Faris v. United States Of America, No. 7:2013cv00168 - Document 78 (W.D. Va. 2014)

Court Description: MEMORANDUM OPINION. Signed by Judge Samuel G. Wilson on 3/5/14. (eot)

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CL ERKSOFFI U. . sm rnlr CE : Dl - l ATROANOKE, VA FI LED MA2 û5 2 1 16 .& FNT HEWEE RNDETDCTOFVIGI A B;Wy h cs3W** I T U TTE T ISR S RCTCOU ORHE NISDS ATS IT I R RT Y , u NI ZUL R O AN OK E DI I O N V SI H AZEL K .FA RI E X ECU TO R O F S, TH E ESTATE O F GEAT REX FARI S Pl ntf, ai if Ci lAc i n No.7: v1 vi to 13c 68 M EM O R AND U M O PI O N NI UNI TED STA TES O F A M ER I CA By:Sam uelG.W is lon Uni e St e D i t i tJudge t d at s s r c D ef endant . Thi i a a to b Ha e Fai, xe u o o t ee Gt o Ge t rs(Ta i', g is t e s s n cin y z l rs e c tr f h s e f a Fai ç rs' a an t h ) Unie SttsofAmei (he% ve n f',purua t t Fedea Tor Cli Ac (he td ae rca t i r men ) s nt o he Go xl t ams t t G % FTCA' 2 U. C. 2 71 e s q, le i me ia map a tc b me ia p ro n l o ), 8 S. j 6 , l e .algng dc l lr cie y dc l e s n e wh weete tngFai'pr tt ca e a t VetrnsAfar M e c Ce e (C r rai rs osae nc r t he ea fis dial ntr I VAMC')i Salm, 'n e Vigni.Th Go en n h smo e t d s s Fai' o lit rf rs mmayj d me t n r i a e v r me t a v d o imis rs c mpan o o u r u g n o t gr wo ' ounds Fis,t Gove nme a guest Fmi 'di no tm ey fl hi a nita i . r t he r nt r hat s d t i l ie s dmi sr tve cam wi t eUntdS ae De rme to Vee a Afar, mi dcin l r rq iiet s i. li t h ie tts pat n f trns f is aj s ito a p ee u st o ut h Se ond, heGovemm e a g st tir pe tve oftm ei s ,hec t c t l nt r ue ha res c i i lne s t our nonehees lc t l s a ks s be t te j rs ito a t camsmi igfo t ea to o tealg dn gie eo h s u j c matr u id cin s o li sn r m h cins f h le e e lg nc f i tea i physc a Dr Ani lM e na be us Dr M e nai a i pe ntco r c or a t r tng i i n, . ba di , ca e . di s n nde nde nta t , nd he FTCA doe notw a ve s r i n i m uniy f t a t ofi pe ntconta or . The cour s i ove e g m t or he c s nde nde r ct s t fndst Fmi fld hi ad i sr tvec am i atm ey mn rbutdim is scam sa ii i hat s ie s m nitai l i n i l nne s s e li rsng fom t alege ne i nceofDr M edi ,whom t c tc r he l d glge . na he our ondude wasa i pende t s n nde n cont act . r or ' On Nove be 2,2000,Dr M e na d a m r . di i gnos d Fa i wih non- dva d,l lz d e rs t a nce ocai e pr t t c e anddi c s f te t nto i nswih hi :moniorng t c ton, osa e anc r s us ed our r a me pto t m t i he ondii hor o t r py,r di i n t r py, s ge y. Fa i c ule wih ano he doc ora t m ne he a a ato he a and ur r rs ons t d t t r t t he VAM C who r ie a e t e o i ,a Fa i e nt l opt d f hor et r t d hos ptons nd rs ve ualy e or monet r py. he a Ac or ng t Fa i,t doc or ld hi t be ive t thor c di o rs he t s e m o le ha monet r py waspot i ly cur tve he a ental ai , whi h i f ti i not c n ac t s .Ove t ne ei y r ,Fa i r c ve hor onet r py a t VAM C r he xt ght ea s rs e ei d m he a t he wiha r ts c s Fort mos pa qFa i'pr tt s ii a i n( t ppaen uc es . he t r rs osae-pecfc ntge PSA)lvesr ponde e l es d postvel t t team e 1pe itng Fa i t r c vef we teame sa e nt dic i ii y o he r t nt nn ti rs o e ei e r r t nt nd ve o s ontnue team e talog t ra va i tm e . r t n t e he t rous i s l J 2008,a trt VAM C l tisur og de rme ,Fa i be n edi g ld wih n une fe he os t ol y pa t nt rs c m s nmte t t VAM C a s he nd oughtaddii lcaefom o sdephysca .ECFNo.23a 51-2) OnJ y tona r r uti iins ( t 5 ul 21 2008' Fa i vi ie D r K a e m Zaki2w ho r vi d Fa i 'di gnos sa t e t e lit y. r s st d . r e , e ewe r s a i nd r a m nt ls or 5 Dr Za i odFa i h wih dllailh dma eadfee t e iin (ihjy as(aleja d . k t l rs e s e çzrs a d ifr n d cso eg t e r e rir n l pr ee d wih amor a es i te t ntm oda iy' butf oc de t e ggr sve r a me lt ' ound no r s t r vii t dec son ea on o e st he ii a rcommende isrs i (d.a 5 55 Dr Zakior r aCT s na bonesan,a nd e d t e umpton. l t 4- ) . deed ca nd c s wela aPSA t t Laa 55.Thers t oft CT sana bones nweeneg i s ng l s es. t t e uls he c nd ca r atve, howi ta tec n e h dn ts r a , n Fai' lv lwa 0. (d. t5 - 8 I lg to te e h t h a c r a o p e d a d rs PSA e e s 7.1 a 7 5 ) n ih f h s r s t,Fa i c enott r ume hor e uls rs hos o es monet r py. Dr Za bele d Fa i c c r s he a . ki ive rs' hoi e ea onabl e 1ç PSA t tm e ur t bl l ve ofPSA , apr e n t ti pr edbyt pr tt The es as es he ood e l oti ha s oduc he os ae gl d.Thehi heram a sPSA lvel t m or lke y i i t theha pr t t c nce . Howe r an g n' e , he e i l t s ha s osae a r ve , t r aea tona r a onsfrha nga ee t PSA lvel'çpr tt- cik Antge ( he e r ddii l e s o vi n lvaed e . ç osaespe f ' i n PSA) Tes. NatonalCanc rI tt e, t' i ' e ns iut hlp:/ /- . c rg c c do c /a s e t c i cr e .ov/ u e pisf cthe vde e toipsA (as viwe Fe u r 27,201 . l t e d br a y 4) 2O nJ me 9, t 2008, i a s s w Dr Se e Hu f b tDr Huf r fre hi t Dr Za i( Fars l o a tv n f, u . f e erd m o . k. ECF No 2 a 5 - 2 . 3 t 15 ) . 