isaacs v. dartmouth, united states supreme court

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  • 7/21/2019 Isaacs v. Dartmouth, United States Supreme Court

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    No. _________

    ================================================================

    In The

    Supreme ourt of the United States

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    DR. JEFFREY D. ISAACS,

    Petitioner,

    v.

    TRUSTEES OF DARTMOUTH COLLEGE,DARTMOUTH-HITCHCOCK MEDICAL CENTER,

    MARY HITCHCOCK MEMORIAL HOSPITAL,

    and DR. CHRISTINE T. FINN,

    Respondents.

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    On Petition For A Writ Of CertiorariTo The United States Court Of Appeals

    For The First Circuit

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    PETITION FOR WRIT OF CERTIORARIAND APPLICATION FOR

    INJUNCTION PENDING RESOLUTION

    ------------------------------------------------------------------

    JEFFREYISAACS3553 West Chester Pike, #177Newtown Square, PA 19073Telephone: (610) 202-1460Email: [email protected]

    Petitioner

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    i

    QUESTIONS PRESENTED

    On January 15, 2012, Petitioner Jeffrey David

    Isaacs transmitted to Dartmouth College a request to

    preserve electronic evidence under Rule 34 of the

    Federal Rules of Civil Procedure. Three days later,Dr. Isaacs physician email account disappeared, de-

    spite the fact he was actively employed as a doctor at

    Dartmouth-Hitchcock hospital. In two more days, his

    medical charts at Dartmouth-Hitchcock would disap-

    pear. Isaacs filed a claim against Dartmouth in the

    United States District Court for New Hampshire, as-

    serting that he witnessed an elaborate fraud carried

    out over six months. Recognizing that discarded elec-

    tronic evidence harmed his case and permanently

    ended his medical career, he sought an injunctionunder Rule 37 of the Federal Rules of Civil Procedure

    to return to the program at Dartmouth that ousted

    him. When the New Hampshire District denied the

    injunction, the Petitioner noticed an appeal to the

    First Circuit. The First Circuit blocked the filing of

    an appeal brief, citing their lack of jurisdiction over

    the matter.

    1) Does First Circuit jurisdiction cover an interlocu-

    tory injunction seeking redress from discovery non-

    compliance, as defined under Rule 37 of the Federal

    Rules of Civil Procedure?

    2) Does the language of Rule 37 of the Federal Rules

    of Civil Procedure, which prescribes just orders up

    to default judgment, directly authorize an injunctive

    sanction as a remedy?

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    ii

    QUESTIONS PRESENTED Continued

    3) Is it in the public interest to deny the right to

    appeal an injunction seeking redress from substantial

    and intentional ESI (electronically stored informa-

    tion) loss?

    4) Were sanctions indicated for Dartmouths overall

    pattern of ESI destruction, including data from an

    actigraph medical device lost the same week the

    hospital physicians email account was deleted?

    5) Under 18 U.S.C. 1503, should the New Hamp-

    shire District Court or the First Circuit have granted

    Petitioners request to investigate this obstruction of

    justice?

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    iii

    TABLE OF CONTENTS

    Page

    QUESTIONS PRESENTED .................................. i

    TABLE OF AUTHORITIES ................................... v

    OPINIONS BELOW ............................................... 1

    JURISDICTIONAL STATEMENT ........................ 1

    CONSTITUTIONAL AND STATUTORY PRO-VISIONS .............................................................. 2

    INTRODUCTION ................................................... 3

    STATEMENT OF THE CASE ................................ 7

    REASONS FOR GRANTING THE PETITIONAND ISSUING AN INJUNCTION PENDINGRESOLUTION IN THE LOWER COURTS ....... 12

    I. The First Circuit erroneously barred anappeal citing lack of jurisdiction to reviewan injunctive sanction for E-Discovery non-compliance .................................................... 12

    II. The First Circuit set an undesirable prece-dent by failing to recognize that ESI de-struction is a form of civil obstruction ofprocess .......................................................... 21

    III. The proposed injunction to return Dr. Isaacs

    to his training program was an appropri-ate sanction to address and to discouragewillful ESI discovery noncompliance .......... 23

    IV. After the District Court let Dartmouth offthe hook for e-discovery sanctions, ten sub-sequent deponents refused to answer ques-tions or recall any substantive facts ........... 26

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    iv

    TABLE OF CONTENTS Continued

    Page

    V. No administrative procedures were fol-lowed nor does an Administrative Recordexist with regard to the termination of Dr.

    Isaacs. The All Writs Act allows this Courtto mitigate Applicants loss of career pend-ing resolution ............................................... 34

    CONCLUSION ....................................................... 40

    APPENDIX

    First Circuit Court of Appeals Judgment FiledMarch 31, 2014 ................................................. App. 1

    District Court Order Filed November 4, 2013 ...... App. 3

    First Circuit Order of Court Filed May 5, 2014 ... App. 12

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    v

    TABLE OF AUTHORITIES

    Page

    CASES

    Banks v. Enova Fin., 2012 WL 5995729 (N.D.

    Ill. Nov. 30, 2012) .................................................... 24Barnhill v. U.S.,11 F.3d 1360 (7th Cir. 1993) ...........23

    Barrette Outdoor Living, Inc. v. Michigan ResinRepresentatives, No. 11-13335, 2013 WL3983230 (E.D. Mich. Aug. 1, 2013) .........................23

    Bobrick Washroom Equipment, Inc. v. Ameri-can Specialties, Inc., 2012 WL 3217858 (C.D.Cal. Aug. 8, 2012) ....................................................22

    Brown v. Board of Education, 347 U.S. 483(1954) ....................................................................... 38

    Communist Party of Indiana v. Whitcomb, 409U.S. 1235 (1972) ...................................................... 38

    E.E.O.C. v. Frys Electronics, Inc., 2012 WL1642305 (W.D. Wash. May 10, 2012) ...................... 24

    Fishman v. Schaeffer, 429 U.S. 1325 (1976) .............. 38

    Lux v. Rodrigues, 131 S. Ct. 5 (2010) ......................... 38

    Ohio Citizens for Responsible Energy, Inc. v.Nuclear Regulatory Commn, 479 U.S. 1312

    (1986) ....................................................................... 38Pringle v. Adams, 2012 WL 1103939 (C.D. Cal.

    Mar. 30, 2012) ......................................................... 25

    Scott v. IBM Corporation, 196 F.R.D. 233(D.N.J. 2000) ........................................................... 23

    Zubulake V, 2004 WL 1620866 (S.D.N.Y. July20, 2004) ...................................................... 22, 23, 40

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    vi

    TABLE OF AUTHORITIES Continued

    Page

    STATUTES

    18 U.S.C. 1503 ................................................... 19, 21

    28 U.S.C. 1292 ...........................................................2

    28 U.S.C. 1651(a) ..................................................... 38

    Family Educational Rights and Privacy Act ............. 11

    RULES

    Rule 34 of the Federal Rules of Civil Pro-cedure ................................................ 5, 13, 14, 15, 17

    Rule 37 of the Federal Rules of Civil Pro-cedure .............................................................. 5, 6, 12

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    1

    OPINIONS BELOW

    The First Circuit decision denying Isaacs appeal

    for lack of jurisdiction is reprinted in the Appendix

    (App.) 1a-2a. A motion for rehearing en banc is re-

    printed at App. 12a-13a. The New Hampshire District

    Court order denying an injunctive sanction is re-

    printed at App. 3a-11a. These opinions are not re-

    ported.

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    JURISDICTIONAL STATEMENT

    The New Hampshire District Court denied a pre-

    liminary structural injunction on June 8, 2012 to

    mandate Dartmouths adherence to its due process

    bylaws. A preliminary injunction specified in a Mo-

    tion for Sanctions was denied on November 4, 2013.

    Pursuant to 28 U.S.C. 1292, the First Circuit had

    jurisdiction over the District Courts denial of in-

    terlocutory injunctions. The First Circuit entered a

    Judgment on March 31, 2014 citing lack of jurisdic-

    tion and forbidding the Petitioner from filing the

    Opening Appellate Brief. A Petition for Rehearing En

    Banc was denied on May 5, 2014.

    The Supreme Court of the United States hasjurisdiction under 28 U.S.C. 1254(1) to review this

    Petition. Under the All Writs Act, 28 U.S.C. 1651,

    this Court has authority to grant injunctive relief

    pending final resolution of the matters.

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    CONSTITUTIONAL AND

    STATUTORY PROVISIONS

    28 U.S.C. 1292 Interlocutory decisions

    (a) Except as provided in subsections (c)and (d) of this section, the courts of appealsshall have jurisdiction of appeals from:

    (1) Interlocutory orders of the districtcourts of the United States, the UnitedStates District Court for the District ofthe Canal Zone, the District Court ofGuam, and the District Court of the Vir-gin Islands, or of the judges thereof,granting, continuing, modifying, refus-ing or dissolving injunctions, or refusingto dissolve or modify injunctions, except

    where a direct review may be had in theSupreme Court . . .

