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STEVEN M, BURKEY,
PI.lnUff
i IN THE OOURT OF OOMMON PLEAS
i CUMBERLAND OOUNTY,
: PENNSYLVANIA
v,
.
,
: No,: 9(5.4648
CONSOLIOATED RAIL CORPORATION,
Defendant
~~
I hereby certify that I have this 22nd day of August, 19ge, served a copy of the
foregoing Praecipe for Withdrawal of Appearance end Entry of Appearance, upon
counsel of record by placing same In the United Btatas mall at Harrisburg,
Pennsylvania, First Class postage pre-paid, addressed as follows:
Robert V, Bickers, Jr" Esquire
Robert Pierce and Associates
2500 Gulf Tower
Pittsburgh, PA 15219
~
(Yl ) ,
_y"t~ CiJ(f~'&.J /~
Christine Clccocloppo,
Secretary to Stephen J, Kaene
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3, Oe'endal,t II liable to plaintiff aa hie employer under the Federal Employer's
Lleblllty Aot and the Fadoral Boller Inspeotlon Aot,
~URI8DICrlO.N
4, At ell tlmal rolavant harato, lha dafendant was 0 oommon oerrlor of fra/ght for
hire and by rllll ongogad In Intorstata oommarco or In aotlvltles having a olole or lubr.tentlol
affoot on Intorsteta oommaroe,
6, At oil times relevant hereto, the II1)urles and damagos sustained by the plaintiff
as herelnefter set out wors sustelnsd willis pllllntlff wos ongoged In the oourse of hie
employment duties, and in furtheranca 01 Il1torstote commerce nnd dlractly or olosely and
substantlslly offeotlng such commorce,
6, Jurisdiction Is oonferred upon tills Court by tile Federal Employar's Liability Aot,
45 U,S,C, II 51 8' 6eq" and the Fedoral Boller Inspection Act, 45 U.S,C, II 228' 68q,
SUMMARY. OF ACTION
7, While working for do fend ant railroad, engaged In tlls oourse and performance
of actlvltlel In furtherance of Interstate commareo, on or about Septamber 27/ 1994,
plelntlff suffered Injury while attempting to dislodge a sandhosll from It locomotive,
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B, Plaintiff sulterad SaVllrlJ InjurllJs to the bouk and legs, as well os the muscles,
ligaments, tlsllues, tandons and nerves, In and about and sxtendlno from these varlouB
port/ons of the plaintiff's body, 00 result of the accident; 011 of which orB or moybs serious
ond pBrmanent In noturll,
8, Plolntlff'o Injuries wer<l oousBd, In whole or In pori, by tho negligence of the
defendant, Consolldatod Rell Corporation, by and through It6 ogonts and employe1l6, In
foiling to oxorcl6o ordinary and ro060noblo ooro to provide tho plolntlff with 0 ree60nehly
6afe placo to work: by folllno to In6poct for end detooltho dongerous condltlon6 upon whloh
the plelntlff was Injured; In foiling to provide for proper 11l0lntononce of tho locomotive; In
06slgnlng tho plaintiff 0 duty which was beyond his physlcol oopoolty; In foiling to Instruot
Its employee6 In proper molntenonce of looomotlves: In foiling to provide the plaintiffs with
safe equipment; In folllno 10 worn tho pllllnllff of Ihe danoerous oondltlon: and In being
otherwise nl1olloent undl'H the clroumstance6,
10, AI60, by re060n of the efore mentioned failure to melntaln the looomotlve In
a sofe working oondltlon, the defendant Is strictly liable for violation of the applloabla
provisions of the Federal Boller Inspeotlon Act, 46 U,S,C, ~ ~ 22 at saq,
10, As 0 dlreot and proxlmete result of tho negllgenco of the defendant a6
hereinabove set forth, the plaintiff ha6 In the pest expsrlenced and endured, end may for an
Indefinite time In the future, experience and endure SUffering; Inoonvenlenoe; annoyanos;
4
.
IUUINI L,QOON
111,,111
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ALLEGHENY COUNTY SHERIFF'S DEPARTMENT
J:.:-- nOOM III ' COUIlTHOUIW
'1'3:] PITnmllnOH, PA 16~IO
::J ' "1'0"0 3MHQQ
JOliN 1,4, M,NAMIII'A
CIII., 0,1'111)/ .
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""q PLAINTIFI' JVi..('i JlIII 1St 1.J~,I4) CASf. N HIo-"ffj;! ~i-{'S
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tJlll'l' lINII!(IQd~G.'17/ ,t':{U' L!(','J.'t.'ff/f},'J.' blJMMONIIII'IlAI'CI/'I',
ADO OHT C;OMPIAINT ONLY J'" I
X NOl'lCI' ANO COMPlAINT (), JJ/O
"" MID 01'1'1' , ! nI'VIVAI.J/iCII'A :;J 'lIl!t1f
I) OAnNISHIH:. 7" /.1)/ J u'c. ....T')' 1!INTl'I1nOoATorHnl .'
AOOrl;/is... j/L f:.f'IUddtJr;LUVn"~' 1.!).t.~IJM'~/" l~i't', '! IlXI'ClITl(lN ' IHY / , 'J''; $0'
(J dt~..L'(IIdA, ,I.i..LW ~1l1!J;IC.l(l!r.r.ll' . IU.J'!tl!tI"Il.U'J,.l,~,) . OAnNISHH ,.7
MlINICIPAI,lrYWAIlOICITVWAIltl... . wt.ti!JlrlJ", ...... " ! onu:n, J ' I)
IlATI' . ~ It! . . v' 10 9(, ATr'Y; 1[,.'(" 11 t/ (J~'A '':t.J, ~/ y \'{~,
PHON" /Jh) ~'lJ 9J':J'l .' .;'jLlt' (.iJJMI~rj't'1 ~~,Jt1 /)~!'IU';I."
