-RSB Johnson v. Kilgore et al, No. 7:2011cv00416 - Document 30 (W.D. Va. 2012)

Court Description: MEMORANDUM OPINION. Signed by Judge James C. Turk on 8/16/2012. (tvt)
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' ERZ: OFFI t. ('r,J tf' ZC: JN.-#@ti iè .7 o ' r r' . r AT RQANIKF ' s lw I '3 , ' I ' i ' - . FI Ej L -) ' ' At ls z)2 f ( l I TH E UN I N TED STATES DI STR I C O U RT CT FO R TH E W ESTER N D I STRI T O F VI G I I C R N A R O A N OK E DIVISION GI FFO R D JO H N SO N, ' JUL A C D rL' ' f?-Ft I u uN '''tt )' :' 7 ' BK e z .f oE y ,yr .? -. ; CASE N O .7: 11CV 0041 6 Pl nt f , ai i f M EM O R AN DU M O PIN I N O VS. By: Jam es C .Turk Seni U nied St es Di tri Judge or t at s ct REGI KI NA LGORE,U K , D ef endants. 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Pl ntf A legatons and Evi ai irs l i dence J oni a i t a Re Oni Stt Prs Cû dOni ',aprs fclt opertd ohns s n nmae t d on ae ion Re on' ) ion a iiy ae byt Vigi aDe rme ofCore ons($ he r ni pa t nt rdi $VDOC') Thedee ns Re naKigor Parca '. fnda t, gi l e, tii A d m s a He e M uli ,a e nu s sa Re Oni a , nd l n lns r r e t d on. ' l s ppo to tei motonf rs mmayj dg n ( c tEnr ( DE5 24 ,hedee a t n u r f h r i o u r u me t Do ke ty K ' ) t fnd ns ) pr entt afi vi ofVi Phi wih tue a cor e copi f om Johnson' m edi r cords es he fda t cki pps, t r nd r ct es r s cal e a tche t afi visofRe naKigor Pati aAdam s and Heln M uli ,and t afi tofFonni ta d; he fda t gi l e, rci , e lns' he fdavi e Tayl ,wih tue and cor e copi ofgrevancer or a tched.Pl ntf ' alegatonsand evi nce or t r r ct es i ec ds ta ai ifs l i de aec ti di t f lwi d u n s tev rfe c an ( 1,a nd d c an ( 7 ,a d r onane n he olo ng oc me t: h e iid omplit DE ) me e omplit DE ) n . . t afia t ( 1 & 2 1. wo fd vis DE 5 6- ) On J ne 1 2011 J on fld Em e ge y Gre nc /067 u 2, , ohns ie r nc iva e / 456,sa i $ wokeup t ttng; t 1 o ggoni ngjpani mysoma ha pe s l felllkes oneha kikrdlmei myt tces a zi i n t c nd ni. t e s i ome s c e n esil a i bur s whe llrnae. ( No.2, 3. NureKigoertmldt e r nc nd t nl) n zi t ' ECF ' p. ) s l r et e he me ge y gre i vanc t J m s w ih t f l ng w rte r s e o ol on t he olowi it n e pons ç ota e e ge y-fl pr r e: l N n m r nc ie ope pa r r ' (d. pewok.' 1 ) On J ne 1 2011 J on fld Em e ge Gre nce#065242,sa i t theha fl d u 7, , ohns ie r ncy iva ttng ha d ie a r ques f r on J 1 2011 t be s n by t doc o , t pa n m edi a i he had be n e t om une 5, o ee he t r but he i c ton e t ngha r ou .J aki d un t ohns n saed t the ne de t ha t m e ci r we untlhe s w t o t t ha e d o ve he di ne ene d i a he docor be us t pani hi somac a pe swasû usng( mlal ofs frng.'( t , ca e he i n s t h nd ni s i hi ot ufei ' ECF ca No. p. ) NureAdamsrt nedt giva et J o i cai t thi g iva di 2, 9. s eur he re nc o ohns n,ndi tng ha s re nce d nO m ee t de i ton f r a e er nc a ad s ng hi :û ea e fl outpr pe pa r o k t t t he tnii o n m ge y nd vii m ç s il pl o r pe w r o voiey co ai s' l ) OnJ 21 2011 ad t dignosdJ onwiha i e tna c our mpl nt. d. '( une , , ocor a e ohns t n ntsi l i e ton a pr crbe an a i otc. nf c i nd es i d ntbi i On J y 6,2011 J ul , ohns fl Eme ge y Gre on ied r nc ivanc #067479, ttng: ( bo 5 e sa i W ut mi e a 1we t