    RULE 37. FAILURE TO MAKE DISCLOSURES OR

    TO COOPERATE IN DISCOVERY; SANCTIONS

    (b) FAILURE TO COMPLY WITH A COURT OR-DER.

    (2) Sanctions Sought in the DistrictWhere the Action Is Pending.

    (A) For Not Obeying a Discovery Order.If a party or a partys officer, director, ormanaging agent or a witness designatedunder Rule 30(b)(6) or 31(a)(4) fails to obeyan order to provide or permit discovery,including an order under Rule 26(f), 35, or

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    37(a), the court where the action is pendingmay issue further just orders. They may in-clude the following:

    (i) directing that the matters embracedin the order or other designated facts be

    taken as established for purposes of the ac-tion, as the prevailing party claims;

    (ii) prohibiting the disobedient partyfrom supporting or opposing designatedclaims or defenses, or from introducing des-ignated matters in evidence;

    (iii) striking pleadings in whole or inpart;

    (iv) staying further proceedings until

    the order is obeyed;(v) dismissing the action or proceeding

    in whole or in part;

    (vi) rendering a default judgment againstthe disobedient party; or

    (vii) treating as contempt of court thefailure to obey any order except an order tosubmit to a physical or mental examination.

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    INTRODUCTION

    Medical residency is difficult. Petitioner Jeffrey

    David Isaacs commenced a surgery residency in June

    2010 at the University of Arizona. Within several

    days, he was told he lacked the technical skills to

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    become a surgeon. Peculiarly, Dr. Isaacs had no

    difficulty performing the single surgical procedure he

    had been assigned at Arizona a subcuticular suture

    for a cancer patient. During medical school, Dr. Isaacs

    achieved higher national medical board scores than

    the average neurosurgeon and honors on most ofhis clinical rotations. Nonetheless, he reluctantly

    resigned from the Arizona program after a month, at

    the recommendation of his Program Director.

    Unable to obtain another surgery post, Dr. Isaacs

    accepted a residency position offered by the Dart-

    mouth College Department of Psychiatry. Within

    days, Dr. Isaacs supervisors at Dartmouth placed

    him under informal, then formal, probation. At that

    point, Petitioner alleges he was ordered to conductheinous acts that coincided with his own medical

    deterioration. Isaacs became a patient at Dartmouth-

    Hitchcock, during the six months he worked there as

    a doctor. Unable to stay awake more than three hours

    at a time, he was prescribed a wearable actigraph

    device to monitor his deteriorating health. Cardiac

    arrhythmias began at this point; a later study at

    the University of Pennsylvania detected ventricular

    tachycardia, an often fatal cardiac condition.

    Isaacs persevered with his training at Dartmouth

    for six months. His primary instructor gave him

    above average marks for his work with patients.

    However, on January 13, 2012 his Program Director,

    Respondent/Defendant Finn, informed him that he

    would likely be fired for allegedly forgetting to use his

    stethoscope on one patient.

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    The Petitioner suddenly realized that for reasons

    very different from his medical skills and knowledge,

    he was unwanted in the eyes of his Program Direc-

    tors at Arizona and Dartmouth. In 2006, Isaacs had

    unknowingly intercepted questionable communica-

    tions between a Director of the National Institutes ofHealth and The White House Office of Science and

    Technology Policy Committee on Counterterrorism,

    and the Dean of his medical school. This interception

    occurred when Isaacs emails utilized a new return

    receipt technology named ReadNotify. This unleashed

    fury from the Dean and the NIH Director, and a re-

    taliation lawsuit ensued for two years in the Central

    California District. Five years later, someone didnt

    want Isaacs to become a licensed physician because of

    his prior litigation and subsequently leaked sealedrecords to Arizona and Dartmouth.

    Realizing the gravity of the situation, Isaacs sent

    a letter to Dartmouths President Jim Yong Kim re-

    questing an investigation under the Dartmouth Busi-

    ness Ethics Code that Kim himself had written. The

    letter instructed Dartmouth to preserve electronic

    evidence, pursuant to FRCP 34, in the event the

    matter went to court. Several days after this evidence

    preservation request, Petitioner Isaacs entire Dart-mouth email account was flagged for deletion. That

    same week, Dr. Isaacs actigraph results disappeared

    from his patient chart at Dartmouth.

    In mid-March 2012, Isaacs emailed Dartmouth

    relaying his concern about Kims inaction on the Eth-

    ics investigation request. Isaacs began to be suspicious

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    of Dartmouths silence, particularly as he was never

    given any formal notice of Administrative Leave.

    Likewise, the person he was imploring for help Jim

    Yong Kim worked for ten years at the International

    Health faculty of Harvard Medical School with the

    aforementioned NIH defendant. A week after email-ing his concern, and several days before Kims nomi-

    nation to the World Bank became public, Isaacs was

    terminated from Dartmouths training program. It

    is believed Dr. Isaacs was the first resident in Dart-

    mouth history to be terminated before the peer

    review Fair Hearing required under Dartmouth

    accreditation bylaws.

    As a sanction for deleting important evidence,

    Petitioner applied to the District Court for a prelimi-nary injunction that would permit his return to work.

    Rule 37 of the Federal Rules of Civil Procedure allow

    for sanctions up to and including summary or default

    judgment. The District Court refused to investigate

    the matter. The First Circuit barred Isaacs from even

    filing an appeal, citing lack of jurisdiction. Unable

    to participate in the federal Medicare funded residen-

    cy training system, Dr. Isaacs has effectively been

    banned forever from becoming a practicing physician.

    The Supreme Court is the last remaining hope tocorrect nearly a decade of injustice Petitioner faced in

    his training to become a doctor.

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    STATEMENT OF THE CASE

    Chronologically, this case commences with events

    that transpired in 1997. The Petitioner suffered a

    concussion after being assaulted by an intoxicated

    Dartmouth College student. Without any prior medi-

    cal history, new concentration difficulties necessitated

    that the Petitioner drop his pre-med curriculum,

    prompting his professor to write the following to the

    Dean of Students:

    Im concerned about a 99, one JeffIsaacs, who recently dropped my class(Chemistry 5). He seemed distraught, almostin tears, about having to drop and told meabout having been hit in the head duringbreak I believe, and its subsequent effect on

    his studies. I got the impression that this kidreally needs help and thought Id better letyou know. (USCA Appendix p. 66).

    The Dartmouth administration failed to inter-

    vene despite the warning. Nonetheless Isaacs did

    earn an A.B. Honors degree in Computer Science

    without delay. The Petitioner ultimately completed

    his pre-med studies through a circuitous route span-

    ning some seven years, in efforts to fulfill his long-

    term goal of becoming a brain surgeon. These sevenyears included obtaining his commercial pilot license,

    working as an investment banker at Merrill Lynch in

    New York City, working at an internet startup group

    in Paris that yielded Europes first Internet IPO,

    completing an MBA program at Wharton, and per-

    haps most significantly, receiving a full scholarship to

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    Vanderbilt Law School where Isaacs was enrolled

    for just under a year. Isaacs graduated from medical

    school in 2010, where his score of 241/99 on the

    United States Medical Licensing Exam surpassed the

    average neurosurgeon. As a medical student, he re-

    ceived honors in most of his two years of competitiveclinical medical student rotations at the Cleveland

    Clinic (orthopedics & emergency medicine), Mount

    Sinai School of Medicine (neurosurgery and ophthal-

    mology), and St. Georges University of London (der-

    matology, obstetrics and radiology).

    The Petitioner returned to Dartmouth in July

    2011 to pursue neuroscience research and preventa-

    tive medicine as a resident physician with the Dart-

    mouth College Department of Psychiatry. During hisemployment, the Petitioner spent 90% of his time

    working with one Dr. Donald West, who gave him

    pretty much superior evaluations (Isaacs Deposition

    p. 113). The other 10% of the time comprised of his

    first week of employment on the internal medicine

    ward, roughly two dozen after-hours on-call shifts, as

    well as his final week at Dartmouth, ending January

    13, 2012. It is this 10% of Petitioners time at Dart-

    mouth, which was managed by senior Program Direc-

    tors with knowledge of Keck, that is under disputein the underlying lawsuit and alleged to have consti-

    tuted a major fraud against Isaacs and the Medicare

    reimbursement system.

    On Friday January 13, 2012, the Petitioner was

    admitted to the Dartmouth-Hitchcock Emergency

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    Room. In the ED, the Plaintiff frantically hand-wrote

    a criminal complaint:

    At approximately 10AM this morning Ilearned of illegal workplace behavior I havebeen subjected to by DHMC staff and Dart-

    mouth College professors. (USCA Appendixp. 211).