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Now. ,. .IU. . I. 511EAlfI' OF AI.I.EGIIENV COUNIV, 1'/>0 Illl "",.lIy ""pII",. Ih" 5h,,"" 01
._._~_.' .__ CQUl1ly 10 Q)Qtutu IhllS WIll ftnjlll1"~Q InIU"llh""HlI nrCl)/I'IflQ In Inw
HOnr OW. V ~'PLIC"'.L' ON WAIT 01' ...CUlIOHt tUI, w~lv.n r)~ WAfCltMA,t,. ~Il~ d"lut~ ,h,nll In)"I,-O Uj)lJIIIJ' ..1111;'1 "0 "I)' 'JlIJ11.tl~ Ulll'lIf ~,tlHI ~',I "1~~
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h,..,."''':1 .ny lUll, d.,lIucllllllll' "'''11)'.1 III ""V 111';" 1)1Il1)1I1)' b...tlJlU ,hlll,If, U'" lhtll'l.;'
SoIU, lovy, odv,,1I1O ond 1011 0111110 POIIOnol plopolly 01 1110 d%ndo,,1 0" IhO p,o,"leoelocolod 01:
.-_..
MAI<E
MODEL
MOTon NUMIJr:I1
SgnlAL NUMIJEn
LiOENSE NUMIJER
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I hOlllll)' CIATI'Y Ind "I,un... th,l u7 ~~._~. . lIltV I)', .~.:-~.. ___._. ...._ ..'.,_u
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1 h.~t ..rv.d In Ihl MIll"".' OUCllb., b.Io\llr ... ___.' __ _ ..~__'___._ nn__ .....__._______
( : OehllliJ.nll.lll,',Qn,Uy UNN
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() AiJullll1 eh,'O' ol O"undanl'. /I"d,nea wtlQ "hJUd 10 01';' Il,m, '" IllAtllJtllh'l1 ~ ~ '
~j,".gU"CI.lk9' e''''.'' Io00'''g 'II ~t,," O.,.II'.II'llj'..'..IlJ...__......m.lrYA- . . --.. / .-1 . t::..
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I)ol.,w,tll 1101 'OUlld bDC'U". I j McJ~Pd II UlltI"OW" 11 Ho ~"IW" II VICIni U 0111.'_.____._,...___. __~_._
I,; (1111'11'0 M'II C; ".CI'p!. _ ( ! EIIY'IoP' "elu'"'''' __u ( ! HIl,lI,., nICe pi 0' ,"v,lop. '"h,l'"tdt Vlinl ,~l)itld___.
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You oro horoby nollllod thot on____.._..____._. 1 P ____., lovy was msdo In tho case 01._..__.___...__.._.._
Solo hOB boon sailor .______..__~____..___._._____.,_, 19__.01,.. ,_... o'clock,
Add, cosl duo $...__ .._
A nEMPT8____ __ __._...J __.__....____,) ,__..._~___'__.. _.1 .___._._...._..1 ._. . ..._......../ __ .-...____. --...
EUGeNe L, COON, Sheriff
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Ol51rlGI
WilliG Copy. Shotllf
'Y,III()w. (;lllJIIIl
Pink Cr,PV . Attornl)>,
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IN THE COURT OP COMMON PLBI\B OP ALLmaHIENY COUNTY, PENN~YLVANI^
S'rIllVI!lN M, BtJRKI!lY,
Plaint iff
ARBITRATION DIVISION
A,Il. No, 96-2626
v,
CONSOLIDATED RAIL CORPORATION
Defenda
WIilR WI'rn NlllW Ml\'l'TDR TO
IWl'IFP'S COMPLAIWr
TOI Plaintiff
ehalf of Defendant,
oed Rail corporation
party I
Anthony J, Rallh, li:aq,
Pa, I.O, 1166944
DICKIE, McCAMEY & CHILCOTE, P.C,
f'irm 11067
Two PPO Place, Suite 400
pittsburgh, PA 16222-6402
(1\12) 281-7272
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IN 'l'HE COUll'l' OF COMMON PLEAS OF 1\l,LJECJliI/;NY COUN'l'Y I PIilNNSYLVANIA
ARBITRNl'ION OIVISION
STEVEN M. BURKEY,
plaintiff /
VII.
A,R. No, 9S.a6a6
CONSOLIDATED IlAI~ COIlPOIlATION,
Defendant,
DBPBNONfr, CONSOLIDNrED RAIL CORPOIlATION'S,
ANS"'IBR WITH NIB'" MA'l"rIRll 'ra l'IJ\IN'l'Il'l.l" B COMPLAINT
AND NOW/Comes the Defendant / conllolidated Rail
Corporation, by and through its attorneYll/ Piokie, Mccamey &
Chilcote, P'C'/ and allsertll the f.ollowing in support of its Answer
with New Matter to Plain~iff/s Complaint I
I . ANSWIRR
1, After reasonable investigation and inquiry,
Defendant, Consolidated llaU corporation ("Conrail"), ill without
knowledge or information sufficient to form a belief as to the
truth l)r falsity of the averments contained in Paragraph 1 of
Plaintiff's Complaint I accordingly, such averments are deemed
denied,
2, Conrail admitll the averments contained in Paragraph
~ of Plaintiff's Complaint,
3. As the averments contained in Paragraph 3 of
~laintiff'lI Complaint constitute conclusions of law, no rellponlle
thereto is required I accordingly, such averments are deemed denied.
