Oaks v. Pane et al, No. 7:2011cv00041 - Document 29 (W.D. Va. 2011)

Court Description: MEMORANDUM OPINION. Signed by Judge Jackson L. Kiser on 09/14/2011. (kab)

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eL :OFFI U. Dl esur ERK' C: :. sm A MFVIL V J N LE,A D Sl ,h Ek (I 1 0 I TH E UN I N TED STA TE S D I STR I CO UR T CT FO R TH E W ESTERN D I STR I O F V I G I I CT R N A R O AN O K E DIV ISIO N JUL BK . JER RY R .O A K S, Pl ntf ai if, M EM O R AN D U M O PI I N N O D R .PA N E,etal, . D ef endant s. C Ci lA ct on N o.7: vvi i 11-c 00041 V. ,c RK By: H on.Jackson L .K i er s Seni U ni ed St es D itri Judge or t at s ct J ny R.Oaks a V igi a i a e pr ee ng pr K , ie a c vi r g s c pl i t e , r ni nm t oc di o f l d i l i ht om a n , . purua t Bi nsv.Si Unkno Na e Ace sofFe r lBur a ofNa e i s 403 U. 388 s nt o ve x wn m d nt de a eu r otc , S. ( 9 ) a dwi t idito v se i 28U.. j 1 31 Plitf na sDr Pa n laf r r 1 71, n t z s cin e td n hj r SC. 3 . anif me . y e , ' me o fclt physcina t Unie SttsPe tntayi Le Count Vigi a(û Le ')a a iiy i a t he td ae nie ir n e y, r ni û USP e', nd Ka e La brght U SP Le sHeat Se viesAdmi sr t r La i tl amoton f rn m i , e' 1h r c nita o . mbrght ied i or s mmayj d me t a dp an ifr s o d d, kn t matr iefrds o iin Afe u r u g n , n litf e p n e ma ig he te rp o ip sto . tr rviwigt rc r , g a t mb ih ' moi nfrs mmayj d me ta dd s s wi u e e n he e o d l r n La rg ts to o u r u g n n imis t t ho prj cet cai agans Dr Pa eudi he l ms i t . yne. On O d obe 7, T 2009,a a ound l1 a. . Oa f te r m e y s r pa ns i hi s o a h tr m , ks el xt e l ha p i n s t m c a g oi O a a rve a U SP Le s H e lh Se vi esD e rm e be w e n 11: a.m .a 1 30 nd r n. ks r i d t e' a t r c pa t nt t e 30 nd 2: p. c ani ofpai i hi rghttsil Co . La i tAf.De .sBr Supp. ot m. ompli ng n n s i e tce.( mpl6) mbrgh f ( f' . M . Summ.J ( 1 )! 5'M e ca R.($ . ' ( 1 2)2. nureprcii re l t .no. 7) ( , di l û R.) no. 7- )A s a ttone vauaed M ' pl i t f , e m id s eli i hi r gh s r a a e , a r comm e d a e ge y r a n if not d l w lng n s i t c ot l r a nd e nde n mer nc oom cons t i t r e outt tcul t si Dr. Pa t n e m i d pl i if de e m i t thi ulaton o ul es i ar or on. yne he xa ne a ntf , t r ned ha s 1A lhough pl ntf c l he Dr Pa he core tna ei Dr Pa t ai if als r . ne, r r c m s . yne. Shei t ph i a wih whom USP Le s he yscin t e conta t d t pr de m e cals r ce t isi m at . r c e o ovi di e vi s o t n es s ympt wer consse wih e di ym ii,2w hih i i l oms e it nt t pi d ts c s nfamm a i c monl c us d by ton om y a e i e i and i e d on pr s r bi hi i of n a a i otcs a ntf as D r Pa ne t nf cton, nt nde e c i ng m bupr e nd ntbi i .Pl i if ked . y o r c i erhe di gnos s be us he di notag e w ih i . Due t dif r ng opi ons fom t e ons d r a i ca e d re t t o fe i ni r he nur e pr c ii r a Dr Pa ne,H e lh Se v ce A dm i sr t Ln br g w a c a t 3 s a ttone nd . y at r i s ni ta or m i ht s ont c ed. A fe co uli w ih m edi ls a f s a ot rm e c ls a fde de t s nd O a t a t r ns tng t ca t f , he nd he di a t f ci d o e ks o hos t f f t eval i pial or urher