    This is where the case and understanding how

    a generally well achieving doctor suddenly suc-

    cumbed to a medical breakdown becomes compli-

    cated. In 2010, Isaacs worked as a surgeon at the

    University of Arizona and Tucson Veterans Admin-

    istration Hospital for six weeks, at which point he

    voluntarily resigned. By his third day of work at

    Arizona, he was told he was far behind his peers and

    faced peculiar criticisms of poor technical ability, de-

    spite only ever being asked to do one technical proce-

    dure at Arizona and doing a perfect job (Isaacs

    depo. p. 117):

    I was only asked to do one technical proce-dure in surgery, which was suturing a port-a-cath at Arizona that was a subcuticularsuture they asked me to do. I remember thatvery well because in the Caribbean first se-mester seven years back my anatomy lab tu-

    tor, it was Dr. Stam, taught me how to do asubcuticular on a cadaver. I had only donethat once. I practiced it four times in front ofher, and that was the last subcuticular I diduntil being asked to do one in Arizona. And Iremember being surprised that I remem-bered the procedure so well that I actuallydid a very good subcuticular.

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    After leaving Arizona, the Petitioner sent an elec-

    tronic CV (called ERAS) applying for a residency at

    Dartmouth. Simultaneously, the Petitioner requested

    that the Accreditation Committee for Graduate Med-

    ical Education investigate his time at Arizona. Arizona

    Surgery had already been on the most serious level ofACGME probation for intimidation of residents. The

    Petitioner was unsure whether the mistreatment he

    received there was a result of the general practices

    that caused Arizona to be on probation, or another

    issue more specific to himself, involving a federal

    legal dispute dating back to 2006.

    In 2006, Petitioner had enrolled as a medical

    student at the University of Southern California Keck

    School of Medicine. He became involved in an un-fortunate dispute with a classmate of his, one Amy

    Baughman. A relationship turned sour rather quickly,

    and involved dispute resolution with an Associate

    Dean of Students. In short, Plaintiff claimed that Ms.

    Baughman was attempting to repair her reputation

    at his expense. During their disputes, Ms. Baughman

    had warned Plaintiff I got into medical school

    through connections, and Ill get a residency through

    connections. Her father was a director of the Na-

    tional Institutes of Health Neurosciences Division(NINDS) and the White House Counterterrorism

    Office. At some point, Petitioner sent a cease & desist

    notice to Baughman, using what was then a new

    return receipt email service called ReadNotify. That

    same day, the return receipt indicated the email went

    to the NIH, and then to an office at USC Zilkha

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    Room 101, followed by Baughman obtaining a USC

    Undergraduate Student Association stay away or-

    der against Petitioner.

    A strange scenario occurred where two medical

    school classmates had a stay away order in a tight-

    knit class of one hundred sharing lectures and labor-

    atories. Baughman appeared to leverage the stay

    away order to taunt the Petitioner. After some time,

    Petitioner discovered that the Zilkha Neurosciences

    Institute Room 101 was unoccupied, but had previ-

    ously been occupied by the Dean of Keck, one Brian

    Henderson. Henderson had been promoted to Dean

    after raising tens of millions in NIH funds for the

    creation of Zilkha. Petitioner realized that Baughman

    had garnered support of the Dean. Classmates werebecoming distressed by the entire situation. Appar-

    ently, Baughman did have connections to medical

    school and residency (she is now a physician at Har-

    vard Massachusetts General Hospital).

    The Petitioner sought to resolve the issue and

    back off, so he telephoned Baughman and apolo-

    gized, essentially taking responsibility for the entire

    dispute. He was disciplined for apologizing, which

    technically violated the stay away order issued by the

    school. A year of nightmare litigation ensued during

    which Isaacs continued medical studies at three

    different international medical schools, including

    the Duke/National University of Singapore, and St.

    Georges London. Finally, Petitioner and the Keck

    medical school reached an agreement to seal his dis-

    ciplinary records from Family Educational Rights and

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    Privacy Act (FERPA) disclosure. A subsequent global

    settlement agreement was reached with Keck, in ex-

    change for discharging all contracts and agreements,

    of any nature whatsoever.

    Between the two settlement agreements, Peti-

    tioner could move on and treat Keck as a nullity. It

    was at this point in mid-2008 that Petitioner achieved

    the 241/99 on USMLE and commenced his clinical

    rotations in neurosurgery related fields. All was

    seemingly well, until Dr. Isaacs Program Directors

    at Arizona and Dartmouth learned about his prior

    litigation against a Director of the NIH and a Cal-

    ifornia medical school. They felt they needed to

    protect other residents at their hospital from the

    Petitioner, and organized a pathologically elaborate

    fraud to oust him. The evidence supporting thisassertion was destroyed and buried by ten law firms.

    Petitioners only option to recover his medical career

    was to seek an injunction, under Federal Rule of Civil

    Procedure 37, as a sanction for evidence destruction.

    ------------------------------------------------------------------

    REASONS FOR GRANTING THE PETITION

    AND ISSUING AN INJUNCTION PENDING

    RESOLUTION IN THE LOWER COURTSI. The First Circuit erroneously barred an

    appeal citing lack of jurisdiction to review

    an injunctive sanction for E-Discovery non-

    compliance.

    On January 15, 2012, Dr. Isaacs sent Jim Yong

    Kim an email requesting preservation of key electronic

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    evidence, including relevant Dartmouth-Hitchcock

    emails:

    I shall be requesting expedited discovery.Pursuant to Rule 34 of the Federal Rules ofCivil Procedure, I hereby request that all

    electronic records relevant to my employ-ment (including GIM/Psych Program Directoremail/phone logs, Department of Psychiatryinternal communications) be immediately au-dited and preserved. (USCA Appendix p. 238).

    Three days later and two months before Dart-

    mouths own email policy would allow the DHMC

    Outlook account was deleted by Dartmouth employee

    Christine Fitts, operating under instruction from

    Defendant Christine Finn.

    The Rule 34 request prompted a spiteful reaction

    to delete Isaacs email account. His litigation history

    against Keck already the subject of fascination for six

    months, Jim Yong Kim responded to the Rule 34

    request (via an intermediary) by instructing Finn to

    delete the account. At her deposition, Finn initially

    denied ever having communicated with Jim Yong Kim

    (Finn depo. p. 137):

    Q. Do you remember if Jim Yong Kim re-ceived any letter such as this [the Rule 34request] on January 15th?

    MR. CHABOT: Objection, foundation.

    A. I dont know what he was provided with,no.

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    Q. If he was provided with this letter, didhe tell you to preserve, according to theseinstructions, last paragraph, preserve alle-mails?

    MR. CHABOT: Same objection.

    A. Ive never had any interactions with Dr.Kim about this or any other matter.

    Q. Around that time period, did anyone in-struct you to save all e-mails, not to deleteanything relating to this lawsuit?

    A. No, I dont think so.

    Finn changed her testimony when presented

    with this email she wrote on January 17th, asserting

    knowledge of the Rule 34 email to Kim:Today, [Isaacs] sent an email to Jim Kim..Ive not seen the document, but from what Ihear . . . it is completely ridiculous (USCA

    Appendix p. 370).

    Finn therefore admitted that, at the time she de-

    leted his emails, she knew generally about the Rule

    34 letter to preserve evidence (Finn depo. p. 165):

    Q. Ill rephrase it. Earlier did you testify

    that you did not know if Jim Yong Kim re-ceived Exhibit A [the Rule 34 request],wasnt that your testimony earlier?

    A. Yes. . . .

    Q. Okay. But do you think you generallyknew or there was some communication

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    about that e-mail coming into Dr. Kim thatgot to you?

    A. Apparently.

    Q. Okay. So you want to revise your earliertestimony, is that right?

    In short, Finn was evading the question about

    her knowledge of the Rule 34 email by changing the

    subject to whether or not she personally could con-

    firm Jim Yong Kims receipt of the email. Such decep-

    tive responses were typical of all deponents behavior

    in forty some hours of depositions.

    Perhaps more disconcerting than Finns response

    was the testimony of Dr. William Torrey, the Harvard

    Medical School educated 30(b)(6) deposition designeefor Dartmouth College. Dartmouth simply had no ex-

    planation for why three Dartmouth employees (Fitts,

    Finn, & Jim Yong Kim) deleted the emails [Torrey

    30(b)(6) depo. p. 87]:

    Q. So is it correct that on January 16, inthis document, the plaintiff requested e-mailsbe held for litigation, based on what you arereading?

    A. Right, right. Thats what this said.

    Q. Okay. And is it correct that ChristineFitts, several days later, on or about January17, conveyed or communicated somethingthat led the DHMC IT department to believethey should delete the e-mail account of theplaintiff?

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    MR. PYLES: Objection to form.

