Dennison v. Astrue, No. 5:2010cv00109 - Document 22 (W.D. Va. 2011)

Court Description: MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 7/1/11. (kld)

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I THE UNI N TED STATES DI STRI COURT CT FOR TH E W ESTERN D I STRI O F V I CT RGW I A HA RR I SON BU RG D I I ON V SI CLERK' OF CEU. . SI COURT S FI s DI AT ROANOG , . VA , I uEo , gu y y. J 2 1221 U 1 D . K ' . A M AN D A D . EN NI D SON , Pl i if a ntf , Ci lAc i N o. 1 cv- 09 vi ton 5: 0- 1 M EM O R AND U M O PI I N N O M I AEL J A STRU E, CH . Com m i s one of si r Soci Securt al iys By:Hon. l n E.Conr d Ge a Chi fU nie St t s D it i tJ e e t d a e s rc udg D e e nt f nda . Pli ifhasfld t sa ton c le ngt fna de son oft Commi so rofSocal antf ie hi c i ha lngi he i l cii he s i ne i Se urt de yi pli tf sc am sf dia lt i ur nc be isa s e nt ls c iy c iy n ng a n if l i or s biiy ns a e neft nd uppl me a e urt i omebe ft unde t Soca Se urt Ac,a a nde 42U. C.jj41 i a 423,a 42 nc neis r he il c iy t s me d, S. 6() nd nd U. C. 1 1: s q, e p ciey. u idcino ti c u tsp ru n t 4 U. C. 4 5 g S. j 38 . e .rs e tv l J rs ito f hs o r i u s a t o 2 S. j 0 ( ) ! a 42U. C.j 1 c)3) Thi c tsrviw i lmie t adeemi tona t whehe t r nd S. 383( ( . s our' e e s i td o tr nai s o t r hee i s bs a i e de e t s s u t ntal vi nc o uppor t Com m i s one ' c l i t tpl i iff ie t m e tt t he s i r s onc us on ha a ntf a l d o e he r qui e e sf e il m e t be ft und rt A c .l s h s t nta e de e e s s t e r m nt or ntte nt o ne is e he t f uc ubs a i l vi nc xi t , he fna de sonoft Commisonermus beafnne La v.Ceebrz ,368F. 640( hCi. i l cii he si t fi d. ws l e ze 2d 4t r 1 . ae brefy,s t tale d nc ha be ndei da s hr e te de e, 966) Sttd i l ubsani vie e s e fne s uc elvan vi nc co i e i t r or a awhol asm ihtbef nsd rng he ec d s e, g ound a qua et s de t o uppor a c l i by a t oncuson ras bl mi Riha ds v. r e ,402U. 38 400( 971. e ona e nd. c r on Peals S. 9, 1 ) The pl i if Am a D . e s wasbor on M a c 1 1 a ntf , nda D nni on, n r h 3, 982,a hasc pl t d t nd om e e he s ve h gr e.She ha pr vi l w o ked a a de iba r w or r a g s a i ca hi r a of i e nt ad s e ous y r s l/ ke y ke , as t ton s e , n fce c e ne , poulr pl ntwor r a a r t i c s e . A dm i s r tve Law J la r a ty a ke , nd e a l a hi r The nit a i udge f ound t t ha pl i i fw or d on a s t nta ga nf ba i t o hout20 buthasno done s s nc J nua y a ntf ke ubs a i l i ul s s hr ug 08 t o i e a l 1, 2009. Fe ua y 25,2008, a ntf fl d a i atons f di a lt i ur nc be is a On br r pl i if ie pplc i or s biiy ns a e neft nd f s pl m e als c iy i om e be ft .l flng he c ai s pl n i falege t ts be a e or up e nt e urt nc ne is n ii r l m , ai t f l d ha he c m diabl d f a 1f m s ofs t nta ga nf e pl ym en on J nua y 1 2008.She no m ai ai s e or 1 or ubs a i l i ul m o t a r , w nt ns t ts ha r m ai di a e t t pr e tm e As t he a i a i n f di a lt i ur e ha he s e ned s bl d o he es nt i . o r pplc t o or s biiy ns anc be ft ,t r c d r vea st tD e s m e t i ur d s a usr qui e e s oft A c t ough ne is he e or e l ha nni on t he ns e t t e r m nt he t hr S p e e 3 2 0b t tt ra tr S eg n, 2U. C. j41 ()a d4 3 a . e tmb r 0, 01 u no hee fe . e e .4 S. j 6i n 2 () D e s s c ai sw e e de e upon i ta c ns de a i n a r co i er ton.She t n nni on' l m r ni d nii l o i r to nd e ns d a i he r uetda rcevedaX novoheai a rviw beor a Admi srtveLa J eq se nd e i rng nd e e f e n nitai w udge.na I n opi on da ed D e m ber 1 2009,t La J ni t ce 8, he w udge a s de e m i d t tpl i ifi note il d t l o t r ne ha a ntf s ntte o diabiiy i ur ncebe isors e e als urt i om ebe ft .TheLa J s lt ns a nett upplm nt ec iy nc ne is w udgef ound t t ha De s posese t f l ngs veei ime t wihi t me ngof20C. R.jj nnion s s s he olowi e r mpar ns t n he ani F. 404.520()a 41 920( :hi dys a i afeci he lf hi dege rtvedicdie s 1 a nd 6. a) p plsa f tng r et p, neai s s a e (t 'oft c r c la l rs ne fbr li o iy,abi a af tvedio de,a 1 DDD' he evia nd umba pi , i omyaga, best ) polr feci s r r n a eydior rwihs a phobi,a apos-rumai srs dior r(TTSD') ( 1 )The nxit s de t ocil a nd tta tc te s s de û '. TR 5. La J d eas f u dta Demio p se s sarsd l t to a c p ct ($ FC' t p ro m w u g lo o n h t l s n o s se eiua fmcin l a a i Et ' o ef r y 1 ) a lm ied r i t ange o lghtwor i l ng t a lt t lf t n poundsf e nty,t s a o s t fi k, nc udi he biiy o i t e r que l o t nd r i a oxi t l sx hour i a eghthourwor da a t oc sona l us sar a ldde sor ppr ma ey i sn n i k y, nd o