uaton. Oaksw asm ove t a m e ca hol ng c lw hie a r nge e s wer m a t t a por d o di l di el l r a m nt e de o r ns t or he pia t 47 hi t t hos tl4 Oa sl tU SP Lee f t hos t la 2: p.m . nd wasadmit a 3: m o he pia . k ef a ted t 44 p. . An ulr o mdpe f m e a trhi a rva s m tas t ror d fe s ri l howe al c ofbl s ppl t hi rg d ak ood u y o s iht t s i e, hi h r quie s ge y. O a i m e a el und w e a oper ton t tr ule i t e tcl w c e r d ur r ks m di t y er nt n a i ha es t d n he nec s a yr m ovalofhi rg t si l Pl i ifr t nedt USP Leet e da lt ron Oc o r esr e s i ht e tce. antf eur o hr e ys ae t be 10,2009. Pl ntf a l est tt def nda swe edelbe ael i fe e t hi s rousm e ca ai if leg ha he e nt r i r t y ndif r nt o s e i di l nee ,i vi ai oft Ei hAme nts( d n olton he ght ndme . Compl! 1) Pli ifwr ed ve Adi ( . antf ot d ns on 403 Bi U. 388( 9711'ont frtpageofhi Compli ,a her tr t i hi r pons t S. 1 )' he is s ant nd eie aes n s es e o La i htsm oton t tû hi i notamedi lne i nc cl m butadelbe a ei fer nc t mbrg ' i ha û s s t ca glge e ai i r t ndif e e o s rousa ur ntme c lne dscli .' Pl' Re p.no. )7. Pli ifrquessa r ifup ei nd ge dia e amll'( .s s ( 25 ) antf e t s ele 2Pli ifdes rbesepi d tsasti e mitntorr c rngs lnga pai i t e di s t snzt r t t antf c i diymii çntr te e uri weli nd n n he pi dymi he t c u e ha , sro n stetsil. ( .sRep t De. Mo. u J (o. )8(iigAnd ro v. tdSae, 1 U . u ru d h etce' Pl' s .o f' tS mm. .n 25 ctn ' s es n Uni tts 996 S. e LEXI 1 7 2( De. 9 )) S 2 2 D. l1 96. 3TheHeat Se vi sAdm i sr ori a a i sr i poston. La brghtdi notpes l te Oa . lh r ce nitat s n dm nitatve ii m i d ronaly r at ks l t a ns e d, s r i onmedialpr e sonal,lket nur eprcttone a Dr Pa t dignos andtea i aes he eles c ofs i s i he s a ii r nd . yne o a e 4 r t nm t . La i hta st t spr edur i a c mbr g ver hat hi oc e s omm on pr a i t mi mi s urt rs when an i a eknowshe i ec uton o ni ze ec iy i ks nm t s lavi t prs t alow m edialsa fease ac s t hi , a t r et tmene d t s eyes t m out e ng he ion, o l c tf ir ce s o m nd o educ he i ede o afl cor hi oft thi s urt c r tonalfciiy. ha gh-ec iy oreci a lt 5Pli ifi udedw ihhi Com pl ntalte de ngpl ntf sa i srtver m edispurua t t Fe r antf ncl t s ai etr nyi ai if dm nitai e e s nt o he de al To t amsAc (:TCA' .Th lte no e t a h c u dn t u s ar me y t t ea lg d Eih h Ame d n r Cli t: F ' e e tr t s h t e o l o p rue e d o h l e g t ) e n me t t $500, i da a . o 000 n m ges I. 1 SUMM ARY JUDGMENT STANDARD A pa t i enil t s ry s tted o ummayj me ift pladi ,hedic r a dicos e r udg ntd he e ngs t s ove y nd s l ur i ma e i son fl a a a fdaviss t ral ie, nd ny fi t how t tt r i no ge ne is ast a ma e i f c a ha he e s nui s ue o ny t ral a t nd t a t emo n i e t ldt j d me ta amatro lw. Fe R. v. 5 () M aeil a t h t h va t s ni e o u g n s te f a ' d. Ci P. 6 c . tra fcs t ' a et ene es a y t e t bls t e e nt ofapa t sc us ofaci Ande s v.Li rv r hos c s r o sa ih he l me s ry' a e ton. r on be t Lo ysI , U. 242,248( 986) ge neis o maei fc e ssi,nviwi t bb nc.477 S. 1 .A nui sue f tral a t xit f i e ng he r c d a alr as bl i e e e dr wn t r fo i a lghtm os f vor bl t t none or nd 1 e ona e nf r nc s a he er m n i t a a e o he movi ng pa t ar s na e f c -i rc dr t n aver c f t no m ova .L. Them ovi pa t ry, ea o bl a ttnde oul eur dit or he nnt ds , ng ry ha t bur n ofs i - t ha i , ntng outt t di ti tcour - t tt r i a a e e of s he de how ng t t s poi i t o he sr c t ha he e s n bs nc e de t s vi nce o uppor t no t he nmovi pa t sc e. Ceot x Cor v. tet 477U . 