McCall v. American Electric Power System Long Term Disability Plan, No. 7:2011cv00449 - Document 19 (W.D. Va. 2012)

Court Description: MEMORANDUM OPINION. Signed by Judge Samuel G. Wilson on 06/15/2012. (rkc)
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CLERK' OFFI U..Dl O UR S GE 5 sm AT R> Š, VA FI LED J 15 2 1 UN 22 I TH E U NI N TED STA TES DI STR I CO U R T CT FO R TH E W ESTE RN D I STRI T O F V I G I I C R N A R O AN O K E D I ISIO N V JULI C. A DUDLE CLERK Y BY: V ERO N ICA L.M C CA LL, Pl ntf ai if, M EM OM NDUM OPI ON NI A M ERI N E LECTR I PO W ER CA C SYSTEM LO N G TER M D ISA BI LITY PLA N, Defendant . E Ci lActon N o.7: cvvi i 11- 00449 V. ç By:Sam uelG .W ison l Unied St es D i ri Judge t at st ct Thi i a a ton by pl ntf,Ve o c L. c l,a ns de e s s n ci ai if r nia M ca l gai t f ndant Ame ia Elcrc , rc n e ti Po rSyse Lo Tem DiabiiyPln(he(Pln', purua t t Empl eRetrme we tm ng r s lt a t t a ' 1 s nt o he ) oye ie nt l omeSe urt Ac of1974,a a nde 29U. C.j1 e s q.( )(I SA',al i nc c iy t s me d, S. 000, t e 2006 çERI ' legng ) t tt Plni opel de edhe l tr diabiiy (S 'be ft. ThePl i awefr ha he a mpr ry ni r ong-em s lt CLTD' neisz ) mz s lae b n ft a manan db Ame ia ElcrcP we S r ieCo p rto (AEP' frt eb n ft e eipln itie y rc n e ti o r e vc r o ain û ' o h e ei i ) ofis e pl yee . M s. c lhasLTD c r unde t Pl a a A EP e pl yee. The t m o s M cal ove age r he an s n m o Pr de ilI urnceCompanyofAmerc (t de il'i t Pln' cam a nitao a u nta ns a ia Epnl nta') s he a s li dmi srtr nd ha dic e i r r s ns biiy t pr s LTD c a m s The m a t ri be or t c to t s s r tona y e po i lt o oce s li . te s f e he our n he p ris c o smoi n frs mmayj d me t De pt av lmio sa miitaier c r i a t ' r s- to s o u r u g n. s ie ou n u d nsrtv e od n e e es ofs ve hu e page , nc udi t r por sofs x t r pa t e r s d he he r oft xc s e n ndr d s i l ng he e t i hid- r y xpe t , t t a t he m a t r' asM s M c ls c te ,' . cal' ouns puti d i or la gum e ,i whe he Pr de i ' de s on t el t ur ng a r nt s t r u ntals ci i o de herc ai w a t r s tofa de i a e, i i ed r s ni pr es . A c or ng t M s ny l m s he e ul lber t prnc pl ea o ng oc s c di o . 1Ther or cont nst pl docum ent , t frtofwhi beca e efectveDece ber31 ec d ai wo an s he is ch m f i m 2 8Ct a 1'( 1 ECFNo.111 , n t es c n o whih b c meef cieM a 1 , 0(t a 00 pln ' Ex. , ) - ) a d h e o d f c e a fe tv y 6 201 ç n pl 1' ( 2, No.1 - , ee r dt c lci l a t Pln. 13 Ex. ECF 12) r fre o ol tvey s he a e 2M S. M ccal fl herorgi com pl nti t Cicui Cour f t Ciy ofRoanoke on Augus l ied i nal ai n he r t t or he t t l , 01 , n t Plnr ve i pu s nto 28U. C.j 1 a 1 6 wihj idci a s re 1 2 1 a d he a emo d t rua t S. j 441 nd 44 t urs iton se td u de 28U. C. 1 31. n r S. j 3 N M c l i wasnott r ul ofadelbe a eprnci e r as ngpr s be a ePr nta cal, t he es t i r t i pld e oni oce s c us ude i l f ied t c i rand a cou f a r po tf o a te tng phys c a a t s r s t s po tng a l o ons de c nt or e r r m r a i i i n nd e t e uls up r i hi concl ons whi i cat t M s.M ccal hasia s e cognii i paim ent' The cour s usi ch ndi e hat l û ever tve m r .' t c n ld sta P u nil drve c nsd r a rj c t a e ie ei a c r n ewi is o cu e h t r de ta di e iw, o ie , nd ee t h t vd nc n c o da c t t h ds rto Ac o dn l, h c u t r nst ePln' moinf rs mma yj d me t icein. c r igy t e o r ga t h a s to o u r u g n . 