Johnson v. Berryhill, No. 3:2016cv00071 - Document 22 (W.D. Va. 2017)

Court Description: MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 8/8/17. (hnw)
Download PDF
CL :ATR c; u,:' em cotr ERK' oFFl Dl l QANQKE, VA FIED L I TH E U N I N TED STA TES DI STRI COU RT CT FOR THE W ESTERN DI STRI OF VI NI CT RGI A CH AM OTTESV I LLE DF SI W ON AI 22 2 7 J C 2 J GY: . D , CLERK . CLERK J YJ OD OHN SON , Ci lAci n No. 3: 6CV00071 vi to 1 Pli tf, a n if M EM ORANDUM O PI NION NANCY A . BERRYHI Ac i LL, tng Comm ispne ofSocalSe urt si r i c iy, By: Hon. e E.Conr d Gln a Unie Stt sDititJ t d a e src udge De e nt f nda . Pli tf hmslld t saci c l ng t fna de ii oft Comm isone ofSocil a n if ie hi ton halengi he i l c son he si r a Se udt de ngpl i ifscli sf s biiyi ur nc neisa s e e t s urt i m e c y nyi antf am ordia lt ns a ebe ft nd uppl m n al ec iy nco b neist e teSo ilS c dt Ac, sn n e , 2U.. j 41 ()a 4 , n 4 U. C. e ft md r h ca e u y ta me d d 4 SC. j 6 i nd 23 a d 2 S. j 1 8 q s q.r s e t l.J ds ito o ti c u tsp ru n t 4 U. . j40 ()a d4 U. C. 3 1 t e , ep ci y u d cin fh s o r i u s a to 2 SC. 5 g n 2 S. ve j 1 8 ()3 . Tlsc u tsrv e i l tdt ad tr nai n a t wheh rte ei s bsa ta 3 3 c( ) l o r' e iw s i e o ee mi to s o te h r s u tn il i mi evi nc t s ppo tt Co mi sonersc l i t tpl i iff iedt e tbls e ilm e tt de e o u r he m s i ' oncuson ha antf a l o sa ih ntte n o be st unde t Ac .I s h s t ntale de ee ss t fnalde son oft Co misone ne s r he t f uc ubsa i vi nc xit , he i cii he m s i r mu tb afr d.La v. lb e z , 8F. 6 0 (t Ci.1 6 ) ttd b ify,s b tn il s e f me ws Cee r z e 36 2d 4 4h r 9 6 .Sae rel u sa ta e de ehasbee d i d a s hr l va e de e, onsde i t r co da awhol,a m ihtbe vi nc n efne s uc e e nt vi nc c i rng he e r s e s g f t a qua et s ppor aco l i byar as bl m i Riha ds n v. r es 40 U. 389, omd de t o u t ncuson e ona e nd. c r o Pe al , 2 S. 4 1(9 ) 0 1 71 . Johnson v. Berryhill Doc. 22 Thepl i if J Lesi J antf, ody le ohns n, sbom o J 9,197 a e nt lyc o wa n une 2, nd ve ua l omplt dhe ee r M g s hoole a i M r . ohns a s r ceveda tona voc tonalr ni i da apr e sng. h c duc ton. s J on lo e i ddii l a i tai ng n t oc s i ( 6 ) As omdb t ev c to l x e t otsiida t a miitai ehe rng plitfha TR 2 . f t y h o aina e p r wh e tfe the d n srtv ai , anif s wok da ac s e , o he lhad , a y itr s n ne o eao , n lbdc to s r ie .( r e s ahir h me at ie b b ste, c n r p rt r a d u ain evc r TR Dockets.Justia.com l 7 ) M r. oms nwa ls e o di 2 0,h u hs eh ds bsa ta s l-mpo me t n o 4 . s J l o s a t mplye n 01 t o g h a u tnil efe ly n i c me i 2 1 ( 5 ) OnAug t9 201 plitf f r l flda piainf rd sbit isla c n 01 . TR 3 . us , 2, an if omal ie p lc to o ia l y n t n e y i r be f a s e e t s u iy i o ebe f . She al ge t ts be n e dia e f ra1 neks nd upplm n al ec zt nc m neks le d ha he c m s bld o 1 f r ofs tntalganf le oy e on M a 1 2011duet c r omyopahy,bac pr e , o ms uhsa i i ' mpl m nt u y , o a di t k obl ms pos-r lm ai sr s dior r de es i li h bl pr s lr hea tpr e s c tpai hi ttal tc te