31 325 ng ry' as ' l e ' p. Ca r t S. 7, ( 986 .l t movantsts st sbur n,he t non- ntmus stf t s cii f t 1 ) f he aiie hi de t n he mova t e orh pe tc acs ad i s bl a e de e t tde ons r t t e s e e ofa genui i s off c f ti l Fe R. m s i e s vi nc ha m t a e he xi t nc ne s ue a t or r a . d. Ci P. 6() j.a 3 2- .A pa t i e tte t s mmayj d me t f h r c r a awh l v. 5 c ..s t 2 23 ,l ry s n ild o u r u g n i t e e o d s oe c d notl a ar tona ti off c t fnd i f voroft nonoul e d ai l rer a t o i n a he movan .W ilamsv.Grfi 952 t li ifn, F. 820,823(t Ci.1 ) 2d 4h r 991 . Co v rey s mma yj d me t sia prpraei t e i e c i s fiin fra n e s l, u r u g n i n p o it f he v d n e s u fce t o r as bl f c -i rt r t n ave diti f voroft none ona e a tfnde o e ur r c n a he movi pa t Ande s , 477 U . ng ry. r on S. a 2 .Ev n i t r i nods u ea t t e i nir f cs sz r j d me t sas n t t 48 e f hee s ip t s o he vde tay a t, l mmay u g n i lo o appr i e w her t uli a e f ualconcl i t be drawn ar i di put . O ver r tv.Kv. oprat e he tm t act usons o en s e stee vi a i vi t FTCA,cii i s ol ton a he tng n uppol FDI v. Me e, 1 S. . 9 (9 4 . ' C t v r 1 4 Ct9 6 1 9 ) Ce t Liel . , 5 F.d9 , 3 ( t Ci.1 91.A c u t yn ih rr s v d s ue n . f ns Co.9 0 2 31 9 7 4h r 9 ) o r ma et e e ole ip td fcsorweg t e de e, s lv. ir yneCop.65F. 1 at ih he vi nc Rusel M cod r, 3d 229,1 ( hCi.1 , 239 4t r 995)nor ma deemi tonsofc e biiy,Sosbe v. p 797F. 179,1 ( hCi.1 ) ke tr nai r di lt e e Murhy, 2d 82 4t r 986 . Ra he ,t pa ' o t r he l y ppos ng t m oton i entted t ha hi orherve s on oft f c s a c e t i he i s il o ve s ri he a t c ept d ast u a m or r e nd, eove ,t ha a li e a confi t r s ve i hi orhe f vo . Cha bonna s de r o ve l nt m l lc s e ol d n s ra r r ce Fr nc v.Smih,597F. 406,41 ( h Ci.1 ) a e t 2d 4 4t r 979 , Ho ve,tg henopposngpa testlt difrntso i , ofwhihi bltnty we r :wl i ri el wo fee tres one c s aa l c nr dce b terc r , ot a n ra o a l j r c udbeiv i, c u ts o l no a o t o ta itd y h e o d s h t o e s n b e u y o l le e ta o r h u d t d p ta v rino t fcsf rp r os so r ln o amoi nf rs h t eso f he a t o u p e f ui g n to o umma yj d me t' S o t r u g n . c t v. ' Hars 5 0U. 3 2 3 0( 0 7 .Fu te mo e ap ryl a n tce t ag n i eis eo ri, 5 S. 7 , 8 2 0 ) rh r r, a t t n o rae e u n su f c ma e i f c t oug m e e s c a i ort buidi ofone i e enc upo a he .'Be l v. t ral a t hr h r pe ul ton he l ng nf r e n not r' a e Ha d 76 F. 21 21 ( hCi.1 .Thee oe,ûmlr uns r v, 9 2d 3, 4 4t r 985) rf r i e e upporeds c ai ...i not g t pe ulton s enought deea as o f t ummayj r udgme tmoi ' Enni v. tlAs ' ofBus & Ed .Ra os n ton. ' s Na' sn . uc