urna ea i ha bl i i & my l we somac a t tcesa ehuri nut s go nt o i t nd t d ood n t o rt h nd esi l r tng ral ba ' ( No.7- p.1) Nu s M uli rt ne hi gre nc sai No a e ly d.' ECF 1, . r e lns eur d s iva e, ttng: t n em ccgclcy. Pl Pr l ace operpaper ' s.' J ohns c ai st tN tr e Kigo e a Ntr e A da s a l rr ce vi hi e er nc on l m ha ls l r nd ls m , f e e i ng s m ge y g i va e, e us d t ade t l a s shi c to des t hi c pl n oft xc uc a i a r e nc r f e o qua e y s es s ondii n pie s om ai t t r i tng nd e s ve e pa n, f ie t per or a ur ne t s , t de a d hi a es t a o i t te t e , e r i ' al d o f m ' i e t and hus l ye s cc s o ppr pra e r a m nt whih c tt ed de i r ei fe e t hi s i m e ca ne J hns n as e t t tt c onsiut lbe at ndif r nce o s erous di l ed. o o s rs ha he doc o ' di nos sofa i e i o J 21 2011pr t r s ag i n nf cton n une , ovest tJ ha ohns sco ton wass rous on' ndii ei a i ve alypes woul e iyrc niet ne e st f adocorcsatnton. ( nd d n a ron e d asl e og z he c s iy or t lj te i ' Compl ' . 4. 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D efendant Evi s' dence Ea h oft de e nt ofe she a tda t sa i t a o t ts t k a t c he f nda s f r r fi vi, ttng he di ns ha he oo nd he d ii t ts ma a trr cevi J ec sons ha he de fe e i ng ohns n' e e g nc gre nc ba e on he pe s l o s m r e y iva e, s d r r ona r ole ton a r f es by r vi ng J ec l c i s e r hed e ewi ohns sm e c lr or . l a esm a r que tm e c l on' di a ec ds nm t y e s di a te t ntunde et rt SikCalpr es orona Emegenc Gre eba i.( uli rame r ihe he c l oc s n r y ivanc ss M lns Afi !1 ) Thee r ygre nc f us a Re Oni sae t tt srme i t td. 3. megenc iva e onn ed t d on tts ha hi e dy s o a d e sE iu to so c n iin wh c ma s be t h o fn e t i dit rs o sro s d r s s t ai n r o dto s ih y u jc t e fe d r o mme ae ik f e iu s p ro a ij r o ir p r beh r ' lmae aet us teSikCal r c s t rq et e s n lnu y r re aa l a m. n ts r o e h c lp o e s o e u s ' te t ntonar gulr( mege y)bass (#a1 ) AtSi Calt i t mayset rame e a none r nc i. J 5. ck l,he nmae e he nur i s a f w ho a s s ort e tt i a e unde nur i gui i orputt i a e on t s ng t f , s e s r a he nm t r sng delnes he nm t he doco ' ls f f t ra s s nt (d. trs it or urhe sesme . 1 ) Nur e K igor r e ve J m s s Em e ge y Gr e nc #067456,da ed J 1 2011, s l e ec i d ol on' r nc i va e t une 2, c ani ofpan i hi l rsoma ha t tcesa bur ngo urnai ( l e ompli ng i n s owe t c nd esil nd ni n i ton. Kigor Afi ) Afe rviwi J on' me c lr od, lor fundt r wasnote r enc 'a td. tr e e ng ohns s dia ec r Kig e o hee dme g y, s ' de i dont f r be us t r wa nolf-hr tni orlf- trngst to (d. M r fne he o m, ca e he e s iet eae ng ieale i iuain. 1 ) . J ohns n ha be n s e s ve a tm e f t scom pl i tby n sng s a fa by t doc or w ho o d e e n e r l i s or hi an ur i t f nd he t , hadode e t t a me c tons i l i so c me c tons (d. Ahe e mi ng r r d ess nd diai ,ncudng tma h diai . l ) r xn ni J ohns n on J 9,2011 D r H o nshad o de e a t s i l e m a m edi tons butdi not o une , . pki r r d e tc e xn nd ca i , d or ra me c ton f pan.( msAfi !1 ) Kigor di no or rtssbe a enone de ny diai or i Adn fd. 0. l e d t de et c us weei c tda t ttme.