'V~"'~IItt1'rVh.MtI,",r, .....r'~,~ illflml
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'1'0 the extent a rellponse ill deemed n>llce'H1ary / however / conrail
denies as lItated the avermentll contained in l>aragreph 3 of
Plaintiff's pluadlng.
4. After ressonable invel'll:iglltion and inquiry, conrail
is without knowledge or information lIufficilll1t to form a belief liS
to Plaintiff/s meaning of the phralle "At all timelll relevant
hereto"l aocordingly, Plaintiff's averments including the lIame are
deemed denied, By way of further anllwer, Conrail il'l engaged in
interstate commerce as n common carrier of freJ.ght by rail I
Plaintiff / a averments to the ::ontrary, thus, are denied all stated,
5. As the averments contained in l'aragraph 5 of
Plaintiff's Complaint constitute conclusions of law, no response
thereto is required, accordingly, such averments are deemed denied,
'1'0 the extent a re!sponse is deemed necel'll'lary, however, Conrail
incorporates by reference herein its Anl'lwer to Paragraph 4 of
Plaintiff's Complaint, asserts that after reasonable investigation
and inquiry, it is without knowledge or lnformation sufficient to
form a belief as to the occasion, nature and/or extent of the
accident, injury and/or damage of which Plaintiff complains, and,
thus, denies liability under any theory to Plaintiff for any such
accident, injury and/or damage, the occasion, nature and extent of
which are deemed denied,
6. As the averments contained in Peragraph 6 of
Plaintiff' II Complaint constitute conclusions of law, no responlle
thereto is required, aocordingly, such averments are deemed denied.
To the extent a response is deemed necessary, however, Conrail
2
n..MuA...vtt....Y\N1.WUIf'l D MIlt H ~ II"",
~
denies BlI lItated the avermllnts contal,ned in Paragraph 15 of
Plaintiff's pleading,
7-0, After reiSsonab1e invllstigution and inquiry, conrail
is without knowledge or information suffioient to fOl:"m a bellet as
to the oOClllllion, nature and/or extent of the accident, injury
and/or damage of whioh Plaintiff cOll1plainlll accordingly, Paragraphll
7 and 8 of Plaint if. f' II Complaint lire deemed denied,
9-11, Aa the averments contained in Paragraphs 9 through
11 of Plaintiff/II Complaint constitute COtlClllaions of law, no
rellponse thoreto is rllquiredl accordingly, such averments are
deemed denied,
To the extent a rosponlle is deemed necessary /
,
however, Conr.ail incorpuratefl by referenclil herein its Answers to
Paragraphfl 7 and 8 of Plaint iff's Complaint I denies that it caused
or contr,ibuted to thO! accident, injury and/or damage of which
Plaintif.f complains, the occasion, nature and extent of which are
unknown after reasonable investigation and inquiry, and, therefor~
and hereinafter, are deemed deniedl deniell liability under any
theory to Plaintiff I and, thus, denies aa stAted the averments
contained in Paragraphs 9 through 11 of Plaintiff's pll!ading,
WHEREFORIi:, Defendant, Consolidated Rail Corporation,
denies liability under. any theory to Plaintiff and demandll that
Judgmont be entered in its favor,
II . NEW MATTBij
12. Plaint if f' s Complaint fails to set forth a claim
upon which relief may be granted against Conrail,
3
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13. Plaintiff's Complaint fails to set fQrth a olllim
upon whioh relief may be grant"d against Conrail under the Boiler
Inspeotion Aot, 45 U,S,C, 523 at l3eq,
14 , Plaint if r.' II olail1lll are barred or reduced by his
oontributory negligence and/or comparatiVQ fault,
15, The accident, injury and/or damag~ of whioh
Plaintiff complains were cause!d by the intervening, superseding
nQgligent act, omission and/or other culpable conduot of a party,
penon and/or entity over which Conrail had no control or right or
duty of control,
If.i, 'I'he accident, inj ury and/or damage of which
plaintiff complains were the result of caUaes and/or conditionll
over. which Conrail had no control or right or duty of control,
17. The injury and/or damage of which Plaintiff
complains were the result of a prQ-existing injury and/or
underlying infirmity unrelated to Plaint iff / II employment with
Conrail ,
18, Plaintiff's claims of injury and/or damage are
barred or reduced by Plaintiff's failure to mitigate the same,
19. Recovery of medical expensell associated with any
treatment for the accident, injury and/or damage of which Plaintiff
complains, the occallion, nature and extent of which lIuch expenses
are unknown after reasonable investigation and inquiry and,
therefore and hereinafter, deemed denied, ie barred, reduced and/or
offset pursuant to 45 U,S,C, 555,
4
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11 . IILWIllB l"OlU1J.LlM.LU.t//.\L-UJLM,~.cr.g~
I;' l'Ul'nullnt to I\~ Pl\,<;,Il,1\, Slil~~, th" COUt't ill vented
with the power to tranllfer this action upon a finding that in the
into rest of BUl:lstantial jUStl.(I/J, thil3 action lIhould be heard in
another forum,
6, In determining whethor this action should b0 heard
in another forum, th~ Court should GonBider the following private
intereBts of the litigants I
a) The relative eaBO of aocess to sources of proof,
b) Thlt availability of compulsory procasll for the
attendance of unwilling witnesses,
0) The cost of obtuining attendance of willing
witnellses,
d) 'rhe pOBsibility of a view of the nccident Boene
where a view would be appropriate in trying the
action, and
e) All other practl.cnl problems which make the trial
of a case easy, expeditiOUll and inoxpensivD.
