NFL Drug Complaint Unredacted
NFL Drug Complaint Unredacted
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Case 3:16-cv-01030-WHA Document 176-1 Filed 02/22/17 Page 2 of 2
4 knowledge of the matters stated herein and, if called upon, could competently testify thereto.
8 3. Pursuant to Civ. L.R. 79-5(e), the following portions of Plaintiffs Second Amended
9 Complaint, and its supporting exhibits, should be filed under seal because they contain information
10 obtained from documents or testimony that Defendants have marked confidential subject to the
20
I declare under penalty of perjury that the foregoing is true and correct.
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/s/ William N. Sinclair
25 William N. Sinclair
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[Proposed] Order Granting Plaintiffs Motion 1
25 Case No. 3:16-cv-1030-WHA
Case 3:16-cv-01030-WHA Document 176-2 Filed 02/22/17 Page 2 of 2
1 UPON CONSIDERATION of the Consent Motion for Administrative Relief, any papers
2 filed in support thereof, any opposition, and oral argument, if necessary, it is this __________
5 ORDERED that the following portions of, and documents related to, Plaintiffs Second
14
Judge, United States District Court for the
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Northern District of California
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[Proposed] Order Granting Plaintiffs Motion 2
25 Case No. 3:16-cv-1030-WHA
Case 3:16-cv-01030-WHA Document 176-3 Filed 02/22/17 Page 1 of 127
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Case 3:16-cv-01030-WHA Document 176-3 Filed 02/22/17 Page 2 of 127
1 Plaintiffs, by and through undersigned counsel, file this Second Amended Complaint and
3
NATURE OF THE ACTION
4
1. Plaintiffs bring this action for redress of injuries resulting from a conspiracy
5
perpetrated by the 32 defendant clubs (Clubs or Defendants) that comprise the National
6
Football League (NFL or League). The allegations herein are supported by some of the
7
8 hundreds of thousands of pages of documents that Defendants and third parties have produced and
9 by testimony from Bud Carpenter (Bills trainer); Lawrence Brown (NFL medical advisor on
10 prescription drugs since the early 1990s); David Chao (Chargers doctor); Gerald Kuykendall
11
(Dolphins doctor); John Marzo (Bills doctor); Matthew Matava (Rams doctor); David Olson
12
(Vikings doctor); Elliott Pellman (Jets doctor and NFL medical advisor); Arthur Rettig (Colts
13
doctor); Andrew Tucker (Colts doctor); and Anthony Yates (Steelers doctor).
14
16 Dr. Thomas McClellan, an associate of Dr. Brown, titled The Role of League-Wide
17 Incentives in Promoting the Opioid Use Problem: The Need for League-Wide Collaboration to
18 Solve the Problem (the Opioid Use Problem). The document was produced by Dr. Brown
19
during discovery in this matter.
20
3. In the Opioid Use Problem, Dr. McClellan identifies three issues, each of which
21
have several sub-points. The first issue is Pain and the Ability to Play Competitive Football,
22
23 about which Dr. McClellan makes four points: (1) Pain is omnipresent among NFL players it
24 is an almost unavoidable consequence of playing the game at the professional level; (2) NFL
25 players who are in pain are not as able or as likely to play the game at their most
26
level; (3) NFL players who do not play at their competitive best could face loss of status and
competitive
27
income; and (4) NFL teams whose players do not compete at their best can face loss of status
28
1 and revenue. His takeaway point on this issue: It is in the players, the teams, and the leagues
2 reputational and financial interests to have the most competitive level of play and thus to find ways
3
to overcome any impediment to competitive play perhaps especially pain.
4
4. Plaintiffs made similar allegations in their Complaint:
5
Beginning in the 1960s, professional football began to rival baseball as the
6
countrys national sport. Football is far-better suited for television a veritable
7
8 match made in heaven. And once the profits flowed from television, the Clubs
9 began to realize the seemingly limitless revenues they could achieve. At the same
10 time, the individuals running the Clubs began to realize the necessity of keeping
11
their best players on the field to ensure not only attendance at games but also the
12
best possible TV ratings. That realization resulted in the creation of a return to play
13
practice or policy by the Clubs that prioritized profit over players health and safety.
14
15 Given the injuries inherent in the game, concern for the players health should
16 include giving them adequate rest, having fewer games, and keeping more players
17 on the roster. But all of that would cut into profit. So the Clubs chose a different
18 method to keep their players on the field.
19
Etopia Evans, et al. v. Arizona Cardinals Football Club, LLC, 3:16-cv-02324 (N.D. Cal. 2014),
20
Dckt. # 1, 2 4.
21
5. The next issue Dr. McClellan addresses is Pain Relieving Medications and
22
23 Competitive Football, about which he makes two points: (1) Opioids and other non-opioid pain
24 medications are demonstrably effective in the short term for relieving most forms of skeletal and
25 muscular pain so often experienced by NFL players; and (2) For these reasons appropriate
26
(properly prescribed and monitored) as well as inappropriate opioid and non-opioid pain
27
medication use are both more common among NFL players. His takeaway point on this issue:
28
1 It is in the players, the teams, and the leagues reputational and financial interests to use
2 analgesic medications for pain relief. These incentives and the nature of the sport combine
3
to make opioid and other pain medication usage much more prevalent in the NFL than in
4
virtually any other industry, population or endeavor. This really means that there is shared
5
and joint culpability for the problem.1
responsibility
6
6. Cue the Complaint:
7
8 As far back as the mid-1960s, Club doctors and trainers were providing players
9 with controlled substances and prescription and non-prescription pain killers, anti-
10 inflammatories, and sleep aids (Medications) to get them back in the game as
11
soon as possible, despite being injured, and keep them there. Though the
12
Medications have changed over the ensuing decades, the manner in which they have
13
been distributed has not. Players from around the country describe the same thing
14
15 Club doctors and trainers providing injections or pills, not telling the players what
16 they were receiving, misstating the effects of the Medications (if they addressed the
17 effects at all), and not talking about the need for informed consent or the long-term
18 effects of what they were taking. These doctors and trainers dispensed the
19
Medications to their football patients in an amount and manner they would never
20
do with their non-football patients.
21
Id., 5 6.
22
23
24 1
Plaintiffs anticipate that Defendants will argue that the foregoing passage indicates that
the shared responsibility includes that of the players. Of course, until Dr. McClellan is deposed,
25 we will not know exactly what it means. But even if Dr. McClellan did mean that the players share
in that responsibility, such a statement would fail to account for the fact that our society, through
26 federal and state laws discussed in detail here, has taken the decision away from the patient as to
whether or not they should be taking addictive medications such as those described herein and
27 squarely placed it where it belongs: with professionals (doctors) who best understand when to
prescribe such medications.
28
1 7. Dr. McClellans final issue is Short and Long-Term Risks of Pain Medication Use
2 in Professional Football, about which he makes three points: (1) Players in pain who would
3
otherwise not play or play at the same level of competitiveness may be induced by a pain
4
medication and their personal financial/reputational incentives to play under conditions that could
5
exacerbate their injuries and hinder their recovery; (2) Players who take opioid or other abuse-
6
liable medications especially for protracted periods or at high dosages will be at longer-term
7
8 risk for developing abuse or addiction; and (3) Because opioids relieve pain that might otherwise
10 considered performance enhancing drugs although not in the same sense as amphetamines or
11
stimulants. His takeaway point on this issue: Because of the shared responsibility for the
12
nature of because
problem; the of the multiple incentives for using pain medications; and because the short and
13
long term risks of pain medication use and abuse have already been demonstrated it is in the
14
15 shared interests of the players, the teams and the league to take combined action to find practical
16 solutions to the problem these solutions must address some of the powerful incentives for pain
18 8. Plaintiffs agree, and commit now (they would contend they have already done so)
19
to working with the Clubs on this problem. In any event, this should be considered a standing
20
invitation to do so.
21
9. But until Plaintiffs get that call, all they can do (if they are to do anything at all) is
22
23 proceed with their well-pled allegations that Defendants actions violate the Controlled Substances
24 Act (CSA) and/or Food Drug & Cosmetic Act (FDCA) (which is incorporated to some degree
25 by the CSA), their implementing regulations, and analogous state laws and that their omissions
26
and concealment as detailed herein harmed Plaintiffs and the proposed class.
27
28
2 prescriptions in the manner and at the locations described herein. These illegal acts, and the
3
omissions associated with them and described herein, have taken place on every Club since at least
4
the mid-1960s and the named Plaintiffs, as a group, have played for every Club in the NFL from
5
1976 to 2014.
6
11. All of the named Plaintiffs bring intentional misrepresentation and concealment
7
15 common questions of law and fact that predominate over individual issues.
16 13. This action was originally filed in the United States District Court for the District
17 of Maryland and transferred to this Court upon Defendants motion. Defendants thus waive any
18 argument that this Court does not have personal jurisdiction over them. In any event, the Court
19
does have personal jurisdiction over Defendants because they do business in this District, derive
20
substantial revenue from their contacts with this District, and because two of the Defendants, the
21
Oakland Raiders, LLP and the Forty Niners Football Company, LLC, operate within this District,
22
24 14. Venue is proper pursuant to 28 U.S.C. 1391(b)(1) because Defendants are entities
25 with the capacity to sue and be sued and reside, as that term is defined at 28 U.S.C. 1391(c)(2)
26
and (d), in this District.
27
28
1 THE PARTIES
4 15. Plaintiffs suffer from two discrete sets of injuries directly caused by Defendants
5 omissions and concealment: (1) internal organ injuries; and (2) muscular/skeletal injuries
6 exacerbated by the Clubs administration of Medications to keep players on the field or in practice.
7
16. Plaintiff Etopia Evans is the widow, and Personal Representative of the Estate, of
8
Charles Evans, a representative member of the putative class. As of the commencement of this
9
action, Ms. Evans is a resident of Louisiana. Mr. Evans died while a resident of the State of
10
11 Maryland. Mr. Evans played 107 games as a fullback for the Minnesota Vikings from 1993
13 17. Based on the information currently available to Ms. Evans which is limited
14 because: (a) she does not know all of the Medications that Defendants provided Mr. Evans, and
15
(b) the Defendants possess most, if not all, of the information related to dosage units, frequencies
16
and durations of administrations and correlated, documented side effects and Plaintiffs are still in
17
the process of reviewing that information she is aware that her husband suffered from damage
18
19 to internal organs and the muscular/skeletal injuries discussed above. Ms. Evans did not become
20 aware that Defendants caused those injuries until, at the earliest, March of 2014. Mr. Evans was
21 not aware that Defendants caused those injuries at the time of his death.
22
18. Plaintiff Eric King is a representative member of the putative class. As of the
23
commencement of this action, he is a resident of California. Mr. King played 63 games as a
24
defensive back for the Buffalo Bills in 2005; the Tennessee Titans from 2006 2008; the Detroit
25
Lions from 2009 2010; and the Cleveland Browns in 2010.
26
27 19. Based on the information currently available to Mr. King which is greatly limited
28 because: (a) he does not know all of the Medications that Defendants provided him, and (b) the
1 Defendants possess most, if not all, of the information related to dosage units, frequencies and
2 durations of administrations and correlated, documented side effects and Plaintiffs are still in the
3
process of reviewing that information at this time, the only injuries of which he is aware are the
4
muscular/skeletal injuries discussed above. Mr. King did not become aware that Defendants
5
caused those injuries until, at the earliest, March of 2014.
6
20. Plaintiff Robert Massey is a representative member of the putative class. As of the
7
8 commencement of this action, he is a resident of North Carolina. Mr. Massey played 140 games
9 as a defensive back for the New Orleans Saints from 1989 1990; the Phoenix Cardinals from
10 1991 1993; the Detroit Lions from 1994 1995; the Jacksonville Jaguars in 1996; and the New
11
York Giants in 1997. He was selected to the Pro Bowl in 1992.
12
21. Based on the information currently available to Mr. Massey which is greatly
13
limited because: (a) he does not know all of the Medications that Defendants provided him, and
14
15 (b) the Defendants possess most, if not all, of the information related to dosage units, frequencies
16 and durations of administrations and correlated, documented side effects and Plaintiffs are still in
17 the process of reviewing that information at this time, the only injuries of which he is aware are
18 kidney damage and the muscular/skeletal injuries discussed above. Mr. Massey did not become
19
aware that Defendants caused those injuries until, at the earliest, March of 2014.
20
22. Plaintiff Troy Sadowski is a representative member of the putative class. As of the
21
commencement of this action, he is a resident of Georgia. Mr. Sadowski played 104 games as a
22
23 tight end for the Atlanta Falcons in 1990; the Kansas City Chiefs in 1991; the New York Jets from
24 1992 1993; the Cincinnati Bengals from 1994 1996; the Pittsburgh Steelers from 1997 1998;
26
23. Based on the information currently available to Mr. Sadowski which is greatly
27
limited because: (a) he does not know all of the Medications that Defendants provided him, and
28
1 (b) the Defendants possess most, if not all, of the information related to dosage units, frequencies
2 and durations of administrations and correlated, documented side effects and Plaintiffs are still in
3
the process of reviewing that information at this time, the injuries of which he is aware are the
4
muscular/skeletal injuries discussed above. Mr. Sadowski did not become aware that Defendants
5
caused those injuries until, at the earliest, March of 2014.
6
24. Plaintiff Chris Goode is a representative member of the putative class. As of the
7
10 25. Based on the information currently available to Mr. Goode which is greatly
11
limited because: (a) he does not know all of the Medications that Defendants provided him, and
12
(b) the Defendants possess most, if not all, of the information related to dosage units, frequencies
13
and durations of administrations and correlated, documented side effects and Plaintiffs are still in
14
15 the process of reviewing that information at this time, the injuries of which he is aware are
16 damage to internal organs and the muscular/skeletal injuries discussed above. Mr. Goode did not
17 become aware that Defendants caused those injuries until, at the earliest, March of 2014.
23 27. Based on the information currently available to Mr. Ashmore which is greatly
24 limited because: (a) he does not know all of the Medications that Defendants provided him, and
25 (b) the Defendants possess most, if not all, of the information related to dosage units, frequencies
26
and durations of administrations and correlated, documented side effects and Plaintiffs are still in
27
the process of reviewing that information at this time, the injuries of which he is aware are
28
1 damage to internal organs and the muscular/skeletal injuries discussed above. Mr. Ashmore did
2 not become aware that Defendants caused those injuries until, at the earliest, March of 2014.
3
28. Plaintiff Jerry Wunsch is a representative member of the putative class. As of the
4
commencement of this action, he is a resident of Florida. Mr. Wunsch played 120 games as an
5
offensive lineman for the Tampa Bay Buccaneers from 1997 2001 and the Seattle Seahawks
6
from 2002 2004.
7
8 29. Based on the information currently available to Mr. Wunsch which is greatly
9 limited because: (a) he does not know all of the Medications that Defendants provided him, and
10 (b) the Defendants possess most, if not all, of the information related to dosage units, frequencies
11
and durations of administrations and correlated, documented side effects and Plaintiffs are still in
12
the process of reviewing that information at this time, the injuries of which he is aware are
13
damage to internal organs and the muscular/skeletal injuries discussed above. Mr. Wunsch did
14
15 not become aware that Defendants caused those injuries until, at the earliest, March of 2014.
17 the commencement of this action, he is a resident of Georgia. Mr. Carreker played 97 games as a
18 defensive end for the Green Bay Packers from 1984 1988 and the Denver Broncos in 1989 and
19
1991.
20
31. Based on the information currently available to Mr. Carreker which is greatly
21
limited because: (a) he does not know all of the Medications that Defendants provided him, and
22
23 (b) the Defendants possess most, if not all, of the information related to dosage units, frequencies
24 and durations of administrations and correlated, documented side effects and Plaintiffs are still in
25 the process of reviewing that information at this time, the injuries of which he is aware are
26
damage to internal organs and the muscular/skeletal injuries discussed above. Mr. Carreker did
27
not become aware that Defendants caused those injuries until, at the earliest, March of 2014.
28
1 32. Plaintiff Steve Lofton is a representative member of the putative class. As of the
2 commencement of this action, he is a resident of Texas. Mr. Lofton played 74 games as a defensive
3
back for the Phoenix Cardinals from 1993 1995, the Carolina Panthers from 1995 1996 and in
4
1998 and 1999, and the New England Patriots from 1997 1998. Mr. Lofton was injured for the
5
1994 season.
6
33. Based on the information currently available to Mr. Lofton which is greatly
7
8 limited because: (a) he does not know all of the Medications that Defendants provided him, and
9 (b) the Defendants possess most, if not all, of the information related to dosage units, frequencies
10 and durations of administrations and correlated, documented side effects and Plaintiffs are still in
11
the process of reviewing that information at this time, the injuries of which he is aware are
12
damage to his internal organs and the muscular/skeletal injuries discussed above. Mr. Lofton did
13
not become aware that Defendants caused those injuries until, at the earliest, March of 2014.
14
15 34. Plaintiff Duriel Harris is a representative member of the putative class. As of the
16 commencement of this action, he is a resident of Louisiana. Mr. Harris played 135 games as a
17 wide receiver for the Miami Dolphins from 1976 1983 and 1985 and the Cleveland Browns and
18 Dallas Cowboys in 1984. He was a first team All-Conference and All-NFL selection in 1976.
19
35. Based on the information available to Mr. Harris which is greatly limited because:
20
(a) he does not know all of the Medications that Defendants provided him, and (b) the Defendants
21
possess most, if not all, of the information related to dosage units, frequencies and durations of
22
23 administrations and correlated, documented side effects and Plaintiffs are still in the process of
24 reviewing that information at this time, the injuries of which he is aware are damage to his
25 internal organs, including his liver and kidneys, and the muscular/skeletal injuries discussed above.
26
Mr. Harris did not become aware that Defendants caused those injuries until, at the earliest, March
27
of 2014.
28
1 36. Plaintiff Jeffery Graham is a representative member of the putative class. As of the
2 commencement of this action, he is a resident of Ohio. He played 163 games for the Pittsburgh
3
Steelers from 1991 1993, the Chicago Bears from 1994 1995, the New York Jets from 1996
4
1997, the Philadelphia Eagles in 1998 and the San Diego Chargers from 1999 2001.
5
37. Based on the information available to Mr. Graham which is greatly limited
6
because: (a) he does not know all of the Medications that Defendants provided him, and (b) the
7
8 Defendants possess most, if not all, of the information related to dosage units, frequencies and
9 durations of administrations and correlated, documented side effects and Plaintiffs are still in the
10 process of reviewing that information at this time, the injuries of which he is aware are the
11
muscular/skeletal injuries discussed above. Mr. Graham did not become aware that Defendants
12
caused those injuries until, at the earliest, March of 2014.
13
38. Plaintiff Cedric Killings is a representative member of the putative class. As of the
14
16 defensive tackle/special team player for the San Francisco 49ers in 2000; the Cleveland Browns
17 and Carolina Panthers in 2001; the Minnesota Vikings in 2002-2003; the Washington Redskins in
23 durations of administrations and correlated, documented side effects and Plaintiffs are still in the
24 process of reviewing that information at this time, the injuries of which he is aware are damage
25 to internal organs and the muscular/skeletal injuries discussed above. Mr. Killings did not become
26
aware that Defendants caused those injuries until, at the earliest, March of 2014.
27
28
1 40. Plaintiff Reggie Walker is a representative member of the putative class. As of the
3
linebacker for the Arizona Cardinals from 2009 2012 and for the San Diego Chargers from 2013
4
2014.
5
41. Based on the information currently available to Mr. Walker which is greatly
6
limited because (a) he does not know all of the Medications that Defendants provided him, and (b)
7
8 the Defendants possess most, if not all, of the information related to dosage units, frequencies and
9 durations of administrations and correlated, documented side effects and Plaintiffs are still in the
10 process of reviewing that information at this time, the injuries of which he is aware are the
11
muscular/skeletal injuries discussed above.
12
42. Plaintiffs have attached as Exhibit A an excel spreadsheet with specific dates of
13
games played and missed by Mr. Evans and the other Plaintiffs who played in the NFL during their
14
15 careers. Exhibit A also lists the names of the Club doctors and trainers for each year through 2010
16 as provided by the Defendants during discovery; Defendants have not yet produced the names of
17 the Club doctors and trainers for any season after 2010, or for that matter, any information post-
18 2010, having drawn an arbitrary deadline at the close of the 2010 season for producing information
19
in this case.
20
II. DEFENDANTS COMPRISE THE NATIONAL FOOTBALL LEAGUE.
21
43. Defendant Arizona Cardinals Club, LLC, individually and as successor to the
22
23 Phoenix Cardinals, St. Louis Cardinals, and Chicago Cardinals (collectively Cardinals), is
24 engaged in interstate commerce in the business of, among other things, promoting, operating, and
26
44. Defendant Atlanta Falcons Football Club, LLC (Falcons) is engaged in interstate
27
commerce in the business of, among other things, promoting, operating, and regulating the NFL.
28
2 Cleveland Browns, is engaged in interstate commerce in the business of, among other things,
3
promoting, operating, and regulating the NFL.
4
46. Defendant Buffalo Bills, Inc. (Bills) is engaged in interstate commerce in the
5
business of, among other things, promoting, operating, and regulating the NFL.
6
47. Defendant Panthers Football, LLC (Panthers) is engaged in interstate commerce
7
8 in the business of, among other things, promoting, operating, and regulating the NFL.
9 48. Defendant The Chicago Bears Football Club, Inc. (Bears) is engaged in interstate
10 commerce in the business of, among other things, promoting, operating, and regulating the NFL.
11
49. Defendant Cincinnati Bengals, Inc. (Bengals) is engaged in interstate commerce
12
in the business of, among other things, promoting, operating, and regulating the NFL.
13
50. Defendant Cleveland Browns Football Club, LLC (Browns) is engaged in
14
15 interstate commerce in the business of, among other things, promoting, operating, and regulating
16 the NFL.
23 53. Defendant Detroit Lions, Inc. (Lions) is engaged in interstate commerce in the
24 business of, among other things, promoting, operating, and regulating the NFL.
25 54. Defendant Green Bay Packers, Inc. (Packers) is engaged in interstate commerce
26
in the business of, among other things, promoting, operating, and regulating the NFL.
27
28
2 the business of, among other things, promoting, operating, and regulating the NFL.
3
56. Defendant Indianapolis Colts, Inc., individually and as successor to the Baltimore
4
Colts (Colts), is engaged in interstate commerce in the business of, among other things,
5
promoting, operating, and regulating the NFL.
6
57. Defendant Jacksonville Jaguars, LLC (Jaguars) is engaged in interstate
7
8 commerce in the business of, among other things, promoting, operating, and regulating the NFL.
9 58. Defendant Kansas City Chiefs Football Club, Inc. (Chiefs) is engaged in
10 interstate commerce in the business of, among other things, promoting, operating, and regulating
11
the NFL.
12
59. Defendant Miami Dolphins, Ltd. (Dolphins) is engaged in interstate commerce
13
in the business of, among other things, promoting, operating, and regulating the NFL.
14
16 interstate commerce in the business of, among other things, promoting, operating, and regulating
17 the NFL.
23 63. Defendant New York Football Giants, Inc. (Giants) is engaged in interstate
24 commerce in the business of, among other things, promoting, operating and regulating the NFL.
25 64. Defendant New York Jets, LLC (Jets) is engaged in interstate commerce in the
26
business of, among other things, promoting, operating, and regulating the NFL.
27
28
1 65. Defendant The Oakland Raiders, LLP, individually and as successor in interest to
2 the Los Angeles Raiders (Raiders), is engaged in interstate commerce in the business of, among
3
other things, promoting, operating, and regulating the NFL and is a resident of this district.
4
66. Defendant Philadelphia Eagles, LLC (Eagles) is engaged in interstate commerce
5
in the business of, among other things, promoting, operating, and regulating the NFL.
6
67. Defendant Pittsburgh Steelers, LLC (Steelers) is engaged in interstate commerce
7
8 in the business of, among other things, promoting, operating, and regulating the NFL.
9 68. Defendant The Los Angeles Rams, LLC, individually and as successor in interest
10 to the St. Louis Rams (Rams), is engaged in interstate commerce in the business of, among other
11
things, promoting, operating, and regulating the NFL.
12
69. Defendant Chargers Football Company, LLC (Chargers) is engaged in interstate
13
commerce in the business of, among other things, promoting, operating, and regulating the NFL.
14
16 commerce in the business of, among other things, promoting, operating, and regulating the NFL
23 73. Defendant Tennessee Football, Inc., individually and as successor in interest to the
24 Houston Oilers (Titans), is engaged in interstate commerce in the business of, among other
26
74. Defendant Pro-Football, Inc. (Redskins) is engaged in interstate commerce in the
27
business of, among other things, promoting, operating, and regulating the NFL.
28
1 INTRADISTRICT ASSIGNMENT
2 75. This matter has been assigned to the San Francisco Division.
3
4
FACTS COMMON TO ALL COUNTS
5
I. THE RELEVANT HISTORY OF THE RELATIONSHIP BETWEEN THE CLUB
6 DEFENDANTS AND THEIR PLAYERS.
7
A. Labor Relations Between the Clubs and Players.
8
76. Clubs playing American professional football first organized themselves as a
9
league in 1920, calling the organization the American Professional Football Association. The
10
11 Clubs renamed the league the National Football League in 1923 and have conducted joint activities
13 77. From 1923 until 1968, players had no bargaining rights and were subject to
14 unilateral rules imposed jointly by the Clubs. No collective bargaining agreement (CBA) was
15
in existence for the first 45 seasons of professional football. The National Football League Players
16
Association (NFLPA), even though it had been in existence since 1956, was not recognized as
17
a union or the sole and exclusive bargaining representative for the Clubs players until 1968. The
18
19 NFLPA negotiated the first CBA with the Clubs that year. A second CBA between the Clubs and
21 78. The 1970 CBA expired after the 1973 season and no CBA was in existence for the
22
1973 1976 seasons. During that period, the NFLPA filed an antitrust suit against the NFL and
23
the Clubs: Mackey v NFL, 543 F.2d 606 (8th Cir. 1976). In ruling for the players, the appeals court
24
affirmed the District Courts holding that the restrictions on player movement contained in the
25
1968 and 1970 CBAs were not the product of bona fide arms-length bargaining. The Eighth
26
27 Circuit further noted that in part due to its recent formation and inadequate finances, the NFLPA,
28
1 at least prior to 1974, stood in a relatively weak bargaining position vis--vis the clubs. Id. at
2 615.