2 bec us Fai a a e ç ympt tc. (d.a 5 Fourmont ltr Fai'PSA lves a e rs ppe r d f as omai ' 1 t 7) ' hs ae, rs e l d o pe t 0. ( so J n a y5 20 9 . I a 61 Ho ve, e inn i mi 2 0 ,heVAM C r p d o 5 a f a u r , 0 ) (d. t ) we r b gn ig n d-0 9 t not d t tFa i 'PSA l l be t tucua e.Fa i r s e ha rs eve s gan o l t t rs e umed hi ho monet r py,a hi PSA s r he a nd s l vel a i dec ea ed.The i 201 Fa i PSA lvesa ar d t bec el sr s i t e s gan r s n, n 0, rs' e l ppe e o om es e ponsve o t hor he monet rpy,a Fars'PSA lvesgrdualyi e e ( i a 1 he a s i e l a l ncrasd. See d. t 04) Bec us Fa i ha r ceve ho m onet r py i e m itntyf a oxi ael tn yea s a e rs d e i d r he a nt r te l or ppr m t y e r, t VAM C as d i hewoul be i e ese i pari i tng i a c i c sudy on t sde e f t he ke f d ntr t d n tcpa i n lnial t he i - fecs ofho m onet r py.Fa i agr e a t VAM C s hed e a CT s a and PSA t tf r r he a rs e d, nd he c uld cn es o Se e be 201 Ho e r be us Fa wa ha ngditc t mi tng, n J y 201 Dr Za pt m r 0. w ve , ca e ds s vi fi uly na i i ul 0, . ki r movedpa t Fa i 'pr t t .3 Then,on Augus 1 ,201 ,Fa i c ule a he outi e r of rs osae t 9 0 rs ons t d not r sde physcan who dic s d wih Fa i t ç a i sa i ii s us e t rs he ç re nd nconsse e ofpr tt c e vag it ncis osa e anc r dignossa te t nt'(d. t99 a i nd r ame . l a ) ' On Se e be 20,201 Fa i ha t c i ca sud CT s n.Tha s a r a e t t pt m r 0, rs d he lni l t y ca t c n eve l d ha Fmi 'c nce ha m e a t i d.The r vi ngphysca di noti or Fa i t hi c ce ha s a r d t sasze e ewi i in d nf m rs hat s an r d m e a tsze butr ere hi t a r di i oncol s .On Se e be 28 201 t onc ogit t sa i d ef r d m o a aton ogit ptm r . 0, he ol s, Dr Ro tHe t i or e Farst hi pr t t c nce ha be ome ç m oner facol ' . ber a h, nf m d i hat s osae a r d c ç hor er t y ' m e ng t thor ani ha monescoul no l ng pr ve t gr t ors e oft c nce ,a t tt s d o er e nt he ow h pr ad he a r nd ha hi ohe o ur i gi n e n cc s f ve nough tme.Asar s t Fa i't1 ye s v va r t ' d dr d i e ul rs t5- ar ur i l a e'ha oppe sg fc l fo 80 pe c ntt l st n 40per e . Though Dr He t di noti o m Farst t i niianty r m r e o es ha c nt . ah d nf r i ha hi c nce ha measasze her omme dt tFai ha rditont rpy.t rs De s a r d t t i d, ec nde ha rs ve a ai hea Fa i' p. 24: 26: Fa i bega r di tont r py, c c i d untlM a c 2011 whe aphysc a 6- 24) rs n a ai he a whi h ontnue i rh , n ii n 3Farsha a he il sf whih het a unr l t media i t ta s c us d trnar i d not r lnes or c ook n e aed c ton ha l o a e li y sdeefcs (d.a 98) i fe t. I t 3 t d Fa i t thi Se e r20,201 CT s a had a t ly as r veae me a t i ofhi ol rs ha s pt mbe 0 cn cual lo e ld t sass s c nce a t tFai s dha be n rc vi c mot rpy.Fai'De 28: 29:5) On a r nd ha rs houl ve e e ei ng he hea ( rs p. 9- 1 ln ni t sne ,Fa i s ic d fo r ai n te t ntt c mot r py. e r ng hi ws rs w t he r m adito r a me o he he a On Augus 1 201 Fa i fl d a a m i sr tvec am w ih t Unied St t t 7, 2, rs ie n d nitai l i t he t aes De rm e ofVt t a Afar ,alegi me c lmal a tc by t VAM C m e c lperonnel pa t nt t r ns f is l ng di a pr c ie he di a s . The ca m wa de e on Fe ua y 1 201 li s ni d br r 4, 3.Fa i di d on M a c 4,201 Appr m ael o rs e rh 3. oxi t y ne mont lt r t e c orofFa i e tt fld s ti t sco tt rt FTCA,a i al gi h a e , he xe ut rs' sa e e ui n hi ur mde he gan le ng medialmal a tceby Dr M edi a o he VAM C m e ca pe s c pr c i . na nd t r di l r onnelon t g oundst tt he r ha hey i pr ry a s d Fa i t thor o t r wa an a opra ete t ntt tc d c r m ope l dvie rs ha m ne he apy s ppr it r a me ha oul u e Fa i 'c nc ra de re fom t sa r ofc r i pr di t tte t e t rs a e nd pa td r he t nda d a e n ovi ng ha r a m n . TheGo e me th smo e t ds s pzs n t Rul 1 ( )1 .tag e ta ii v m n a v d o imis l ua t o e 2 b ( ) l r u s h t t s r i me fom la lt bec us Fa i f ie t tl hi ad i sr tve c am wih t Unie St t s mmt r i biiy a e rs al d o ie s m nitai l i t he t d a e De rme ofVee a Afar wihi t yea sa trFa i'cai ac r ed. Ir pe tveoft pa t nt tr ns f is t n wo r fe rs l m c u res ci he tmelnes oft ûlng,t Gove n e alo a gue t ti i i unefom s tf ca msa ii i i s he i he r m nt s r s ha t s mm r ui or li rsng f om Dr M e na' ne i nc be aus he w a a li pe ntc r ct and nota G ove r . di s glge e c e s r nde nde onta or nunent e pl e. Fa i fl a m o i t c peldi c r i or rt r pond t t Gove n e ' m oye rs ied ton o om s ove y n de o es o he r m nt s m o i Thec t d ahea i and gr nt Fars'moton. Afe t pa te c ton. our hel rng a ed i i tr he ris omplt eed d so e y t eGo en n mo e f rs mma yj d me to tee tt ' cam a iigo t fDr ic v r ,h v r me t v d o u r u g n n h saes li rsn u o . M e na' cou s oft e t enta i s di s r e r a m nd, n uppor ofism o i s it d num e ous de l r tons a t t ton, ubm te r caai nd e bis Fmi r ponded. xhi t . s es A c or ng t t undiput e de e Dr M edi be n w o ki a t V A M C i l t c di o he s ed vi nc , . na ga r ng t he n ae 2000 t rac r twih CompHe lh t pr vi medi ls r i st isci nt a ne ded. mde ontac t a t o o de ca e vce o t le s s e 4 CompHe lh i am e ca sa fng c at s di l t fi ompa t thel plc m e c lpr e sonas.CompHe t ny ha ps a e di a of s i l alh, i t n,c r c ed w ih t VA M C t pr de D r M e na' pr es i nm onta t t he o ovi . di s of sonals r i e t t VM A C e v c s o he hos t .The VAM C- m pHe 1h c r c sae ç ti e e sy a t a unde sood t t pial Co at onta t tt d:f s xpr s l gr ed nd l rt ha t i i an npes na s r ie c nr c a d fn di F d rlAc uii o Re u ain( h s s o - ro l ev c s o ta t s ei e n e ea q st n g lto FAR) i 37. 