-RSB Miller v. Marsh et al, No. 7:2011cv00180 - Document 38 (W.D. Va. 2012)
Court Description: MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 03/12/2012. (kab)
Download PDF
<![CDATA[
e;FRK: eFFI t, DI COURT C; J:. :I ATMC-NO8E, - , ' - VA , F:(C t7' - I TH E UNI N TED STATES DI STRI CO URT CT FOR TH E W ESTERN DI STRI OF VI NI CT RGI A ROANO KE DI SI VI ON FRANKI M .M I E LLER,JR. , MAq 1 2 1 2 JULA C. U I ,CL ERK BY; DEP 'Y L I ERK ' CASE N O.7: 11CV001 80 Pl nt f , ai if M EM OM NDUM OPI ON NI V S. ROBERT 0. ARSH,c K , M By: Gln E.Conr e ad ChifUnied St e Dit i tJudge e t at s s r c Defnda t) e nts. Fr nki M .M il r J . a Vigi a i ae pr e ng pr r ,fld t sc vi rght aci n a e le , r, r ni nm t oc edi o e hi i l i s to puruan t 42 U. C.j 1 al i t tt dee ntprs n of asa td wih delbeae s to S. 983, legng ha he fnda io fcil ce t i rt i fer nc t hi s rousmedialne f te m e ofs ve ef ,hi a gr n pan whie he ndif e e o s e i c ed or r at nt e r oot p, nd oi i l was i are aed a Augusa Corecina Ce e (1 ugusa'. Afe rviw oft pa tes nc c r t t t r to l ntr ; A t')1 tr e e he ri ' pladi , he c t ncude t tde e nt 'dipostvem otonsm us begr nt d. e ngs t our co l s ha f nda s s ii i t a e 1. Background M ilralege t f l ng s que eofe n son whi h heba e hi c am s M ilrtrt le l s he olowi e nc ve t c s s s l i . le i s e renc d f a hee pai whie wor ng l hour i t kic n a W ale Ri Stt xpe i e oot nd l n l ki ong s n he the t lns dge a e Pr s The W alensl i s a fphysci n di gnos d M il r s c ton aspl nt rf cii , i on. l t dge t f ia a e le ' ondii a a a ts pr crbe Tylnol a t d M ilrt thi ta f e woul c i t htr wihoutpr es i d e , nd ol le ha s l t e t d ontnue o zt t opers hoes t tW a lnsRi woul nots y. ha le dge d uppl l J 2007,a horte ta f r e M il t K e n M ot t i Cor ec i lCe e ,whe e n une ut ii s r ns e r d ler o e m an r tona nt r r he c pl i d t m e c s a f21 tm est thi f pai pr ven e hi f om wal ng or om a ne o di al t f i ha s oot n e t d m r ki ' M il s t f l ng i vi s John Ot M ar h, M . ( ilrmiie tfedt s ler ues he olowi ndi dual: ho s D. M le sd n ii hi dee a ta tk bef', ilrste tngp iina Aug t , M e do , usame c l fnd n s t o l l M le ' rai hysca t usa' l A. a ws Aug t dia adm i sr t and head nur e;Fr d Schilng,diect ofhealh s rvi f t V igi aDepa mentof nita or s e li r or t e ces or he r ni rt Core tons(E rci ç VDOC' ;Dr Ha v r Stp n , . , ' . r a d e he s M D.VDOC c e ph iin' ndD. plr s cea yf r ) hif ysca , a He e , e r tr o t Augusa medi uni. he t cal t s a ng pr r y. St f pr de M il ra pa rof Spe o A r h s t ndi ope l a f ovi d le i nc c uppor s i J y 2007, t y t n ul but he weei feci i rle nghi f pan.Dr Qui r ne f tve n eivi s oot i . nonest dM ilrt ptr ha etr ss a ol le o lc s emi hoes nd i ol fom t ca t en,whih M ilrdi a t sr t h, xe c s a l e wei t hep ns es r he n e c le d, nd o te c e r ie, nd os ght o l a l vi t hi f ta hee pa n. Thedoc o s i M il rwoul ber f r d t apodi tit but le a e s oo nd l i t r a d le d e ere o ars, ne ra r nged f t sc ul. ve ra or hi ons t Oneda i 2008,M ilrwa sr t hi a f tas y n le s te c ng nd el nappi orpoppi s ns ton i hi ng ng e ai n s hi a g oi a ea whih be a eve y s ebyt f l ng mor ng. Tyl noldi notr ive ps nd r n r , c c m r or he olowi ni e d ele t span.Doc orM c i e m i d M ilri Fe u y 2009,or r X-a ,a pr crbe hi i t Brde xa ne le n br ar de ed r ys nd es i d ûpr no t ed zone. A m on h l t r a hort e t a f r e M il rt Augusa. ' ' t a e , ut ii s r ns e r d le o t M il frtme wih Dr M a s a Augusaon Aprl7,2009.M ilrt d M a s a ler is t t . r h t t i le ol r h bouthi s o oi pr e sw ih f a he pa n a t sr t hi i de i 2007 w he he f l t ng ng obl m t oot nd el i nd he t e c ng nci nt n n e t he s ppi s ns ton i hi hi ,f l d by s ve epan i t ta e Dr M arh exa i d t Xna ng e ai n s ps olowe e r i n ha r a. . s m ne he r ysDr M c i ha o de e a t d M ilrt tt y r veaed de ne a i c ngesi hi hi a . Brde d r r d nd ol le ha he e l ge r tve ha n s p, c r trze by û t phyt i a s hondr ls e oss' Dr M a s pr c i d m e ca i ha ace i d i eo oss nd ubc os a clr i . . r h es rbe ' di ton a da ij cin. n n ne to Atavii wih Dr M a s on Dec m be 29, st t . r h e r 2009, ilrco pl ne t thec i M le m ai d ha ontnuedt o s f rhi a f tpan. Dr M a s s i t thec dçdo not ngf t r' o te tM il rshi ufe p nd oo i . r h a d ha oul û hi urhe 't r a le ' p pan, ha M il ha a t ii i hi hi t twoul c i t bepai ulf t r tofhi lf i t t ler d rhrts n s ps ha d ontnue o nf or he es s ie, a t te n ual M ilrwoul ne d ahi r pl c m e f rwhih hewast yo a t ttm e. nd ha ve t ly le d e p e a e nt o c oo ung