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COMMONWEALTH OF PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
TAMMY S. WALXER and . No. 96 - 5128 Civil
.
DAVID WALXER, her husband, .
.
Plaintiffs .
.
.
.
v. . CIVIL ACTION - LAW
.
.
.
GEOFFREY S. CHATTIN, :
Defendant . JURY TRIAL DEMANDED
.
PROPOSED POINTS FOR CHARGE
OF DEFENDANT, GEOFFREY S. CHATTIN
BADOWSltI, BAJOtO, JatOLL,
JatONTHAL and BAItER.
A alonal corporation
Date: q !1/qq
81:
101 plfte Street
Harrl.burt. PA 1710'-0932
(717) 236-3200
c:oun.el for o.tencl&nt.
Ceoffrey S. Chattin
DEFENDANT'S PROPOSED POINT FOR CHARGE NUMBER 5
You may find inconsistencies in the evidence. Even
actual contradictions in the testimony of witnesses do not
necessarily mean that any witness has been willfully false. Poor
memory is not uncommon. Sometimes a witness forgets; sometimes he
remembers incorrectly. It is also true that two persons witnessing
an incident may see or hear it differently.
If different parts of the testimony of any witness or
witnesses appear to be inconsistent, you the jury should try to
reconcile the conflicting statements, whether of the same or of
different witnesses, and you should do so if it can be done fairly
and satisfactorily.
If, however, you decide that there is a genuine and
irreconcilable conflict of testimony, it is your function and duty
to determine which, if any, of the contradictory atate.ents you
will believe.
Pa. SSJI (Civ) 5.04
C-
-'
DEFENDANT'S PROPOSED POINT FOR CHARGE NUMBER 7
In civil cases such as this one, the Plaintiffs have the
burden of proving those contentions which entitle them to relief.
When a party has the burden of proof on a particular
issue, his or her contention on that issue mllst be established by
a fair preponderance of the evidence. The evidence establishes a
contention by a fair preponderance of the evidence if you are
persuaded that it is more probably accurate and true than not.
To put it another way, think, if you will, of an ordinary
balance scale, with a pan on each side. Onto one side of the
scale, place all of the evidence favorable to the Plaintiffs; onto
the other, place all of the evidence favorable to the Defendant.
If, after considering the comparable weight of the evidence, you
feel that the scales tip, ever so slightly or to the slightest
degree, in favor of the Plaintiffs, your verdict must be for the
Plaintiffs. If the scales tip in favor of the Defendant, or are
equally balanced, your verdict must be for the Defendant.
In this case, Plaintiffs have the burden of proving that
the Defendant's negligence was a substantial factor in bringing
about their hana and that Tammy Walker suffered a serious or
permanent injury, which viII be discussed later. If, after
considering all of the evidence, you feel peralladed that thes.
propositions are .-ore probably true than not true, your verdict
must be for the
cC-'
DEFENDANT'S PROPOSED POINT FOR CHARGE NUMBER 16
The plaintiffs claim different types or classes of damages
in this case. The elements which the plaintiffs have the burden
of proving with respect to each type of damages are somewhat
different. The first type or class of damages sought by
Plaintiffs are generally referred to as "economic" loss damages
and includes some income loss, medical expenses, loss of earning
capacity, and out-of-pocket expenses.
The second type or class of damages is generally referred to
as "non-economic" loss damages and includes such things as pain
(past, present, and futllre), emotional suffering, disability,
loss of enjoyment of life and life's pleasllres, embarrassment,
and humiliation for Plaintiff-Wife and loss of consortium for
plaintiff-Husband.
As I indicated. what the Plaintiffs must prove differs
somewhat depending on which type of damages claim is being
considered - economic or non-economic loss damages. I will now
instruct YOll regarding the elements which the Plaintiffs must
prove.
Pa. SSJI (Civ) 6.028
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COMMONWEALTH OF PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
TAMMY S. WALKER and
DAVID WALKER, her husband,
plaintiffs
No. 96 - 5128 civil
:
.
.
.
.
v.
: CIVIL ACTION - LAW
:
GEOFFREY S. CHATTIN,
Defendant
.
.
.
.
JURY TRIAL DEMANDED
VOIR DIRE OF DEFENDANT. GEOFFREY S. CHATTIN
1. For you, your spouse, your children and other members of
your family residing with you, please identify the following:
employer, type of work done by the employer, type of work done by
the employee.
2. Have you ever served in the United States Armed Forces?
3. 00 you, any member of your family or member of your
household have any legal training or are YOll or sllch persons
employed in a law office or the courthouse or affiliated with the
legal profession in any way?
4. Have any of you been a party in a civil action? If so,
state the nature of the action:
automobile accident, medical
malpractice, product liability, divorce, etc.?
5. Kava any of you served as a juror in a civil jury trial?
6. Have any of you asserted a clailll or suit for dalllages in
a civil aatter other than divorce?
7. Have you. any ~r of your tdily or close friend ever
been repre.ented by David Foster, or the law fira of eostopulo.,
roster and fields?
,
8. Have any of you ever been represented by Stephen L.
Banko, Jr. or the law firm of Badowski, Banko, Kroll, Kronthal and
Baker?
9. Have any of you ever been involved in a claim or lawsuit
in which either of these firms have represented a party or an
interest against your interest?
10. In this case there is going to be testimony by several
witnesses. If you know or are related to any of these witnesses
after I read off their names, please raise your hand: Tammy S.
Walker, David Walker, Geoffrey S. Chattin, William Kauffman, M.D.,
Donald R. Roeder, M.D., Ted Kosenske, M.D., Shelly Bitner, and
Milind Kothari. D.O.
11. Have YOll read any newspaper articles, seen any television
coverage or heard any radio broadcasts concerning the motor vehicle
accident between Tammy Walker and Geoffrey chattin, which occurred
on High Street in Carlisle on June 16, 1995?
12. Do you have any information, from any source, regarding
this incident? If so, what is the nature of that inforaation?
13. Based upon what you have heard, do you have any fixed
views about this case?
14. Do each of you believe that you can accept the law
governinq this case as wlll be explained by the COUrt even if you
personally disagree with it?
15. Mr. Chattin has adlllitted that he a. neqligent and
responsible for the happeninq of the accident. Given this
adlllission, would any of you be unable to return a verdict in favor
of Mr. Chattin, if the evidence 60 warranted?
- 2 -
.
16. Do any of you have any physical or other condition which
would serve as an impediment for you sitting patiently through the
evidence in this case, seeing the exhibits, listening to the
witnesses and otherwise attending to your duties as a juror?
17. Ladies and gentlemen of the panel, the purpose of all of
these questions has been to assist counsel in this case in
determining whether you bring any bias or prejudice as a juror of
which we should be aware to determine your qualifications as
jurors.
Do any of you know any reason why you could not
participate as a juror in this case, listen attentively to the
evidence, pay attention to the charge of the COllrt on the law and
render a verdict based solely upon the facts as you find them and
the laws given to you by the Court?
In addition to these questions, Defendant, Geoffrey S.
Chattin, reserves the right to ask any relevant and necessary
follow-up question(s) in the event anyone or more of the preceding
questions were answered in the affirmative by any prospective
juror.
Date: tf l'~ Cl~
By:
BADOWSKI, BANKO, KROLL,
KRO L and BAKER,
A srfonal Corporation
( j ih
S e L. Ban 0, Jr.
Attorn.y 1.0. 41727
101 Pine Street
Harrisburg, PA 17108-0932
(717) 236-3200
Counsel for Defendant,
aeoffrey S. Chattin
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Court case has held that the jury should om be infonned that the Plaintiff in fact
selected limited tort covemge. To so infonn the jury constitutes reversible error
Price v. GIlY. et al. Pa, Supreme Court 7123/99 (see attached Exhibit A).
IX. Conclusion:
In order for the Plaintiff to show calculations for economic losses. the fact and amounts
of Plaintiffs own first party benefit coverages may be revealed to the jury. However. the fact
that the Plaintiff selected "limited tort. under her policy should not be con\'eyed to the jury.
RESPECTFULLY SUBMITIED:
-~Q~
David J. Foster. ire
I.D. No.: 231S1
COSTOPOULOS. FOSTER &: FIELDS
831 Market Street. P.O. Box 222
Lemoytw. PA 17043-0222
Photw(717) 761.2121
. Altonwy for Plainti.fJ
Dated: #L--
1
-
/; PLAINTIFF'S
EXHIBIT
I
TAMMY S. WALKER. and . IN THE COURT OF COMMON PLEAS
.
DAVID WALKER. her husband, CUMBERLAND COUNTY. PENNSYLVANIA
Plaintiffs .
.