1 . M s M c ls i tm e be w e n dute asa ca lc nt rr pr s nt tve a asa . cal plt i t e is l e e e e e a i nd n a nitai a s aei t hlma r ouresde rme a AEP.( n. 68 Nov. dmi srtve socit n he l n es c pa t nt t Admi R. 4, 23, 201 . He j bd te we eS e na y'h t n ov dl t go yt e l i eweg t' n ta 1) r o uis r k de tr 't a i v le i i nl d gi bl ih 'a d h t s fn n g weepe f me û tysti '(#. t592. On Se tmbe 25, r ror d i l itng. J-a mos ' ) pe r 2009,s be name c he ga dial l a ofa e fom AEP duet ba k pan, pr s i c oni f tg ,a c tvea e ve bs nce r o c i de e son, hr c ai ue nd ognii nd m em or i ues. She underwents y ss urger on t day,f om w hi s l ers fer y hat r ch he at uf ed c plc i ,a s a s ha t oi is s t tcul i t d i at oi c o y. On Fe u r om i atons nd he l o d hyr d s ue ha m na e n hyr de t m br a y 1 201 no l be or he pai s c l ve w a due t e r s a i f LTD be tt 9, 0, t ong f e r d i k ea s o xpie, he ppled or ne i s unde t Pln duet cognii pr e ( a unknown ei ogyo peha s c r t he r he a o tve oblms of n tol r r ps e onday o r physc lpr e a t teame oft epr ems t ts cli prve edherfo ia oblms nd he r t nt hos obl ) ha he ams e nt rm r t ni t w o k. Pr ntalde e M s M c l' i ta c a m a hera i s r tve a al . e ur ng o r ude i ni d . ca l s nii l l i nd dm ni ta i ppe s Fort fr tt e y- ourm ont f om t d t ofdi a lt ,3 S s biiy' i de i d unde he is w nt f hs r he a e s biiy t a lt ' s fne di r tePa a d nile so ij yt a r q ie t erg lrte t n o ad l q aiidp y iin h ln s i ln s r nur h t e u rs h e ua rame t f uy u l e h sca a f t tma ras bl beex ce t prve (hee oye jfom peronni t maeildute ha y e ona y pe td o e nt t mpl e r f ng he tra is ofg r o occ pai wihAEP'f ove 1 hou sofrgul l s he e wok (we y-i hej wn u ton t 'or r 040 r e ary c duld r t nt sx 3The Pl agr Sept an ees ember25 2009 i M s. M ccal' da eofdiabiiy f pur esofherLTD s ls t s lt or pos cam .Ad n. 661. li ( mi R. ) 2 4 we f af t ho wor we k) ( a Ia 3,ECFNo.11 1 Pln1 a 4,ECFNo.1 2. eks or ory- ur k e .P1n t -; a 1 t 1- ) Thi 1 ho watngpei i t t lmi tonpei '( n.R.660. Ms. c lwoul s 040 ur ii rod s he ç i nai rod. Admi e ' ) M cal d ha s tsi dt elm i ton pe i o M a c 27, 0 ha s ot l ie me t t s f ve aife he i na i rod n r h 201 d he hew s t he e t or ds blt. I . t 61) Th Plnr q ie t be tv me ia e i n e' n c uinsta aSetr ia ii (d a 6 . e a e urs t jcie dc l vde c 'a d a to h t d te y o l fom (hee oye s te tngphysca meel satngt t(hee o i)una et wor r t mpl e'l rai iin r y t i ha t mplyee s bl o k wihou a s ri i or tonwilnotbec i rdasc usvepr ofofg r t t ny uppo tng nf mai l onsdee oncl i