ca i ly e t is nd a r bal nc soop, c ouc The La J e f a e, t and r h. w udg ound t tD e ni on ha m e a lm ia i o ha n s s nt l i t tons f f ton i t ts i una et c it nty pe f m co e orc l ng wo k a tvii unc i n ha he s bl o onsse l ror mplx halengi r ci tes w ihoutaddii ls r i i buti a e t tm e y pe f m r l tve y s m pl a r pe ii w o k t tona upe v s on, s bl o i l r or e a i l i e nd e ttve r a tvii s c n m a nt i r i bl a t nc ea d la opra e y w ih c o k s a t publo c i te , a i a n ela e tenda e, n ea ppr i t l t ow r er nd he i on a consit basi i abl t com pl e a nor alwor eek w ihouti er upt onsf om her s ent s, s e o et m kw t nt r i r m ood dio de a a ey s m p om s a c n g ne al ma get us sr s r of s r r nd nxi t y t , nd a e r ly na he ual tes o s c mpeii wor ( 1 1 ) o ttve k.TR 6- 7. The La J e e ai hi RFC de e m i to b e w udg xpl ned s t r na i n y xhaus i y r c tvel e ountng t r c d i he e or e de e a i cai t thega tg ea weght' h t t M a 1 2008as e s e of vi nc nd ndi tng ha ve sr t i 'bot o he y , s s m nt D e s sphys ca RFC t twaspe f r e by a sa e ag nc phys c a a t t m e t l nni on' i l ha ro m d tt e y i i n nd o he n a as esm e pe f r e by Dr Le n,hec ula i e m i ng ps c ogit be a et La s s nt r o m d . e t ons ttve xn ni y hol s, c us he w J de me t s rporsc it wiht cai ntsongoi a tvii . TR 30.The udge e d hee e t onssent t he l ma ' ng ci tes ( ) as e s e s ofD e s s s i lw or ra he t e tng phys c a Dr Pe r on t o he ha s s m nt nni on' oc a ke nd r r a i i i n, . r y, he t r nd, w e e gi S ite w e ght'be aus k hos as e s e sa e i ons s e w ih t f c t tt r ven s tl i ' c e s e s s m nt r nc i t nt t he a t ha he l t cli nti wor ng t e da pe we k asaca hira a7- 1c a ma s ki hr e ys r e s e t 1 onve e sor ,6 hour oneda nince t e s y a 8 ho z son e h oft s e ntda a w or ng e r dayson oc s on t c nd tr ac he ubs que ys nd ki xta ca i o overf r o a e e o es'( 30.TheLa J c e ntyf t tDe s i a et bsnt mplye . TR ) ' w udge onsque l ound ha nnion s bl o p ro m h r a trlv n wo ka ac s e i ac n e in eso e ( 31)I a atr aie e fr e p s ee a t r s ahir n o v n e c tr . TR . n n len tv tndi t La J rle ontsi nyfom t Voc tona Expe t(heC ' t fndt t i ng,he w udge eid etmo r he ai l r t d ) o i ha VE' De ns nc np ro j b s c a o d rdek o c ag a c u tcek e e wi a RF n io a ef nn o s u h s r e r r h r e c o n lr v n t n C h r uii t ts sa f onl t hour pe wor da ( 3 )Ac r ngl t Law J eq rng ha he tnd or y wo s r k y.TR 2. co di y,he udge c ude t tD e s i note tted t be ft unde e t rf de a pr a .See ce ,20 oncl d ha nni on s n il o ne is r ihe e r l ogr m , n. C. R.jj40 1 g)and41 920() F. 4.520( 6. g . De s a ald t de a ofhe c am sf dia lt i ur nc be ft a nnion ppe e he ni l r l i or s biiy ns a e ne is nd s e e als trt i om e be tt t t Soe a Sec iy A d i sr ton' Appe s Cound l uppl m nt ec ziy nc ne i s o he i l urt m ni t a i s al . H oweve ,t A ppe l Counc le nt ly a r he as i ve ua l dopt d t La J e he w udge' opi on ast fna dec s on s ni he i l i i oft Com m i si he s oner.H avi exhaus ed al avaiabl adm i s r i r edi Del i hasnow ng t l l e nit atve em es, m son a aedt de a ofhe ca mst t sc ur. ppe l he ni l r li o hi o t W hie pl i ifm a be di a e f c r a n f m s ofe pl ym e , he c uci lf l a ntf y s bl d or e t i or m o nt t r a adua l detr i to i whe he pl i ifwa dia e f a1f nnsofs t nta g nf e pl e m nai n s t r antf s s bld or 1 o ubsa i l ai ul m oyme . nt Se 42U. C.jj423( ( a 1 () The eaef ree nt ofpr whihmus be e S. d)2) nd 382ca . r r ou lme s oof c t c n iee i ma igs c a a ay i. e eee nsaes mma ie a f lo : 1 o j cie o sd rd n kn u h n n lss Th s lme t r u rz d s ol ws ( ) be tv me ia fcsa dciia tn n s ( ) h o iin a dc n l in o te tn p y iin ; 3 dc l a t n lnc li dig ; 2 t e pn o s n o cuso s f r aig h sca s ( ) s b e t e ie c o p y ia ma ie tto sofmpar n s a d s rb dtu ug acama ts u j ci vd n e f h sc l nfsain i ime t, s e cie l o h li n ' ve tsi y'a ( t cli ntsed ai vo to lhit y,esdua s ls a a Vie v. e tmon , nd 4) he ama ' uc ton, caina sor r i l kil, nd ge. tk Fi h,438F. 11 11 60( hCi.1 ) Undewoo v. biof, F. 850,851( h nc 2d 57, 59- 4t r 971 ; r d Ri c f 298 2d 4t Ci.1 ) r 962 . Afe ar viw oft r c d i t sc e,heco tti c tanedt c l t t whie tr e e he e or n hi as t tr s onsr i o oncude ha , l t e de ei i confi ,heComm iso r sde alofpli ifsa i a i f dia lt he vi nc s n lct t s i ne ' ni antf pplc tons or s biiy i ur nc be ft a s e e a s c iy i om e i s ns a e ne is nd uppl m nt l e urt nc s uppor e by s t ntale de e. e 42 td ubsa i vi nc