VI. No. 5128 - 1996
GEOFFREY S. CHATIIN, CIVIL ACTION - LAW
Defendant JURY TRIAL DEMANDED
TAMMY WAI.KER
MEDICAL BILLINGS BREAKDOWN
FROM DATE OF ACCIDENT TO PRK'\ENT
Provider Total Costs Insurante Client Balante
I. Blue Mountain 17.820.00 .11,834.92 5.00 5.980.08
Anesthesia
2, Carlisle Hospital 24.767.09 .21,458.39 34.00 3.274.70
2. Carlisle Imaging 78.00 78,00 0.00 0.00
3. Holy Spirilllosp. 210.00 140.00 0.00 140.00
4. Orthopedic SurgCt). 585.00 530.00 55.00 0.00
orCarlisle
(Dr, Roam)
S. Spring Road F amity 193.00 153.00 40,00 0,00
Practice
(Dr, Kauffman)
6. Beh'Cdcft Medical 3 ROO 325.60 28.40 0.00
(Or. Roeder)
7, Canlio\'UCular I.Q7ltOO 1,973.00 5.00 0.00
Auac:iarn
8. Alexander 4,493.00 3,682.15 550.91 259.94
Spring Rehab
9. Rite Aid 18,367.01 13,717.15 4,649.86 0,00
10. University Physicians 745.00 582,50 162.50 0.00
Totals:
Bills: 69,590.10
Insurance Payments: 54,404.71
Client Payments: 5.530.67
Outstanding Balance: 9,654.72
the Pennsylvania Motor Vehicle Financial ResponslbUity Law ("MVFRl1, 75 PI.C.S. SS
1701 II HlL By eJectjng the Iinited tort option, appellants received reduced inr;urance
premiums. In exchange for reduced premiUl1l$, appellants were generally precluded
from recovering for non~conomic losses' unless they 6U$tained a "seriour; injury"' as a
result of the accident. 76 Pa.C.S. S 17Q5(d).
Appellants brought a civil ec:tlon i1 tort to recover non-economic damages
allegedly suffered a. a result or tho automobile accident, mc:Iuding a loss of consortium
clain filed on behalf of appellant Harry F. Price. During the clo&lIlll jury charge, the trial
COUI1InsItuded the jury purr;uant to PennsYlvania SUGGested Standard JUlY Instruction
(Civil). 8.020. pertaining to recovery or ~Ic loss damages in cases where the
p/lIInIiI'fhas suI'Jered serious impairment 01 a body functlon.s Prior to this instruction. the
trial court, CMlt appellants' objedions. al50 instruded the jury as follows:
(Appellants) have admitted that they aelec:ted the limited tort option. t will now
ioalnld you regarding that. When a person eIeds the Iiniled tort option the cost
of inlurllnClpt'elniuma to be paid by the insured are reduced. Ilowever, that
petIOI'l in IIlecll19 the limited tort opllon gives up their right to .118 for non-
economic; Ion IUCh .. pein and suIrer"il!l except where the insured suffers a
aerioua qwy.
R.R. at 2.....
On March 30, 1., foIowing jUry delbefationa. Ippellahls were denied an non-
CCOl~ cIerMges. Appellants filed post-lrlaI motions IlMIIdng judgment n.O.Y. or a
t TIle WFRL dtf'.l_ a "non-.ccllQll~ Ion" as -p.In and sutfer'""'lI and other
nor.mocl&taI, .,,~....II." 75 Pa.CS. I 1702.
I The W1U. dIf... a "MriauI ~ II "a peIIONII qu,y I8IUIling In death, aeriouI
ImpMnent of boltf function or penMllIIll Mfious cIiIftgulwnenl." 7S Pa.C.S. S 1702.
J The _li'Ool of the inItNclIon peItIining 10 reco...ry of nllr~.econo).llic; Ion damIIga
Ind......... ~'''''II.. of bodr fundlon"~ Wllh III atandwds
"",",_IIy..CourtInWMNlldkwlv ---, r1IA2d733, 740(pa '981).
1J-nS-'.... . 2
08/20/88 08:" FA! 1 21' '~8 '~30
PA TRIAL LAWYERS
new trial. which the trial court denied. subsequontly, on appeal to the Superior Court,
appellants alleged that the trial court committed reversible error by Instructing the jury
that appeUants had chosen the limited tort option resulting in lower insurance premium
payments. The Superior Court rejected appellants' argument and affirmed !he trial
court. On March 31. 1998. this Court granted allocatur to determine whether the
aforementioned jury Instruction amounted to reversible error.
In reviewing a trial court's denial of a motion for a new trial, we determine
whether the trial court abused its discretion or committed an error or law which .ffec:ted
!he outcome oIlhe case. ~ VllIno/l v, Standard Motor Freiahllnc., 418 Pa. 214, 217,
210 A2d 271, 2n.73 (1965)(citations omitted). In reviewing a claim regarding error
with respect to a specific jury charge. we must view the charge in its entirety, taking into
consideration aD the evidence or record to determine whether or not error was
c:ornmllted. Lockhart Y List, 542 Pa. 141. 147,665 A.2d 1176. , 179 (1995). If we find
that error was c:ommitted, we must then determine whether that error WlS prejudicial to
the complaining party. ~ (atIng ReilJy bv ReillY v. SEPTA. 507 Pa. 2CM. 489 A,2d 1291
(1985)). Error will be found where the jUly was PfObabIy misIelf by what the trial judge
chatged or where there waa an omission in the charge which amounts 10 fundamencaI
error. ~ (eIIing _any V. ~. 403 Pa. 217. 169A.2d 292 (1981); v..h.._~ v.
· Madame JUIb Newman takes ..... with the wordI ~ milled," and would focus
inUIId on wtw--. the jury .. "pIlIpabJy milled.' l!cRulh.,. the ItandaId cl ,.... for .
fauIy jury charge must be .......In IemIa of ~. II there ia sinM no.., 10
determine.... s jufof _. in fact, misIBd. A rwM..tlQ court has no moa.. to -c:(..
· junl(a.au.! ttQjQIlC plOO_11 ct to dltlfl'fllt1O ~ III juror ~'1dlIN on..
tauIy jury c:Nrve In IMdIint · dec:lalool Acx:o."~... bali, "I IIat the ....."f~~ of
,..AI__ in lhiI CIOnIIm .. bolt ~ It'. d i1 temIs oIlll'l"~
tJ.2$1", 3
111005/011
Pittsbumh Railwavs C_9~. 363 Pa. 220, 69 A.2d 370 (1949)).
Appellants argue that the trial court's reference to the limited tort insurance
option and to the corresponding lower Insurance prernlum payment was Irrelevant.
misleading and prejudicial, and that the reference amounted to a reversible error of law.
For the reasons expressed below, we agree.
The Superior Court COlIllCUy ascertained the general rule that, in a negligcnco
suit, evidence that a defondant carnes tiabUity insurance is inadmissible, with certain
narrow exceptions, due to the fact that it is prejudicial to the defendant and generally
Irrelevant to the real i$suos in the case. ~ Trimble Y. Merloe, 413 Pa 408,410.197
A.2d 457, 458 (1964). HowvYer, \he Superior Court determined that under tho
circumstances of this case, the rationale driving the aforementioned eYidentiary 'ute
does not apply because the court concluded that appellants' election of the limited tort
option was reIeYant to isSues in this matter. Specifaly, the Supetiof Court determined
that the fact that appellants elected the IimIled tort option resulting in lower premium
payments was relevant, flr&t. to explain to the jury why appellants had to carry the high
burden 01 establishing that Deborah Price had suffered a "SOrious injury" before they
could reQuer and, second, to BId In determining what level of damages were
appropoate. We diugfH with the SUperior Court on both points.
FIrst, the JUlY ainpJy did not require an explanation of MIl appellants had to
demoI.....tc the eXIStence of a "senous injUry" befOftt they could recooer non...oof.ohlic.
damages. All that WIll reqund was a c:le81 uplMIItion 01 the crtte1ia which tho juIy
was permitted to consider In determininO ~ apfltllants II8d demor\stralfod the
~.ce of a "Mfioua ~." By ~ing into an ...,1lIIIon of why ~
1J..235- 'till. 4
11I007'011
shouldered thetr burden, the trial court brought facts to tho jury's attention which were of
no consequence to any Issuo in the case. The fact that appelt.nts had declined to
contract for the more expensive Insurance option did not aid tho jury at all in
determining whether Deborah Price had suffered a .serious injury."
Second, the fact that appelanls paid lower insurance premiums in exchange for
limited tort coverage was wholly irrelevant on the issue of the amount of damages
reqUll"ed to ~lI5lIte appellants if the jury determined that they had suffered non-
econamlc damages. The severity of the non-economic injuries suffered by a plaintiff
and the corresponding level of damager; Imply bears no causal nexus whatsoever to
the nature of the insurance opllon which that plaintiff selected.
Moreover. the extraneous facls Which were brought to the JUlY'S attention in this
mailer _e prejudicial to appeDants. When the trial court informed the jUry that
lIppeIanta had "admitIecf' that they had YOIuntariJy chosen the less 8llpe1l$ive limited
tart insurance opIiCln, the court nsked imparting to the jury the notion that appeftants'
....ctIon of the less expens/YO altemative was, in and of itself, a factor to be considered
1'1 de1ennining whether l'lNl B Ilanta should be c:ompensated lor their non ecollOmlc
in/UrieI. Just.. INs Coutt views ...idence of the fIICt Ihat a defendant carried insurance
as pteiudlCiallo the dtf..1dMIt in. negigenc:e case, we equally Yiow evidence of the
fad IhaI a ,AI. /tiff -.lc.ad a leu expeIlSive lfIIUraIICe option as prejudic:iaI to the
.....tJft. In eIhef caae, there.. a risk tNtt, In delefminlng 1iIbiIiI)., the follY wi depart
from III I1lIlrMnl NndIrdI-.ld dIf'__litIoIlS on which they have bMn ctIarged and
indaad mn.adef the fac:t ola!*t1'e inIUflInCe CCNel'age, or IIIck theIeof. II relevallt on
the ... of . r~ ~. Mt II . jwy .. more ~ 10 attadI NbIiIy 10 . .,...,..