101, underw hih t pr es i ls r ce r nde e by t Conta t rorishe t ca e 4 c he of sona e vi s e r d he r co t alh r pr desa er ndeedi isc pact asa i pe ntco rcor'( No. - a 3) ovi r r e r n t a iy n nde nde nta t . ECF 31 1 t ' Ac or ngt t tc r c ' e e spr so ,t Gove nme wo d ha t c r o rt c di o ha onta ts xpr s ovii ns he r nt ul ve l ontol ve he no pr e sona as t oft s r i sr nde ed,i l ng,by e mpl t Contac o ' oris of s i l pec s he e vce e r ncudi xn e, he r trs t h at c r p o i r' r fsina me ia j dg n , ig o i o s cscme ia te t ns' e lh ae r vdes p o e so l dc lu me t da n ss r pe i dc lr ame t. ' (d. TheM e naCompHeat c r tpr dedsmial t tDr M e nawoul pr de 1) di 1h ontac ovi i lry ha . di d ovi s r ie o aço l tn ns'tmp rr ) a i a dwo l p ro m t o es r ie i sa e vc s n t cl e e '(e o a y b ss n ud ef r h s e vc s t n l m a id pe d n c nr co 'whi t x r iln )id pe d n j d me ta dc nto o e ( i) n e n e t o ta tr' l t ecsig n e n e t u g n n o r l v r hs ee s h due p te t, ndp o e so a sr ie a lnga (e me ts terq ie n so te c e l, ain s a r fs in l e vc s s o s h ) el) h e urme t f h fciiywhee( )wor edl'( No.1 6a 3) a lt r he kl .'ECF 6- t l or rt m e tt VAM C' ne d f aphyscin ce tfe i ur ogi lslge y,he n de o e he S e or i a rii d n ol ca tr r t VAM C r quie t tt physca s id fom CompHe 1h co e r d ha he i in upple r at nduc we kl o pa inta t e y ut te nd i t e c i cson M onda Tue da a Thtr da a w el as s gi lpr dm eson M onda npa i nt lni y, s y, nd ls y, s l ur ca oce y, W e ne d y a dFrd y. M e ia sDe 1 9-7:) Th p y iinwa as r q rdt r man d s a , n ia ( dn ' p. 4: 1 2 e h sca s lo e uie o e i on- l i t e ntofa e r nc andt a deby a1hos tlby-a a a a i a e sae cal n he ve n me ge y o bi 1 pia lws nd ny pplc bl t t orfde a r uie nt.(d. e r l eq rme s I )Howe r de piet er uie nt,t tphyscinmai ane ve, s t hes eq rme s ha ia nti d t rg t wor f ot rf c ltesl elt d t t VAM C a t t i htt delga ea of he iht o k or he a iii mr a e o he nd he t g o e t ny r 4Fe r Acquiii Re ai 37. 1 de i a t pe s ls r c c r t'a 1 co r c de al ston gul ton 01 fnes f non- r ona e vie ontac' s ç nta t a t rwhiht pe s melrnde i t sr c ar nots j t eihe byt co rc ' tr or mde c he rol e rng he e vies e ubec, t r he nta ts e ms by t m n rofisa i sr ton, o t s r ii a c r us ly pr va lng i he nne t dm nita i t he upe v son nd ontol ual e ii n rlto hi bewe nt UniedStt a ise oye . 48C. R.j3 101. eains ps t e he t aes nd t mpl es' ' F. 7. 5 gijo iain un e g eCo le lh a re n t a e u lyq aiidp ysca wiht e h s bi to s d r t g h mp l at ) g e me t o n q al u lfe h iin t h p irc n e to Co He 1 a dkt)cin . ( No 1 - a 3 ro o sn f mp at n is le t' ECF . 6 6 t ) h ' CompHeat no t VAM C, i Dr Medi bas o wor acual pero me (n lh, t he pad . na ed n k t ly fr d a houryrt r he t nas ay) Net rt VAM C norCompHe t wihheda oft l ae at r ha alr . ihe he alh t l ny he docorstxes ( 1 6;31 1 312) CompHe t pai f media mal a tcelabiiy t ' a .ECF 6- - ; a1h d or c l prci i lt i lr nce, Dr M e nawa r s nsbl f hi own wo ke ' c nsla but . di s e po i e or s r rs ompe a i be ft , ns ton ne is une oyme ti urnc heat i ur nc a rtrme plns (d. mpl n ns a e, lh ns a e, nd eie nt a . l ) 1. I Th Go r me th smo e t d s s a f rs mmayj dg n o t eg o n ta e ve n n a v d o imis nd o u r u me t n h r u d h t Fa i di notfl hi a i sr tvec am wih t Unie Stt Depa t e ofVe e ansAfar rs d ie s dm nitai l i t he t d a es rm nt tr f is wihnt y a sa tri a cu d, u idcin l rr q ii t s iu e teF t i wo e r fe t c r e aj rs it a p ee ust o ut nd r h TCA.Ho v r o e we e, bec us a me c lmal a tcec am undert FTCA doesnota c u untlpl ntf knowsor a e dia pr c i l i he c r e i ai if s o l k o b t tee itnc o h sij r a disc u e az be a eF rsfldhi h u d n w 0 h h xse e f i n u y n t a s , l c us ai i s d e admi sr tvecli wihi t ye r oft dae hekne ors d ha known t thi ca e nita i am t n wo a s he t w houl ve ha s nc r had wor e andt thi c ton wa a ti abl t t team e ofGovt m e me ca s ned ha s ondii s trbut e o he r t nt m nt di l pe s l t c tde est Gove m e ' m o i s r onne , he our ni he na nts ton. 5 e a s c mpin ewiht eFTCA saueo lmiainsi aj rs ito a p ee u st,t s B c u e o la c t h ttt f i tto s u idcin l rrq ii ii e p o rya ay e a amo int ds s frlc o s b e t te j s ito t e Ru e r pel n lz d s to o imis o a k f u j c matr midcin md r l 1 b)1 .A motont dimisf rlc ofs jctmatrj iditonma ata ket rt 2( ( ) i o s s o a k ube te urs ci y tc ihe he