Se U. C.j405( ; ysv.Suli n,907F. 1 3,1 ( h Ci.1 . uc ofDe s s S. g) Ha lva 2d 45 456 4t r 990) M h nnion' ar um e t t co r r r vol a o he dima wih t La J e' dec son t g veltl g nt o he nta y e ves r und r s y t he w udg s ii o i ite we g t t o ni t nde e by he teai physca - Dr Li ht ra Pe r - a t i ht o he pi ons e r d r r tng i ins s. g ne nd ry nd o i t a s t nta l r y on t opi onsofDr Le n a t saeage y physc a . coure nse d ubsa ily el he ni . e nd he t t nc ii ns Of s, D e s i e r ctt tt s e le ç r tng phys c a rle ' ne a l r qui e a c t o nni on s or e ha he o- a l d s ea i t i i n t ' ge r ly e r s our t l a c d gr a e wei t t t si onyofate tngphyscan.M asr v.Apf ,270 F. 1 , c or e t r ght o he e tm r ai ii to el 3d 71 1 ( h Ci.2001. rhels ,aLa J ehol t dic eint gi ls weg t t 78 4t r )Nevet e s w udg ds he sr to o ve e s iht o he t si on ofate tngphyscan i t r i pe s i c nta y e de e. c.I o he wo ds Cfa e tm y r ai i i f he e s ruasve o r r vi nc Ll n t r r , d i phys c a sopi on i nots i i n' ni s uppored by clni a e de e ori i i i t i c l vi nc f t s ncons s e w ih o he i t nt t t r s t nta evi nc i s dbea o d sg fc nty ls we g . J . q oi gCr i v. ubsa i l de e, t houl cc r ed iniia l e s i ht' ( ( u tn ac ' - Chae,76F.d 585,5 ( hCi.1 tr 3 90 4t r 996:.Ast FourhCic thase e syhed,aLa J he t rui xpr sl l w udge m a g ve ltl we ghtt a tea i phys c a sco us y o ni whe e t phys c a s o n y i it e i o r tng i i n' ncl or pi ons r he i i n' w m e c notsa t c am a ' da l a tvii sae i onsse wih hi medialopi on. a g, dial e nd he l i nts iy ci te r nc it nt t s e ni Cr i 7 F. a 590. eas 20C. R.jj404. 27( () 41 927( ( . 6 3d t Se lo F. 15 d)3 , 6. d)3) l t s c e,Dr Pe r t e t d D e s on s ve aloc as o t oug utt tm e ofhe n hi as . ry r a e nni on e r c i ns hr ho he i r aleg di a lt A ta m os e r a nt e ,De s de ed e r e i de e s o l ed s biiy. l t ve y ppoi m nt nni on ni xpe i nc ng pr s i n, a e y me or l s o m e aldit ba .See e. ,TR 701 l J y 20 Dr Pe r nxit , m y os , r nt sur nce , g. . n ul 08, . ry r omme edt ts rcevea e durlijci t alvit he i r sngne kpai ( ec nd ha he e i n pi a ne ton o le ae r ncea i c n. TR 783.l J nuay2009,Del s wa ad s t tphysc lt rpyma behel u.TR 77 )On )n a r mion s vied ha ia hea y pf l( 9. J 2,2009,Dr Pe not d t tDem ion' hi pa n a ba k pa n s m e t ha detror t d une . ny e ha l s s p i nd c i ee d o ve e i a e a a s d t ti w oul be he pf f r De m i on t l e w e ght( ts i notlkel t do s nd dvi e ha t d l ul o r s o os i ' he s bu i yo o d et he j it i a dlc o c mpin e'( 7 4)Du ighe J l 2 2 0 a p it n, u o r on pans n a k f o l c . TR 0 . rn r uy , 0 9 p onme t a ' Demionwasalr a ore e a de e de e so a a ey.( 70506. On Oco r l s e t nd intd, nd nid prsin nd nxit TR - ) tbe 13, 2009,De s c nni on ompli ofde e sonbutno a e y a a a e ore e Dr Pe r aned pr s i t nxit nd ppe r d int d. . ry not t ts co pl ne ofi r asng l rbac pai bu s ilc e f he t ee c l r n a ed ha he m ai d nc e i owe k n, t tl ar d or r hr hid e nd wor d ou sdet home.He a s a s s e he a pos es i mid de es i a bi a ke t i he lo s e s d r s s sng l pr son nd polr ds de .TR 71 -11) ior r ( 0 . On N ove be 1 2009, r Pe r c pl t a R FC a ys si whi h he opi t t m r 3, D . ry om e ed n nal i n c ned ha De s c d sta sand f ro yt hour i anor lwor da ne d t t kes ve a nnion oul i nd t o nl wo sn ma k y, ede o a e r l uns he e l m i e br aks d i t da c d ne rt i t soop, nd,orc ouc a w a c dul d o- nut e ur ng he y, oul ve w s , t be r h, nd s lkeyt bea e tfom wor a utf da pe mont asar ul ofhe i ime s.TR 754i l o bs n r k bo our ys r h es t r mpar nt ( 5 )DrPer as id c tdta De ns n se pein eo p i a dohe s mp o wo l 6. . ry lo n iae h t n io ' x re c f an n t r y t ms ud i e f r wih heral i n a c nt re e t tento nd once ta i t r que l 't ti,fom 34% t 6 ofa 8n r ton k e nty'; ha s r f o 6% n hour w o ki da N e rhe e s D r Pe y i i a e t ts w a c pa e ofpe f m i 1 sr s r ng y. ve t l s , . n' nd c t d ha he s a bl r or ng ow t e s j b , ie t ts wa S u rn l a l t f n to i 1w srs gmply n l'( 7 4) o s gv n ha he s ' re ty be o u cin n o te s e o me t. TR 5 . c ' De s al o a s t t tt La J nni on s s ers ha he w udge s d ha gi n gr a e w e g t t houl ve ve e t r i ht o he opi onsofDr Liht r whos w Demioneihttme .