7. Additionally, the Court should consider the public / II
inte~elltB in this case, which includel
a)
Administrative difficultieo created for courts
where litigation iB piled up in congellted centerll
rather than being handled at its origin, and
Imposition of jury duty upon the people of 8
community which has no ralation to the litigation,
Viewing the situs of the accident, the residence of
b)
8,
Plaintiff and the locale of his known traating physicianB in light
of the foregoing private and public intereBts reveals that
litigation of this action in Allegheny County is inconvenient to
the parties and their witnesses and, therefore, thill action
2
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lll:'operly lIhoul<l bo tl'anllfonocl pOl' Lho dOdtdn" Qf forum non
aanvrmJ.enll ,
9, Ilpecificnlly, the 81hlgad acciclent oocurred in or
about Bnola, Cumberland County, Panllllylvani4,
10, Additionully, I'laintiff is 11 resident of Pauphin,
Pauphin County p~nnllylvania,
1]., Although therlil are no known eyewitnellsell to the
Itubjeot acoident, Plaintiff. ill believed to have treated for hie
claimed injuries with the following health care providers I
al Harrillburg orthopaodic I\asooiates, P,C, /
Meohllnicllbul'g, Cumberland County, IJennsylvania,
b) Holy Spirit HOllpital, Camp IIi 11, Cumberland County,
Pennsylvania I Bnd
0) MoCuen ,. Associatea PhYllical 'I'herapy, P.c"
Moohanicsburg, Cumherland County, Pennaylvanis,
12, Upon infc;lrInBtion and belief, there are no known
eyewitnessell to Plaintiff' a sccidellt and/or claimed injuriea who
reBide in \lleghony County, Pennsylvania,
13, In contrast to the foregoing Bubstantial contacts
with the counties of Cumberland and Pauphin, Pennsylvania, the only
contacts which this action has with Allegheny County are the
follOWing I
a) Pefendant conduct II business in this countYI and
b) Plaintiff/s counsel practices in this county,
14, Transfer of this action per the doctrine of forum
nan convenJ.ens would not unduly prejudice Plaintiff aSI
a) The oounties of Cumberland and Dauphin are
available forumll under the Federal Employers'
3
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AW.lJ2M'il
COMMONWIllALTH OF JilVJNNSYLVAN IA
COUNTY 01" OAUPHIN
IJI3 ,
BBFORJE MB, the undersigned authority in and for the said
Commonwealth and County, did perBonally appear Linda Schr$ffler,
who, being duly sworn according to law, depollell and lIays the
fOllowing is true ond correct acovrding to his knowledge,
information and beliefl
1, I, Linda Schreffler, am employed with Consolidated
Rail Corporation,
2, As of September :J 7, 1994, Steven M. BurklllY, Wall
employed with Conllolidsted Ilail Corporation and wall lItationed in
li:nola, Cumberland County, Pennllylvania.
3, Per the information provided to me, Consolidated
Rail Corporation is unaware of any eyewitnesses to the September
27, 1994, accident whio::h is the subject of the lawsuit styled
Steven M. Burkey v, Consolidated Rail Corporation and docketed in
the Court of Common Pleas of Allegheny County, Pennsylvania, at
A,R, No, 96-2525.
4, Upon information and belief, Steven M, Burkey hao
treated with the below-listed individuals and entitieo for injuries
which he allegedly sustained as a reoult of the above-mentioned
accidentt
a) Harrisburg Orthopaedic ASlloc:iates, P,C"
MechaniclIburg, Cumberland County, Pennsylvania,
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IN 'I'IIIB ~Ol1R'l' 0l1' COMMON PJ..1B1\I3 Oil' Ar,l,IBOHlilNY COllN'!'Y / PIBNNSYJ..VNUI\
ArllH'l'lWl'tON IJIVX/ilION
STIEVIilN M, BUIlI<ElY,
Plaint i tt /
VIS,
A,R. No, 96-~BaB
COlllSOLIDATlED MIL CORPOM'rION /
Oefltlldant.
otmJl:R OP co~ (. l~/
ANO NOW, thia
z.~
day of June, 1996, upon
oonsidel:ation of Oefendant' s Petition to 'l'ranahr Action on the
Ballis of Forum nOIl COllvenian'f and efter entertaining appropriate
argument thereon, it is hereby ADJUDOmo, OllnmRED and DmCRIilElD that
lIuoh Petition ill GRANTED and the above-captioned action ill
tnnsl!erred to Cumber'land County, Pennayl vania.
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: l 'l/M II I':Ill ,ANI ) l't lllNTY,
: PI:NNSYI.VANIA
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l'ONSOI.II>ATHllllAII.l.'OllPOllATION,
DulilllLlIIIII,
P.nWJ2ILT.O BETlJ.E..AMUl.JI.CDNT,NUI
TO: THE PROTHONOTARY
SIRI
PIOOIlSIlOttl1l and dllloontlnuo tho abollo.oaptlonod lldo and mark !j..off tha
dOllkst, or Ilatlllly Vordlot, AWllrd or Judomsn!.
