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HARRJSBURG ORTHOPAEDIC ASSOCIATES, p,c.
2800 GREEN STREET
HARRISBURG. PENNSYLVANIA 171lC
Phone (717) 23+5976
-
32 NORTHEAST ORNE
SUITE 201
HERSHEY. PENNSYLVANIA 17033
Phone (717) 533-2348
Practice Limited To Orthopaedic Surgery
February 3, 1997
JOHN S. RKHAK. M.D.
TED B. ESHBACH. M.D.
BALINT B.\lOG. M.D.
ERNEST R. RUBBO. M.D.
ROBERT J. MAURER. M,D.
FJlANK l. ~IORNER, P,A.-C.
- Rttirtd -
Clwmpc C. Poo'. M.D.
119S1.1~8~)
Wil"',J H, 1.0... MD
11966.19831
s.m",' f. Am""'. M. D.
(I971.199lJ
..Rubinate, Jacobs, and Saba
'Donald R. .Dorer, Esquire
214 Sel1at~ ~venue
suite 503
Camp Hill, PA i70ll
RE: Maney J. Gramm Wacker
Dear Atton1e,'Oorer:
This is a 51-yeat'-old white female who was involved in an auto-
'mobile accident August 17, 1994. In that accident, she was
.. ".rear-::end<3d '.and. -apparently sustained a' whiplash type il1j ury. She
'.states 'Ltrere ..was' ,'about $3,OOOI~orth 'of damage to jler Cl1r, but
,.the',.car'."was' no\;. toJ:alled.;,:She states.that she did;not se'3'the
"',damage..tc.the'car; it.was'returned to her repaired. - "
She was restrained in the accident and noted a substantial
ecchymosis to the left shoulder from the shoulder belt. Her
vehicle was stationery. She states that she struck the steering
wheel ,and developed mild but diffuse numbness in her entire body
following the injury. That apparently quickly subsided and over
the next several days she had pain and paresthesias in the right
arm.
She has had increasing pain and weakness in the right arm sine.
the injur.J'. The symptoms have grown more severe over the past
several months prompting her to return to her, treating neuro-
sllrgeon in Philadelphia. That was Dr. Steven Whiteneck. Or.
Whitenli'd~ examined her in 1995 and more recently. He advised
decompres~ion of the ulnar nerve at the elbow and pending the
outcome of that surgery, possible brachioplexus decompression as
well.
She has also seen at least half a dozen other physicians and
medical specialists. She had cervical spins xrays in 1994 but
none since. She has had several previous electrodiagnostic
studies, the most recAnt one, I have available to.. nl.tiew ,i.s'
O.;tober 19, 1995. .' " ~.,:"
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RUbinate, Jacoba & Saba
REI NiJn,~,' J. GnllnOl lIi\cklOll'
February 3, 1991
Page 'J'wo
~Is. 'OrBlr.',1 also, apparently ,had an M!U study of ,the cervi.;"l opine
which waH ul1l:emill'kable,' She. denies any previous significant. in-
juries to her neck or.eithor upper extremity. 'She has no com-
plaints .i!ll t.he'left upper extl'l.lmity today, She is still world.ng
,liD a bfl,wt:iclan but has diff,i..,ull;,y manipulating l:h~ tOCJln of. her
trade. She denies back pain or leg pain.
Her past medical history is unremarkable. She denies hyperten-
sion, diabetes, liver, kidney, known thyroid disease. She is on
no medications and reports no allergies. She is a nonsmoker.
For the past three weeks she has been having cervical manipu-
lations by a chiropractor which provides no 'significant relief,
She states that: the pain and paresthesias are worse at night and
awaken her from sleep.
011 .physit:al e:~am, this is an endomorphic plea!lant whH&female
who is'coQperative and in no acute distress. She 'has age appro-
pr.iate Tango1 of motJ.oll of hAr l1el~k, her loft'sh<1ulder, both
elbows, . wrists 1111d 'il11 digits, \;here is 110 deformity ,1r atrophy
in 'the left upper. extremity. Ilowever,in the ril]ht. upper ex-
tremity, there is barely perceptible atrophy of the right.
ulnarly innervated intrinsic muscles.
There is mild atrophy of the first dorsal interosseous and of
the hypot!lenar eminence compared to the left. She also had mild
functional weakness of the left ulnar innervated intrinsic with
inability to forcefully adduct the small to the ring finger.