( l eAfi !1 ) Basdonhe a s s ntofJ o spror r ndiae t ha i Kigor td. 2. e r sesme ohns n' i a ongoi m e ca ca e f rt co ii ofwhih hec nd ng di l r o he nd ton c ompli d i t Em e ge y Gre nc ane n he r nc iva e #06 6, ur e Kigor r t ne t gre nc t J on, a ke t thi c pl i tdi not 745 N s l e e ur d he i va e o ohns m r d ha s om a n d pr e a e e ge y, a s d hi t fl t pr rpa m or M r J m s wass e by es nt n m r nc and dvi e m o ie he ope pe k. . ol on en N ur e L.Gibe to J l 2011 f hi c pl i soft s i e pai a w aspl c d on Tyl nol s l r n une 3, , or s om a nt e tcl n nd ae e 650 m g. w i e a day f fve da by ve ba or rofDr M c i . t c or i ys r l de . Br de N ur e A da sr e ve a r vi w e J hns sEm e ge G re s m ec i d nd e e d o on' r ncy i vanc #065 e 242,da e td J m e 1 2011 i whi h he c pl i o pai i hi s om a h a t tc e a r ques e t thi t 7, ,n c om a ned f n n s t c nd es i l s nd e t d ha s panme c tonbei ditl rne d.( msAfi !7- ) Adamsdi no fndt tt i diai mme aey e we Ada fd. 8. d t i ha he s t ton J hns des r be m e t de i ton ofa e e ge y ort ta e er nc tea m e t iua i o on c i d t he tnii n m r nc ha ny m ge y r t n wasne d,be us J ede ca e ohns wasale dy on t pai m e c ton Dr M c i had o der d f on ra he n di a i . 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Ci ) i d prs rbedo dos ofTylnol 650mg, mo h.(d. )A not dae J y5,2011i cae e ci ne e e , by ut L=!9. e td ul ndi td t tDr M c i e m i J ha . Brde xa ned ohns t tda r vi w e hi l b w or a f on ha y, e e d s a k, nd ound t tH . or ha pyl i 4 t es rbe c li a i i s we e pr e . The doc orpr c i d A m oxi iln, Bi xi 5 m g,a a i r a e ntbod e r es nt2 a n, 00 nd n nc e s d dos ofPrl ec t sar afe t Ci owa c ee (#.!1 ) Bec us J ms sme c l e ios ,o t t tr he pr s ompltd. J 0. a e ol on' dia c r s e ha bee s e b D r M c i on J y 5,201lf t s m e c pl i t ,a ha t how d d n e n y . 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Fe R. ip t s o n tra a t n h va t s nil o u g n s te f a ' d. e ' Ci P. a ;s as Cel exCor .v.Cart,477U. 31 3 23 ( 986) Themo ntmus v. 56() ee lo ot p tet S. 7, 22- 1 . va t pr s ntt ba i f ism o i n a i ntf t e po tons oft r or t t rw ih af i vis e e he s s or t t o nd de iy hos r i he ec d, oge he t fda t , t ti beleve de onsr t t a e e ofa ge ne i s ofm a e i lf c . Ce ot x,477 U . a ha t i s m t a e he bs nc nui s ue t ra a t l e S. t l t mova tm e t isi talr s i lt t bur ent n s fst t non ova t f he n e s t nii e ponsbiiy,he d he hit o he m nt o de taet exitnc ofafcua diput t tt fc i c entoni maei ( fc t t monsrt he se e a t l s e,ha he a t n ont i s tral a a t ha mihtafc t outomeoft s tunde t g r nglw) a t tt dipuei g nui g fe t he c he ui r he oveni a , nd ha he s t s e ne (hee de ei s ht taras bl j yco drt nave ditf t nonmova ) Andes t vi nc s uc ha e ona e ur ul eur r c or he nt. ron v.Li ryLobb I .477U. 242, (986) be t vsnc, S. 248 1 . 2 çH . yl i'i a bact i i t som ach t can ca e gasrtsand ul s. ( uli Afi G P or' s era n he t hat us tii cer M l ns fd. !1 . 0) Ats mmayj g n ,h c u tsfn to i n tt weg t ee i e c a dd tr n u r ud me t te o r' u cin s o o ih h v d n e n eemie t t t butt de e m i whe he t r i a ge ne i s f t i l A nde s 477 U . a 249. he nzh o t r ne t r he e s nui s ue or ra . r on, S. t I isa l i , he co tm us be i ve t nonm o nt se de e,a dr w a1 i e e si t n t na ys s t ur t le he va ' vi nc nd a l nf r nce n he nonmova ' fvor L a 255. nts a . 