t ha i Dr M a s t d M ilrt ke p sr t hi a e r sng, ot a or rf M ilrt be a sg d . r h ol le o e te c ng nd xe cii wr e n de or le o s i ne t al o owerblnk on t bo tm fooroft f ciiy,a putM ilro E l he to l he a lt nd le n t ca no wor sa us medi l k tt ( ,' xe i hi fom a ki ofwok. D)'e mptng m r ny nd r M il r t ned t Dr M a s i e ry Aprl201 wih contnue c pl nt ofpai i hi ler eur o . rh n a l i 0, t i d om ai s nn s hi a he s M il rt d Dr M a s t tt pr s rpton medi to Vole en,wa c i ps nd el. le ol . r h ha he e c i i cai n, tr s ausng t dne pa n'a as Dr M arh t pr dehi wih pr rboot ort ss st û ki y i ' nd ked . s o ovi m t ope s enni hoe o a om m oda e M il r s ta f e . The doc orag e d t tta f e c d c r but t M il r shi cc t le ' l t e t t r e ha l t e t oul ont i e o le ' p pai butdi notpr c i s ci s . I t a Dr. a s t d M ilrt tNe Balncet nni n, d es rbe pe al hoes nse d, M r h ol le ha w a e s s hoesa ia et ough t c mis r had g a c s va lbl hr he om s a y ood r h uppo ta woul bebes f rhi f e . r nd d t o s et Dr Ma s p a e M ie o wok saus( s t a Milrc udd l h wo ka de r mo e t . rh lc d l r n r tt C) o h t l o l o i t r n an n y o l e g or rt s c a s de he pe i l hoes Thedoc o a s pr c i d adif e m e c ton f pai Pe c sc, . t r lo es rbe fer nt di a i or n, r oge i onl t dic i t m e c i n lt r ba e on M ilrsc y o s ontnue he diato a e , s d le ' ompli t ti di no a lvi t hi ant ha t d t le a e s hi a f pa n and m ade hi d o s p nd oot i m r w y. M il go t r co me d s s bu f ler t he e m nde hoe , t ound t tt y di nothavem uc a c a t t ha he d h r h nd ha wea i t m di no ale a ehi f pai rng he d t lvit s oot n.On J 25,201 M il rr pore t s une 0, le e td he e de opme st Dr M a s who or r d apa rofAbs b Pr a c s vel nt o . r h, de e i or o r h uppors Afe we rng t t. tr a i he s uppo t f t e we ks M il rf md t tt we et na r f hi wi f e a r pored rs or hr e e , le ot ha hey r oo row or s de e t nd e t t epr e st Dr M a s on A ugus 5,201 The doc or s i t r was no hi f r he he hes obl m o . r h t 0. t a d he e t ng u t r co d do f M ilr e e t a l hi t pik a t rpai ofa c s ul or le , xc pt o low m o c no he r r h upporsfo t optonsi t r m he i n t s c e a y' ca a og. he e r t r s t l M ilrt l d t t s c ea y,De e ntHe plr o Augus 1 2010,a le ake o he e r tr f nda l e, n t 3, bouto de i r rng dif r nta c sa s fe e r he nd howe he t tt a c s d r ha he r h upporsheha wer t na r t d e oo row. Heplrs i t t l e a d ha M ilrar dy ha t G s one'a r f s d t o dera ne ones Dr M a s a Nur e le lea d he t t ' nd e u e o r be ny w . . r h nd s M ea dowsr ogni d t tt a c s ec ze ha he r h upporswe e no i l butdi not ng t hel M ilro an t r t dea , d hi o p le bt i beterones. t M il ras d Dr M a s on Se e r 1 201 t r f rhi t a podititwho coul le ke . r h pt mbe 4, 0, o e e m o a rs d r omm e a tonalteam e f rhi f pan.Thedoc ore anedt tt VDOC Ofi e ec nd ddii r t nt o s oot i t xpl i ha he tc o He 1 S ni e ( )wo l n tal w t erfra, a e o M ilrsda n i o f at e c s OHS ud o lo h eer lb sd n le' ig oss f h de ne ai hi di e s f whih t r i no cle a a s d M ilrt c i sr c ng. ge r tve p s a e or c he e s tr , nd dvie le o ontnue tethi Dr M a s a s t d M il rt the c d do not ng f t rt te tM ilr sf pan, he t n . r h lo ol le ha oul hi urhe o r a le ' oot i ot r ha team e sM il rha ale ti d. The docors i t the c d no pr s rbea i r t nt le d r ady re t ad ha oul t e c i nti l mm a o ym e c tonsbe us ofM il rsaler t a pii a ofer d t pr s rbe nfn tr di a i ca e le ' l gy o s rn nd f e o e c i Pe c i ag n' ilrs d hewoul notr f s t sm e c ton,s Dr M a s wr et r ogesc ai , le ai M d e u e hi di a i o . r h ot he pr c i i es r pton. M il a s c ler lo ompli d t Dr M a s d li t svii t theha be s f rng wih f a ne o . r h trng hi st ha d en ufe i t oot and hi pai snc 2007, ha a 1team e tpr dedby t VDOC docor ha be n i fe tve p n i e t t 1 r t n ovi he t s d e ne f c i , a t tt VDOC wasdenyi hi e f tveteamen be us oft c t Dr M a s bec m e nd ha he ng m feci r t t ca e he os. . r h a t e,e ae y (ttngl don' s yt tt tsno t e, a t da ofke t tM ilrwa t trpe tdl sai , t a ha,ha' t nz ' nd ol n t r ha le s ups ' û ng ir tonal' a t doc orsdie to t ofi rt n e c td M ilroutoft m e ca û bei ra i '; t he t ' r c i n, he tce he s ore le he di l de r m e . pa t nt W he M il rc i n le ontnued t s i i or alc pl i s a o ubm t nf m om a nt bouthi hi a f pa n ove s p nd oot i r t ne s ver lwe ,sa fdi nots dul f l up doc o a nt nt , s d on Dr he xt e a eks t f d che e olowt r ppoi me s ba e . M a s sdee m i ton t thec dpr vi no f t team e tot rt t ta r a r h' tr