IH3$.1_.~
1oIJ010/011
VoitaseflOki Y. Plttsbumh Railways Co., 363 Pa. 220, 226, 69 A.2d 370, 373 (1949)
(emphasis added). ~ W y.()", .tler Heide Y. Commonwealth Department 01
TranSDOrtabon, 563 Pa. 120,718 A.2d 286 (1998) (error If jury 'palpably' mlslod); Stewart
Y. Motts, supra, (same). In deciding whether Ihe inslru<:tlon of the tnal court was
Inadequate, I believe that the proper inquiry is not whether the jury was "probably' mir;led,
as the majority lOtates. Instead, the focus 01 our review IS whether the jury was 'palpably"
mislod. In other words, is the conclusion thai the jury was misinformed readily apparent,
obvious. or evident frem tho record? I-urther, our preyious Jurisprudence has placed the
burden 01 establishing prejudice upon tho party requesting a new trial. ~,u.., ~
Y. United Slates Steet CQ!POration, 529 Pa. 409, "20, 604 A.2d 1010, 1016, celt. denied,
506 U.S. 864 (1992) (burden to show prejudice in order to grant new trial on mOVIng party)
Thus, I i:IeIIeve that it is inproper to c:onc:Iucle that reversible error occurs whenever the
appellate court is unable to discern wtlether prejudice has oc:currcd, 8$ suggested by the
Majority OpinIon Instead, prejudice to the moving party must be readily discernable and
there must be s reasonable likelihood that it affected the outcome 01 the case.
\'Wh this standard lI\ mind, I find that the instruc:tions of the cour1 directing the
attention of the jury to the insurance lIptions of the Plaintiff palpatl/y misled the JUry, and
maonably c:cU111ave aIfI..'Cted the verdict in this matter. I agree WIth the c:ot'Q.mon of the
~Ij~ that the Inclusion 01 inslnncc issues into the case is as pre;udicial to a p/ai1tiIr iI5
it Is to . defendant. ConIequentIy, tho general prohibition lIJainst the infusion of a
....U\f. ~ coverage into a case, as at for1h for eQl1llta 11'I IrimbIe v. ~.
"13 Pa 408. "'0.197 A2d "57,"~ C1M4).1s equally ~abIo to the dlrettretenmc.
0I1he pllll'ltfr'a inaurlnOt rnallf1. kcoIdlf\OlV, the instruction 01 the tnaI CCUIt was
,."erdlle error
po .. D ...... a.t t". Jo.US."p
TAl\IMY S, W AI.KER.lInd
I)A "Ill W AI.KEI{. her hu~band.
Plaintiffs
I~ TllE covin OF COl\lMO:'t\ ['LEAS
Cli:\18ERL\:'t\ll COUNTY. PE~Nsn"A~IA
\'s.
No, SI2!!.1996
GEOFFREY S. CllATTIN.
Ddendant
CI\'11. ACTI()~. L,\W
JURY TRIAL DEMANDED
PRETRIAL CONFERENCE 1\lDtoRANDUM
OF PLAINTIFF
1. STATE~IF.NT OF FACTS RELA T1~G TO U:\[\II.ITY:
lhis is a rear cnd automobile acddent case in which the Plainti If sulTered soft tissue
injuries which arc chwnic, and appear to be p.:nnanent or of at least an indefinite duration. On
June It>, I ')<)5, Plaintiff, Tammy WalKer. \\as stoppl.'\l in her \chidc behind scwral other
\ chicles at a n.'\llight at the inters~'Ction oflligh and lIano\CT Stm:ts in Carlisle when her
\ chicle was struck in the rear by the \ehide opl.'rated by the lkli:ndant. causing her \ chide to
strike the ,roide in front Ofll<'f. ~hc susuin..-d injuries and hcr car was totaled h.'Cau~e till: c051
"I' n:pairing il e\cC\.-dcd its mand \alue.
lL SI,'lF~tlSl OF F .'CIS R1L\nn TO nA~I;\GrS:
1'laintilT susbim.oJ ,di tissue injum:' dl.1~l~oJ :lS Th..lI'a\:ic (lutlct Sy IlJI"\'nle SI\\: has
.......'1l impaln.-J In ho:r at-ility h'I''T\'lfIlI ho.., ,""y .Lly a.:ll\ Iti~.,.. s~\kf\oJ .! signi!kan! I,.ss "f
tn,,-'\'lTh:. anJ,~ h..a, hdJ tl..~.JnJ ,'t\llhn-n,,"' h1 n.'\~i\~ n1\.~Jh..d~ tr\~jtna..tl"'. \\hfd' ~.~n~' f\:.....j~,\'\! ir-,
l'l'l anJ future un{'iIJd _-.li.:.1l "f'\'1l'" \.1 """"kJ,."\1l ,.,f \,,'r r",t ;mJ hllur~ \\,\\=: I,,,, ,,1,,1 h..-r
I"lst ;1n.1 h.llure n1o:\1,.;.1I"'Ho"~" r,\( ,\''''t...\ l-, \ll'ur~ll'\',: ., ",t..d."II",r\'\\\ \
llL FUTURE MEDICALS . NOT COVERED BY INSI JRA:\CE
A. Prescriptions
52,433.2"
x ~o
$121.662.00
IOut'ol~pocket paid ~ach month by' Tammy Walkcr)
. 12 months pcr year (Amitriptyinc $9.02;
Neurontin $138.00: and Celexa $55.75)
Annual Out of pocket paid by Tammy Walker
Life expt.'Ctancy from this datc until agc 79.
. totalllut of pockct prcscription expensc until agc
79
1.
5202.77
x 12
B. Hcalth Insurance Deductible
I.
$1,500.00
x 36
$5",000.00
Annual deductiblc under insurancc covcrage
. number of years lcft until retirement at age 65
(Blue CrosslHlue Shield. Traditional Plan efTl"Cth'c
March I. 1999)
[Suggested answer in the negatIve]
IV, SUMMARY Of LEGAL ISSUES REGARDING ADMISSIBILITY Of EVIDENCE,
ETC,
None at this time.
V, IDENTITY Of WITNESSES TO BE CALLED.
A.
B,
C.
D.
E.
F.
In
to call
Plaintiffs as on cross examination;
Defendant;
Milind Kothari, D.O.;
William Kauffman, M.D.;
Todd Samuels, M,D,; and
RepresentatIve of Kenmar Enterprises, Inc.
addItIon to these wItnesses, Defendant reserves the rIght
as a witness, any person identified in Plaintiffs' Pretrial
Memorandum or as necessary for the purposes of rebuttal.
VI. EXHIBIT LIST
A.
B.
Plaintiffs' Answers to Interrogatories;
DeposItion transClpt of Plaintlff-w1fe;
Recorded statement of PlaIntiff-WIfe;
D. PlaintIff-wife medical records fr01l\ the follOWIng
providers:
,
, .
Todd Samuels, M,D.;
"...
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'. 3h..rll'.,lt\<..1..1.. Falllll, rtdet \,,"';
I. ^1"ll.in,1~f spong I<eh..b, IlK,;
- 2 -
COMMONWEALTH OF PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
TAMMY S. WALKER and . No. 96 - 5128 Civil
.
DAVID WALKER, her husband, .
.
Plaintiffs .
.
.
.
v. . CIVIL ACTION - LAW
.
.
.
GEOFFREY S. CHA'l"l'IN, .
.
Defendant . JURY TRIAL DEMANDED
.
Order
AND NOW, this
day of
, 1999 upon
consideration of the Motion of Defendant. Geoffrey S. Chattin
for PartIal ~ummalY Judgment. and it appearing that there is no
geDuine Issue of material fact, it is HEREBY ORDERED AND
DECREED that the MotIon for Partial Summary Judgment is
granted, Plaintiffs shall be precluded from presenting a claim
for non-economic damages and this matter shall proceed to trial
en the issue of economic damages, only,
By the Court,
J,
- 7 -
election covered the policy which was in effect at the time of
the accident on June 16, 1995.
5. Pennsylvania law provides that limited tort coverage
under Section 1705 limits an insured's ability to make a claim
for non-economic damages unless the injuries actually suffered
fall within the definition of "serious injury."
6. "Serious injury" is defined by 75 Pa. C, S, A. Section
1702, as: "a personal injury resulting in death, serious
ImpaIrment of body function or permanent serious disfigurement,"
7. The Pennsylvania Supreme Court in Washington v.
Baxter, 719 A2d. 733 (Pa 1998) has ruled that the trial court
may grant summary judgment where, after reviewing the evidence
,l. the light most favorable to the non-moving party, reasonable
:l1lnds could not di ffer on the conclusion that the alleged injury
was not seriOUS,
8. The Pennsylvania Supreme Court further held that for
the non-moving party to withstand a Motion for Summary Judgment,
he or she must put forth sufflcient eVidence essential to hiS or
t,e! case nn which he or she bears the burden to proof such that
,j "H\i cc:'uld return a verdict 1n his or her favor. Faliure to
;r:.l;Ke such eVidence establIShes that there IS no genuine issue
:! llIaten"l tact ancl that the movinq party is entlth'd to
. ,L!,+",.en t .\$ a IMtter c f law. :d, At "19 A.cd.~ P.