( 80 )l M ac 2008, .Li ne ni . g ne, a l s g i s TR 2. n rh Dr ght r f ndt the sr a oft ou ha r te m houghtwa l c ,r lva t c r nt a goa - r c e t ts wa s ogial ee n , ohe e , nd ldie t d, ha he s ore e a t the me ywa ç 'DrLiht ra s sdhe wihaGAF of511( intd, nd ha r mor s t ' . g ne sese r t OK. . TR 565. Thr h De mbe 2008,De io st ) oug ce r mzs n' houghtpr ese a aedl c , oheenta oc s s ppe r ogialc r , nd lne r Dr Liht ralonotdt ts wa e oye i aco i a. . g ne s e ha he s mpl d n nvenincesor ( 559 60. e t e.TR - ) Afe abr a i s r ceduet De s sl sofi u a ecove a Dr Li ne tr e k n e vi o nnion' os ns z nc r ge, . ght r c pl t d a N ove be 25 2009 RFC as e s e i w hi h he i c t d t the ha l ts e he om e e m r , 2 s s m nt n c ndi a e ha d as e n r i Se t m be 2009. . ght rno e t tDe m ion ha pos e s d a GA F o 60 w ihi t l s n pe r Dr Li ne t d ha r s d s se f t n he a t yea a t tme c tonha hel dhe smpoms ( 802.Ne rhels , . g nero ne r nd ha diai d pe r y t . TR ) vet e s Dr Liht pi d t ts wa lr yuna et mai a n at nto f t ho pe i ,mait n r gulr ha he s a gel bl o nti te i n or wo- ur rods n ai e a at nda e, k i c r na i wih ot swihoutbei dita t d,orunde sand a te nc wor n oo di ton t her t ng sr c e rt nd rme rdeaie i tuci ,ctngDe s stl ifc t g t me r l d! e mbe t ld nsr tons ii nnion' tdlfiuly wihl mo y m4 c e rton. ( 804- )Dr Li ne aloase sdDe s asha ngt r d' onc ntai ' TR ' 05. . ght r s s se nnion vi t ke ' ma 1 ego a a s s m e off nctoni ,o GAF iu e t rpoth ciiin'j d me t fhesbe ts v rl Th lb l s e s nt u i ng r ,s sd o e rte l ca su g n o t u jc'o eal n lve off nci ng. GAF s or ofbe we n 51a 60 i i c tveofmode aes mpt ormo aedifc t i e l u toni A c e t e nd s ndiai r t y oms dert fiuly n s il occ tonal ors hoolf toni Amerc Ps hiti As ocai Dignosi a St tsialM a lof oca, upai , c unci ng. ian yc arc s iton, a tc nd aitc nua Me tl s res4 (t e .e t e 2 0. na Diod r 7 4h d tx rv. 00 ) 2 t h t sa s s m e wass it dt t La l ubm te o he w udgea trt da eoft he r ng,t Law Jud i c td fe he t he a i he Alhoug hi s e s nt ge ndiae ta i wo l b c nsd r d i h sd cso a ln a i wa s b te p irt h swrte d c so ( 41) h tt u d e o ie e n i e iin s o g s t s u mitd ro o i itn e iin.TR . difc te i mai ai ng s i lf toni a i m ant ni c fi ulis n nt ni oc a unc i ng nd n i ai ng once r ton, r it e or nta i pe ssenc , pa .( 806. Dr Liht ro ne t tDemio si r nt woul c us he t bea e ce TR ) . g ne pi d ha r s n' mpaime s d a e r o bsnt fom wok a tf z da pe mont ( 807. r r bou olr ys r h.TR ) As t Co m i sone c r c l obs r , uc ofD r Peny' a D r Li ne ' opi ons he m s i r or e ty e ves m h . s nd . ght r s ni c r di t t ot r s t ntale de e i t r c d. a z, F. a 590.The e i no ont a c s he he ubs a i vi nc n he e or Cr i 76 3d t r s diput f e mpl ,t tDe s wa wor ng ba k-o- c ei s e, or xa e ha nnion s ki c t ba k ghthourda a t tmet t ys t he i ha t rlva RFC a s s nt we ec ee ( 42- 50-2,5 593.l co rs t he ee nt sesme s r ompltd.TR 46, 5 44, ) n nta to De s scli sa t he rng be or t La J nnion' am t he a i f e he w udget tafind ofher volmt rl di t ha re s t a iy d he mao i o tel t grq ie b t ij b3De n s nd s rb dh rd te o J n a y8 2 0 a j rt f h i i e ur d y hs o , n io e cie e uis n a u r , 0 9 s y fn iv l igt lto u p rb d mo e n 'a dr q iigh rt d tc r1s ev sa dwat )o n o vn & o f p e o y v me t n e urn e o l o k h le n ig n a ' s c tmes :1(jcoolr,a do()a1 oflfi pus nga puli '( 770.Ye Dr Pe r uso r, 1 e s nd ot itng, hi nd lng.'TR ) t . ry opi d t tDe s ss ne ha nnion' ympt swoul i e f ewih he a lt t wor f up t t t r of om d nt rer t r biiy o k or o wo-hids a ei thourwor da whieDr Li t ras e t t tDe nio c dn' m ant i n gh k y, l . gh ne s red ha n s n oul t i an co n r ton f r m or t n t o hour a a tm e. t r Dr Pe r s RFC i ca i n t t nce t a i o e ha w s t i Furhe , . r y' ndi t o ha D e s pos e s s s ver di fc tesw ih c nni on s s e e e f i uli t once t a i n a a t n i n i no r fec e i hi n r to nd t e t o s t e l t d n s teamen not . s r t t es The ame f ii be a l Dr Li ne ' smia fndi sr a di De s s alng f ls . ght rs i lr i ng eg r ng nnion' a t nton s n.Fori t nc D r Li ht ri ca e on hi RFC as es m e t tDe s n ha te i pa ns a e, . g ne ndi t d s s s nt ha nni o d û a ke 'm par e s ie.E o et n mode ae'lmia ins s e TR 806 wih r pe tt he d r d'i im nt . , s r ha m m r t' i t to , e t es c o r a t nton a c te i nd once t a i des t ac n r ton pie knowl dgi t ts r c nty pos es e a GA F of60, e ng ha he e e l s sd 3 fc s ,t t e e t tDemioncli t the findc m ei o7- e e r da t doa1helfi O oure o he xtntha r s amed ha r re a nt Elven ve y y o lt itng f he wihoutbengpai orbei notc byt pr m ie owne ,heLa J e' de en nai t beiveohe wie or r t i d ng ied he e s s rt w udg s t lni ton o le t r s i adecson s uar yw ihi hi pr r tv andcamotberviie byt