s s de , pr son, lg ood e sze, r oblm , hes n, gh c oe tr l c nc nrto dfkul e ,se p a n a a d ty o dpr be . ( 2 ) S en w h lseo, o e tain il t s le p e , n h r i o lms TR 61. h o i mai a nst ts hasr mai d dia ed t t pr s nttm e. Ast he a i a i f dia lt nti ha he e ne s bl o he e e i o r pplc ton or s biiy i tr nc be ft,t r c dr ve st tM r . ol on m e t i tr d sausr quie nt o t nsla e ne s he e or e al ha s J ms t he nsle t t e r me s f he Ac tr u ht frtq re o 2 5 b t tte e fe .S eg m,4 U. C. j41 ()a d4 3 a . tl o g he is ua tr f 01 , u no h r a tr e e 2 S. j 6 i n 2 () z Cons que l pli ifi e il t dia lt i ur ebene iso yi s ha esa ihedt ts e nty, antf s ntted o s biiy ns anc ft nl f he s t bls ha he be nmedia edf a1f msofs t nta ganf le pl c s bl or 1 or ubsa i l i u m oyme o orbef eM a c 31 201 See nt n or r h , 5. g n,4 U.. j4 3 a . e - 2 SC. 2 () M r J hns sa i ai we edeniduponi tal onsde ai nr dr c i r to She s. o on' pplc tons r e nii c i r to e onsde ai n. t nrqueseda rceve a7:novohe dnga rviw beo ea Admi srtveLa J he e t nd e i d . . a nd e e fr n nitai w udge.I n a opi o da e M ar h 9,2015,heLa J n ni n t d c t w udgealodee m i d t tM r . o on i notdi a e s t r ne ha s J hns s s bld. TheLa J w udgef oundt t antf s f r fom s ve a s ve ei ime s i l ng de ne a i ha pl i if ufe s r e r l e r mpa r nt ,ncudi ge r tve dicd s a e s t i he r f it e; bsr tvese p a a; iy; ndm e a dio de sG ro l s i e s ; ysolc a t all o tuci le pne obest a r nt l s r r t iusy va da n e oi ld d prsi eds r e, n it d s r e ,ndpo tta mai srs ds r e '( ig osdt ncu e e e sv io d ra x ey io d ra s-ru tc te s io d n' TR 24) Be us oft s i ime s t La J deemi dt tM r. ohns i now lmiedt . ca e he e mpar nt,he w udge tr ne ha s J on s i t o t pe f r a o s de a y e ri la tviis The La J he ro m nce f e nt r xe tona c i te . w udge we on t as e spli ifs nt o s s antf r i ualf to lca ciy a f l esd unci na pa t s olows: 2 Afe c r f c i r to oft e ier c d,1fnd t tt c am a hast tr a e ul onsde ai n he ntr e or i ha he l i nt he r sdua fmctonalc pa iyt pe f m s ntr wor a de i d i 20CFR ei l t i a ct o ror ede a y k s fne n 4 4 1 6 ()a d41 .6 ()e e t n ulto r q rst eus o ac n ; 0 .5 7 a n 69 7 a xc p : mb ain e uie h e f a e oc aso lsaisa r mps no l dde s r mpsors afo ds fe ntba a i c i na t r nd n ; a r , n c f l ; r que l ncng; oc aso lsoo ng, kne lng,c ouc ng,a c a i Shec n pe f m t kild c ' na t pi i e i r hi nd r wlng. a ror ms le wo k a a SVP 1or2 t ti vessmpl r i t s whe et pac of r tn ha nvol i e outne a ks r he e pr tviy i notdit td by a ex e na s zc overwhi h s hasno c r , oduc i t s c ae n t r l olr e c he ontol s ha c uc s onve bet . yor ls ( 27 . Gie s c arsd a G n to l a ct, n a trc nsd rn p an ifsa e TR ) v n u h e iu l z cina c pa i a d fe o i eig litf g , y ed ai n,a prorwor e re e, we last tm o fom avoc tonale r,t La uc to nd i k xpe i nc as l esi ny r ai xpe t he w J udgef md t tpl ntf r i ca bl ofpe f nghe pa tr e ntwo k a as ame ot ha ai if ema ns pa e ronni r s elva r s cl r o e ao , sti j b i g n rlypef r di