o he l dia lt '( a Ia 1 seas Pln1 a 1 ) s biiy.'Pln t 2; e lo a 1 t 4. M s M c ls it d e e i m e c lr o dsi s . cal ubm te xt ns ve di a ec r n uppor ofhe LTD c a m and o f r t r li f e ed s em e ale de e i c m ec i w ih he a i sr tve a a s Pr de i r t ne a t a uppl nt vi nc n ol ton t r dm ni ta i ppe l . u ntal e ai d ot l ofsx t r pa t e rs t ee c i c ps i hid- ry xpe t- hr lni al ychol s s a orho di t a r ha lt to phys c a ogit , n t pe s , e biia i n i i n, a a oc upa i lphys c a t pe f f lr c d r vi w s Thos expe t f nd n c tona i i n- o r onn ul e or e e . e r s ound no i pa nue pr ve tng M s M c l f om r t ni t w or 5 The e e i a i s r tve m i nt e n i xt nsve dm nit a i ca l r e ur ng o k. . r or not t t ndi M s M c lss tf us se iey o a na r r ngeofevi nc ec d wihsa ng, . cal' ui oc e ntr l n row a de e: 4Afert p f mont fom t dat ofdiabiiy, t defnii ofdiabiiy changest San t went our hs r he e s lt he i ton s lt oç il s o ij yt a rquie t r g a te t n ofaduyqu lfe p ysca t a ma r a on bybe l s r nur h t e r s he e ulr r ame t ne l aiid h iin h t y e s a l e e tdt p e e (hee o e)fo p ror n t du isofa yoc u to frwhih (he xp ce o r v nt t mplye r m e f mig he te n c pain o c t e lye i1r a o byquaiid b ge )e uc to taniga e re e. ( n. 66 mpo e s e s na l lfe y h r d ain,ri n nd xpeinc ' Admi R. 0) ' (mph ssa e ) e a i dd d . 5Dr Je ierNash- rght clni ps W i , i cal ychol s,c uded t tt clni evi . nn f ogit oncl ha he i cal dence di not d s pp r dun ton li ime tfo aps c l ia c dii o dign i a p e e t'( n. 58 ) u o tt ci a mpar n r m y hoogc l on ton r a oss t r s n . Admi R. 3 . f ' Dr.W ilam Hum phres orhopedit concl li i , t s, udedt M s M ccal wasphyscaly capabl ofr t ni t hat . l i l e e ur ng o wor i as de tr c p ct (d. t5 6. Dr BabaaPa k ,rha lttonp sca ,c l e t t k n e na y a a iy. I a 7 ) . r r r e e biiai hy iin oncud d ha out i ofone day of ofwor f M s. ccal' l barpuncur and t weeksof ofwor f he sde f k or M ls um t e wo f k or r t oi t hyr dec omy a r nd ecover t e de di %nots y, he vi nce d d uppor any medi l necess y r ti i or t caly ar esrctons lmiainsf s de tr a tviis. . t r fom g gu t7, 09 f r r '(d. t61 ) Dr Ro r i tto or e na y ci te . a wo k r Au s 20 1 o wa d. l a 8. . be t ' Yohman,clni ps i cal ychol s,concl ogit uded t tt r wasEno c sentandvald evi ha he e t onsit i dencet tM s. ha M c l h sgr ha a yps c o c l c gntves t mst t drsrc o lmit es lsn e cal a o q d n y holgia or o ii ymp o ha woul e tit r i t h kil otd i t qu sinorf rt etmepei s cte '(d. t1 . Dr Ru s lGr e o c aina ph iin n he e to o h i rod pe i d. l a 76) . s el e n, c up to l ysca , i ' not t conce n ofs ver ot physi anst M s M ccal çi unabl t wor a al,butt bassf ed he r e al her ci hat . l cs eo k t l he i or t i o nin g b le e di no tk it a c n tee tr t o teme c lrc d. (d. t1 . Dr her pi o he eiv d dl t a e n o c ou t h n iey f h dia e or ' I a 6) . ' Alons M a i clni alps f o rtnez, i c ychol s,concl ogit udedt M s.M c lstlm ia i sari