sc t J hns v.Banha t43 F. 650, s ii q el t n s e ogaie r e st d hi our. o on r r, 4 3d 65 (t Ci. 0 5 . ec u t tsta,na ye e tDe ns nsil a t c n e taea sa do h ro dlig 3 4h r 2 0 )Th o rnoe h t i n v n, n io tlh d o o c nrt nd tn n e wn t n r ea h oft da t s wor c he ys hat he ked. w hi h i i c tve ofonl t ode a e' s pt s4 c s ndi a i yt m r t ' ym om , Ot rs t nta e de i t r c d a s c r c st RFC opi ons r nde e by he ubs a i l vi nce n he e or l o ontadi t he ni e rd D r . ny a Li ne .On M a c 26,2008, o e m pl D e s r por e t ts lve al s Pe nd ght r rh f r xa e, nni on e t d ha he i d one w ih he tle c l e w oke da l a 6: a m . o g the gil r a f s hool peror ed t r l e hidr n, r iy t 00 . t e r rs e dy or c , f m hous wokf a oxi t yt hour awe k,was ddihes a prpardf dal ( e r or ppr mael wo s e he s , nd e e ood iy.TR 199- )Sheas drvesac r ( 5 ) 206. lo i a .TR 44. W ih r pe tt he physca i im ii s a M ar h 2008 M RIoft l ba s ne s e t es c o r i l nfr te , c he um r pi how d f ce a t r pa hy a a di c pr us on a 1 4- t hi h do notca e m or t n m id ce t a a t r h o t nd s ot i t . 5 û c es w us e ha l nrl ca lorf a na senoss'( 796.AnMlloft kne donea t s tmes d na ormi l t i.'TR ) t he e t he ame i howe mi ma de nertvec ng . TR 797.AnAprl2008MR.oft cewi ls ner ve l mid ni l ge ai ha es ( ) i I he l ca pi e aed l d e r tves ndyl i , t mid dicbul sa mid bia e a f r na na r ng a C5 6 eg ne ai po oss wih l s ge nd l lt r l o ami l rowi t - a C6 7.TR 7 1)Afe r ve n af l w-pc r ia CT, . l a v s dt a s r eywa nd - ( 9 . tr e iwig ol u evc l Dr Hem d ie h t u g r s o lke y unwa r t d, ef r i i t d t pur ue C gr s i c e va i m e s r sw ih phys c l i l r an e pr e rng nsea o s t e sve ons r tve a u e t ag ia te a ya de d rlseodijcins'( 69 .Dr Chrc et smi rya v sdi Oco e h r p n piu a tr i ne to . TR 8) . iih ti i l l d ie n tb r ' a 2008t ts e ol i aphysc t rpypr a t i ovehe rngeofmoton.( 59 )I ha he nr l n ialhea ogrm o mpr ra i TR 4. n De e be 2008,howe r De s a s d he pr de st ts wasti no wa i e esed i cm r ve , nnion dvie r ovi r ha he ûn y ntr t n a yt p o c r ia e iu a se odij cin. S eas d so tn e he p ysc lhea yo h r n y e f ev c l pd r l tr i ne to ' h lo ic n iu d r h ia t r p n e ' own a c d,pr c or omptng Dr Chii tit not t tC a e r nni ou ofoptonsa t spoi . i . rche' o e ha t r u ng t t we i t hi nt' ' ( 68 .W h n o J ne7 2 0 De ns nr c ie al mb re d rlseodij cin s e TR 9) e , n u , 01 , n io e ev d u a piu a tr i ne to , h ad te t tiea e he pai ( 8 ) mitd ha t s d r n.TR 22. Denni spr der concurt therhi dys asi woul beneftf om s gi son' ovi s ha p pl a d i r ur cal 4 es anot l Se upr e . 8 i e v nton bu w ilnota t pti,due t t i r s d s gi alr s a s a e w ih he nt r e i t l tem t o he nc ea e ur c i ks s oci t d t r obest G i n he f l e t r uce he obe iy t ough di t r orot rm ea ur s how e r iy. ve r aiur o ed r s t hr ea y he s e, ve , te tngphysc a havea itd t tDemio kski ofa a sa tl'i t nnsofr med ng r ai ii ns dm te ha l s n ' nd t tndsil'n e i e yi he aime .( 8 TR 263,704,821 837. r l nt TR 21; , ) The ups oft e de e i t sc e, n o he wor ,i t tt a tvii s de a d by hot he vi nc n hi as i t r ds s ha he c i te m nde De s sc e nnion' ont mpor ouswor anddaiy hous hol t s belehe te mentpr de s ane k l e d a ks i r r at ovi r ' as e tonst the m e alhe t i pa r e s a e di a i a de ons r t t the phys c l s ri ha r nt alh m im nt r s blng, nd m ta e ha r ia aim e sa e e t rnon- biia i o pot nta l tea a e. s co s a r m edi bl i pa r e l nt r ihe de lt tng r e i ly r t bl tof ur e, e a e m im nt i notdia i 'Dumasv.Sc i ,71 F. 1 45,1 ( Ci.1 ) I f l t tt s sblng.' hweker 2 2d 5 553 2d r 983 .t olows ha he La J w udge di notr ve s bl e ri a c di t RFC opi o ofD r Li t a D r Pe r d e r i y r n c or ng he ni ns . gh ner nd . r y l s t n co r lng wei .Cr i 76 F. d a 590. e s ha nt oli ght a g, 3 t Gi n t ti w asw ihi t La J ve ha t t n he w udge' d s r ton t di c s i c e i o s ountt opi onsofDr . ny he ni s Pe a Li ne , he co tc n onl c l t ts t ntale de e s nd ght r t ur a y onc ude ha ubs a i vi nc uppors t La J t he w udge' s uli a e de e m i ton t tD e s n i note il d t be is Fis ,t c tca ta e w ih tm t t r na i ha nni o s ntte o neft . r t he our nno gr e t Den s n' c e i t tt Law J ni o s ont nton ha he udge e r d r ve sbl i conc udi t the m e a re e r i y n l ng ha r nt l i imiisdonotmee t C ' rtraoft i imenslse i j 1 04a 1 06. Se 20 nfr te the G c ie i he mpar t itd n j 2. nd 2. 5 e B' C. R.jj404. 