3
79. In 1977, after the Mackey decision, the Clubs and players resolved their legal
4
differences in part through a new CBA, the first such agreement that was the product of good faith,
5
bona fide arms-length bargaining.
6
80. Upon the expiration of the 1977 CBA, the Clubs and players negotiated a new CBA
7
8 in 1982 that expired after the 1986 season. No CBA was in existence for the 1987 1992 seasons.
9 As part of the settlement of another antitrust lawsuit filed by the players, a new CBA was executed
10 in 1993. From that date until present, every football season has been played pursuant to a CBA.
11
81. The football seasons from 1923 through 1967, 1973 through 1976 and 1987 through
12
1992 were not subject to any CBA. The seasons from 1968 through 1972 were subject to CBAs
13
that were not the product of bona fide, arms-length bargaining. Therefore, only the 1977 through
14
15 the 1986 and 1993 through the 2016 seasons were governed by valid CBAs.
16 82. No CBA has addressed, let alone regulated, the administration or dispensation of
17 Medications. In public filings, the NFLPA has endorsed the statement that [n]o CBA provision
18 addresses the NFLs responsibilities vis a vis the illicit provision of the Medications. Not one of
19
the hundreds of NFL-selected pages of CBAs going back to 1968 mention[s] the Medications or
20
protocols for their provision.
21
B. The Clubs Mandated that Players Use Their Doctors and Trainers.
22
24 83. Alvah Andrew Doc Young was a founder of the NFL and owned the Hammond
25 Pros, an early Club. He was also the first professional football team doctor, serving from 1920
26
1926. On information and belief, the Clubs have provided doctors for their players continuously
27
since the inception of the NFL.
28
1 84. The Clubs provided doctors and trainers for the 1923 through 1967, 1973 through
2 1976, and 1987 through 1992 seasons during which time no CBA was in effect. The Clubs
3
provided doctors and trainers for the 1968 through 1972 seasons during which the CBAs in effect
4
were not the product of bona fide, arms-length bargaining. Since their inception, the Clubs have
5
recognized that they maintain a hazardous workplace.
6
85. The NFL Physicians Society (the NFLPS) was founded in 1966 by a group of
7
8 long-time Club doctors and exists today. Its mission is to provide excellence in the medical and
9 surgical care of the athletes in the NFL and to provide direction and support for the athletic trainers
10 in charge of the care of these athletes. See http://nflps.org/ (last visited February 22, 2017). It has
11
hundreds of members, including physicians from all 32 Clubs.
12
86. Although one would think that teams truly competing against each other would
13
want to maintain a propriety interest in their medical treatments, the opposite is the case with
14
15 the NFL. For example, in 1970, according to documents produced by the NFLPS, the New
16 York
Jests instituted a procedure to bring draft choices to their club facilities for physical examination
17 during the winter, starting with 40 players. This led to many of the teams doing the same thing
18 and ultimately to the combined physicals beginning in 1985, commonly known as the Combine,
19
for which the Clubs share costs for medical examinations of draft-eligible players. NFL physicians
20
examine as many as 450 500 players at the Combine. The Combine continues to this day and at
21
each annual event, doctors from all 32 Clubs meet to discuss issues common to the member Clubs.
22
23 87. According to the NFLPS, its goals are to constantly work toward improving the
24 care of the professional football players and prevention and treatment of injuries. See
25 http://nflps.org/ (last visited February 22, 2017). Their stated purpose is to manage injuries once
26
they occur to allow players to reach their highest level of potential. Id.
27
28
1 88. The NFLPS is governed by an executive committee that regularly interacts with the
2 League. For example, Dr. Anthony Yates (Steelers doctor), who served on that committee from
3
2000 to 2015 and is a former NFLPS president, testified at his deposition that Elliott Pellman, in
4
his capacity as medical advisor to the League, was a regular attendee of NFLPS executive
5
committee meetings. He further testified that Dr. Brown also attended such meetings, including,
6
for example, the February 11, 1995 meeting at the Westin Hotel in Indianapolis and the February
7
8 7, 1998 meeting at the Hyatt Regency Hotel in Indianapolis. Other League officials attended
9 these meetings too, including Ed Teitge, who gave a 30 minute presentation on labor relations
10 NFL
in theat the aforementioned 1998 meeting; Adolpho Birch, who attended the February 21, 2003
11
meeting at the Westin Hotel in Indianapolis (along with Dr. Brown), and Commissioner Goodell,
12
who attended the February 23, 2012 NFLPS executive board meeting.
13
89. Dr. Yates also testified that Dr. John York, an owner of the San Francisco 49ers
14
15 who was also chairman of the owners health and safety committee, would attend NFLPS meetings
16 and events, including the 2013 executive committee meeting at the Combine. Dr. Yates called Dr.
17 York an important resource to and advocate for the team physicians and athletic trainers for all
23 91. Dr. Matava (Rams doctor) testified that, while president, he too attended owners
24 health and safety committee meetings and regularly visited the Leagues New York offices for
25 meetings. Both he and Dr. Yates testified that, while serving as president of the NFLPS,
26
they attended, and gave presentations regarding medications (including Toradol) at, owners
27
the Toradol meeting having occurred in March 2013.
meetings,
28
1 92. Dr. Yates further testified that the League funded studies performed by the NFLPS
2 and in fact funded the Matava Toradol task force, discussed in greater detail below.
3
93. Moreover, the League, through Dr. Brown and the Club physicians, has audited the
4
Clubs use of controlled substances since the late 1970s according to documents produced by Dr.
5
Brown in discovery. For example, a March 1, 2013 memorandum prepared by Dr. Brown (in
6
which he is styled as Medical Advisor National Football League) for Adolpho Birch, Senior
7
8 Vice President of Law and Labor Policy for the NFL Management Council, covers the then nearly
9 40 year history of the NFL Prescription Drug Program and Protocol, which apparently had
10 evolved dramatical[ly] in the last two years (which happen to be the two years after the
11
DEA investigated the Clubs, as discussed herein). In that memorandum, Dr. Brown notes
12
that the health and safety were major reasons for the existence of the Prescription Drug Program
players
13
and Protocol from its inception through the time that memorandum was prepared.
14
15 94. From a review of related documents, and based on the testimony of Dr. Brown, it
16 appears that these audits are part of the larger pattern of lip service that the League and Clubs play
17 to their Medications problem. For example, a Final Report issued on May 30, 1990 by Forrest
18 Tennant, the NFLs Drug Advisor, states in relevant part that [s]ome Clubs dont apparently
19
understand the necessity (and law) to keep dispensing logs and an internal audit as relates to
20
controlled substances. An audit from the very next year states that [m]any teams lack evidence
21
of a copy of the current DEA registration for each prescribing physician and that a significant
22
24 governmental regulations. In 1998, at the NFLPS business meeting held on February 7, 1998,
25 Dr. Lawrence Brown reported to the NFLPS that, during the last audit, at least 5 teams were in
26
noncompliance with controlled substances (and he fails to make mention of what, if anything,
27
would be done to bring those teams into compliance). And as of 2010, when the DEA began its
28
1 investigation, all of the Clubs were in violation of the CSA with regard to traveling with controlled
2 substances and, upon information and belief, most of the Clubs continued to remain in non-
3
compliance on that issue until 2015.
4
95. Indeed, Dr. Marzo (Bills doctor) testified that, even after being informed that they could
5
not travel with controlled substances in 2011, as late as 2014, he would still do so and
6
administer that drug to a player.
7
8 96. Put simply, while the League, Clubs and their agents and employees have identified
9 Medication-related problems for decades, it appears they failed to act on them until perhaps 2015,
10 even when the DEA itself gave a presentation in 2011 at the NFL Combine particularly detailing
11
the Clubs obligations to comply with the CSA.
12
2. Trainers Interact Directly with Team Owners, GMs and Coaches.
13
97. On information and belief, the Clubs have provided trainers continuously since the
14
15 early years of the NFL. The NFL Athletic Trainers Society was founded in the mid-1960s by a
2
16 number of long time Club trainers. According to the PFATS web site, that group came together
17 because it saw an opportunity to share knowledge and techniques on injury prevention and
18 rehabilitation at the National Athletic Trainers Association Annual Meeting and Clinical
19
Symposium. See http://www.pfats.com/about/history/ (last visited February 22, 2017).
20
98. After the AFL-NFL merger, AFL trainers began attending that annual meeting as
21
well and team physicians soon followed. Id. [In 1969], a league official began attending, and
22
23 by the end of the decade, then-NFL commissioner Pete Rozelle required all teams to send their
24 head athletic trainers to the annual NFL Athletic Trainers Meetings. Id.
25
26
27 2
That organization was succeeded in 1982 by the Professional Football Athletic Trainers
28 Society (PFATS).
1 99. The web site used to state that PFATS was founded because NFL Clubs are always
2 trying to gain an edge. [Clubs] need to provide the best and most complete care for their product
3
the players. It appears that since that site was last visited in October 2016, that language has
4
been removed.
5
100. Today, PFATS is in partnership with the Physicians Society and the NFL and states
6
that its mission is to serve the players of the NFL.
7
8 101. The League, through its medical advisor, Dr. Brown, would communicate directly
9 with the trainers about issues related to controlled substances. For example, on October 31,
10 2008, Dr. Brown e-mailed trainers from every team regarding the status of their compliance
11
with NFLpertaining to prescription drugs in which he advises them, among other things, that if
Policies
12
they are providing more than one dose [of a prescription medication] this is viewed in most
13
jurisdictions as dispensing. Therefore, you are required to comply with federal (related to
14
15 controlled drugs) and state (related to all prescription medications) guidance with respect to the
20 inception of the sport. But the Clubs have also recognized that, to give the public the best
21 product possible, marquee players need to play, even if they are injured and in pain. One
22
solution to this inherent conflict violence sells but it also puts players on the sidelines who
23
bring fans to the game would be to play fewer games (like in college), give players more
24
time to rest between games, and have larger rosters (the NCAA allows for 105 man rosters
25
before the first day of class or the first game twice that of the NFL). But that would cut into
26
28 103. Instead, the Clubs have resolved this inherent conflict in favor of profit over safety
with more games, less rest (e.g., Thursday night football), and smaller rosters that save
SECOND AMENDED COMPLAINT - 3:16-cv-01030-WHA - 22 -
payroll
Case 3:16-cv-01030-WHA Document 176-3 Filed 02/22/17 Page 24 of 127
1 expenses. And they achieve their ends through a business plan in which every Club employee
2 general managers, coaches, doctors, trainers and players has a financial interest in returning
3
players to the game as soon as possible. Everyones job and salary depend on this simple fact.
4
The return to play practice or policy was based on four cornerstone concepts: profit, media, non-
5
guaranteed contracts, and drugs. As professional football took off, these bedrock concepts would
6
become the driving force behind every business decision made by the Clubs.
7
8 104. While professional football has been a popular spectator sport since its inception,
9 with the widespread availability of television in the 1960s, the Clubs realized that the opportunity
10 for profits would greatly increase as income would no longer be dependent solely on attendance
11
at the games. As the television networks began competing for the rights to televise games, the
12
Clubs sought to further capitalize on the publics demand for the violence of the sport. But the
13
ever-escalating profitability of the Clubs was dependent on keeping the players on the field, even
14
15 when games and practices spawned increasing numbers of injuries as the result of bigger, stronger
16 players having less time between games to recover. The health interests of the players were
17 increasingly subordinated and forgotten as the Clubs evolved into multi-billion dollar businesses.
18 105. The Clubs also manipulated the media to increase revenue and reinforce the return
19
to play practice or policy. In 1965, the Clubs created NFL Films to market video of the Clubs
20
games, coaches, and players. NFL Films highlighted the violence of the game and the toughness
21
of its players. Dramatic collisions between players were highlighted in slow motion. Players who
22
23 returned to the game with severe injuries were lauded as courageous heroes. These same themes
24 were repeated by the broadcast networks. American folklore regarding professional football
25 players was indelibly established the players were super human warriors who played through
26
pain for the integrity of the game they loved. The return to play practice or policy became an
27
accepted fact of doing business by the Clubs as profits soared.
28
1 106. One need only examine the 1987 season to understand the importance of keeping
2 the best players out on the field at all costs. That year, the players went on strike and the Clubs
3
played a number of regular season games with so-called replacement players. Television ratings
4
for these games dropped by more than 20%. The networks agreed to continue broadcasting them
5
only when the Clubs agreed to reduce prices to enable the networks to recoup the losses. The
6
Clubs never used replacement players again. On information and belief, this experience reinforced
7
8 to the Clubs the importance of having star NFL players on the field.
15 Clubs, added two more regular season games (and are looking to add two more), expanded the
16 number of Clubs participating in post-season play, and scheduled more games during the week
17 (particularly on Thursday nights), leaving players with less recovery time and greater chances for
23 channel, the NFL Network, devotes all day, every day to the game.
24 110. During this same time, players have gotten bigger and stronger. Mel Kiper, one of
25 ESPNs senior football analysts, noted that in 2011, offensive linemen were on average 24 percent
26
heavier than they were in 1979 and an average of 31 percent stronger than they were in 1991. In
27
the 1960s, the Colts Hall of Fame defensive tackle Art Donovan was considered a giant at 263
28
1 pounds. In recent years, the NFL has seen the likes of Aaron Gibson at 440 pounds,
2 Albert Haynsworth and Shaun Rogers at 350 pounds, and King Dunlap, who stands 6 feet 9
3
inches and weighs 330 pounds. Indeed, at the NFLPS annual meeting in 2013, the
4
physicians discussed [s]tudies [that] have showed that the increase in foot and ankle
5
[injuries]
the playersisbeing
a combination
faster andof
stronger, having higher energy injuries that has led to an increase in
6
ankle injuries and ACL injuries.
7
8 111. More games, longer seasons, shorter recovery between games, plus bigger and
9 stronger players, equals more frequent and debilitating injuries. These injuries pose a serious
10 business problem for Defendants, which need star players on the field any given Sunday and
11
Monday and Thursday so the money can keep rolling in.
12
112. In a survey by the Washington Post, nearly nine out of 10 former players reported
13
playing while hurt. Fifty-six percent said they did this frequently. An overwhelming number
14
15 68 percent said they did not feel like they had a choice as to whether to play injured.
16 113. Those players are right Defendants gave them no choice. From the beginnings of
17 professional football to the present day, the Clubs have created a coercive economic environment
18 in which all players have non-guaranteed contracts. The current standard player contract states
19
that the players salary is game to game and a players contract can be terminated for lack of skill
20
at any time (referred to as being cut). Players are constantly reminded by general managers,
21
coaches and the media of the competitive nature of the game and the importance of playing. If a
22
23 player is injured, coaches advise him to return to play as soon as possible to prevent a replacement
24 from taking his spot on a Club. Rookie players are immediately told of the decades long adage
25 promulgated by the Clubs You cant make the Club in the tub. The named Plaintiffs, including
26
Ms. Evans (who was told by Mr. Evans of the pressure he received), testified at their depositions
27
about the subtle and not-so-subtle pressures they faced to play despite being injured, some of which
28
1 is detailed herein. The Clubs exert enormous economic pressure on the players to return to play
2 as soon as possible and play through the pain. This financial reality is reinforced by the Club-
3
created image of the professional football player as heroic warrior.
4
114. From the outset, the means by which the Clubs facilitated the return to play practice
5
or policy was the widespread availability of the Medications. Club doctors and trainers have
6
distributed these controlled substances and prescription medications with little to no regard for the
7
8 law or the players health. Club doctors and trainers know that, if players are given adequate rest
9 and do not return to the game, the doctor or trainer will be replaced. As the position of Club doctor
10 and trainer have become increasingly lucrative, the pressures on the medical personnel to return
11
players to the field have only increased. The Clubs have established a business culture in which
12
everyones financial interest depends on doctors and trainers supplying Medications to players to
13
keep them in the game.
14
15 115. That culture has so permeated the NFL that today, it is almost unshakeable.
16 Although there are too many incidents of such behavior to list, three highly publicized, recent
17 incidents make the point. In a 2013 playoff game, Washington Redskins quarterback Robert
18 Griffin III re-injured his knee severely in the first quarter but still returned to the game despite a
19
clear inability to run or even walk normally. He tore a ligament in his knee during the fourth
20
quarter and was finally removed from the game. And in a game against the Washington Redskins
21
on October 27, 2014, Dallas Cowboys quarterback Tony Romo experienced a hard tackle that
22
23 resulted in two vertebrae in his back being chipped and fractured. Romo returned to the game after
24 taking a painkilling injection. He then missed the next weeks game. Such injuries take six to
25 eight weeks to heal. However, less than two weeks after the injury, the Cowboys were playing a
26
game in London, an important showpiece for the Clubs trying to increase footballs international
27
popularity. Cowboys owner Jerry Jones stated [Romos] going on the trip to London and logic
28
1 tells you that we wouldnt have him make that trip to London and back if we didnt think he was
2 going to play. Romo played in the game in London and the rest of the games the Cowboys played
3
that year. On information and belief, Romo would have been unable to play through such acute
4
pain without frequent use of painkilling pills and injections. Finally, on February 5, 2017, ESPNs
5
Adam Schefter reported that Atlanta Falcons center Alex Mack would play in the Super Bowl with
6
a broken left fibula. Apparently there had been a concern that the four-time Pro Bowler would be
7
8 unable to play after sustaining that injury during the NFC Championship Game and Schefter
9 reported that the injury, had it occurred in the regular season, would require Mack to sit out six to
10 eight weeks but that he would be receiving a pain-killer injection in his leg to alleviate the effect
11
of the fracture, which occurred above the plate inserted in his leg before he broke his fibula in
12
2014.
13
116. By contrast, according to Sally Jenkins of the Washington Post in a February 6,
14
15 2017 article titled Tom Brady Rejected NFLs Medical Culture. At Almost 40, Hes Never Played
16 Better, recent Super Bowl MVP Tom Brady seize[d] control of his own body from a league that
17 specializes in ruining men with Mesozoic training methods and corrupt medical practices rife with
18 painkiller abuses and MRSA infections. According to Ms. Jenkins, around a decade ago, Brady
19
told the NFL doctors and trainers to get their hands off him and, instead of needles and pills, Mr.
20
Brady did things his own way. The point of the article is that, the Super Bowl win notwithstanding,
21
Mr. Bradys ultimate victory is over the whole dumb, stick-a-needle-in-it NFL culture.
22
23 117. The Clubs maintain the return to play practice or policy by ensuring that players
24 are not told of the health risks associated with taking Medications. Players are not informed of the
25 long-term health effects of taking controlled substances and prescription medications in the
26
amounts given to them by the Clubs. Players are not counseled that inadequate rest will result in
27
permanent harm to joints and muscles. Players are frequently not told the name of the Medication
28
1 they are being given. Players are only told that, by taking the Medications offered by the Clubs,
3
118. The injuries at issue are caused by the volume of Medications given to the Plaintiffs
4
by the Defendants. As detailed herein, Plaintiffs report receiving Medications from the Defendants
5
literally every week during the football season of each of their careers. The sheer volume of the
6
Medications, combined with the omissions and concealments by Defendants detailed below,
7
8 makes it difficult for the Plaintiffs to remember the details of each and every time they received
9 Medications in the NFL (indeed, an analogous inquiry would be to ask a non NFL player how
10 many Advil pills they took in 2002), though Plaintiffs do detail many such administrations herein
11
and documents provided by the Clubs identify their dispensing habits.
12
119. For example, on October 13, 2014, 27 teams responded to a survey and noted that
13
an average of 26.7 players (more than half of the active roster) per team took at least one dose of
14
15 Toradol per game. On September 24, 2010, Paul Sparling (Bengals Head Trainer) e-mailed Dr.
16 Jill Eippert (Bengals doctor): We, for example rarely dispense more than 12 20 Vicodine 5/500
17 a game, whereas I know others that will routinely dispense 90+ each game. On October 18, 2007,
18 Dave Granito (Assistant Athletic Trainer of the New England Patriots) e-mailed to Erika of
19
Sportpharm (a provider of the Medications to the Clubs): I need to order 5 boxes of Toradol
20
60mg/2ml inj (2E6) total of 50 doses. And I have to have it before we leave for Miami on Saturday
21
afternoon. Please touch base if this is an issue. Erika responded: I have placed an order for an
22
23 afternoon delivery, so I should have this to u friday AM. And in a memo e-mailed to all Team
24 Physicians and Head Athletic Trainers on October 31, 2008 by Dr. Brown, he stated:
25 Another observation is the report of the number of prescription medication pills provided to a
26
player occasion,
single on a from as few as one to as many as 40 pills at one time (emphasis added).
27
28
1 120. The amount of drugs dispensed to players is also revealed in drug inventories
2 produced by all the Clubs during discovery. For example, the Indianapolis Colts provided
3
information for Medications they dispensed during the seven months that encompassed the 2004
4
season. The data was submitted to Dr. Brown, copying team owner Jim Irsay and general manager
5
Bill Polian, by Hunter Smith (trainer) and Dr. Arthur Rettig (team doctor) on January 31, 2005 and
6
is attached hereto as Exhibit B. While the range of different types of drugs dispensed is
7
8 astounding, the 900 different doses of Toradol (oral and injectable combined) and the 585 doses
9 of Vicodin is particularly telling when one remembers that at any time during the regular season,
10 a Club has only a 53-man roster. On information and belief, the drug usage memorialized in
11
Exhibit B was average for a Club at that time.
12
121. Pursuant to an audit of medications the Colts dispensed from September 30, 2009
13
through February 16, 2010 1,172 Toradol 10mgs doses, 523 Toradol IM 60 mg 2mls, and 2,396
14
15 doses of Vicodin. The next highest medication dispensed was Mucinex (1105).
16 122. For the Jets (at least), the usage of Toradol and Vicodin exploded between 2004
17 and 2009. In a January 26, 2010 e-mail from David Zuffelato to John Mellody and Joshua Koch,
18 attached hereto as Exhibit C, he provides a chart showing that in the 2008 season, the Jets
19
dispensed 1,031 doses of oral and injectable Toradol and 1,295 doses of Vicodin (500 and 750
20
mg) and that, in the 2009 season, their usage of Toradol increased to 1,178 doses and Vicodin
21
increased to 1,564 doses. On information and belief, the Jets are an average NFL Club in terms of
22
24 123. And for the Steelers, the numbers only go higher. In a document dated March 1,
25 2013 from Lawrence Brown (on NFL letterhead) to Dr. Yates (Steelers team doctor), attached
26
hereto as Exhibit D, Dr. Brown notes that there was documentation of dispensing by a non-
27
physician [despite the numerous warnings that had been going around the League since the early
28
1 1990s, as documented herein]. Please re-evaluate to insure that this behavior is congruent with
2 federal and state regulations. It also notes that during the calendar year 2012, the [Steelers]
3
medical staff prescribed 7,442 doses of NSAIDs [again, 53-man roster] compared to League-
4
wide average of 5,777 doses of NSAIDs per Club. Regarding controlled medications, [the
5
Steelers] prescribed 2,123 doses of controlled medications compared to League-wide average of
6
2,270 doses of controlled medications per Club. By total doses, your Club ranks 10th in the greatest
7
th
8 volume of NSAIDs provided by an NFL Club and 14 in the greatest volume of controlled
15 distribute a medication that would injure their health. Professional football players are no
17 125. Club doctors and trainers do not inform players of the risks posed by the use of
18 Medications, especially in the volume players are instructed to consume. Given the trust placed
19
in the doctors and trainers by players and every named Plaintiff testified at their deposition
20
that they trusted their doctors and trainers, failure to provide a player with a legally-required
21
warning about a drugs side effects constitutes an actionable omission that renders the statement
22
23 misleading or false.
24 126. Club doctors and trainers do not inform players that they are distributing
25 Medications in an amount, dosage and manner they know is illegal. Doctors and trainers
26
provide Medications to professional football players in amounts and distribution procedures
27
they would
28
1 never do in their regular practice with non-football player patients. Failure to inform players of
2 known illegalities constitutes an intentional misrepresentation that the practices are, in fact, legal.
3
127. Club doctors and trainers do not inform players of the health risks associated with
4
mixing Medications in the volume and manner they are doing (referred to as cocktailing). These
5
dangers are increased when the doctors and trainers know the Medications are often being mixed
6
with Club-provided alcohol (e.g., Mr. Carpenter testified that beer would be waiting for players on
7
8 the steps leading to their planes after games). Failure to inform players of the known dangers from
9 mixing the Medications being distributed by the Club to them constitutes an intentional
10 misrepresentation.
11
128. Club doctors and trainers do not inform players of the names of the Medications
12
they are being given and often these Medications are provided without a prescription, legally
13
referred to as misbranding. Players frequently report that they were never told all of the drugs they
14
15 were being given. Failure to disclose the name of a controlled substance or prescribed medication
17 129. Club doctors and trainers frequently fail to document properly in a players medical
18 records the usage of Medications. In a review of the medical records of 745 former players
19
provided by the Clubs for purposes of Workmens Compensation claims, 164 (22%) players had
20
no records at all, 196 (26.3%) mentioned no drugs at all, 64 (8.6%) mentioned drugs without
21
dosages, and 321 (43%) mentioned only some dosages. These failures highlight the omissions that
22
23 occur as doctors and trainers fail to document the Medications they are providing the players.