tenaina e o o l( 3 - 8 .Gie p rt r a l s o s e eal ro me n h to l c n my. TR 7 3 ) v n l pl i ifsr sd lf nc i c pact and a trc i rnghe a ,e a i a prorwor antf e i ua u tonal a iy, fe onsde i r ge duc ton, nd i k e re e a welast voc tonale r ' t tmony, heLaw J e a s de e mi d t tM r . xpe inc , s l he a i xpe ts esi t udg lo t r ne ha s J ohns n r t nst c pa iyt pe f m s ve a ot rs de a ywor r e whi h e s i o eai he a ct o ror e r l he e nt r k ol s c xit n sgnii a nlm be i t na i le onomy.Ac r ngl t La J i fc nt l r n he tona c co di y, he w udge uli t l co l tma ey ncuded t tM r . ol on i notdia e a t ts i no e il d t be l unde et rf de a ha s J ms s s bld, nd ha he s t ntte o neks r ihe e r l pr a . TheLa J ogr m w udge' o ni wasa e a t fna de ii n oft Com mi so rby s pi on dopt d s he i l c so he s i ne 1Thee de de l vi nce veopeddurngt e le ad nitai pr ee ngs a M r . l s stsi onyatt i he arir mi sr tve oc di , nd s Jom on' e tm he e de i y he i e tbls t tpl ntf' pro wo kasas nne o r t r quie pe f ma eoflghte rto vi ntar arng, sa ih ha ai ifs ir r ca r pe aor e r d ror nc i xe in. ( 5 -8 2 7 .Gie teLa J d estn igta Mr. omsni n w l tdt sd nay e et n,h c u t TR 75 , 7 ) v n h w u g ' idn h t s J l o s o i e o e e tl x ri te o r mi o c n ld sh theCo sin rsd tr n to ta zlitf a rt t t sp riua patee a t r r l in t o cu e ta t mmiso e' eemiain h t anifcn et o hi atc lr s rlv n wok oe s o ml sp o tdb sbsa ta e ie e Ho v rtevo aln lx ra tea miitaieh aigrc gnz dtat j b u p re y u tnil vd nc . we e,h cto a e petth d nsrtv e rn e o ie h the o o sa ne o eao i n tlse i t Dito ayo Ocu ain l te , n ta tecoe to whihi lse i ta f c n r p rtrs o itd n he cin r f c p to a Tils a d h th lssj b c s itd s h t o d cl n pe ae:whc i g n rly d e d a u s l d s d nay wok r l. ( 7 ) S c tsi n f o l t rp rr ih s e eal eme n nkie , e e tr r oe TR 4 . u h etmo y me l e our gedt Admi tai La J nc a he l r tve w udget f t tM r Joms i ca eofr u ni t wor asas r ro r t us o md ha s. l on s pabl etr ng o k came pe aor a tij big n rl p rome .( 3 -8 . we e,hec m'd e n t eivet theLa J g ' c n ieain s hs o s e eal efr d TR 73 )Ho v rt o t o s o b l ha t w ud es o sd rto y e o pani p s woka asn ne o eao, r frta matr tevo ain l x etsc n ieaino ti p sj b, f litcs a t r s c n r p rtro ,o h t te,h cto a e p r' o sd rto fhs at o c ompo t wiht r quie nt ofSoca Se iy Rulng96- P o Soci Se urt Rulng96- s h ast s ppor a rs t he e r me s il curt i 8 r al c iy i 9P, uc ou t t dn ta plitf a no yefr te 6 o s a n ro eao a ii g n rl p rome i ten to a e o o . - ig h t anifcn w rom h j b f c n e p rtr sts e eal efr d n h ain l c n my m y Sttd difr nty,her or m t sca ei l noevi nc t s r t noto t tM r . l o maynow wor ae fe e l t ec d hi s ncudes de e o uppo t he ln ha s Joms n k a adoc ntprpa e,DOT No. 587- 1 Ne rhee s a r fe e beow,heAdmi srtveLa J ewe s ume e r r 249. 