s f in y o t ealg to si tec mp an ( ça ilatc ' o t ee se c o s b e t u i e c f h l ai n n h o lit a t ca ta k' r h xitn e f u j c k e f ) matr t id ci ni fc ( i a t a atc ' .S eTh c e v. ie S ae , 0 F.d 3 3 401 te jl s ito n a t a s cu l ta k' e ip n Untd tts 8 0 2 9 , r f l n.5( t Ci. 9 6 .W he al a ta atc ' sma e a teGo e n n d e hee t c u t 1 4h r 1 8 ) n s cu l ta k'i d - s h v r me t o s r- he o r f mus deer newhehe t j idi ina is i s paabl fom t meisoft c e l t y t t mi t r he urs cto l sue s e r e r he rt he as . f he a es pa a e,hec t a c i re de eout i t pl di a i a e de i r r e r bl t our m y onsde vi nc sde he ea ngs nd n n vi nta y h a igd cd fris l t ed s u e j rs it na fcs wiht panif ai t eb z e o e rn e ie o tef h ip td u idci l a t, t he li tf bezng h u d n f o pe s in.SeeKe v.Unie Stt ,585F. 1 1 (t Ci. ruaso ms td aes 3d 87, 92 4h r 20094 Howe r <whe et . ve ,E r he ju s ci lfcsa ei et nedwiht f csce rlt t meisoft dipue...(he ti ti ditona a t r ntrwi t he a t nta o he rt he s t t l ral c ts ul t n a f d t pli tf t pr e a s f ua ds s h a dic r - t two d our ho d he for he a n if he oc dur l a eg r - uc s s ove y ha ul 6 TheFTCA r quiest tpli if al gi t tc am sagans t f de a go n e fl e r ha antfs le ng or l i i t he e r l ver m nt se a a nita i cli wih t r l va a nc wihi t yea sa trt cli a cnz sorG n dmi sr tve am t he e e nt ge y t n wo r fe he am c e l be f rv rb re '28U. C. 2 01 t t o g F o e e ard. ' S. j 4 09.ç h u h TCA l bit i d tr n d ç a c r a e Al i l y s eemi e i c o d nc a i n wih t 1 w oft pl ewhe et a to o ison oc ur e 'f de a l w dee mi whe a t he a he ac r he c r m s i c r d, e r l a tr nes n cam a r s'Goul v. S.De tofHeat & Huma Se ys,905F. 738,742( hCi. li ccue . ' d U. p' lh n r . 2d 4t r 1 9 )(nb n )( ing28U. C.j1 4 ( ).l Un tdS ae v. b ik, 4 U..1 1( 9 9 , 9 0 e a c ct i S. 3 6 b ) n ie tts Ku rc 4 4 S 1 1 7 ) t Supr me Co tde e mi d t ta FTCA me c lma pr c i cai ac nlswhe t he e ur t r ne ha n di a l a tce l m c e n he p an ifd so e sb t t ee se c o a ij r a disc u e I a 1 3 2 Th Ku rc litf ic v r oh h xitn e f n n u y n t a s .d. t 2 - 5. e b ik FTCA a r lt s f eso a pli ifsknowldgeoff t .A pl ntf mus ha e cc ua e t ocus n a ntf' e ac s ai if t ve nough c ucalf c ss h t theknows o s dkno t thehass f r aha a t thi r i a t uc ha , r houl w, ha ufe ed nu nd ha s m e ca pr de c us t thn m s t hem a pr ec hi s l by s e ng l ladvie. di l ovi r a ed ha r o hat y ot t m e f e ki ega c A. C.e r .Ca tlov. tdStts 71 F. O. x el sil Unie ae , 5 Supp.2d452,458( D. Y.201 afd,656 S. N. 0) f' F.d 1 ( Ci.2011. 3 35 2d r ) He e Fa i 'e tt alege t tVAM C me c lpe s r , rs sa e l s ha dia r onne neglg ty m ia s d Fa i l i en l s dvie rs conc r ng t a o it ne sa efk a y ofhor e ni he ppr pra e s nd t c monet r py g ve Fa i 'agea condii n he a i n rs nd to a dta t er s t c u s o te t n c u e h sij r a dp e tr d ah Th e d n e n h t h eulng o re f r ame t a s d i n u y n rmau e e t . e vie c i s hows ho ve , ha t i ta a c a te t ntpln di noti lc a i medit ha m . , we r t t he nii l dvi e nd r a me a d ntit n m ae r a pyweet epan iffcn ad rc atc o t meis'I a 1 3 1A1p e u to o p l r h litf a ig ie t ta k n he rt. d. t 9 . ( r s mp in f ' ( tut ul s s d a t h t t pl i ifsalegai . L. And t hem ovi pa t s d r hf ne s houl tac o he antf l tons' d ' z l t ng ry houl p e al nyi t emae il u idcin l a t aen ti ds uea dtemo igp ryi e tt d r v i o l f h tra j rs ito a fcs r o n ip t n h vn a t s n ie l t prvaiasamatroflw. Augusi v. tdStts 704F. 1 1077(t Ci.1 . o e l te a ' ' tne Unie ae , 2d 074, 9h r 983) l t i c s ,h j rs ito a q e t nof c r a c n o b s p rtdfo temeis To n hs a e t e u idcin l u si a c u l a n t e e aae rm h rt. o dee m i t da eofac r al t c tmus a s swhe Fa i kne ors d ha kno t t tr ne he t c u , he our t s es n rs w houl ve wn ha t Gove n e tmedi lpe s he rm n ca r omw lsc ' onduc ld t hi wor e sae. Thi ,n tun, e r t e o s s ned t t s i t' r quies t co utt co i rwhe hert a tndi pe s he t ' o ns de t he te ng r onne pr pe l di gnos d t o i nalc ton, l o ry a e he r gi ondii a qua e y i or ed t pa i ntoft ne d f t e t e ,r c m e de t l nf m he te he e or r a m nt e om nded a opra e optons ppr i t i g ve t di g i ,a pr de s tce c r Re ol i oft e f c sgoest t t r' of i n he a noss nd ovi d ufi int a e. s uton hes a t o he l t' hea F ds ne lg n ecam u d r h F a ' gi e c li n e t e TCA.Th r f r ,h c u t la pl s mma yj d me t e eo e t e o r wil p y u r u g n sa dswih r pe tt t Gove m e ' moton t d s is t ndm' t es c o he m nts i o im s . 