di l ,53F. 55,6 ( hCi.1 . M orove,apli ifc nno r y onar pons t amoto nc. 3d 2 4t r 995) e r antf a t el es e o in f rs mmayj d me t oa ta a a n me t oc re td fce isi ac mpan c le g d o u r u g n t c s n me d n t o rc eiince n o lit haln e b ad fn a tsmoi f rs mmayj d me t S eGi u v. ts M c n l & Co.3 2 y ee d n ' ton o u r u g n . e l r Gae . Do ad mo ,8 F. 131 1315( 1h Ci. 3d 2, 1 t r 2004)(û pli ifma nota ndhe c ai t oug agume ûA antf y me r ompl nthr h r nt i abre opposngs n if i umma yj r udgme .';Ba ca W hieSka kasnc.v.BatleM e ll t, nt' r lv t ns I l tel m' ns. 26 F. x 556,563& n.6( h Ci.2008)I 07- ) a ia ea 2008W L 23856 a 2 App' 1 4t r N0. 1084 , valbl t 2, t * 2 08U. Ap LEXI 1 6 a *1 - 0( oi t t t rcr ut smial p o i i a 6, 0 S. p. S 91 , t 8 2 n tng ha ohe ic is i lry r h bt pli iffom rii ne cli i oppostont s antf r asng w ams n ii o ummayj r udgme a notngt tditit nt nd i ha src c t wihi t FourhCicui ha a edGimour. ours t n he t r t ve dopt l ) B. PLAI FFFAI TO EXHAUST Hl AVAI NTI LED S LABLE ADM I STRATI R EMEDI NI VE ES. Lam br ghtar i gues t pl ntf f l t exhausthi adm i s r i r edi f hi hat ai if aied o s nit atve em es or s pr s ntcli .ThePrs Lii tonRef m Ac pr dest tig oaci s lbebr t e e ams ion tgai or t ovi ha tnl ton hal ough wihr s e tt p io c n to sun e g v ns . .b ap io e c n i e i a yj i, rs n o t e p c o rs n o di n d r Bie l ., y rs n r o fn d n n alp io r i o he c r c i t r or e tonalf c lt untls h adm i s r tve r m edi asa e a l e a e e us e ' 42 a iiy i uc ni t a i e es r vaiabl r xha t d. ' U. C.j1 S. 997e( .Thee usi r quie nti ma tr Ande s v. a) xha ton e rme s ndao y, ron XYZ Core tona rci l Heat Ser c .nc.407F. 674,677( hCi.2005 ,a ( pplest ali t s t a lh vies l , 3d 4t r ) nd t i o l nmae uis bout a prs lf ,'Pore v. se 534U. 51 53 ( ion iegl' tr Nusl, S. 6, 2 2002) û opere .t pr xhausi dema ton nds compla e wih an a ncy' de dlne a ot rc iialpr e alr e .'W oodf dv. inc t ge s a i s nd he rtc oc dur ul s' or Ngo, 5 U. 81 90( 48 S. , 2006) W heet prs npr de a a nitai gre nc pr e e,he . r he io ovi s n dmi srtve iva e oc dur t i a e m us fl a gre nce r i i a pa tc a c ai a pur ue i t z nm t t ie i va a s ng r i ul r l m nd s t h ough a la ia e l ve s 1 va l bl e l ofa lt t ope l exha t' l ' xo v. e, F. 485, 91( hCi.2002) ppea o t ry us. d.Di n Pag 291 3d pr ' , 490- 7t r . Le t r orc m uni a i fl d out i t g i va pr e es do notcons iu e exha ton. te s om c tons ie s de he r e nce oc dur tt t us i SeeSl nv. t Stts No.3: c 47, oa Unied ae , 01 v3 2002W L 3 2502088a *3( D.Va. ul 1 2002) t E. J y 0, , afd63F.App' 1 4 ( hCi. f x 7 4t r 2003) An i t sfiur t exha ti a afimai defns . nmae' al e o us s n fr tve e e a t bur n i on t def nda t pr t f iur t e us. J nd he de s he e nt o ove he a l e o xha t onesv.Boc , 549 U . 199, k S. 21 ( 0 7 . 6 20) To f ly e us a Bi nscl i ,a f de a prs rm us pr ry r i e hi g i va e u l xha t ve am e r l i one t ope l a s s r e nc ni r i og 6 t oughallvesoft BOP' A dm i statveRem edy Pr ram . See28 C F. jj542.0,ç hr l e l he s R. 1 . 1 . 