    MS. PEAHL: Objection to form. And I alsoobject its not a 30(b)(6) question.

    A. I just dont have any idea.

    Q. Does it appear that Dr. Kim was negli-gent in receiving the Federal Rule of CivilProcedure Rule 34 to preserve electronicallystored information?

    MS. PEAHL: Objection to the form and

    DR. ISAACS: Im asking the Trustees ifthey have a position on whether anyone, in-cluding Jim Yong Kim was negligent. I dontsee how you can object to that.

    MR. PYLES: Respectfully, I do. I objectform.

    DR. ISAACS: Well, I can rephrase. I mean,we can narrow down the form, if youd likeme to keep doing that, but maybe give him achance to answer

    Q. Okay. That was a question about negli-gence. Do the Trustees have any knowledge,belief or opinion regarding intentional de-struction of e-mails?

    A. I wouldnt be able to answer for theTrustees.

    Q. No, you are are not you are answer-ing for the Trustees.

    A. I dont know the answer.

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    Q. Okay. So you heard that the premature you heard that the DHMC e-mail policywas not, for whatever reason, was not fol-lowed?

    A. Yeah, thats my understanding.

    Q. Okay. But you dont know or you donthave knowledge or opinion whether it wasnegligent or intentional?

    MR. PYLES: Object to form.

    Q. (BY DR. ISAACS) Was it negligent, thedeletion?

    MR. PYLES: Same objection.

    A. I dont know anything about it.

    The testimony of Finn, and the written evidence,

    confirmed that Finn deleted the emails days after the

    Rule 34 request. Months before Finns deposition,

    Kaplan testified to a vastly different story in the Oc-

    tober 31st hearing concerning the Motion for Sanc-

    tions. Knowing sanctions are typically exempted for

    automatic deletion processes, Kaplan completely fab-

    ricated that a PeopleSoft automated process deleted

    the emails. This was in stark contrast to the evi-

    dence, and Finns own admission to manually delet-

    ing the emails. The District Judge turned a blind eye

    to the Defendants contradictory excuses:

    I deal directly with the folks in the IT groupthere. I asked a series of questions, not theleast of which was if there was absolutely nolimitation on the amount of money that I

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    could give you or expend in order to securethose records, how could we do it? And theirIT group came back and told me that theycould not, that there was a write-over, thatsthe way the system works . . . It was an au-tomatic process. A process, I believe its

    called PeopleSoft, went into place and 30days thereafter his Outlook account was de-leted. (Statement of Ed Kaplan, Transcriptp. 18).

    Attorney Kaplan also negotiated that he wanted

    to choose his own forensic investigator in response to

    the motion request for forensic analysis of Dart-

    mouths IT systems :

    MR. KAPLAN: This isnt the first time that

    Ive been involved in computer issues. Howabout if the Court is inclined to have ushave an independent individual look at it, Ineed to ask a preliminary question, which is,is the independence of an independent per-son destroyed by, if I can identify somebodyfor the Court? I mean, because weve usedcomputer experts before in other litigation. Imean, I can certainly find an independentperson, but Im not sure if its a person that Ilocate that Ive automatically killed his or

    her independence. But if thats okay, if thatswhat the Court wants (Transcript p. 26).

    Attorney Kaplan was begging to hire his own

    investigator. It is rather disconcerting that the Dis-

    trict Judge not only pondered Kaplans request to

    investigate himself, but then denied any investigation

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    whatsoever. The Motion for Sanctions, pursuant to 18

    U.S.C. 1503, sought U.S. Marshal and/or FBI pos-

    session of the remaining evidence for forensic analy-

    sis. The Defendants were let off scot-free with a

    nontrivial obstruction of justice.

    At the District Court hearing, Isaacs testified

    that the emails evidenced his mistreatment over six

    months. Furthermore, Isaacs was concerned that if

    Dartmouth improperly deleted his Outlook account,

    then they also deleted other smoking gun evidence

    about how Dartmouth learned about Keck (Transcript

    p. 32):

    MR. ISAACS: Theres a problem that threedays after that email to Dr. Kim, a non-

    automatic process occurred. And, you know, Ireally feel from what Ive seen of the civilprocedure and civil discovery process, Imean, [the FRCP] its an honor code at a lotof levels, and it appears to me that honorcode was violated.

    THE COURT: Let me ask you this. You justsaid earlier to the Court that there reallywasnt anything in there, because youve gotall of it. You saw it all. You basically remem-ber it. You wish you had your email account,thats understandable. But if there were asmoking gun in there, you would have seenit. So what would motivate somebody atDartmouth to delete something that doesntcontain any damning evidence against them?

    MR. ISAACS: I also wanted to correct whatI said before. You asked what claims this all

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    applied to and I said the IIED claims. It alsoapplies to the fraud claim. I think therewould be evidence in those emails that therewas IIED. For sure they were emailing meevery day off. I dont recall all of them, butthere would be a pattern of that I was a

    persona non gratathere.

    The District Judges denial of sanctions was min-

    imal in explanation and simply ignored the dozens of

    authoritative case law citations the Petitioner pro-

    vided in his Memorandum of Law. She didnt provide

    any reasoning, other than stating the emails werent

    important, which defies common sense and is dis-

    couraged by public policy:

    All of plaintiff s requests for sanctions are

    DENIED. The defendants have not violatedany court order to compel discovery. Sanc-tions are inappropriate at this time . . .

    As plaintiff candidly admitted, plaintiff isgenerally aware of what was in his Outlookaccount, as he previously saw the ingoingand outgoing emails of that account. Plaintiffstated that he cannot recall any smokinggun email evidence in his Outlook account.(USCA Appendix p. 334)

    In essence, the judge ignored Isaacs testimony

    and the obvious that a hospital physicians emails

    would be important to demonstrate a pattern of un-

    due criticisms and IIED. The District Judge erred in

    concluding that Petitioner testified that the deleted

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    emails were not critical; he filed a lengthy motion for

    sanctions because they were indeed important.

    There exists concern that the District Court in

    New Hampshire lacked sufficient courage to enforce

    laws against the venerable Dartmouth College and

    the President of the World Bank. An appeal to the

    First Circuit is the legal systems solution to any de-

    ficiency that may have existed in the New Hampshire

    District. Pursuant to 28 U.S.C. 1292, the First Cir-

    cuit had clear jurisdiction over the District Courts

    denial of this denied injunction. FRCP 37 in no way

    restricts a District Court from issuing an injunctive

    sanction. Therefore, the First Circuit erred in refus-

    ing to allow the Petitioner to file an appeal.

    I. The First Circuit set an undesirable prece-

    dent by failing to recognize that ESI de-

    struction is a form of civil obstruction of

    process.

    Petitioner cited 18 U.S.C. 1503 applicability to

    discovery, prohibiting obstruction of justice. Section

    1503s omnibus or catch-all clause is broadly writ-

    ten (USCA Appendix p. 245):

    Whoever . . . corruptly or by threats or force,

    or by any threatening letter or communica-tion, influences, obstructs, or impedes, or en-deavors to influence, obstruct, or impede, thedue administration of justice, shall be pun-ished as provided in subsection (b).

    The Court erred in denying Petitioners request

    for forensic analysis and subsequent prosecution of

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    known evidence destruction. The District Court

    simply chose to ignore precedent ESI case law, such

    as that Petitioner had cited (Addendum p. 249) in

    Bobrick Washroom Equipment, Inc. v. American

    Specialties, Inc., 2012 WL 3217858 (C.D. Cal. Aug. 8,

    2012), where that court ordered an independent fo-rensics expert, at the Defendants expense, to conduct

    a search of the defendants servers.

    Petitioner made a direct case for an injunctive

    sanction under a well-established ESI sanctions case,

    Zubulake V, 2004 WL 1620866 (S.D.N.Y. July 20,

    2004). The standard from Zubulake is as follows:

    (1) party having control over evidence had duty to

    preserve at time it was destroyed; (2) that the records

    were destroyed with a culpable state of mind; (3) thatthe destroyed evidence was relevant to partys claim

    or defense so that trier of fact could find that it would

    support that claim or defense. A culpable state of

    mind, underZubulake Second Circuit jurisdiction, in-

    cludes either a) negligence when the data is relevant,

    or b) intentional destruction.

    As shown, Dartmouths 30(b)(6) deponent couldnt

    deny negligent deletion at a minimum. There is little

    dispute that a six-month Outlook email history was

    relevant and could assist a jury in understanding the

    evidence. Petitioner testified, based upon his knowl-

    edge of the account, it contained evidence for an IIED

    claim. There is no question Jim Yong Kim received

    formal notice of the duty to preserve, two months be-

    fore Petitioners termination. All conditions for sanc-

    tions were indisputably met in this clear case of ESI

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    spoliation; the District Court erred in failing to rec-

    ognize thatZubulakeapplied.