.. 2. ..
9. On or about May 26, 1999, Plaintiffs filed a Praecipe
to list this matter for trial during the trial term commencing
September 13, 1999, At no time prior to that date did
Plaintiffs provide Defendant with a report from a physician who
has opined, to a reasonable degree of medical certainty, that
Plaintiff has sustained a permanent or serious injury as defined
by the Motor Vehicle Financial Responsibility Law, 75 Pa. C. S,
A. Section 1-02,
IU. By letter dated June 8, 1999, counsel for Defendant
we te t Plaintiffs' counsel requesting that Plaintiffs pruvlde
documentation which would be required at trial to support then
claim for non-economic damages. Plaintiffs' counsel was
Informed that If no report was forth coming, Defendant would
file a Motion for Summary Judgment. A copy of said letter IS
attached hereto, incorporated herein by referenced and marked di'
Exhibit "B,N
11, To date, no such expert report has been prc,Vltj,,'.1 by
iLunUffs and accordingly, Defendant files thiS Me,! I',n (,./
t ,_1% t Hi l :: wrJnc. r y J udgme-n t .
.,._ t
Ltetend~nt has {lris","",-1red ':,ht~ \.'r'tt;t'~;1i.r':~ ,it; 1 ,t>:.:..f.ttp,! ! h.lt
;. i,'l,:~!~:ts are- precluded fr-t)n~ rt),_' ,\t'~r~n.'-J !; h-t-". ~1~'>~
1,...t:',"1t:"~.
t...:., tt:..t$~\ the i'iilE'qed inji.lfle~ ,1L: h,~\t r.;1'....' ~.tj',1 'r;!r':,t. .i.oS t,,!
~~t~!~.U,. it'o-;tHf thE"r~by e-l~v"tin'-l h."f 'i.tl~j tr f!I 't.ii" ."i." tt''--,1
. . <;-\ ~ '"_ ~:.1 ~. f ~ "p t l ,'.r; .
.. 1 ..
10/02/96 16:~~ tt717 7~1 5007
ij!J003
STATE FARH:YORK
TAMMY S, WALKER and
DA VlD WALKER. her husband,
Plaintiffs
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY . PENNSYLVANIA
VI,
No.
CIVIL ACTION. LAW
GEOFFREY S. CHAITIN.
Defendant
JURY TRIAL OEMANDED
f:OMPLAINT
AND NOW come the Plaintiffs, Tammy S. Walker and David Walker, her husband. by
and through their auomey, Leslie M. F1dds, Esquire, and rcspcctfuUy represent as follows:
Count I: Tsmmv S. Walker y Geoffrev S. Chattin - Nulil!clK:c
1. Plaintiffs, Tammy S, Walker and David Walker. ber hnc\)snd, are adult individuals
residina at 133 Tower Circle, Carlisle. Cumberland County, Pcnnsylyania 17013.
2. DefcndaJlt, Geoffrey S. Chattin. is an adult individual residinC at 897 Clubhouse
Road, York. York County. PeMsylyania 17403.
3, The c:yetIU civina rise to lhis CIIISC of action occurred on or about SUlK: 16, 1995, on
RiCh Strc:c:t near the intcnc:ttion with Ilanovc:r Strc:et, Carlisle, CulIlberIand County,
Pc:lIlUyIYania.
4. At the i1forcsaid lime and pllce. PWnlUf, Tammy S. Walker wu operalina a 1989
Ford FallVl Il~ and tn~Uinl eutbound on Rilb Street wtlcn sill was ~wtully slOppell
in a line of traffIC: bdund other ~eludes wllidt h.a4 stopped in from of ber. A vcluclc operated
by DefendalIl. ~ffrt)' 5 Oattm. filled to Stop and reu-c:n4td PWlItlff"s vetUl;1c whidl was
tbc:n rOfUd mto I ClInroIet van,
5. At tbc afomallllllllt and pU(C, I'tllRnfT. T.mmy S, Walbr. wu u\lSCd to NNin
10/02,96 16:45 ft717 7~' 5007
STATE FARM: ~ORK
I4IUU5
.scrious injuries. as dcfmed and interprelCd by her automobile insurance policy and/or the
policy's election of ton options form violates sec. 1705 of the Motor Vehicle Financial
Responsibility Law and is therefore invalid.
9. As a further direct and proximate result of the negligent, careless and/or reckless aclS
of the Defendant. Geoffrey S. Chanin, the Plaintiff. Tammy S. Walker. haS been obligalCd to
rccc:ive and llIldcrgo medical aaention, care and expenses for the injuries she haS suffered and
may be obligated to continue to incur such expenses for an indefinite time in the future.
10. As a further direct and proxunlte result of the negligent, careless and/or reckless
acts of the Defendant. Geoffrey S. Chanin, the Plaintiff, Tammy S. Walker. haS suffered a loss
of earnings and/or impairment of her camilli capacity and power.
11, AI a further direct and proxunate result of the negligent, careless and/or reckless
acu of the Defendant. Geoffrey S. Chanin. the Plaintiff, Tammy S Walker, has suffered
mcditaIIy dctmninable pIIysical impaumelltS which have prevented ber (rom performmg all of
the I!l3f1n&l acts and duties which consntute bet IISUII and Cllstom.Uy daily aaivilies.
12. AI a further direct and proxunatc rcsuIt of the nqlilaJ(. arcJeu and/or reckless
acts of thc Dcfcndant, Geoffrey S. Ch1lt1n, the Plaintiff, Tammy S. Walker. h&s uperlCnced
~\cre pain and SlIfferi1IC, mt1ll.l1 angulsh and humiliation. am in the fIat\1ft lt11y ~OIlt\ll\lC to so
expcncnce.
13. As a fIInbtt dlfC(l aDS proumaw rt51dt of thc nt,llItftt, ul~I<<' andi~"If rttklus
a..:u uf \be Dcfmlaat. Gcuffrey S <'bltln. the PlllftUff. Tammy S. Walktt. has wlTtttd a l.,ss
\)( life's ptcaS\lrtS aDS In lhlt tuNre ,.Ii! '01\"_ l\) wtfft I ...., of 11ft', pltU\&ftS
10;02;96 17:06 tt717 7~4 5007
STATE FARH:VORK
1ilI002
}'ER.mCATlON
I, Dayjd Walker, do hereby Ycrlfy that the statcmCnts made in the foregoing document
are trUe and c:orrec:t to the best of my infOl'lJl2tion and belief. I understand that false statements
made herein are subject to the penalties at 18 Pa.C.S.A. 4904 relating to unsworn falsification
to authorities.
. I)
/UI ; ~ ./v-z~
Dam WaIbr"'- .
-
DATED: ;1 s.z.1 ""
s
ElltIM .
btMC
\
..
ELECTROMYOGRAM
fibs,
+ohnrJ.l
Page 2
03tel 11/11/95
tlUP's
fncei!:'!: oll...r dur amplitude fl'rm recruit
II II II FULL
N N II FULL
It II N FULL
II II N rULL
N II II rULL
II II II FULL
II II N FULL
N N II FULL
Hamel WALKER. TAMMY
Type of needles MONOPOLAR
Muscle
R 1ST 01
fCU
!Rl
ECR
LIST 01
FCU
TRI
ECR
SPONTANEOUS ACTIVITY
g
It
N
II
II
N
N
=
IMPRESSION I
...
Nerve conduction studiec. including ulnar nerve
stimulation at Erb'S point. are normal bilaterally, EMG
examination of both upper extremities is normal,
This is a normal EMG and nerve conduction study.
Thank you very much for referring this patient.
(. r,lle ()
'~~\t~1 ;,)............-..--.1' -:-:")
Todd t., Samue18. ",D.
Tt.S/gp
eel Anthea tn.urance Co.
William ta... n.D.
ElINbII 0
'~)
...,no
WALKER. TAMMY S.
PAIN CLNC
MR #3-\4420
GENERAL:
HEENT:
PhYSical examination reveals a pleasant white female In no acute distress
Heaa IS normocephallc and alraumatlc. The pupils are equal. round and
reactNe to light and accommodation. Extraocular musdes are intact.
PULMONARY:
CARDIAC:
BACK AND NECK
Exam reveals lungs to be clear to auscultatIOn
Exam reveals no murmurs. gallops or rubs.
Exam reveals no scoliOSIS. normal lordosIS and kyphOSIS. She has para-
vertebral muscle tenderness over the cervical vertebrae. There are no firm
trigger potnts palpated. There was no tenderness over the suprascapular
regIOn
EXTREMIT1ES:
NEUROLOGIC
No cluDbmg. cyanoSis or edema She has normal range of motion.
Cramal nerves II through XII are grossly mtact Reflexes are brisk and
btlaterally symrnetnc. Sensation IS W1llIln normal limits. propnoception IS
Wtthtn normallimltS Limits are bnsk and btlaterally symrnetnc.