4, t B. Pl ntf sM oton t St ke ai ir i o ri J h o mo e t srked fn a t' to frs mmayj d me to t eg o n t a o ns n v d o ti ee d n s mo in o u r u g n n h r u d h t s ve a oft a f da t a t hed t t m o i w e e nots gne a t m e c lr cor w e e not e r l he f i vis tac o he ton r i d nd he di a e ds r d e tf e ' The c r fndsno gr i r ii d. c ' ou t i ounds on whi h t sr ke de e nt 'm oton. c o ti f nda s i Co n e frd fn a t idc tdi t emo infrs mmayj d me ti ef h t e a e u s l o ee d n s n iae n h to o u r u g n t l t a b c us s ofunus ly sow m als vc t e c ed a fda t we enota l ewhe c uns fl t ual l i er ie, he xe ut fi vis r vaiabl n o el ied he m o i n. Cot s lexpr s y a ke t tde e to m e es l s d ha f ndant be a l e t s tt et exe ut d a fda t s low d o ubsiut he c e f i vis once c m s r ce ved t m i t m ai. A fe J ot el e i he n he l t r ohns fl d hi m oton t sr ke, f nda s on ie s i o ti de e nt mo dt s p e n t i s mmayj d me tmo inwiht ee c tdafd vt, n t ec u t ve o u plme ther u r u g n to t h xe u e fi a is a d h o r g a e t sm o i J m s doesno a g t tt a fda t no i t r or a e no r nt d hi ton. ol on t r ue ha he f i vis w n he ec d r t pr r y e u e ope l xec t d. J ms alo c ol on s ompl i t tt media r or c d notbec i r i s aned ha he c l ec ds oul onsde ed n uppor of t t s mmayj d me tmo inb c u et e erc r swe en tt e tid. ( . tie! ) Th he u r u g n to e a s h s e o d r o û ri e ' M Srk 2. e c f ' c u t a o l c nsd ra misb ee ie c i r l go amoinf rs mmayj d me t Se o r c n ny o i e d s il vd n e n ui n n to o u r u g n . e Fed.R. v.P.5 e) he i toni aC ondii pr c de t a si lt 'a t s Ci 6( .Aut ntcai s l ton e e nt o dmisbiiy, nd hi c ' c ton i s tsi d by t vi nces fcen t s po tafndi t tt m at ri quesi n i ondii s aife t de e ufii t o up r i ng ha he te n to s wha ispr t t opone cai . Fed. Evi 901a.Dee n ss tt atda tofViki nt l ms' ' R. d. () fnda t ubmi he fi vi c Phi ps D ie t ofN ur i a R e Oni n,s a i t tt a t he r or a e t ue a co r t p , r c or s ng t d o t tng ha he tac d ec ds r r nd r ec copi ofm edi recor keptatRed Oni ofm edi t eat entpr ded t G if d Johns i es cal ds on cal r m ovi o f or on n J a J y 2011 Thus t c ttndst tt m e c r co dsa epr ry a he ia e une nd ul . ,he our i ha he dial e r r ope l ut ntc t d unde Rul 901a)a ma beco i rdi ad esi dee nt'motonunde Rul 56() r e ( nd y nsdee n dr sng fnda s i r e e, Dee a t' u r j g n mo inrle o p o e l e e u e afd v t a d fnd ns s mmay ud me t to eis n r p ry x c t d fia is n s f c e l a he i a e m e c lr or . Ther f e t cour de e J hns s m o i t ufi i nty ut ntc t d di a ec ds e or , he t ni s o on' ton o s rke. ti C. Faiure t ExhaustA dm i st i R em edi l o ni ratve es ThePrs Lii tonRefr Ac (ç k 'pr vi s a ion tgai om t $ A' o de , mongot rt ngs t ta PLl ) he hi ,ha prs ne c nnotbrng aci la ton c er ng prs condii nsuntlheha frte used io r n i vi c i onc ni ion to i s is xha t a ia ead nitai rme e .Nusl v.Pore,53 U. 51 52 ( valbl mi srtve e dis se tr 4 S. 6, 4 2002) Thi e usin . s xha to r r m enta i t C l i a e s t , he he t y i ve ge r lc r um s a esorpa tc a equie pples o t l nm t