27 131. As an initial matter, the Clubs have had ample opportunity to share information
28 about revenue and how best to achieve high profit levels. The NFL executive committee has a
1 member from each Club and they meet on an annual basis at a minimum. Moreover,
2 general managers for the Clubs meet on a regular basis and the Clubs come together at other
3
functions during the year, including the yearly Combine. And as described herein, the trainers are
4
mandated to meet on at least a yearly basis while the doctors meet at least annually at the
5
Combine. These regular meetings, which have been taking place for decades, provide the Clubs
6
with the chance to share information to which the public is not privy. And as detailed herein,
7
8 e-mails are sent en masse to all trainers or doctors about medications and trainers or
9 doctors from one team communicate with trainers or doctors from other teams about
10 medications via e-mail (see, e.g., the Dr. Chao e-mail to the New Orleans Saints trainer identified
11
testifiedor,to,asbefore
herein) and and
Drs. Rettig afterMatava
games. The Commissioner attends NFLPS meetings; NFLPS
12
executive committee members attend owners meetings and NFL Management Council meetings,
13
and lurking in the background of it all are Drs. Brown and Pellman, who go-between the doctors,
14
16 132. From a structural perspective, it is not difficult for the Clubs to collude. There are
17 high barriers to entry in the League, which has no competition in the world and serious economic
18 incentives to maintain the status quo. The limited number of Clubs there are only 32 is exactly
19
the sort of highly-concentrated market that fosters the creation, and permits the maintenance, of
20
illicit agreements like those detailed herein. It is (obviously) against ones self-interest to violate
21
federal drug laws unless you know that everyone else is doing so and they all have the same reason
22
23 not to reveal what the others are doing. Put another way, the usual incentives increased market
24 share and revenue are not there for one Club to flip on the others because if they do so, the whole
25 structure will come crashing down and all of them will pay the price. Accordingly, even with the
26
movement of players from Club to Club, the Clubs know that so long as they present a united front,
27
they face little chance of detection.
28
1 133. But simply because one has the means does not necessarily mean they have the
2 motive to collude. The Clubs have ample reason to do so. As detailed herein, the NFL juggernaut
3
has exploded in terms of revenue and it intends to get even bigger. The Clubs share the same
4
economic interest in keeping each others stars on the field and playing more games to keep TV
5
revenues high, along with jersey sales and all the other means by which the Clubs profit off their
6
players, while at the same time keeping rosters small and overhead low. Indeed, the revenue-
7
8 sharing that takes place among the Clubs they all share equally from their TV deal means they
9 have little if any interest in maximizing their own profit at the expense of competitors and, to the
11
134. And as detailed herein, the Clubs decided to keep their players on the field, and the
12
profits high, by feeding drugs to their players in dangerous quantities and the manner in which
13
they have done so particularly after they have been made aware that their conduct is wrong
14
15 shows brazen disregard for federal and state drugs laws. The ubiquity of their illegal conduct,
16 which comes in several forms and has been ongoing for decades, negates any inference that the
17 Clubs have been acting independently. Such conduct includes in particular the manner in which
18 the Clubs have distributed Medications to players, who have consistently reported that since the
19
mid-1960s, Medications have been distributed as if they were candy. The Medications have
20
changed, but decade to decade, the players report a similarity in the manner in which they are
21
distributed by the Clubs: Quaaludes and amphetamines beginning in the mid-1960s, Vioxx and
22
23 OxyContin beginning in the 1970s, Percocet and Indocin in the 1980s and, beginning in the
24 1990s, Toradol.
25 135. The introduction of Toradol by all the Clubs elevated the return to play practice or
26
policy to new heights. From the mid-1990s until the present day, the Clubs have given Toradol
27
to players as both a painkiller and a prophylactic. Players from multiple Clubs report lines of 30
28
1 35 players lined up for Toradol shots before games. Hall of Fame Coach and media analyst John
2 Madden, commenting on the widespread availability of Toradol, noted I know an announcer that
3
goes down to the locker room to get a Toradol shot before a game. In the last few seasons, the
4
Clubs have reduced the number of injections and increased the usage of Toradol pills. The Clubs
5
use Toradol for practice but its extensive use is reserved primarily for games. As the Clubs have
6
scheduled more mid-week games, Toradol has become an even more important component of the
7
8 return to play practice or policy. The Clubs continue to use other painkillers and anti-
10 136. One need only review a February 2, 2006 memorandum from Eric Sugarman, the
11
Vikings head trainer, to Brad Childress, the Vikings head coach, Rob Brzezinski, the Vikings
12
vice president for operations, and Kevin Warren, the Vikings vice president for operations, to
13
understand Toradols importance to NFL. In it, he states in relevant part that he met with new
14
15 team doctor Fischer for 3 hours yesterday afternoon. We discussed in depth the use of Toradol
16 and pain medication in the NFL. I expressed my concern that [the Vikings] are at a competitive
17 disadvantage [in that they were the only club not regularly using Toradol]. I explained that I am
18 and will continue to speak to veteran players concerning their medical care, past and future. I have
19
taken from these discussions that the medical staff has been too conservative in the past.
20
Iexplained the Toradol survey results. See attached. I was standing very firm during this point
21
in our conversation. I feel very strongly about this point. I stated to Dr. Fischer my passion for
22
23 making this athletic room professional and well respected with our players, coaches, front office,
24 ownership and throughout the NFL. I promised Dr. Fischer that he will develop a respect for
25 me and my staff as he observes how we run a NFL athletic training room. Overall, we
26
had a productive meeting. I feel that Dr. Fischer is beginning to see my point of view on many
27
issues.
28
1 I also feel he is willing to change in order to improve. We will meet again next Wednesday
2 (emphasis added).
3
137. The Clubs imposed a uniform Toradol waiver beginning with the 2010 season, a
4
sample copy of which is attached hereto as Exhibit E. Every player on each Club was asked to
5
sign the waiver, which is identical for each Club.
6
138. Since the mid-1960s, the Clubs have provided players with sleep aids. Ambien, a
7
8 controlled substance, has been the drug of choice for multiple decades.
9 139. Since doctors are only present with the players on home game days, away game
10 weekends and one (occasionally a second) day during the week, trainers and their assistants had
11
to be folded into the loop of distributing Medications. Players from at least the 1960s to the
12
present consistently state that trainers routinely gave them Medications without examination,
13
diagnosis, or warnings all outside the presence of a licensed physician.
14
15 140. As public awareness of the prevalence of drugs has increased, the Clubs have
16 jointly imposed a number of mandated procedures to control the drug distribution system while
17 keeping the flow as high as possible. The Clubs required that all drugs be locked in a closet or
18 similar locked storage facility. The Clubs also required that Club doctors register the Clubs
19
facility as a storage facility for controlled substances and prescription medication. The Clubs
20
finally looked into the possibility that they would purchase and utilize tracking software created
21
by a firm called SportPharm. SportPharm collects the data and retains it in the event the Clubs are
22
23 questioned about their drug distribution by the Drug Enforcement Agency (DEA) or an
25 141. On information and belief, the Clubs created a committee the NFL Prescription
26
Drug Advisory Committee to oversee the administration of controlled substances
27
and prescription drugs to players in all the Clubs. The person in charge of the committee
28
is Dr.
SECOND AMENDED COMPLAINT - 3:16-cv-01030-WHA - 35 -
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1 Lawrence Brown and the committee, at least as of November 6, 2014, was comprised of
2 the following persons who were attending its meetings: Lawrence Brown, MD; Charles Brown,
3
MD; Louis Baxter, MD; Arun Ramappa, MD; Bertha Madras, PhD; Linda Cottler, PhD;
4
Seddon Savage, MD; Bryan Finkle, PhD; J. Michael Walsh, PhD; Jeff Miller, NFL V.P. for
5
Security who resigned in May 2016 from that position; Lawrence Ferazani, NFL Senior V.P. for
6
Labor Litigation & Policy; Amy Jorgensen, Director, Health and Safety Policy for the NFL;
7
8 Nicolette Dy, project coordinator for player health and safety issues for the NFL; Lanisha
10 General Counsel for the Baltimore Ravens who as of November 2014 was counsel to the
11
NFL; Dr. Pellman; Christina Mack; Adolpho Birch, NFL Senior V.P. of Labor Policy &
12
an August
League 25, 2010
Affairs (and ae-mail
personfrom
who,Dr.
in Pellman, the NFLs medical advisor, is identified as Dr.
13
Browns liaison in the NFL office); and Dr. Matava. The committee meets at least twice a year
14
16 142. A document titled NFL Prescription Drug Program Advisory Committee Major
17 Findings and Recommendations that, per its metadata, was created and last modified
23 stated that it is illegal for trainers to dispense prescription drugs) and that a correlation between
24 injuries and prescribing behaviors could not be determined. It recommends that the relationship
25 between Club physician prescribing and Club win-loss performance be assessed along with the
26
relationship between opioid prescribing and other indicators of athlete or team performance.
27
28
1 143. The Clubs also exert control over, and constant monitoring of, the storage and
2 administration of controlled substances and prescription drugs through their agent, the NFL
3
Security Office. Security Office personnel regularly meet and consult with Club officials,
4
including doctors and trainers, and conduct regular audits of Club record keeping and facilities.
5
144. In the fifty-one football seasons played from 1964 to 2014, every Club has had a
6
doctor and trainer distribute controlled substances and prescription medication to players in a
7
8 manner that violates federal and state law. Therefore, hundreds of doctors and trainers are treating
9 their professional football patients differently from any other patient they treat, have treated or will
10 treat. Or, to paraphrase Dr. Pellman from a September 20, 2010 e-mail to John Norwig (Steelers
11
trainer) and Steve Antonopulos (Broncos trainer), Club physicians should [but do not] prescribe
12
controlled substances in a manner that is consistent with the standard of the medical community
13
not the NFL medical community.
14
15 145. Indeed, the NFLPS recognized that standards of care in the NFL are different from
16 the general population as reflected in the minutes of a February 21, 2003 NFLPS business meeting
17 (open to all members of the NFLPS). The records go on to reflect that Dr. Brown suggested that
18 we work with the AOSSM [American Othopaedic Society for Sports Medicine] to develop a
19
standard of treatment for professional athletes since we are outside the lines.
20
146. The only plausible explanation for this uniform, systematic, decades-long practice
21
is that every Club is following an agreed-upon program of mandating that their doctors and trainers
22
25 147. United States law regulates the dispensation of certain medications that carry
26
greatly aenhanced risk of abuse (controlled substances) and other medications too dangerous
27
to be sold over the counter (prescription medications). Federal law also criminalizes violations
28
of
SECOND AMENDED COMPLAINT - 3:16-cv-01030-WHA - 37 -
Case 3:16-cv-01030-WHA Document 176-3 Filed 02/22/17 Page 39 of 127
1 such regulations. This regulatory regime protects against the dangers of abuse inherent in the use
2 of controlled substances such as opioids and other powerful prescription painkillers and applies to
3
anyone involved in the dispensation of these substances, from a physician operating a solo medical
4
practice to a multibillion-dollar machine such as professional football.
5
1. The Controlled Substances Act Criminalizes the Dispensation and
6 Possession of Medications that the Clubs Routinely Give Players.
7
148. In 1970, Congress enacted the Comprehensive Drug Abuse Prevention and Control
8
Act (the Act). Title II of this Act, codified as 21 U.S.C. 801, et seq., is known as the Controlled
9
Substances Act or the CSA.
10
11 149. Regulation and enforcement of the CSA is delegated to the Food and Drug
12 Administration (FDA), the DEA, and the Federal Bureau of Investigation (FBI).
13 150. The CSA 3 organizes controlled substances into five categories, or schedules, that
14 the DEA and FDA publish annually and update on an as-needed basis. The controlled substances
15
in each schedule are grouped according to accepted medical use, potential risk for abuse, and
16
psychological/physical effects.
17
151. Under authority provided by the CSA at 21 U.S.C. 821, the United States
18
19 Attorney General can promulgate (and has promulgated) regulations implementing the CSA.
21 152. The CSA contains a number of provisions governing the dispensation, 4 use,
22
distribution, and possession of controlled substances. Under the CSA, [e]very person who
23
manufactures or distributes any controlled substance[,] or who proposes to engage in the
24
25 3
Medications regulated by the CSA also constitute prescription medications under the
Food, Drug and Cosmetic Act, thereby requiring a prescription before they can be dispensed.
26
4
27 substanceThe CSA defines the dispensation of a controlled substance as the delivery of a controlled
to an ultimate user by, or pursuant to the lawful order of, a practitioner, including
28 the prescribing and administering of a controlled substance[.] 21 U.S.C. 802(10).
1 manufacture or distribution of any controlled substance[,] [or] who dispenses, or who proposes
2 to dispense, any controlled substance, shall obtain from the Attorney General a registration
3
issued in accordance with the rules and regulations promulgated by [the Attorney General]. Id.
4
at 822(a)(1)-(2).
5
153. To distribute Schedule II or III controlled substances, applicants must establish that
6
they: (a) maintain effective control[s] against diversion of particular controlled substances into
7
8 other than legitimate medical, scientific, and industrial channels; (b) comply with applicable
9 State and local law; and (c) satisfy other public health and safety considerations, including past
10 experience and the presence of any prior convictions related to the manufacture, distribution, or
11
dispensation of controlled substances. Id. at 823(b).
12
154. The CSA mandates that controlled substances may be legally dispensed only by a
13
practitioner or pursuant to a practitioners prescription (as similarly established by 21 U.S.C.
14
15 353(b)(1)) and within the purview of the practitioners registered location. Id. at 829.
16 155. Moreover, Schedule II substances cannot be re-filled, see id. at 829(a), while
17 Schedule III and IV substances cannot be re-filled more than six months after the initial
18 dispensation or more than five times unless renewed by the practitioner. 21 U.S.C. 829(b).
19
Relevant examples of Schedule II substances include OxyContin and Percocet. Morphine, Codeine
20
and Opium are also Schedule II substances. Ambien is a Schedule IV controlled substance.
21
156. Only those prescriptions issued for a legitimate medical purpose by an individual
22
23 practitioner acting in the usual course of his professional practice may be used to legally dispense
25 157. The CSA also establishes specific recordkeeping requirements for those registered
26
to dispense controlled substances scheduled thereunder. For example, except for practitioners
27
prescribing controlled substances within the lawful course of their practices, the CSA requires the
28
1 maintenance and availability of a complete and accurate record of each substance manufactured,
3
158. The CSAs recordkeeping regulations require a person registered and authorized to
4
dispense controlled substances to maintain records regarding both the substances prior
5
manufacturing and the subsequent dispensing of the substance. Such records must include the
6
name and amount of the substances distributed and dispensed, the date of acquisition and
7
8 dispensing, certain information about the person from whom the substances were acquired and
9 dispensed to, and the identity of any individual who dispensed or administered the substance on
11
159. Beyond specific recordkeeping, all registrants shall [also] provide effective
12
controls and procedures to guard against theft and diversion of controlled substances. 21 C.F.R.
13
1301.71(a) (2013). Depending on the schedule assigned to a particular controlled substance,
14
15 such substances must be securely locked within a safe or cabinet or other approved enclosures or
16 areas. Id. at .72(b) & .75(b) (2013). Any theft or significant loss of controlled substances must
17 be reported to the DEA upon discovery of the theft or loss. Id. at .74(c) (2013).
24 162. For example, it is unlawful for any person to knowingly or intentionally distribute,
26
violation of the CSA. 21 U.S.C. 841(a)(1).
27
28
1 163. Each and every single violation of this section that involves a Schedule III
2 controlled substance is a Federal felony subject to a variety of penalties, including but not limited
3
to a term of imprisonment of up to ten years (15 years if the violation results in death or serious
4
bodily injury) and a fine of $500,000 if the violator is an individual to $2,500,000 if the violator is
5
not an individual (for first offenses). Id. at 841(b)(1)(E)(i). These penalties are doubled if the
6
violator has a prior conviction for a felony drug offense. Id. at 841(b)(1)(E)(ii).
7
12 distribute a controlled substance in a commercial container that does not contain the
14 remove, alter, or obliterate such an identifying symbol or label. Id. at 825, 842(a)(3)-
15
(4); or
16
17 refuse or negligently fail to make, keep, or furnish any record, report, notification,
18 declaration, order or order form, statement, invoice, or information required under the
19 CSA. Id. at 842(a)(5).
20
A person who violates any of these provisions is subject to a civil penalty up to $25,000. Id. at
21
22 842(c)(1)(A).
25
from a practitioner, while acting in the course of his professional practice, or except as otherwise
26
authorized under the CSA. Id. at 844(a).
27
28
2 and a fine of up to $1,000 for a first offense. Id. Multiple violations of this provision result in a
3
term of imprisonment of up to three years and a fine of at least $5,000. Id.
4
167. Furthermore, [a]ny person who attempts or conspires to commit any offense
5
described above shall be subject to the same penalties as those prescribed for the offense, the
6
commission of which was the object of the attempt or conspiracy. Id. at 846.
7
8 168. Except as authorized by the CSA, it is unlawful to knowingly open, lease, rent,
9 use, or maintain any place, whether permanently or temporarily, for the purpose of distributing or
11
temporarily, either as an owner, lessee, agent, employee, occupant, or mortgagee, and knowingly
12
and intentionally rent, lease, profit from, or make available for use, with or without compensation,
13
the place for the purpose of unlawfully manufacturing, storing, distributing, or using a controlled
14
15 substance. Id. at 856(a)(1) (2). A violation of this section results in a term of imprisonment
18 169. For decades, the Clubs lack of appropriate prescriptions, failure to keep proper
19
records, refusal to explain side effects, lack of individual patient evaluation, improper diagnosis
20
and attention, dispensing of controlled substances outside of a practitioners registered location(s),
21
including at all away game stadiums, in hotels, and on airplanes, and use of trainers to distribute
22
23 Schedule II and III controlled substances to its players, including Plaintiffs, individually and
24 collectively violate the foregoing criminal and regulatory regime. In doing so, the Clubs not only
25 left their former players injured, damaged and/or addicted, but also committed innumerable
26
violations of the CSA.
27
28
9 171. The FDCA has been regularly amended since its enactment. Most notably, changes
10 in 1951 established the first comprehensive scheme governing the public sale of prescription
11
pharmaceuticals as opposed to over-the-counter medications. The purpose of this regulatory
12
regime was to ensure that the public was protected from abuses related to the sale of powerful
13
prescription medications.
14
15 172. Pursuant to this amendment, the FDCA provides that if a covered drug has toxicity
16 or other potentiality for harmful effect that makes its use unsafe unless under the supervision of
17 a practitioner licensed by law to administer such drug[,] it can be dispensed only through a written
18 prescription from a practitioner licensed by law to administer such drug. 21 U.S.C. 353(b)(1).
19
Any oral prescription must be reduced promptly to writing and filed by the pharmacist and any
20
refill of such a prescription must similarly be authorized. Id. Failure to do so is frequently referred
21
to as misbranding. Id.
22
23 173. Jurisprudence interpreting the FDCA establishes that a proper prescription under
24 the FDCA shall include directions for the preparation and administration of any medicine, remedy,
25 or drug for an actual patient deemed to require such medicine, remedy, or drug following some
26
sort of examination or consultation with a licensed doctor. Conversely, a prescription does not
27
mean any mere scrap of paper signed by a doctor for medications.
28
1 174. As a result, a key element in determining whether or not 353(b)(1) has been
2 violated is the existence (or non-existence) of a doctor-patient relationship from which the
3
prescription was issued.
4
175. The FDCA further provides that the prescribing medical professional shall be the
5
patients primary contact and information source on such prescription medications and their
6
effects. Id. at 352, 353. As such, regulations promulgated by the FDA require medical
7
9 176. Dispensers violate the FDCA if they knowingly and in bad faith dispense
10 medications without a prescription or with the intent to mislead or defraud. 21 U.S.C. 331(a).
11
177. Dispensing a drug without a prescription, as the Clubs doctors and trainers
12
regularly did and do, results in the drug being considered misbranded while it is held for sale.
13
Id. at 353(b)(1). The FDCA prohibits: (a) introducing, or delivering for introduction, a
14
15 misbranded drug into interstate commerce; (b) misbranding a drug already in interstate commerce;
16 or (c) receiving a misbranded drug in interstate commerce, or the delivery or proffered delivery
18 178. It is also an FDCA violation to provide, as the Clubs doctors and trainers routinely
19
did and do, a prescription drug without the proper FDA-approved label. Id. at 352; 21 C.F.R.
20
201.50 201.57 (2013). Stringent regulations dictate specific information that must be provided
21
on a prescription drugs labeling, the order in which such information is to be provided, and even
22
23 specific verbatim statements that must be provided in certain circumstances, such as the
24 reporting of suspected adverse reactions. See generally 21 C.F.R. 201.56, .57, .80 (2013).
25 179. For instance, labeling for any covered medication approved by the FDA prior to
26
June 30, 2001 must include information regarding its description, clinical pharmacology,
27
indications and usage, contraindications, warnings, precautions, adverse reactions, drug abuse and
28
1 dependence, over dosage, dosage and administration, and how it was supplied, to be labeled in this
3
180. Such information must be provided under the foregoing headings in accordance
4
with 21 C.F.R. 201.80(a)-(k) (2013). For example, labeling regarding a covered drugs
5
tendency for abuse and dependence shall state the types of abuse [based primarily on human data
6
and human experience] that can occur with the drug and the adverse reactions pertinent to them.
7
9 181. Covered medications approved by the FDA after June 30, 2001 are subject to even
10 more stringent labeling requirements. See generally 21 C.F.R. 201.56(d)(1); .57(a) (c)
11
(2013). For instance, labeling for such covered drugs must provide: (a) if the covered drug is a
12
controlled substance, the applicable schedule; (b) the types of abuse that can occur with the drug
13
and the adverse reactions pertinent to them[;] and (c) the characteristic effects resulting from
14
15 both psychological and physical dependence that occur with the drug and must identify the
16 quantity of the drug over a period of time that may lead to tolerance or dependence, or both. See
23 regulating controlled substances and prescription medications. All States do have such laws.
1 Advisor, notes in relevant part that audits conducted by the League of the Clubs use of controlled
2 substances reveal in relevant part that [s]ome Clubs dont seem to know which drugs are
3
controlled substances, and some dont apparently understand the necessity (and law) to keep
4
dispensing logs and an internal audit. A review of Clubs logs and internal audits reveal
5
excellent tracking by some and some other Clubs do not have enough documentation to know
6
if controlled substances are accounted for.
7
8 185. In a drug audit dated October 24, 1995 for the Philadelphia Eagles that went to Dr.
9 Brown (who took over from Dr. Tennant) it was noted that the Eagles Dr. Torg used the athletic
11
186. A document produced by Dr. Brown during discovery titled NFL Prescription
12
Drug Program and Protocol and dated April 1999 states that it was drafted to comply with
13
regulations of the Federal Drug Enforcement Administration (DEA) as they apply to controlled
14
15 substances. The programs main purpose was to provide guidelines for the utilization of
16 all prescription drugs provided to players and team personnel by physicians and other
17 healthcare
providers and associated the NFL clubs and to ensure the appropriate handling (purchase,
18 distribution, dispensing, administration and recordkeeping). The memorandum noted that [t]he
19
focus of the Program will remain on diuretics, non-steroidal anti-inflammatory drugs ... and all
20
controlled drugs and the Programs emphasis was placed on (1) the on-site audit, (2) the initial
21
inventory and reconciliation reports, and (3) procedures used to provide controlled drugs to team
22
23 personnel, to obtain prescription drugs from pharmacies, and to secure controlled drugs. The
24 NFL Prescription Drug Program also provided the guidelines for securing controlled substances
25 and referred to protocol for the travel container, which stated, At all times, the travel container
26
should be in the possession of a physician or an athletic trainer when not in a teams safe or in a
27
locked equipment trunk/locker. Access to the locked trunk/locker should be limited to a team
28
1 physician and/or athletic trainer while on the sidelines during practice or during a game. From
3
control, i.e., reasonable distance and sight lines, of the physician or the trainer. This is relevant on
immediate
4
the road as well as when a team is at home.
5
187. In a May 22, 2008 e-mail from Dr. Brown to several Head Trainers, he states that
6
he had an opportunity to discuss many of the issues with the NFL Management Council those
7
8 issues being the trainers concerns with their ability to meet requirements related to storage,
10 drugs that have a high abuse liability and are under the highest levels of scrutiny at both the
11
state and federal level. He goes on to state in that e-mail that the timing of this initiative
12
was not[his] domain of decision-making [but that] the NFL Management Council has agreed to
within
13
[his] decision to modify the deadlines [for reporting] for this year.
14
15 188. Yet two years later, when the DEA investigated the Clubs, nothing had changed.
16 The Clubs still did not understand the law regarding controlled substances, as evidenced by the
17 many, many violations thereof as testified to by Drs. Matava, Rettig, Kuykendall, and Marzo,
24 190. Documents produced by Dr. Brown identify several instances in which he noted
26
An April 6, 1999 letter to Dave Kendall (Chiefs trainer);
27
An April 7, 1999 letter to Brad Brown (Titans trainer); and
28
7 part that the medication dispensation log contains no physician signatures; there is no control
8 from the doctor to know exactly what has been given to players and what type of communication
9 exists between the trainers and the physician; there is no evidence that the doctor actually knows
10 what medication has been given to the players. This log is in the doctors office, next to the
11
safe, with the doctor having passing out medication before without signing or putting his initials
12
nexttransaction.
the to
13
192. But Dr. Pierce Scranton, NFLPS secretary/treasurer, warned the membership on March
14
15 3, 1991 that Club doctors needed to stop their practice of allowing trainers to dispense
16 drugs: Briefly, only one Club out of nineteen that responded, had no OTC medication available,
17 and no prescription medication available. Surprisingly, up to nine Clubs of the nineteen surveyed
18
had some nonsteroidal anti-inflammatory medication that was available, which the trainers stated
19
was given out to players by the trainer, if requested. Physician monitoring, according to the
20
Survey, was not done for the medications which you see checked. For those who answered in
21
the affirmative in this regard, you may wish to check your local State laws, as in the
22
23 Washington,
State of it is illegal for anyone but a licensed physician, or a pharmacist, to dispense
24
25
26
5
While the memorandum is undated, upon information and belief, the phone conversation
27 it memorializes was referenced in an e-mail dated May 18, 2010 from Mr. Lauzon to Thomas
Demitroff, the Falcons General Manager.