6FTCA c ai exha ton i dif r nt Cl m a s s ki t brng a ac i n unde t FTCA a ns t Unie lm us i s fe e . ai nt ee ng o i n to r he gai t he t d Stt f rm one da age m us frtpr s ntt cli t t a opraea y a ha t cli fnal de e by aes o y m s t is e e he am o he ppr it genc nd ve he am i ly nid tea e c .Se 28U. C. 2 5*, Nelv UntdS ae, 0 U..1 6 1 3( 9 3 (idn ta poK h S. j 67 ( . Mc i . i tts 5 8 S 0 , 1 1 9 ) fn ig h t r e l gn y e i tg n sa eb u db t er q ie n o fl g a i ta cam t a r p it a e y . i a t r o n y h e ur me t f 'i n ni l li o pp o ra e g nc ) in i . s g.l una et r s vehi compl i i or al a i t m a tl af m a wrte c e f bl o e ol s ant nf m ly, n nma e y ie or l itn ompli t an onf m BP- wihi t nt c e rda oft c aneda t J.j542.4( ) l notstsid or 9 t n we y alnda ys he ompli c . #. s 1 a. f aife w ih a w a de sr s t r n' e pons t i a e m a f l a a pe lo f BP- 0 t a Reg ona D iedor e, he nm t y ie n p a n onn l o i l r wihi t nt cae rda ofawar n' r s ns L. j542. a) i t whoi not t n we y lnda ys de s epo e. d a 15( .An nmae s s ts i d w ih a Regi lD ie t ' r s a i fe t ona r c or s e pons m a fl a fna a i s r tve a alofa r i l e y ie i l dm ni t a i ppe eg ona di e t r sr pons on f BP- 1 t t BO P' G e r Couns lw ihi t ry c l nda da . r c o ' es e onn I o he s ne al e t n hi t a e r ys l a e ha no e us ed a i sr tve r m edi s untlt y ha pr e e t i g i va e t nm t s ve t xha t dm ni ta i e e i he ve es nt d he r r e nc o al l l . l 1 eve s d. La br g a r t t a t r vi ng pl i if s g i va e r or pl i ifdi nottl t m i ht ve s ha , fer e ewi a ntf ' r e nc ec d, a ntf d i e he r quie greva e f m s a t r o e di no e us ad i s r tve r edi s. Pl n ifs a e e r d i nc or nd, he ef r , d t xha t m nit a i em e ai t f t t s i r pons t the f l d a BP- a BP- bu hi s a fc n es e ha ie 8 nd 9 t s t f ouns l ne r t ne t doc e st e or ver e ur d he um nt o hi . Pl i ifal o s a est tLa brghtt d hi he onl ne d a FTCA g i va e f m . I m a ntf s t t ha m i ol m y ede r e nc or n s uppor ,pl ntf a t c La br g ' e a lda e Feb ua y 201 diec i s a ft t l pl n if t ai i f ta hed m i ht s m i t d r r 0 r tng t f o e l ai tf C ha a BP- i nott ap oprat f r a t s e m o t r c pe a i ' t t t 8 s he pr i e o m t o e k ne a y om ns ton. ' Pl i ifdi no e us hi a nita i r m e esbec us he a ishe onl fld a antf d t xha t s dmi sr tve e di a e dm t y ie BP- a a B P- w hi h doe no i l a a a t a Regi lD ie t ort t BO P' 8 nd 9, c s t nc ude n ppe l o ona r c or o he s Ge r Couns l Se 28C. R.j5 1 ( srbi BP- ;j5 1 ( s rbi BP- and neal e. e F. 42.4 dec i ng 9) 42.5 de ci ng IO BP- 1a ne esaya as.Pli ifsalgai t thedi no r evear pons t hi BPI s c s r ppe l) antf le ton ha d t ec i es e o s 8 a BP- doe no m a t g i va e pr s una ia e. i ft i a e doesnotr c i a nd 9 s t ke he r e nc ooe s va l bl ç he nm t l e e ve r pons w ihi t tm e a l t d f r pl i l ng e e i , t i a e m a cons de t es e t n he i lote or e y, nc udi xt ns on he nm t y i r he a e e ofa r pons t be a de a a t tl ve .' I j 5 1 The lc ofar pons wihi bs nc es eo ni l t ha e l ' 4. 42. 