na i ha oul o de urher r t n he han ha le dy a t m pt f M il ' c tons I t f lof201 M il rw r e r pe t d c pl i st te ed or ler s ondii . n he al 0, le ot e a e om a nt o De e ntM e dows t mediala i sr t a Augusa,a s ri he wa r c vi é f nda a , he c dm nita or t t s e tng s e ei ng é no te t e 'f hi ongoi hi a f pan a t tDr M a s ha r u e hi r ue t f a r am nt' or s ng p nd oot i nd ha . r h d ef s d s eq ss or r e r lt a podi t it M e dow s a s d M il rt f l w doc or s o de s r m i d hi oft ef r a o ars . a dvi e le o olo t ' r r , e nde m he doct 'j ors udgme t tt r wasnocur f Milr' dege r i hi diea ea t thewoul ntha hee e or le s neatve p s s nd ha d 4 lvewih s epan,a t d hi t tt doc orsdec son a tr e r l t outi s calss i t om i nd ol m ha he t ' ii bou ef ra s o sde pe i it w a fna . si l M ilrc le ompl i ve ba l t t s c iy sa fa t wa de a wr e c aned r ly o he e urt t f nd he r n, nd ot ompli st a nt o De e nt Stphe a Sc li sai t tt te t e Dr M a s ha pr vi d was f nda s e ns nd hilng, t tng ha he r am nt . r h d o de i feci i ale a i M ilrshi a f tpan. l De mbe 201 ofk i l ta f r e ne f tve n lvitng le ' p nd oo i n ce r 0, t as r nse r d M il rt Gr e vil Co r c i Ce e ,wher hecon i d t wrt c pl nt t VDOC le o e ns le r e tonal nt r e tnue o ie om ai s o a i sr or .2 I r ponse,ofk i sde e mi d M ilr sgreva st beunf dm nitat s n es t al t r ne le ' i nce o ounde a d nd r m i d M ilrt tDr M a s a Aug t a t me c lsa fa Gr e vil ha pr ded e nde le ha . r h t usa nd he di a t f t e ns le d ovi e e i t e t en f M il r s c tons xt nsve r a m t or le ' ondii . M il cai st the c ler l m ha ompl i d 49tm e t me c sa fa Aug t ,be we n Aprl7, ane i s o dial t f t usa t e i 2009and Se t m be 1 201 a sng t t tt te t t pr vi we ei f c i i p e r 4, 0, dvii hem ha he r a men s o ded r nefe tve n a e s ng hi pa n,butt de e nt f ie t ens e t the r ce ve e f tve t e t e . ddr s i s i he f nda s a l d o ur ha e i d f ec i r a m nt M il a s rst tbe us ofhi m e c c tons hecn ler s e t ha ca e s dial ondii , nnotwa k,sa stdown,or1e l t nd, i i down wihoute r c a i pan a t tbe a eoft pai hehasale dl l tsee l t t xc u i tng i nd ha c us he n, l ge y os l p,os w e ght m i s d w or opporunii s a dr i , se k t t e , nd oppe c a s . M il r s eks c pens t y and d l s es le e om a or pt ii da age , a wel a equiabl r i . m tve m s s l s t e elef3 De e n sM a s a M e owstl amoton t dim is a de e nt He e , f nda t rh nd ad ied i o s s , nd f nda s pl r Se he s a dSc il fldamo inf rs tp n , n h lng i i e to o ummayj d me t M i e fldamo inf r r u g n . l r ie l to o 2 M il sa est a doc ora Gr vil t d M ilri Febr y 2011t hew oul ler t t hat t t eens le ol le n uar hat d r ecom mend t tM il be r er e t a s als f eval ton ofhi hi and heelpai M il doesnot ha ler ef r d o peci it or ua i s p n. ler sa ewhe hert sr er alhasoc r tt t hi ef r cured. 3 Beca e M il i no l ler s ongeri r a e a AugusaCor ec i Cent , wher t aleged nca cer t d t t r tonal er us e he l c siui al oltonsoc u rd,hscamsf ij ncier ifaemo .W ila v. ifn, 2F. on tt ton vi a i c re i li or n u tv ele r ot lims Grfi 95 2d 8 0,8 3 ( hCi.1 ) 2 2 4t r 991. vol nt r dim is ofhi cli sa i tDef nda St phe ,whih t cou twilg a . M il u a y s s al s am gans e nt e ns c he r l r nt ler alor s nde t bo h motons ma ngt m at rrpef rdiposton. s e po d o t i , ki he te i o s ii Il. D i si scus on A. Puni hm e sorpr s n c tons a e l e na t t Ei h A m e en ' i t ... s nt i o ondii r t pug nt o he ght r ndm t' f hey i vet lnne s a y a wa on i lci ofpai ' Ese l v. mbl 429 U . 97,1 nvol he l ce s r nd nt ntiton n. t le Ga es ' S. 02 ( 976)(ntr quottonsomitd) Topr t tt c s ofme c lte menther c ve 1 i enal ai te . ove ha he oure dia rat e ei d a ount t a co tt i m ed o ns iutonalvi a i a i a e m us s ol ton, n nm t t how t tpe s ha r onnelt w hos c r he w a o e ae s comm itd e bied t lbe a ei fe enc 't hi ts ro m e ca nee ' l a 1 1 te xhi t l i r t ndif r e' o s te i us di l ds. d. t 04- 05. de ' I dve tntf l et pr deteam e ,neg i ntdi noss a m e c lmal a tcedo not na re aiur o ovi r t nt lge ag i, nd di a pr c i pr e co tt i lde i tons I a 1 1 es nt ns iutona prva i . d. t 05- 06. (( s rousmedialne i onet thasbe n dignos dby aphysca asma tng ûA) ei c ed s ha e a e iin ndai tea m e orone t ti s obvi t te n a 1 y pe s w oul e iy r ogni e t nec s iy r t nt ha s o ous ha ve a r on d as l ec z he e s t f rad co ' atn in' l ov. h e e 5 5F.d 2 5 2 (t Ci. 0 )(ne a q o ai n o o t rs te to . k S rv , 3 3 2 , 41 4 h r 2 08 i tm l u tto s ' omitd) Anofk ilacswih dei rt i fee ei hewasa r offcsfom whih