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. I /'/ 1"11 ref r":...cr
AT.6NrfvFOffPL INTIFF
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AlIornsy lor Plaintiff
Attorney lor Crollllololm
Seoretery 01 Conllnonwelllth
Prothonotary S&O with Illllue
COlltN
Orderll
Cerllfloats
CeBe & Counterolalm or
Crosllclalm
Wltnellll Bill
M,L,
Executlon.Sa!. or S&D
AlIorney lor Dolendent
Shsrl" Duo
Shorlff Mlloooe
County Vordlct
Awardll Irom Arbltrstlon
Equity
Plaintiff's Bill
JudOnlllnt on Verdlot
D,S.B,
Garnishes Fell
DATE:
PRO. COSTS:
"(lL.-
Sworn to and subsorlbed belore /nO this ~ day of
C( GtL//'L {L {! C! ft/k.(
cmMill:
ftLLEN A, COTTONE Nol.ry Public
PIHBIIUROH, ALLEOtiENV COUNTY, PI<
My CO"~"'''II/" E/pu.. M.y ,y, .0Bl
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STeVEN M, BUR/<EY,
IN THE COURT OF COMMON PLEAS
CUMBERLANO COUNTY /
PENNSYLVANIA
Pllllnllff,
v,
CONSOLI OAT ED RAIL CORPORATION,
No, 96'454B
Defrmdnl1t,
PLAINTIFF'S NOTICE OF INTENTION TO OFFER
POCUNlUiIBJJUYJDENCUllJlallANlJJtP..A. R,O.P, SEOTION '''O~
TOl Crnlg J, 6toud'"unnlor, EBqulrn
Nllumall, Smith, 6hls610r & Hnll
1 Bth Floor, 200 North Third 61root
P,O, Box 840
Horrlsburg. PA 17108.0840
You ora Ilotlflod thot the Plnll1l111 may ollar 111 svldel1oe, the following
doouments:
1, Soptomber 2B. 1994 1I10ldlll1t report;
2, Medlcel reoorda summery shoot;
3. Medlool reoordB from Hsrrlsburg Orthopedlo Assoollltes dated Beptsmber
28, 1994 through Moroh 18, 1995 and June Ii, 1997 l1arrallva report,
4, Medloal rocorda from Holy 6plrlt Hospital dated Soptember 28, 1994
through Ootober 7, 1994,
Ii, Medloel reoordB from McCuan & Assocletes Physlcsl Therapy, P,C, doted
Ootobor 12, 1994 through Octobsr 20. 1994,
Copies of the dooumollts ore ottoohsd to this Notloe,
Respeotfully submitted,
ROBERT PEIRCE-cA1l0 ASSOCIATES
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RT N, PEIRCE, III, ESQUIRE
Counsel for Plaintiff
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1'l1onu (717) 533.23411
PNlCI/CI l.Im/ltd To OrllfOpotd/c SlIrgtry
June 15, 1997
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Ilobert peiroe III
Robert peirce & As.oo.
2600 Quit 'rOWer
707 Grant street
Pittsburgh, PA 16219-1918
Il~, steven M. Burkey
Dear Mr. P~irce'
Thill is a patient who presented to our office on 10-7-94 after
injuring his baok at work, He was employed at conrail and
apparently Will doing some lifting, twhting and turning at work
and injured his lower baok on 9-28-94. Over the ne~t several
dayg, he had inoreasing pain and disoomfort, mostly con tined to
his lower lumbar spine. He complained of Bome intermittent left
leg radiculitis down the posterior thigh but no further.
Hill physical examination showud he was neurologically intaot
with negative straight leg railling bilaterally, His range of
motion with flexion, extension as well as leterol bending and
rotation were good without much dillcomfort. X-rays of his lumbar
spine were obtained which showed some slight narrowing of the
L4-5 interspace as w~il as a Grade I spondyloli~thesls of L5 on
61.
My impression at that time was that the patient BUffered an
acute lumbosacral strain as a result of his injury at work on
9-28-94. His spondylolisthesis was present in all likelihood
prior to this time. I based this opinion with II reasonable
degree of medical certainty.
The patient was started with treatment of physical therapy as
well as anti-inflammatory medications and musole rela~ants.
"
,/'
Robert Peiroe & Aaaoo,
REI ateven Burkey
paqe :l
June 6, 1997
^ sU~s.quent follow-up vlait showed that the patient no longer
had any oomplaints of ~ain 1n hil baok and wal lent back to work
with no restriotions al lonq al ho used proper back meohanios.
He r.eturned to our office 2-:14-96 atter dcing quite a bit of
shovelinq aeveral weeks ago and notioed incr.as.d pain in his
lower back. He started having 150me left leg pain, but this
resolved. He gets intermittent low baok oomplaints but denied
any bowel or bladder dysfunotion.
Hil phyaioal examination showed a negatiV0 straight leg raising
bilat~rally with normal knee jerka and ankle jerks. Again, he
Wes diagnoaed with an acute lumbollacral strain, The two injuries
that Mr. Burkey complained of are related di~ectly to the type
ot work he dces and are more in line with an acute lumbosacral
strain, Howover, his back does show evidence of a Grade I
spondylolisthesis which in all likelihood was there prior to
these injuries, 'rhis condition is present in 5\ of the
population.