X-RAYS
Normal lumbosacral spine. normal thoraClC spine NegalJVe MRI of the
ceMC8l sptne
IMPRESSION: ThIS IS a 25-year~1d wIllte female Wtth posnraumabC pam foIlowmg motor vehicle
acactent in June t995. Smce that tllTle the pallen! has had multiple modalities of pam relief including
phySIClIl tl\trapy. trKbofl. Lod1ne. Uttram and Amltnptyline I WIll increase her Amitriptyline 25 mg qhs
and start her on . TENS unit Should this prove not to be effect I WIll conslder posterior division nerve
bIoc:IIs in the cer.1GIl regIOn I hawe explained thiS to the pallent and She agrees to proceed.
TtlKInw
o 0111811996 - tt 35 am /
T 01/1811.
Ox lUll t.'1JI~
Ted O. KosenSke. M.D
Proc 1'.1:<<1'-
Pt. /It-:051o
Fe 'tS
CC ittt.
Pql
~1C"ilNAl
eARUSLE HOS,ITAL
~\. JXA....." t10M
WALKER, TAMMY S,
PAIN CLNC
MR #344420
DATE: 02101/96
Tammy Walker is a 25-year-old white female with cervical pain. She reports her sleep pattern to be
much improved on the Elavd 25 mg q hs. She states a TENS unit has only helped her approximately
5% and as such we have agreed to discontinue it. She states that the Lodine is helping her, however,
she feelr; flu-like symptoms whenever she stops the Lodine. I told her since she is not having any
other complaints. ie gastritis, then she should continue the Lodine.
I will start her on low dose Gabapenlin 100 mg qid and reevaluate her in two weeks.
...
TOKlbr
o 02101/1996.10:15 am
T. 02101/1996
Ted D Kosenske, MD
.'
/
Ox "1.2.3.1 V
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t,tl!(1;Nl",\
C""USU: HOSlO1'Al
r"... Cll~ O"IC( NOTE
WALKER, TAMMY S.
PAIN CLNC
MR #344420
This is a 25-year-old white female with cervical pain. She reports approximately 60% improvement in
her pain following the initiation of the Gabapentin in conjunction with the Elavd. She is not having any
side effects or other pain. Occasionally. she states. she develops a stiff neck; though, she has been
trying to do physical therapy exercises at home. I have told her to continue this and try heat as well.
Should this not resolve, we will consider once again selling her up for aggreSSIVe physical therapy. I
will see her again in a few weeks.
TDKlmrf
o 0310511996 - 09:47 am ....
T 0310511996
cc Or_Rodgers /
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PT. IJ'1q.JI..3
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c.lA\.1$1..1 HOS'ITAl
"A".~I..~.v!'II.
WALKER. TAMMY S.
PAIN CLNC
MR #344420
DATE: 03128196
The patient is a 25-year-old female with cervical pain. She had been doing wen up until the last few
weeks when she unfortunately regressed. I am going to increase her Gabapentin to 600 mg TlD. I
told her that on her next Yisit we will do PDNB should her pain not have resolved significantly.
~
TDKlmts
0: 0312811996 . 12:37 pm
T: 0312811996
Ox !
'l.U'
Proc none.
PIt 14.58'1& -5
FC '15
cc Pi dais ./
PlI\lt , of ,
ORIGINAL
CARuSlt HOIMAL
WALKER, TAMMY S
PAIN CLNC
MR 11344420
DATE: 06/14/96
She rema,ns 65% improved on the Gabapenton She defers any other trealment atth,s lime indudlng
epidural sterOid injeCtIOns She states she lust would rather continue with the Gabapentin.
~
TOKldem
o 06114/1996 . 0355 pm
T 06114/1996
I
Ox 'J~3.1 t.
Proc non"
Pit 1'J"''1.2.3~
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cc .,~
".'C'll'
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CAM.lSl.r HOSPITAL
Off'1(t~ft
WALKER. TAMMY S
PAIN CLNC
MR #:.44420
DATE: 09/16/96
Tammy Walker is a 26-year-old female with cervical pain and bilateral arm pain and numbness. She is
approximalely 40-50% beller on the Gabapentin though she is stili having complaints of pain in her
arms She alSo slates that her arms twitch at times
. feel that the next Slep is to get her seen by a neurologist We will contact a neurologist in the Camp
HIIUMechanicsburg area and let II go from there
. refilled her Gabapenlm and I will see her in a month
TOKIbr
o 0911611996. 09 40 am
T 0911611996
~
Ted 0
MO
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Proc flollt
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cc .... IU'"
r. , art
~.
(AM.JSU MOSPItAl
PAlH .~.OfJ~l 'tOll
~ CarlisI!' Hospital.
.,
September 16, 1996
246 P"l" I"..,
PO. ... liD
("I"", PA 110ll OliO
117.249 1212
Dr. Todd Samuels
890 Poplar Church Road
Camp Hill. Pennsylvania 17011
Re Tammy Walker
Dear Dr. Samuels
This is a letter of introduction 10 Tammy Walker She IS a 26-year-old female whom I
am asking you to see for possible evaluation for EMG studies. Briefly, she was previ-
ously healthy until June of 1996 when she was the restrained driver of a car that was
rear-ended. Since that time, she has developed cervical pain radiating into both
hands. She states that in particular her fourth and fifth fingers become numb inter.
mittently. She had an MRI of her neck which revealed no pathology. On physical
examination. motor. sensory, and proprioception appeared basically to be within nor.
mallimils. I have been treating her conservatively In that I had given her I TENS
unit initially. This failed to relieve any of her pain Prior to seeing her, she was
placed on nonsteroidal anti-inflammatory drugs as well as Ultram by an orthopedic
surgeon. Again, these failed to result in any signtficant relief of her discomfort. She
has been on Gabapenlin for a few months Ind this hiS helped somewhat with her
pain. Nevertheless. she feels that her discomfort IS stili relatively severe and she
wants to proceed In treating it more aggressively. As such, I felt that potentially an
EMG may help elucidate some of this problem espeCIally when she continues to com-
plain of numbness in her fingers bilateraUy. Again. she IS on Gabapentin 600 mg.
Ii d as well as Elavll 25 mg. q h s.
Thank you In advance fOf seeing this patient
,-, . ....... no : " ',. i i
\l
Sincerely.
~ ,.,. . .. ",.......... ----..-<<
---:;";:" -~('
.. " ..- ......,
.' -" ,I ".""'-
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TOK!mts
Tf'd 0 Kosenue, M 0
'__~~.t.~ .
'~~'..~.,";
"''1~t! .~ '"'
-.
.
WALKER. TAMMY S
PAIN CLNC
MR #344420
DATE:
The patIent IS a 26 year old woman with neck pam We got the results of her functIonal capacIty study
and they pretty much eVInce what she has been telling us all along As such I am gOIng to wrote a
letter on her behalf and say that she really should not work as a waItress She states that the phySIcal
therapy is really not helpIng her. The only thIng that IS helping her IS the gabapentm. She relates that
the Serzone has been discontinued and she is back on the Elavil Next time I see her I am gOIng to
perform some posterior dIviSIon nerve blocks on her
TDKMn
D 01/22/1997 . 1255 pm
T~1/2211997
...;c Or Rodgers
Ted 0 Kosenske. MD
Ox
Proc
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.
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WAlKE'l, TAMMY S
PAil cwe
MR ::344420
DATE: '3'03/1;;;;7
PERFCRMeD BY; Or T.= 0 Kcser,<.
Th,s IS a 26')'ll8r-Cld wcman w'tn r"k cain Unfo~~nalei,. S~. "ece"lId cr.li tellr days 0' ca:n 'e',.1
upon l/1e IaSI set 01 inlec~cr.s I as,.: ~... a;s:' aoo..: Ihe N..\.ron~" .rc s~e 'It is 1~1 t",S 'S h.lo r.;
her S1gnl~canUy WI\tlCllt side e~KlS We w /I prcce.!d !::lllIy ""In b:lateral C,. Ct. C, pcSlerlCll' CrvlSion
nerve bleeks on the ns~t sid. erc sJ;:rascapu1i' nerve bloc<
PROCEDURE: As Icove
Sterile prep was ~I~crrr.ld w::n Ihl CI:,t~1 ;n tn.. smng C:I.l:c~ '" 25 gau.. 1 ~." r.eeo:e was 1'1'
o~ '" V.noIlS 1Cc.11Cn1 T"I ''''1$ rlgah' 'or asporater 01 CICCe: 0' SlI$ and tIl.re we', no
:.re.t!tes..s ehclt.:l. Tower:y cc e! C ~5% Martl,he wi:/l Sar.:ll'I arc I trace ameunl 0' :r.....::r.ciene
were In;r-leQ. ,.". patient n.d ~ccc Clift retie' I wi! It. nr In two \II_S. SII. 01 J~je.:,n;
l/1erapy at Holy SPnt He'PIllI ere: : ." >1cpet.llI!altlu M'Il r..I: IIer. Sill .ta:.. :!'at sr, .." ~ta.
bry hI" anc:her mcntI1 teler, She " 'ee'I'\la!ec ey 0- GrTe\
TOo(Jas;
0: CJ."C3l199~ . 02 00 D'"
T. 0310311991
CC O' Rod;ers
01 1", ."
....1 ...