uis w t r he nvol a ne a i c t nc r i ul r e s es ... he he t y a l ge e es i f c o s e ot rwr ' a w he he orno t pi od , w t r he le xc s ve or e r om he ongj nd ' t r t he f m ofr i t i t s e i a l l t oughe usin o a nitai rme es L. or elef he nmae e ks s vaiabe hr xha to f dmi srtve e di . d a Toc ywih j 1 () a i t mus f l e c se oft esa iheda nitai ompl t 997ea , n nmae t olow a h tp he tbls dmi srtve pr e r t tt s a e pr dest pr s ne sa m e tal de dlnesw ihi t tpr edur be or oc du e ha he t t ovi o i o r nd e l a i t n ha oc e f e flnghi j1 a ton.SeeW oodf dv.Ng 5 U. 81, 94( ii s 983 ci or o, 48 S. 90- 2006) . l t rs e e a m e or um ofl w , f nda sa gue t tJ n hei uppl m nt l m and a de e nt r ha ohns di not on d exha ta ia e a i sr tver m ed e ofhi c pl i tt tN ur e Kigor w asde i r t y us va l bl dm ni t a i e i s s om a n ha s l e lbe a el i i f r ntt hi m e c ne on J 23,2011 De e nt a i t tJ nd f e e o s di al eds une . f nda s dm t ha ohns pr r y on ope l e us e a i sr tver m edi ast hi c a m st tt nur e di notpr vi ca e i xha t d dm ni ta i e es o s l i ha he s s d o de r n rs et hi e r ncygre nc fldonJ 1 ( reKigor) J 1 ( s Ada ) e pons o s mege iva es ie une 2 Nu s l e, une 7 Nure ms, a dJ l 6( reM u l ) 2 1 Th s t rei tn e aetes j c o J h s n' j1 8 n uy Nu s li , 01 . e e h e nsa c s r h ube t f o n o s 9 3 ns camsi t slws t a hema no j1 cai heeconc r nghi i erci wihNure li n hi a ui, nd kes 983 l m r eni s nt a ton t s K igor on J 23, 2011. l e une 3 D . D e i at I f e nc t M e ca Nee lber e ndi f re e o di l d Tosaeac us ofa tonunde j1 aplitf mus esa iht theha be n tt a e ci r 983, anif t tbls ha s e de i d ofrght gua a e d by t Co tt in o l oft Unie St e a t t s prve i s r nt e he nsiuto r aws he t d ats nd hat hi de i ton r ule fo c prvai es td r m onductc omm it d by ape s n aci unde c orofsae lw. W e t te r o tng r ol tt a s v. ki ,487U. 42, (988 .Punihme sorprs n c tonsaeE e At ns S. 48 1 ) s nt io ondii r t pugna t t r nt o he Ei t Am e e ' i t y ...i ve t unne es a y a wa on i lc i ofpai ' Esele gh h ndm nt' f he nvol he c s r nd nt nfi ton n.' t l v. mbl 429U. 97,1 ( 976)(ntr lq atonso te .Topr t tt c reo Ga e, S. 02 1 i ena uot i mitd) ove ha he ou s f m e c te t nther ei d a o t d t a c tt i lvi a i a i t mus s t t dial r a me ec ve m un e o onsiutona olton, n nma e t how ha pe s r onne t whos ca ehewa c lo e r s ommit e bie t lbe a ei fe e e' ohi C e i ted xhi t d i i r t ndif r nc 't s l rous de s medialne ds' I a 1 1 l dve tntf iur t pr dete t t ne i ntdignoss c e .' d. t 04- 05. na re a l e o ovi r a men , glge a i, a m edi a m a pr c i do notpr e c tt i lde i t o . 1 a 1 - 06. nd c l l a tce es nt ons iutona prva i ns d. t 05 1 ;( srousme c ne di o t thasbe ndi e byaphyscinasma ai tAj e i dial e s ne ha e agnosd ia nd tng te t ntoronet ti s obvi t te n al y pe s n woul ea iy r ogni t ne es iy r a me ha s o ous ha ve a r o d sl ec ze he c st f rad co ' atn in. Iov. h e e 5 5F.d2 5 2 1( t Ci. 0 )(n en lq tto o o trs te to ' k S rv , 3 3 2 , 4 4h r 2 08 itr a uoains ' omitd) Anofiilacswih dei r t i fee i hewa a r offcsfom whihhe te . fca t t lbe ae ndifrnce f s wae a t r c c d dr w a i er nce t ta s t nta r s ofha e s e dr w t ti e e e,a oul a n nf e ha ubs a i l ik nu xit d, e ha nf r nc nd dir ga de orr ponded unr as bl t t r s Fa m e v. e n,511 U . 