28
1 medication from the training room, which is prescription in nature. For the protection of your
2 trainers and the Club, you may wish to address that issue.
3
193. Apparently the Falcons, Bengals, Titans, Chiefs, Texans, etc. did not check their
4
laws as Dr. Scranton advised them to, or if they did, they failed to adhere to them.
5
3. Defendants Did Not Properly Secure or Keep Medication Records.
6
194. In an e-mail dated January 7, 2008 to various team doctors and personnel,
7
8 Minnesota Vikings head trainer Eric Sugarman stated Here is week 17s fiasco . The
9 following items did not match up this week. 1. Total of 16 Ambien given out was recorded
10 however only 11 Ambien were missing from the kit. 2. Total of 21 Toradol shots were recorded
11
however only 20 Toradol shots were missing from the kit. 3. Total of 1 Diphenhydramine shots
12
were missing with no record of dispensing. There have been several times where the drug sheet
13
and restock sheet didnt match but it was easily reconciled that day. There have been two
14
15 incidences of drugs that have not been accounted for at all. 1. 12/17/07 Missing all 12 pills of
16 cyclobenzaprine. 2. 12/23/07 Missing all 10 pills of SMZ/TMP 800-160 mg. In the case of the
17 SMZ/TMP the whole bottle itself was missing from the kit.
18 195. The Falcons memorandum referenced above also stated in relevant part that: On
19
4 NFL regulated medications (medication that we have to report to the NFL on our
20
reports/medication that is counted during the on-site audit), our numbers do not match our League
21
summary report (Norco, Lomotil, Ambien CR, Celebrex 400mg). Also countless antibiotics and
22
23 non-regulated drugs were missing or not accounted for. Controlled drugs, including narcotics,
24 were kept in an unlocked case, outside the safe. This has been addressed and all controlled drugs
25 are now in the safe as mandated by the NFL and State Laws. Strongly suggested by the NFL that
26
the Head Team physician be present for the on-site drug audit (to answer dispensation questions
27
and review of procedures), unfortunately, our team physician has never taken part in this process.
28
1 More medication on-site causes unnecessary expenses (most drugs have a limited shelf life and
2 must be returned, if not used, without credit). More problems tracking larger number of
3
medications, more difficulty staying compliant with State Laws. We just returned to Sports Pharm
4
a large number of medications that were expired or that we had in too large of a quantity. So far
5
returned were 92 Toradol 10mg, 46 Lortab, 28 Toradol 30 mg/injectable, 279 Ultram (non-narcotic
6
pain medication). Last year the team spent approximately $100,000 in various medications. To
7
9 thorough inventory system and of control on dispensation. We were told that there was $18,000.00
10 worth of improper billing of medications on players insurance (Cigna). This raised a red flag at
11
the Players Benefits Program at the League Office. A number of NFL teams, improperly billed
12
players insurance but the largest amount was with the Falcons. This amount almost resulted in a
13
fine to the club in order to repay the insurance Company. The League decided to pay these fines
14
15 and better educate the teams and trainers. We were also under the radar of the DEA because of
17 196. The Clubs failure to record and secure Medications leads to other violations of
18 federal law. Jim Anderson, head trainer for the Rams, noted in an e-mail to all Head Trainers on
19
March 28, 2007 (summarizing the 2007 Drugs of Abuse Committee Meeting) that: Based on 2006
20
auditing results, Dr. Brown stressed the importance of properly labeled medications with current
21
expiration dates and lot numbers. Some teams audited last fall were noted to have been adding
22
23 new pill counts to old bottles already on the shelf. Each new prescription ordered for team use
24 should be kept in its original container and not combined with pills in other containers.
1 198. Leading experts recognize that former professional football players who suffer
2 from permanent musculoskeletal injuries often cannot exercise due to pain or other physical
3
limitations, leading to a more sedentary lifestyle and higher rates of obesity.
4
199. According to the Centers for Disease Control and Prevention, obesity is linked to:
5
coronary heart disease, type-2 diabetes, endometrial cancer, colon cancer, hypertension,
6
dyslipidemia, liver disease, gallbladder disease, sleep apnea, respiratory problems and
7
8 osteoarthritis.
9 200. Surveys of former NFL players confirm that they suffer from significantly higher
10 rates of all these disorders when compared to the general population.
11
201. In addition, it is well established that long-term use of opioids is directly correlated
12
with respiratory problems and these problems are made worse by use of alcohol together with
13
opioids.
14
15 202. Long-term opioid use has also been tied to increased rates of certain types of
16 infections, narcotic bowel syndrome, decreased liver and kidney function and to potentially fatal
17 inflammation of the heart. Opioid use coupled with acetaminophen use has been linked to hepatic
18 (liver) failure.
19
203. Long-term use of opioids has also been linked directly to sleep disorders and
20
significantly decreased social, occupational and recreational function.
21
204. Given the foregoing potential damage that opioids can inflict, nonsteroidal anti-
22
24 205. Despite that popular notion, NSAIDs are associated with a host of adverse health
25 consequences.
26
206. The two main adverse reactions associated with NSAIDs relate to their effect on
27
the gastrointestinal (GI) and renal systems. Medical studies have shown that high doses of
28
1 prescription NSAIDs were associated with serious upper GI events, including bleeding and ulcers.
2 Additionally, GI symptoms such as heartburn, nausea, diarrhea, and fecal blood loss are among
3
the most common side effects of NSAIDs. Medical reports have also noted that 10-30% of
4
prescription NSAID users develop dyspepsia, 30% endoscopic abnormalities, 1-3% symptomatic
5
gastrouodenal ulcers, and 1-3% GI bleeding that requires hospitalization. Studies also indicate
6
that the risk of GI side effects increases in a linear fashion with the daily dose and duration of use
7
8 of NSAIDs.
9 207. NSAIDs are also associated with a relatively high incidence of adverse effects to
10 the renal system. Medical journal articles note that [p]rostaglandin inhibition by NSAIDs may
11
result in sodium retention, hypertension, edema, and hyperkalemia. One study showed the risk
12
of renal failure was significantly higher with use of either Toradol or other NSAIDs.
13
208. Patients at risk for adverse renal events should be carefully monitored when using
14
15 NSAIDs. As the NFLPS Task Force stated, such patients include those with congestive heart
16 failure, renal disease, or hepatic disease[, and] also include patients with a decrease in actual or
17 effective circulating blood volume (e.g., dehydrated athletes with or without sickle cell trait),
23 specifically states that Toradol is contraindicated as a prophylactic analgesic before any major
26
27
28
1 210. Moreover, certain NSAIDs can adversely affect the cardiovascular system by
2 increasing the risk of heart attack. Studies have shown that patients with a history of cardiac
3
disease who use certain NSAIDs may increase their risk for heart failure up to ten times.
4
211. Finally, other systemic side effects associated with the use of NSAIDs include
5
headaches, vasodilatation, asthma, weight gain related to fluid retention and increased risk for
6
erectile dysfunction. Medical reports have also noted that [i]ncreasing evidence suggests that
7
8 regular use of NSAIDs may interfere with fracture healing and that [l]ong-term use of NSAIDs
9 has also been associated with accelerated progression of hip and knee osteoarthritis.
10 III. THE DEFENDANTS AND THE NFL HAVE RECOGNIZED THAT ITS
11 DOCTORS/TRAINERS HAVE VIOLATED THE FOREGOING LAWS.
12 212. The Defendants and the League have recognized the problem of painkiller abuse
13 for decades. In 1997, one General Manager said that painkiller abuse was one of the biggest
14 problems facing the league right now. He said the League was trying to fix the problem, but
15
described painkiller use among players as the climate of the sport.
16
213. And while the NFL has acknowledged that [t]he deaths of several NFL players
17
have demonstrated the potentially tragic consequences of substance abuse, over the ensuing
18
19 decade, little changed until they finally got caught.
20
27 (Carolina), Pellman (NFL medical advisor), Yates (Pittsburgh), Caldwell (Miami), Casolaro
28
1 (Washington, D.C.), Rettig (Indianapolis), Matava (St. Louis), and Tucker (Baltimore) had a
3
Minutes of that call record the following:
4
Drs. Conner, Yates, and Pellman met in the summer of 2010 with DEA
5
representatives in Washington D.C. to open lines of communication between the
6
8 At that meeting, which lasted two hours, the DEA gave a 78 slide PowerPoint
23 We dont want to give [the DEA] the fodder that we have all been doing this
1 league attorneys, and put it on the members only area of the [NFLPS] website,
8 prescription medications and controlled substances when they should not have.
11
Pellman, Dr. Yates states that In order to solve the NFL/DEA Dilemma we all need to work
12
together and get along. NONE of us are immune from scrutiny, trainers, physicians, advisors
13
(employed or independent) Park Ave management and so on. As Ive said before: To date, there
14
15 has not been a constructive solution provide by the home NFL office other that the meet and greet
16 with the DEA and the subsequent legal conference calls. The information to date to the Society is
17 one of Good luck and you are on your own to decide how to adhere to the law!!! We are where
23 Steve Antonopulos (Broncos trainer). Among the items addressed in that list is a concern from
24 several of the team physicians that the local physician [proposed to provide controlled
25 substances to a visiting team to ensure compliance with the CSA] may not know much about how
26
things are typically managed with NFL players. One of the possible responses to that concern
27
28
1 is that according to DEA[,] physicians are to prescribe controlled substances in a manner that is
2 consistent with the standard of the medical community not the NFL medical community.
3
219. In February 2011, DEA agent Joe Rannazzi came to the Combine and spoke to the
4
NFLPS membership about the CSA and its implementing regulations and how the doctors had to
5
abide by them. In other words, no NFL doctor in attendance could plausibly deny not being aware
6
of these regulations after that Combine meeting.
7
8 220. And yet the Clubs and their doctors still failed to comply with federal law. One
9 such example is with the relatively easy-to-understand ban on traveling with controlled substances,
10 something with which the Clubs should have been able to comply in 2011 (let alone from the time
11
the ban was originally put in place). Attached hereto as Exhibit F is a chart identifying specific
12
instances when teams travelled with controlled substances.
13
221. Yet it took until 2015 for the League to implement a policy that all Clubs had to
14
15 follow and then only in response to DEA raids of teams traveling with controlled substances
16 in which, rather than travel with controlled substances, each team had to have independent doctors
17 registered in their home state to act as intermediaries for dispensing controlled substances to
18 visiting teams. In the years between 2011 and the implementation of that policy, upon information
19
and belief, many teams continued to travel with controlled substances.
20
222. That is not to say that the NFLPS did not try to take steps during that period to
21
address the issue. In 2010, a survey went around as to whether physicians would be OK
22
23 with serving as a medical liaison for visiting physicians to obtain for them controlled
24 which
substances
they with
should not be traveling.
25 223. But in a letter to NFLPS membership dated April 27, 2011, Dr. Yates concluded
26
that the NFLPS would reject that proposal (called the Medical Liaison Program or MLP): The
27
majority of the physicians responding to the survey preferred using the host team physicians.
28
1 While 30 of the 41 responding physicians would be willing to serve as a host physician, 11 would
2 not. The majority of teams did not have a stadium lockbox or DEA registration for the stadium
3
site. From this survey the use of an MLP was not significantly embraced by the membership.
4
While serving as a host physician may be acceptable to some, it is not to all and hence it is advised
5
that for the immediate future that all society members adhere to the rules and regulations unique
6
to each state and that should you have additional questions feel free to call me, and/or contact Dr.
7
8 Pellman.
9 224. Thereafter, each team essentially adopted its own policy with regard to how it dealt
10 with traveling with controlled substances, though the League did try to amend the CSA through a
11
bill in the House of Representatives H.R. 3724 that would allow team doctors to travel with
12
controlled substances. The bill never passed. In writing to his congressman on January 8, 2012
13
to support the bill, Cowboys doctor Daniel Cooper stated that [f]or decades under current law
14
15 [the CSA], team doctors have illegally (yet unknowingly) transported and administered
17 225. Ultimately, the League funded the current visiting team medical liaison program,
18 as testified to by Dr. Yates, whereby independent local physicians provide controlled substances
19
to visiting teams as needed. According to Dr. Yates, the impetus for that program, which went
20
into place in 2015, were raids conducted by the DEA in October 2014 of various Clubs to see if
21
they were still traveling with controlled substances. As the Clubs were tipped off by a DEA
22
23 employee in advance of the raids, not surprisingly, none of them were carrying controlled
24 substances.
1 provide recommendations regarding the future use of the substance in the NFL: Matthew Matava
2 et al., Recommendations of the National Football League Physician Society Task Force on
3
the Use of Toradol Ketorolac in the National Football League, 4 Sports Health 5: 377-83
4
(2012) (hereinafter Task Force Recommendations).
5
227. In an e-mail dated February 12, 2012, Dr. Matava described their task [as requiring
6
them] to formulate a best practice recommendation for the other members of the NFL Team
7
9 228. The Task Force was the brainchild of Dr. Yates, who appointed an ad hoc
10 committee to look into the issue because of negative press the NFL was receiving. Funding for
11
the work came from the League, according to Dr. Yates. E-mails obtained during discovery state
12
that Dr. Matava, and possibly Dr. Yates (he could not remember at his deposition), met with
13
Commissioner Goodell in New York to discuss the ad hoc Toradol committee prior to it being
14
16 229. The task force recognized that a decade had passed since the only other study to
17 look at Toradol in professional sports took place. JM Tokish, et al., Ketorolac Use in the National
18 Football League: Prevalence, Efficacy, and Adverse Effects, Phys Sportsmed 30(9): 19-24 (2002)
19
(hereinafter the Tokish Study).
20
230. The Tokish Study sent questionnaires to the head team physician and the head
21
athletic trainer of each of the NFLs 32 teams, with 30 of them responding. In addition to finding
22
23 that 28 of those 30 teams administered Toradol injections during the 2000 season, the Tokish Study
25 Of the 28 teams that used the drug, an average of 15 players were given injections
26
(this answer ranged from 2 players to 35 players); and
27
Twenty-six of the 28 teams used Toradol on game day.
28
1 231. One team had a policy of no use within 48 hours of games, and another team had a
3
232. Toradol has the potential for severe complications such as bleeding and renal
4
damage. In fact, the two teams that did not use Toradol injections had strong policies against its
5
use, citing potential complications, including renal failure and increased risk of bleeding.
6
233. Some players did experience Toradol complications; six teams reported at least one
7
8 adverse outcome relating to Toradol use. Specifically, four teams noted muscle injury, one
9 documented a case of gastrointestinal symptoms that resolved with cessation of Toradol use, and
10 one reported that a player had increased generalized soreness one day after injection.
11
234. The Tokish Study concluded that given that bleeding times are prolonged by 50%
12
4 hours after a single [shot of Toradol, use] on game day may deserve reconsideration in contact
13
sports. The study then called for additional investigation and sought the development of
14
16 235. A memorandum entitled Issues for the NFL Team Physician from KC Orthopedic
17 Institute dated February 18, 2003 and obtained during discovery states on page 2: Off-label use
18 of Medications There are a large number of NFL teams that use Toradol in an off-label method.
19
It is designed to be used for the treatment of a painful condition as a short course of either IM or
20
IV administration, followed by oral administration for a maximum of 5 days consecutively. Most
21
of the team doctors use it as a method to limit pain before the onset or as a chronic treatment with
22
23 players receiving weekly doses. I have spoken to the company in the past and the use as a weekly
24 dosing is off-label. Chronic and long-term use is not approved. Your patient needs to be advised
25 of this.
26
236. On the same day, Brad C. Brown, PFATS secretary, kept the minutes of PFATS
27
winter meeting held at the Combine in Indianapolis. Those minutes reflect that Dean Kleinschmidt
28
1 reported to the group assembled (open to all NFL trainers) on the meeting of the Drug Abuse
2 Committee as follows: Those athletic trainers that have to contend with the NFL drug audit, the
3
committee has determined that the special care given to toradol and Vicodin in the reporting will
4
no longer be necessary as, these two drugs have not shown any significant problem. In other
5
words, at the same time the Tokish study is calling for more study and the KC document is advising
6
of risks associated with Toradol, the NFL collective decided to stop reporting about it.
7
8 237. Over a decade later, the Matava task force determined that standardized guidelines
9 still had not been implemented, and that Toradol use had increased in the NFL during the
10 intervening period.
11
238. Therefore, the purpose of the task force was to [p]rovide NFL physicians with
12
therapeutic guidelines on the use of [Toradol] to decrease the potential risk of severe complications
13
associated with NSAIDs in particular, the increased risk of hemorrhage resulting from a
14
22 Toradol should not be used to reduce the anticipated pain, during, as well as after
24 competition has shed an unfavorable light on the NFL as well as on team physicians who
25 are perceived as being complicit with the players desire to play at all costs, irrespective of
26
the medical consequences.
27
28
1 If Toradol is to be administered, it should be given orally and not through the more
2 aggressive injections/intramuscularly. The Task Force found that the greater risks
3
associated with injections infections, bleeding, and injury to adjacent structures
4
combined with quicker onset of the drug when taken orally favors the oral route of
5
administration.
6
7 240. Months after the Task Force issued its recommendations, Dr. Matava, in an e-mail
8 to Dr. Yates, questioned the failure of team physicians to respond to surveys regarding
9 Toradol usage: If these guys want to give Toradol because they think it is needed or acceptable,
10 should
then they
have the balls to say so. What are they afraid of? He commented in the same e-mail that
11
[c]ontinued use of Toradol in the present climate is not rational. Yet as detailed herein with
12
regard to Eugene Monroe and Reggie Walker, and upon information and belief, hundreds of other
13
players, the T Train kept rolling.
14
15 241. Notwithstanding recommendations from the NFLPS that condemn many of the
16 current practices regarding the administration of Toradol on game days, the Matava task force
17 granted the NFL a reprieve given the unique clinical challenges of the NFL, allowing that each
18
team physician is ultimately free to practice medicine as he or she feels is in the best interest of
19
the patient.
20
242. Finally, despite the clear cut recommendations not to use Toradol prophylactically
21
or intramuscularly, the task force gave itself an out by claiming that the medical literature is
22
23 deficient in terms of the ethical considerations implicit with the administration of injectable
24 medications in the athletic setting solely for the athlete to return to competition.
25 243. But it is obvious that the Task Force was just additional lip service paid to the
26
problems presented by Toradol. For example, Dr. Yates testified that even last season, he
27
28
1 witnessed players lining up for the T Train, Toradol injections before a game something that
2 had been occurring with the Steelers for at least the previous 15 years.
3
244. Ultimately, the Task Force findings were forwarded to Dr. Pellman to forward to
4
the owners, according to the deposition testimony of Dr. Yates.
5
IV. DEFENDANTS OMITTED OR CONCEALED INFORMATION THAT THEY
6 WERE LEGALLY REQUIRED TO PROVIDE FROM THE PUTATIVE CLASS,
CAUSING THEM HARM.
7
9 misrepresentations of the kind documented herein to each of the named Plaintiffs and/or members
10 of the putative class. Set forth below are representative examples of those misrepresentations for
11
each Defendant.
12
246. Arizona Cardinals:6 While playing for the Arizona Cardinals from 2009 to 2012,
13
named Plaintiff Reggie Walker received and consumed large quantities of pain-numbing and anti-
14
15 inflammatory medications, including but not limited to Toradol, at the Cardinals training facility,
16 home stadium and during away games, all of which he received from Cardinals team doctors or
17 trainers, including but not limited to team doctor Amit Sahasrabudhe and trainers Jeff Herndon
18 and Jim Shearer, who failed to provide a prescription when one was necessary; identify the
19
medication by its established name; provide adequate directions for the medications use, including
20
adequate warnings of uses that have potentially dangerous health consequences; or provide the
21
recommended or usual dosage for the medications. The medications were provided to him for the
22
23 sole purpose of enabling him to practice and play through pain. Mr. Walker testified at his
24 deposition that whole phrase, youre not going to make the team in the training room, or you have
25 be on the field to youre only as good as your last game. That stuff is repeated all the time.
26
27 6
As a reminder, Exhibit A hereto lists the dates of all games played by Mr. Evans and the
28 remainder of the Plaintiffs.
1 Since retiring from the NFL, he has suffered the following injuries: his left pinky and ring fingers
2 are always numb and that numbness extends all the way to his left elbow; he has particularly
3
painful lower back problems; he often experiences pain in his ankles, knees and hips, and his right
4
leg feels shorter, and functions differently, than his left leg. As of the time of filing, Mr. Walker
5
is only 30 years old. Mr. Walker directly attributes the foregoing current injuries he suffers to the
6
injuries he suffered in the NFL that were masked by the Medications, or the Medications
7
9 While playing for the Arizona Cardinals from 1991 to 1993, named Plaintiff Robert
10 Massey received and consumed large quantities of pain-numbing and anti-inflammatory
11
medications, including but not limited to Vicodin and Indocin, at the Cardinals training facility,
12
home stadium and during away games, all of which he received from team trainers, including but
13
not limited to trainers Jim Shearer and Jeff Herndon, who failed to provide a prescription when
14
15 necessary; identify the medication by its established name; provide adequate directions for the
16 medications use, including adequate warnings of uses that have potentially dangerous health
17 consequences; provide the recommended or usual dosage for the medications; or otherwise
18 meaningfully discuss the medications, including potential long-term effect, they were giving to
19
Mr. Massey. The medications were provided to him for the sole purpose of enabling him to
20
practice and play through pain. Mr. Massey also received Toradol injections weekly from Arizona
21
Cardinals personnel, whose names he cannot remember, at the Cardinals home stadium and their
22
23 training facility. Mr. Massey was never informed of the side effects of Toradol. Mr. Massey
24 currently lives in constant pain. His shoulders, knees and ankles bother him on a daily basis. He
25 is unable to exercise properly due to the pain and this has resulted in significant weight gain. Mr.
26
Massey directly attributes the foregoing current injuries he suffers to the injuries he suffered in the
27
28
1 NFL that were masked by the Medications, or the Medications themselves, provided to him by the
3
While playing for the Arizona Cardinals from 1991 to 1993, named Plaintiff Steve Lofton
4
received and consumed large quantities of pain-numbing and anti-inflammatory medications,
5
including but not limited to Tramadol, Naproxen and muscle relaxants, at the Cardinals training
6
facility, home stadium and during away games, all of which he received from Cardinals team
7
8 doctors or trainers, including but not limited to trainers John Omohundro, Jeffrey Herndon, and
9 Jim Shearer, who failed to provide a prescription when one was necessary; identify the medication
10 by its established name; provide adequate directions for the medications use, including adequate
11
warnings of uses that have potentially dangerous health consequences; or provide the
12
recommended or usual dosage for the medications. The medications were provided to him for the
13
sole purpose of enabling him to practice and play through pain. Mr. Lofton testified at this
14
15 deposition that when talking about treating injuries, coaches would try to encourage you to, you
16 know, tough through it, team needs you, that type of attitude. Mr. Lofton currently lives with
17 intense pain every day. His back, neck, shoulders, elbows, wrists, hands, and hips constantly hurt.
18 He has limited ability to exercise and has recently developed pain in his knees and the lower part
19
of his legs. Mr. Lofton has no family history of back or hip pain. He needs to sleep on a board or
20
similar hard surface to get any rest. After his family leaves in the morning, he faces a day in which
21
he simply tries to find ways to forget the pain for just a few hours. His doctor told him that, even
22
23 though he was in his mid-40s, he had the body of someone in his mid-80s. Mr. Lofton directly
24 attributes the foregoing current injuries he suffers to the injuries he suffered in the NFL that were
25 masked by the Medications, or the Medications themselves, provided to him by the Clubs for
26
whom he played.
27
28
1 While playing for the St. Louis Cardinals during the 1986 and 1987 seasons, putative class
2 member D. Troy Johnson received Motrin and aspirin, which he consumed, and cortisone
3
injections from head trainer John Omohundro, who provided no warnings or mention of side
4
effects and for the sole purpose of enabling him to practice and play through pain. Mr. Johnson
5
now suffers from glomerulonephritis and high blood pressure, which he directly attributes to the
6
Medications provided to him by the Clubs for whom he played.
7
8 While playing for the St. Louis Cardinals in 1977, putative class member Marvin Kellum
9 received (and consumed) anti-inflammatory drugs in paper cups from head trainer John
10 Omohundro, who provided no warnings or mention of side effects and for the sole purpose of
11
enabling him to practice and play through pain. Mr. Kellum now suffers from chronic joint pain,
12
fatigue, and arthritis in his shoulders, which he directly attributes to the injuries he suffered in the
13
NFL that were masked by the Medications, or the Medications themselves, provided to him by the
14
15 Clubs.
16 While playing for the St. Louis/Arizona Cardinals from 1979 to 1990, Roy Green, a
17 putative class member here and named Plaintiff in the case of Dent, et al. v. the National Football
18 League, C-14-2324-WHA (N.D. Ca. 2014), developed painful calcium build-ups on his Achilles
19
tendons. Rather than treat the pain through rest or surgery, head trainer John Omohundro, assistant
20
trainers Jim Shearer and Jeff Herndon, and team doctors Russell Chick and Bernard Garfinkel gave
21
him massive amounts of anti-inflammatory drugs and allowed him to skip practices to ensure that
22
23 he would be able to play in games. While playing for the Cardinals, Mr. Green had tests performed
24 on him that showed he had high creatinine levels, indicative of a limitation on his kidneys. No
25 one from the NFL ever informed him of those findings and Mr. Green does not know which of the
26
Cardinals team doctors, or for that matter, Cardinals staff, was aware of those findings, but
27
28
1 presumably someone was looking at the tests. In November 2012, Mr. Green had a kidney
2 replacement.