My opinion with a degree of medical certainty is that Mr. Burkey
could continue as a laborer, but he must reali~e that as a
laborer with his condition of the lumbar spino, this could be
aqgravated with a very strenuolls type of job, I would anticipate
intermittent complaints of low back pain with this condition.
Treatment for this problem is often timea with conllervative care
in the form of anti-inflammatory medicines as well as exercises,
However, if the patient continues to complain of chronic low
back pain, then decompressive laminectomy at L5 as well as a
lateral masa fusion from L5 to 51 would then be indicated. The
typos of injuries that Mr. Burkey describes appear to be more
related to aoute lumbosacral strains which respond with
conservative care, but he mUst realize that he may have more
acute episodes of back pain all a result of 4ggrava~ing his pre-
eXisting condition, With this condition he is at greater risk of
low baok pain as well as aggravations in the future.
'.
...
Aobe~t Pe1~oe . A..oo.
IlEl steven Bu~key
paq. )
June B, Uu?
It you havI any turthlr qUI.t1on. or oonoern., pl.... tl.l tr..
to contaot my ott1ol.
s1nolroly,
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Irnl.t R. RUbbo, M.D.
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PHYS1C,lL THERAPY IIE/UEST
II: /
Date 7 /1 y
Patient's rtome Chart N~, 'r;'5-/ "fFit
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DllI&'llosls a4tl-R I~ -,S; ::::ti~
Thel'1lPY Requested
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LO/H/94 (OR, IlUBBO)
t\350CIA'I'I!5. Il,C, Iillrri$burg PA
5T~VRM ~, BURKUV - 8$1488
5t~vl.' 18 folloll'",d for II lumbral1crol Hrnln, ill.' 111,10
of (J rod", I $~ondy II) II st h", $ I K .'JIl X ray I hl)wL'vr.>r, h...
havin, any back cr)mplalntl, I (",,,,I h" can rt'turn
10/2:) 94. \il~h Ill,) r1'5trlctlQIU, 118 l<lI1!! .15 h", U5n
mfchl1nicl. :1., will r"'tul'n hurt' OJn n IJrn hU15.
LO/H/94 roh)
2... '). (-'c r< ~ \r!~ ' ,".J -..w-.-.-L ".r~... ~.../C
2/24/95 (DR, RUBBO) STEVEN BURKEY - 851488
Steve is followed for Grade I lIpondyLoiisthesis. At work he stat..
he was doinq quite a bit of shovelin9 &4nd several weeks aIJo and
noticed increasinq pain in his lower back. The pain subsequently
was down his left leg, but this resolved. He \lets off and on
complaints of low-back pain which responds nicely to baok
exercises. He deniu any bowel or bladder dysfunotion, lib
physical exemination today shows good reflexes to his knee jerks
and ankle jerks. He is able to bend forward and touuh hil toes
without d.!.fficulty, Straight leg raising wes negative bilaterally.
IMPRESSIONI Lumbosacral strain, Grade I spondylolisthesis, L&-Sl.
hu /tv Iljtnc/t
II no lonll",r
t" worll r)n
prop",r hack
(Trl1nlcr Ib...~
PLAN I I hllve explained to Steve that he will always have
intermittent low-back pain on occ". ion. I teel he oU9ht to
consider wearing a lumbosacral coraee while at work and today I
have \liven him a prescription for this, In the meentime, he should
get started back on his back exercises as well 4S a physical
conditionin9 program, He has done this in the past which made his
back feel much better and he may need to gee started and be more
religious in doing this progrlll1l. I feel he clln continue to work
a8 long as he wears his lumbosacral corset and will return here on
a prn basis, (Transcribed 3/1/95 rah)
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Oclober 17/ 1994
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EmC41 R, Rubbo, M,O, ((1L " ',',
HlUThburg Orlllopcdlc Associates, p,C, , ,
2800 Green Slreel ' I " "
HlIllisburg, VA 17110 , , ,'r,,.::';
, I' ,I "" 'REI Sleven Burkey
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Sleven BurkCy Is II 35 yelll' old mille who WIU 5<<n for nn Inlllnl evo.lunllon al our Camp Hili
" Office on 10/12/94 following your referruJ. He lives II hlslory of slnlln!ng his low blll:k lit work '.
: on 9/28/94,' He reportedly wns filling 1I1OC0l1101lvc willI sand using II hollC Iype apparatus Inlhe (,
" poslllon of botll Iirmsobove his helld. He apparently continued working for one hour and then :' .
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Ii, ',WILS seen allhe Holy Spirit Emergency Rooll1, lie work Ihe neXllwo days,' bUI/Ul.l been of( '::, ' ,
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. ,. ,', work sInce Illen, , He scheduled 10 relUIll to work the evening of 10112/94 on IIghl dUly.: l'lLSl ," I",
" . : - "',;I11~,icaJ hlsi~~, IJicludes occa~l@o.I, bnck pain, for wh!ch hc ~l~s;~~iJ.\~~'i~,~~~'l~~~H, : :'1': ::'t'i:'}:'
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. , :.' Steve cOI11(llwns of pain across the low back whh nUll1bness Inlo Ille lert, lower eXln:mhy, He,
, 'I'," sllltes tl1I1I tile dlscoqlforlls Intermittent nnd dC(rellllng In lrHcnsllY sl~ce, orsct.)lls allirllVlllcd :'.... '.
