ntte o upplme al e urt nc neis e F. 6. g) w J e' o ni was ado e as t fna decson of t Comm isone by t Socil Se urt udg s pi on pt d he i l ii he si r he a c iy Adm i sr ton' A p al Co i. H a ng e us e al a l e a m i s r tve r m e e , M r ni ta i s pe s unc l vi xha t d l vaiabl d ni t a i e di s . Gr shasnow a al d t t s c t oom ppe e o hi our . W hie pl ntf m a be dia e f ce ti f m s of e oyment t c ci f t l ai if y s bld or ran or mpl , he nl al acual de e mi to i whehe pl i ifwa d s e f a lf msofs t talganf e oy e . See t r nai n s t r antf s iabld or l or ubsan i i ul mpl m nt 42U. C.j1 () The ear f l ee nsofpr whi mus bec i r di maki s ha S. 382ca . r e otr lme t oof ch t onsde e n ng uc n a lss Th s ee n s r sl rz da flo :( ) be t eme ia fcsa dci ia fndn s nay i. e e lme t a e t mmaie s olws 1 o j ci v dc la t n lnc li ig ; ( ) te o no a d c n lso s o te tn p y iins ( ) s be tv e ie c o p y ia 2 h piins n o cu in f r aig h sca ; 3 u j cie vd n e f h sc l maniesai ofi i nt,a de ci d t o a cama ' tsi y;a ( t cai ts f ttons mpanne s s s rbe hrugh li nts etmon nd 4) he l man' e ton, ai l sor r sd ls lsanda .Vie v. nc 438F. 11 11 60( hCi. ducai voc tona hit y,eiua kil, ge tk Fi h, 2d 57, 59- 4t r 1 ) Unde woodv.Ri c f 298F. 850,851( h Ci.1 ) 971 ; r biof, 2d 4t r 962 . Att oute ,i s d beno e t tt La J he s t t houl t d ha he w udge sdiposton ofpl i if scai t ne i ' s ii antf l m ur d n l r m e ur on a i a i oft M e caN oc tona Gui lne pr a ge as e pplc ton he di l a i l dei s omul t d unde Appe x 2t gae r ndi o Subpa tP oft Admi sr tveRe a i Pa t404.The La J r he nita i gultons r w udge f ound t tM r Gr s ca e ha . oom ' s i gove ned by M e caN oc tonalRul 203. 4,whih as u est tacli a i ofa nce a s r di l a i e 1 c s m ha am nt s dva d ge, pos es e m or t n a hi s hoole a i a i voc tona l t s le Co i rng s h a s ss e ha gh c duc ton, nd s a i ly m kil d. ns de i uc ge, e a i n,a l k ofwo k s ls a asum i ar i lf nci nalc pa iy f rme um exe to duc to nd ac r kil, nd s ng esdua u to a ct o di ri n, Rul 203.4die t ade e m i to of d s e Howe r gi nt s mea ,e a i a wo k e 1 r c s t r na in not iabld. ve , ve he n ge duc ton, nd r s ls and a sz i a r i ua f i kil , s lm ng esd l unctonalc pact f no mor t n lg e tona aci t Rul a iy or e ha i ht xeri l tviy, e 202. die t adee m i tonofdia e l n s ti pl i ifhasm e t bur n i e t i hi t t 04 r c s tr nai s bld.I hor, f a ntf t he de n s abls ng ha 1Thec r rc yiest tplitf' pos- g s ho e c ton i iaest th ma pose s ou t e og z ha an ifs thih c ol du ai ndc t ha e y s s addii vocatonaltai ng whi coul s tonal i r nl ch d upportpe f r onnanc oftskil wor 'asc emplt under e t led k' ont a ed Rul 2 05of pe i 2. we r gv h f lowi pr viinso Rul 20 0 c ,hec r c ncud s e 02. Ap ndx Ho ve , ient e o l ng o so f e 2.0()t ou t o l e t tRul 202. doesnotappl i M r Gr ha e 05 y n . ooms'cas e: Ho v r f ri i duaso a va c da wh c nnolnye pef m v ainal r lva we e , o ndvi l f d n e ge o a o r ror oc to ly ee nt pas wor andwhoha ahit yofuns led wor expere orwhohaveonl s lst t k ve sor kil k lnce: y kil hat ar notr l tansf abl t a si fcantr e eadiy r er e o gnii ange ofs is led ors led wor t i em -kll kil k hat s wihi t i vi ' f tonal t n he ndi duals unc i capaciy, t orwho havenowor e rence,helm ia i k xpe i t i t tons i voc i n atonaladapt lt r es