3
247. Atlanta Falcons: While playing for the Atlanta Falcons during the 1989 and 1990
4
seasons, named Plaintiff Troy Sadowski received and consumed large quantities of pain-numbing
5
and anti-inflammatory drugs, including but not limited to Tylenol 3 and Motrin, at the Falcons
6
training facility, home stadium and during away games, from team doctors and trainers, including
7
8 trainer Billy Brooks, who failed to provide a prescription when one was necessary or adequate
9 directions for the medications use, including adequate warnings of uses that have potentially
10 dangerous health consequences. The medications were provided to him for the sole purpose of
11
enabling him to practice and play through pain. Mr. Sadowski lives with constant pain in his back,
12
hips, wrists, knees, ankles and shoulders. He still needs to take daily painkillers to get through the
13
day and to sleep. He can no longer run and, when he walks, he feels as if his joints lack sufficient
14
15 lubrication. He cannot lift his daughter nor have her sit on his lap without excruciating pain. His
16 weight is increasing due to his inability to exercise. Mr. Sadowski directly attributes the foregoing
17 current injuries he suffers to the injuries he suffered in the NFL that were masked by the
18 Medications, or the Medications themselves, provided to him by the Clubs for whom he played.
19
While playing for the Atlanta Falcons from 1975 to 1985, putative class member Steve Bartkowski
20
received anti-inflammatory drugs, including Butazolidin, which he consumed, from team trainer
21
Jerry Rhea, who provided no warnings or mention of side effects and for the sole purpose of
22
23 enabling him to practice and play through pain. Mr. Bartkowski now suffers from chronic joint
24 pain that he directly attributes to the Medications, or the Medications themselves, he received
26
248. Baltimore Ravens: As reported in ESPN Magazine on November 14, 2016, prior
27
to their January 3, 2015 playoff win against the Pittsburgh Steelers, Ravens team doctor Andrew
28
1 Tucker cleared putative class member Eugene Monroe to play, even though he had been suffering
2 from a nagging high ankle sprain and could barely walk, much less run, much less push off.
3
Mr. Monroe sought a second opinion from his own doctor, who advised him not to suit up (and he
4
didnt). In the next game, a loss to the New England Patriots, Baltimores coaches played
5
[Monroe] on special teams and not at left tackle. It felt like punishment, [Monroe] says.
6
Baltimore lost. The article also details how, while playing for the Ravens from 2013 to 2015,
7
8 Mr. Monroe stood in line for injections of the anti-inflammatory Toradol, and the rest of the time
9 he took the pills that team doctors and surgeons prescribed for him. A 10-year prescription for the
10 anti-inflammatory Celebrex; another for the gastric distress the Celebrex caused; another for
11
Ambien, when he was too jacked up or in too much pain to sleep; another for the migraines caused
12
by his concussions; and then the prescriptions for the pain, Vicodin and Oxycontin, when he was
13
either trying to forestall surgery or trying to recover from it. His intake wasnt out of the ordinary.
14
15 It was typical, and so was the fact that it got him high. Ultimately, Mr. Monroe was cut by the
16 Ravens because, he thinks, he advocated for use of marijuana as opposed to opioids for dealing
17 with pain in the NFL. Regardless, Mr. Monroe penned an article titled Leaving the Game I Love
18 in which he stated that he was only 29 and [that he] still ha[s] the physical ability to play at a very
19
high level, so [he knows his] decision to retire may be puzzling to some. But I am thinking of my
20
family first right now and my health and my future. He went on in that article to state that
21
[m]ore steps need to be taken to curb the overuse of opioids in NFL locker rooms.
22
23 In another article that Mr. Monroe penned on May 23, 2016, Getting off the T Train, he
24 described a small office sectioned off from the training room in M&T Bank Stadium that we use
25 for the T Train Toradol injections, which according to Mr. Monroe is nothing more than a
26
bunch of really large guys waiting to pull their pants down to get shot in the butt with Toradol, a
27
powerful painkiller that will help them make it through the game and its aftermath. In that article,
28
1 in which he advocates for medical marijuana research on pain in the NFL, Mr. Monroe poses the
2 following question: How can a league so casual about the use of addictive opioids take such a
3
hard line on a drug that might provide a safer alternative? He also tells the story of a former
4
University of Virginia teammate who had gotten addicted to pain pills [in the NFL] and
5
essentially vanished [and] left his home for the streets and is now addicted to heroin.
6
While playing for the Baltimore Ravens in 1999 and 2000, Charles Evans, represented in
7
8 this matter by his ex-wife, Etopia Evans, received pills from team trainers, including Bill
9 Tessendorf, and Toradol injections from doctors, who upon information and belief were Claude
10 Moorman and/or Andrew Tucker, at the Ravens training facility, home stadium and during away
11
games. At her deposition, Ms. Evans testified that, while he played for the Ravens, Mr. Evans
12
would take Motrin and Percocet, which were given to him in a little yellowish envelope that had
13
no writing on it. She further testified that, while she could not put a number on it, Mr. Evans
14
15 took a lot of pills while with the Ravens and that he took more pills in Baltimore than he had in
16 Minneapolis. Ms. Evans testified that Mr. Evans did anything and everything he could to stay on
17 the field and was worried every single day he played in the NFL about being cut and losing his
18 spot to guys from major universities because he knew that he came from a small black college that
19
no one had ever heard of, and if he came off the field the guy from Ohio State or everybody who
20
backed him up came from a big school [and if they came in], it [would] be hard for [Mr. Evans] to
21
get back into the rotation and, as a result, Mr. Evans avoided surgery and instead took pain pills
22
24 After retiring from the Baltimore Ravens in 2001, Mr. Evans served as a sideline reporter
25 for the team through the time of his death in 2008 at the age of 41 from heart failure. Ms. Evans
26
testified that, while serving as a sideline reporter, Mr. Evans would go to Ravens team trainer Bill
27
Tessendorf at the Ravens training facility in Owings Mills, Maryland to obtain pain pills and anti-
28
1 inflammatory drugs, including Percocet, Vicodin, Motrin and Advil. Ms. Evans further testified
2 that Mr. Evans would tell her that he was going to obtain those medications from Mr. Tessendorf,
3
did in fact obtain those medications from Mr. Tessendorf, and that he consumed them. She further
4
testified that she never saw him with a prescription-like bottle containing any of the medications
5
he received from Mr. Tessendorf, which caused her to know that Mr. Evans did not receive a
6
prescription for those medications (such as Percocet and Vicodin) that required one. She further
7
8 testified that Mr. Evans saw Ravens doctors after he finished playing for knee, ankle, and neck
9 injuries and that the ankle and neck injuries originally occurred in Minnesota.
10 After he retired, Mr. Evans was addicted to painkillers. He became a person Mrs. Evans
11
no longer recognized constantly in pain and searching for relief. Eventually, Mrs. Evans and
12
their child moved back to her home in Baton Rouge because daily life with Mr. Evans had become
13
too difficult, thereafter seeing him on family vacations and frequent visits. Ms. Evans testified at
14
15 her deposition that, after his retirement, Mr. Evans was in pain in all the areas where he had
16 suffered major injuries while playing, such as his wrist, knees, ankles and triceps. A limp that had
17 started while he played for the Vikings became progressively worse. She further testified that he
18 began to progressively lose his hearing in his right ear while playing for the Vikings, that by the
19
time he got to the Ravens, he was completely deaf in his right ear, and that he told no one (other
20
than her) about it because of job security. She further testified that, in 2008, the year he died,
21
he was just aching all over and that he attributed that pain to the time he played in the NFL.
22
23 In 2008, eight years after retiring from professional football, Mr. Evans died of heart failure
24 due to an enlarged heart. His family had no history of heart problems and his parents were alive
25 as of the filing of this action. Mr. Evans died alone in a jail cell he had been incarcerated two
26
days before his death for failure to pay support for a child from college. He had spent his money
27
on painkillers instead. Ms. Evans directly attributes Mr. Evans addiction, pain, and death to the
28
1 injuries he suffered in the NFL that were masked by the Medications, or the Medications
3
While playing for the Baltimore Ravens from 1998 2001, putative class member Brad
4
Jackson received Toradol, Indocin, Percocet, Vicodin, Prednisone steroid packs, and other anti-
5
inflammatory drugs, which he consumed, as well as injections of cortisone and other anti-
6
inflammatory drugs, from Dr. Andrew Tucker and trainers Bill Tessendorf and Marc Smith, who
7
8 provided no warnings or mention of side effects and for the sole purpose of enabling him to
9 practice and play through pain. Mr. Jackson now suffers from chronic joint pain, which he believes
10 is directly attributable to the injuries he suffered in the NFL that were masked by the Medications,
11
or the Medications themselves, provided to him by the Clubs for whom he played.
12
249. Buffalo Bills: While playing for the Buffalo Bills during the 2006 pre-season,
13
named Plaintiff Eric King injured his back and was given narcotics by team doctors and forced
14
15 back into the game before his back healed. During the next game, he hurt his back again. He was
16 given controlled substances after that injury. The pills he received from the doctors were pills in
17 small vials and envelopes, sometimes with no writing on them. In addition, during the 2005
18 season, Mr. King received and consumed pain-numbing and anti-inflammatory medications,
19
including but not limited to Percocet, Toradol, and muscle relaxants, at the Bills training facility,
20
home stadium and during away games, all of which he received from Bills team doctors or trainers,
21
including but not limited to trainer Shone Gipson, who failed to provide a prescription when one
22
23 was necessary; identify the medication by its established name; provide adequate directions for the
24 medications use, including adequate warnings of uses that have potentially dangerous health
26
Bud Carpenter, the Bills long-time trainer, corroborated certain of the foregoing
27
allegations at his deposition when he admitted under oath that he witnessed team doctors give
28
1 players injections of prescription medications without telling them what the drug was they were
2 receiving or its side effects, or for that matter, provide any related warnings and was not aware of
3
anyone providing any warnings related to Toradol prior to 2010. He further testified that doctors
4
provided prescription medications at places other than where they were allowed to do so in
5
violation of federal and state laws. He could not identify a single instance in which a player
6
received any warning about a medication or consented to risks that had been identified to him
7
8 before receiving the medication. He further testified that he wished things had been done
9 differently.
10 The medications provided to Mr. King were done so for the sole purpose of enabling
11
him to practice and play through pain. Mr. King now lives with constant pain. During his
12
career, he had two surgeries on his left forearm and one on his left shoulder. He also hurt his
13
lower left back. In addition to the surgeries and injections, he was taking pills at least twice a
14
15 week. The same left forearm and shoulder and back that were fixed by Club doctors bring
16 pain to Mr. Kings daily life. Mr. King directly attributes the foregoing current injuries he suffers
17 to the injuries he suffered in the NFL that were masked by the Medications, or the Medications
24 And while playing for the Buffalo Bills from 1987 1991, Mr. Drane received anti-
25 inflammatory drugs, which he consumed, from trainers Bud Carpenter and Eddie Abramoski, who
26
provided no warnings or mention of side effects and for the sole purpose of enabling him
27
to practice and play through pain.
28
1 Mr. Drane now suffers from arthritis, weakened muscles and tendons, stiff joints and joint
2 pain that he believes is directly attributable to the injuries he suffered in the NFL that were masked
3
by the Medications, or the Medications themselves, provided to him.
4
While playing for the Buffalo Bills from 1978 1985 and again in 1987, putative class
5
member Will Grant received anti-inflammatory drugs and painkillers, including Butazolidan,
6
Naprosyn and Percodan, which he consumed, from Dr. Richard Weiss and trainers Bud Tice and
7
8 Eddie Abramoski, who provided no warnings or mention of side effects and for the sole purpose
9 of enabling him to practice and play through pain. Mr. Grant now suffers from various orthopedic
10 ailments, including knee and ankle replacements, that he believes is directly attributable to the
11
injuries he suffered in the NFL that were masked by the Medications, or the Medications
12
themselves, provided to him.
13
250. Carolina Panthers: While playing for the Carolina Panthers in 1995, 1996, 1998
14
15 and 1999, named Plaintiff Steve Lofton received and consumed enormous quantities of pain-
16 numbing and anti-inflammatory medications, including but not limited to Tramadol, Naproxen,
17 and muscle relaxants, at the Panthers training facility, home stadium and during away games, all
18 of which he received from Panthers team doctors or trainers, including but not limited to head
19
trainer John Kasik, who failed to provide a prescription when one was necessary; identify the
20
medication by its established name; provide adequate directions for the medications use, including
21
adequate warnings of uses that have potentially dangerous health consequences; or provide the
22
23 recommended or usual dosage for the medications. The medications were provided to him for the
24 sole purpose of enabling him to practice and play through pain. Mr. Lofton now suffers from the
25 injuries described above, which he directly attributes to the injuries he suffered in the NFL that
26
were masked by the Medications, or the Medications themselves, provided to him by the Clubs for
27
whom he played.
28
1 While playing for the Carolina Panthers from 2001 2002, putative class member Brad Jackson
2 received Toradol, Indocin, Percocet, Vicodin, and other anti-inflammatory drugs, which he
3
consumed, from trainers Ryan Vermillion and Mark Shermansky, who provided no warnings or
4
mention of side effects and for the sole purpose of enabling him to practice and play through pain.
5
Mr. Jackson now suffers from chronic joint point that he believes is directly attributable to the
6
injuries he suffered in the NFL that were masked by the Medications, or the Medications
7
9 251. Chicago Bears: While playing for the Chicago Bears from 1994 to 1995, named
10 Plaintiff Jeff Graham received and consumed enormous quantities of pain-numbing and anti-
11
inflammatory medications at the Bears training facility, home stadium and during away games,
12
all of which he received from Bears team doctors or trainers, including but not limited to trainers
13
Fred Caito and Tim Bream, who failed to provide a prescription when one was necessary; adequate
14
15 warnings of uses that have potentially dangerous health consequences; or provide the
16 recommended or usual dosage for the medications. The medications were provided to him for the
17 sole purpose of enabling him to practice and play through pain. At his deposition, Mr. Graham
18 testified that he took anti-inflammatory injections before every game. He further testified that
19
the players were pressured to play by the coaches, you know, getting on the field and playing.
20
The trainers wanted you to play. I mean everybody wanted you to get out there and play. He
21
further testified that his position coach, Ivan Fears, would routinely say to him Jeff, we need you
22
23 to play.
24 At other times during his playing career, Mr. Graham took in pill form Celebrex, Indocin,
25 Toradol, Tylenol-Codeine # 3, Prednisone and Catephlam. Trainers also gave him pills without
26
telling him the name of the drug he was receiving. These pills were handed to him by Club trainers
27
or placed in envelopes or vials. For approximately the last seven years of his career, he received
28
1 injections of Toradol twice a week once for practice and before every game. He also received
2 many injections of Cortisone in various injured body parts. His Clubs frequently provided Mr.
3
Graham with alcohol during the return flight from away games. His experience regarding these
4
Medications was substantially similar with each Club for whom he played.
5
Mr. Graham now lives in constant pain. He has pain in both shoulders, neck, hips, lower
6
back, both elbows, both hamstrings, his fingers, wrists, left toe and right knee. He cannot stand
7
8 for long periods and needs special shoes to lessen the pain. He is stiff and sore all day. He cannot
9 sleep at night, moving from bed to floor to couch throughout the night. Mr. Graham struggles to
10 control his weight due to his limited ability to exercise. He believes his current pain is directly
11
attributable to various injuries suffered during his NFL career.
12
While playing for the Chicago Bears from 1975 to 1983, putative class member Thomas
13
Daniel Neal received Darvon, Percocet, and Vicodin, which he consumed, and cortisone and other
14
15 painkiller injections from head trainer Fred Caito and team doctors Theodore Fox and Clarence
16 Fossier, who provided no warnings or mention of side effects and for the sole purpose of enabling
17 him to practice and play through pain. Mr. Neal now suffers from high blood pressure, arthritis,
18 and chronic joint pain, which he directly attributes to the injuries he suffered in the NFL that were
19
masked by the Medications, or the Medications themselves, provided to him by the Clubs for
20
whom he played.
21
While playing for the Chicago Bears during the 1983, 1988, and 1991 seasons, putative
22
23 class member here, named Plaintiff in the case of Dent, et al. v. the National Football League, C-
24 14-2324-WHA (N.D. Ca. 2014), and Hall of Famer Richard Dent received enormous amounts of
25 anti-inflammatory drugs and painkillers, which he took upon receipt, from head trainer Fred Caito
26
and team doctors Clarence Fossier and John Bryna, who provided no warnings or mention of side
27
effects and for the sole purpose of enabling him to practice and play through pain. Mr. Dent now
28
1 suffers from an enlarged heart and nerve damage, particularly in his feet, which he directly
2 attributes to the injuries he suffered in the NFL that were masked by the Medications, or the
3
Medications themselves, provided to him by the Clubs for whom he played.
4
In particular, during his rookie 1983 season, Mr. Dent badly tore his hamstring and
5
tendons/ligaments in his right ankle when four players fell on him during a pre-season game
6
against the Buffalo Bills. The pain was so bad that it was difficult for Mr. Dent to sit on the toilet
7
8 or walk. He questioned head trainer Fred Caito as to whether he should return to play but rather
9 than sit him out, Mr. Caito gave Mr. Dent massive amounts of anti-inflammatory drugs and
10 painkillers to enable him to play. He ended up playing in the final pre-season game against the
11
Kansas City Chiefs, so doped up on medications that he could hardly remember playing.
12
Moreover, on September 9, 1990 during a game against the Seattle Seahawks, Mr. Dent
13
suffered a broken bone in his foot. Fred Caito and team doctors Clarence Fossler and Jay Munsel
14
15 told him that he had done all the damage he could and that, while he therefore could have surgery,
16 they could also supply him with painkillers to allow him to continue playing. Trusting the doctors
17 and trainers had his best interests at heart, he chose to continue playing and for the following eight
18 weeks, he received repeated injections of painkillers from those doctors, as well as pills from Mr.
19
Caito, to keep playing. Today, Mr. Dent has permanent nerve damage in that foot.
20
While playing for the Chicago Bears during a playoff game against the New York Giants,
21
Keith Van Horne, a putative class member here and named Plaintiff in the case of Dent, et al. v.
22
23 the National Football League, C-14-2324-WHA (N.D. Ca. 2014), could not lift his arm. He told
24 the team doctor and head trainer Fred Caito what was going on; rather than keep him out of the
25 game, they gave him two Percodan for the first half and two Percodan for the second half. They
26
did not tell him any side effects or give him any warnings related to the foregoing administration
27
of a Schedule II controlled substance.
28
1 This was not the only issue that Mr. Van Horne had with Percodan. Early in his career, he
2 obtained a prescription for Percodan related to an ankle injury from a physician not affiliated with
3
the NFL. Days later, head trainer Fred Caito called Mr. Van Horne into his office and lambasted
4
him for obtaining the Percodan because it led the DEA to issue a letter to the Bears inquiring as to
5
why Mr. Van Horne was obtaining Schedule II controlled substances. When Mr. Van Horne
6
explained that he had obtained the controlled substances from a physician, Mr. Caito dismissed
7
8 the explanation, and had the temerity to say that Mr. Van Horne had put him in a bad spot by
9 lawfully obtaining Percodan from a licensed physician after a consult and work-up, which is the
10 way it is supposed to work, because he ordered controlled substances, including Percodan, before
11
the season, in bulk, in players names (even if they had no need for the medication), all of which
12
are violations of the CSA and/or its implementing regulations
13
252. Cincinnati Bengals: While playing for the Cincinnati Bengals from 1994 to 1996,
14
15 named Plaintiff Troy Sadowski received Toradol shots before every game for which he suited up
16 at the stadium at which the game was taking place from Rob Recker, who provided no warnings
17 or mention of side effects and for the sole purpose of enabling him to practice and play through
18 pain. The injections were given prophylactically. In addition, Mr. Sadowski received and
19
consumed enormous quantities of pain-numbing and anti-inflammatory medications, including but
20
not limited to Tylenol-Codeine # 3 and muscle relaxants, at the Bengals training facility, home
21
stadium and during away games, all of which he received from Bengals team doctors or trainers,
22
23 including but not limited to trainers Paul Sparling and Rob Recker, who failed to provide a
24 prescription when one was necessary or identify the medication by its established name. The
25 medications were provided to him for the sole purpose of enabling him to practice and play through
26
pain. Mr. Sadowski testified at his deposition that trainers will pressure you, get you out of the
27
training room, hey, you been in here too long, get out of here. Mr. Sadowski now suffers from
28
1 the injuries described above, which he directly attributes to the injuries he suffered in the NFL that
2 were masked by the Medications, or the Medications themselves, provided to him by the Clubs for
3
whom he played.
4
While playing for the Cincinnati Bengals from 1970 to 1978, putative class member Ken
5
Johnson received anti-inflammatory drugs, including Butazolidan, which he consumed, from
6
Marvin Pollins, who provided no warnings or mention of side effects and for the sole purpose of
7
8 enabling him to practice and play through pain. Mr. Johnson now suffers from arthritis in his
9 shoulders and knees, high blood pressure, a chemical imbalance in his brain, an enlarged prostrate,
10 and sciatic nerve pain down his left side, all of which he attributes directly to the injuries he
11
suffered in the NFL that were masked by the Medications, or the Medications themselves, provided
12
to him by the Clubs for whom he played.
13
While playing for the Cincinnati Bengals from 1977 to 1983, putative class member Peter
14
15 Johnson received anti-inflammatory drugs, which he consumed, from Bill Davis and Marvin
16 Pollins, who provided no warnings or mention of side effects and for the sole purpose of enabling
17 him to practice and play through pain. Mr. Johnson now suffers from arthritis, a fractured neck,
18 high blood pressure, and headaches, all of which he directly attributes to the injuries he suffered
19
in the NFL that were masked by the Medications, or the Medications themselves, provided to him
20
by the Clubs for whom he played.
21
While playing for the Cincinnati Bengals from 2000 to 2002, putative class member Curtis
22
23 Keaton received Vioxx, Celebrex, Ibuprofen, Naproxen, Flexeril, Percocet, which he consumed,
24 and Cortisone and other pain killer injections from team trainer Paul Sparling, who provided no
25 warnings or mention of side effects and for the sole purpose of enabling him to practice and play
26
through pain. Mr. Keaton now suffers from chronic joint pain, which he believes is directly
27
28
1 attributable to the injuries he suffered in the NFL that were masked by the Medications, or the
3
253. Cleveland Browns: While playing for the Cleveland Browns on or about
4
October 8, 1984, named Plaintiff Duriel Harris began having heart issues during practice; he
5
testified at his deposition that it was beating like a rabbit heart. He was in the middle of running
6
sprints when it happened and testified that he had to stop, having never had to quit a drill in his
7
8 life, because he was afraid he was having a heart attack. He then went inside the training room
9 where trainers and doctors had him do simple jumping jacks but his heart kept racing. He was
10 then rushed to the Cleveland Clinic, where he saw the team doctor, Dr. Bergfeld, who prescribed
11
him medications. He then went back to the Browns doctors and trainers, including Bill Tessendorf,
12
who told him he was OK to practice and to take the medications prescribed to him without ever
13
telling him what caused the heart problem in the first place, whether it would come back, or
14
15 whether he might die as a result of it. Mr. Harris testified that thereafter, he had to play with that
16 fear in the back of [his] mind because this had never happened to him before and it scared the
17 living daylights out of [him]. Even though he still played after the incident, he was never the
18 same player.
19
Mr. Harris currently has elevated serum creatinine concentrations. He is not on dialysis at
20
this time, but his doctor is monitoring his kidney for any signs of additional failure. His heart also
21
has an irregular beat due to an enlarged chamber. He takes daily pills to help his heart pump,
22
23 which is related to the heart issues he had with the Browns. Mr. Harris has also required surgery
24 to remove one parathyroid gland after it was discovered that his parathyroid glands were
25 improperly regulating the calcium levels in his body. He does not smoke or drink alcohol and he
26
has no family history of kidney, heart or thyroid problems. Mr. Harris is also in constant pain from
27
all of his joints. He has arthritis in his fingers and remembers a doctor stitching up the webbing
28
1 of his hand at half time of a game. He also has pain from football injuries in his neck, back, hands,
2 shoulders, knees and ankles. On or around February 13, 2017, Mr. Harris underwent a cardiogram
3
which showed a partial arterial blockage. As a result of this finding, Mr. Harris medical providers
4
scheduled an angiogram to further investigate the blood flow in his arteries. Prior to the
5
angiogram, however, Mr. Harris laboratory results showed a large spike in his kidney creatinine
6
levels. This finding caused Mr. Harris doctors to cancel the scheduled angiogram and recommend
7
8 that he immediately see a kidney specialist to diagnose this impaired functionality. At this time,
9 Mr. Harris is attempting to schedule an appointment with a kidney specialist before Friday,
10 February 24, 2017. Pending this visit, all of Mr. Harris future medical procedures including a
11
knee replacement have been placed on hold. Mr. Harris directly attributes the foregoing current
12
injuries he suffers to the injuries he suffered in the NFL that were masked by the Medications, or
13
the Medications themselves, provided to him by the Clubs for whom he played.
14
15 While playing for the Cleveland Browns during the 1976 and 1977 seasons, putative class
16 member Albert R. Dennis III consumed anti-inflammatory drugs, which Leo Murphy and other
17 trainers for the club provided to him without warnings or mention of the side effects and for the
18 sole purpose of enabling him to practice and play through pain. Mr. Dennis now suffers from high
19
blood pressure, urinary problems, fatigue, lower back pain, headaches, and ankle and foot swelling
20
that he believes is directly attributable to the injuries he suffered in the NFL that were masked by
21
the Medications, or the Medications themselves, provided to him.