Sept hat cal' ûi ttons t tng ember25, 2009 s d have been s tt houl hor-enn,a do notc tt ea per nd ons iut manentf tonali nnentt woul unc i mpai hat d c ntn t i i t cama ' a lt t wok o af ltmeba i. (d. t23. o iue o mpar he li nts biiy o r n ul-i ss' l a ) ' 3 ne o yc a r c t tng by D r Thom asG ua te i ps hi t it on J r a y 28, 0;f l ur ps hi ti es i . li r, yc a rs , a m r 201 olow up ne o yc a r c t tng by D r Sa e V a s m a , ychi ti t on Apr l29, 0'a a r t ur ps hi ti es i . nde p l l vi ps a r s , i 201 , nd epor by Dr J l He l c i ca ps hol s ,da ed M a 7,2011 Dr G ua te i st s i c ns sed of . o m i, lni l yc ogit t y . . li r ' e tng o i t pa i ntc pl t s l ofps hol c - m otona fm c i ng,a t ry- i e ba t r of te - om e ed ca es yc ogi ale i l t toni hit m nut te y c omputrz c nii s re ng,a f fc t fc ne ops hol c ts .Ad n. eied og tve ce ni nd our a e-o-a e ur yc ogial aks ( mi R. 20. Dr Guater' t tngas i ude ak ldiyi c t 'pur t ydesg t a s s ) . li is esi lo ncl d û i t ndiaor' poredl ined o ses va M s M c lsef t(d. Dr Vas vic mpltdhi f l u e l tonofM s M c lafe . cal' for.l ) . lhna o ee s olow-p vauai . cal tr s soppe tki s vealme c tons (d.a 1 ) Dr Vasma frt mos par duplc t he t d a ng e r diai . I t 53. . ll vi o he t t iaed Dr Gu l eisn u o s h arctsi a drpo tdta M s M c l' û e r l gce m ( s . at r' e r p yc iti e t n e re h t . cals t u o o i xa wa j i ng n ese i l unc s ntaly hange '(d. Dr Helte tdM s M c l,eviwe he me c lr or , nd d.' 1 ) . i rae . calr e d r dia ec ds a pe f m e a f tona ca ciy e l i D r He ls a e t tM s M cca lw as s f rng f om r or d unc i l pa t va uaton. . i t t d ha . l uf e i r $ pr r c ed he lh c i i' a t ti s r t d t wor i r c ton w o d c r a nl $ ot a t a a t r s s' nd ha f he e unw o k t ondii he ul e t i y deei ae'(d. t31 )Hec l dt tt C ombi to ofme c la ps hol c trort.'l a -32. oncude ha he d c nain dia nd yc ogial c tonsr re heruna et wok i a e r nta ghaqtme. (d.a 32. ondii ende ldj bl o r n ny nvionme t t t i ' l t ) ' Dr Y o a a c i c ps hol s w ho c l d t t r w asû co i t nta . hm n, lni al yc ogi t onc ude hat he e t no ns s e nd vai e de t tM s M ccalhas( lhada ps hol ca orc tves omst t ld vi nce ha . l or ny yc ogi l ognii ympt ha wo dr src o lmit s lsnotdi t q si o f t tmepe i s cfe '(d. t ul etit r i the kil e n he ueton r or he i rod pe iid,'i a 1 ,rviwe Dr Guate istsi a Dr Yohmanc rcei di a t welvai tdas 76) e e d . lir' e tng, nd . haa trze t s t not l ldae a( aur ot s om valdiya efor ma ge ntbyc rntrs a c ltrtze'( a me s e l ympt i t nd f t na me ure e e r h iealr,'1 t 1 ) Ac or ngt Dr Alons M a tne aci c lps hol s whoc l t tM s 75 . c di o . f o ri z, lnia yc ogit oncuded ha . M cca ls d i ia i s m i Se em be 25,2009 s d ha be n s tt r , do not l' t m t tons t ng pt l r houl ve e hor -e m and co tt e ape m a n f t o li pa r e tt tw oul c i t i pa rt cl m a ' a lt ns iut r ne t unc i na m im n ha d ontnue o m i he ai nt s biiy t wor onaf ltmebass'(d.a 23 ,hevaldiyi c t