0 8. ve t ls , s e lctd l t nita i w udg nt ont c i rpl ntf' ca eunde Stp 5oft s quen i dia lt a l i, twhihheconcude t tM r J on o onsde ai ifs s r e he e tal s biiy nayss a c l d ha s.ohns rt ns s t e f to lca iy t pef r ale nae wor r esexitng i sgnii an numbe i t nai l eai ufkint uncina pact o ro m tr t k ol si n i tc t r n he tona e o my l s c a t c utb le e ta ti d tr n to i sy o td b s b tnile ie c ,te c u t c no . namu h s he o r eiv s h t hs eemiain s u p re y u sa t vd n e h o r a c udest tt de i e isi t La J ge' a yssa Stp 4 a ewlhoutcons nce. oncl ha he fcince n he w ud s nal i t e r t eque t SocilSe udt Ad i sr to sAppe sCot i.Ha ng e use a 1a ia e he a c y m nitai n' al mcl vi xha t d 1 val bl ad i sr tver m e e , r .J on hasnow a m nita i e di s M s ohns ppeaedt t sc r . l o hi ou t W hie pl ntf m a be dia e f c ran f r s of e pl ym e ,t c c a f c ua l ai if y s bl d or e ti o m m o nt he nz i l a t l de e mi to i whehe pl i ifi dia ed f ralf msofs t nta ga nf e oy e .Se t r nai n s t r antf s s bl o l or ubsa i l i ul mpl m nt e 4 U. C. j4 3 d ( )a d 1 8 ca .Th r aef t ee n so pr o wh c mu t ec n iee 2 S. j 2 ( )2 n 3 2 () e e r o l lme t f o f ih s b o sd r d r i mn i gs ha a ay i.The eee nsaesl rz da f lo :( ) b e tv me ia fcs n k n uc n n lss s lme t r l mma ie s o lws 1 o j cie d c l a t a dciia sn i g ;2 teo no sa dc n l so s fr ai h sca s ( ) u j ci e ie e n lnc l d n s( )h piin n o cu i n o te t y iin ;3 s b e tve vd nc ngp o p y ia ma fsainso i ime t, sd s rb dtr u hacama ts e tmo y a d() h f h sc l nie tto f mpar ns a e cie h o g li n ' tsi n ; n 4 t e cli a tse to voc tonalhit r r sdua s ls a age Vie v.Fi h,438 F. 115 am n ' ducai n, a i so y, e i l kil , nd . t k nc 2d 7, 1 5 - 0( t Ci. 9 ) Un e wo dv. bc f, 8F.d8 0 8 ( t Ci.1 6 ) 1 9 6 4h r 1 71 ; d r o Ri io f 29 2 5 , 51 4h r 9 2 . Afe a r vi w of t r or i t s c s ,t c ' i co taned t co l t tt tr e e he ec d n hi a e he out s nsr i t o ncude ha he Comm isone ' fna de son i s s i rs i l cii s uppored by s t n i le de e. M r .J t ubsa ta vi nc s ohns s f sfom on ufer ' r s ve e de ne a i di cdie e,he r f iur ,see a e r ge r tve s s as a t al e l p pnea a obest Shealo ha ahit r of , nd iy. s s so y de e sve dior r wih n e y a pos-r pr s i s de t nxit nd ttauma i sr s s dr m e. As f her emotona tc tes m o or i l pr ems whiet La J obl , l he w udgede e mi d t tM r . o o e re e m ode a edi c tesi t r ne ha s J hns n xpe inc s r t x uli n he c e rto pe sse e, ndpac , . yeRom a ac ula i ps hol s, tr i r onc ntai n, r it nc a e Dr Fa no, ons ttve yc ogit dee m ned t tpl ntc se o i na s ha ai i m to l ympt sa e no s s ve e a t pr ve r gt a wor ac i t M r . om r t o e r s o e nt e z r k tviy. s l J ohns n' c r ol s f md t t s e re e e ry he r f im e d t non-s he i o s a di ogit ot ha he xpe inc s a l a t al ue o ic m c ca di r omyo t Howe r anec a di r m onOc o r4,2011r ve l onl midl dec e ed pahy. ve , hoc r og a t be e aed y l y r as s g na lAve tiua s soi f cinwiha ee to fa to o 45 t 5 %.W hi panif e me tle nrc lr y t lc un to t n j cin r cin f % o 0 l litf e hasc i dt r c ver gul rc r f rhe r pr e s he c r ol s ha no ontnue o e ei e a a e orhe a t obl m , r a di ogit s tdoc e e a um nt d ny wor e ng of he