ed by f abiiy epr ent undi onalr t iton t lghtwor war ant a esrc i o i k r fndi ofdiabl i ng s ed. # he i lm ie t no m or t n lgh e ri s i td o e ha i t xe tonala viy,t M edial oc tona Gui lne die a di t he c N a i l de i s r d de er i to ofd s bl d. t m na i n ia e I fndi t t M r Gr s i c pa e of pe f r i m e um l ve s of e ri t n i ng ha . oom s a bl ro m ng di e l xe ton, he Ad i sr tveLaw J er le ont r porsofnone m i ng saea nc physcins u whos m nitai udg e id he e t xn ni tt ge y i a , pon e opi onst La J ni he w udgea c dedthegeaes weght' ( 33) c or l r t t i . TR .TheLa J t ' w udgea co de ls e c r d esr w e ghtt t r po ta as e s e ofD r Vi t i Gr dy,who pe f r e a co ula i phys c i o he e r nd s s m nt . c or a a rom d ns t tve i al e i ton a t be s oft sa eag nc a t t r por a a s s m e ofDr Ltka zM yc w ho xam na i t he he t he t t e y, nd o he e t nd s e s nt . l s , tea ed pl i ifa t U ni r iy ofV igi aM edi a Ce e . The c ti sm pl una e t c l r t a ntf t he ve s t r ni c l nt r our s i y bl o onc ude t tt La J e' team e toft m e ca r co d i s po td by s tntale de e. ha he w udg s r t n he di l e r s up re ubsa i vi nc Aspa toft i ta sa e a nc r viw ofpli ifscl m f be is Dr Be tSpe ze r he nii l t t ge y e e antf ai or neft , . r t lr a s s ed a1 t a ia e e de easofSe e be 1 2011. Dr Spe zers m ma ied t media ses l he val bl vi nc ptm r 3, . tl u rz he cl e denc asf lw s vi e olo : Exe tona lm iai nsd t d e r tvedicdie s a C6- andc ri l i t to ue o eg ne ai s s a e t 7 ompli sofl we ant o r ba k pa n. Lumba s nenot t ha f 1 r ngeofmoton,nor a gai,nonna hi c i r pi ed o ve u 1 a i m l t l p e n Rih S j it oe t h v tn e n s o ap t n. LEwe k s o ar p y x m. g t lon n td o a e e d r e s np lai No o a ne s r to h no e Cli a aloha ahit yofHe ttsC+ a i y wih no c t d. am nt s s sor pa ii ntbod t omplcai nsor i to c pl i s om a nt . ( 93) Dr Spezlropi dt t rGr msc ne g i me tm lvesofwor a tviy.( 93 . TR . . t e ne ha M . oo a nga e n dil e l k ci t TR ) OnM ar h22, 2, no he c 201 a t rnone m i ngsaephysca DrJ e neCa rr vi xn ni t t iin, . os phi de , e ewedt a lbl he vaia e me ia rc r a p r o t erc n ieaino panifscam f r n t .( 1 7 0 ) Asp r o dc l e o d s a t f h e o sd rto f litf li o be eks TR 0 - 8 . a t f t rco i r tonpr ce s i wasdeemi t c he e nsde ai o s,t tr ned o ommison ac ulai e mi ton.( 1 . si ons ttve xa nai TR 03) Thus Dr Ca rr ceveda c i r d Dr Vi raGr dy' c ulai exa nai r por a pa t , . de e i nd onsde e . do i a s ons ttve mi ton e t s r ofhe r cons de a i r e . Afe c i rng a lt e de t n a iabl Dr Ca ropi t t re i r ton evi w tr ons de i l he vi nce he va l e, . de ned ha pl ntf s fr fom de ne ai dic He ttsC, ndoseo esoft rg a e.( 1 .Dr ai if ufes r ge rtve s , paii a t phyt he iht nkl TR 08) . 4 Ca ra s opi dt tM r Gr m sca pe f m m e um l l ofwo k a viyi vi nom o et n de lo ne ha . oo n ror di eve s r di t nvol ng r ha oc aso lci ng,soo ng,kne lng,a ca i ( 1 08) c ina lmbi t pi ei nd rwlng. TR 07- . Dr V i t i Gr dy c pl t d he c ula i r po ton M a c 8, 2. U nlke D r Spe z e . c ora a om e e r ons t tve e r r h 201 i . t lr a Dr Cade , . a a t lye m i d M r Gr m s Dr Gr dyalor vi we a1 oft a ia e nd . r Dr Gr dy c ua l xa ne . oo . . a s e e d l he val bl m e c le de e, uc ofwhi h w a c pie durngpl ntf si r c r t o Ba e on he p i a di a vi nc