Abduction of the index finger is also slightly weak on the right
compared to the .left. Th'JlIlb motion IInd str.ength is uninhHd.ted.
There is no atrophy of the forearm muscles or shoulder girdle
muscles,
She has mildly positive right tension maneuver with paresthesias
in the mt;!clian and ulnar nerve in the right upper extremit}'. She
has a pOGitive hyperabduction maneuver and Addison's maneuver on
the rig!! L, negative on the left.. She has a posit.ive Tinel' s
over the brachioplexus and supraclavicular fossa, negative in
the infraclavicular fossa. She has a positive Tinel's over the
median and ulnar nerves proximal to the right elbow and over the
Qntecubital fossa and distally all the way to the right wrist.
, .
RUbinato, Ja~obs & Saba
RE: t1ancj" J. Gramm Hackel'
f'ebruary 3, 1997
Page Tlu'E'~
,She ha~ no signs of volar or dlJrsal stenosillg tenosynovit.is on
the right <:Inti her Allen's test is negat.ive. ,There is no 'I/rist,
elbow, : or shoulder instability. ,She has negative impingement
Gign 011 the right,
All. of the ~xams on the left upper extremity is normal. I re-
viewed her pl~in x-rays from 1994 and note no significant degen-
erative changes, My impression is mild to moderate median and
ulnar neuritis in the right upper extremity. This may involve
neuritis of the cervical C6 through Tl. There may be encrapment
and irritation at the thoracic outlet area as well as at the
right elbow involving both the cubital tunnel which is ulnar
nerve entrapment at the elbow as well as the pronator interval
which is median nerve entrapment at the right elbow.
I .rel/ie'l/ her nerve conduction studies which ,seem to collaborate
with imprm,;,;l<1l1. 'l'here is definitive ulnar ner.ve conduction
slowing at ,the right elbow. Hy recommendation is updated diag-
nostic ,studies. Repeat cervical spine films and a repeat EMG
and Ilerve conduction study both the median and ulnar nerve of
the righ~ elbow and wrist.
Conservative treatment may involve a brace for the right elbow
and wrist. The right elbow brace'should be worn at night. Ad-
ditionally of course of nonsteroidal medication combined with
oral steroid medications may be appropriate. Finally, local
steroid nerve block could be provided at the right wrist at both
the median and ulnar nerve distributions. These diagnostic and
therapeut, io intervent ion ma~' 'prov ide long term r~ltef v.nd help
to localize the moo\; significant area of involvement.
She had none of these symptoms prior to the auto accident and
therefore, I believe there is causal relationship.
RJM:da
,u.f)
Rohert J. Maurer, M.D.
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NANCY J, GRAMM,
Plaintiff
#4
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
V.
ERIC C. CHANDLER,
Defendant
NO. 96-1399 CIVIL TERM
PRETRIAL. CONFERENCE
At a pretrial conference held June 18, 1997, before
Edgar B. Bayley, Judge, present for the plaintiff was Ronald M.
Graham, Esquire, and for the defendant, Donald R. Dorer,
Esquire.
Defendant, Eric C. Chandler, rearended plaint! ff,
Nancy J. Gramm, in an automobile accident on August 17, 1994.
Liability is admitted. Plaintiff maintains that as a result
of the accident she has suffered acute neck pain, persistent
headaches, thoracic outlet syndrome, and right ulnar nerve
neuropathy. Causation is not at issue. Plaintiff recently
underwent surgery for her tharacic injury on May 23, 1997. A
deposition of the surgeon, Stephen Whitenack of Philadelphia, is
scheduled for June 25. Plaintiff represents that the results of
this surgery will determine whether she needs additional surgery
for the ulnar nerve neuropathy. Defendant requests a
continuance to allow time to evaluate the results of the current
surgery on one of the major issues of the case which is whether
plaintiff will have any continuing work loss or loss of earning
capacity. Since the deposition of Dr. Whitenack will not be
held until June 25, which is less than two weeks from the
commencement of this trial term on July 7, plaintiff's motion
for 0 continuance is granted, The case may be relisted by
fr. 11') ':.-
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d, failure to maintain control of his vehicle so as to
insure his ability to stop within his assured clear distance;