~?~1
P'oc: f.>';'lSc. ~
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PI' 11'1111.$
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I
cc IJ"~ oj
co! ~,
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~~lijt~l
CA~\,I$l.'ItO$l'l'A~
~~~.'&!I
ll~ ,-I ft. A7'
1:::11 Fo\.\ ~I~ ;:~9 ;:II~:J
~n.H. BII1.l>I\(,
....JlLO:I'R. r"M'J)' s.
;"4.~~ C..\:C
:';4IC;t'9~"
MR; 34~~;::
OA TE: 04,(;,:;7
PERFORMED UY: Dr T"J 0 "'C>~'S'e
Th'S ea:,.o: I a ~e ,.ear'CJ: "'C'-'an ..~, nec~ pa." arc ~J:s':o-ab'l! rh::rac.: CUIU obs:.u.tc., 5.'e
'JC E ~JfS el ca.n r, llir ..c""' her ;.15: sel el -n,ec: ~~s ;/~ >\,: crOCeed Wi:h anOlher Sill Clb"a:;!'a.
CJ. C~. ar.d C 7 :;\I~rer C"<liion nerve tll,;)~'1 ..no ;; ~~-: I.ce: SUprISCllC".ar ne'" l:iO~.
PROCEDURE: 5;.:era, C3. C5 ar.e C7 C:s'ercr C','5.Cr. r.cr..e OlC", ane a n;n: scee '.prncao",.
la' ner.e blce~.
Sterl. pree was certcr"'ec lo\Il!!1 1'- car.ent '" the SIlt rG It.SllO"! A 25 gauge' iI !nct1 netIQ!a was
t~e" plaeeCl a: ~ar:eu$lccatl:ns ~ere w.Js r.'gil~E ese..::cr. '0' C.ccd CSF or gas r.a :r.re were
rc paraestlle.:as eloteC. II lela, of:!C CC of 0 :<5% M.'14..-o "'to ~arn' and a :-aco Bm:l\l.,: cf
1r;a"".oI'.oJene ",as .r.je~ed. Tl-E o.:ienr nl: :;;:ec :a.n ~I.er ar~ ...,1 S&a ~er ." B cC"G. 01 wu'~
TC~oeT
C :4.':2'~iS1. .2 ; ~ c-
T 04'02:19;7
c; Lr Fteoget1
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,
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"
~
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c. '1~~ I
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l.l"oI~;t
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ft.).I' r..,".~
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c.a.lt;.. '$\1 tolC)\ll1TA\
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117, 111 ~~
13:~1 I~~\ ~11 2~" 2~~3
\ 11.1.1. III I LlII \/.
~tlllfl~.
lI~LKE:R. TAMMY S
, !
'JP.. j...:~~O
PI-It. ::':-'C
DATE:
PERFORMfD BY: 0' -:-..d 0 KCUMS"
r'" s s a :i 1u3r otd Jlct"!"lan With th')racc o.Jo;el 1j'itr J":tlon a~d eh"enlC neclC. pair Again, $ne re..
:e _e::! atout 9 cays of pa n re;;el fo::cw,nJ 'Me IllSI se: cf InJt:"o", Il,s m, ~n:l.'slanj rg :r,,: ". 5
..: 5~t I thOP'3ClC s..r!;@'('")r, :~ ='hi!adelpP"li re;are,.,~ "~l' tl"l)'GCiC =~tet Ct:S~oucti:)" I~ t", l""'.ar: r-ti
'N. w,il o~oee'o N,th anotner sa: ef tllat.raJ caTVI;A tS, C5. C; post~1'10r ChISiO' n.rvw b'cc...:t ii' c: a
rg"!-.odt!d suprascapular ne~ t,,:~
PROCEou~e: 911.rll.: :1l'\":51 C3 C: Coo ~C;S~tr,,: a,.'.i<" r.r..~ e!~c~s a~ a rg!lt.s'de:: t;;::"]-
'Seacut1r nerve tlCeK
Stema prep was oarlc.mec wn.!'! tht oar em r :11. SJDlre DOs1,;)n ;.."'~ gauge , r<$ ,re, reed'a wu
:ren :J llcecl at vaneloS loea:ors There was ~gga:.ve ll~ratlCt'l o! Cl~j CSF cr gas g,~ tt'!!I@ w,...
"; parast""eSIQ eloe1ed A tota' ef.: e: e' C .5~; \larea r. ""'" Sa'.pin llre . trace a-o.;rt of ~'am-
C"'O'Qne wers in eeted. 'rtle cate,t ha3 geed pa,- ~iIef aria I WlJI !te her r. a few _ks
';)0(.1"..
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PROCEDURE:
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placed 'n tile ~Ir1OUI lOCaltonl. rne,. was n".~ ISO.ra~On clll!oC4. CSF, ~. a"'O lr'.ete were n:!
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PAIN CLINIC
DISCHARGE INSTRUCTION SHEET
Cr. t(D~L~u Iler:crmlc a -rr; ?-:~~,A efX IS part of ycu truVllenlloday.
~'~<::YLQ.OJ'-
To .ssure a safe and comlll.t. recovlry you need te follow 1/111$' ~aucuan Ind or rej)Q/'t III'( c:f
tit. items marked below if lIt.y cccur within the r.e:zt 24 . 72 r,curs.
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Fev.r ITemperature c:re"" t.'I~n 100' Fl
Persis".:.nt headaChe not ffblved ty YO","ll$,Jal aver. t'll . counter ....dj~llol'llnd it rM4.
worse by light, .tlnGlng or Slt:ing ancllmQrcves by /ying dvwn,
ChanQa in VOIIf' .tlihty Ie lI':ev. VOIIt II1l\I and II1Is or dIanou It! ,..ling In YO\lI' lIallCls or
fut
Res1Jiet IC1ivi1ies and gn:l<411y resume nOtrlQI ICIivlTy II YO\lr di&ectnfo"lsubSices
Taite pr'~d medicill, Inll CI' If Ifty ll'Oailf"ll or ~r.ions
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bas performed a .;.J.:Jt<.:..d, ..:-;. 1 ,,~',7:l ,,,',<..L' pan ul yow :reaan~Dt 10CJY
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~ Clw:ges ill your ahillt) to move yo~~ leiS or ~es ID t"llll! in yo@ foe:l
C Restri;t aClhritia lIZlC cnduaJ:r rQUIll! lICrm&! actiVity IS )'0\11 C:IKomion s\lbl:Cei
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PAIN CLINIC
DISCHARGE INSTRt:CTlO~ SHEET
;... Or.rM.t~I!\Ok, - hn perlcm.ec s A4 .1Lyo~~~~O! your IWlrr.e:lllcdsv
To assure a sare anlI complete re:nver)' )'~u ne~ 10 fo!l.rNlbese ir..lllUC:'OM:lJlC or report ~ny of Ib: l:eJn! marke4l:e!ow
if lilt) o;cur ~irllin lilC nesr 24 - "2 ~.ou..s,
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or littin, and \mrrovc:s by Iriel! c!own
/:J Cbqc:s iD)'OIII abiliry ~ ~c ya~ Jqs l!r cI'.acaes ill fwllllg III ~ ~.c0or feet
o Restti~ aaivilics IIlll ~w.;)' re\:r.le r.cn:W aal\iry as yo;l: dis:eCl!on subsides
'P Tab prescribed mecl;.n"1e anlI c:a.lllf L'>, problems or ~aliOlU
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:Z OIS:omfon that ~c;eIr.es se\.ere ar.r:l or ,"I~te:u 1l1:n r.cr:r..1l covemen:
;t... C:ced:ll8 Of s....e;h:~ at sae ot ,oje.;ttcr.
lit Fe,er tTemre:a:ure :rcater :na::. IJ; 0 F;
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CardiovaScular
Surgical Institute
.' I','
'.:.' H,-I
''''1.,,, \IiJ
< ",' ,i '\i m",: ~1;'l
'Ill P : ..1"'! \1 JJ
,,':.. (H'," ,')1)
November 19, 1996
"
Todd Samuels, M,D.
890 Poplar Church Road
Camp Hill, PA 17011
RE: Tammy S, Walker
,
Dear Dr. Samuelsl
r had the pleasure of seeing Tammy S, Walker in the office today. I evaluated he
regarding her thoracic outlet and the possibility of additional vascula:
compression at the thoracic outlet being indicative of a possible neuro compressio:
also. I note that DIG studies were normal. Her HaI of the cervical spine was als,
normal. The apical lordotic chest x-ray, however, was not normal and showed,
prominent exostosis of the costochondral junction on both sides and a prominen
csseous tubercle or point on the left first rib which sometimes can occur with a:
elevation of the periosteum .econdary to a whipla.h type injury. The patient doe,
have intermittent numbne.s and tingling of her fourth and fifth fingers on bot!
. r d.. She doe. have pain in the cervical region. She has point tenderne.s ove:
tne anterior scalene muscles on the left side and also on the right side. Ther.
is tenderness over the brachial plexus bilaterally. Her arterial study does no'
show definite vascular compre..ion at the thoracic outlet. Thu., Mrs. Walker r.a:
have an isolated neurologic thoracic outlet with negative DIG studie., whici
~ertainly i. not uncommon. Often the.e can be managed conservatively.