22
23 While playing for the Cleveland Browns from 1975 to 1982, putative class member
24 Cleophus Miller regularly received cortisone injections from Drs. Victor Ippolito and John
25 Bergfield and trainer Leo Murphy, who provided no warnings or mention of side effects and for
26
the sole purpose of enabling him to practice and play through pain. Mr. Miller now suffers from
27
knee, shoulder and ankle problems, all of which he believes is directly attributable to the injuries
28
1 he suffered in the NFL that were masked by the Medications, or the Medications themselves,
3
254. Dallas Cowboys: When named Plaintiff Duriel Harris first arrived in Dallas in
4
1984, the player personnel director told him that if he didnt sign a medical waiver for his heart,
5
the Club would cut him right then. He signed the waiver. Then, during the week of July 29, 1985
6
(right before the first pre-season game), he hurt his back and was having back spasms. From that
7
8 point through the last pre-season game on August 31, trainers Dan Cochren and Ken Locker gave
9 him muscle relaxants every day at the Cowboys training facility and in doing so, failed to provide
10 him with warnings or any information about side effects as to the medications they were providing
11
him. He remembers it so clearly because the trainer gave him boots and he had to hang upside
12
down from a chinning bar and after he was hanging, they would give him the muscle relaxant. The
13
medications were provided to him for the sole purpose of enabling him to practice and play through
14
15 pain. Mr. Harris now suffers from the injuries described above, which he directly attributes to the
16 injuries he suffered in the NFL that were masked by the Medications, or the Medications
18 255. Denver Broncos: While playing for the Denver Broncos, plaintiff Alphonso
19
Carreker regularly consumed enormous quantities of painkilling anti-inflammatory drugs and
20
muscle relaxers, which trainers for that club made readily available and frequently volunteered.
21
The Medications included Motrin 800, Oxycontin, Tylenol-Codeine #3 and Percocet. He was
22
23 taking three or four pills during the week and the nights before and after every game. The trainers
24 had the pills in bags and handed them to Mr. Carreker for his use. Any player who asked to get a
25 pill always received one and the trainers frequently volunteered pill availability. He also received
26
frequent Cortisone injections in his knees and shoulders. Mr. Carreker was never informed of the
27
possible side effects of any of these drugs.
28
1 Mr. Carreker discovered he had an infection in his heart in 2012, which caused severe
2 inflammation around his heart. The anti-inflammatories he was given for that malady were
3
ineffective due to the resistance he had built up to such drugs from the enormous quantities taken
4
during his playing career. In or around September 2013, he underwent heart surgery to drain the
5
inflammation from around his heart. In or around 2008, Mr. Carreker was diagnosed with gouty
6
arthritis as a result of his liver insufficiently processing the amount of uric acid in his body. This
7
8 condition regularly causes pain, swelling and poor circulation in various joints including, but not
9 limited to, his lower legs and feet. His doctors have advised him not to eat beef or pork because
10 of his heart and stomach problems. Mr. Carreker has constant pain in his neck, back, ankles, knees
11
and shoulders. He has had surgeries on his knees and has not yet decided on whether to have a
12
recommended rotator cuff surgery. Mr. Carreker directly attributes the foregoing current injuries
13
he suffers to the injuries he suffered in the NFL that were masked by the Medications, or the
14
16 256. Detroit Lions: While playing for the Detroit Lions during the 2009 and 2010
17 seasons, named Plaintiff Eric King received and consumed pain-numbing and anti-inflammatory
18 medications, including but not limited to Toradol, Oxycontin, Percocet, and Vicodin, at the Lions
19
training facility, home stadium and during away games, all of which he received from Lions team
20
doctors or trainers, including but not limited to trainers Dean Kleinschmidt and/or Al Bellamy,
21
who failed to provide a prescription when one was necessary; identify the medication by its
22
23 established name; provide adequate directions for the medications use, including adequate
24 warnings of uses that have potentially dangerous health consequences; or provide the
25 recommended or usual dosage for the medications. The medications were provided to him for the
26
sole purpose of enabling him to practice and play through pain. In particular, on September 13,
27
2009, Mr. King separated his left shoulder but testified that he was told by the team doctor, David
28
1 Collon or Kyle Anderson, that he needed to heal fast and get back out on the field as soon as I
2 possibly could have and that Mr. Kleinschmidt and/or Mr. Bellamy gave him Oxycodone to play.
3
Mr. King now suffers from the injuries described above, which he directly attributes to the injuries
4
he suffered in the NFL that were masked by the Medications, or the Medications themselves,
5
provided to him by the Clubs for whom he played.
6
On September 4, 1994, the Detroit Lions were playing the Atlanta Falcons in the first game of the
7
8 season. Named Plaintiff Robert Massey had just signed his first large contract, coming to the
9 Lions as a free agent. He re-injured his right ankle (injured in his previous tenure with the Saints)
10 early in the game and someone Mr. Massey believes it was a trainer injected him with Toradol
11
on the sideline while the game was being played. He finished playing the game. After the game,
12
he was lying on the training table as the ankle ballooned. Head Coach Wayne Fonts entered the
13
training room, saw Mr. Massey and the swollen ankle and then said to him Congratulations, you
14
15 played a great game today. But you know we didnt pay you that kind of money to sit on the
16 bench I need you to help us win games. He didnt practice much during the next week because
17 he couldnt run. The Lions next game was away against the Minnesota Vikings on September
18 11, 1994. On the evening before the game, a trainer approached Mr. Massey, gave him some pills
19
of Indocin and told him they would help his ankle. Two hours before the game, the Club doctor
20
gave him a Toradol shot and the trainer wrapped his ankle extensively. Mr. Massey played the
21
entire game and intercepted a pass. Mr. Massey was given Toradol to permit him to get through
22
23 the season practicing and playing on a painful and swollen ankle. He now lives in constant pain
24 from, among other things, his ankles. Mr. Massey received numerous doses from Lions trainers
25 of what believes was Indocin and Ibuprofen and similar medications to numb the pain he was in,
26
so he could practice and to play in games. Mr. Massey believes the dose amounts increased from
27
those administered in his previous seasons. Mr. Massey also recalls being given a Darvocet or
28
1 another muscle relaxer, but is not sure what team he was with when he received that medication.
2 As Mr. Massey has testified, on his five different teams, the only thing that was different was the
3
names of the people you dealt with.
4
257. Green Bay Packers: While playing for the Green Bay Packers, named Plaintiff
5
Alphonso Carreker regularly consumed large quantities of anti-inflammatory drugs, painkillers,
6
including Motrin 800s, and muscle relaxants, which trainers for that club made readily available
7
8 and frequently volunteered. In addition, for every game he played for the Packers, Mr. Carreker
9 took at least one pill either before the game or at halftime. Although the trainers frequently did
10 not tell him what they were giving him, Mr. Carreker believes it was one of four: Vicodin,
11
Percocet, Hydrocodone or Tylenol 3 with Codeine. Mr. Carreker further remembers that Packers
12
team doctor Brusky would come to the Packers training facility on either Thursday or Friday in
13
any given week in season to see players with a specific injury. The player would indicate to Dr.
14
15 Brusky the body part that was hurting and his consistent response before injecting the injured area
16 was I have a cocktail for that. In 2013, Mr. Carreker underwent heart surgery to drain
17 inflammation from an infection in his heart after anti-inflammatory drugs proved ineffective due
18 to the resistance he had built up to such drugs during his playing career.
19
258. Houston Texans: While playing for the Houston Texans from 2006 to 2007,
20
named Plaintiff Cedric Killings received and consumed pain-numbing and anti-inflammatory
21
medications at the Texans training facility, home stadium and during away games, all of which
22
23 he received from Texans team doctors or trainers, including but not limited to trainers Kevin Bastin
24 and Jon Ishop, who failed to provide the recommended or usual dosage for the medications. The
25 medications were provided to him for the sole purpose of enabling him to practice and play through
26
pain. Mr. Killings has recently been placed on medication for high blood pressure. After retiring
27
from professional football, Mr. Killings also experienced an inflamed gall bladder, which
28
1 necessitated the removal of the entire organ in an emergency surgery. Mr. Killings also has
2 constant pain in his back, shoulders, knees, ankles and hands. He was taking pills and/or injections
3
for pain in all of these areas during his playing career. Mr. Killings has no family history of gall
4
bladder problems or chronic pain in any of the joints mentioned herein. Mr. Killings directly
5
attributes the foregoing current injuries he suffers to the injuries he suffered in the NFL that were
6
masked by the Medications, or the Medications themselves, provided to him by the Clubs for
7
8 whom he played.
9 259. Indianapolis Colts: While playing for the Indianapolis Colts from 1987 to 1993,
10 named Plaintiff Chris Goode received and consumed enormous quantities of pain-numbing and
11
anti-inflammatory drugs, including but not limited to Naproxen, Tylenol-Codeine # 3, Vicodin,
12
Indocin, and Percocet, at the Colts training facility, home stadium and during away games, all of
13
which he received from team doctors and trainers, including but not limited to trainers Hunter
14
15 Smith and Dave Hammer, who failed to provide a prescription when one was necessary; identify
16 the medication by its established name; provide adequate directions for the medications use,
17 including adequate warnings of uses that have potentially dangerous health consequences; or
18 provide the recommended or usual dosage for the medications. The medications were provided to
19
him for the sole purpose of enabling him to practice and play through pain. After suffering a neck
20
injury in the 1993 season, Mr. Goode believes that the Colts were unwilling to re-sign him out of
21
fear of his inability to play the following season. Moreover, he believes that other teams were told
22
23 of his neck injury and that they were unwilling to sign him because of that reason too. Mr. Goode
24 was diagnosed as having renal cancer in or around 2015. He underwent a partial nephrectomy in
25 May 2015 to remove half of his kidney along with the malignant tumor growth. He is currently in
26
remission but continues to experience pain on a daily basis resulting from this surgery. Just last
27
week, he began experiencing new complications related to his kidneys. Mr. Goode has no family
28
1 history of any kidney problems. He also suffers from numbness in his arms and legs and constant
2 pain in his neck, back, elbows, wrists, feet, knee and ankle. Mr. Goode directly attributes the
3
foregoing, current injuries to the injuries he suffered in the NFL that were masked by the
4
Medications, or the Medications themselves, provided to him by the Clubs for whom he played.
5
While playing for the Indianapolis Colts during the 1985, 1988, 1989, 1990 and 1993
6
seasons, putative class member Kevin Call received Valium, Prednisone, Tylox, Tylenol with
7
8 Codeine, Toradol, Codeine and Naprosyn, which he consumed, from team doctors Shelbourne,
9 Rettig, and Misamore and team trainers Hunter Smith and Dave Hammer, who provided no
10 warnings or mention of side effects and for the sole purpose of enabling him to practice and play
11
through pain. Mr. Call now suffers from chronic headaches and joint pain that he believes is
12
directly attributable to the injuries he suffered in the NFL that were masked by the Medications,
13
or the Medications themselves, provided to him.
14
15 While playing for the Indianapolis Colts during the 1997 season, putative class member
16 here, named Plaintiff in the case of Dent, et al. v. the National Football League, C-14-2324-WHA
17 (N.D. Ca. 2014), and Hall of Famer Richard Dent received anti-inflammatory drugs and
18 painkillers, which he took upon receipt, from head trainer Hunter Smith and assistant trainers Dave
19
Hammer and Dave Walston and team doctors Arthur Rettig, Doug Robertson and Donald
20
Shelbourne, who provided no warnings or mention of side effects and for the sole purpose of
21
enabling him to practice and play through pain. Mr. Dent now suffers from an enlarged heart and
22
23 nerve damage, particularly in his feet, which he directly attributes to the injuries he suffered in the
24 NFL that were masked by the Medications, or the Medications themselves, provided to him by the
26
260. Jacksonville Jaguars: While playing for the Jacksonville Jaguars during the 1996
27
season, named Plaintiff Robert Massey received and consumed enormous quantities of pain-
28
1 numbing and anti-inflammatory medications, including but not limited to a whole bunch of
2 Toradol shots and what he believes were Ibuprofen and Indocin, at the Jaguars training facility,
3
home stadium and during away games, all of which he received from team trainers, including but
4
not limited to head trainer Mike Ryan, who failed to provide a prescription when necessary;
5
identify the medication by its established name; provide adequate directions for the medications
6
use, including adequate warnings of uses that have potentially dangerous health consequences; or
7
8 provide the recommended or usual dosage for the medications. The medications were provided to
9 him for the sole purpose of enabling him to practice and play through pain. Mr. Massey now
10 suffers from the injuries described above, which he directly attributes to the injuries he suffered in
11
the NFL that were masked by the Medications, or the Medications themselves, provided to him by
12
the Clubs for whom he played.
13
261. Kansas City Chiefs: While playing for the Kansas City Chiefs during the 1991
14
15 season, named Plaintiff Troy Sadowski received and consumed enormous quantities of pain-
16 numbing and anti-inflammatory medications at the Chiefs training facility, home stadium and
17 during away games, all of which he received from Chiefs team doctors or trainers, including but
18 not limited to trainer David Kendall, who failed to provide a prescription when one was necessary
19
or adequate directions for the medications use, including adequate warnings of uses that have
20
potentially dangerous health consequences. The medications were provided to him for the sole
21
purpose of enabling him to practice and play through pain. Mr. Sadowski now suffers from the
22
23 injuries described above, which he directly attributes to the injuries he suffered in the NFL that
24 were masked by the Medications, or the Medications themselves, provided to him by the Clubs for
25 whom he played.
26
While playing for the Kansas City Chiefs during the 1996 season, trainers for that club
27
regularly provided putative class member Reggie Johnson with Naprosyn without warnings of side
28
1 effects. Mr. Johnson now suffers from stomach pain and acid reflux that he believes is directly
2 attributable to the Medications provided to him by the Clubs for whom he played.
3
262. Los Angeles Rams: While playing for the Los Angeles/St. Louis Rams from 1992
4
to 1996, named Plaintiff Darryl Ashmore received and consumed enormous quantities of pain-
5
numbing and anti-inflammatory medications, including but not limited to Darvocet, Percocet,
6
Vicodin, Celebrex and sleeping pills, at the Rams training facility, home stadia and during away
7
8 games, all of which he received from Rams team doctors and trainers, including trainer Jim
9 Anderson, who failed to provide a prescription when one was necessary; identify the medication
10 by its established name; provide adequate directions for the medications use, including adequate
11
warnings of uses that have potentially dangerous health consequences; or provide the
12
recommended or usual dosage for the medications. The medications were provided to him for the
13
sole purpose of enabling him to practice and play through pain. In particular, on September 17,
14
15 1995 in a game against the Carolina Panthers, Mr. Ashmore ruptured a disc in his neck (which
16 would later turn into a career-ending neck injury) but was kept on the field for that game, and for
17 the remainder of the season, through Medications given to him by Rams team doctors and trainers,
18 including Mr. Anderson, at their training facility, home stadium and during away games.
19
Mr. Ashmore is now in constant pain in his neck, shoulders and knees. He has also been
20
told that his kidneys may be damaged because a blood test revealed that his kidneys were leaking
21
protein. His life insurance company raised his premiums due to the elevated serum creatinine
22
23 levels in his body. He has no family history of kidney problems. Mr. Ashmore directly attributes
24 the foregoing current injuries he suffers to the injuries he suffered in the NFL that were masked
25 by the Medications, or the Medications themselves, provided to him by the Clubs for whom he
26
played.
27
28
1 While playing for the Los Angeles Rams in the 1986 season, trainer Jim Anderson regularly gave
2 Indocin to putative class member Steve Bartkowski, which he consumed, while failing to advise
3
him of any dangers related to the drug and for the purpose of allowing him to practice and play
4
despite pain. Mr. Bartkowski now suffers from chronic joint pain that he attributes directly to the
5
injuries he suffered while playing in the NFL that were masked by the Medications, or the
6
Medications themselves, provided to him by the Clubs for whom he played.
7
8 263. Miami Dolphins: On December 5, 1976, the Miami Dolphins were playing a home
9 game against the Buffalo Bills. Named Plaintiff Duriel Harris was a 20-year-old rookie. He
10 severely sprained ligaments in his ankle at the end of that game and practiced very little during the
11
following week. The Dolphins final game of the year was the next week on December 11, 1976
12
at home against the Minnesota Vikings. Mr. Harris limped on to the field for pre-game warmups,
13
not expecting to play. Mr. Harris told the Trainer, Bob Lundy, that he could not play. Mr. Lundy
14
15 said something to the effect of Mr. Harris having a low threshold for pain and said Mr. Harris
16 could receive a shot that would permit him to play. Head Coach Don Shula and Wide Receivers
17 Coach Howard Shellenberger then approached Mr. Harris and Coach Shula said We need you
18 you need to play. Weve talked to the doctors and they will give you a shot and you can play.
19
Mr. Harris recalls the exchange as not presenting a choice, as challenging his manhood, and he
20
was afraid he would be cut if he objected. Coach Shula, who had a saying anybody can play this
21
game healthy, was insisting that Mr. Harris play. Feeling intimidated, Mr. Harris limped
22
23 back to the training room and the trainer pulled off his shoe and cut the tape from his ankle. The
24 Club doctor then gave him a Cortisone shot in the ankle and the trainer re-taped it. Mr. Harris
25 played the game even though the shot wore off in the fourth quarter and he was hurt and visibly
26
limping. After the game, the trainer cut the tape off and the ankle ballooned up. Mr. Harris
27
returned home and couldnt run for three months. The Dolphins then flew him to a California
28
1 specialist who recommended more rest. Mr. Harris couldnt run or workout until June of 1977
2 which substantially inhibited his ability to train prior to the 1977 NFL season. The Dolphins
3
finished with six wins and eight losses in 1976 so the Vikings game had no meaning vis a vis
4
playoffs. Although the Dolphins Team Doctor told Mr. Harris the shot would not cause any further
5
damage to his ankle, playing on the injured ankle did cause further damage. In addition, while
6
playing for the Miami Dolphins from 1976 to 1983, Mr. Harris received and consumed enormous
7
8 quantities of pain-numbing and anti-inflammatory medications, including but not limited to what
9 he believes may have been Tylenol-Codeine #3, Toradol, Percocet, Vicodin and Darvon, at the
10 Dolphins training facility, home stadium and during away games, all of which he received from
11
Dolphins team trainers, including but not limited to trainers Bob Lundy and Junior Wade, who
12
failed to provide a prescription when one was necessary; identify the medication by its established
13
name; provide adequate directions for the medications use, including adequate warnings of uses
14
15 that have potentially dangerous health consequences; or provide the recommended or usual dosage
16 for the medications. As Mr. Harris has testified, the trainers wouldnt really tell you what it was
17 and everything was given to me in unmarked envelopes. Mr. Harris received medications on
18 the team plane after away games, unaccompanied by any information about the medications,
19
provided in an envelope with no writing on it. The medications were provided to him with the
20
purpose of enabling him to practice and play through pain. Mr. Harris now suffers from the injuries
21
described above, which he directly attributes to the injuries he suffered in the NFL that were
22
23 masked by the Medications, or the Medications themselves, provided to him by the Clubs for
24 whom he played.
25 264. Minnesota Vikings: During the 2003 season with the Minnesota Vikings, plaintiff
26
Cedric Killings sprained his right ankle in practice. The next morning, Head Coach Mike Tice
27
stated loud enough for others to hear that, if he was not able to practice that day, he would no
28
1 longer be with the team. Mr. Killings took Medications given by the Club to ensure that he could
2 practice in spite of the pain in his right ankle. He wanted to keep his job. Mr. Killings now suffers
3
from the injuries described above, which he directly attributes to the injuries he suffered in the
4
NFL that were masked by the Medications, or the Medications themselves, provided to him by the
5
Clubs for whom he played.
6
At her deposition, Ms. Evans testified that when she first met her husband, Charles Evans,
7
8 in Minnesota in 1992 93, he did not talk about medications he was taking but that, over time, she
9 saw him take pills for pain that he received from the Vikings medical staff. She further testified
10 that, over time, she either recognized the pills he was taking, or he told her he was taking, Vicodin,
11
Percocet and prescription Motrin while with the Vikings. She further testified that the dosages
12
varied and that Mr. Evans would obtain the medications from the Vikings training facility. She
13
further testified that Mr. Evans obtained these medications from team trainer Steve Wetzel and
14
15 team doctors Sheldon Burns and Fred Zamberletti. She further testified that Dr. Burns would give
16 her medications that required a prescription, such as amoxicillin, without writing her a prescription
18 265. New England Patriots: While playing for the New England Patriots during the
19
1997 and 1998 seasons, named Plaintiff Steve Lofton received and consumed enormous quantities
20
of pain-numbing and anti-inflammatory medications, including but not limited to Tramadol,
21
Naproxen, and muscle relaxants, at the Patriots training facility, home stadium and during away
22
23 games, all of which he received from Patriots team doctors or trainers, including but not limited
24 to trainer Ron ONeill, who failed to provide a prescription when one was necessary; identify the
25 medication by its established name; provide adequate directions for the medications use, including
26
adequate warnings of uses that have potentially dangerous health consequences; or provide the
27
recommended or usual dosage for the medications. The medications were provided to him for the
28
1 sole purpose of enabling him to practice and play through pain. Mr. Lofton now suffers from the
2 injuries described above, which he directly attributes to the injuries he suffered in the NFL that
3
were masked by the Medications, or the Medications themselves, provided to him by the Clubs for
4
whom he played.
5
266. New Orleans Saints: While playing for the New Orleans Saints during the 1989
6
and 1990 seasons, named Plaintiff Robert Massey received and consumed enormous quantities of
7
8 pain-numbing and anti-inflammatory drugs, including but not limited to Indocin, Oxycodone,
9 Keflex, and Toradol, at the Saints training facility, home stadium and during away games, all of
10 which he received from team trainers, including but not limited to head trainer Dean Kleinschmidt
11
and assistant trainer Kevin Mangum, who failed to provide a prescription when necessary; identify
12
the medication by its established name; provide adequate directions for the medications use,
13
including adequate warnings of uses that have potentially dangerous health consequences; or
14
15 provide the recommended or usual dosage for the medications. Mr. Massey remembers dealing
16 only with team trainers concerning medications, with the Saints and with every team for whom he
17 played (Saints, Lions, Cardinals, Giants, Jaguars). When Mr. Massey injured his ankle during a
18 game, the New Orleans Saints Trainers, Dean Kleinschmidt and Kevin Mangum shot him with
19
Toradol on the sideline, and Mr. Massey returned to play. Toradol and the many other medications
20
were provided to him for the sole purpose of enabling him to practice and play through pain. In
21
particular, during the second half of a home game in 1989 during the middle of the season (the
22
23 Saints played the Jets on October 15, the Rams on October 22, the Falcons on October 29, the
24 Patriots on November 12, and the Falcons again on November 19), Mr. Massey testified that he
25 was on defense going to make a tackle, and the guy stopped and tried to cut back, and I was trying
26
to stop, and I ended up grabbing his facemask but my ankle rolled. He further testified that he
27
only came out for about a series, got a shot of Toradol from trainers Dean Kleinschmidt and Kevin
28
1 Mangum, and went back and played the rest of the game because he was worried about
2 competition for his spot. Mr. Massey now suffers from injuries described above, which he directly
3
attributes to the injuries he suffered in the NFL that were masked by the Medications, or the
4
Medications themselves, provided to him by the Clubs for whom he played.
5
Being given no information, such as potential long-term consequences, from the Trainers,
6
or any Team Doctor, about the medications he was given other than this will help you with your
7
8 pain, or help with the inflammation, Mr. Massey was also pressured to take the medications.
9 The Saints coach, Jim Mora, repeatedly told Mr. Massey you got to practiceyou need got to be
10 ready for practice. Coach Mora also told Mr. Massey: You need all the practice you can
11
getYoure not that goodthat you can afford to miss practice time. Despite having a serious
12
ankle injury with the Saints, confirmed by an X-ray that the Saints trainer, Kevin Mangum,
13
reviewed with Mr. Massey, Mr. Massey was given Indocin week after week after week to permit
14
15 him to continue to play because Coach Mora was not going to let Mr. Massey have the necessary
16 operation until the season had ended. Mr. Massey was told its an injury you can play with and
17 was not told it would get worse, only you can play with it. Mr. Massey understood that when
18 the trainers gave him medication they gave it to you to take it, so I took it.
19
While playing for the New Orleans Saints from 1999 to 2001, putative class member
20
Robert Wilson regularly received Percocet and Vicodin from team trainers Dean Kleinschmidt and
21
Kevin Mangum, who provided no warnings or mention of side effects and for the sole purpose of
22
23 enabling him to practice and play through pain. Mr. Wilson currently suffers from right mid-
24 abdominal pain, dyspepsia, and gastritis, all of which he directly attributes to the injuries he
25 suffered in the NFL that were masked by the Medications, or the Medications themselves, provided
26
to him by the Clubs for whom he played.
27
28
1 While playing for the New Orleans Saints during the 2002 and 2003 seasons, putative class
2 member Curtis Keaton regularly received Vioxx, Celebrex, Ibuprofen, Naproxen, Flexeril and
3
Percocet, which he consumed, from team trainer Scottie Patton, who provided no warnings or
4
mention of side effects and for the sole purpose of enabling him to practice and play through pain.
5
Mr. Keaton now suffers from chronic joint pain that he believes is directly attributable to the
6
injuries he suffered in the NFL that were masked by the Medications, or the Medications
7
9 267. New York Giants: While playing for the New York Giants during the 1997 season,
10 named Plaintiff Robert Massey received and consumed enormous quantities of pain-numbing and
11
anti-inflammatory medications, including but not limited what he believes was Indocin and
12
Ibuprofen at the Giants training facility, home stadium and during away games, all of which he
13
received from Giants team trainers, including trainers Ronnie Barnes and Byron Hanson. Mr.
14
15 Massey believes he also received Toradol, which is not reflected on Giants medical records
16 provided; Mr. Massey does not recall ever seeing a doctor or trainer record any medications
17 administered or dispensed to Mr. Massey. The trainers failed to provide a prescription when one
18 was necessary; identify the medication by its established name; provide adequate directions for the
19
medications use, including adequate warnings of uses that have potentially dangerous health
20
consequences; or provide the recommended or usual dosage for the medications. The medications
21
were provided to him for the sole purpose of enabling him to practice and play through pain. Mr.