e, disregarding the rights, safety, point and position of
other vehicles on the road, including Plaintiff Nancy J. Gramm, and/or
f. failure to stop in time to avoid a collision with the
motor vehicle operated by Plaintiff Nancy J. Gramm,
8. As a direct and proximate result of Defendant Eric C.
Chandler's negligence and carelessness, and not due to any act or
failure to act on the part of Plaintiff Nancy J. Gramm, said Plaintiff
suffered great pain and suffering, traumatic anxiety, depression, shock
to her nervous system, and other injuries, some or all of which may be
permanent, including, but not limited to: severe neck pain; radiation of
neck pain into right shoulder and anterior right upper arm; pain and
numbness in right arm and hand; thoracic outlet syndrome; right ulnar
nerve neuropathy; right median axillary/supraclavicular/cervical SEP
abnormalities consistent with diffuse cord/trunk lesion (incomplete
conduction block) of right brachial plexus; and/or denervation,
reinnervation and significant impairment in the maximum
contraction/recruitment patterns of the right ulnar innervated hand and
forearm muscles.
9. As a direct and proximate result of Defendant Eric C.
Chandler's negligence and carelessness, Plaintiff Nancy J. Gramm has
been and may continue to be in the future unable to attend to her usual
habits, customs, vocation, and enjoyment of life.
10. As a direct and proximate result of Defendant Eric C.
Chandler's negligence and carelessness, Plaintiff Nancy J. Gramm has
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been in the past and may continue to be in the future required to
undergo medical treatments and procedures.
11. As a direct and proximate result of Defendant Eric C.
Chandler's negligence and carelessness, Plaintiff Nancy J. Gramm has
been in the past and may continue to be in the future required to spend
great sums of money for medical treatments and procedures as a result of
her injuries.
12. As a direct and proximate result of Defendant Eric C.
Chandler's negligence and carelessness, Plaintiff Nancy J. Gramm has
been unable to engage in her occupation and therefore has in the past
and may in the future continue to suffer a loss of income and/or loss of
earning capacity.
13. Plaintiff Nancy J. Gramm may recover damages under the full
tort option provided by the Motor Vehicle Financial Responsibility Law,
Title 75 Pa. C.S.A. S 1705 et. seq.
WHEREFORE, Plaintiff Nancy J. Gramm hereby demands judgment in her
favor and against Defendant Eric C. Chandler in an amount which exceeds
the jurisdictional amount requiring arbitration referral by local rule.
COUNT II - NEGLIGENT ENTRUSTMENT
NANCY J. GRAMM V. VERNON E. CHANDLER, JR.
14. Paragraphs 1 through 13 of this Complaint are incorporated
herein by reference as if set forth at length.
15. Said automobile driven by Defendant Eric C. Chandler was owned
by Defendant Vernon E. Chandler, Jr..
16. Defendant Eric C. Chandler was operating said vehicle at the
said time and place and within the scope of the consent of Defendant
Vernon E. Chandler, Jr..
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coaCRIII, GJL~, ROSATO' HAUla, P.C.
BY' ROalLD K. GaAKAN, 18QUIRI
Attorney I.D. 64483
The Commons at Valley Forge
Suite Seven, P.O. Box 987-23
Valley Forge, Pennsylvania 19482
(610) 933-3333
NANCY J. GRAMM
105 Hawk Court
Mechanicsburg, PA 17055
COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PA.
Attorney for Plaintiff(s)
vs
NO. (i (. 1391 0, n: (J, (~~
CIVIL ACTION - LAW
ERIC C. CHANDLER
2835 Sunset Drive
Camp Hill, PA 17011
and
VERNON E. CHANDLER,
2835 Sunset Drive
camp Hill, PA 17011
JR.
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II matter pursuant to Cumberland County Rules.
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JURY TRIAL DEMANDED
PalIC!PI ~OR INTRY O~ APPIARANCI
TO THI PROTHOIIOTARY I
Please enter my appearance for Plaintiff(s) in the above-captioned
levi jlL
Ronald t G*avam,' Esqu"!re-~
Attorney I.D. 64483
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CBRTIrICATB or BBRVICB
('; /,
I HEREBY CERTIFY that on this /.' day of April, 1996, a true and
correct copy of PUIIITIrr NJUlCY J. GRAJDI'B RIlPLY TO DllrIlNDlUITB' liD
MATTIlR was mailed first class, postage prepaid to the following counsel
of record:
Donald R. Dorer, Esquire
LAW OFFICES OF DONALD R. DORER
3907 Hartzdale Drive
Suite 706
Camp Hill, Pennsylvania 17011
CORCHIN, GRAHAM, ROBATO I MAUBR, P.C.