. , I n >"'1' \ by Jjfllng WId drlvl,ng, ~n~ ClL~ed by rest, He ,currenliy mles hh dISC~i.ort, ll.l3 ,out ,of ~ P<Jsslblc I' :",
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!~I.:)::~!:;T)1W1k yo.~ (or. referring Ihls Ilentleman to .our servlcC.l, ,If you hay,~, ~yquesll?~sor ,fu,rther,... ",
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'AN 70'7..."
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Octob..r 1" 1994
hi. 2
Or, Rubbo
liE I Steven Burk.y
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ADDI!NDlIH. Steve h.. aho..n not to .ttend the .dIlClt'~nd aHn'c.'.. , ' "
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I HEREBY ACKNOWLEDGE RECEIPT CF TI,ESE INSTRUCTlON5 AND EOUIPMeNT MID UIIOERSTAND THEM, I UNDERSTAND THAT I HAVE
HAD EMERGENCY TREATMeNT ONLY I,ND THAT I MAY BE RELEASED BEFonE ALL OF My /,IEDICAL PROBLEMS ARE KNOWN OR TREATED
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THE INTERPI3ETATlON OF YOUR X.RAY IS ONLY A PREUMINARY REPORT THE RADIOLOGIST WILL REVIEW THE FILMS. IF THERE 15
A CHANGE IN THE DIAGNOSIS WE WILL INFORM YOU OR YOUR FAMILY CeCTOR.
I HEREBY ACKNOWLED~E RECEIPT OF THESE INSTRUCTIONS AND EOIJIP"'ENT ~D UNOERSTAND THEM. I UNOERSTAND THAT I HAVE
HAD EMERGENCY TREATMENT ONLY AND THA T I MAY OE RELEASED BEFCRE ALto\!IF MY MEDICAL PROBLEMS ARE KNOWN OR TREATED,
I WILL ARRANGE FO/L~W UP ~~E AS '~ .!EEN IN~,TRUC~~D. ,
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CAMP HILL. PA
EMERGENCY DEPARTMEN
PHYSICIAN ORDER FORM
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FAMIL Y HEALTH CENTER
HOLY SPIRIT HOSPITAL
N 2101 ::illeel
Camp H,II, PA 11011
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our oontaot peuon tor Work Comp injuriae. They wented this
pathnt to have mUloulolkellltal 1I0rlllnin\l done. They an oonoerned
about: hia baok injury. I I:old her that our phydaianl would have
to order thiB .anening, we are unable to 0.11 and order it
out.elve.. The patient wae soheduled to return on Monday 10-3-94
tor a tollow up visit. Untortunataly the patient oame in an Sunday
and Dr. Punon dit,! not know ,ny ot thia. lie nquslted that the
p.tient not: work until he il reohecked on 10-7-94. La.li. i. now
reque.tinq that the patient be raterrlld to an orthopedic phydcian
it the patient ia not ready to return to re\lular duty.
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FAMIL Y HEALTH CENTER
HOl Y SPIRIT HOSPITAL
N 2111 51'001
Camp H,II, PA 17011
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(717) 783,2310
INSTRUOTION' TO THI PATIINT
HOL V 'P''''T HOSPITAL
CAMP HILL, PA 17011
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I I PATlINT VlftlALIZU UNDIIIBT~NDINO
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R TION OF YOUR X.llAY lti OIIL Y A PRELIMIN...RV REPORT THE R...DIOLOGIST WILL REVIEW THE FILMS. IF THERE IB
A OIANGE n~E DI~GNOSIS WE WILL INFORM YOU OR YOUR F~MIL V DOCTOR,
, '<EAEBY AC~NOWI.EOGE RECEIPT OF THESE INSTRUCTIONS "'ND EOUIPMENT AND UNOERRT~ND THEM I UNDERSTAND 1II,o.T Ili!.VE
"AU EM~H(jENCY 1 REA T T ONL Y AND rH~T1 MAY liE RELEASED BEFORE ALL OF MY MEDICAL PROBLaMS ARE ~NOWN OR TREATr.o
r WILL "'RR~GE F R F L W U,(""'~E AS I HAVE BEEN IN5TRU~CTE .
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FAMILY HEALTH CENTER
HOl Y SPIRIT HOIiPITAL
N, 21.1 lil,ael
Camp Hill. PA /7011
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OAli: 10/0219-
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Scale
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Where did pain start?
Whete aid it spread?
Nature I' ,1(.(lIII/"/o.U,,. .
Constant Intermittent
Increasing , sta:)p
Decreasing .' ~
lIggrll va tea -4~?i:y;, IU-t..(.(/'I
Eases .ILdZ '
Rate Paint Night J AM
Afternoon Evening
Bed/ Pillow / Pos i ~io~---.k'f.'
l-ledication }j.Klltliit bU licltr:
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Bowel/Bladder
Cough/Sneeze
( ~- )-1'
'( - j .
Comments: Nervous; I rr i table;
Anxious; hostile;
r. "
((i , ;)u
'(/.,( l'~" 7-,
),ell4Vili1t ~~itltory &.. 'I'reatmen':l
-'#Ij/!f/,y. . 1.',,(1 ,/(1/(/. .~~ ;V.