c ton, des t pl ntf oc asonal pr s ntton wih c r ova c a s ni r ondii pie ai ifs c i e e ai t a di s ulr 4 s ympt . I tr sofhe ea l he r f l e t m e ca r or doe no s oms n e m r ry a t aiur , he di l ec d s t uppo ta fndi of r i ng dia lt f rl s sr nuousf r sofa i t Asf rhe se p a a M r . o o hasunde gone s biiy o e s te om ctviy. o r le pne , s J hns n r di nosi wo k- ,a i ha bee de e mi d t ts r quiesus ofaCPAP m a hi ,t ug ag tc r ups nd t s n t r ne ha he e r e c ne ho h he c m pla ewih t spr t olha be n une n. The ei no i c to t the see dior r r o i nc t hi o oc s e ve r s ndia i n ha r l p s de afecshe c pa iyf s de a y wor aci t f whih s i o he wiephysc ly c pabl f t r a ct or e nt r k tviy or c he s t r s ia l a e. Bas on t m e c lr po t,a we la pli tf st tmony,i woul a a t M r . ed he di a e rs s l s a n if esi t d ppe r hat s J ms n' bac pr e spr e he m os sgnii a wor r lt d physca lm iai ns M r . ol o s k oblm oduc r t i fc nt k-ea e i l i tto . s J ms n hass f r d fo 1 ba k pr blm sf ma ye r . Shea t e t ons ofhe ba k ol o ufe e ' m ow c o e or ny a s r tdbut s he et r c dfiute t awo k rlt dij r .S n w us sac n f rn uain.nDe e e o 2 1 a ifc lis o r -eae nu y he o e a e o mb lto I c mb r f 01 , ntr e pr c ii r r pore t t pl ntf was s f rng f o i r a i bac pan. The ntr e ts a ttone e td ha ai if ufe i r m nc e sng k i ls p a tto e o i dta M r. o n o i t b et wok.( 5 4 . I 2 2 panifu d r n rciin r pne h t s J h s n s ma l o r TR 7 ) n 01 , litf n e we t all a s ieM ll lc s o ds v r b-aea f rmia se ossa teL5 S1lv l ( 5 3 . l r pn l wlih h we e ee iltr lo n n ltn i th - e e. TR 6 ) mb M or r c nty, heha c e ee l s s ompli d o r di toni ohe l we e r mii .A ph i a e mi to ane f a ai nt r o r xte tes ysc l xa nai n i Jmeof201 r a e lmiedll ba r ngeofm o i n, ii sr i ht1 gr ie, nd t r s n t 3 eve l d i t lm r a to postve ta g e as a ende nes t papai I Se e be of201 s wa as e s wih cloni l ba k pan, ge r tvedic o l ton. n pt m r 3, he s s s ed t lr c ow c i de ne a i s diea e s s s , pondyl yss se i,a rght15 r c o t Ne rhe e s he docor ha not ol i, t noss nd i . adiul pahy. ve t l s , r t s ve r ommende i i mea ur s optngi t df cons r tvete t e .N om e c doc o s ec d nvasve s e , i nsea or e vai r am nt di al t rha s uggese t t M r .J t d ha s ohns n' m us ul ke ealpr ems a e dia i i ove al i c . l o s c os l t obl r s blng n r l mpa t n as e sng pl i i sm us ul ke eala c r ovas ulrpr blm s t Admi sr tveLa J s s i nntœ c os l t nd a di c a o e , he nita i w udge r id on r po t fom sa e a nc physcans who c i r d M r .Jo on t be c pa e of ele e rs r t t ge y ii onsde e s hns o a bl pe f r i lg e f m sofwo k,de piehe doc e edphysca pr e s r o m ng i ht r or r s t r um nt i l obl m . 