22
23 Massey now suffers from the injuries described above, which he directly attributes to the injuries
24 he suffered in the NFL that were masked by the Medications, or the Medications themselves,
26
While playing for the New York Giants from 1985 to 1989, putative class member George
27
Adams regularly received Vicodin, sleeping pills, and Cortisone injections from trainer Ronnie
28
1 Barnes and team doctor Russell Warren, who provided no warnings or mention of side effects and
2 for the sole purpose of enabling him to practice and play through pain. Mr. Adams currently
3
suffers from high blood pressure and chest pains, which he directly attributes to the Medications
4
provided to him by the Clubs for whom he played.
5
While playing for the New York Giants during the 2004 season, putative class member
6
Curtis Keaton regularly received Vioxx, Celebrex, Ibuprofen, Naproxen, Flexeril and Percocet
7
8 from team trainer Ronnie Barnes, who provided no warnings or mention of side effects and for the
9 sole purpose of enabling him to practice and play through pain. Mr. Keaton now suffers from
10 chronic joint pain that he believes is directly attributable to the injuries he suffered in the NFL that
11
were masked by the Medications, or the Medications themselves, provided to him by the Clubs for
12
whom he played.
13
268. New York Jets: While playing for the New York Jets during the 1996 and 1997
14
15 seasons, named Plaintiff Jeff Graham received and consumed enormous quantities of pain-
16 numbing and anti-inflammatory medications at the Jets training facility, home stadium and during
17 away games, all of which he received from Jets team doctors or trainers, including but not limited
18 to trainers David Price and John Mellody and doctor Elliott Pellman, who failed to provide a
19
prescription when one was necessary; ever discuss any of the medications risks or long-term
20
health effects; include adequate warnings of uses that have potentially dangerous health
21
consequences; or provide the recommended or usual dosage for the medications. The medications
22
23 were provided to him for the sole purpose of enabling him to practice and play through pain. At
24 his deposition, Mr. Graham testified that following a tear of some cartilage in his knee, Jets trainers
25 and doctors looked at him and said you know, we dont have enough receivers to play in the
26
game, so you know, can you see if you can, you know, go out there and put it together for us
27
and withstand the pain. He further testified that the Jets coaches looked down on me not playing
28
1 because of a turf toe injury and that Coach Bill Parcells had a nonsense clause as far as injuries
2 and would tell Mr. Graham directly that you need to be playing, you need to get out here. On
3
each of these occasions, all of which occurred at the Jets training facility, home stadium or during
4
away games, Mr. Graham was administered pain killers and/or anti-inflammatory drugs by Jets
5
trainers and doctors, including but not limited to trainers David Price and John Mellody and doctor
6
Elliott Pellman, to assist him in getting back on the field. Mr. Graham now suffers from the
7
8 injuries described above, which he directly attributes to the injuries he suffered in the NFL that
9 were masked by the Medications, or the Medications themselves, provided to him by the Clubs for
10 whom he played.
11
While playing for the New York Jets during the 1992 and 1993 seasons, named Plaintiff
12
Troy Sadowski received and consumed large quantities of pain-numbing and anti-inflammatory
13
drugs, including but not limited to Tylenol 3 and Motrin, at the Jets training facility home stadium
14
15 and during away games, all of which he received from Jets team doctors and trainers, including
16 from team trainer Pepper Burruss, who failed to provide a prescription when one was necessary;
17 identify the medication by its established name; provide adequate directions for the medications
18 use, including adequate warnings of uses that have potentially dangerous health consequences; or
19
provide the recommended or usual dosage for the medications. The medications were provided to
20
him for the sole purpose of enabling him to practice and play through pain. Mr. Sadowski now
21
suffers from the injuries described above, which he directly attributes to the injuries he suffered in
22
23 the NFL that were masked by the Medications, or the Medications themselves, provided to him by
25 While playing for the New York Jets in 1989, putative class member Stevon Moore
26
regularly received cortisone injections and Lortab from team doctor Elliott Hirshman, who
27
provided no warnings or mention of side effects and for the sole purpose of enabling him to
28
1 practice and play through pain. Mr. Moore currently suffers from stomach and bowel problems,
2 breathing problems, acid reflux, high blood pressure and urinary problems, all of which he directly
3
attributes to the Medications provided to him by the Clubs for whom he played.
4
269. Oakland Raiders: While with the Raiders, named Plaintiff Darryl Ashmore
5
believed he had broken his wrist at practice on or about October 25, 1998. Between that date and
6
November 1, when the Raiders had an important Sunday night game against the Seattle Seahawks,
7
8 he was told by the Clubs doctor, Dr. Warren King, that the injury was only a sprain and that he
9 would be fine to play with painkillers and anti-inflammatories. He played the Sunday night game
10 without a cast and the next morning, Dr. King told him that his wrist was in fact broken and needed
11
a cast. He played with a cast for the rest of the season and used painkillers and anti-inflammatories
12
provided by the Clubs, and in particular Toradol, for the remainder of his career to numb the pain
13
in his wrist. His wrist is now permanently damaged. Mr. Ashmore directly attributes that injury
14
15 to the injuries he suffered during the 1998 season as described above that were masked by the
16 Medications provided to him. In addition, trainers Rod Martin and Scott Touchet administered
17 large quantities of pain-numbing and anti-inflammatory drugs to Mr. Ashmore, including but not
18 limited to Vioxx, Darvocet, Percocet and sleeping pills, at the Raiders training facility, home
19
stadium and during away games, while failing to provide a prescription when one was necessary;
20
identify the medication by its established name; provide adequate directions for the medications
21
use, including adequate warnings of uses that have potentially dangerous health consequences; or
22
23 provide the recommended or usual dosage for the medications. The medications were provided to
24 him for the sole purpose of enabling him to practice and play through pain. Mr. Ashmore now
25 suffers from the injuries described above, which he directly attributes to the injuries he suffered in
26
the NFL that were masked by the Medications, or the Medications themselves, provided to him by
27
the Clubs for whom he played.
28
1 270. Philadelphia Eagles: While playing for the Philadelphia Eagles during the 1998
2 season, named Plaintiff Jeff Graham received and consumed enormous quantities of pain-numbing
3
and anti-inflammatory medications at the Eagles training facility, home stadium and during away
4
games, all of which he received from Eagles team doctors or trainers, including but not limited to
5
head trainer James Collins, who failed to provide a prescription when one was necessary; provide
6
adequate warnings of uses that have potentially dangerous health consequences; or provide the
7
8 recommended or usual dosage for the medications. Mr. Graham testified that he knew for a fact
9 that I took injections prior to almost every game in Philadelphia. He further testified that if it
10 was a strain or a groin and I was going through it and I had to get an injection to go through and
11
finish the game or start the game and finish and that kind of thing, I was pressured to do that, just
12
the sense of the pressure because of the situation that was going on. The medications were
13
provided to him for the sole purpose of enabling him to practice and play through pain. Mr.
14
15 Graham now suffers from the injuries described above, which he directly attributes to the injuries
16 he suffered in the NFL that were masked by the Medications, or the Medications themselves,
18 While playing for the Philadelphia Eagles from 1983 to 1987, putative class member Jody
19
Schulz received enormous quantities of anti-inflammatory drugs, which he consumed, from team
20
trainer Otho Davis, who provided no warnings or mention of side effects and for the sole purpose
21
of enabling him to practice and play through pain. Mr. Schulz now suffers from chronic joint pain
22
23 that he believes is directly attributable to the injuries he suffered in the NFL that were masked by
24 the Medications, or the Medications themselves, provided to him by the Clubs for whom he played.
25 While playing for the Philadelphia Eagles during the 1997 seasons, putative class member
26
here, named Plaintiff in the case of Dent, et al. v. the National Football League, C-14-2324-WHA
27
(N.D. Ca. 2014), and Hall of Famer Richard Dent received enormous amounts of anti-
28
1 inflammatory drugs and painkillers, which he took upon receipt, from head trainer James Collins,
2 who provided no warnings or mention of side effects and for the sole purpose of enabling him to
3
practice and play through pain. Mr. Dent now suffers from an enlarged heart and nerve damage,
4
particularly in his feet, which he directly attributes to the injuries he suffered in the NFL that were
5
masked by the Medications, or the Medications themselves, provided to him by the Clubs for
6
whom he played.
7
8 271. Pittsburgh Steelers: While playing for the Pittsburgh Steelers during the 1997 and
9 1998 seasons, named Plaintiff Troy Sadowski received and consumed enormous quantities of pain-
10 numbing and anti-inflammatory medications at the Steelers training facility, home stadium and
11
during away games and received Toradol injections before every game in which he played (Mr.
12
Sadowski recalls that before every game he played for the Steelers at home, syringes of Toradol
13
would be lined up in the locker room with players numbers, not their names, on them), all of
14
15 which he received from Steelers doctors and trainers, including from head trainer Rick
16 Burkholder, who failed to provide a prescription when one was necessary; identify the medication
17 by its established name; provide adequate directions for the medications use, including adequate
18 warnings of uses that have potentially dangerous health consequences; or provide the
19
recommended or usual dosage for the medications. The medications were provided to him for the
20
sole purpose of enabling him to practice and play through pain. Mr. Sadowski now suffers from
21
the injuries described above, which he directly attributes to the injuries he suffered in the NFL that
22
23 were masked by the Medications, or the Medications themselves, provided to him by the Clubs for
24 whom he played.
25 While playing for the Pittsburgh Steelers from 1991 to 1993, named Plaintiff Jeff Graham
26
received and consumed enormous quantities of pain-numbing and anti-inflammatory medications,
27
including but not limited to Naproxen, Vicodin, Indocin, Medrol, Celebrex, Darvocet, Tylenol-
28
1 Codeine #3, and Erythromycin, at the Steelers training facility, home stadium and during away
2 games, all of which he received from Steelers team doctors such as James Bradley or trainers,
3
including but not limited to trainers John Norwig and Ralph Berlin, who failed to provide a
4
prescription when one was necessary; provide adequate warnings of uses that have potentially
5
dangerous health consequences; or provide the recommended or usual dosage for the medications.
6
The medications were provided to him for the sole purpose of enabling him to practice and play
7
8 through pain. Mr. Graham testified that the very first time he ever received an anti-inflammatory
9 injection in the NFL, it was from Dr. Bradley who never told him about the potential side effects
10 or long term consequences of taking multiple injections of anti-inflammatories. Mr. Graham also
11
testified that he received further anti-inflammatories from team trainers. Mr. Graham testified that
12
if he had been told about the risks and long term consequences, I would not have [taken] the
13
shot. Mr. Graham also specifically recalls being pressured by his position coach, Bob Harrison,
14
15 to play in a playoff game (we need you to play) during his third season despite a high ankle
16 sprain that was causing him significant pain and limiting his effectiveness. Mr. Graham now
17 suffers from the injuries described above, which he directly attributes to the injuries he suffered in
18 the NFL that were masked by the Medications, or the Medications themselves, provided to him by
19
the Clubs for whom he played.
20
While playing for the Pittsburgh Steelers from 1971 to 1978, putative class member Glen
21
Edwards regularly received Novocain and enormous quantities of anti-inflammatory drugs, which
22
23 he consumed, from head trainer Ralph Berlin, who provided no warnings or mention of side effects
24 and for the sole purpose of enabling him to practice and play through pain. Mr. Edwards now
25 suffers from extreme pain in his toe in which he received weekly pain-numbing injections and
26
other orthopedic injuries that he believes are directly attributable to the injuries he suffered in the
27
28
1 NFL that were masked by the Medications, or the Medications themselves, provided to him by the
3
While playing for the Pittsburgh Steelers from 1974 to 1976, putative class member Marvin
4
Kellum regularly received enormous quantities of anti-inflammatory drugs in a paper cup from
5
head trainer Ralph Berlin and team doctors David H. Huber and Paul Steele, who provided no
6
warnings or mention of side effects and for the sole purpose of enabling him to practice and play
7
8 through pain. Mr. Kellum now suffers from chronic joint pain, fatigue, and arthritis in his
9 shoulders, all of which he directly attributes to the injuries he suffered in the NFL that were masked
11
272. San Diego Chargers: While playing for the San Diego Chargers in the 2014
12
season, named Plaintiff Reggie Walker sprained his left ankle during a game against the Buffalo
13
Bills on September 21, 2014. He did not play the next three games. He did play October 19
14
15 against Kansas City; October 23 against Denver and November 2 against Miami. For each of those
16 games, he was given two Toradol shots (one before the game and one at halftime) by a female
17 doctor so he could play. The week after Miami was a bye and he did not play the next two games
18 after the bye. During that time, he remembers pressure to play; in particular, he remembers head
19
coach Mike McCoy saying at a team meeting that things are not good. We may need to look at
20
other guys if things dont pick up. Mr. Walker felt additional pressure because other linebackers
21
were hurt. He then played in the last games of the season November 30 at Baltimore, December
22
23 7 against New England, December 14 against Denver, December 20 against San Francisco, and
24 December 28 against Kansas City and for each game received a Toradol shot before the game
25 and at halftime from the same female team doctor. Since retiring, Mr. Walker suffers from the
26
injuries described above, which he directly attributes to the injuries he suffered in the NFL that
27
28
1 were masked by the Medications, or the Medications themselves, provided to him by the Clubs for
2 whom he played.
3
While playing for the San Diego Chargers during the 2000 NFL season, named Plaintiff
4
Jeff Graham suffered a break in the transverse process in his back. Mr. Graham testified at his
5
deposition that he missed two games and then was cleared to play the remainder of the season.
6
Mr. Graham further testified that he knew I wasnt ready to play but that the Charger coaches
7
8 pressured him to play by saying Jeff, you know, we dont have anything else so we want you to
9 I mean, can you play, can you play for us, can you suit up and play. Mr. Graham also testified
10 that the only reason he was able to play in those games was because he took prior injections
11
before the game and then I think maybe at halftime may be took some other medication or injection
12
to continue to play. Lastly, Mr. Graham testified that his back did not fully heal until after the
13
season concluded. He was never told of the risks or long term side effects of any of these drugs.
14
15 He now lives in constant pain, which he believes is directly attributable to various injuries suffered
16 during his NFL career that were masked by painkiller injections and numerous drugs.
17 273. San Francisco 49ers: While playing for the San Francisco 49ers during the 2000
18 season, named Plaintiff Cedric Killings received and consumed enormous quantities of pain-
19
numbing and anti-inflammatory medications, including but not limited to Percocet, Vicodin and
20
Toradol, at the 49ers training facility, home stadium and during away games, all of which he
21
received from 49ers team doctors or trainers, including but not limited to trainer Lindsy McLean,
22
23 who failed to provide a prescription when one was necessary; identify the medication by its
24 established name; provide adequate directions for the medications use, including adequate
25 warnings of uses that have potentially dangerous health consequences; or provide the
26
recommended or usual dosage for the medications. The medications were provided to him for the
27
sole purpose of enabling him to practice and play through pain. Mr. Killings now suffers from the
28
1 injuries described above, which he directly attributes to the injuries he suffered in the NFL that
2 were masked by the Medications, or the Medications themselves, provided to him by the Clubs for
3
whom he played.
4
While playing for the San Francisco 49ers during the 1986 season, putative class member Dennis
5
Harrison regularly received Naprosyn, Butazolidin, and Oxycodone, which he consumed, from
6
team trainer Lindsy McLean, who provided no warnings or mention of side effects and for the sole
7
8 purpose of enabling him to practice and play through pain. Mr. Harrison currently suffers from
9 hypertension, hypertensive heart disease, and chronic joint pain, all of which he directly attributes
10 to the injuries he suffered in the NFL that were masked by the Medications, or the Medications
11
themselves, provided to him by the Clubs for whom he played.
12
While playing for the San Francisco 49ers from 1996 to 1998, putative class member
13
Tyrone Smith received anti-inflammatory drugs from team trainer Lindsy McLean and painkiller
14
15 injections from team doctor Robert Millard, who provided no warnings or mention of side effects
16 and for the sole purpose of enabling him to practice and play through pain. Mr. Smith currently
17 suffers from acid reflux and pain in both feet, which he directly attributes to the injuries he suffered
18 in the NFL that were masked by the Medications, or the Medications themselves, provided to him
19
by the Clubs for whom he played.
20
While playing for the San Francisco 49ers during the 1994 season, putative class member
21
here, named Plaintiff in the case of Dent, et al. v. the National Football League, C-14-2324-WHA
22
23 (N.D. Ca. 2014), and Hall of Famer Richard Dent received Depo-Medrol, Prednisone, Motrin,
24 Vicodin, Celestone Soulspan and soluble Decadron, Indocin and Azulfidine, which he took upon
25 receipt, from team trainer Lindsy McLean, who provided no warnings or mention of side effects
26
and for the sole purpose of enabling him to practice and play through pain. Mr. Dent now suffers
27
from an enlarged heart and nerve damage, particularly in his feet, which he directly attributes to
28
1 the injuries he suffered in the NFL that were masked by the Medications, or the Medications
3
While playing for the San Francisco 49ers, Jeremy Newberry, a putative class member here
4
and named Plaintiff in the case of Dent, et al. v. the National Football League, C-14-2324-WHA
5
(N.D. Ca. 2014), received Toradol injections before every game in which he played between
6
October 14, 2001 and September 7, 2003 from team doctor James Klint, save for the September
7
8 22, 2002 game against the Washington Redskins, when he received a Toradol injection from team
9 doctor Barry Bryan. Mr. Newberry was never provided with warnings about, or an explanation
10 of, the side effects of Toradol, which was provided to him prophylactically for the sole purpose of
11
enabling him to practice and play through pain. Mr. Newberry, who is only 40 years old, now
12
suffers from Stage 3 renal failure, high blood pressure and violent headaches for which he cannot
13
take any medications that might further deteriorate his already-weakened kidneys, all of which he
14
15 directly attributes to the injuries he suffered in the NFL that were masked by the Medications, or
16 the Medications themselves, provided to him by the Clubs for whom he played.
17 274. Seattle Seahawks: On November 22, 2003, the night before an away game in
18 Baltimore, Maryland, trainer Ken Smith gave named Plaintiff Jerry Wunsch an Ambien. The next
19
day, before the game, Coach Holmgren asked Mr. Wunsch if he could play, despite excruciating
20
pain down the whole right side of his body, to which Mr. Wunsch replied I cant play, Coach. I
21
cant play today. Its my first game. I just cant do it. Coach Holmgren then called for Sam
22
23 Ramsden, the Seahawks trainer, and asked what can we do to help Mr. Wunsch play today. Mr.
24 Ramsden brought the doctors over, who gave him a 750 mg dose of Vicodin and Tylenol-Codeine
25 # 3, saying they would help, even though Mr. Wunsch was already taking anti-inflammatories as
26
prescribed by his doctors. He played feeling high and after half time, the Medications wore
27
off and he told anyone who would listen that he could not play anymore, but Mr. Ramsden, the
28
1 head trainer, gave him another 750 mg of Vicodin on the field for the second half, telling Mr.
2 Wunsch, dont sue me personally for this. In short, on top of the Indocin he was already taking,
3
Mr. Wunsch was also given 1500 mg of Vicodin and Tylenol-Codeine # 3, within a three hour
4
span, so he could play football. After the game, the team flew back to Seattle and Mr. Wunsch
5
drove home. When he woke up the next morning, he had been so high that he had no memory of
6
the flight or drive home. A friend staying with him, Rob Swaner, told him the next day that the
7
8 previous night Mr. Wunsch had been completely out of it and expressed concerns about Mr.
9 Wunschs ability to drive home in his impaired state. In addition, while playing for the Seahawks
10 from 2002 to 2005, Mr. Wunsch received large quantities of pain-numbing and anti-inflammatory
11
medications, including but not limited to Tylenol-Codeine #3, Percocet, Vicodin, Toradol, Indocin,
12
and Prednisone, at the Seahawks training facility, home stadium and during away games, from
13
Seahawks team doctors and trainers, including trainers Sam Ramsden, Ken Smith and Donald
14
15 Rich, who failed to provide a prescription when one was necessary; identify the medication by its
16 established name; provide adequate directions for the medications use, including adequate
17 warnings of uses that have potentially dangerous health consequences; or provide the
18 recommended or usual dosage for the medications. The medications were provided to him for the
19
sole purpose of enabling him to practice and play through pain. Mr. Wunsch currently suffers
20
from an enlarged liver, a damaged pituitary gland, stomach problems and other endocrine issues.
21
He has no family history of medical problems with any of these organs. He is also in constant pain
22
23 from all of his joints and has shooting nerve pains. Mr. Wunsch once was told by Club doctor,
24 Merrit K. Auld, that he had torn his labrum. The doctor stated that, if he had surgery, his career
25 would be over and recommended that he continue playing and manage the problem with
26
Medications. Mr. Wunsch followed his doctors advice. He also received pills and injections to
27
play through various injuries to his ankles. After the last such injury, Dr. Auld informed him that
28
1 his ankle was so damaged that it could not move properly and that was why he fractured his fifth
2 metatarsal; specifically, Auld said to him that [t]he only reason you fractured the tip of your fifth
3
metatarsal is because your ankle wont bend. He went on to tell Wunsch that he would notify
4
the team your fracture is healed and you will probably be released. Mr. Wunsch was released
5
after the appointment and never played again. Mark Dominic of the Buccaneers asked Mr. Wunsch
6
to become a player/coach and Chris Forester of the Baltimore Ravens asked him to return to be a
7
8 backup but after learning of the injuries informed him that his return would not be possible.
9 Something Mr. Wunsch already knew. Mr. Wunsch directly attributes the foregoing current
10 injuries he suffers to the injuries he suffered in the NFL that were masked by the Medications, or
11
the Medications themselves, provided to him by the Clubs for whom he played.
12
275. Tampa Bay Buccaneers: While playing for the Tampa Bay Buccaneers from 1997
13
to 2001, named Plaintiff Jerry Wunsch received and consumed enormous quantities of pain-
14
15 numbing and anti-inflammatory medications, including but not limited to Tylenol-Codeine #3,
16 Percocet (oxycodone), Vicodin (hydrocodone), Indocin, Vioxx, and muscle relaxers, at the
17 Buccaneers training facility, home stadium and during away games, from team doctors Diaco and
18 Janecki and team trainers Todd Toriscelli and Jim Whalen, who failed to provide a prescription
19
when one was necessary; identify the medication by its established name; provide adequate
20
directions for the medications use, including adequate warnings of uses that have potentially
21
dangerous health consequences; or provide the recommended or usual dosage for the medications.
22
23 The medications were provided to him for the sole purpose of enabling him to practice and play
24 through pain. Mr. Wunsch now suffers from the injuries described above, which he directly
25 attributes to the injuries he suffered in the NFL that were masked by the Medications, or the
26
Medications themselves, provided to him by the Clubs for whom he played.
27
28
1 While playing for the Tampa Bay Buccaneers from 1998 to 2000, putative class member
2 Shevin Smith received Naprosyn, Flexeril, Tylenol 3, Toradol injections, injections of cortisone
3
and other pain killers, Vicodin and Ibuprofen from team doctor Joe Diaco, who provided no
4
warnings or mention of side effects and for the sole purpose of enabling him to practice and play
5
through pain. Mr. Smith currently suffers from chronic joint pain, which he attributes directly to
6
the injuries he suffered in the NFL that were masked by the Medications, or the Medications
7
9 276. Tennessee Titans: While playing for the Tennessee Titans during the 2006 season,
10 named Plaintiff Eric King received muscle relaxers and pain killers on multiple occasions from
11
team trainers Brad Brown and/or Don Moseley, who provided no warnings or mention of side
12
effects and for the sole purpose of enabling him to practice and play through pain.
13
Mr. King testified at his deposition that, while playing for the Tennessee Titans during the
14
15 2007 season, he suffered a broken forearm, hamstring pulls and problems with his knees.
16 Whenever he received one of these injuries during a game, he was given pain medications and
17 anti-inflammatories by team trainers Brad Brown, Don Moseley, Geoff Kaplan, Jason Williams or
18 Jon Takahashi, who told him to get back in the game (and he would).
19
Mr. King further testified at his deposition that, while playing for the Tennessee Titans
20
during the 2008 seasons, he began to have recurring physical problems and began receiving more
21
and more Medications from the team. During either the Ravens or Chiefs game, he re-aggravated
22
23 a forearm injury. Rather than rest or sit out, team trainers Brad Brown, Don Moseley, Geoff
24 Kaplan, Jason Williams and/or Jon Takahashi would give him oral Toradol on a daily basis and
25 pain medications to mask the pain so he would not complain about it to ensure that he would be
26
able to play. At first, Mr. King was receiving multiple vials of 10-30 Toradol pills but, as the
27
season progressed, he began receiving Toradol injections.
28
1 Throughout his time with the Titans, Mr. King was never given warnings or told of side
2 effects of the Medications he was taking. Mr. King now suffers from injuries described herein,
3
which he directly attributes to the injuries he suffered in the NFL that were masked by the
4
Medications, or the Medications themselves, provided to him by the Clubs for whom he played.
5
277. Washington Redskins: While playing for the Washington Redskins from 1996 to
6
1997, named Plaintiff Darryl Ashmore received and consumed enormous quantities of pain-
7
8 numbing and anti-inflammatory medications at the Redskins training facility, home stadium and
9 during away games, all of which he received from Redskins team doctors or trainers, including
10 but not limited to trainer Lamar Bubba Taylor, who failed to provide a prescription when one
11
was necessary; identify the medication by its established name; provide adequate directions for the
12
medications use, including adequate warnings of uses that have potentially dangerous health
13
consequences; or provide the recommended or usual dosage for the medications. The medications
14
15 were provided to him for the sole purpose of enabling him to practice and play through pain. In
16 particular, in November 1997, Mr. Ashmore herniated discs in his back. Three days after
17 sustaining that injury, he was back out playing because of muscle relaxers and pain pills provided
18 to him by Mr. Taylor. Mr. Ashmore now suffers from the injuries described above, which he
19
directly attributes to the injuries he suffered in the NFL that were masked by the Medications, or
20
the Medications themselves, provided to him by the Clubs for whom he played.