7 Fmi d dno s fra ij r u tl i p e e itn c n e d v lpe it amo esro s s i t ufe n nu y ni h s r- xsig a c r e eo d n o r e iu co ton, a t tdi no oc urt i hi c nc rbe n et or one r f a t ys dw hi h i a ndii h e r c or ' ' c s nd ha d t c mtl s a e c m ( m pr es i oft die et a a nc f t ta f t s vi lr t a te t e optons7 ogr son he s as o n dva ed onn ha fecs ur va ae nd r am nt i . Bef r t ttme, rs ca err mai i s tntaly t s me sae a when Dr M e nafr t o e ha i Fa i ' nc e ned n ubsa i l he n tt s . di is di gnos d hi ,ie. l aly non- va ed a hi y te t bl Ac or ngl Fa i c us of a e m . , oc l ad nc nd ghl r a a e. c di y, rs' a e aci di nota c e un i hekne ors d ha known t thi c nc ha worene Jn#t t ton d c nz tl w houl ve ha s a er d s d ha i wa a ti a et t te t nther ceved. Att ea le t t tocc r d on Se e r28, t s trbut bl o he r a me e i he ri s, ha ure pt mbe 201 whe Dr He t i oncol i onne Fa i t tFa i ha de l 0 n . ah n ogy nf d rs ha rs d veoped hor moner r cor efa t y ds a ea ar s lo ulvn t efcie s o h r n te a y.Atha mo n , ai trt ie s s e ut /o ti ig he fe tv ne s f o mo e h r p t t me t F rs is r a iedt thor onet r py d notc epr t eca e bu onl çc r s't diea e f a e lz ha m he a oes ur osat nc r t y tontol' he s s or n unknown tm epe i and t ,hewa nots f rng fom c r c a ec plc tonsort i rod, hus s ufe i r ore t bl om i a i he tva re 'ofteam e . Rahe , wa s f rng a a ua ha m fom t a lge y ne i ent d ga i s' r t nt t r he s ufe i n ct l r r he le dl glg s e ton yea se rirofan i ppr i t te t elc i r a le na oprae r a mentmodalt f ama ofhi c ton a ag iy or n s ondii nd e a t ttme. ( ai 'Dep 26: 5 t ha i 8 F rs 2-) . None he e s t Gove nmenta g t tFa i 'ca eofa i ac r dm uc ea le t l s , he r r ues ha rs us cton c ue h ri r bec eFa i s d ha i r d f rhe a trheco ule Dr Zaki a ou sdephysc a on aus rs houl ve nquie u t r fe ns t d . , n ti ii n, 6I ma beag e t a t eij o c re whe tep osaec n e s r a byo dtepr sae t y r u d h t h nmy c u rd n h r tt a c r p e d e n h o tt , ie.m easm ied,a notm e e y whe i bec m eal a l a nc d diem e.Re r e s t . , t t sz nd rl n t a oc ly dva e s s ga dls , he d t wh n F rsk e o s o l Jzek wnt a heh ds fee s c a ij r a dta te ae e a i n w r h u d lv no h t a u frd u h n n u y n h t h t VAM C wasisc us woul bet s me( ptmbe 28 201 . t a e d he a Se e r , 0) 1 SCeas A uxus i v Uni d Stt , F. 1 ,1 ( hCi.1 l o - tne t aes 704 2d 074 077 9t r 983)( heeacai of e W r lm me ia map a tc i ba e o t ef izet . .r a apr-xitn c ndto t eij r i no . dc l lr cie s s d n h alr o . te t ee sig o i n,h n u y s t l i . . . t mer c i nceoft s me u a he e ontnua hat n ndignos d pr e i s t i l t s me sae. e obl m n ubsantaly he a t t Rah r t ijlyi t ede eo n o t p o lm it amo esro sc n iinwhihp s s t e,he n t s h v lpme t f he r be n o r r ei u o dto c oe fe trda g rt tep te o whc rq ie moee tnsv te t n.(mp ai i o iia) rae n e o h aint r ih e urs r xe ie rame t e h ssn rgn l. ) The ei e de i Fa i 'm e ca r or t s r s vi nce n rs di l ec ds o ugge tt them a ha be n a r t thi s ha y ve e wa e ha s c erwashor nerfacor whe Dr Za pef meds gey.( ECFNo.23a 97 ( . anc mo er t y n . ki ror ur r See t ) Dr Za ' not dignos dhi ca e a <hor kis es a e s nc r s l moner rcoy.' Nowihsa ng,t Goverme efa tr ' t t tndi he ) n nt hasm a s ed no e denc i c tng t ta doc ore a ne t st Fars wha i m e t oris r hal vi e ndi a i ha ny t xpl i d hi o i , t t an , t cause. See al o N ot 9. s e 8 J y 21 2008. H o e ,t r i no e de et tFa i 'ca e ha a e i bl wor e d a ul , 9 w ver he e s vi nc ha rs nc r d ppr c a y s ne t t ttm e.I f c ,Fa i t s r s t i c t d t e toppost . Bo h t ne CT s a a ha i n a t rs' e t e uls ndia e he xac ie t he w c n nd bones a or r b Dr Za we ene tve(ndiai t tt c e ha no s e dit t c ns deed y . ki r gai i c tng ha he anc r d t pra no he boneorneabyl r ymphnode) a Fa 'PSA lvel rmane lw,la ngDr Za t c l s, nd ds e s e i d o e di . ki o oncude t a Fai wa a t l S s mp o tc'( No. 3a 5 )( A lve o 0. o S p e e 4, h t rs s cual l y tmai. ECF 2 t 7 PS e l f 7 n e tmb r ya ' o 2008a 0. onJ r 5,2009 .0 Theref re, be us Fai'pr tt c nc rr i dl ly nd 5 mma y )1 ca e rs osae a e emane ocal no a nce and cla e hi c eofa to di nota c e whe hemetwih Dr Za .l n- dva d tr bl , s aus ci n d c nz n t . kil Rahe ,Fars'c e o a ton a r d on Se e r28, 0whe Fa i ha bot s f r d an t r i aus f c i cc ue pt mbe 201 n rs d h ufe e ij r a dlan ds fiin fcst id c t ta VAM C p ro n l a c us dt a ham. n u y n e r e u fce t a t o n iae h t es n e h d a e h t r Ac or ngl be us Fai tldanad nitai cam onAug t1 201 ( t nt c di y, ca e rs ie mi srtve li us 7, 2 wihi wo ye r oft daeFai'ca eofa tonac nzd) hi ett ha s tsi t FTCA' tmeycl m a s he t rs us ci c e , s sae s aifed he S i l ai flng r quie ii e r ment a t c twilde t Gove n e ' moton t dim isf run i ei s . , nd he our l ny he r m nts i o s s o tm lne s 9TheGove nm e a s a guest tfuc ua i PSA lve sfom l t 2009t mi 201 a t r nt l o r ha l t tng e l r ae o d- 0 nd he ne f apr dur t hep hi urnat s d ha i c t d t Fa i t thi c ton was ed or oce e o l m i e houl ve ndia e o rs ha s ondii wor e ng a t ti wasduet i dequaete t s ni nd ha t o na t r a mentby t go r he ve nmen .Howe r t t ve , he Gove nm e ' a g e m ic tu t l houl ha r as bl known'sa r The r nts r um nt s onsr es he ç s d ve e ona y ' t nda d. sanda d t oo nott t lkei t r l ks l o he i lhoodt tapli ifwoul i f c ha di