he te . t a t t lbeae ndif rnc f wa e a t r c coul dr w a i e e e t ta s t n i lr s ofha m e s e dr w t ti e e e,a d a n nf r nc ha ubs a t a i k r xi t d, e ha nf r nc nd dir r d orr ponded unr as sega de es e onabl t t rs Fa rv.Br nna 511U. 8 837 y o he ik. nne e n, S. 25, ( 4) Pli ifmus saef css ngt tdee ns ç to oromisons( e 199 . antf t tt a t howi ha fnda t' é ins ac s i werl s fiin l h r u'a dc u e s ro ij r o a g a aino d tro aino a e itn u fce ty a mf l n a s d eius n u y r g rv to r eei rto f n xsi g ' me ca co ton.Esele, U. a 1 1 (i ngpr rt cour' dimis ofi t s di l ndii t l 429 S. t 00- 01 tndi ope he ts s sal nmae' cai ofi ufk i tmedi lte t nt whe ei aecompl i ofpan no r ive by lm ns t en ca r a me , r nm t aned i t ele d me c teame pr de ;Stiklrv.W aes 989F. 1375,1 ( hCi.1 (i ng dialr t nt ovi d) rc e tr, 2d 381 4t r 993) fndi cam o c u l ndt s l t s me t s icu es o n plitf s fe e s ro ij r li f r e a mu ua pmih n mu t n ld h wi g anif u f rd eius nu y fo alg dvilto ) S a lsv. r ii De to Co rcin , 0 F. u p. 7 4 2( D. r m le e oains; tp e Vicna p' f re to s 9 4 S p 48 , 9 E. Va.1 ( s si j 1 me c lcai basd o i t pli ifsfitr t de nsr t 995) dimisng 983 dia l m e n nmae antf alle o mo tae ç n unne es a y and w a on i lc i n ofpa n whi h hasr ule i s i m edi lore oto l t a c sr nt nfi t o i c es t d n erous ca m i na d tro ain'. eeirto ' ) A di a ee e be w e n an i na e a m e c lper o lr r ng di gnos sand c s s gr m nt t e m t nd di a s nne ega di a i our e ofte t e doe noti plc t t Ei ht Am e r am nt s m ia e he g h ndme .W rg v. lns 766 F. 841 8 nt iht Coli , 2d , 49 (t Ci. 98 ) Qu si n o me ia j d me taen ts b e t oj diil e iw t e j 1 8 . 4 h r 1 5 . e to s f d c l u g n r o u j c t u ca r ve md r 9 3 Ru sl v. efr 5 F.d31 ( t Ci. 9 5 . sel Sh fe , 28 2 8 4h r 1 7 ) Supe v s y ofi a sm a ge r ly r l on t opi on oft m e c ls a fast t r i or fci l y ne a l e y he ni he di a t f o he pr rc s oft e t en a c nnotbe vi arous y la e f c tt i lvi a i ns ope our e r a m t nd n c i l i bl or ons iutona ol t o c mmitdb o fcasu d rt i s p r ii n M ite v Be r , 9 F.d 8 , 5 (t Ci. o te y fiil n e her u e vso . l r . o n 8 6 2 48 8 5 4 h r i 1 9 ) Top o eas p r io yo fca ' l bl y panifmu ts o t a t eo fca wa 9 0 . r v u ev s r fiils i it , litf s h w h t h fiil s a i pe s l i ve wih ade a ofte t nt dei r t l i e f e wih prs doc or ' r onaly nvol d t ni l r a me , lbe a ey nt rer d t ion t s t e t e de i i ns ort cil a horze orw a i fer ntt t pr s n phys c a 'm i c r a m nt c s o , a ty ut i d s ndif e o he i o i i ns s onduc . t I a 854. d. t B. Tosaeaca eofa tonunde j1 apl ntf mus esabls t theha be tt us ci r 983, ai if t t ih ha s en de i ofrght gua anted byt Co tt i orlwsoft Unie Stt a t tt s prved i s r e he nsiuton a he t d a es nd ha hi de i ton r ule f om c prva i es t d r onduc c m it d by a pe s n ac i unde col of sa e l w . W es t om te r o tng r or t t a t v.At ns 487U. 42( ) Pli ifscli c l s vveamoint dimisunls ûhe ki , S. 1988 . antf ams amot ur i to o s s e s i t pl i t f pl a f t lc e t talow s t co tt dr w t r as bl i e enc t tt a n if e ds ac ua ont nt ha l he ur o a he e ona e nf r e ha he de e nti la e f rt m ic f nda s i bl o he s onduc a lged. As r f v.l l 556U . 662,1 S. .1 t le ' hc o t oba , ' 5. 29 Ct 937, 1 49( 9 2009) BelAta i Com . Twombl 55 U. 5 5 ( ) l lntc v. y, 0 S. 44, 70 2007)(i ngmoi t tndi ton o dimi spr ry gr nt whe epl i ifsf cua aleg i nsdo notsa et a i e' a m f s s ope l a ed r antf ' a t l l ato t t t usbl 'cli or pl rle I addrs i t s t e yoft pli ifsc ant t c t tvi t f t i eig. n e sng he ufkinc he antf ompli ,he our mus ew he acs n t lg m os f vor bl t t pl ntf ,bu û d notac e a t u unw a r nt d i e e s he i ht t a a e o he ai if t t nee c pt s r e r a e nf r nce , unr a ona ec usons oragument.'Giraa v. ol on,521F. 298,302( h Ci. e s bl oncl i , r s' ar tno J ms 3d 4t r 2008)(ntr lquottonsomit . i e na ai ted) l t rmoton t dim is Def nda sM a s a M e dowsdo notde t tM ilr n hei i o s s , e nt r h nd a ny ha le s f r pai ca e by hi a tlii a fa f e . Forpur e oft s o ni t cour w il uf e ed n us d s r lrts nd l t e t pos s hi pi on, he t l a e a t e M ilr sale ton t thi c tonsc us d hi pai s ve e e cc pt s nz le ' l gai ha s ondii a e m n e r nough t c tt e o onsiut a s r ous m e c lc ton. D r M a s a Nlr e M ea sas e t ho e r t tM il r s ei di a ondii . r h nd z s dow s r , w ve , ha le ' alegai nsf lt sa ea cli t tt tt y a t d wih delber t i f e e t hi s rous l to ai o t t ny am ha ha he c e t i ae ndif r nce o s e i m e ca nee . The c t us a e di l ds our