5 I s r,gi n t m e c r or i tls c e t c tm us co l t t t r i n ho t ve he dial ec d n li as , he our t ncude ha he e s s t nta e de t s ppor t La J ubsa i l vi nce o u t he w udge' fndi t t M r .J ms r t ns s ûc e s i ng ha s ol on eai uf i nt f nc i l c pa t f s de a y l l of physc l e ri u tona a ciy or e ntr eve s i a xe ton. M o eove ,gi n Dr Rom a s r r ve . no' ps hol ca sudy,heco t le st tt r co d s yc ogi l t t ur be ive ha he e r upporst fndi t t antT sde es i t he i ng ha pli i pr sve dior r a as oca e n ey a sr s dior r a eno s s ve ea t pr ve pe f r a e o s de , nd s it d nxi t nd te s s de , r t o e r s o e nt r o m nc f t s de a y wor r esf whi s i ot r s physc l c pa e. I f lowst tt fna he e nt r k ol or ch he s he wie ialy a bl t o l ha he i l de ii oft Commi so i t sc s mus bea fnne c son he s i ner n hi a e t f d. Ona alotlsc ut pl i ifm a t a g l e si s r ofhe ppe t li ot antf kes wo r lm nt n uppo t rmotonf sl a y i or lmm r j g n , rrma df ra dto a c n ie ain.Plitf c ne st tt Co si n rer d ud me to e n o d iin l o sd r to anif o tnd ha he mmiso e re i nfndi e i lfmci na c pa iyf rpa tr l va wor Thec t r s i f ngr sdua t to l a ct o s e e nt k. our ag ee ,f ornoo he ea on t rr s t n t La J ha he w udge ssndi o r i ua f nc i c pact f no mor t n s de a y e ri l ' ng f esd l u tonal a iy or e ha e nt r xe tona aci t Ass tf t a tviy. e orh bove t c t le st tt r i no e de et s ppo t La J , he our bei ve ha he e s vi nc o u rthe w udge' s fn igt a Mr . o n o i n w c p bl o pefr ngh rp ir o a s ame o rtr ete a i dn h t s J h s n s o a a e f ro mi e ro j b s c x r peao , i r s h a t aly pe f r c u l r o med ora ge r ly pe f me i t nai lec s ne al ror d n he tona onomy. Howe r t c u'mus ve , he ot t t c l t t her c ds oncude ha t e or upporst notont tpl i ifr mai c pa eofpe l mi s de a y t he i ha antf e ns a bl rbr ng e nt r wor r e , i ntse by t voc i na e r whih e s i sg fca ntmberi t na i k ols as de i d he ato l xpe q c xit n i nii nt l n he tonal econom y. Pl i i ss ond a gt e on a a pr s nt ac os rquesi antY ec r tm nt ppe l e e s l e ton.Asr l c ed a efe t bove t , he Adm i sr tveLa l nita i w udges ikalyf pect l oundt t antY se o i difc te r s tnm ode a e ha pli i m tonal fiuli s e uli rt l tto i c n e tain, e sse c , n p c .( 2 ) ti fr ltn h sfn i g a t i ains n o c n rto p ritn e a d a e TR 6 .Ye,n o mu aig i id n s s o mi pli i s r sdua fmci na ca iy,t La J antY e i l t to l pact he w udge di not i l s h det i nc e i d ncude uc k e is n c e r ton,Pe s se e a pa . Net r di t La J onc ntai r itnc , nd ce ihe d he w udge i ude s lmiai i ncl uch i t tons n c nrton, ritnce o c i hehy t tc queto opounde ot vocaina e r once tai pesse , rpa e nt poheial sinspr bt he to l xpe t a t a nitai he dng. Cii ava i t ofde sons mos not bl t oft Unied St t t he dmi sr tve a tng rey cii , t a y hat he t aes Co rbf pe l frteFo rhCic ii M a cov. li , 0F.d6 2( t Ci. 01 ) plitf u t Ap as o h u t rutn s i Cov n 78 3 3 4h r 2 5 , an if a gu t t La J r es hat he w udge' fndi ofa lm ia i t sm pl t l l d wor doe notnec s dl s i ng i t ton o i e, msdle k s es a y i pl o t kei o ac ot ,m ode a elm iai i c en r ton,pe sse e, pac m y, r a nt c mt r t i t tons n onc ta i r it nc or e. Thi c ur ha c itntym l ha aLa l s o t s onsse l edt t w udge' fndi oflmia i osmpl t s led s i ng i t tont i e,m kil wo k smpl doe no t ke i o ac ount a cam a ' m ode a e lm iai ns i he a lt t r i y s t a nt c li nts r t i t to n r biiy o co n r t , kr gulry, nd sa ont s Se , 2.Se onv. vi 21F. pp. 639, 43 nce ta e wor e a l a t y a k. e e. , xt Col n, su 3d 642- ( . Va 20 4 . Sae dfee ty t e c u t b le e ta, i s c crl tn e , t e W D. . 