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Ronald raha , Esqu re
Attorney I,D. 64483
The Commons at Valley Forge
Suite Seven, P.o. Box 987-23
Valley Forge, Pennsylvania 19482
(610) 933-3333
Attorney for Plaintiff
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(Must be typewritten and submitted In duplleate.)
TO TIlE PR01HONOfARY OF CUMBERLAND COUNTY:
Please list the following case (check one):
( x) for JURY trial at the next tenn of civil court.
( ) for trial without a jury,
vs,
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(Check Ono) , -.J ."
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( ) Assumpsit 'J .1.7'1
I 112)
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) Trespass r. :{~
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( x) Trespass (Motor Vehicle) ;~? ,m
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(Plaintiff) I~ -<;
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(Othu)
CAPIlON OF CASE:
(Entire Caption Must Be Slated In Full)
Nancy J. Gramm,
Brie C. Chandler and Vernon B. Chandler, Jr.,
(Defendants)
Tho lriallist will be called on Juno 10. 1997
Trials commenco on July 7. 1997
Pre.trials will be hold on June 18. 1997
(Bri.r. .... dUI 5 day. bawnI p,.tria...)
(Th. plrty UIlina thi. c... for triai 1Ib.1I provide tOnhwatb . copy 01 lb.
pnecipllO.1I c:ouftHl, PUrlUlnI to local Rul. 21....1.)
No.
96-1399
Civil
19 96
Indicate the attorney who will try case for the party who files this praecipe: Donald R. Dorer. Esql1ire. Attorney
(or Defendants. 214 Senate Avenue. Suile 503. Camp Hill. Pennsylvania. 17011: om 731-0988.
Indicale tria1 counsel for other parties if known: Ronald M. Graham. Esquire. Attorney for Plaintiff. Corchin.
Graham. RoDto &. Mauer. P.C.. The Commons at Valley FOJ:&e. Suite Sevel/. P.O. Box 987.23. Valley FOlie.
Pennsylvania. 19482: (610) 933-3333.
This case is ready for trial.
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Signed: Q / L ./ ..
Print Na~ Donald R. Dorer. Esql1ire
Altorney for: Defendants
Date: April 7. 1997
.
960046
LAW OmCES OF RUBINATE, JACOBS" SABA
214 Senate Avenue, Suite 503
Camp HlII, PA 17011
Telephone Number: (717) 731-0988
Attorneys for nefendant, Eric C. Chandler
NANCY J. GRAMM, PLAJNTlFF
IN THE COURT OF COMMON PLEAS
ClJI\fBERLAND COllNT\', PENNSYLVANIA
VS.
No. 96-1399 CIVIL TERM
ERIC C. CHANDLER,
DEFENDANT
CIVIL ArnON - LAw
JURV TRIAL DEMANDED
CERTIFICATE OF SERVICE
Donald R. Dorer, Esquire, hereby certifies that he is the attorney for the Defendant
herein, and that he caused a true and correct copy of the attached Praecipe For Listins
Case For Trial to be served b, regular first class mail upon:
Ronald M. Graham, Esquire
Corchin, Graham, Rosato & Mauer, P,C,
The Commons at Valley Forge
Suite 7, P,O. Box 987-23
Valley Forge, PA 19482
Date: June 27. 1997
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96-046
LAW OmCES OF RUBINATE, JACOBS & SABA
214 Senate Avenue, Suite !OJ
Camp Hili, PA 17011
Telephone Number: (717) 731-0988
Attorneys for Defendant, Eric C. Chandler
NANCY J. GRAMM, PLAINTIFF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
No. \16.1399 CIVIL TERM
ERIC C. CHANDLER,
DEFENDANT
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
Donald R. Dorer, Esquire, hereby certifies that he Is the attorney for the Defendant
herein, and that he caused a true and correct copy of the attached Defendant's Amended
Pre-Trial Conference Memorandum to be served by facsimile transmission and regular
fmt class mail upon:
Ronald M. Graham, Esquire
Corchin, Graham, Rosato & Mauer, P,C,
The Commons at Valley Forge
Suite 7, P,Q. Box 987-23
Valley Forge, PA 19482
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Date:
AUlrust 26. 1997
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I Donald R: Dorer, Esquire
Allomey for Defendant
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