us byDr Guali it ts efr o k ul-i i,'i t ) t i t ndiaor ed . ter o et fo t 4 i M s M c l ' fr tr n . ca ls is ound ofne ops hi t i t s i t s f le outoff vorbe a e i i not ur yc a rc e tng û a l n ha a c us t s s fcenl s nstvet s ufii ty e ii o uboptma ef t'(d. t24) c l i ' dbea er t i l for, i a .He oncuded t t ' woul n ror o drw a c l insa tt cama ' e f tba e ont 'vai t i c trusd.1 ) Dr a ny oncuso bou he li nts for s d he' ldiy ndiao e (d. . M a tne a s not t tDr V a sm a di notus a t tt a s s e f t ort A prlt s i ri z l o ed ha . l l vi d e es o s es f or f he i e tng. (d. Dr M atne f rhe c I ) . ri z u t r omme e t tt ne ops hiti t tngdi C tbe nt a e s ntd ha he ur yc arc esi d i no gi o ddrs g s M c l')c nii f toni t wa t ttadii ,fc t fcene ops hol c l M . Ca1s og tve unci ng he y ha r tonal a e-o-a ur yc ogia t tn c n.'I a 22. hDr M atne a DrRuselGre anoc upai lphysca esig a '(d. t )Bot . ri z nd . s l e n, c tona iin, n tdDr Helsr p r i t ero rp rs (d. t1 , - 2 *ae i h srpo tDr Gre oe . i' e o t n h i wn e o t,i a 4 21 2 ) ltr n i e r, . e n , sae t thediag e d wih r c me tonspr d by M s M ccal fom va i use rs t td ha s r e t e om nda i ovi ed . lr ro xpe t be a eSheba i f t ropi on( dlnottkeit a co t e trt oft me c l c us ç t ss or hei ni di a no c unt he niey he dia rc d,'i a 1 . e or '(d. t 6) O n J y 28, 1 Pr ntali s istna dec s on t de M s M c l' cl i a ul 201 , ude i s ued t i l i i o ny . ca ls a m nd i or e M s M c lofhe rghtt fl a c ai t de ERI . l Pr nta ' l te i or i nf m d . cal r i o ie l m m r SA n ude i l s e t r nf m ng M s M cca lofis de alofhe s co a fna a . l t ni r e nd nd i l ppea ,Appe l Spe i ls K i be l Cyrquot d l a s c a it m r y e e e i y fom t r por sofDr M a tne a Dr Gr n a s a e t tPr nta ha xt ns vel r he e t . r i z nd . ee nd t t d ha ude i l d t hor t oughl e l t t m e c li or a i n on f l ,a wel ast doc e a i n r e ved t y va ua ed he di a nf m to ie s l he um nt t o ec i wihM s Mccalsa l'(d.a 666. Cyrsae t ti wa Pr de i ' concusont twhie t . l' ppea. l t ) ' ttd ha t s u ntals l i ha l Ms Mccalt dpei ofi ime duet he l rpuncur ( t 1 2009t o h . lt ha rods mpar nt o r umba t e Ocober , hrug Oco r3, 09 ,hyr de t ( tbe 20 ) t oi comy Augus 4,201 tloughAugus 1 201 ,a de e so t 0 lr t 8, 0) nd prs in ( ptmbe 25,2009t oughM ac 25, Se e r hr rh 2009 gij (i mont l,'s wa S c i rd sc) sx hsl' he s t onsdee not dia e a ofM ar 27,201 t daehe ei nai perod'woul ha be n stsi d.1 ) sbld s ch 0,he t r lmi ton i ' d ve e aite (d. I l. M s M c l c endst tPr nta a e is d s r ton by s l c i l r l ng on . ca l ont ha ude i l bus d t i c e i e e tve y e yi evi dence t tseem ed t s ha o upportis deni whie i i evi t al l gnorng dence t f ed hercl m of hat avor ai 5 dia lt i pa tc a Dr Helsr po ta ne ops hi ti t tng r s t .Thec t s biiy, n riulr . i' e r nd ur yc arc esi e uls our c ud t ta f i r di oft r c d i i a e t tPr n i ldi no f i t co i rt oncl es ha a r ea ng he e or nd c t s ha ude t a d t a l o nsde he