8. ak es e t n t tm e-i is cons iut a deni oft gri he i lm t tt ed al he evance. Thus pl ntf c d ha c i d t , ai i f oul ve ontnue he ad i sr tver viw pr s , hef l t aleg t thee fl d a a aloft ede a s m nitai e e oce s but ais o l e ha ver ie n ppe hos nil . W ihoutappealng t a Regi t i o onalD iect ort Gener Counsel pl ntf coul nothave r or he al , ai if d e us e hi adm i s r tve r m e es Furhe m or ,La brght s e ai t tpl i t f s ys xha t d s ni ta i e di . t r e m i ' m l ha a n i f a co us d hi w ass ntm ont a trt dea i sex r f r flng t a ia e greva e nf e m e hs fe he dlne pied o ii he va l bl i nc a as Ac r ngl t deenda sa ee ildt s ppe l. co di y,he f nt r ntte o ummayj r udgme bec us pli ifdi not nt a e antf d pr r y exha ta ia e a i s r tve r m e es ope l us va l bl dm nit a i e di . EVEN I PLAI FF Dl EXHAUST A DMI STRATI REMEDI D EFENDANTS W OULD BE F NTI D NI VE ES, ENTI DTO QUALII I TLE FED MMUNIY. T Pl n i fna est de e nt i t i pe s lc pa te ,a t def nda s a s r t ai t f m he f nda s n he r r ona a cii s nd he e nt s e t he de e e ofqualf e i m uniy. U nde t doc r ne ofqua ii i m t iy,i f ns ii d m t r he ti lfed m m t d r e of i i s gove nm nt f c al pe f mi dic e i r f tonsg r ly a es e de fom labiiy f c vi da esi of r ror ng s r tona y unci ene a l r hil d r i lt or i l mag ns a a t i co uc doe no vi a e cl z y e t bls d s a ut y orc tt i lrght ofwhi h a s he r nd t s t ol t ea l s a ihe t t or ons im ona i s c r s bl pes nwo dha known.'Hal v.Fizc ad, U. 8 81 ( eaona e ro ul ve ' row t erl 457 S. 00, 8 1982) . W he he a de e ntca c am qua ii d i uniyi apur que ton ofl w a i pr ry t r f nda n li lfe mm t s e si a nd s ope l de e m i d pr t i l Sa i rv. a z,5 U . . 1 200- ( )( t r ne e r a . uc e K t 33 S 94, 01 2001 modi edbyPe ronv. t i as Calha 1 S. .808(a 21 2009)( r ti l c t t dic ei t deemi la n, 29 Ct J n. , pemitng ower ours he sr ton o tr ne whihquaiid i c lfe mmuniypr t a l etrt) t ong o nayz isl. Quaii i lfed mmuniyi a i t s n mmuniyfom s trt rt nameedee et la lt A t r ui ahe ha r fns o ibiiy. pli tf bea st bur n t s w t tade e ntsc a n if r he de o ho ha f nda ' onduc vi aedt pli tf srg . Bryant t ol t he a n if i ht v. ut 994F. 1 1 ( h Ci.1 .Ho ver adeenda mus demonsrt t t M h, 2d 082, 086 4t r 993) we , f nt t tae hathe rghtwasnotc e ry esa ihe a t tm eoft i i ntt r c vequaiid i i l a l t bls d t he i he nc de o e ei lfe mmuniy. H enry t v. nel501F. 37 378( h Ci. Pur l, 3d 4, 4t r 2007) G-'eunlwf ne soft a tonmus bea rnt . sh a ul s he ci f t ppae 7 wh na s s e fo t ep rpe tv o a o j ci l ra o a l o fca c a g dwi k o e g e se s d r m h e s cie f n be t y e s n be fiil h r e t n wld e ve h ofetbls dl ' Lopç v. ns 91 F. 48 48 ( h Ci.1 ) SeeAndes nv. sa ihe am ' z Robi on, 4 2d 6, 9 4t r 990 . ro Cr i on, U. 635,6 ( 987)Cç- si no t syt a ofiilaci i pr ece b eght 483 S. 40 1 -hi s t o a hat n fca ton s ot td y l qua i i d i m uniy unl s t ve y ac i i ques i ha pr vi l b n hel unl w f ...buti lfe m t e s he r ton n ton s e ous y ee d a ul t i t syt ti t lghtofpr- si 1w t unlwf nes mus bea e . s o a ha n he i eexitng a he a ul s t pparnt' ). A pli ifm us s antf t how t tade e nta t wih delber e i f e e t a s rous ha f nda ced