26a 41 926.Se tons1 0 a 1 06ls afci dio desa a ey F. 15 nd 6. ci 2.4 nd 2. it fe tve s r r nd nxit r lt d dior r ,r s c i y,a i r e si ce ti s mpt sa em e c ly do ea e s de s e pe tvel s mpaim nt f ran y om r di a l cume edi nt n c nu cinwi ç t e s t o t ef lo n ' o j n to t d la two f h olwig' ha : 1 M a ke r t i ton ofac i te ofda l lvi or . r d es rc i tvii s iy i ng; 5fa camant s f r f om a ls e i r t t cai a m us be detr i d t be dia ed,wihou uf e s r i t d mpaimen , he l m nt t l 1i em ne o s bl t t c n ieain o s c fco sa a e e u ain a d p irwo k e p re c .S e2 C. R.j 4 4l 2 ( a d o sd rt f u h a tr s g , d cto , n ro r x ein e e 0 F. j 0 .5 0d) n o 41 .2 ( ) 69 0 d. 9 2.M a ke difc tesi mant i ng s i f to ng;or r d fiuli n i ani ocal unci ni 3. a ke difc tesi ma n a ni c e r ton, r it nce orpa ;or M r d fiuli n i t i ng onc nta i pe sse , ce 4. pe e epi ode ofde om pe a i e ch o e e d dur ton. Re at d s s c ns ton, a f xt nde ai See20C. R. . SubptP,App.1 jj1 04( ,1 0 B) F. Pt404, . , 2. B) 2.6( . A cai ntbe r t bur n ofpr t e tbls t ts mee sore salse l ma a s he de oof o sa ih ha he t qual it d i ime . sv.Chae,65F.d 1 1 ( hCi.1 .kzracama t s t thi mpar ntPas tr 3 200, 203 4t r 995) io li nt o how ha s l i pa nne m a che a ls i i m us m ee a 1oft s c t e m e c lc ie i An i pa r e t m i nt t s i tng, t t t 1 he pe ii d di a rt ra. m im n t tm a f t onl s e oft e c ie i no m a t rho s ve e y,doe notqua iy.' lva v. ha nies s y om hos rt ra, te w e r l s lf ' Suli n Ze e 493U. 521 530 (990) Hee,heme ca rc di ce rt tDe s sme al bly, S. , 1 . r t di l e or s la ha nnion' nt i ime sdonottstsl aloft ciei'i jj1 0 B)a 1 06( .See20C. R.j mpar nt ûaify) l he rtra'n 2.4( nd 2. B) F. j 40 1 25d) 41 925( .A Ma 2008ps c arce l tonfom asaea nc physcin 4.5 ( , 6. d) y y hiti vauai r tt ge y i a detr ne t tDemion' i r nt di no me tt lsi i jj1 04( a 1 06( . emi d ha l s s mpaime s d t e he itngs n 2. B) nd 2. B) ( 49 49 )A s ondsaea nc physca ma t smefndi i J r 2009.TR TR 4, 6. ec tt ge y iin de he n i ngs n anuay ( 651, 667- )AlhoughDr Li ne ' RFC ase s n i c tdt tDe s ha make 654, 68. t . ght rs s sme t ndiae ha nnion d r d lm ia i i s ve a f tona a e s t La J i t tons n e r l unc i l r a , he w udgeha t di c e i t di c d he s r ton o s ounthi opi o s ni n bas on t f c t ts wasacualy wor ngeihtho da a t s m etm et thes i t t ed he a t ha he t l ki g - ur ys t he a i ha ad ha s w a una e t do s Ac r ngl t co tc l otc ude t tD e s ha m e he he s bl o o. co di y, he ur a m oncl ha nni on s t r bur n t s de o how t the i im ii m e tore ha r nfr tes e quala lsed i paim e .Pa s 65 F. a 1 i t m r nt s , 3d t 203. Se ond, ubsa i le de es ppo td t La J e' de e m i ton t tDe s n c s t nta vi nc u re he w udg s t r na i ha nnio pos e s t R FC t pe f ' he pa tw or asa r t lc hi ra t pe f r a lm ie r nge of s s es he o r ol m r s k e ai as e nd o r o m i t d a lg twok. heLa J d er se hsc n l inn t nyo teo j cieme ia rc r , u ih r T w u g e td i o cuso o o l n h b e tv dc l e od b t al o o t a s s m e t oft c ula i phys c a a s ve als a e a nc phys c a t t s n he s e s n s he ons t tve i i n nd e r t t ge y i i ns ha w e e r e e i t s c s I i w e ls te t t whe e t he m e c e r t s i ony f om r end r d n hi a e. t s l- etl d ha , r û t di al xpe t e tm r 10 e mi ng orteai physc a g sbot wa ,adee m i ton c i do on t sdeoft xa ni r tng ii ns oe h ys tr nai om ng wn he i he no e m i ng, n-r a i phys c an s d sa ' Sm ih v.Sc n- xa ni no t e tng i i houl t nd. ' t hwei r 795 F. 343,3 ke , 2d 46 ( hCi.1 . t s met n,i wasnotrveri eer f t Law J t r l upo t 4t r 986)By he a oke t e sbl ror or he udge o ey n he o ni o t s a e a ncy a c ula i phys c a i lgh oft i ons senc esbe w e n pi ons f he t t ge nd ons t tve i i ns n i t he nc i t i t e t m e c lr or a t RFC a s s e sofDr . ny a Li ht r M a to,270 F. d a 1 he di a ec d nd he s es m nt s Pe nd g ne . s r 3 t 78. Se as Sea rs v. enbege,538F. 1 1 5 ( hCi.1 (çIti t e lo cit W i r r 2d 054, 056-7 4t r 976) $(j s he r pons biiy oft Sec e a y and no t cou t t r onc l i ns s e i s i t m e ca es i lt he r t r t he r s o ec ie nco i t nc e n he di l e de e, nd...ti t cama whobe r t rs ofno ruaso ' vi nc a i s he li nt as he ik npes in.). Fo e m pl ,i M a 2008 Dr Am os a s a e a nc phys ci n, m pl t d a phys c l r xa e n y , . , t t ge y i a co e e ia RFC a l i . f e r vi i he m edi a r c ds he de e ne t tD em i on c d na ys s A t r e ew ng r c l e or , t nni d ha l s oul oc s o ly lf orc ny t e y po ca i na l it a w nt unds c d sa ors tf a l as s x hour i a t ca w o k , oul t nd i or t e t i s n ypi l r da mz c doc a i l ci balnce soop,kne ,couc orca .