e i e c , u rt e c n iee a drj ce i o t eg o n st t . i' rpo t s v d n e b t ah r o sd rd n ee td t n h r u d ha Dr Hels e r wa uns ppo t d a t tt ne ops hi t i t s i f ie t a qua el a s s M s M cca ls e f t u r e nd ha he ur yc a rc e tng a l d o de t y s e s . l' f or. Be us t c tfnds c lc i vi w s oft e de c e ni t s ve iy o M s ca e, he our i onf i tng e he vi nce onc r ng he e rt f . M c l' c tve i pai nt t c r fndst tPr nta ' de i i w a no un e s bl ca l s ognii m nne , he ou t i ha ude i ls c s on s t z a ona e i ac e i onea rj ci t ohe . n c ptng nd ee tng he t r6 Ast Pl c e s di c e i on Pr n i t de e m i e i biiy,t c t e e st he an onf r s r ton ude tal o t r ne lgi lt he our r vi w he de i i n t de be t t unde t a e ofdi c e i s a r Fie t Tie & Rub rCo. c s o o ny ne i s r he bus s r ton t nda d. r s one r be v. Br h,489U. 1 ,111( 989) Eli v.M er Liel .Co. 1 F. 228, 2( h Ci. uc S. 01 1 ; ls to. f ns , 26 3d 23 4t r 1 .Unde t a eofdicei sa d, s M ccalha t bur n ofde tai t t 997) r he bus srton tndar M . l s he de monsrtng ha Pr nta ' de s on t deny he c a m w ast e ona e ' M a c v. m m e ,887 F.Supp. ude i l s ci i o r li k as bl . unr ' r um Zi r 8 , 9 ( . W . .1 9 ) S a v. n e, 8 F. u p. 1 3 5( M d 1 91,f n, 7 91 8 6 SD. Va 9 5 ; a h Co tl7 0 S p 31 , 1 D. . 9 ) atd 9 8 F. 1 ( hCi.199 .A decsont de ERI be ft i r s bl ti i i t r ulof 2d 256 4t r 2) ii o ny SA neis s eaona e ûf t s he es t a de i r t ,prnc pl d r s ng pr es a i i i s lbe a e i i e ea oni oc s nd f t s uppore by s t ntale denc ' td ubs a i vi e. ' Bensenv. piacae.l ,70F.d78 788(t Ci.1 .Su tn ile de ei r ti Ca tl r nc. 3 3, 4h r 995) bsa ta vi nc s d vi enc w hi h a r as ng m i w oul a e ass f c e t s por a pa tc a co l i ' ù d e c e e oni nd d cc pt ufi i nt o up t ri ul r nc us on. ' Le br v. etnahous Elc.Co .747F. 1 208( hCi.1 4) ab ogatdonot r Fe e W si e e o, 2d 97, 4t r 98 , r e he 6S d t e ngs u r j dj i a opra ewhen ihepladi , tedso eya ddslsr maeil mmay u ment s ppr it h ic v r n ico ue tr s a on tl and a af i t s t t e i no genui i ueast any mat i f ctand t t mova ie, ny fdavls how hat her s ne ss o eral a hat he nt i e ildt ud n asama tro lw. Fe R. v. 5 ( )2) t h nc os- to f s s ntte oj gme t te f a ' d. Ci P. 6 c ( . ç e r smo ins or ummay ' W r j dg n a eb f eac ur,hec r e a ne e c moto s p rt l 'De mo v. u me t r eor o tt ou t x mi s a h in e a aey. s nd PNGICh re ' a ls To Ga ng LLC,6 F.d 3 ,3 4 ( hCi. 1.Ea hpat be r t b r n o if r ngt e wn mi . 30 3 51 5 4t r 201 ) c r. as he u de f n o mi h y c toft bassf ismoton,a i iyi t epa soft r cor w hi demons r e t abs our he i or t i nd dentf ng hos rt he e d ch tat he ence o age i is eo mae ilfc .Ceoe Cor v. tet 47 U. 31 ,3 3 ( 98 ) l rviwiga f nune su f tra a t ltx p. Cart 7 S. 7 2 1 6 . n e e n s mmayj dg ntmotonu rRul 5 , h c u tt s drw alusiibl i e e c si fvo o t e u r u me i nde e 6 t e o r t t a 1j tfa e nfr n e n a r f h mu non i p ry. Unie S ae v. r iaTr nsonn rCo.978F.d 8 2,8 ( hCi.1 92 (ii movng a t ' td tt s Caoln a f e , ' 2 3 35 4t r 9 ) ctng Andes v. be t Lobb sl .47 U. 24 255( 98 ) ron Li ry y nc, 7 S. 2, 1 6). 