She has already had phy.ical therapy, but I would appreciate her receiving anothe:
:hree :lonths of physical therapy directed toward creating more room at the thoraci:
cutlet .pace, I have enclosed copies of the thoracic outlet exerci.es a:
recom:ended by the Mayo Clinic and also an article by Christine Novak, a physics:
:herapist who works with thoracic outlet patient.. If Mr.. Walker is not improve:
~cllo"'ing this, I feel .he .hould be considered for surgical decompre.sicn
especially in light of the abnor.:ulitie. a. visualized on the apical lordotic chss'
x-ray.
Sincerely your.,
~illi~ B. :.... M.D.
"'''B I ! gep
~.d ~Q..n.k.. M.D.
Alexander Spring Rehab
William ~auff..n. H,D.
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Cardiovascular
Surgical Institute
VASCULAR DIAGNOSTIC DIVISION
lVllllam 8, I<lms. MD.
I.;mts c. lIart. IIfD,
E.illllrdo lorgt.I'..1D.
lohn L. Pmnock. A.ID.
C"I:,8 Wisman. ,'.,1.D.
f~i:n P.flldsol/. IIfD,
Gr"JOry S. Keagy. DO,
,...,
Name: Tammy Walker Age:
Chart: 18442 Physician:
Previous Evaluation:
Indication for Study:
Sex: F Date: 11-19-96
T.Kosenske/T,Samuels
SIp motor vehicle accident 1995 with
whiplash injur/; numbness in fourth and
fifth digits of both hands since
accident; cold hands; neck pain; rule cut
thoracic outlet syndrome
UPPER EXTREMITY ARTERIAL STUDY (93923) AND OPPER LIHB ARTERIAL
IMAGING WITH SPECTRUM ANALYSIS (93930): Continuous wave Doppler
reveals a loss of continuous wave pulse with the hyperabduction and
An. 90 maneuver on the right side and only with the hyperabduction
maneuver on the left side. Both sides, however, required extreme
effort to cause a loss of pulse. The patient did not develop
numbness in the hands during the maneuvers.
Duplex sean was used to evaluate the site of stenosis or
compression. There was good visualization of the subclavian
arteries and veins bilaterally, There was no evidence of
aneurysmal dilatation or venous thrombosis on either side, The
patient was placed through the provocative maneuvers a second time,
and only the hyperabduction maneuver on the ri!iJht side causes loss
of continuous wave Doppler. There is never complete compression of
the artery, The AER 90 maneuver did not cause a loss of
compression,
On the left side, none of the maneuvers caused compression or 10s.
of color flow Doppler with extreme effort. It is felt that becaus.
of the extreme .ffort required with continuous wave Doppler that
possUlly the continuous wave Doppler probe was III.Oved and caused a
1088 of flow,
CONCLUSION: This study 1s inconclusi.ve regarding evidence of
arterial compr...ion at the thoracic cutlet.
Nilli.. B. t.... K,O.
N'lIIgep
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PATIENT NAME
X.RAY:
~M9J
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...
8/11/95 OV:
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BINl/{{
.
.
,
Orthopaedic Surgery of Carlisle, LID.
Danic:l P. Ikly. M.D.
John C. Rodgers, M.D.
OFFICE RECORDS
IIALKER, Tammy
DAnOFIlJRTII 4/7/70
PAGE" 1
r")
S: Tammy Is a 25 y.o. white female whu was Involved In "VA back on 6/16/95,
where she was at a red light and was rear'ended. She stated at that time,
she Initially felt no InJory, but within 1 hour after the accident started
feeling pain In her ba.k, and a loss of feeling In both hands. Since that
tlae, she was treated by her primary care physician for a cervl.al strain
with pain meds and a short course of P.T. The patient stated that the therap'
did help her and once that was discontinued then her ayaptoas recurred,
Since then, ahe has not been able to over.oae the symptom. of pain In her necl
along with some cracking sensations and .ome o.ca.lonal tlnellng and numb-
ness In her 4th and 5th flngets bilaterally.
0: P.E.: reveal. het to be a well developed, well nourished white female In
no acute distress. She Is .ompletely NV Intact throughout In both upper and
lower eKtremltles with 5:5 motor strength. DTis 2+ and equal throughout.
Negative lablnskl bilaterally. She report. no bowel or blldder problems,
She has full forward fleXion, extension, lateral bending of the spine with
no discomfort. She has full movement of her cervical .plne, but compl.lns
of discomfort In the base neat Cb'7 & I. X'rays that were done on the out-
side of her thoracolumbar spine were reviewed and normal, Cervl.al aplne
x-ray. were performed here In the offl.e today, and vere notmal as well,
ASSESS"ENT: Cervl.al strain,
PLANa Patient wa. sent baek to ASR for P,T. for 6 we.k. fot modalltl.s
and flexibility and strengthening cx.rels...
She vas pla.ed on a courle of NSAIDS . Lodl.e 400 M&s. PO liD.
She viii return In b v.ek. to monitor her progr.... JCR:nes
S.. lett.r to lIa. Kauffman, ".D.
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~u. ~~ oiu ~ PM,...... 1'10-..,
. .. t ~tu. P f't"'-"~
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br.~ 0"-
f.'"C. Sr-~
p n ~....... +.-..
(:.tl",_.,
~....,
('. ,,~ t.r
.
OffICE RECORDS
PATIEIoo, NA~IE WAU<ER, Tanmy
I>ATEOFnlRTII 417170
I'AGE"
9/21/95 OV:
S: Tarrrny returns today with reports of resolution of the tingling and numb-
ness in her 4th and 5th fingers bilaterally. She has however, continued
with the same feeling of pain and pulling in her neck. She reports that this
is definitely related to her stress level at work, and alluded to feeling
overburdoned with the amount of responsibility at both work and home combined.
0: She states that continued discomfort in the base of her neck around the
lower cervical sigments and upper thoracic area. She canplains more along
the midline as opposed to paraspinal musculature. Her bilateral upper
extremities have continued with 5:5 motor strength, 2+ and equal DTRs and
no sensation of pain, numbness or paresthesias.
A: Cervical strain,
P: Pt. was to continue .ith her home program from ASR as instructed,
She states that this has not offered any significant improvements but I feel
that in the long run this will help her. She was also instructed to continue
taking the Lodine 400 mgs, PO BIOI. Additio~lly, I am adding Elavil 10 mgs.
PO Q HS, I feel that the antidepressant effect in the Elavil will benefit the
patient.
She will return in 6 Io'eeks for repeat evaluation. If at that time she is
still complaining of the same s)'lltltoms, then a switch to sauething like Ultram
should be considered as well as the possibility of a cervical MRI to make sure
we are not missing anything. JCR:nes
;1(
S: Tacmy returns today with no significant improvements in her complaints of
neck pain, She also states that she has some occasional s~mptoms of pares-
thesias in both upper extremities,
fN:
0: Her P.E. re\~ls continued tenderness at the posterior aspect of her
cervical spine. She does not feel that she has had any significant benefit
from just the Lodine and Elavil therapy.
A: Cervical strain.
PI Pt, was told to continue on with the lodine 400 mgs. PO. BID, She is to
start taking Ultr311 50 mgs. PO 1.2 tab! Q 4.6 hrs PRIi for pain, She was to
start oll'er-the-door cet'\ic:.a1 traction and institute a soft cervical collar,
She 10'35 also sent for an NRI of her cervical spine to RIO IriP.
She .ill return back here after her MRI and we ...Ul discuss the results, JCR:llt"
,
_Ii...
.
tt
.
.
Orthopaedic Surgery of Carlisle, LID.
Daniel P. Hel)", M.D.
John C. Rodgers, M.D.
OFFICE ~CORDS
PAnE"" NAME \.'AIJ<ER Ta:
DAn OF 81RTII 4/7/70
PAGE. 2
11/21/95 ov:
s: Tanmy returns today wi no significant change. She reports a mild
improvement wi ~ervical traction, although she has only been using it for the
last week or 2. She is up to 12# at this point. She has not yet gotten the
soft ~ervical ~ollar.
Her MRI was reviewed wi her "ilich was negative for any herniation or other
significant abnormality.
A: Cervical strain.
P: Pt. ,,-as instructed to continue on the over-the-door ~ervical traction, to
obtain a soft cervical collar and wear it.
She will return in Jan, after having a full 6-8 weeks of trial of the
~ervical traction. If she is still symptomati~ at that point, then she
should be referred to Dr. Ted Kosenske for chronic pain managenent. J~:nes
5: Tanny returns today wi continued ccmplaints of neck pain. She states that
she is havi~ more good than bad days, however, she is still experiencing
her neck pain. Occasionally she experiences symptans of runbness in her
4th and Sth finger bilaterally, This is intermittent, and there is no
specific inciting incident.
0: She has a negative Adson's test bilaterally. She has good R<li of the
neck.
.
A: Chroni~ neck pain,
P: Pt, was instructed to continue on her at ha!le exercises and over-the-door
cervical trllCUon, She was given a consult to lee Dr. Ted Kosenske to
lee if he can offer her any help in management of her chronic neck pain.
JClh nes
See letter t.o"f'ed Kosenske. H.D, Pain Clinic: Carl, Hosp, JCR:nes
~
.
.