c r d t c us of ha a ntf d n a t ve s ove e he a e h sij r i h ha o l i q ie b tise df c s so wh t e t panifc udr a o by i nu y f e d ny n urd, u n ta o u e n eh r he litf o l e s na l ha be n e c e t m a t i r i t fr tpl c 'Ros l v. t d St t s 824 F. ve e xpe t d o ke he nquiy n he is a e. ' aes Unie a e , 2d 7 8 ( h Ci.1 .Be us dl ainsma r s bl r yona s a esbyphysca 99, 04 9t r 987) ca e <plte t y eaona y el sur nc iins t tc mp iain aen r l n d no id c t ta a a t a ij r ha o c ze 'i c n o be ha o lc to s r o ma a d o tn iae h t n cu l nu y s c u rd, t n n t ' s i t tar as bl peron i Fars poston woul ha i r d whehe hi PSA lvel o a d ha e ona e s n i' ii d ve nquie t r s e s r h sn e f rs r eyid c tdta h h d s fe e a ij r d et t ete t n t a hi do tr i e d o u g r n iae h t e a u f rd n n u y u o h r ame t h t s co s r omme d.#a I f tasoneofFai'docor not s tya trhi s gey,t te t nt ec nde J n ac, rs t s ed horl fe s ur r he ramt ofpr tt ca erca be t edit bl . osa e nc n mpr c a e 1 F i 'PSA l ve se n con i 0 s e l ve tnuedt dr p fom t tpoi de piebengof hor o o r ha nt s t i f monet r py a he a t t ttme.( No. a 57,60)( l lof0. onJ r 1 2009) ha i ECF 23 t PSA eve 5 anuay 2, . 1 TheGo r men ct a t ' ve n t ies n mpubls d Fou t Cic tdec so , Hn v. t d Stt s 31 F. ihe rh r ui ii n hn Unie a e , 3 App' 582( hCi.2008) f t pr ii t tFai cam a c ue whe heco ule a x 4t r ,or he oposton ha rs' li c r d n ns td n out i phys c a who s a ed t the w ihe he had c e a m or a es i t e t e pl n. s de ii n t t ha s d hos n e ggr sve r a m nt a Bu , nl eh r ,nHa ,h plitf h dara ys fe e a ij r whe h c n a tdt e t u i ee i hn te an if a le d u fr d n n u y n e o tce h k out i phys c a . M or s de i i ns eove ,t o s de physci n i t sc e di notgi a i c ton t t r he ut i i a n hi as d ve ny ndi a i ha Fa i m a ha r c ve i de t t e t e ,o y t the w i he Fa i ha c e a he r s y ve e ei d na qua e r a m nt nl ha s d r s d hos n not r opton. i 9 11 1. Th Go e n as h smo e t ds s a df rs mmayj d me ta t t ee tt ' e v mme t lo a v d o imis n o u r u g n s o h sae s c am sa ii o oft a lge ne i nc ofDr M e na ont g oundst thewasa l i rsng ut he le d glge e . di he r ha n i pe ntcon r t a no aVAM C e oyeebe us t Gove nde nde tacor nd t mpl ca e he nune di no ha nt d t ve mea ngf con r t ti i cai ofa e oye - mpl ni ul tol ha s ndi tve n mpl re oyeer l to hi Theco ta e e ai ns p. ur gr es a tndst tt r ltons p bewe n t VAM C a Dr M e nabo enone o t hal r of nd l ha he e ai hi t e he nd . di r f he lma ks a e oye n mpl rempl oyeer a i hi Ac or ngy, heco tgr nt t Go r me ' m oto t eltons p. c di l t ur a s he ve n nts i n o dimisFars FTCA ca msa ii o oft tr ltons p.z s s i' li rsng ut ha ea i hi i tf e FTCA co a nsa lm ie wave oft Unie St t 's r gn i muniy,al wi û' -h nt i i t d i r he t d aes ove ei m t lo ng apl ntf t s t Unie Stt f dn ge i co nstonf ijzisrs tngfom ai if o ue he td aes or ma s n mpe ai or nlre e uli r ce t n t t ofe oy oft gove me a tng wihi t s ope oft re oyme .' rai ors mpl ees he m nt c i t n he c hei mpl nt'Robb v. ie Stts 8 F.d 8 4, 8 (t Ci. 9 6 (ii U. C. 1 4 ( ).Byisv r tr , Untd ae , 0 3 8 8 7 4 h r 1 9 ) ct ng S. j 3 6 b ) t ey e ms t wave a isonl t t a t ofgove n e empl sa e i ty ei i t sfom he i r pple y o he c s r m nt oyee nd xplcil lm na e r g er ntla lt t t ri a t ofi pe ov nme i biiy he o tous c s nde ndentc r c o s Se W ood v.Stndar Pr t onta t r . e a d oduc s Co.l ,671F. 825,829( hCi.1 2) hehe a i viua i agovenme e oye snc. 2d 4t r 98 .W t r n ndi d l s r nt mpl e ora i pe ntco r t unde t Ac i a que ton off r lw . uev.Unied Stt s n nde nde ntacor r he t s si ede al a Lou t ae , 1 Thepa tesha s itd t is f ade son bas d o de ii nsand e biswihout 2 ri ve ubm te he s ue or cii e n posto xhi t t r si ane denta yhe i Thec tc i r t is t rRul 1 b)1 bec us i equetng vi ir arng. our onsdes he sue mde e 2( ( ) a e f Dr M e nai a i pe ntc r cora no a g nme e oye t n,t Unie Stt s . di s n nde nde onta t nd t over nt mpl e, he he t d a e h sn twav d i i nt wihrs e tt camsb s do hi c n u ta di n ts be t os i a o ie t mmu i t e p c o li a e n s o d c n s o u j c t u t s y i t sco tKr rv.Unie Stts 843F.Supp.1 1 ( D. 1 ; n hi ur. nme td ae , 066, 068 E. Va. 994) Robbv. td Unie Sae , 0F.d8 4 8 7( t Ci.1 9 ) s eas W il msv Untd Sae , 0F.d29 , 0 - 5 tts 8 3 8 , 8 4h r 9 6 , e lo li . a . ie tt s 5 3 9 3 4 0 (t Ci. 9 )( od n t a tedsrc c u t h u dha ed s se frwa to jlid cin 4 h r 1 95 h li g h t h itit o r s o l v imis d o n f t s ito r u d rRue 1 b ( )r te t a g a tn sz r j d me twhe teg v r me t i n t ie n e l 2() 1 ah r h n rn ig l mma y u g n n h o e n n dd o wav isi miyundert FTCA) Eve t t mmt t he . n hought c t l grntt Gove n ntsmotont he our wil a he r me ' i o dimisunde Rul 1 b)1,hec tha af de Fai t be i ofaloft pr ed al s s r e 2( () t our s for d rs he nett l he oc ur p o e to so amo inf rs mmayj d me t S eLufi UntdStts No 11 1 6 , 1 r tcin f to o u r u g n . e tv. ie ae , . - 9 6 20 3 W L1 749526,a 4- ( hCi. i 24,201 (ii Kensv.Unie Stt ,585F. 1 1 t 6 4t rAprl 3) ctng r td aes 3d 87, 95 ( hCi. 4t r 2009:. 