1 ) ttd ifrn l, h o r eiv s h t n u h icl a c s h ms Comm isone f ist c ny t btr n i g ng f wa d wih t e de e ast t e se eof s i r a l o a he lde n oi or r t he vi nc o he xitnc ohe j b acama t g t ee p ce t p rom, ie ac mp e e i ec n ieain o gl f t r o s li n mih b x e td o e fr gv n o rh nsv o sd r to f l o t cama tsi ar n s S eW ak rv. we , 8 F. 47 5 (t Ci. 9 9 .Ho v r i he li n ' mp ime t. e l e Bo n 8 9 2d , 0 4 h r 1 8 ) we e,n t i t ntc s , hec t le st tt La J epr ryr ledont ps hol c ls u of he nsa a e t our be ive ha he w udg ope l e i he yc ogi a t dy Dr Rom a a we la t eoft sae a nc ps hol ss i fndi t tM r .J . no, s l s hos he t t ge y yc ogit , n i ng ha s ohns n c n o a pe f t s le s de a y wor de pie he difc te i c entato pe sse ,orpa e. ronn m kild, e ntr k s t r fiuli s n onc r i n, r it nce c Cii Dr Rom a sco ula i e ua i t sa ea ncyps hol git f t ha M r . o on tng . no' ns t tve val ton,he tt ge yc o ss omdt t s J hns co d sildo s m e f m sofwor des t t e se e ofm ode a e lm iatons c us d by he ul tl o or k, pie he xit nc rt i t i a e r e to a p o lms ( 9 - 0 ,1 - 4 ) l a s sig te v c t n li c o plitf' mo in l r b e . TR 3 1 6 28 1 4 . n se sn h o ai a mpa t f anifs o e oto l d f ton, t La J m i na ys nnc i he w udge a s e i il r led i s t nta mea tr o t lo xplcty e i n ubsa i l sle n he ps hol ca r por ofDr Romano. ( 3 ) Folwi c nd c o aci c le au to ,Dr yc ogi l e t . TR 7 . lo ng o u t f l a v lain . ni Rom a obs r d a f l ws no e ve s olo : Bas d upon t r s t oft se l to i a a st tt Cli a i c pa eof e he e uls hi vaua i n, t ppe r ha he am nt s a bl pe f m i smpl a r pe ii t s and woul notha difc t c ror ng i e nd e ttve a ks d ve fiuly ompl tng ei s m ede al d a c plx t s t rs r son. Cli ntdoe nota a o t ie nd om e a ks mde upe vii The a ma s ppe r t be c o ompr s a afmc i ofhe c r ntps ho- motona fmc i ng. r omied s t ton r ure yc e i l L toni He a lt t m ant i r gulra tnda e i t wo kplce pe l m wo k a tvii on biiy o i an e a te nc n he r a , rbr r c i tes ac it nt i , ndco plt anonnal r yo onsse bass a m ee wo kda rwor kwee t i e z i kwihout ntm pton a a sr ltvey lni ppe r ea i l l mpaie i r ga dst he ps ho- m otona f to ng. r r d n e r o r yc e i l unci ni He a lt oa c pti t c i fom s pe v s s i e a twihc biiyt c e nsnlton r u r ior ,nt r c t owor r a t publc ke s nd he i, a we las co ng wih r tne sr s or e ot e e i co pe ii wo k do no s l ; pi t ou i te s s nc mt r d n m ttve r t a a t bei par d. Shei notc r nty r cevi ps ho r c media i l ppe r o m ie s ure l e i ng yc topi c ton. t doe not ppe rt t heCl i a woul r quiea s sa et a quael m a s a a ha t am nt d e r s it nc o de t y nagehe r ownf nds.Gi nt efndi ,heCl i a tsc u ve hes i ngs t am n ' ompl i o f to lmpanne