m h c s om l d i ai if nc e a i n. s d r hys c l e m i tonandr vi w oft medial e or Dr Gr dyofe e t f l ng f tona a s s e t xn na i e e he c r c d, . a f r d he olowi unci l s es m n ' . Thenum be ofho st c am a tca sa i a e g r m he l i n n t nd n n i hthourwo kda ba e ont y' r y, s d oda s e m ,i e ced t be sx. The ntmbe ofhotr t cai tc wa k i an ei xa s xpe t o i l r ls he l man an l n ght ho w or y,ba e on t y' e m ,i e pe t d t be s x. The ntm be ofhotr t ur kda sd oda s xa s x c e o i l r zs he c a m a c n s ti a e ghthourw or y, s on t y' e m , sexpe t d t bes x. l i nt a i n n i kda ba ed oda s xa i ce o i The a ountofw e gh t c ai a c c ny, s d o t y' e m , se c e t be m i t he l m nt an a ba e n oda s xa i xpe t d o 20poundsoc asona l Then ountofwe g t cai c i ly. m i ht he l mantc n lf bas d o t y' a it e n oda s exn , s e c e t be 20 pot ds oc asona l m i xpe t d o m c i ly. M a pultvelm ia i Bas d o t y' e m, hecli nts dbea et r ac ni a i i ttons: e n oda s xa t a ma houl bl o e h, ha e f el gr s a fnge fe nty. ndl, e , a p nd i r r que l Pos ur llm ia i : ed o t y' e m ,he c ai a s d bea et bend, t t a i t tons Bas n oda s xa t l m nt houl bl o s oop, c ouc a s ua oc s ona l Li ia i n due t bal nce not d on e m . r h nd q t ca i ly. m t t o o a e xn ( 657- ) I pli ifi u bl t lf mor t nt nt poundsa atme,20C. R.j41 967(9 TR 58 . f antf s na e o it e ha we y t i F. 6. 1 pr de t the i una e t do m or t n lghtw or a tviy. ovi s ha s bl o e ha i k ci t Asr teced a ve,t Admi sr tve La J el t bo he nita i w udge a s a c ded l s e we g t a phys l lo c or e s r i ht o ka as e s e pr ded by Dr Lukas M yc The m e ca r c d r ve l t t i 201 a 201 M r s s m nt ovi . z . di l e or e a s ha , n 2 nd 3, . Gr oomswass nby s ve a dif r n m e ca pr de sa t Uni r iy ofVigi aM e ca Ce e . ee e r l fe e t di l ovi r t he ve st r ni di l nt r Hi c s ompl nt durngt t rodi l dhe r dswihr c a bledi i omni ,eft ai s i ha pe i ncude morhoi t e t l e ng,ns a l thumbpai n, l rba k pan, nd He ttsC.l t msofl rbac pai hi docor no e pa a tbr lm us l owe c i a paii n er owe k n, s t s t d r vere a ce s m w ih as oc a e ne opa hy. Roe ge pas t s i t d ur t nt nogr phi s udi w e e s i t r ve m o a e t s ve e a c t es r a d o e al der t o e r ds d g n rtv c a g sa L5 S1 ( 6 8 .MrGr o rtr e f r u te te t n i S p e e ic e e eaie h n e t - . TR 6 ) . o ms eun d o frh rr ame tn e tmb r of2013. A tt ttm e,Dr M yc o de e a l bars ne M RI The M l lr ve l d m uli l ve di c a ha i . r r d um pi . t e ae t -e l s nd f c t d ne a i c nges s ve e c nt a c na na r i s ve e neur l f a i na r w i a a e ege r tve ha ; e r e r l a l r ow ng; e r a or m nal r o ng t muli elves a rgh rna c t.( 675) Gi nt efndi , . t nLal m or r a tpl e l, nd i t e l yss TR . ve hes i ngsDrNaha rha deed n e dur seoi ij ci a L4- ( 676) pi al tr d n e ton t L5. TR . Dr M ycc . ompl td af nc i la s s e on Dec mber5, ee u tona s esm nt e 2013.Dr M y di nos d muli . c ag e tlve de ne ai dic diea e;s ve e c nta ca l se i wih clo c l wer bac pa n;a e l ge r tve s s s e r e r l na tnoss t lr ni o k i nd He tts C. ( 680) l s paii TR . n uppor ofhi di noss Dr M y ct t Mlli e eai fom t s ag i, . c ied he t ntmr tton r Se e r1 201 a wel hi ownci c fndi .