    Case law prior to Zubulake similarly supported

    sanctions against Dartmouth: While a litigant is un-

    der no duty to keep or retain every document in its

    possession, even in advance of litigation it is under a

    duty to preserve what it knows, or reasonably should

    know, will likely be requested in reasonably foresee-

    able litigation. Scott v. IBM Corporation, 196 F.R.D.

    233 (D.N.J. 2000).

    The Motion for Sanctions also cited Barrette

    Outdoor Living, Inc. v. Michigan Resin Representa-

    tives, No. 11-13335, 2013 WL 3983230 (E.D. Mich.

    Aug. 1, 2013) (USCA Appendix p. 247), where sanc-

    tions were issued solely on the suspicious timing ofthe deletion of the ESI.

    III. The proposed injunction to return Dr. Isaacs

    to his training program was an appropriate

    sanction to address and to discourage will-

    ful ESI discovery noncompliance.

    The Court has broad discretion to fashion an

    appropriate sanction as long as it is proportionate

    to the circumstances Barnhill v. U.S.,11 F.3d 1360,1367 (7th Cir. 1993). At the point the Motion for

    Sanctions was filed, it was known that Dartmouth

    destroyed ESI evidence of Isaacs disability, specific-

    ally, the two-week actigraph study. It was known that

    electronic mail accounts were spoliated. Similarly,

    Dartmouth refused to comply with the American

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    Recovery Reinvestment Act provisions requiring pro-

    duction of the EPIC audit log. In short, all confidence

    in the integrity of Dartmouths electronic discovery

    production was lost. Petitioners only remaining hope

    to win the case relied upon honest witness testimony

    in the forthcoming depositions. Unfortunately, basedupon their pattern of behaviors, Petitioner correctly

    surmised Dartmouths deposition witnesses might be

    unreliable as well.

    Accordingly, he moved for a sanction to return

    him to his residency program at Dartmouth. Such an

    injunction reflected the importance of destroyed evi-

    dence that would have been critical to achieving the

    permanent injunction Isaacs sought returning to

    residency was the primary motive of the lawsuit.With the evidence destroyed, Isaacs should have been

    permitted considerable leeway in arguing what in-

    formation might have been gleaned from the com-

    puter hard drivers [sic] that were destroyed,

    E.E.O.C. v. Frys Electronics, Inc., 2012 WL 1642305

    (W.D. Wash. May 10, 2012). This leeway that ESI

    was destroyed implicating mistreatment motivated

    by the Keck lawsuit would have paved the way for

    an injunction returning to Dartmouth.

    An injunction would not have been the most

    heightened form of sanctions available. Given the

    broad discretion to enforce due process via sanc-

    tions, the District Court may order a preliminary

    injunction, summary judgment presumption, and/or

    jury instruction appropriate to the scope of the case.

    In Banks v. Enova Fin., 2012 WL 5995729 (N.D. Ill.

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    Nov. 30, 2012), the magistrate judge sanctioned the

    defendant with a presumption at the summary judg-

    ment stage about a critical voicemail, and if the case

    went to trial, the magistrate recommended that the

    jury be instructed with a spoliation charge. In

    Pringle v. Adams, 2012 WL 1103939 (C.D. Cal. Mar.30, 2012), the District Court granted summary dis-

    missal of a claim after it was proven that evidence

    was spoliated. Intentionally spoliated evidence may

    be cause for dismissal or default judgment, on the

    rationale that the lost evidence may have been the

    critical smoking gun required to prove or disprove

    a claim. In sum, an argument could be made that

    Dartmouth should have lost the entire case based on

    its suspicious ESI deletions. Isaacs, a pro selitigant,

    didnt wish to make that case; he merely asked toreturn to his job.

    Petitioners medical symptoms lead Dartmouth

    Psychiatrys Sleep Center to prescribe an actigraph

    device study, a wearable medical diagnostic device

    placed on his arm for two weeks in October 2011. In

    January 2012, two weeks after Petitioner noticed this

    lawsuit, Dr. Glen Greenough wrote in Isaacs DHMC

    Patient Chart that the actigraph suffered device

    failure and data was irretrievably lost three monthsafter the study. The actigraph device would have

    provided forensic level evidence of Isaacs disabil-

    ity. This data was inexplicably lost the same week

    Isaacs email account disappeared. The District

    Court erred in failing to recognize an impermissible

    pattern of ESI deletion that occurred in the days

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    following Jim Yong Kims receipt of the Rule 34 re-

    quest.

    As required by ARRA, DHMCs computer system

    (EPIC) maintains audit records detailing who and

    when any DHMC staff accesses a patients electronic

    medical chart. Petitioners motion for sanctions sought

    to immediately compel production of this audit trail.

    To elaborate, when the Petitioner was a patient in

    the DHMC ED on January 13, 2012, he began to

    receive numerous emails and pager messages from

    colleagues regarding his hospitalization. This sug-

    gested a HIPAA violation of his patient records, but of

    more concern was obtaining the evidence of the

    apparent curiosity to his medical chart in relation to

    his mistreatment. This is the third type of ESI, inaddition to emails and actigraph data, that Dart-

    mouth did not produce.

    IV. After the District Court let Dartmouth off

    the hook for e-discovery sanctions, ten

    subsequent deponents refused to answer

    questions or recall any substantive facts.

    The depositions in this lawsuit began quite

    strangely, with Dr. Khagi not able to recall whether

    or not he knew, on Petitioners first day of work,

    about the prior training in Arizona Surgery (Khagi

    depo. p. 15):

    Q: You have no knowledge that the plaintiffwas enrolled at a surgery program in Arizona?

    A: I cant recall. I dont remember that.

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    Q: Wouldnt that be something youd re-member, if someone was in a surgery resi-dency?

    A: My focus is on patient care, not so muchas knowing where all my residents did their

    residency prior residencies. So, no, I cantexactly recall.

    Q: Is it possible that you knew that plain-tiff was in Arizona for residency prior to hisstarting with you?

    A: Im sorry. Could you please Is it possi-ble What do you mean by possible?

    Chair of the Dartmouth College Department of

    Psychiatry Alan Green was initially scheduled as the

    30(b)(6) deponent in this case. Green was deposedindividually because Dr. Torrey was substituted in

    for Green at the 30(b)(6). Strangely, Green professed

    to have no understanding of the lawsuit:

    Q: Do you know in your own words, couldyou briefly summarize what you believe thislawsuit is about?

    A: Actually, I I really dont know. I under-stand that theres a question about your ter-

    mination from Dartmouth-Hitchcock residency.But more than that, I really dont knowmuch about it.

    Green was alleged to have had knowledge about

    USC and AZ and to have stared at Petitioner for

    nearly 30 minutes during an orientation day speech,

    which he didnt recall:

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    Q: Do you recall if you gave a speech on theplaintiff s first my being the plaintiff firstor second day of orientation?

    A: I dont recall that.

    Q: Okay. So you wouldnt recall what theplaintiff has alleged to be abnormal eye con-tact, 25 minutes, approximately, of eye con-tact directed at the plaintiff during yourspeech?

    A: No.

    As stated in the fraud claim against the depart-

    ment, the unexpected attrition of four residents cre-

    ated an incentive to keep the Petitioner employed for

    six months, pending the hiring of his replacement. To

    prove this claim, Petitioner required detailed knowl-edge of how the Department receives funds from Med-

    icare. Despite being a 30(b)(6) topic, Dr. Torrey was

    unable to answer. When Department Chair Green

    was asked, he, also, had no idea (Green depo. p. 32):

    Q: And if a resident or four residents, inthe case of Dartmouth Psychiatry if fourresidents were unexpectedly vacant, wouldthat [Medicare] money still come in?

    A: That I dont know.

    Q: Okay. Who would know that question atDartmouth?

    A: I dont know that, either. I dont know.

    Likewise, Green had never inquired why his

    own department abandoned Isaacs as a patient and

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    lost actigraph data documenting his sleep disorder

    (Green depo. p. 55):

    Q: Are you aware of any investigation thatyour department conducted as to why the pa-tient was abandoned as a patient and why

    his actigraph watch disappeared or malfunc-tioned?

    A: No.

    Finally, Green was asked a central question of

    the case did Defendant Finn know about Arizona

    Surgery from a May 2011 document she signed

    (p. 73):

    Q. Do you know if Dr. Finn saw the NewHampshire Board application that I filled

    out in May of 2011?

    A: No.

    Q: You dont know whether she saw it ornot?

    A: No.

    Q: Do you think its worth investigatingwhether or not she saw it?

    A: I have no way of assuming that no.

    The answer is, I dont know whether it isworth investigating. I dont know.