( 504- ) y, d oul c sonaly lmb, a , t el r h, rwl TR 06. D e s sr co dsw e e r vi w e a i by sa e ag nc physci nsi N ove be 2008. t r nni on' e r r e e d ga n tt e y ia n m r Af e r vi wi t M R1 a r or r fe tng D e s n' i r as d c pl i s ofba k pa n a e e ng he s nd ec ds e l c i nni o s nc e e om a nt c i nd m i r i ,a t ng i o a co tDenni o sc e por ne wor a da l ac i tes D r g a nes nd aki nt c un s n' ont m a ous k nd iy tvii , . Vi a s s dhe physca RFC i t mst tlr l mir e t er a hedb Dr Amos ( nh sese r i l n er ha agey rord hos e c y . .TR 601607. - ) l J nua y 2009,D r Le n c n a r . e onduc e a c ula i e t d ons t tve xmni ton w ih De m ion w ih na i t l s t r espectt herm ent healh i i m ii Dr.Leen f o al t nfr tes. ound hert be gr l or ent and not t o ossy i ed ed hat he t houghtpr s esa a co r t no g os l il ca a m idl dit a tbl or rl t oce s ppe r nc e e, t r s y logi l nd l y s r c i e tnge il'( 646. Fi ngt ts a rdde e sda irt e, . nas obsr ed a nta. TR ' ) ndi ha he ppeae prse nd riabl Dr Lee lo e v t s coul gi onl vague account ofpani atacks and oft di hat he d ve y s c t he scom f s f ti ort he el n cowdedst to .TR 646.Dr Le nopi dt tDe s n s fr fom mooddior e , r iuains ( ) . e ne ha nnio ufes r s dr anxi y di derw ih soci phobi and pos -r atc s r di der wih pani f ures.H e et sor t al a, tt aum i t ess sor t c eat a s s dhe a posesi aGAFof5 a t tmeofe mi ton.TR 6 )Basd o hi sese r s s sng 3 t he i xa nai ( 47. e n s e m i ton,Dr Le t nde e t f l i f to la s s e ' xa na i . en e r d he olow ng unc i na s es m nt . Se nd r t t cli a ' dys i ,di nihe e r ,a l ousdic or i co a y o he am nts phora mi s d ne gy rxi s omf t n s i lst i a pa ca t ks s i c r nty una et c it ntype f r oc a iuatons nd ni tac , he s ure l bl o onsse l ro m com pl x o c le ng w or a tvii wih o w iho a t o s r i i e r ha l ngi k c i tes t r t ut ddii nal upe v son. Fr t s a om he t ndpoi e us ve y ofhe ps hol c lf toni and ps hi ti nt xcl i l r yc ogi a unc i ng yc a rc s pt s w ihoutr ga d f he phys c lm e c lco t o , he i cu r n l ym om , t e r or r i a / di a ndii ns s s r e ty a et co it ntype f r r ltvel sm pl a r pe ii wor a tvii i a bl o nsse l ro m e ai y i e nd e ttve k c i tes n tm el a a opr a e m a m e .She i a e t m a nt i r i bl a t nd e i a i y nd ppr i t r r s bl o i a n ela e te anc n wor pl ea t stme.Shei abl t a c pti tuci nsfom s r ior a k ac t hi i s e o c e nsr to r upe v s s nd dea a opr a el wih co or r a t publc o a c it ntba i .She i a e l ppr i t y t w ke s nd he i n ons s e ss s bl t c o ompl t anor wor ee mal kwee wihou i er i r uli fom he mood k t t nt ruptons es tng r r di or rand a e y s pt s She i cur e ty ge r ly a e t de lw ih t s de nxi t ym om . s r n l ne a l bl o a t he us lsr s or ofc pe ii w or ua t e s s om ttve k. ( 648. OnJ nuay29,2009,at r saea nc p ii smial deemi dt t TR ) a r hid tt ge y hyscan i lry tr ne ha Demion' me a RFC al dhe t pe fnu smpl,r tnewor aci t ( 668. r s s ntl lowe r o ro i e oui k tviy.TR ) M or ove , he e i no di put t tDe s w o ked a t l velofs t nta ga nf e rt r s s e ha nni on r t he e ubs a i l i ul e pl e be w e n J m oym nt t e anua y 1 2008 t a l ge ons tofhe di a lt - and De m be 31 r , - he le d e r s biiy ce r , 20 Shec i d t wor t h ata s wha r duce e r ngl ve- a ac hira 708. ontnue o k- houg ome t e d a ni e l s as e t El ve t oug t da e oft he r ng bef r t La J e n hr h he t he a i o e he w udge i w hi pos ton s t pi a l , n ch ii he y c ly wor dsxhour o Frda eg ho sonSalr y,a ei hour onSunda ( 46. ke i s n i y, iht ur tzda nd ght s y. TR ) A lhoug t r co d i c t t tD e s s d s m f r m a ha i r as t a d t l te t h he e r ndi a es ha nni on' i co o t y ve nc e ed ow r he at r pa t t stme,De s n doe no c e t the co tonEsgniia gyq'deeirtd r of hi i nnio s t ontnd ha r ndii si fc ntl ' troae be nd is s a e dlr ng t tm e a w hi h s w or d a t s t ntalga nf l ve .Se Cr i , yo t t t z i he i t c he ke t he ubs a i i ul e l e a g 76 F. at596 n.7.Thus,i 3d nasm uch asheri paim ent afli ed her,pr ort Sept ber30, m r s t ct i o em 12 201 to vit lyt s m ee e ' a t y di du i t tm es wa silwor ng,s c nnot 0, û rual he a t xt nt' s he d rng he i he s tl ki he n bede me dia e Ca he v. nc 426F.d 891, ( hCi.1 0) e d sbld. ut n Fi h, 2 892 4t r 97 . The c tha c r uly r vi wed t e de e s bm it d a t t La J our s a ef l e e he vi nc u te fer he w udge' de i i n, s c so buthasde e mi t tnoneofi i i onsse wiht La J t r ned ha t s nc itnt