( 680) Dr Mycopi dt tpl ntf c d ptmbe 3, 3, s las s lniali ngs TR . . ne ha ai if oul sand a wa k f no m o et nt t t eeho lsi a eihthotrwor y,a t thei lmie t t nd l or r ha wo o hr tr n n g - l kda nd ha s i td o lfi a car ngnomo et ntnpo .( 681.DrMycopi dt t aitf ss o a itng nd ryi r ha e unds TR ) . ne ha pl nif ymptms nd l tto sh v p ritdwihtesmelv l fs v rt sn eJ l 1 , 01 ( 6 1. i ain a e e sse t h a e e o e ei i c uy 1 2 2. TR 8 ) mi y Unde 20C. R.j41 927()1,ii e iil pr de t tge r ly, ewei wilbe r F. 6. c( ) t s xplcty ovi d ha, ne al mor ght l gi nt t o ni ofame c ls c who ha acua l e mi dt c am a .l t i t tc e ve o he pi on di a our e s t ly xn ne he l i nt n he nsan as , t Admi sr tveLaw J ec e rydico e t fndi , s s m e s a opi onsofDr Gr dy he nita i udg l a l s unt d he i ngs as e s nt, nd ni . a a M r M yc w hie ac or ng t gr a e t w e g t t a s s e s of t non- xam i ng s a e nd . , l c di he e t s i ht o he s es m nt he e ni t t physc a .I s doi t La J ii ns n o ng, he w udgec omm e e asf lw s nt d olo : The o ni of he e pe t w hopr pa e t St t a nc r por sa egi n t g e t t pi ons t x rs e r d he a e ge y e t r ve he r a es w e g , r i ul ry t m os r c n as e s e t . The e e r o ni a e bal nce i ht pa tc a l he t e e t s sm ns s xpe t pi ons r a d, o j ci , ndc n itn wi t ee ie c o rc r a awh l,n ld n te t n be t a o sse t t h vd n e f e o d s oe icu i g rame t ve h not . Alhough t s e rs di notha a opport t t exa ne orte tt es t he e xpe t d ve n tmiy o mi r a he cai t t r porsce ryr fe tat oughr viw oft r c danda es l man ,he e t la l e lc hor e e he e or r uppora e. tbl I s tt n hor , hese expert f ii iy w ih t SSA di abiiy eval i pr am and t s' nm lart t he s lt uaton ogr he e de ofr cor wa r st g eaes weght t opi onsgi nt g eaes weght vi nce e d rant he r t t i - he ni ve he r t t i a e m os c i t ntw ih t l ng t na r e oft e de e ofr or r t ons s e t he o iudi l evi w he vi nc ec d. 6 ( 3) TR 3 . The c tc l our onc udest tt La J e' r tona e i s m pl notc it ntwih t r c d i ha he w udg s a i l s i y ons s e t he e or n t sca e. A tt tm e D r Gr dy' co ula i r por w a c m i s one by t s a e age y,i w a hi s he i . a s ns t tve e t s om s i d he t t nc t s notdt tSt e de ea awhol ...snots t e tt s e ha dhe vi nc s e i ufkin o uppor adecso ont cai ' ( 1 . t iin he l m. TR 03) ' I t co tsviw,i m a ltl s ns t a r ngef ac ulai e m i ton,ft co ula ' n he ur' e t kes ite e e o ra or ons ttve xn na i i he ns tnts a s s e of es d l t c i l a c t ba e on ar c d r vi pe s l m i ton, nd clni l s es m nt r i ua fm tona c pa iy, s d e or e ew, r ona exn na i a i ca fn igs i utmaeyrj ce . idn , s li tl ee td The Law J udge' tea m entofDr M yc' a s s e fnds e n l s s sr t . s s es m nt i ve e s uppo t W hie t La r. l he w J eco men e t tDr M yc' r i lf to lc pa t as e s e ûi nota ompa e by a udg m t d ha . s esdua unci na a ciy s s m nt is cc nid ny c e a ouste t ntnot ,'( 33) i i cla t tDr Mycwaso oft me r oft ontmporne r ame es' TR ,t s e r ha . ne he mbes he t e t e t n a t U ni r iy ofV igi a M e ca Ce e .I e i wasDr M yc w ho a r ed f r a m nt e m t he ve st r ni di l nt r nde d, t . r ang or t Mll ro me o S p e e 1 , 01 ( 6 4 .Thi o j ciesu yr s le i a i r sin he t pef r d n e tmb r 3 2 3. TR 7 ) s be tv t d e utd n n mp e so ofm uli l vel s and f e d ne a i c nge wih s ve ec ntal a na r i a s ve ene al t-e dic ac t ege r tve ha s t e r e r c nal r ow ng nd e r ur fr mia n ro nga mutpelv l.Dr My s cfc l ctdte eo j ciefn n s a wel s o a n l ar wi t l l e es . c pe iial ie h s b e tv dig , s la i y hi own c i c l obs r a i ,i conc udi t t M r Gr s i di a e f r t lfi c r yi s lni a e v tons n l ng ha . oom s s bl d o he i tng, a r ng, sandi a wal ngrquie f me um wo ka tviy.