ant f unc i na i i nt a a si onsse a t stm e. ppe r nc it nt t hi i ( 67. TR 4 ) I s t t cour bei ves t t t r i s t nta e de e t s n hor, he t le ha he e s ubsa i l vi nc o uppo tt uli ae r he tm t co l i t tpl i ifsde r eofi r e i t msofhe c enta i perit nc a pa e ncuson ha antf ge mpaim nt n er r onc r ton, sse e, nd c i nots s ve east pr ve pero ma oft sm pl a r pe ii wor r esf whih s i s o e r o e nt f r nce he i e nd e ttve k ol or c he s ot r s physc ly c pa e. St t dif r nty,t c tdoe notbei ve t tt r i nae of he wie ia l a bl aed fe e l he our s le ha he ato l , M a coa isi hi c e, ve hemedial vi ec i r dbyt s i pple nt s as gi nt c ç denc ons de e heAdmi sr tveLa l nita i w udge. I a tnni t fna de son oft Com misone ,t c tdoesno s ges t tM r . n fs ng he i l cii he s i r he our t ug t ha s J o i fe ofa1pa n, s m f t a e otona s mpt aol y.I ed,hem e c lr co d ohns n s ' e l i dico ol nd m i l y om t og nde t r di a e r c im s t t pl ntf s f r fom de t mus ul kee a pr e s as we l a woriome onfr ha ai if ufe s r fnie c os lt l oblm , l s rs ca di c a s mpt s a e oto l d fl ton. Howe r i m us agan be no e t t r ovas ul r y om nd m i na ys l i nc ve , t t i t d ha p ani sph iinsd e h rp o lmst bes b e tt c n r ltr ug c n e v tv te t n litY ysca e m e r be o u j c o o to h o h o s r aie r ame t m e sle . No m e ca docorha s a tr s di l t s ugge t d t tM r .J l o i t t l dia e I m us be se ha s o ms n s o aly s bl d. t t r c g ie t ttei a ii t d wo kwi u a ys be tv ds o o t o sn to is l rn e e o nz d ha h n blt o o r t t n u j ci e ic mf r d e o f tef e d r y ho acama t oal d sb e Cr i v. tr 76F.d5 5 5 4- 5( t Ci.1 9 ) l a e r t t li n ttl ia ld. ag Chae, 3 8 , 9 9 4h r 9 6 . t pp as o he y c u th th Ad n srtve w l d ec n iee a1 fh s b e t fco s e s n b ys p o td o rt a t e miitai La u g o sd rd lo t e u j ci a tr ra o a l u p re ve 8 b teme ia r c r i a j d c tn plitf camsfrb neis I f lo t a a1 a eso t e y h dc l e o d n du iaig an ifs li o e ft. t olws h t lf c t f h Comm iso rsfna decson a e s s i ne ' l ii r uppore by s t nta e de . td ubsa i l vi nce Asa g ne a r e r ol i ofc lcsi t e de i am a trwihi t pr nc of e r l ul, es uton onfit n he vi nce s te t n he ovi e t Commisone e n i t c t i r ol t c lc sdif r n l Ri ha ds v.Pe aes he s i r ve f he our m ght es ve he onfi t fe e ty. c r on rl , s p a Op e h i v. n h 49 F.d3 6( t Ci. 9 4 .F r h r a o ssae ,hec u ti ste u r; p n em Fic , 5 2 9 4h r 1 7 ) o t e e s n ttd t o r fnd h Comm iso rsr s uton o t pe tne c lc si t r o d i t sc e t be s s i ne ' e ol i f he ri nt onfit n he ec r n hi as o uppo td by re s t nta e de e Ac r ngl t fna de ii n oft Co misone mus bea fr e La ubsa i l vi nc . co di y,he i l c so he m s i r t fim d. ws v. lb e z , u r .Ana p o raej g n a do d rwi bee tr dt i d y. Cee rz e s p a p r p it ud me t n r e l n ee hs a l The ce k i die t d t s nd ce tfe co e oft sopi on t a1c lr s r c e o e rii d pis hi ni o l ouns lofr or e ec d. oA-so:I T A r us d yo g s 2 7 a rau ut 01 . Unie St t Diti tJ ge t d aes src ud 9