t he w udge' uli t de alofbe ft s tma e ni ne is t De s TheFe ar 26, o nnion. bnz y 2010m e c e l ton pr dedby Dr Pery, ore mpl i dial vaua i ovi . r f xa e, s smpl toconcus yt s ti pli ifsbur nofpr a se f .TR 81 11)Se Bowe i yo l or o usan antf' de oof t tp our ( 0- . e n v.Yuc r,482U. 137,1 n.5(987 (li n be r bur nofpr u i se tveoft ke t S. 46 1 ) cama t as de oof ntl tp i he s q e ta a ay i) W hl De n s n sc mpan so fb o agcp i a p a t h v ic e s d e u nil n lss. i n io ' o lit f ir my li an p e r o a e n ra e e ove tm e, he r por e i J nua y 201 t the s pt m shad be n pr e f t pas ye r r i s e td n a r 0 ha r ym o e es nt or he t a . ( 8 )Shede e de esi a an eyi Fe uay201 ( 85 ,wasae t nd ointd TR 40. nid pr son nd xit n br r 0 TR 2) lr a re e i Aprl201 ( 860) a wa de me l c la c rntdli aps hiti vii i J n i 0 TR , nd s e d ogia nd ohee trng yc arc st n une 201 ( 863. l wasnotdi J 201 t ts wassildrvi ( 851)De s nalo 0. TR )t e n une 0 ha he tl i ng.TR . nnio s n td i J n 20 0t a almba e il a seodij cin g ves merle t h rp y ia p i oe n u e 1 h t u r pdz l tr i n e to a o eif o e h sc l an. r ( 8 - , TR 2122) I de e m i ng D e s s RFC,t La J n t r ni nni on' he w udge e s ntaly i r r e Dr Le n' s e i l nco po at d . e s m e a RFC a s s e a hi ow n a a e t phys c RFC as e s e s s nt l s es m nt s s nd dopt d he i al s s m nt ugge t d by t se he saeage yphyscins ( 1 )I rs ns t t La J tt nc i a . TR 6. n epo e o he w udge' prmayhy t tc lt VE s i r poheia,he a s dt tt r uli RFC woul al f e oy nta acahir ( 26.Ac r ngl dvie ha he es tng d low or mpl me s s e .TR ) codi y, gi n t evi nce ofD e s s d l a tvii ,he c e po a ousw o k du i , he m e c ve he de nni on' aiy c i tes r ont m r ne r tes t di al r c d,a t RFC as e s nt ofe ed b t cons t tveph i a a t sa eag nc e or nd he s s me s f r y he ulai yscin nd he tt e y ph i i ns i t sca e t c tca onl co ude t tt La J ys c a n hi s , he our n y ncl ha he w udge' de e m i ton t t s t r na i ha De mi o pos e s t a lt t r t n t he pas r l va w or a a ca hi rort per o m a r s n s s es he biiy o e ur o r t e e nt k s s e o fr 13 lm ie r ngeoflghtwo k i s i td a i r s uppore by s t n i e de e. ys 907F. a 1 6. td ubsa tal vi nc Ha , 2d t 45 Fort r a ons sat t c tbe i ve t tt Co m i s one ' de a ofpl i if s he e s t ed, he our le s ha he m s i r s ni l a ntf c ai f di a lt i ur nc be ft i s l m or s biiy ns a e ne i s s uppor e b s t n i e de e.l f l st tt t d y ubs a tal vi nc t olow ha he Com m i sone ' fnalde s on i t s c s m us be afim e I a fr i t Co m i s one ' s i rs i ci i n hi a e t fr d. n f im ng he m s i r s fna de i i t c tdoe no s es t tD e m i o i f e ofa lpa n,di c f t a i l c son, he our s t ugg t ha l s n s r e l i s om or , nd wea s . nde d, hemedi lr co d c imst ts ha s f e pan a dic f to a kne s l e t ca e r onfr ha he s ufer d i nd s om or ver pr r c e pe i oftm e.N e rhel s i m us be r og z d t tt i biiy t do w o k ota t d r od i ve t es , t t ec ni e ha he na lt o r wih u a ys j cieds o o t o sn to is l rn e acama t oal d sb e . ag 7 t o t n ube tv ic mf r d e o f tef e d r li n t tl ia ld Cri, 6 y F. d a 59 95.As ha be n no e i a a s t t c ur t tt A dm i s r tve Law J 3 t 4s e t d, t ppe r o he o t ha he nit a i udge c n iee al ft s b e tv fco sra o a l s p o tdb t me c l e o di o sd r d 1 o he u j cie a tr e s n by u p re y he dia rc r n a j dc tn p an ifscamsf rb n ft.tf l wsta al a eso t eCo sin rsfn l du iai g litf' li o e e i I ol h t l fc t f h mmiso e ' i a s o dec son a e s i i r uppored by s t tale denc . t ubsan i vi e A s a g r lr e, es u i ofc l c si t e de e i a m a t wihi t pr nc of ene a ul r ol ton ont i t n he vi nc s ter t n he ovi e t Com m i sonere n i t cour m i htr s l t c l c sdi f e l he si ve f he t g e o ve he ont i t fer nty.R i ha ds 40 U . c r on, 2 S. a 400. nhem v. nc 495F. 396(t Ci.1 . t r s saed,hec tfnds t , Oppe i Fi h, 2d 4h r 974)For he ea ons tt t our i t Comm isone ' r ol i n oft pe tne co lc si t r c d i t sc et bes he s i rs es uto he ri nt nfit n he e or n hi as o uppore td by s t nta e de e.Acc di y,t fna dec s on oft Com m i s one m us be a fr e ubs a i l vi nc or ngl he i l i i he si r t f im d. La , F. a 642. a opraej me ta or rwilbee t rdt sda ws 368 2d t An ppr it udg n nd de l n ee hi y. The Cl r i di e t d t s nd c tt e c esoft sopi o t a 1c e k s r c e o e erii d opi hi ni n o l ouns lofr or e ec d. ENTER:Thi t s A dyo J l, 11 a f uy 20 . CHI UN I EF TED STA TES DI STRI JUD GE CT 14

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