    As Dartmouths own ESI was not intact, Peti-

    tioner sought to subpoena Defendant Finns mobile

    phone call logs and her Gmail account. As Google

    and Verizons ESI preservation is substantially more

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    reliable than Dartmouths, this would likely show

    whether or not she discussed Arizona and USC with

    any related individuals, and could also establish a

    timeline for when she decided to terminate the Peti-

    tioner. As stated in the Emergency Motion for Recon-

    sideration, Counsel refused to let her testify:

    Q. Okay. Could you state your phone num-ber for the mobile phone.

    MR. CHABOT: Only if youre going to agreeto seal this portion of the record.

    DR. ISAACS: Thats fine. Its just for a sub-poena.

    MR. CHABOT: Youre not going to be issu-ing any subpoenas. Youre past the close of

    discovery.

    DR. ISAACS: Thats not true.

    MR. CHABOT: Yes, it is. You are. Youre notgoing to answer, Im sorry. Were not going togive you her home phone number.

    DR. ISAACS: Thats not privileged though,so she has to answer it or I will move forsanctions.

    MR. CHABOT: You can make whatever mo-tion youd like, Dr. Isaacs. Were not going toget into the irrelevant personal information.

    DR. ISAACS: I thought we agreed to ex-tend discovery until February.

    MR. CHABOT: No, I dont think so.

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    MR. KAPLAN: There was an order issuedtoday.

    DR. ISAACS: The order must have beendifferent than what we agreed to; is thatright?

    MR. KAPLAN: No. It was exactly what weagreed to.

    DR. ISAACS: Well then, well talk aboutthat later. Thats different than my under-standing. What carrier do you have, Verizonor T Mobile?

    MR. CHABOT: Same objection. Dr. Finn,you dont need to answer that.

    DR. ISAACS: Thats ridiculous. If you want

    to come back about it.

    MR. CHABOT: Dr. Isaacs, you appear toknow what her cell phone number is. Its allthe information that we are going to giveyou. We are not going to give you the homephone number.

    DR. ISAACS: I dont want the home num-ber, I want the cell phone number. Was thata misunderstanding?

    MR. CHABOT: Thats exactly it, youre justgoing to have to make a request to the courtif you want that information.

    Q. What e-mail and online services do youuse?

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    A. I have an e-mail account through workthrough Hitchcock and Dartmouth.

    Other than that? I have a Gmail account. What is

    the Gmail account?

    MR. CHABOT: Same objection. Were notgoing to be giving that information out toyou, Dr. Isaacs.

    DR. ISAACS: Because you dont want anysubpoenas to break your cover up. Thats nota good reason, thats not a privilege.

    MR. CHABOT: Thats not the reason wereasserting, Dr. Isaacs. Were asserting be-cause its unduly burdensome given the ex-treme amount of discovery weve provided

    which despite all of your allegations hasnever once shown a suggestion of anythingimproper going on. Theres absolutely no rea-son, based on the discovery youve given,which has been nearly plenary, that youshould be able to explore any further e-mailaccounts, and thats our objection.

    DR. ISAACS: Thats not a privilege.

    MR. CHABOT: Unduly burdensome is anobjection. Youre right, its not a privilege, its

    an objection.

    DR. ISAACS: Youre directing her not toanswer an unprivileged question.

    MR. KAPLAN: Dr. Isaacs, youre runningout of time, finish up. Youve got a minute bymy watch.

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    Similarly, Petitioner sought to learn the identity

    of a graduate from Isaacs medical school who was

    hired the same week Isaacs was terminated. Prior to

    Isaacs, Dartmouth had never hired an individual

    from his international medical school. The timing of

    the hiring also suggested that the individual wasinterviewed months before Isaacs termination, which

    suggested Dartmouth was researching Petitioners

    past in Arizona and California well before they claim

    they learned about it. Attorney Kaplan ordered wit-

    ness Dr. Harley Friedman not to disclose the name of

    the individual: (Friedman depo. p. 92)

    Q: Whats the name of the [DHMC resi-dent] that went to my school, AUC?

    MR. KAPLAN: No. Im not going to let himidentify other individuals.

    DR. ISAACS: If you dont answer thatyoure going to be under penalty of not an-swering.

    MR. KAPLAN: Thats fine. What he will doif you want him to answer the question, hewill identify the person by initials and an-swer the question.

    DR. ISAACS: Im not agreeing to that.MR. KAPLAN: Frankly, Dr. Isaacs, I dontcare what you agree to. Its my obligation todirect the witness.

    DR. ISAACS: Therell be a motion for sanc-tions. Whats your objection? Whats yourprivilege on that?

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    MR. KAPLAN: My privilege on this is thatthe resident will maintain his confidentialbasis, and Im not going to have him disclosethe name. If you want to know about a resi-dent, he will identify him by his initials andyou will know exactly who he is.

    DR. ISAACS: And not state a privilege. Youguys should be sanctioned severely for direct-ing him not to answer a question withoutstating a privilege.

    MR. KAPLAN: You have my response. Doc-tor. If you want to talk about a resident, usethe initials, not the name.

    In sum, Petitioners case relied upon electronic

    records to prove a rather complex fraud. By denying

    sanctions substantiated by willful ESI destruction,

    the New Hampshire District Court signaled to Dart-

    mouth that it was turning a blind eye on discovery

    noncompliance. Indeed, ten depositions were conducted

    where Dartmouth witnesses inexcusably had no rele-

    vant information or refused to provide information.

    V. No administrative procedures were fol-

    lowed nor does an Administrative Record

    exist with regard to the termination of Dr.Isaacs. The All Writs Act allows this Court

    to mitigate Applicants loss of career pend-

    ing resolution.

    Dartmouth executed a termination of the Peti-

    tioner without following any of Dartmouths own

    internal administrative policies. No written record of

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    Administrative Leave was ever issued; as Petitioner

    testified, he was informally blackmailed to resign on

    January 13, 2012, leading to a breakdown diagnosed

    the same day in the DHMC ED. Two months later,

    Dartmouth issued a termination letter in mid-March

    2013, skipping the peer review Fair Hearingprocessrequired at Dartmouth. There is no ambiguity in De-

    fendant Finns testimony regarding the complete lack

    of written administrative documents (Finn Depo

    p. 252)

    Q. There was no written notice of this.There was no administrative leave documentor notice of hearing offered to me that Isigned, right?

    A. Correct.The administrative leave matter had been dis-

    cussed specifically on p. 247 of Finns Deposition:

    Q. Okay. So when did you place the Plain-tiff on administrative leave?

    A. I need to review the exact date.

    Q. Did you ever give the Plaintiff writtennotification of administrative leave?

    A. I dont recall.Q. Isnt that a required part of administra-tive leave, to give written notice?

    A. I wasnt sure of the GME policies andprocedures.

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    Q. If you were blackmailing someone or co-ercing them to resign, might you not give anadministrative leave document to them?

    MR. CHABOT: Objection, calls for specula-tion, states facts not in evidence.

    Dartmouths seemingly absurd position is that in

    the meeting where they blackmailed the Petitioner,

    they handed him a generic copy of the Dartmouth

    rule book, including the pages discussing the Fair

    Hearing process.

    A. On the day [Jan. 13 2012] that we met inJanuary you were provided with a printedcopy of the GME policies and proceduresaround the grievance process which details

    the fair hearing process.Q. So by handing me that sheet of paper,you were offering me a fair hearing?

    A. Yes, and I encouraged you to follow upwith the GME office which you indicated youwere going to do apparently and then can-celled.

    The fact, based on the written record, is that Dr.

    Isaacs never received any notice of Fair Hearing or

    administrative leave prior to termination. His emailaccount disappeared while he was actively treating

    patients, before he was ever formally placed on ad-

    ministrative leave. In addition to evidence of his

    abuse by his supervisors, the email account contained

    important information about the ongoing medical

    care Dr. Isaacs provided to his patients. One can only

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    conclude that the Respondents never had any serious

    intention of giving Dr. Isaacs a proper fair hearing.

    The termination occurred one week before Jim

    Yong Kims nomination to the World Bank, in efforts

    to discredit Isaacs. It is well established that a Dis-

    trict Court must offer considerable deferral to the

    administrative findings of an educational institution.

    In this case, the District Court erred in accepting

    Plaintiff s administrative termination as legitimate.

    Plaintiff never participated in theFair Hearingwhich

    stipulates that nine fellow physicians must vote and

    achieve a quorum for proper termination. As a matter

    of law, Isaacs termination was faulty.

    Early in the litigation, the Petitioner filed a mo-

    tion seeking to enjoin certain defendants from ter-minating [Isaacs] employment and enrollment in

    their graduate medical education program, prior to

    satisfying due process requirements. Plaintiff thought

    this to be a straightforward injunction merely requir-

    ing Dartmouth maintain his employment until proper

    due process, i.e., the Fair Hearing, occurred. The

    court denied the injunction (see Docket Item #35):

    The problem or one of them, anyway is

    that DHMC has already terminated Isaacsfrom its graduate medical education programand published the information in question.