8 83 s e r d es e ona y o he i k. r r Br nna S. 25, 7 ( 994 ;Cl ni rv.M c vit555F. 3 333(t Ci. 1 ) oa nge De t, 3d 24, 4h r 2009)(i ngt twheeno fndi ha r ge nediput exit a t dee ntsc nui s e ss s o fnda ' onductgl onl rmani que ton i whehe t t , the y e i ng si s t r ha co c wasob e tvel ras e whihi aquesi oflw, fc.'. ndu t j ci y e onabl, c s ton a not a t' ) 3 Fort r onssat i def nt m oton, i J he eas t ed n enda s' i f ohns r s acl m concer ng Nur e on aied ai ni s Kig esr s on et hi gre n eo J n 23 2 1 Kig r wo db e tte t s lor ' e p s o s iva c n u e , 01 , lo e ul e nild o ummayj dg n . r u me t A diagr e e bewe a i aea m e c pe s s e m nt t en n nm t nd dial r onne r r ng dignossa c s l ega di a i nd oure oftea m en doesnoti plca e t Ei t Am e e . W r ch v. lns 766 F. 8 ,8 r t t m i t he gh h ndm nt i t Coli , 2d 41 49 ( t Ci. 9 5 .Qu sin o me ia j d me t r n ts b e t oj d ca rv e u e j 1 8 . 4h r 1 8 ) e to s f d c l u g n ae o u j c t u iil e iw nd r 9 3 Rus elv. fe ,5 F. 31 ( h Ci.1 ) s l Shefr 28 2d 8 4t r 975 . 1. N urs K igore on June 12,2011 e l J hns doesnotdi pu e K igo e' ac ountofhe c o on s t l r s c r ondud i r pons t hi e e g nc n es e o s m re y gre nc J 1 2011. H e a g st ti r s i va e une 2, r ue ha n e pondi ass di s i e a ne s r ous ng he d, he gnor d w ei m e c lne d t w hi h t g i va e a e t he , m e y, spai The c tc nnotag e di a e o c he r e nc l red r na l hi n. our a r e. Kigor ba e he r s l e s d r e pons on he as e s e ofhi pr s c pl n s i lghtofhe r vi w of e r s s m nt s e ent om ai t n i re e hi c r andherunde sandi oft m e cai a t tng ar a pr c i d f hi by t s ha t r t ng he di tons nd esi le dy es rbe or m he docoronl a f da e rirf t s mem e ca c t y ew ys a le or he a di l ompl i s l r madeapr es i l ant .Kigo e of sona j d me t h t o n o sc mp an so p i o Jme1 , 01 ddn t h e tnh m wi u g n t a J h s n' o lit f an n t 2 2 1 i o t rae i t h i dit rs ofs i pe s ij yorirpaa eha m s ast c tt ea e r nc mme ae ik erous ronalnur re rbl r o o onsiut n me ge y ne d f a tonaltea m e . Kigor a s d J e or ddii r t nt l e dvi e ohns t f l Si k Ca lpr edu e a whe on o olow c l oc r , nd n he di s t nur i s af e l t hi t ne da a a d t pr c i d pai m edi a i d o, he s ng t f va ua ed m he xt y, nd oc or es r be n c ton. J ohns saleg i sa e a m os , di a r e e tw ih K igor sas e s e t thi r po t d on' l atons t t , t t a s g e m n t l e' s s m nt ha s e r e pan di notc nsiut a e e ge y. Suc dia e m e sdo no s ppo ta dei r t i d o tt e n m r nc h s gr e nt tu r lbe ae i f e e c a m . W r gh ,766 F. a 849. ndif r nce l i i t 2d t J ohns al o m ake m uc oft f c t ta w e k l t r a doc o l t ri e r t d t s on s s h he a t ha e ae , t r a e nt p e e e t r ulst di gnos an i es i li e ton f whi h J es t o a e nt tna nf c i or c ohns w a t e t d w ih a i otc . Thi on s r a e t ntbi i s s l t rm edi aldi nos sdoe no pr ,how e r t to J 1 2011, igor kne J ae c ag i s t ove ve , ha n une 2, K l e w ohns on ne d dif r nttea m e t n ha a r ad be n pr s r be f hi . Se ,e. , ohns v. ede f e e r t nt ha d le y e e c i d or m e g. J on Oui s 1 F. 1 168- ( h Ci.1 )(i i no e de s ngt tdocor none , 45 3d 64, 69 4t r 998 tndng vi nce howi ha t s 9 teai i ae kne a r tng nm t w bouti ae' piuia ygl ndt nm t s t tr a umor t c 'he d doc or 'f l et , he oul l t t s aiur o di nos a t e ti a e f t t ordi no s a e Ei h A m endm e c a m ,e n t ag e nd r a nm t or he um d t t t ght nt l i ve hough i euli el wentblnd) Fi ngnoge neis ofmaeilf ton whihJ hns c d nmat tmat y i . ndi nui sue tra ac c o on oul p ru d ar a o bej r rt fn i h sfv r tec u t o cud st a Nu s Kig r i e t ld es a e e s na l u o o id n i a o ,h o r c n l e h t re l o e s ni e t t s mma yj g n a amatro lw, n g a t h rmo in. o u r ud me t s te f a a d rn s e to 2. N urse A dam son June 17,2011 J ohns se e g nc greva e on J on' m r e y i nc une 1 ,2O11 a ked f r r ne alofa pai m e c to 7 ,s o e w n di a i n pr s rpto Ntr eAda sdi notfndt tt sr ques pr e e ane d f eme genc e c i i n. ls m d i ha hi e t es nt d e or r y te t nt be a et doc orha ale dy pr c i pan media i f J r a me , c us he t d ra es rbed i c ton or ohns n, o bet n o t ake t c daiy. The undi put d m e c lr c dspr en e i ca e t tJ hns con i d t wi e l s e di a e or es t d ndi t ha o on tnue o r e vepa n m e ca i i t da f l i hi g i va ,4and J ec i i di ton n he ys olow ng s r e nce ohns doe nota l ge t the on s le ha m i s d aly dos oft m edi ton. The r c ds a s i ca e t tt m e ca s af cl e y se a es he ca i e or l o ndi t ha he di l t f os l m onior d J t e ohns scondii a pur ue t tng a t e t e i a ef or t alevi t hi on' ton nd s d esi nd r a m nt n n f t o l a e s pai J n. ohns s di a e e w ih A da s a s s m e t thi com pl i on J 1 2011, d on' s gr em nt t m ' s e s nt ha s a nt une 7, di notftt de i ton ofa e e ge y ne f m e ca a t nton i no s fci ntt s i he tnii n m r nc ed or di l te i s t uf i e o uppor a t fndi o de i r t i f e e . W r g ,766 F. a 8 Fi ng no ge ne i s ofm a e i i ng f lbe a e ndi f r nce i ht 2d t 49. ndi nui s ue t ral f c o wh c J l o c u dpes a ear a o a ej r rt fndi hsfvo ,h c u t o cu e a t n ih oms n o l ru d e s n bl u o o i n i a r t e o r c n ld s t a Nu s Ad msi e t ldt s mma yj d me t samatro lw, n g a t h rmo in h t re a s ni e o u r u g n a t t f a a d r n s e to . e 3. N urseM uli on Jul 6,2011 lns y W he M uli r vi w e J ns s e e ge g i va eson J y 6,2011 c pl ni n lns e e d oh on' m r ncy r e nc ul , om ai ng ofbl i hi urne a pai i hi soma a t si e ,s l d t hi medialr c ds ood n s i nd ns n s t ch nd e tcls he ooke o s c e or . 4 TheM e c tonAd nitain Re or (ç diai mi srto c d ( MAR' idiae t tJ ns h don fv - y ' n c t s ha oh on a e ieda ) pr crpton ofTyl t r fom J 1 8,20lland as es i i enol hat an r une 3-1 econd tve- pr crpton t tr fom i day es i i ha an r J ne 1 2 201 .( No. 2, 3. J hn ond sn talg ta hemis d amo nigora tna o u 8-3, 1 ECF 24- p. ) o s oe o le e h t se rn fe o n dos ofhi pai m ediaton,and t r d doesnotr lec t thedi e s n c i he ecor et t ha d. 10 M uli s w t tadoc orha e mi d J hns f rt s c lns a ha t d xa ne o on o he e ompl i s r e ve t s r s t ,a ant , ec i d e t e uls nd pr c i s ve a di f r tm e c tonsi t t e da pr or a t e t e ha ale dy be n es rbed e r l f e en di a i n he hr e ys i , nd r a m nt d r a e sa td Ba e o t e efcs M u l sma eap o e so a j