m t gr e. Fi s , il r f ist a l ge f c st s r t M le a l o le a t o how t tDr M a s orN tr e M e dow skne a t ha . r h ls a w bou a i ed a ofM ilrsmedialne .On t c ta y, ilr sde a l ale tons nd gnor ny le ' c eds he on r r M le ' t ied l ga i de monsr t t tt doc or t ntr e,a ort ot rme c lsa fa Aug t l ed a tae ha he t , he zs nd/ he he di a t f t usa ogg nd rs e ponde t M il rsm a c pli sa d o le ' ny om a nt bouthi m e c lpr blm sandteam e , s us e hi s di a o e r t nt dic s d s c once nsa at r i team e optonswih hi ,a tmpt d muli ea va i team e s r nd le natve r t nt i t m te e tpl nd red r t nt, or r wor sa usc nge a bunk ac omm odai ns a r c de ed k tt ha s nd c to , nd e omm e nded ongoi e r s s t ng xe cie , o a es M il r s pa n. l a s e poi D r M a s s op d s e ng M il rf t s e c pl i s ddr s le ' i f t om nt . r h t pe e i le or he am om a nt bec us t doc orbe ivedheha ofe e M il ra lt te t ntoptonsa oprae f r a e he t le d fr d le 1 he r a me i ppr it o M ilr sc tons M ilrsilf ist de le ' ondii , le tl al o monsr t t tt docordi s de pieknowldgeof ta e ha he t d o s t e M ilr ss rousm e ca nee f s le ' e i di l d or omeunat edte t nt tempt r a me . Sec ond,M il rdoesnotalege f ct s i t tM a s a M ea sw a onl i lc e le l a s how ng ha r h nd dow nt y nti t d u n c saypano M ilro c u e hm t s fe s ro ijzyo a g a ai n o p y ia n e e s r i n le r a s d i o u fr eius nt r g r v to , r h sc l r de e i a i ofhi condii . Es e l 429 U . a 1 1 'St i kl r 989 F. a 1 . t ror ton s tons t le, S. t 00- 01, r c e , 2d t 381 M ilrsphysc c tonsc e t pai an t defnda stid t al vi t t tpan, le ' i al ondii aus d he n, d he e nt re o le ae ha i by p e c ii vaiu me iains ij cin , u p rief o we r srthnge ecs s a d r srbng ro s dc to ,n e to s s p o t o t a, tec i x r ie , n v l e t ec n e l l i gweg two ksausa j sme t, n n w b n a sg me t.The i syl ha g s i osn ih , r tt du t ns a d e u k sin n s f ke c t us a e ast u M ilr sco e i t tt d e nt 'cour eofte t e di not our m t cc pt r e le ' nt nton ha he ef nda s s r am nt d e i nae hi s r pan.M ilr sde al d al ga i ,howe r s lmi t s eve e i le ' t ie le tons ve , uppor t co l i n t t the ncuso ha de enda sr ulry a es e M ilrsc tonsa ti d e y te m e t r levehi pan. f nt eg a l ddr s d le ' ondii nd re ver r at nt o e i s i Thus M il ' ow n c pl ntundenni hi as e ton t tt de e , ler s om ai nes s s r i ha he f ndan s de i r t y r f s d t lbe a el e u e t pr dee f c i team e f rhi pan. o ovi fe tve r t nt o s i M il ' al ga i a i tNu s M ea lers le tons gans r e dowsa e i ufii ntf a he r as M ilr r ns fc e or not r e on. le sa e no f c sabou Nur eM e dows pe s li ve e i di nosng hi medialpr e tts a t t s a ' r ona nvol m nt n ag i s c obl ms orpr c i ng m e ca t e t e .M il rc nnotpr la lt aga ns N ur e M ea s m e el es r bi di l r a m nt le n ove i biiy i t s dow , r y bas d o he a i sr tve pos ton. Att m os ,M il a l gest tN lr e M e dow s r ponde e n r dm ni t a i ii he t ler le ha z s a es d unr s bl t hi i or a compl i sa g i va sa ea ona y o s nf m l ant nd re nce boutt doc orsc s ofte t nt4 he t ' our e r a me . Asan re s ei e tte t rl o t ed co ' me ia j d me ta t t ea prpraec t s u s , h s n ild o ey n h o t rs d c l u g n s o h p o it oz e r ofte t tf M ilrsc tonsa ca r a men or le ' ondii nd nnotoverdet doc o ' or r . M ite v. ri he t r s de s lir Beor n, 896 F. a 8 55. 2d t 54Att he r oft m a t r M il r sc pl i r fec st the ha m or c i nc i hi he a t he te , le ' om a nt e l t ha s e onf de e n s o u g n a o thste t n n e sta h ha i Dr Ma s sme ia j d me t o s h wnj d me t b u i r ame t e d h n e s n . rh' dc l u g n s n uc m a t s D r M a s a s M il rt the had no a tona t e t e t of e t tw oul ter . . r h dvi ed le ha ddii l r a m nt o f r ha d ale a e M il r spa n betert n t e t e s a r ady a t m pt d orbe ng pr ded,whie M il r l vi t le ' i t ha r a m nt le te e i ovi l le 4 M il c ler ompl nsaboutN ur e M ea s r pons t hi gre ai s dow ' es es o s ivancesasf l s when M il olow : ler compl ned a ai boutnotr vi m edi i orf wea t alevit d hi pai Nur M eadowsadmit ecei ng caton oot r hat l a e s n, se ted t ssat e wastue;and when M il c hi t em nt r ler ompl ned a ai boutDr M a h' out s i r pons t M il ' . rs s bur t n es e o ler s cl m t medi saf ha deni hi teat ent M ea sr i t M il s d f l t doc or' ai hat cal t f d ed m r m , dow epled hat ler houl olow he t s m edi advi cal ce. bele dt docors dalw M ilrt c ulas ils.Unde j1 t cour ca ive he t houl lo le o ons t pecait r 983,he t nnot q e to t ep o rey o t ed co ' me ia j d me t Ru s l, 28F.da 31 