    A request for injunctive relief to preventactions that have already occurred is moot.See, e.g., Newspaper Guild of Salem v.Ottaway Newspapers, Inc., 79 F.3d 1273,1275 (1st Cir. 1996).

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    38

    It is asserted that the District Court had clear

    authority to require that Dartmouth follow its own

    administrative procedures. An injunction merely or-

    dering a GME student return to training, pending

    a Fair Hearing, would seem to meet any possible

    sliding-scale threshold requirements. The DistrictCourt has vast powers to grant equitable relief.

    Surely, an injunction requiring a school adhere, or

    correct its own violation of its administrative rules

    falls within the realm of possibility for an injunction.

    As best as Plaintiff can ascertain, the District Court

    erred in citingNewspaper Guild. Certainly the Court

    was aware that, no later than Brown v. Board of Ed-

    ucation, 347 U.S. 483 (1954), it was commonplace for

    District Courts to issue so-called structural injunc-

    tions mandating adherence to a schools own adminis-trative regulations.

    The All Writs Act, 28 U.S.C. 1651(a), authorizes

    the Court to issue an injunction when (1) the circum-

    stances presented are critical and exigent; (2) the

    legal rights at issue are indisputably clear; and

    (3) injunctive relief is necessary or appropriate in aid

    of [the Courts] jurisdictio[n]. Ohio Citizens for Re-

    sponsible Energy, Inc. v. Nuclear Regulatory Commn,

    479 U.S. 1312 (1986) (Scalia, J., in chambers) (quot-ingFishman v. Schaeffer, 429 U.S. 1325, 1326 (1976)

    (Marshall, J., in chambers); Communist Party of In-

    diana v. Whitcomb, 409 U.S. 1235 (1972) (Rehnquist,

    J., in chambers); and 28 U.S.C. 1651(a)) (alterations

    in original). This extraordinary relief, see Lux v.

    Rodrigues, 131 S. Ct. 5, 6 (2010) (Roberts, C.J., in

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    39

    chambers), is warranted in cases involving the immi-

    nent and indisputable violation of civil rights.

    The Petitioner has spent over two years seeking

    an injunction to return to federally funded graduate

    medical education. His career had been delayed two

    years in 2006 as a result of the controversy involving

    the National Institutes of Health. A head injury set

    back his medical career at least an additional two

    years. There is not unlimited time to begin the in-

    tense training of a physician; neurosurgery training

    requires a minimum of seven years. Petitioners col-

    leagues from medical school are now years ahead of

    him. In short, if Petitioner is held back any more

    years in training, there is the likelihood that he will

    never be able to pursue his training.Furthermore, Petitioner has suffered and con-

    tinues to suffer serious medical ailments diagnosed

    by the Respondents themselves. It is unknown but

    seemingly likely that three or four more years of pro

    se legal battles with Dartmouth could more per-

    manently damage Petitioners health and/or career. If

    the Court finds that the First Circuit indeed had

    indisputably clear jurisdiction to hear an appeal,

    Petitioner hereby requests the issuance of an injunc-

    tion pending what could be a lengthy resolution in

    the First Circuit and New Hampshire District.

    ------------------------------------------------------------------

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    40

    CONCLUSION

    The past decade witnessed a surge in global

    connectivity that fundamentally changed how we, as

    a society, communicate and interact with one another.

    The long-term social and health implication of ubiqui-

    tous email and mobile device use raises a multitude

    of important questions. Within the realm of civil

    discovery and evidence preservation, this increased

    connectivity presents a genuine opportunity to im-

    prove the discovery of truth and the efficient en-

    forcement of law. Written records now exist, in the

    form of computer data, for a vast majority of commu-

    nications at schools, workplaces, and social gather-

    ings.

    Zubulake has, for a decade, served as the mostcited framework concerning sanctions for e-discovery

    violations. Nonetheless, Zubulake is not binding au-

    thority outside of its circuit. Many courts, including

    the First Circuit, remain confused or unaware of their

    jurisdiction to remedy obstruction of due process

    related to electronically stored information. This is an

    unfortunate result in that a judicial system that

    might be improved by technology thus far failed to

    realize that potential.

    This Petition seeks affirmation by the Supreme

    Court of the United States that when relevant elec-

    tronic evidence is intentionally destroyed, the Courts

    have unambiguous jurisdiction to invoke specific

    remedy, including injunctions. In the present case,

    the Petitioner sought an injunction to return to his

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    41

    medical residency, under the premise that ESI would

    have demonstrated unjustifiable behavior by leaders

    in medical academia at an Ivy League hospital. One

    can imagine vast public policy benefits, reaching far

    beyond the Petitioners unique circumstances, that

    would result from a Supreme Court opinion on thismatter. The courts would have a powerful tool to

    combat what seems to be an epidemic of tragedies

    stemming from schoolyard bullying, workplace har-

    assment, and other social ills that were more difficult

    to discover prior to the advent of widespread elec-

    tronic communications. An advocate for any such

    victim should be able to send a reasonable Rule 34

    letter to a school or workplace, as Petitioner did, and

    expect readily available ESI to shed light, one way or

    another, on the allegations.

    Respectfully submitted on this 1st day of August,

    2014.

    Dr. Jeffrey D. IsaacsPetitioner,pro se

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    App. 1

    United States Court of Appeals

    For the First Circuit

    -----------------------------------------------------------------------

    No. 14-1085

    J.D. ISAACS,Plaintiff, Appellant

    v.

    DARTMOUTH HITCHCOCKMEDICAL CENTER, ET AL.,

    Defendants, Appellees,

    -----------------------------------------------------------------------

    DARTMOUTH COLLEGE TRUSTEES, ET AL.,

    Defendants.-----------------------------------------------------------------------

    Before

    Torruella, Howard and Thompson,Circuit Judges.

    -----------------------------------------------------------------------

    JUDGMENT

    Entered: March 31, 2014

    Plaintiffs appeal from the district courts Novem-ber 4, 2013 order is dismissed for lack of jurisdiction.

    Appeal dismissed.

    By the Court:

    /s/ Margaret Carter, Clerk.

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    App. 2

    cc:Jeffrey IsaacsEdward KaplanChristopher PylesPierre ChabotKathleen Peahl

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    App. 3

    UNITED STATES DISTRICT COURT

    FOR THE DISTRICT OF NEW HAMPSHIRE

    J. D. Isaacs

    v.

    Dartmouth Hitchcock MedicalCenter, et al.

    1

    Civil No. 12-cv-40-JL

    ORDER

    (Filed Nov. 4, 2013)

    Pending before the court are numerous motions

    concerning discovery and other related matters (doc.

    nos. 71, 72, 75-77, 79, 86, 89, 93, 98, and 100-102).

    The district judge has referred all pending motions in

    this case to this magistrate judge for ruling. I held ahearing on October 31, 2013, concerning all pending

    motions in this matter. I issued oral rulings from the

    bench on all but one of the motions, plaintiff s motion

    for a subpoena for PACER records (doc. no. 89). What

    follows is a summary of my oral rulings and resolu-

    tion of the motion for a subpoena for PACER records.

    1 The defendants in this matter are the Dartmouth Hitch-

    cock Medical Center and Mary Hitchcock Memorial Hospital

    (collectively the Hitchcock defendants), and the Trustees of

    Dartmouth College and Dr. Christine Finn (collectively the

    College defendants).

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    App. 4

    1. Joint Motion for Hearing for Emergency Sched-

    uling Conference (Doc. No. 72) and Plaintiff s

    Motion to Strike Motion for Hearing (Doc. No.

    75)

    The defendants motion (doc. no. 72) is DENIED

    as moot, as a hearing was held On October 31, 2013.The plaintiff s motion to strike (doc. no. 75) is also

    DENIED.

    2. College Defendants Motion for Protective Order

    (Doc. No. 76) to prevent deposition of Dr. Jim

    Yong Kim

    The motion (doc. no. 76) is GRANTED. Once all

    of the other depositions are complete in this matter,

    plaintiff may renew his request for Dr. Kims deposi-tion, if he can demonstrate that Dr. Kim possesses

    discoverable information not obtained or obtainable

    from any other source.

    3. Hitchcock Defendants Motion for Protective

    Order (Doc. No. 79) and College Defendants

    Motion to Quash Subpoena (Doc. No. 98) to

    change the location of depositions of Drs.

    Riblet, Friedman, and Green

    The motions (doc. nos. 79 and 98) are GRANTED.

    Depositions will be held at a neutral location in

    Lebanon with an off-duty law enforcement officer

    present. As agreed to by defendants, the costs associ-

    ated with obtaining a neutral location and hiring the

    officer will be borne by defendants.