10 41 U. 521 528( 973) W he et r ltons pi fxedbyc r tt SuprmeCou thas 2 S. , 1 . r he eai hi s i ontac,he e r a i ac r t t i or ai t c ppled ontol es, nc por tng he omm on-a ditnc i be wee c r c o sa lw si ton t n onta t r nd e pl esora nt .Unde t c r t t t ditndi btwe n a e oyeea a m oye ge s r he ontol es, he si on t e n mpl nd n i pe ntc r cort nsprma iy upon t e se eoff de a a ho iy t contola nde nde onta t ur i rl he xit nc e r l ut rt o r nd s pe v s t i vi ' ç t ie physc lpe f ma e'a t t da o r tons'W ood, u r ie he ndi duals ç al d de ia ror nc ' nd ç o y pe a i . day ' 671F. a 829. Co r ove perphe a,a i sr tvede al,s h asm a t d c 2d t ntol r i r l dm nitai t is uc nda e ompla ince wih f rlsa r a r gultons i no e t edea tndads nd e ai ,s t nought ma a i vi a e oye J- a o ke n ndi dual n mpl e.;s t 8 - s as UniedSttsv.Ore ns 425U. 8 81 ( 976) Thi doe no mea 3132; ee lo t ae la , S. 07, 4 1 . s s t n, howe r t ha aphysc a m us awa bedee ed a i pe ntc ntacorsmpl be a e of ve , ç t t ii n t l ys m n nde nde o r t i y c us t n c siyt a ap y iine e cs i d p n e p o e so a j d me tnp o dn me ia he e e st h t h sca x rie n e e d nt r f sin l u g n i r viig dc l team e t hi orhe pa int .' r t nt o s r te s'Robb,80F. at88 3d 9.Conto ove t prm a y a tviy r l r he i r c i t c r c e f ,a t onta t d or lhough t mos c ii a f t , sno ne es a iy t o y f t . The Fourh he t rtc l acor i t c s rl he nl acor t Cic tha c i r d ot rpot ntal r lva i c aofc r ,s h a how t i vi r ui s onsde e he e i ly ee nt ndii ontol uc s he ndi dual wa pad orwha t pa te i e d,i or rt ditl applca i oft con r t s i t s i t he ris ntnde n de o sil i ton he tol e t n he phys ci n co e .I 1 i a nt xt d.3 1 I Robb5 t co the dt tt physcinswer i pe ntc r c o sand c i r d: 3n he ur l ha he ia e nde nde onta t r onsde e ( )t t physcan unde t co r c wa r erd t a a 1 hat he ii r he nta t s efre o s t onta tphysca ' ( t t t physca was t pr de é rc c iin,' 2) ha he iin o ovi l up te t' c r , () g nea sae n s c nc m ig te i tain ' ae 3 e rl ttme t o e n h o mn n ra d q ai o s r ierq ie u d rt ec n rc,() n e n u lt f e vc e ur d n e h o ta t 4 y t l c of c r by t go n e ove t pr crpto of he a k ontol he ver m nt r he es i i n dnz a medials pples ()t a hort oft ph iin gs nd c u i , 5 he ut iy he ysca t ma rfral,( conta ma rquie sf ofiehour o ke eer s 6) rc l e rment or fc s a t a lt oft physca t de lnet s e paint,( nd he biiy he iin o ci o e te s 7) t physcan' r s i lt t pr de ofi e s e,s he i i s e ponsbiiy o ovi fc pac uppor t saf s i , a e pme , ( t pec t of t tf, upples nd qui nt 8) he renage he physi an' t al pr i whi w as devot t actvii ci s ot actce ch ed o i tes unde t c rc,()t name oft c r he onta t 9 he t he ompe ai t t ns ton o he p y iin icu n meh d (e s h d l)a d rts(i lr h sca , n ldig to fe c e u e n ae smia t t physca sus lfes,( ) Fhe alged e oye ') o he iin' ua e ) 10 le mpl rs I lg oft sf a wor t c te mi st r ai hi be wee t VAM C a n i ht hi r me k, he our xa ne he eltons p t n he nd Dr M e na a c l st tDr M e nawa a i pe ntc r t r TheVAM C . di nd onc ude ha . di s n nde nde ontac o . c r c e wih CompHe t f CompHe t t pr det s r i sofphyscans s h asDr onta t d t a1h or alh o ovi he e vce i i , uc . M edi t hep sa fishos t l TheVAM C ha no c r c wih Dr M e naa di notpa na, o l t f t pia . d onta t t . di nd d y hi .Dr M e nac r c e wih CompHeat aone.Bot t M e na CompHeat a m . di onta t d t 1h l h he di lh nd VAM CCompHe t c ntacse e sy pr de t tDr M e nawa a i pe nt a1h o r t xpr s l ovi d ha . di s n nde nde c n rco , n h a tda c r ig ybye ecsn s l d sr to o e hi me ia j d me t o ta t r a d e ce c o dn l x r ii g o e ic ein v r s dc lu g n . TheM e na- m pHe 1h c r c as di notpr ve Dr M e nafom wor ng f f iii s di Co a t onta t lo d e nt . di r ki or aclte unr a e t t VAM C and s cii al a l d hi t de e t hi r s elt d o he pe fc ly lowe m o l ga e s e ponsbiiisunde hi i lte r s c r twih CompHe 1h t ano he co pe e physcin. ontac t at o t r m t nt ia I a ton,CompHe t di notpa Dr M e naa s l y b r t pa dhi f wor he n ddii alh d y . di aar ut aher i m or k acual peror d.Her c ve no f der le oy be is Com pHeat no t VAM C, t ly f me e ei d e a mpl ee neft . lh, t he pad hi m e ca m apr tc i ur e.And t VAM C wihhe dno txesa i woul ha ha i s di l l aci e ns anc he t l a st d ve d i co i r d hi t be a e pl . l s ,t r a i hi be wee Dr M e naa t t nsde e m o n m oyee n um he eltons p t n . di nd he VAM C lc d t hal r ofa empl e tr a i hi a ke he lma ks n oym n eltons p. Fa i 'e t t a guest tDr M e nawasa VAM C e o bec us t VAM C rs sae r ha . di mplyee a e he con r l d hi wor s dul a pa int ;r quie hi t beon- l;a pr vi d hi wih tole s k che e nd te s e r d m o cal nd o de m t rc rk e ij rq ie ns ( 1 pecie meh d o eod e pn e urme t, 1) rsrb d to s f v rf i p te tei iii f rte t n ,a d ( 2 te e tn eiyng aln lgblt o rame t n 1 ) h x e t y o (h alg de o e ')rviw o t ep y iin so t s f te le e mply rs e e f h h sca ' fke . Ro b, 0F.da 8 9(iijW o d 6 F.d.t8 0& n. 0 .Usngsmia a lss nz rus b 8 3 t 8 ctn o , 71 2 a 3 1 ) i i lr nay i, l o me cours ha hel t tphys cl ns pr di m e ca s r i e a f de alf ciii sar i pe nt t ve d ha ia ovi ng di l e v c s t e r a lte e nde nde co rcor.See e. ,Caril v.Unie Stt ,5F. 1 1 (t Ci.1 ) Br sr v. nta t s , a. rlo td aes 3d 302, 305 9h r 993 ) ousa d Unie Stts 989F. 171 178(t Ci.1 ; onev. td Stts 91 F. 46,51( td ae , 2d , 5h r 993) Le Unie ae , 0 2d 2d Ci.1 ) s eas Ciec kv.no He 1h Sys Se v . 