Th u sin h r p it f h o t rs d c l u g n . sel 5 2 t 9. e di ag ee e the e be w ee doc ora pa i ntove t a opra e cour e oftea m e a o s s r m n r t n t nd te r he ppr i t s r t nt m unt t a al ga i t tt doc ora t d neg i nty i m a ngte t ntde i i ,whih i not o n le ton ha he t c e lge l n ki r a me c sons c s s fcintt s ufi e o how t de i r t i fe e e ne es a y t saean Ei ht Ame m e c am he lbe ae ndif r nc c s r o t t g h nd nt l i c i bl unde j1 3. Esel,429U. a 1 1 Fo t sae r a ons t c tgans ognza e r 98 5 tle S. t 05- 06. r he ttd e s ,he our r t t moto t dimisM ilrsj 1 camsagans Dee t M asja dM e ws6 he in o s s le , 983 li i t fndans rj n ado . C. Ana r o sl r j g n i a p o it whe th p e dng ,hed s o r a d wad f l mmay ud me t s p rprae n l e la i s t ic vey n t dicl lr ma e i l on fl,a a a fda t s s osze t ra s ie nd ny fi vis how t tt r i no ge neis ast a ha he e s nui sue o ny mae ilfc a dta t mo a ti e tte t j d me t samatroflw. F d R. v. tra a t n h t he v n s n i d o u g n a l te a ' e . Ci P. ' 56( .Forapa t se de t r s ag neis ofmae ilfc s t e t a d c) ry' vi nce o aie enui sue tra a t ufkint o voi s mmayj dg n ,t s b d u ht a ara o a ej r c ul rt r av r itf rten n u r u me t imu t e t c h t e s n bl u y o d eu n e dc o h o s movi pa t ' Ande s v. be t Lobbysl , U. 242,248( 986) I maki t s ng ry.' ron Li rv nc.477 S. 1 .n ng hi dee na i n,çhecour i r r d t viw t f c sa d aw r a ona ei e e si a lght tnni to t t t s equie o e he a t nd r e s bl nf r nce n i mos fvo a et t no vngpat ' S a v. r u 1 F.d7 , 98(t Ci. 9 4 . t a rbl o he nmo i ry. h w Sto d, 3 3 91 7 4h r 1 9 ) ' A p ry se igsl r j dg n b ast ei ta b r e o s wi gt ea s n eo a a t e kn t mmay u me t e r h ni l u d n f ho n h b e c f i ge neis ofmae ilfc.Ceoe Cop . Cart,477U. 317,3 ( 986) The t nui sue tra a t ltx v. tet S. 23 1 . n,he bur n s fst t nonm ovi pary t s de hi t o he ng t o how t ts a f c uali s doe e s . Se M a s hia ha uch a t s ue s xit e t us t 5 Th c urde ln t e riespplme a jrs cino e a yr ae sae1w cli , e o t cieso xecs u e ntluidito v r n eltd tt a ams pu s n t 28U. C. l 67 c , n d s s e s c cl mswih tprj die. rua t o S. j 3 ( ) a d imis s u h ai tou eu c 6 Beca e t cour concl t M ilr' alegatonsagai tDef nt M ar h a M eadows us he t udes hat le s l i ns enda s s nd do notsat an actonabl consiutonalcl m ,t cour need nots r el anal def te i e tt i ai he t epa at y yze endant s' a tonaldef e ofqualfed i uniy asan a tonalgr ddii ens ii mm t ddii ound f di s al See Pear on v.Calahan, or smi s . s l 55 U. 223 2 ( 9)( oli t twhe edee da t r ieq lfe i niy d fns , src co r 5 S. , 36 200 h dng ha r fn n s as uaii d mmu t e e e ditit u t ma frta r s wh t rpli ifsae c nsiu ina cam) y is dd e s ehe antf tts o ttto l li . Elc I d s Cos d. Ze i Ra i Co p.47 U. 5 4, 8 - 7( 9 6 .Th c u t o sd r a e . n u . .Lt v. nt do r , 5 S. 7 5 6 8 1 8 ) e o r c n ie s h p oK pli ifsve iid c r a ntf rfe ompl i a a a fda tt tm a def a a moton f s ma y ant s n fi vi ha y e t i or um r j d me t e t ealg to sc nan dte en aeb s do p ro l n wld e W i imsv u g n wh n h l ain o tie h r i r a e n e s na k o e g . l n . e l Grfi 952F. 8 8 (t Ci.1 ) ifn, 2d 20, 23 4h r 991. Def nt Sc li St phe ,a He e fl d a fda t i s enda s hilng, e ns nd pl r ie fi vis n uppor oft i m oton f t her i or s mmayj d me tp ovdngi f r to a o t h ij brs o sb l iswi nteVDOC, u r u g n , r ii n o main b u t er o e p n iii e t h t hi whi h M il rdoe notdiput Thec tc l c le s s e. our oncudest ti lg ofde e nt 'evi nc ,M ilr ha n i ht f nda s de e le f ist de o t a e a ge ne i s ofm a e i lf c r a ni a i s f t i l a l o m ns r t ny nui s ue t r a a t em i ng t s ue or ra . a. Fr d Sc li e hilng S h l n c mpae hsj ba Die t ro teOfkeo He 1 S r ie (OHS' frt e c il g o rs i o s r co f h t f at e vc s û ' o h i h $ ) VDOC t t tofhos t a i sr or Sc li i notamedialdoc ora doesno ma o ha pial dm nitat . hilng s c t nd t ke de i i a uti a es m e ca o dent lt e t en orde e mi w he he a i a e has a c sons bo nm t ' di l r a ram t t r ne t r n nm t me ia ne df rr fra t ame ia s e il t Sc il gr l so t ep o e so a j d me to d c l e o e erl o d c l p cai . h ln ei n h r f si n l u g n f s i e t doc or a nur e hie by t V D OC t pr de tea m e t i a es i e h V DO C pr s he t s nd s s r d he o ovi r t nt o nm t n ac i on f c lt a iiy. Ea hi t u in l h iinha t ed srto i hsme ia j dg n frt eg o of c nsi to a p ysca s h ic ein,n i dc lu me t o h o d t t pa i nt t r ques m e c lt tng orr e r oft i a e t a m edi als ci ls out i t he te , o e t di a esi ef r al he nm t o c pe a it s de he i tt