21
While playing for the Washington Redskins from 1984 to 1988, putative class member
22
23 Anthony Jones received copious amounts of anti-inflammatory drugs from team trainers Lamar
24 Bubba Taylor and Keoki Kamau and team doctor Robert Collins, who provided no warnings or
25 mention of side effects and for the sole purpose of enabling him to practice and play through pain.
26
Mr. Jones now suffers from pain in his right foot, ankle and big toe and in both knees, headaches,
27
back pain on his left side and high blood pressure, all of which he directly attributes to the injuries
28
1 he suffered in the NFL that were masked by the Medications, or the Medications themselves,
3
V. DEFENDANTS DELIBERATELY CONCEALED THEIR ILLEGAL SCHEME.
4
278. Numerous documents obtained during discovery show how the Clubs and their
5
doctors and trainers concealed their illegal activities for years. Examples include the following:
6
7 In an e-mail dated November 3, 2010, Paul Sparling, the Bengals head trainer,
8 writes to Dean Kleinschmidt, the Lions head trainer, Until the VCML is actually in effect, we
9 will continue to do as we have done for the past 42 years [i.e., travel and distribute controlled
10 substances in violation of federal law]. I sure would love to know who blew up the system that
11
worked all these years. It reminds me of when Charlie (from NFL security) told Marv, George
12
Anderson, Ralph Berlin, etc., that having a bottle with more than one type of medications was co-
13
mingling!
14
15 In an e-mail dated September 9, 2010 from Pepper Burruss, Packers head trainer,
16 to John Norwig, Steelers head trainer, Mr. Burruss states: I expect no immediate guidance from
17 Dr. Brown or Dr. Pellman, other than cover your own behind.
18
In an e-mail dated May 19, 2010 from Rick McKay, Falcons President, to Dr.
19
Pellman, Mr. McKay states: Here is an exchange that I am not happy about this is Jeff Fish
20
trying to get after Scott G. My question is Mary Ann Fleming recommending the replacement of
21
22 our Drs. I need to know is this really true and does she realize the on-site trainer is in control???
24 In an e-mail dated May 5, 2010 from Marty Lauzon to Thomas Dimitroff, Mr.
25
Lauzon states: I did speak with Scott about physicals tomorrow and about our meetings to review
26
our medical procedures and policies. I really think that this is what he was referring to you about,
27
since he brought up to me by saying: How much did you dig, you dont want to dig out old
28
1 skeletons? I mean you cant really prove any abuse by anyone can you? It was interesting to hear
2 him say that, like he knows about things that he hopes I dont find out and would report to
3
you.Thats the feeling I was getting and it would make sense with the comment that he gave you
4
yesterday, about holding information back. He did seem nervous when I told him about the
5
findings of SportsPharm during our own inventory/audit and our discussing with the League
6
benefit director.
7
8 In an e-mail dated August 24, 2009, Bengals head trainer Paul Sparling writes: I
9 trust all is well with your and Gtown. Can you have your office fax a copy of your DEA certificate
10 to me? I need it for my records when the NFL pill counters come to see if we are doing things
11
right. Dont worry, Im pretty good at keeping them off the trail!
12
279. Dr. Chao testified that he asked Dr. Pellman and Dr. Conner to tell the truth about
13
how all Clubs were dispensing Medications in a manner similar to what the Chargers were doing
14
16 280. For example, on January 20, 2011, Damon Mitchell, a Chargers trainer, sent an e-
17 mail to all NFL head trainers in which he stated: The San Diego Chargers are conducting a survey
18
on controlled medications. I am asking if you would complete the attached survey rather than your
19
physician. We feel the ATCs have all of the necessary information to complete it and give us the
20
best response rate so we may analyze the collected data accurately.
21
281. The next day, Mr. Mitchell sent a follow-up e-mail to the same distribution list
22
23 stating: I have been just informed that our medical staff must stop collecting data from the survey.
24 It will be removed from the website effective immediately. For those of you who completed the
26
282. Dr. Chao testified emphatically that Dr. Pellman squelched the survey because,
27
upon information and belief, it would bear out what Dr. Chao told anyone who would listen to him
28
1 that what he was doing with his players was the norm for the League. For example, in an e-mail
2 dated August 4, 2010, Dr. Chao asked Saints head trainer Scottie Patton to provide supporting
3
info that what james [Collins, the Chargers head trainer] and i did [i.e., write prescriptions to
4
themselves and over-medicate players with opioids] were the norm in the nfl community.
5
Apparently Dr. Chao reached out to Mr. Patton because the dea stuff that he and Mr. Collins
6
were going through was nothing that [Mr. Patton] ha[d]nt experienced.
7
8 283. Dr. Chao apparently also reached out to Dr. Pellman (per a July 11, 2010 e-mail he
9 sent Dr. Connor) to see if he would back [Chao] up and say that everyone in the league does it
10 the same way. [Pellman] said that he would not do that as he doesnt know for a fact how [Chao]
11
do[es] it. (This is after [Pellman] agreed that we all do it this way). In responding to Dr. Pellmans
12
forwarding of that e-mail, Dr. Connor stated that he sent an intentionally vague e-mail to the
13
NFLPS executive committee that stated in relevant part that The League is in the process of hiring
14
15 an attorney to keep us all out of hot water. Dr. Connor then forwarded that exchange to Dr.
16 Pellman to keep him in the loop and explaining that he would obviously need to avoid [Dr.
24 285. The top recommendation of that study was as follows: The current arrangement in
25 which club (i.e., team) medical staff, including doctors, athletic trainers, and others, have
26
responsibilities both to players and to the club presents an inherent conflict of interest. To address
27
this problem and help ensure that players receive medical care that is as free from conflict as
28
2 needed. Player care and treatment should be provided by one set of medical professionals
3
appointed by a joint committee with representation from the NFL and NFLPA, and evaluation of
4
players for business purposes should be done by separate medical personnel.
5
286. Indeed, the conflict is written into physicians agreements with their teams. For
6
example, Dr. Rettigs most recent contract with the Colts states in relevant part that he shall also
7
8 be responsible for communicating with each member of the [Colts] Medical Team and advising
9 the General Manager, the Head Coach and the Head Athletic Trainer of the Medical Team
10 members recommendations and suggested course of action [regarding players]. Rettig shall also
11
keep the General Manager, the Head Coach, trainers and Club management informed of medical
12
matters involving Club players in a timely fashion. When asked at his deposition whether, with
13
regard to his non-NFL patients, he ever kept third parties informed as to their medical matters, he
14
15 responded that he did so only for minors and persons with mental issues that rendered them unfit
17 287. And folks around the NFL have known this for years. Gay Culverhouse, who was
18 president of the Tampa Bay Buccaneers from 1991 to 1994, testified at a Congressional hearing in
19
2009 on football head injuries that the Committee needed to understand very clearly that the
20
[Club] doctor is hired by the coach and paid by the front office. This team doctor is not a medical
21
advocate for the players. This team doctors role is to get that player back on the field, even if that
22
23 means injecting the player on the field. I have seen a wall of players surround a player, a particular
24 player, and seen his knees injected, seen his hip injected between plays and him back on the field.
25 This is inexcusable.
26
288. The inherent conflict got so bad that, prior to at least 2004, doctors were paying
27
certain clubs to serve as their club doctor, though upon information and belief that no longer
28
1 occurs. In that year, Commissioner Paul Tagliabue, in a September 7, 2004 letter to All Chief
3
CLASS ACTION ALLEGATIONS
4
289. Plaintiffs adopt by reference all allegations contained in the paragraphs above, as if
5
fully set forth herein.
6
290. Plaintiffs bring this action on behalf of themselves and all other similarly-situated
7
8 individuals pursuant to Fed. R. Civ. P. 23, consisting of all Players, which for class purposes shall
9 mean anyone listed on one of the Clubs rosters from the point in a season where a final roster
10 decision is announced (for the 2016 season, this would have been when the 53 man roster was
11
announced on September 3, 2016) through the completion of that season, who received
12
Medications, which for class purposes shall mean any drug ever listed as a controlled substance,
13
Naprosyn, Indocin, Vioxx, Prednisone, and Toradol, from a Club and excluding Defendants, their
14
16 291. The Class contains a sufficiently large number of persons that joining all of their
17 claims is impractical. Named Plaintiffs are but a few of the approximately 17,000 retired NFL
18 players, most if not all of who are within the Class definitions, and over 1,400 retired NFL players
19
who have signed Retention Agreements with undersigned counsel.
20
292. Numerous common questions of law and fact exist. They include, for example:
21
Did Defendants conspire or otherwise agree, expressly or tacitly, to engage in
22
the illegal procurement, storage, and/or administration of, and secrecy
23 concerning, the Medications identified herein?
24
Did Defendants provide or administer Medications to the Class Members as
25 described above?
26
Did Defendants intentionally provide or administer Medications to the Class
27 Members as described above?
28
1
Did Defendants violate the Controlled Substances Acts requirements
2 governing acquisition of controlled substances?
3
8 Did Defendants violate the Food and Drug Acts requirements governing
distribution of prescribed medications?
9
10
Did the provision or administration of Medications to Class Members, as
11 described above, violate state pharmaceutical laws regulating the acquisition,
storage and dispensing of Medications?
12
13 Did the Class Members provide informed consent authorizing the provision or
administration of Medications?
14
23
Did the Defendants provision or administration of Medications as described
24 above increase Class Members risk of developing physical and mental health
problems, injuries, disabilities, limitations and other problems in the future?
25
1
293. Plaintiffs and their claims are typical of the absent Class Members and their claims.
2
Plaintiffs have the same incentives as the absent Class Members in this case, ensuring the proper
3
4 representation of and advocacy for the absent Class Members interests. Plaintiffs claims arise
5 from the same wrongful conduct the Defendants engaged in toward the absent Class Members.
6 294. Plaintiffs will adequately represent the Class Members. Plaintiffs have no conflicts
7
of interest with the absent Class Members who Plaintiffs seek to represent. To the contrary,
8
Plaintiffs interests are fully aligned with the absent Class Members interests in this action, in
9
seeking redress for the Clubs common wrongful conduct to both Plaintiffs and absent Class
10
11 Members. Plaintiffs will fairly and adequately protect the interests of the absent Class Members.
12 295. Plaintiffs counsel will properly and vigorously represent the Class Members.
13 Plaintiffs counsel have no conflicts of interest with the Plaintiffs and Class Members. Plaintiffs
14 counsel are experienced trial lawyers and litigators, with substantial experience in complex and
15
class action litigation. Reflecting their commitment to this case and the protection of the absent
16
Class Members, Plaintiffs counsel have invested a great deal of time, money, legal research and
17
factual investigative effort in developing and understanding the facts set forth in this Complaint
18
19 and analyzing the best expression of those facts in legal theories and causes of action. Further
21 requirements, Plaintiffs counsel have met with and received signed Retainer Agreements from
22
over 1,400 Class Members.
23
296. The members of the Class are readily ascertainable and identifiable from reference
24
to existing, objective criteria that are administratively practical, including records maintained by
25
Defendants. Defendants have and maintain records reflecting the names of all of the Clubs
26
27 players, their games played, injuries sustained, medical and injury reports on the Class Members
28
1 and certain reports and records of the provision of medical, pharmacological, and other therapeutic
3
297. Common questions, such as those listed above, predominate over any questions
4
affecting only individual members. As described above, and in light of the Defendants common
5
misconduct toward all of the Class Members, the Class is sufficiently cohesive to warrant class
6
treatment. Plaintiffs, on behalf of the Class, allege a common body of operative facts and common
7
8 legal claims relevant to each Class Members condition and claims. Moreover, if necessary, Due
9 Process compliant trial plans can be developed, at the appropriate time, to ensure the most efficient,
11
298. A class action here is superior to other adjudicatory methods possibly available for
12
resolving the Classs claim. First, Defendants are a $9 billion business annually and continuously
13
growing, with virtually limitless resources to litigate against individual plaintiffs who have
14
15 nowhere near the financial and legal firepower that Defendants can immediately muster. Second,
16 those vast financial and economic resource disparities between individual Class Members and
17 Defendants mean that many, if not most, of the claims of individual Class Members would languish
18 un-redressed absent class action treatment. Third, the Class Members have not expressed interest
19
in individually controlling the prosecution of separate actions. Judicial economy, economic
20
efficiency, and the goal of avoiding inconsistent rulings and conflicting adjudications reflect the
21
desirability of concentrating the litigation of the claims in this Complaint in the single forum this
22
23 Court provides. With an appropriate trial plan, adjudicating the claims of the clearly defined Class
25 299. This action is properly maintainable as a class action under Fed. R. Civ. P. 23(b)(3).
26
As described above, Defendants have acted or refused to act on grounds generally applicable to
27
the Class such that questions of law or fact common to the Class predominate over any questions
28
1 affecting only individual members, making a class action superior to other available methods for
3
300. This action is also properly maintainable as a class action under Fed. R. Civ. P.
4
23(c)(4) in light of the nature and extent of the predominant common particular issues, exemplified
5
in the common questions set forth above, generated by Defendants consistent agreement, and
6
consequent consistent policy, of promoting and facilitating the use of the Medications.
7
8 CAUSES OF ACTION
15 Class Members as documented herein about the Medications that they provided.
16 303. The Clubs continuously and systematically misrepresented the increased risk of
18 304. The Clubs continuously and systematically misrepresented to the Class Members
19
the dangers of playing while the pain of injuries was masked by the Medications, including the
20
risk of further and permanent damage to affected body parts.
21
305. The Clubs misrepresented material facts, extremely important to understanding the
22
24 306. The Clubs knew that the representations were false or made the representations with
25 such reckless disregard for the truth that knowledge of the falsity of the statement can be imputed
26
to the Clubs.
27
28
1 307. The Clubs intended to deceive the Class Members through their knowing and
2 intentional misrepresentations.
3
308. The Clubs knew that Class Members would rely on what they said about the
4
Medications that kept the Class Members on the field.
5
309. The Class Members reasonably relied on what the Clubs did say here you go,
6
7 take this and get out there. That message did not include: disclosure of the numerous and serious
8 risks associated with the Medications; the need for informed consent; the need for independent
9 medical evaluation, diagnoses and prescription; the need for monitoring for toxicity, potentially
10
serious or even fatal drug interactions; and any recognition of, let alone adherence to, limitations
11
on frequency and duration of the Class Members exposure to these Medications.
12
310. The Class Members reasonably believed the Clubs were taking their best interests
13
into consideration when they provided and administered Medications.
14
15 311. The atmosphere of trust inherent in locker rooms, in which players become friendly
16 with their Clubs medical and training staffs, inured the Class Members to any suspicion that the
18
312. The Class Members reasonably believed the Clubs would not act illegally and, in
19
doing so, injure the Class Members and put them at risk of substantial and continuing future
20
injuries.
21
22 313. The Class Members were in fact deceived by the Clubs misrepresentations, and
24 314. The Clubs are liable for their intentional misrepresentations to the Class Members.
25 315. The Clubs intentional misrepresentations were a cause in fact of the Class
26
Members damages, injuries and losses, both economic and otherwise, alleged in this Complaint.
27
28
1 316. The Clubs intentional misrepresentations proximately caused the Class Members
2 damages, injuries and losses, both economic and otherwise, alleged in this Complaint, all of which
3
are ongoing and will continue for the foreseeable future.
4
317. The Class Members suffered damages and losses factually and proximately caused
5
by their reasonable and justifiable reliance on the Clubs intentional misrepresentations and
6
omissions about the Medications.
7
8 318. The Clubs are liable to the Class Members for all categories of damages, in the
15 exceeding recommended dosages; and for periods far longer than recommended treatment
16 intervals.
23 symptoms are readily explained away as old age or caused by some other factor independent of
28
1 323. Defendants had superior knowledge to that of the Class Members concerning the
2 current use, and latent injuries, associated with the provision and administration of the Medications
3
to the Class Members.
4
324. Despite that knowledge, Defendants systematically misrepresented to the Class
5
Members that Defendants administration of the Medications would have no adverse impact on
6
their health or concealed the scope of injuries from which the Class Members might suffer.
7
8 325. The Class Members latent injuries, and substantially increased risks of developing
9 physical maladies later in their lives, necessitate specialized medical investigation, monitoring,
10 testing and treatment not generally required by or given to the public at large.
11
326. The testing and medical monitoring regime required for the Class Members is
12
specific to their experience with the Clubs provision and administration of the Medications.
13
327. Persons not exposed to the Medications that the Clubs provided and administered
14
15 to the Class Members would not require a testing and medical monitoring regime like that
17 328. The testing and medical monitoring regime will include baseline testing of each
18 Class Member, with diagnostic examinations, to determine whether the Class Member is currently
19
suffering from any of the physical injuries associated with the Medications.
20
329. This testing and medical monitoring regime will also include evaluations of the
21
non-currently symptomatic Class Members to determine whether, and, if so, by how much, they
22
23 are at increased risk for developing the injuries at issue in the future.
24 330. This testing and medical monitoring regime will help to prevent, or mitigate, the
25 numerous adverse health effects the Class Members suffered and will suffer from Defendants
26
provision and administration of the Medications.
27
28
2 observations support the efficacy of the testing and medical monitoring regime the Class Members
3
require.
4
332. Testing and monitoring the Class Members will help prevent or mitigate the
5
development of the injuries at issue.
6
333. Testing and monitoring the Class Members will help to ensure that they do not go
7
8 without adequate treatment that could either prevent, or mitigate, the occurrence of the injuries at
9 issue.
15 to reduce the degree or slow the progression of such Medication-caused problems, and otherwise
17 335. This testing and medical monitoring program should include a trust fund, under the
18 supervision of the Court or Court-appointed Special Master who makes regular reports to the Court
19
about the fund.
20
336. This trust fund is required to pay for the testing and medical monitoring and
21
treatment the Class Members require as a matter of sound medical practice, regardless of the
22
24 337. Plaintiffs have no adequate legal remedy with regard to the latent injuries described
25 herein. Money damages are by themselves insufficient to compensate the Plaintiffs and Class
26
Members for the continuing risks associated with such injuries.
27
28
1 338. Absent the testing and medical monitoring program described in the preceding
2 paragraphs, the Plaintiffs will remain unprotected against the continuing risk, created by
3
Defendants misconduct, of subsequent development and manifestation of physical injuries that
4
are now latent.
5
COUNT II CONCEALMENT
6
(All Plaintiffs Against All Defendants)
7
8 339. Plaintiffs adopt by reference all allegations contained in the paragraphs above, as if
10 340. The Clubs continuously and systematically failed to provide Class Members with
11
prescriptions, as illustrated by examples provided herein.
12
341. The Clubs continuously and systematically failed to identify Medications they
13
provided to Class Members by their established name, as illustrated by examples provided herein.
14
15 342. The Clubs continuously and systematically failed to provide adequate directions for
16 the use of Medications they provided the Class Members, as illustrated by examples provided
17 herein.
18 343. The Clubs continuously and systematically failed to include adequate warnings of
19
uses of the Medications they provided the Class Members that have potentially dangerous health
20
consequences, as illustrated by examples provided herein.
21
344. The Clubs continuously and systematically failed to provide the recommended or
22
23 usual dosage for the Medications they provided the Class Members, as illustrated by examples
24 provided herein.
25 345. The foregoing omissions relate to material facts that the Clubs were required to
26
provide to the Class Members under federal and state law as detailed herein.
27
28
1 346. The Clubs intended to deceive the Class Members through their intentional
2 omissions.
3
347. The Clubs know that, had they made these disclosures to the Class Members, the
4
Class Members would not have ingested Medications in the manner described herein.
5
348. The Class Members reasonably believed the Clubs were taking their best interests
6
into consideration when they provided and administered Medications.
7
8 349. The atmosphere of trust inherent in locker rooms, in which players become friendly
9 with their Clubs medical and training staffs, inured the Class Members to any suspicion that the
11
350. The Class Members reasonably believed the Clubs would not act illegally and, in
12
doing so, injure the Class Members and put them at risk of substantial and continuing future
13
injuries.
14
15 351. The Class Members were in fact deceived by the Clubs intentional omissions, and
17 352. The Clubs are liable for their omissions to the Class Members.
18 353. The Clubs omissions were a cause in fact of the Class Members damages, injuries
19
and losses, both economic and otherwise, alleged in this Complaint.
20
354. The Clubs omissions proximately caused the Class Members damages, injuries
21
and losses, both economic and otherwise, alleged in this Complaint, all of which are ongoing and
22
24 355. The Class Members suffered damages and losses factually and proximately caused
25 by their reasonable and justifiable reliance on the Clubs omissions relating to the Medications.
26
356. As a result of the foregoing uniform, agreement-based omissions, Plaintiffs and the
27
Class Members ingested vast amounts of Medications during their NFL careers that they otherwise
28
1 would not have, all of which occurred without proper medical diagnosis, supervision and
2 monitoring; in quantities exceeding recommended dosages; and for periods far longer than
3
recommended treatment intervals.
4
357. As a result of Defendants provision and administration of Medications, the Class
5
Members are currently suffering from, or at a substantially-increased risk of developing, physical
6
and/or internal injuries resulting from the provision and administration of the Medications.
7
8 358. Such injuries, and the substantially-increased risks thereof, are latent injuries. They
9 develop over time, often undetected at first because the absence, paucity or modest nature of early
10 symptoms are readily explained away as old age or caused by some other factor independent of
11
Defendants provision and administration of Medications.
12
359. Such latent injuries include, without limitation, musculoskeletal deterioration,
13
arthritic and osteoarthritic progression, and damage to internal organs.
14
15 360. Defendants had superior knowledge to that of the Class Members concerning the
16 current use, and latent injuries, associated with the provision and administration of the Medications
23 physical maladies later in their lives, necessitate specialized medical investigation, monitoring,
24 testing and treatment not generally required by or given to the public at large.
25 363. The testing and medical monitoring regime required for the Class Members is
26
specific to their experience with the Clubs provision and administration of the Medications.
27
28
1 364. Persons not exposed to the Medications that the Clubs provided and administered
2 to the Class Members would not require a testing and medical monitoring regime like that
3
necessary to protect the Class Members.
4
365. The testing and medical monitoring regime will include baseline testing of each
5
Class Member, with diagnostic examinations, to determine whether the Class Member is currently
6
suffering from any of the physical injuries associated with the Medications.
7
8 366. This testing and medical monitoring regime will also include evaluations of the
9 non-currently symptomatic Class Members to determine whether, and, if so, by how much, they
10 are at increased risk for developing the injuries at issue in the future.
11
367. This testing and medical monitoring regime will help to prevent, or mitigate, the
12
numerous adverse health effects the Class Members suffered and will suffer from Defendants
13
provision and administration of the Medications.
14
16 observations support the efficacy of the testing and medical monitoring regime the Class Members
17 require.
18 369. Testing and monitoring the Class Members will help prevent or mitigate the
19
development of the injuries at issue.
20
370. Testing and monitoring the Class Members will help to ensure that they do not go
21
without adequate treatment that could either prevent, or mitigate, the occurrence of the injuries at
22
23 issue.
26
funded testing and medical monitoring program to help prevent the occurrence of Medication-
27
caused injuries and disabilities, to help ensure the prompt diagnosis and early treatment necessary
28
1 to reduce the degree or slow the progression of such Medication-caused problems, and otherwise
3
372. This testing and medical monitoring program should include a trust fund, under the
4
supervision of the Court or Court-appointed Special Master who makes regular reports to the Court
5
about the fund.
6
373. This trust fund is required to pay for the testing and medical monitoring and
7
8 treatment the Class Members require as a matter of sound medical practice, regardless of the
10 374. Plaintiffs have no adequate legal remedy with regard to the latent injuries described
11
herein. Money damages are by themselves insufficient to compensate the Plaintiffs and Class
12
Members for the continuing risks associated with such injuries.
13
375. Absent the testing and medical monitoring program described in the preceding
14
15 paragraphs, the Plaintiffs will remain unprotected against the continuing risk, created by
28
5
/s/ William N. Sinclair
6 William N. Sinclair
24
25
26
27
28
CERTIFICATE OF SERVICE
I am employed in the City of Baltimore, State of Maryland. I am over the age of 18 and
not a party to the within action; my business address is 201 N. Charles St., Suite 2600,
Baltimore, MD 21201 and my email address is [email protected].
On February 22, 2017, I caused to be served the following documents described as:
Gregg Levy
[email protected]
Benjamin Block
[email protected]
Sonya Winner
[email protected]
Rebecca Jacobs
[email protected]
Laura Wu
[email protected]
Allen Ruby
[email protected]
Jack DiCanio
[email protected]
Daniel Nash
[email protected]
Stacey Eisenstein
[email protected]
Jodi Avergun
[email protected]
by:
(BY EMAIL) I am readily familiar with the firms practice of email transmission; on this
date, I caused the above-referenced document(s) to be transmitted by email and that the
transmission was reported as complete and without error.
(BY MAIL) I am readily familiar with the firms practice for the collection and
processing of correspondence for mailing with the United States Postal Service and the fact that
the correspondence would be deposited with the United States Postal Service that same day in
the ordinary course of business; on this date, the above-referenced correspondence was placed
for deposit at Baltimore, Maryland and placed for collection and mailing following ordinary
business practices.
(BY FEDERAL EXPRESS) I am readily familiar with the firms practice for the daily
collection and processing of correspondence for deliveries with the Federal Express delivery
service and the fact that the correspondence would be deposited with Federal Express that same
day in the ordinary course of business; on this date, the above-referenced document was placed
for deposit at Baltimore, Maryland and placed for collection and overnight delivery following
ordinary business practices.
I declare under penalty of perjury under the laws of the State of Maryland that the above
is true and correct.
/s
Bill Sinclair