6 g o n sb d No e v. toCo .8 5F.d 1 8 (t Ci. 9 9 (iain o te ) r u d y e b l Vir m , 8 2 1 0 4h r 1 8 ) ctto s mitd . Subsa i le denc tc i t ofm or t n a s ntla ofe de e butm a be s m e ha l s t nta vi e d ons s s e ha ci il vi nc y o w t es t naprpondea 'ofe de .I (ntr quoai maksa ciai omitd) ha e rnce' vi nce d. i enal tton r nd tton te . A c a m a i s r t m a notç el c i l r y upo bisa pi c ofi onna i n t t l i dm nit a or y s e tve y el s n t nd e es nf to ha s ppo t 1ade iint de be ft,rt rt nradi t physca 'a cot si a u rg cso o ny neis ahe ha e ng he iins c mt n ras bl mn r'Ca ev. ' Ca .Co.289F.Supp.2d732,740( D. .2003) s as e ona e nne . s Contl s , ' E. Va ; ee lo Myesv.Hec e,25 F. 761 7 ( hCi. ) r r uls 3 3d , 66 4t r 2001.Howe r i i note h t tadifrnt ve, ts noug ha fee c l i m a ha bee a l c ore n a be t rde s on.M ver , F. a 766. The c t onc us on y ve n ogi al ve te ci i s 253 3d t our m us a c pt' ny r a ona e i e pr t ton' g ve by t Pl n. t ce ' a e s bl nt r e a i ' i n he a Ecke be r v.Re i st rLi e I . l ry la a f ns Co.469F. 3 3 (t Ci.2006 .ûl i notl ea o bl ...oraplna nitaort , 3d 40, 43 4h r ) tt s mr s na e f a dmi srt o gi e g ea e wei t isow n c ulan s det nui i t n t t r om m e tonsoft v r t r ght o t ons t t ' e natons ha o he ec nda i he be t i r s o n doc or' M a sele v. f I .Co. N o t Am . 24 F.Supp. 593,596 ne k a y' w t . r t l r Lie ns ' of r h , 2d ( . Va.1 (iai omit . W D. 998) ctton ted) M s M c l' mo inf rs mmayj g n f c s so wh ts ec a a trz sa a . cals to o u r ud me t o u e n a h h r ce ie s s e tvepa s ng ofm edi le de . M s M cca la g t tPr nta di notf l a el c i ri ca vi nce . l r ues ha ude i l d olow de i r t ,prnc pl d r as ng pr s bec us i i nor d ne r ps a rc t s i a D r lbe a e i i e e oni oce s a e t g e u o ychi t i e tng nd . He lsr por .1 The Pl n a guest r pors w e e i or a e i o t f lr vi w by ist r i' e t a r he e t r nc por t d nt he ul e e t hidpa t e r sa pr l di c r y xpe t nd opery s ount d. The co tc l s t tPr dentalcons de e t t e ur onc ude ha u i i r d ha e de e a a t d w ihi isdi c e i i dicou i i. Bot t ne ops hi ti t tng a vi nc nd c e t n t s r ton n s ntng t h he ur yc a r c es i nd D r Hei' r por w e e r f r nc d i r pors fom t r pa t e rst tPr nta r le upon . ls e t r e e e e n e t r hid- ry xpe t ha ude i l e i d hea l i is d t m i ton. D r Y o a di c e D r Guali r ' t tng be a e he viy n t e er na i . hm n s ount d . t e is es i c us 1M S M ccal al ar l so guest ti Pr ntalf ha f ude i ound t t tng s pr ded i ufk i t i he es i he ovi ns f ent hen t . s d ha r houl ve equesed addii t tonalt tng.Buteac ofPr esi h udentalst r part experswasa et c i ' hid- y t bl o omet o a concl i ast M s M ccal' i pai uson o . ls m nnentafe dic i t neur yc ati t tng and wei ng i tr s ountng he ops hi rc esi ghi t agai tt ot evi ns he her dence