i The OH S ha a c uli phys c a r vi w e c s r f r a r ue t A fe t s ns iuton. s ons tng i i n e e a h uch e e r l eq s . t r hi r vi w, hec uli doct eihe a ove t r s,as f mor i onnai n,or e e t ons tng or t r ppr s he eque t ks or e nf to r co m e an a t m a i te t entf t pa i nt W he t i at st e tng phys ci n a t e m nds le tve r a m or he te . n he nm e' r a i i a t he pr s r e ves a r c m enda i f om a cons tng physci n f a a t r tve tea m e , he i on ec i e om ton r uli i a or n le na i r t nt t tea i doc orm a pr de t ttea m e t orm a di e st m a t rw ih t co uli r tng t y ovi ha r t n , y s us he te t he ns tng s ci ls orw ih D r St phe a V D O C Chi fPhys c a U li a e y, e r t tea i pe a it t . e ns s e i i n. tm t l how ve , he r tng p i in ha t aut iy t or rt outi s iesi hebele st m t be me c l hysca s he hort o de he sde enr f c ive he o dialy ne es a yf hi pa i t eve i hi decson diag e swih t r comm e tonsoft c s r or s ten , n f s ii s r e t he e nda i he c uli physc a a Dr Stphe . Afe r vi wi hi r c ds Dr Stphe di notfnd ons tng ii n nd . e ns tr e e ng s e or , . e ns d i a r que t fom t i tt i physca f rM il t s ea s i ito ac uli ny e s s r he nsiutonal i in o ler o e pecals r ons tng phys ci i an. Sc li a s pl ysa a i sr tver e wih r ga dt i ae g iva esconc nzng hilng lo a n dm nitai ol t e r o nm t re nc e i c ompli sa ant boutm e c lc r di a a e.Afe a i ae at mpt t r s ve amedi lm at ri or ly tr n nm t te s o e ol ca te nf mal a t n s is a r gul rgre nc t t w ar n f a Le lIR e po e, ha i a e c n nd he ubm t e a i va e o he de or ve s ns t t nm t a a ppea a uns t s ac or r pons t OH S. Appr i t s a fm e be sa O SH i s i a e ea h ln a i f t y es eo opr a e t f m r t nve t g t c s h a a t tc er a i a e' co pl nta utt t e t e t i tt i lphys c a uc ppe l ha onc ns n nm t s m ai bo he r a m nt he ns iutona i in haspr de t hi a drf t a lr pons ( ve 1 Repons ;onceOHSsaf me r ovi d o m nd a the ppea es e Le l 1 s el t f mbes f na i e t r pons ,Sc li s gns i. i lz he es e hilng i t Sc li s a e t tM il ra hilng t t s ha le ppea ed f ur Le 1g i va e r pons st O H S, l o vel r e nc es e o c pl i ng ofpa n f o fa f e a a ki f r c t a c s om a ni i r m l t e t nd s ng o us om r h uppo t ,c pl i ng t tt r s om a ni ha he Pe c i Dr M a s pr crbe wasi fe tvea a ki f af l u vii,a t ie r ogesc . r h es i d ne f c i nd s ng or olow p st nd w c r quesi r f ralt as c aitf hep wih hi a he lpai OHS saf i tga e ea h e tng e e r o pe i ls or l t p nd e n. t f nvesi t d c a al de e m i d fom t i or ton pr ded t te ch oft g iva esM ilra ald ppe , t r ne r he nf ma i ovi ha a he re nc le ppe e w a unf s ounded,a dr t d Le 1 r s nd afe vel 1 e pons s w hi Sc li s gned. The Le 1 r pons e , ch hilng i vel 1 es es a s M il rt tt A ugusa phys c a woul de e ne t c s ofhi m edi alt e t e , dvi ed le ha he t i in d t nni he our e s c r a m nt t tM il rs ul f l phys c a sor e s a t the s ul f l s c c lm oc dur t ha le ho d olow i i n' d r , nd ha ho d olow i k al e es o s e a tona t e t en ,alhough t phys c a woul de e m i t m e c lne d f f l e k ddii l r a m t t he i in d t r ne he di a e or olow up vi is. st G e r ly,asa s vi or ofk i lw ih no m e c le r i e Sc li m a r ght u l ne a l uper s y t a t di a xpe ts , hilng y i f ly rl o t eme ia j d me to teprs nd co st d tr n t p o e c l s o te t n ey n h dc l u g n f h io o tr o eemie he r p r oz e f r ame t r f a i t sc to M ite ,896 F. a 8 55.Toover om es h r inc ,M ilrm us or n nma e' ondii n. li r 2d t 54c uc ela e le t ofe e de edemonsr tng t tSc li kne t c epr de by Dr M a s w a s f r vi nc ta i ha hilng w he ar ovi d . rh s o o ous y i m pe e t ti pos d a s t ntalrs ofhn m t M il r she t I a 855. bvi l nco t nt ha t e ubsa i i k r o le ' alh. d. t M il ha no done s ler s t o. Fr hi r e i pr es i M ilrsgre om s ol n oc sng le ' ivanc ,Sc li l a ne ofM ilr s es hilng e r d le ' di s ts ac i n wih D r M a s stea m e de i i ns Sc li s a est tw he OH S s a f s a i f to t . r h' r t nt c s o . hilng t t ha n tf me be si tga e ea h g i va e1t ey f md t tt prs n m e c lsa fha e l t d m r nvesi t d c re nc , h ot ha he io di a t f d vaua e M ilr as e s d hi c to , nd ofe e muli eteam e sa o ng e r ie pl , le , s s e s ondii ns a frd tpl r t nt nd ngoi xe c s ans alhoug nott onesM il rbe i ve he s d r c ve ie ,r f r lt a s c a ita c t t h he le le d houl e ei , . . e er a o pe i ls nd us om f wea . M il rpr e s no e de e s oot r le es nt vi nc uggesi t tSc li s r la on D r M a s s tng ha hilng' e i nce . r h' me ia j d me twa un e s n bl,n l h o t enz ro me c l iisa