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RAclTologLcall (Date) I
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!3'arellthlJlSill al\~ot~ symptomsl
"/)/I/;I,'ll.'tl..:tL/' 'H,I - '/.t J< .( It;" ,
Headache G
GRitl Normal; Guardedt Llstl
Limp L, Rt to and from chair
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guarded
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-
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Actlve Movements I Restl:lctedl I3locked 11-
Pain/Restricted X Hyperrnobile rJ
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OClolJer 17, 1994
~
l!me51/t, RulJlJo, tlW,
Hlll'li5IJurll Orthopedic Ai5oclale~, p, C,
2800 Green Sh'ec:t
HlIlli5burll. PA 17110
Ow Dr. Rubbo:
REI Sleven nurkey
OX: Acute L.S 81ml"
Steven Ilurkey II a .l~ Y(<Ir old mlllc who wa5 5cen liJr DJI Inlllal evaluDtlon Dt our Cump HHl
ornce on 10112/94 following your referrul, He glvel u hlllory of slrulnlng hl510w back ut work
on 9/28/94, He reportedly WIU tlIllng a locomotive wllh IUlul ullnll a hose type nppaJ'lltus Inlhe
p051110nof bOlh urms Ilblwc hll hcud, He upparl!lllly COllllllUed working for one hour und Ihen
wus seell ullhe Holy Splrll EmcrHcncy Room, Hc wllrk Ihc /lCXI two dnYI, bUI hus IJcllnot't'
work Ilnce Ihell, Hc SdlCdulcd III rClurn III wllrk Ihc cvcnlnH or 10112/94 onlighl dULY, I1usI
medlcul hlMory Includes IKcuslllllaJ back plllll (or which hc has nOl had IrcUl/nClI1.
Steve complulns o( plllll across Ibe low had; whh lIumlJncss 11110 the Ic(! lowcr cXlrcmily, He
IllItel thallhe dllcomlort islnlcrl11ll1enl nnd dccrcullng In lrllen5lly Ilnce onscl. It Is agSrl1vaLed
lJy lifting Ul1d driving II/ld cascd by rCSl, He currcnlly ralcs his dlscom(ort lIS 3 OUI of a p05slble
10: at worst II 6/10 II/ld al bCIll! 0110,
On physical cxam his H,li! Is 11lln I'cmurknblc, lIb 1IIIIng alllludc Is nonnnJ, Active IWM of
Ihe lumbur spine II wilhlnlJr.Jrl11allll11hs whh no chungc In dlscol11(orl during movemClI1. Active
ROM ofbolh lower eXlrt:mhles Is wllhlnnormalllmhl whh complaint 0(1111nimnJ Incrcused puln
at end rangc of 5lraighl leg ral~lng on the righl. Slrcnglh at' both lowu cxtremltles is wllhin
nannaJ IImlls wllh cllll1plalnl of Illl'reased pain in .he Juw back wilh resislnnce to righl hip
flexion, Rellexcs wcre dlf/kulllo ellcll; howevcr. II uppeared 10 be dUll to lcnscncss as opposed
to decreascd retlex aCtlVlly, He 11015 no plJlntlenderne~s I,) palpalion,
Tr(<ltmenl for Sieve Will con~ill or' mOISl heal, Inlerferrcntial slimulalion, ultramund, soft Ilssue
lechnlques, exercise nnd cducalion, We discussed the use oi a McKenzic lumbar roll of which
he hud the option 10 purchase, We also discussed our NcckJ13ack Clinic which consist of four/2
hour sessions bcginninH 10/18/94, He will make a decision bcfore his next Ireallnenllls to
w(<lther or nOI he will attend,
Thl1l1k you for reicrrinH Ihll gcntlemUl1 to our servlcel, If you have l1I1Y qucltlans or further
recommendutions (or his curc, (eel free to cllll our Cump Hili Oft1ce,
Sincerely,
Nl1I1cy M, Faber'Herbsl, r,T,
NMH/pmu
MeClHlIl Ii ll.anoclotslS PI'V"'~DI rhnror.v, FC
Doe Gnlntlll'"W A~"''\4,lt. tJ'.jII~1 W" 1:11"-11 "'.11 ,,^ ',O"/(?"I ?rj?Q'J'B'''fJlJ' O.rry tit,..,..ltt. 1-'fI""'/U)lw.). l:.lj\ ',I"t(?"1 ees1.IIO:JO
t'}On all, Tnl" FlIHIII. llllm.,. PA '1111J,,7t?1 O.')U oeU'ot"lflUI:5 Ii T'-'Illll.tl'fo"n, t\,l'":h'H'I';""lll" PII "1r)~e/l"'?1 ""'.04tJQQ
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,OVERALL
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1.
Which word b..t
1.
Continuous
steady
Constant
describes your pain?
2.
Rhythmic
Plt'iodicv'
Intermittent
3.
Briet
Momentary
Transient
2.
What kind ot things relieve your Pain?A~f'tI"...
What kind ot things increase your pain? L,'fr,.,
3 ,
People agr'ile that the tOllowing Hve words represent pain or
increasing intensity. They arel
l,
Mild
-
2.
Discomtorting
3.
DistreBlSing
4,
Horrible
eI,
EXcrucia tinq
To answer each question below, writ. the number ot the most
appropriate word in the space beside the question,
1. Which word describes
2. Which word describes
3, Which word describes
4, Which \~ord describes
ever had?
your pain riqht now?
it at its worst?
it when it is least?
the worst toothache you
a 't ()'!C~It,.I.",,~
=- r~:~"-'d"'A1iy
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5, \~hich word describes the worst headache you O"~Ti<'HiO()
ever had?
6 , Which word doscribes the worst stomach ache Di<T......~ItT;"j
you ever had?
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