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    App. 5

    4. Plaintiff s Motion for a Protective Order (Doc. No.

    86) concerning the deposition of the plaintiff

    The motion (doc. no. 86) is DENIED as unneces-

    sary because defendants have agreed that the deposi-

    tion of the plaintiff can be held on one day and will

    last less than six hours. The deposition will be con-ducted in two three-hour sessions, to take place on

    the same day, with at least one hour in between the

    sessions.

    5. Defendants Motion for Protective Order (Doc.

    No. 102) Concerning Depositions of New Jersey

    and California Witnesses (Drs. Guez and Simon)

    The motion (doc. no. 102) is DENIED as unneces-

    sary because plaintiff has agreed that the depositionsof witnesses Guez and Simon will be conducted in the

    city or town where the witnesses live or work, or as

    otherwise agreed by the parties.

    6. Plaintiff s Motion for Subpoena (Doc. No. 89) for

    PACER Service

    The motion (doc. no. 89) is DENIED without

    prejudice to plaintiff renewing his motion if he is

    unable to obtain the information he seeks in discov-ery.

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    App. 6

    7. Plaintiff s Motion for Sanctions and Injunctive

    Order (Doc. No. 71) and Addendum (Doc. No. 77)

    The plaintiff s motion (doc. no. 71) is GRANTED

    in part and DENIED in part, as specified herein:

    A. Sanctions

    All of plaintiff s requests for sanctions are DE-

    NIED. The defendants have not violated any court

    order to compel discovery. Sanctions are inappropri-

    ate at this time.

    B. Admissions

    Plaintiff s request to have any fact deemed

    admitted by any defendant is DENIED, as it is moot-ed by the scheduling order issued today.

    C. Email

    i. Keyword Searches

    Plaintiff s request for Keyword Searches of the

    email systems of the Hitchcock and College defen-

    dants for the term Isaacs is GRANTED in part and

    DENIED in part. As discussed at the hearing, the

    defendants will provide to plaintiff the results of

    Keyword Searches for certain individuals email

    accounts for the period beginning January 1, 2011,

    and ending March 19, 2012.

    The College defendants have agreed to produce to

    plaintiff, on or before November 14, 2013, search

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    App. 7

    results for the keyword Isaacs for the email ac-

    counts of: Attorney OLeary, Dr. Jim Yong Kim, and

    Dr. Alan Green. The Hitchcock defendants have

    agreed to produce to plaintiff, on or before November

    14, 2013, search results for the keyword Isaacs for

    the email accounts of: Dr. Christine Finn, Dr. MarcBertrand, and Dr. Harley Friedman. To the extent

    that defendants assert a privilege as a reason not to

    disclose any results of these searches, a privilege log

    will also be provided to plaintiff by November 14,

    2013.

    ii. Forensics Expert

    Plaintiff s request for a forensics expert to at-

    tempt to recover plaintiff s Outlook email account isDENIED at this time, without prejudice to renewal

    should the information he seeks not be produced

    during the Keyword Searches to be conducted by

    defendants pursuant to this order.

    The court notes that plaintiff made clear during

    the hearing that he was less concerned with the

    production of his Outlook account than he is with the

    Keyword Search (for Isaacs) of certain employees of

    defendants. As plaintiff candidly admitted, plaintiff is

    generally aware of what was in his Outlook account,

    as he previously saw the ingoing and outgoing emails

    of that account. Plaintiff stated that he cannot recall

    any smoking gun email evidence in his Outlook

    account.

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    App. 8

    D. Patient Records

    Plaintiff, in the addendum to his motion for

    sanctions and an injunction order (doc. no. 77), asks

    the court to compel defendants to produce medical

    records of certain patients he treated during his

    internal medicine rotation. The request is DENIED

    as plaintiff has not demonstrated the materiality of

    those records to any issue in this matter.

    8. Plaintiff s Motion to Quash Subpoenas (Doc.

    No. 93) for USC and American University of the

    Caribbean records

    The motion to quash (doc. no. 93) is DENIED.

    The relevance of educational records has been

    demonstrated by defendants. Plaintiff s argumentthat the confidential settlement concerning the USC

    records precludes discovery is not accurate. The

    settlement agreement exempts from its purview any

    court-ordered disclosure.

    9. Defendants Motion to Compel (Doc. No. 100)

    Answers to Interrogatories 11, 17, 18 and 21

    The motion (doc. no. 100) is GRANTED. The

    defendants have demonstrated the relevance of therequested information. Plaintiff is directed to respond

    to interrogatories numbered 11, 17, 18 and 21 on or

    before November 14, 2013.

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    App. 9

    10. Defendants Motion for a Protective Order (Doc.

    No. 101)

    Because the parties have extreme difficulty

    agreeing on simple matters of discovery, and because

    so much of the discovery in this case concerns confi-

    dential matters (such as medical records; audit trails;quality assurance information; personnel records,

    including evaluations and testing; educational rec-

    ords; and employment records), the court believes a

    broad confidentiality order is appropriate. The motion

    for a protective order (doc. no. 101) is therefore

    GRANTED. The court has issued this date, a protec-

    tive order in this matter substantially similar to the

    proposed order (doc. no. 101-1) submitted by the

    Hitchcock defendants. The court notes that the pro-

    tective order applies to all of the parties in this case.

    11. Scheduling

    A. Each party will have until December 2, 2013,

    to submit a request to any other party to produce any

    interrogatory response, document, or other item in

    discovery, or to notice any depositions yet to be taken.

    B. The parties will then have until January 2,

    2014, to either produce the discovery requested,produce privilege logs, or submit to the requesting

    party any objection, in writing, to providing the

    requested item.

    C. Any motions to compel, or other motions to

    resolve any outstanding discovery dispute, must be

    filed by January 16, 2014. These motions must be in

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    App. 10

    compliance with the Federal Rules of Civil Procedure

    and this courts Local Rules.

    The court reminds plaintiff that pro se parties

    must follow the rules of court and the Federal Rules

    of Civil Procedure. As just one example, with any

    motion to compel, our local rules require the movant

    to attach an exact copy of the request and the re-

    sponse. Failure to abide by the rules of court may

    result in sanctions, such as the court denying a

    motion that fails to so comply.

    D. Discovery will close on February 3, 2014.

    E. The deposition of the plaintiff will take place

    on or before December 19, 2013.

    F. All experts will be disclosed in compliancewith Fed. R. Civ. P. 26(a)(2)(B). The plaintiff must

    disclose expert witnesses by December 13, 2013.

    Defendants must disclose expert witnesses by Janu-

    ary 10, 2013. Plaintiff s supplementations under Fed.

    R. Civ. P. 26(e) are due December 27, 2013, and

    defendants supplementations are due January 24,

    2014. Challenges to expert testimony must be made

    by February 28, 2014.

    G. Motions for summary judgment are dueFebruary 17, 2014.

    H. A final pretrial conference will be held June

    27, 2014, at 2:00 p.m.

    I. Trial is continued to the two-week trial period

    beginning July 8, 2014.

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    App. 11

    SO ORDERED.

    /s/ [Illegible]

    Landya McCaffertyUnited States

    Magistrate Judge

    November 4, 2013

    cc: Christopher James Pyles, Esq.Edward M. Kaplan, Esq.Kathleen C. Peahl, Esq.Pierre A. Chabot, Esq.Jeffrey D. Isaacs, M.D., pro se

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    App. 12

    United States Court of Appeals

    For the First Circuit

    -----------------------------------------------------------------------

    No. 14-1085

    J.D. ISAACS,Plaintiff, Appellant

    v.

    DARTMOUTH HITCHCOCKMEDICAL CENTER, ET AL.,

    Defendants, Appellees,

    -----------------------------------------------------------------------

    DARTMOUTH COLLEGE TRUSTEES, ET AL.,

    Defendants.-----------------------------------------------------------------------

    Before

    Lynch, Chief Judge.Torruella, Howard and Thompson, and Kayatta,

    Circuit Judges.

    -----------------------------------------------------------------------

    ORDER OF COURT

    Entered: May 5, 2014

    Petitioner J.D. Isaacs has filed an untimely

    petition for rehearing en banc, and a motion to extend

    time. Petitioners motion to extend time is granted.

    Pursuant to this Courts Internal Operating

    Procedure X.C., we treat a petition for rehearing en

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    App. 13

    banc also as a petition for rehearing before the origi-

    nal panel. The petition for rehearing having been

    denied by the panel of judges who decided this case,

    and the petition for rehearing en banc having been

    submitted to the active judges of this court, and a

    majority of the judges not having voted that the casebe heard en banc, it is ordered that the petition for

    rehearing and petition for rehearing en banc be

    denied.

    By the Court:

    /s/ Margaret Carter, Clerk.

    cc:Pierre A. ChabotJeffrey David Isaacs

    Edward M. KaplanKathleen C. PeahlChristopher James Pyles