d me t h tJ h o d dno h v tre . s d n h s a t, li d r f sin l u g n t a o ns n i t a e n a e e ge y nee f f t rtea m e on J y 6,201 ohns n' di a r e e w ih M uli ' n m r nc d or ur he r t nt ul 1.J o s s g e m nt t lns a s s m e i no s tci ntt s s e s nt s t ufi e o uppo ta fnd ng ofde i r t i f e e e. W r gh , F. a r i i lbe a e ndi f r nc i t 766 2d t 849. J ohns sas e ton t tM uli s d ha c on' s r i ha lns houl ve onduc e a urne t s on J y 6 i bele by td i e t ul s i d t r or snc t ne da s h at s f ie t s w a i e ton. Fi ngno g nui is he ec d, i e he xt y, uc e t a ld o ho ny nf c i ndi e ne s ue ofmae ilf c onwhihJ o c dpes dearas bl jlo t fndi hi fvor t c t tra a t c ohns n oul rua e ona e tr r o i n s a ,he our c n ld sta NureMulisi e t ldt s mmayj d me t samatro lw, n ga t h r o cu e h t s ln s ni e o u r u g n a t te f a a d rn s e nl i .5 oton 11 C oncl on 1. usi Ta ng t undiput e de e i t lghtm os f a e t J hns t co t nno ki he s ed vi nc n he i t avor bl o o on, he ur ca t fn a yds ue mae il a to whihh c u dpes a eaj r t tn t t h d fn a t id n ip t d tra fc n c e o l ru d u y o i d ha t e ee d n s c n u t sa o j cieyu r a o a l r s ns t J h s n' me ia n e sa r fe tdb hs o d c wa n b e tv l n e s n b e epo e o o n o s dc l e d s e lce y i s pt sand pr oras es m e a te t e . Cl ni e , 55 F. a 334. Fo t r as ym om i s s nt nd r a m nt6 oa ng r 3d t r he e ons s a ed, he c t ni pl i if sm oto t s rke a gr nt de enda s m o i f s m a y t t t our de es a ntf i n o t i , nd a s f nt ' ton or um r ' Judgm ent . 5 F rh smerao sh th d fn a t aeett dt s mmayj d me t ntemei o o te a e s n ta te ee d ns r nie o u r u j n o h rt f l s Johns sEi h Amendm entcl m s t y ar alo entte t qualted i munly ast t e s on' ght ai , he e s ild o ii m t o hes ame cams Se And ronv. e g t ,48 U. 63 6 ( 98 )(idi saeofii se ildt qu lfe li . e e s Cr i hon 3 S. 5, 40 1 7 fn ng tt fcal ntte o aiid i muniy agai tsuisf da agesi ar onabl of i f ng t s st ton woul notha m t ns t or m f eas e fcer aci he ame iua i d ve kn wnt a hi a tonsvi aedpli ifsce rye tbls e c nsi ina rg t. o h t s ci olt antf la l sa ih d o tt o l ih ) ut 6 Thecour doesnottnd t tJohns i a tm ptng t r s sa e 1 cl m s such asmedi t i ha on s te i o aie t t aw ai , cal mal actce,bas on def pr i ed endant 'conduct To t ext t tJohns i atemptngt do s however s . he ent ha on s t i o o, , dee da t a ee tte t s mma yj dg n , c us J h o fist pr s n a e e t e ttc tono f n ns r n ild o u r u me t be a e o ns n al o e e t n xp r c ri ai f i merti s i n uppor ofhi cl m sasr r t ltga eam edi mal actcecl m undert Vigi a t s ai equied o ii t cal pr i ai he r ni M e c l ap a tc Ac (ç dia M lr cie t t VMM A' .S eVigii Co j8012 1 Pa k rv. ie S ae , 5F. ' e r na de . - 0., r e Untd tts 47 ) . Su 215 4,5 ( D. 200 (i ngp o. I iansh l t s mer q rme tf re r pp. 1 9 96 E. Va. 7) fndi r K ig t ed o a e uie n o xpet t c rii ainu rVM MA a a o h rl ia t. ettc to nde s ny t e i g n) t TheClr i die t d t s co e oft sme a e k s r c e o end pis hi mor ndum opi on a ac ompr yi ni nd c ng or rt pl n ifand t c uns lofr c d f rt de e nt . de o ai tf o o e e or o he f nda s ' E ER:T i ///a o Auut2 1. NT hs ' y f gs,02 t i U nie St t s D it i t or t d a e s rc 1 2 e