i t r d. n he ecor 7 c ne d dta i wa ç twel aiae a ag a u eols mp o vai t a d efr o tn e h tt s ç no l v ld td s me s r t y t m l y n fo t di ma ge ntbyc rntr e r hltrt e. ( mi R.1 ) Dr M a tne fundDr na me ure esa c ieaur ' Ad n. 75. . ri z o ' . Gua te i st tng unpe s i be a e i w a t ts tci nty s ns tve t s li r ' es i r uasve c us t s s ufi e l e ii o uboptm a e f t no i l for ' ' andnotdt tDr Vas vidi notus ats t ase sef tf t Aprlt tng(4.t24. e ha . lhna d ed et o s s for or he i esi Lza ) D r M a tne a Dr G r en bot r f r nc d D r H e ls r po t l t r i hi r por ,Dr G r e s a ed . r i z nd . e h e ee e . i' e r ; a e n s e t . e n t t t the di a ee wih r com m e tonspr d by M s M c lf om va i e r sbe us ha s gr d t e nda i ovi ed . cal r rous xpe t ca e theba i frt i opi on g dqno tkei oa oun t e iey oft me c lr or '(d.a t t ss o her ni di t a nt cc t he ntrt he dia ec d.'l t 1 1 21 2. Pnz nta rfrnc dDr Guateist tngi islte i or ngM s M c l 4, 6, -2 ) de il eee e . lir' esi n t etr nf mi . cal o isi ta d cso , i a 7 8 , . ateisa dDr Vasma ' tsi i islte f t ni l e iin (d. t 0 ) Dr Gu lir' n . ll vis e t n t etr i ng i or ngM s Mccalofisdecsont de he frtap a,i a 68 nf mi . l t ii o ny r is pe l(d. t 7-88,6 90-91,a Dr ) nd . M a tne sa ai a oft i t s i i isl te i o m i M s M cca lofisdec s on t de he r i z' ppr s l he r e tng n t e t r nf r ng . l t i i o ny r s c a fna a al(4,a 665-66) Cons q nty,fil rad,hercor s e ond nd i l ppe , t t . e ue l ary e t e d upporst t he c l i t tPnl nta c i r a rjce t c ncl i ofM s M c lse rs oncuson ha de il onsdeed nd ee td he o usons . cal' xpe t. Gi n c lc i opi ons of e e by di f r nte r s Pnz nta had di c e i t g ve g e t r ve onfi tng ni frd fe e xpe t , de i l s r ton o i r a e wei tt t e l tons oft t r pa t e r s i f gh o he va ua i he hid- ry xpe t t ound m or pe s s ve.See M a s e l . 24 e r ua i r t le , F. u p 2 a 5 6.Ac o dn l tec u t rn stePln' mo inf rs mmayj d me t Sp.d t9 c r igy,h o r g a t h a s to o u r u g n . 11 1. The a i s r tve r or s w s e de t tco d s ppo ta co l i t tM s dm ni t a i ec d ho vi nce ha ul u r nc us on ha . M ccal w a diabl d a e de e t tco d s l s s e nd vi nc ha ul uppor a co us on t ts w a no . I i t t ncl i ha he s t t s he e l i pr nc oft c a m a i sr t t w e gh c lc i e de e. Pr de i l xc us ve ovi e he l i dm nit a or o i onfi tng vi nc u nta exer sed t di eton and concl ci hat scr i uded t t r d asa w hol di notsuppor a f ndi t hat he ecor e d t i ng hat M s.M ccal wasdi ed. The courtconcl l sabl udest Pr hat udentals det naton w as t r ul of i ' enui i he es t a delber e,prnci ed reas ng pr i at i pl oni ocessand w as s uppored by s t i evi t ubs antal dence. Thus i ,t 8 wa no a a eofdic eto s t n bus s r i n.Ast r a eno ge neis sofm a e i f c ,t c ur gr n s he e r nui s ue t ral a t he o t a t t P a ' moinf rs mmayj d me t he ln s to o u r u g n . Ent June 15,2012. er: v' . . Z / s ' P . . . +* , , . z e UN I TED STATES DISTRICT J D GE U