11 F.d256(t Ci.1 (nt r 990 , e lo l e I va at . r s, 5 3 . 4h r 997) i ht Til VI c ext. te l ont ) 1 2 s r lm nt w ve , s har c e i e a s sa s a ofie,a e pm e .4 Thi a gz e , ho e r m i c a t r z s orvi w st s it nt, n fc nd qui ntl e he a t lr l tons p m yo c ly. O nc aga n, he e w a no ag e m e be w e n V AM C a c ua e a i hi pi a l e i t r s r e nt t e nd CompHe lh' c r tphyscins Ra he ,t r wa a ag et at s ontac i a . t r he e s n r mentbe wee CompHeat a t n 1h nd VAM C t s yVAM C wih c ranmedi lpe s l( vi t rquiiee riea o uppl t e ti ca ronne ha ng he e st xpe ts nd ce ntal)on she est o c l i t e tofe r ncis t me tVAM C' nee . rde i s c dul and n aln he ven mege e ) o e S ds VAM C ha no hol on Dr M e na' tm ea s he e.He ora a o it l c e nta e d d . di s i nd c dul , n ppr pra ey r de il d physca pe f m e s r ce Com pHeat a e t pr de M edi sc planc wih t i in, ror d e vi s 1h gr ed o ovi . na' om i e t he s cik ai ofhi contac t pr depr es i s r ce i i no wa t ki ofmea ngf l pe t tons s r t o ovi of sonal e vi s s n y he nd ni u c r t ti i ca i ofa e pl r e pl ye r l tons p. N o ,c ext ly,i t ontol ha s ndi tve n m oye - m o e e a i hi r ont ua l s he pr son ofas it nt , ofke,a e pm e ofa mea ngf lc e nce Cie e 11 ovii ssa s an f nd qui nt ny ni u ons que . l c k, 5 F. a 262.Us oft hos tlsi t me sa ot rrs esi ti r ti t pr son 3d t ( e he pia' nsnz nt nd he e omc s çnheen n he ovii of( me ia sni e a d l e s i n tar l bl i iao o e o e sau (e a s ). . e ) d c l e c s n i wie s o ei e ndc t r f mply e tt s b c u e . h k a m us ,n am os e r c e us ...f c ltespr de byt hos t li or rt r nde hi t i l t ve y as , e a iii ovi d he pia n de o e r s sr c .) e vies' ' Fars e tt a s ar st tt VAM C r quie compla wih hos t lr ultons i' sa e lo gue ha he e rd ince t pia eg ai a pr ocol a c dt r i t t r ltons p f rf l et c nd ot s nd oul e m na e he e ai hi o aim o ompl But a t Te t y. , s he n h Cic i h sn td çsu ey, en s be tt (1h s ia ' r lsa ac n iin o sa fp ii g s ru t a oe ,s l rl b ig u jc o a o p tls ue s o d to f tf rvl e l e doe notr m o el ma aprvaephyscin a e o eoft thos t l'Lil v. el t ne s e t y ke i t i a n mplye ha pia . ly Fi dso , ' 8 6F.d 8 7, 6 ( 0hCi. 98 )( o ldngt a p ysca wa a id pe e t o ta t r; 7 2 5 8 0 1 t r 1 9 c ncu i h t h iin s n n e nd n c n rco ) s as Orea ,425U. a 81 (ûTj que to he ei notwhehe t (le d g ee lo l ns S. t 5 ç( he sin r s t r he alge ovemme nt 1 Fars'est e addst tt dur ton oft r ltons p wast ye s H ow ever,D r.M edi 4 i ha he a i he ea i hi wo ar . at na wor d on s r -e m c r c sw ih Com pH e lh,t fr tbe ng f om J nua y 26,2000 t ke ho tt r ont a t t a t he i s i r a r o J nua y 31 2001 a wasunde no oblga i t c i wo ki f CompHe t ort a r , , nd r i ton o ontnue r ng or alh he VAM C. Asnot d pr vi l he mai a ne au hort t de e t hi r s e e ousy, nti d t iy o l ga e s e ponsbiiisunde t i lte r he c r c a a tm e w ih t c e ofCo pH e lh a t V AM C . ont a t t ny i t he ons nt m a t nd he 13 e o e r c i sfd r l n ya dmus c mpywi fd r l tn a d a dr g lto s b t mplye ) e eve e ea mo e n t o l t e ea sa d r s n e uain , u h whehe isda t da o rtonsa' s r ie b t Fe r lGove n nt' ;Robb,80F.d a t r t y-o- y peai t upe vsd y he de a e r me .) ' 3 t 888. The e or , he c t i t tcor a pe t ofa e oye - mpl r f e t our fnds ha e s c s n mpl re oyeer lto hi we e e ai ns p r sm pl a e i Dr M e na' r l tons p wih t VM AC. TheVAM C c r ld ltl m o e i y bs nt n . di s e a i hi t he ontole ite r t nthepei r ,a nitai deaiswhihweei i ntt t rndei ofE . ha l rpheal dmi srtve t l c r ncde o he e rng Dr t M e i as me ia s r ie . Ro b 8 F.da 8 8 91( u tn fo W o d 6 F.da 8 ) d n 'l dc l evc s' b , 0 3 t 8 - q o ig ' m o , 71 2 t 31. ' r Ac o dn l t ec u t a n j rs ito u d rteF c r igy,h o r h s o u id ci n n e h TCA f rcamsaii o to Dr M e i as o li rsng u f . d n ' alege neglge l d i nce. V. Fort r as sa e t c tde e t Gove n e ' m o i t dimist aci n o he e ons t t d, he our ni s he r m nts ton o s s he to n tmelne sgr i i s oundsbutgr nt ismoton t dim iscli sa ii fom t ac sofDr M e na, a st i o s s am rsng r he t . di b a et c ' fndst tDr M edi wasa i pe ntc r cor ec us he out i ha . t na n nde nde onta t . ENTER : a c 5, M r h 2014. xe . M' .' .A . y*. * UNI TED STATES DI STRI J CT UDGE

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