t i at ndif r nce o e i m e c ne i or t sa e a c a m unde t Ei h A m endm e f i uf i i m e c di al ed n der o t t l i r he ght nt or ns fc ent di al a ssa Eselev. mbl 429U. 97,1 ( 976) I or rt s delbe aei fee e s itnce. t l Ga e, S. 04 1 . n de o how i r t ndifrnc , a publc of i i m us ha be n per o ly a a e off c si c tng a s t nta r s ofs rous i f c al t ve e s na l w r a t ndi a i ubs a i l ik ei ha m ,a t ofi a mus ha acualy r cog z d t e se ofs h ars Fa m e v. r nd he fcil t ve t l e ni e he xit nce uc ik. r r Br l n,511U. 825,838( 994) t ei rt i fee ema bede ema S. 1 . r lbeae ndif rnc y monsrtdbyeihe tae tr a t litntorrc e sdirga d.'M ite v. r 896F. 8 851( hCi.1 .See cua ne e kls se r ' lir Beon, 2d 48, 4t r 990) Pars e r .Le v.Cl l 372F. 294,303(t Ci. )(k-l e de mus s w rih x el e eyçand, 3d 4h r 2004 'g-he vi nce t ho l t t h o fca i q sin s b e tv l r c g ie ta h sa to we eln p r p it i lg to ha t e fiil n ueto u j ciey e o nz d h t i cins r ia p o rae n ih f t t ik.'.Th p io e mu ts o t a ad fn a tsa to wa Ssog o syic mpee t ha rs ') e rs n r s h w h t ee d n ' ci n s k l r s l n o tn , ' g i de t ,ore es i a t s na qua e xc s ve s o hock t c ci nc o t be i ol r bl t f he ons e e r o nt e a e o unda en a f ine s ' m t l ar s . ' J No me c lprs e o sc nbef t ha acedwihdelbeaei fee ei #. n- dia ion mplyee a ound o ve t t i rt ndifrnc f t y i e i ly de a orde a i a e a e st m edi lc r ori e i l i e f r w ih he nt ntona l l y ny n nm t e es o ca a e nt ntonaly nt r e e t t pr c i d te t nt Ese l,429 U. 1 4he es rbe r a me . t le S. 0 05. Howe r cai sofm e c ma pr c ie a ne i ntdi gnos sa e notcog z bl i a ve , l m di al l a tc nd glge a i r nia e n j 1 pr ee ng.1 a 1 06.Se sos be v. umhy,797F. 1 181( h Ci.1 ) 983 oc di d. t 05e e e M 2d 79, 4t r 986 ; J hnsm v. none ,1 F. 1 1 - ( h Ci.1 ( i t tte tngdoco smus o c Oui s 45 3d 64, 6869 4t r 998) notng ha r ai tr t 8 ac ua l d a t i e e e t ta i a e' s pt m s s g f t pr s nce ofa pa tc a t ly r w he nf r nc ha n nm t s ym o i niy he e e r i ul r co t o a t ta f iur t dr w s h a i er nc m a pr e a cl i f neglge ,bu not ndii n nd ha a l e o a uc n nf e e y es nt a m or i nce t adam unde t Ei h Ame i r he ght ndme ) A prs rsdiage nt. ione ' s remen wihmedialpes love t t c ronne r t c s ofhi te t ntdoesno saeaj1 3cli W rgh v. lns 766F. 8 ,8 he oure s rame t tt 98 am. i t Coli , 2d 41 49 ( h Ci.1 )Ruselv.Shefe,5 F. 31 31 ( hCi.1 ( re im) A me ca 4t r 985) s l f r 28 2d 8, 9 4t r 975) pe ura . di l nee s rous e d ei nough t gi rs t a c tt i lcl i i ve a c ton t tpl c t o ve i e o ons iutona a m nvol s ondii ha a es he i ae a a s t nta rs ofs ro ha m,us l l soflf orpe m a nm t t ubsa il ik e i us r ualy os ie r nentdiabiiy,o a s lt r co t o f r whi h l c oft e t en pe pe ua e s ve e pa n. Sos be 797 F. a 181 8 ndii n o c a k ram t r t ts e r i e e, 2d t - 3. Pli iff ist s a ntf al o how t tadef ntsc ha enda ' onduc e bie de i r t i fer nc Soon t xhi t d lbe ae ndif e e. a t rpl ntf w oke up w ih e r m e ge t lpai he w a a t m e ca de r m e be ng s e by f e ai i f t xt e nia n, s t he di l pa t nt