( 680- 1.Thec ti nos r f t ng, nd ki e r d or di r ci t TR 8) ourfnds uppo tor t La J e' obs r ton t tt no xa i ng s a e ag y physci n r por s i l a l r fec a he w udg s e va i ha he ne m ni t t enc i a e t ç e ry e l t c t r h r vi w oft r or a a e s ho oug e e he ec d nd r uppor a e' whe t sa e age y as es m e s a o ni t bl ' n he t t nc s s nt nd pi ons we e complt wel be or Dr M yc' as e s e a t l ba s ne M l l upon w hi t t r eed l f e . s s s m nt nd he um r pi t ch ha a s s mentwa ba e z ses s s d. 2 D r Cader' r s eporti dat M ar 22N201 . The i em r t ton oft l ba M RIi dat s ed ch 2 . nt e a i he um r s ed Sept embe 1 2013. r , 7 l s tt co t oncude t t heCommi sone ' fnal c so i t sc ei nots n horshe ur c l s ha t s i rs i de ii n n hi as s uppored t by s t ntal vi nc Gi n t M l l e t whi h doc e ss ve em us ul ke e a de e t i t ubsa i e de e. ve he t r por, c um nt e r c os l t l f c s n he l ba s ne a w e last r po t f om Dr G r dy a Dr M yc t c tfndst tpl ntf hasm e um r pi , s l he e r s r . a nd . , he our i ha ai i f t t btr n ofpr i e t bls ng t thewasdia e f a hi mor t n lghtwor aci t a he lde oof n sa ihi ha s bld or nyt ng e ha i k tviy t a l i o anda trM a c 8, 2.I f l t tpl ntf hasm e t bur nofpr i e t bls ng l tmes n fe r h 201 t olows ha ai if the de oof n sa ihi dia lt f alf ofs t ilg nf e oy nt e20C. R.j41 969a Rul 202. sbiiy or l onns ubsanta ai ul mpl me .Se F. 6. nd e 04 ofAppendi 2 t Subpa tP o t A d i sr tve Reg a i PM 404. x o r f he m nit a i ul tons Fo t r as s a e t c ti c ta ne t c l t t t Com m i s one ' fna r he e ons t t d, he our s ons r i d o onc ude ha he si rs i l d cso i no s p o tdb s bsa ta e ie e Dee a tsmo inf rsl r j d me tmus e iin s t u p re y u tn il vd nc . fnd n ' to o l mmay u g n t t r o e bede e Upon t fndi t tpl i ifhasm e t bl d ofpr a pr s rbe b a he ef r ni d. he i ng ha antf t he z en r oof s e c i d y nd pu s a t oteAc i e tb ihn d sb lyf ra1 omso s b tn il an u e ly n u g n ru n t h tn sa ls ig ia ii o 1fr f u sa ta g i f l mpo me tj d me t t wilbe en e ed i fvo oft pli if The Comm isone ' fnalde ii n de ng s eme a l t r n a r he antf. s i rs i c so nyi uppl nt l s trt i om ebe tt wilber ve s t t e e t tt de a wasbas o t tndi t t ecliy nc nei s l e r ed o he xtnt ha he nil ed n he i ng ha pli ifi no dia ed. Ho ve ,snc t Co isone hasa r ty notc i r whehe antf s t s bl we r i e he mm s i r ppa en l onsde ed t r pl i if m e t t fna a elgi lt r quie e s unde t SSIBe i Pr r m ,t cour m us a ntf e s he i nci l i biiy e r m nt r he neft og a he t t rma d t c s t teCo sine f ra a p o it d tnn n to . Ano de a dj d me ti e n he a e o h mmiso r o n p rprae ee i ai n r r n ug n n c o m iy w ilbe e e ed t s da onf r t l nt r hi y. TheClr i die t d t s nd c rii co e oft so ni t a1c e k s r c e o e e tfed pis hi pi on o 1 ouns lofr or e ec d. D ATED : s Thi AQ' t A da ofAprl2015. y i, 4 Chi U nie St t D i ti tJ ef t d a es sr c udge 8

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