dv ro s d c l u g n s ra o a e i i t f h t g mbe f dia v st n a iu t e t e s M il r c ved a A ugus a. M or ove , s on t e de e t tDr M a s neve r a m nt ler e ei t t e r ba ed he vi nc ha . r h r m a a r ques t O H S t s nd M il rt a out i s c a i t M il r c nnotde ons r t t t de e to o e le o n s de pe i ls , le a m t a e ha Sc li ha a pe s hilng d ny r onali ve nti de di agans t ss r i M il rdesr d.Fi ng nvol me n ci ng i t hi e vce le ie ndi no ge ne i s ofm a e i lf c i di put o w hi M il m i htde onsr t t tSc li nui s ue t ra a t n s e n ch ler g m t a e ha hilng w a de i r t l i f e e t hi s i m edi a ne ds t c t nc ude t tSc li i s lbe a e y ndif r nt o s erous c l e , he our co l s ha hilng s e tte t sl r j g n . n ild o l mmay ud me t 1 M il smer di a if ton w ih Schilng' r pons t hi grevancesdoesnots ler' e ss ts ac i t li s es es o s i uppor any t vibec nsi i a cam.Ada , F. a 7 . rtv. ic l,58 F. pp.1 6,1 2 ( D. a l o tt on l li ut ms 40 3d t 5, s M thel 9 Su 8 9 E. Va. Bu 1 4 (i i prs nofi al a olt y i nefo la lt se n fo tei pa t i to i 98 ) fndng io fci s bs uel mmu r m ibiiy t mmig r m h r ri pain n c Vigii simaeg iv nc pr e ur ) r na' n t re a e oc d es. 13 b. D ef endantH epl er M ilr scli a ns t sdef nda i t ts di notalow hi t s e tne a ch le ' am gai t hi e nt s ha he d l m o elc w r s uppor sf om t ca al a t rD r M a s ha t d M il rhe c d do s l r s t r he t og f e . r h d ol le oul o. n e pons H e e e, pl r sae t t st eOfieSe vc sS e ils frAu u t , e j bd te icu eodeigme ia tts ha a h fc r ie p cait o g sa h r o u is n ld r rn dc l s i ,s h asa c s upples uc r h uppors whe t i tt i lphyscan or r t f a i ae. t, n he nsiutona ii de s hem or n nm t H e e s a es how e ,t ts i nota he lh c r pr de a m a s no de s ons r ga di pl r t t , ver ha he s a t a e ovi r nd ke ci i e r ng i a e 'm e c lne dsort e t e . H e e doesnotr e be M il rort t ofa ch nm t s di a e r a m nt pl r em m r le he ype r s upporst ther e ve whiea Aug t . He e de e t ts woul havet d M ilrora t ha ec i d l t usa plr ni s ha he d ol le ny ot ri t t ts ha ale pr dedhi wihShebes (rh s he nmae ha he d rady ovi m t t t t ac uppors a ia e'bec us t) valbl,' a e s o y or r m edi als pple a o der d by t doc or he nl de s c u is s r e he t . Th c u t o ld st t p e i e tte t s l r j d me t Noe d nc i t e e o r c ncu e ha He lr s n i d o unmay u g n . vie e n h l rc ds e or uppor sa f ndi t tHe e kne M il rha a s r ousm e c nee f a pa tc a t i ng ha pl r w le d e i di al d or r i ul r ki ofa c s nd r h uppo ta r f e t obt i i f hi ,a1t whieknowi t the f iur t do r nd e us d o an t or m 1 he l ng ha r al e o s pl ce M il ra a s r ousr s ofhar . M or ove ,e n now ,M il r doe notde ons r e t t o a d le t e i ik m e r ve le s m tat ha s omet ofa c s ype r h uppo tot rt n t onesher c i d a wor a Augusawoul a lvi t r he ha he e eve nd e t t d le ae hi f pan.Thus M ilrf l t pr en a g ui i s ofm aera f c on whih heco d s oot i , le ais o es t ny en ne s ue t il a t c ul pr t tH e e w asi f e e t hi m e ca ne . ove ha pl r ndif r nt o s di l eds A tm os ,M il ra l gest tH e e di notf l Dr M ar h' di e ton t a l w M il r t le le ha pl r d olow . s s r c i o lo le t s e ta ne pai ofs o el c w r uppors f om t c t l Suc i dve t nta tons do notgi r s t a t r he a a og. h na r e c i ve i e o co tt i lc am .Esel 429 U . a 1 - 06.Fo t saedr a ons t c tg a s nsiutona l i t le, S. t 05 1 r he tt e s , he our r nt He e ' motonf s plrs i or umma yj r udgme . nt 14 lI I Fo t r s ns s a e t cou tc udest tM il f ist a l e f c s de ons r tng r he ea o t t d, he r oncl ha ler a l o leg a t m t a i t ta oft de e nt ac e w ih de i r t i f e e e t a s rousm e c lne d f ha ny he f nda s t d t lbe a e ndif r nc o ny e i di a e or di f e t e t e . The e or t co tgr nt t m oton t di m i s fl by D r M a s a f er nt r a m nt r f e, he ur a s he i o s s ied . r h nd Nu s M e d ws g a t t mo inf rsu r j d me t Sc il a He lr a dg a t re a o , r n s he to o tnma y u g n by hli nd pe , n rn s ng M ilrsmoton f nons tast Dr St phe . An appr it or rwilis t sday. le ' i or ui o . e ns opra e de l s ue hi TheClr i die t d t s nd c e oft sme or ndum o ni a a ompa ng e k s r c e o e opi s hi m a pi on nd cc nyi or rt pl ntf . de o ai i f ENTER:Thi f da ofMac 201 s * y rh, 2. ù . Chi U nie St t D i ti tJ ef t d a es s r c udge 15
]]>
Some case metadata and case summaries were written with the help of AI, which can produce inaccuracies. You
should read the full case before relying on it for legal research purposes.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