i e n t nur e pr cttoner The nur e pr c ii rbele d pl i i fha a t s i l i t r i a Dr he s a ii . s a ttone i ve a ntf d e tc e n o s on, nd . Pa di gnos d pl ntf wih e di tsa trs e m i d hi .I lghtoft diag ee nt yne a e ai if t pi dymii fe he xa ne m n i he s r me ofdignoss Lambrg a Pa ner f red pli ift t hos t lby 2: p. . a pl ntf l f a i, i ht nd y e e r antf o he pia 30 m , nd ai if e t USP Le b 2: p. . e y 47 m Alhough pl i ifno esi hi Compl i t thewasplc i ac lf t ho sbe or t antf t n s ant ha a ed n el or wo ur f e hi ta porai n t t hos t l hef ist i e iy a a torde i i by eihe La i hto s r ns tto o he pia , a l o d ntf ny c c son t r mbrg r Dr Pa net tet rplce hi i t tc l orc i d hi pl ce ntbe . y ha ihe a d m n ha e l ontnue s a me yond wha hebe ive t le s wa ne e sr Ev ni pli tf sr s o et t emoinf rs mmayj g n c u da n hs s c say. e f anif e p ns o h to o u r ud me t o l me d i Compl i ,hemer l co l st tDr Pa d pos f l a wih m a i,e de a d t e t e ' ant ey ncude ha . yne ç pur e uly nd t lc l ye r a m nt' bewe n whe Dr Pa a t nur epr dii rd a t e n . yne nd he s a tone i gnos d hi a whe hel tUSP Le . e m nd n ef e M or ove , a ntf f l t c r a e t t de e n s a de a d i hi t a por a i n e r pl i if ais o or el t o he f nda t ny l y urng s r ns tt o bet een U SP Lee and t hos t . w he pial 9 Pli tf f l t sa eacl m ofdelbe ae i fe enc agans Dr Pa a n if ais o t t ai i r t ndif r e i t . yne. I i wel ts l s tl d t tdi put ast m edi aldi gnos a e nota bas s f de i r t i f e e e. Pl n i fs e te ha s es o c a es r i or lbe a e ndif r nc ai tf ' a gum en s t ta l ym a c n di tngui h be w e n a t s i e i t s o a e di ii i not r t ha a n a s i s t e e tcl n or i n nd pi dym ts s r als i ;t di g i r qui e m edi a ta ni e r i e, nd e pm e . l ed, he di put e i tc he a nos s e r s c l r i ng, xpe ts a qui nt nde t s e bewee t me c sa fsdi gnos swasr ol d usng a ulr ound, s si t me ca t n he di al t f ' a e es ve i n tas a ophitcaed di l t t ts w s phys c de a l hi n f o nor a obs r t o ool ha ho i al t is dde r m m l e va i n. Ba e on t alega i de c i d i t Co pl nt La br g i e il t qua ii d sd he l tons s rbe n he m ai , m i ht s ntted o lte i muniy, nd pl ntf pr e l f ist sa ea Ei t Ame e c am upon whih r le m t a ai if es nty a l o tt n gh h ndm nt l i c e if ma begr nt d agans Dr Pay y a e i t . ne.I lghtofpli ifsada a a gume st thes e r le n i antf ' m nt r nt ha e ks ei f vi Bi nsa no t FTCA ,lde i t c tue t Com pl i tasaleg ng a FTCA c ai . a ve nd t he clne o onsr he an l i n lm 11 1. Fo t efr g igr a o , ga tLa rg tsmoi nfrs mmayj d me ta dd s s r h o e on e s ns l rn mb i h ' to o u r u g n n imis wi o t eudc camsa ans Dr Pa n , u s a t o2 U. C. 1 5 b)1 . t u prj ie li g i t . y e p ru n t 8 S. j 91 A( () h TheCl r i die t t s nd c e oft sM e o a um Opi on a t ac ompa ng e k s r c ed o e opi s hi m r nd ni nd he c nyi Or rt pli ifa c de o a ntf nd ouns ofr or f t def nda s el ec d or he e nt . ENTER: hs = dyo S pe e, 0 1 T i) a f etmbr2 1 . 5 Se orU nie St es i t i tJ n t d at sr c udge

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