ALEXANDER
Carlisle,
SPRING REHAB. INC~
Pennsylvania 17013
(717) 245-2341
27 Brookwood Avenue
THIS INFORMATION IS FOR YOUR RECORDS. THANK YOU FOR YOUR REFERRAL
~N1TIAL
EVALUATION"
PATIENT.
BIRTH DATE.
PHYSICIAN.
Tanvny Walker
04,"17/70
John Rodgers, H.D.
DIAGNOSIS. Cervical strain
DATE PT INITIATED. 08/29/95
PATIENT 101. 564651
S. Hs. Walker is a 25 yr. old female who is currently employed as an office mgr. for Renmar
'Industries. She was involved in an HVA on 06/16/95, She states that while sitting in traffic
.he was hit from behind , pushed into another car. She had been treated in PT for cervical
.trains , injurias associated with the HVA on 06/23/95-07/14/95. At this time, Hs. Walkar
reports crepitus at the cervical spine & a primary complaint of pain at tha carvicothoracic
junction. Headacha. are no longer present. She complains of a strain diacomfort , heaviness
at the cervicothoracic junction with a sense of significant fatigua & inability to hold har
., head up later in the day' evening. She reports occuional L , R 4th & 5th Ungar numbnass
late in the evening whan she is tired. She is performing axial extension postural exercises,
pectoralis stretcha. , mid thoracic stretches , indicates that her work station is ergonomical-
ly correct including a wrist rest, s clip to hold up material, appropriate chair height'
terminal height to minimize cervical strain. Her present pain leval is graded at 3/10 with no
sharp pains present. Present medication includes Lcdine 2x per day,
. Radiologic studies. x-rays are negative.
o. Observations. In the standing position, Hs. Walker presant. with relatively normal posture
& no scoliosis. No muscular atrophy is notad.
Cervical active ROM. All motions are WNL with no complaint. with a.ception of extan.ion which
only slightly limited with 530 of motion & no complaints of pain.
., 0 0 c scan. UE strength is normal' equal bilat. with a.ception of the daltoids which are
5 but equal bilat.. Sansation i. normal & equal' raflexas are equal bilat..
paloation. Normal mu.cle tone is present throughout tha cervical' upper thoracic region.
Primary pain to pre..ura i. locatad at C7 & than mild to moderate tenderne.. is pre.ant at C6 &
Tl. Hild tenderna.. is prasent at the facet jt. of C4,5 bilat.. Side glida .aqmental ta.ting
reveals no jt. re.triction though mild to moderate pain i. prasent at C6 , C 7 when .idagliding
, . to the R.
Other: Compression' distraction test. ara negative. TKJ questioning ravaal. an old hx of
dlsco~fort associated with chewing gum. It i.,unrelatad to this HVA.
A. A mild .train/sprain persists at the carvieothoracic junction associatad with a whipla.h
~tion on 06/16/95. Hs. Walker has already adjusted her work station to maka it a. ergonomi-
.. cally cor.ect a. possible to raduce strain at tha cervieothoracic junction. Ho jt. dysfunc-
tions are present , no~al muscla tone i. present. At this point 1 feel that all that Ms.
Walker requiras is strangthaning of carvical & upper trunk whieh can be perfo~ a. a hema
program. 1 provided 3 pagas of writtan hems a.ercisa. to addras. strangthaning of tha nack &
upper body. 1 will sae har 1 additional ti~ to raviaw tha program' .aka any appropriata
adjustment..
. .
SHORT TERK COALS
1. J~~r ~rfol'1ft.nr. of hOfTl. eroaral'r'
~~u~ irritatlna ~.ryic.l .~ln..
LONe TtRK CClAU
1. ACt. werk with minimal camelalnts of rain
er 'Itisue at C1a 11 l.y.l.
. .
2.
jan: S~e
SICS,l'!Tl'.[ :
Ft. Dna additional visit to review or modify h~ prograM
t (11. (>(.T, ;J I.u..) ~ ..; hJJ PI /91P ...
Chrl.r~r R. .1.n.r. '.T.. 'T-ooi4C!,(
.. n...dad.
Q.t.l ...~_,t!i_:,~1.!L_
Dlct.t~ ~ut n0t t..ct,
(3)
27 Brookwood Avenue
, ALEIANDER SPRING REHAB, INC4ll
Carlisle, Pennsylvania 1701~
(717, 245-2341
PLEASE REVIEW, SIGN AND RETURN. THANK YOU FOR YOUR REFERRAL.
''''N Of" TREATMENT'. ID I 564651
~11\llE Ta!'N'T'.v Wa 1 ker DATE INITIATED 08/29/95
DATE Of" BIRTH
4/7/70
PERIOD COnRED
08/29/95 - 09/19/95
PHYSICIAN
John Rodaer.. H~
DIAGNOSIS
Cervical strain
~ERTINENT MEOICAL INf"ORHATION
DATE Of" ONSET
06/16/95 REHAB POTENTIAL
Good
SERVICE
Physical TheraDv
nANIt YOU FOR IlEFERRINO T811 PATIENT TO OUR SERVICES. FOIUIAL INITIAL EVALUATION WIU. FOLLOW.
~JOR FINDINGS IDENTIFIED DURING ~, / INTERIM VISIT INCLUDE.
I. Pain lev.1 3/10 with no .harp pain~
2. Primary tendern... at C7. Hoderate pain C6 , Tl.
3. Normal mu.cle ton..
4. Cervical AROH i. within normal limit. .xc.pt mild r..triction of ..t.n.ion. 530.
5. Negative neuro .can.
ASSESSMENT:
Strain r.maining at c.rvico thoracic junction. Reccommend home ...rci.e program.
PLAN OF TREATHENTI FIlEQUEIilCY I (i) 2 3 . 5 x'.....k
ANTICIPATED DU~TIONI 1 2 0) 4 5 6 7 I _.k.
"T.THENT:
1. Theraoeutle exerei.. ..
2 vialt.
2.. HOInP oroar.",
5,
J.
6.
SHORT TERM GOALS
1. Prooer I.'erfora.nee of hOlM "roar.m
without irrltatina cervical .cine..
LONG TIM GOALS
~. ADL. work with minimal remol.lnt. of oaln
or fatlav. at C7. '1'1 lev.l,
~.
2.
3.
11G1lATURL, Clu ~'~Tf~~J '-z:,:c.~
Chl'[uoptoer It, rUher, '.'1'.,
",aYIICI.. C~l.'
I'TIiY'
P'f-OQ 4 7-1
Datel 0I/29/9S
Dictated but not read.
I ce.tlfy t~~ 1 ha.. exaaifted the pat,ent .nd r.hab .erYle.. .1'. ~c....ry .nd will be provid'
ed while the patient 1. ~ftder m, c.re. The ~lan of \r.at..nt .111 ~ ...Ylewed .very 60 day. or
~." r"tlent'. COft41tlon warran\.. I ..tlmat. thal \he.. .ervic.. will ~ ne.~d fol'
..t Th.. patl.nt .... ....t 1'.....1... . .eclat _ds ....._1\\,
rHulctAII . ,I(~.r ~ DAn ~/'1})""
?/ UIl HtH
. .
MEDICATIONSjPRESCRIPTIONS
~ 6:.'
I,", .ient's Name: 1i j '!J]f, ,/ ~ ~J~_ Allergies: jJ k ~J
I PharmaC}': t !
DRUG & ADMINISTER DISPENSE REFILLS REASON FOR APPD.
DATE DOSAGE PRESCRIPTION
OIlTHOP'AEDIC SUltCEIIY 0" CAltLISLE LTD. I
810 e"...."'" SlOW I
o-,p Hl..,MD CAIILlS..i. Pf..,..@,~. 11013 Joo<o, C. RaoG<_, M 0 I
MD,0270IH - MO, lIt9UI).j, I
tEa...,. (117)249~1I2
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AIlllOOS
R
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-
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,
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~1'{1MSSlIl( .. . - . .. MD -
IN QllO(II ~ A tlIlANO _ PllOOOCIIO M OlSJ'tNSlD. "* PfltSOlleEIl '-"ST lWiO WlllT(
'tIlANO NfC(S$AA'\" OIl 'IAANO tJJtOlC~~ NtC(S$AA'\" IN "* Sl'>\C( mow
ClA'
:x.... ---._~._-""',
I
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"~.''''"'"' ,...",,,,- .... 'SSA~"hltit~'l&t.l.''"'"!ft
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tf" t"....", ,..,~_.,..^._..._..,..,. ,v"".'_"~___'.'_"h""'''''''''''-'''''''''''~-'''-
.... '.~,,~.-
CORESOURCEe
I __
.
J I, .. .'~. "o' '. :. \1 , . j .' f, . , "
C'tHt,\(llI."JA'iIJ"rt
2{.:1 Ufll A"IJjf. ,\U'-"
PO Be' InN
Lt"{.lItf,,I'.",-tlp$'ffrtl
T;/""j1I1f ..,. .:~~ p:M
April IS, 1996
EE: David Walker
55#: 173.56-0941
GROUP#: 408 ' York Waste
P A llENT: Tammy Walker
John Rodgers, MD
ns Lu"!>> Clap ,,"oad 61b e,e\v~rl"'<;\...
Carlisle, PA 17013
Dear Dr Rodgers:
Your patient has requested reimbursement of medical expenses under the above group. To determine
our liability, we win need further infonnation. We would appreciate your answering all the fonowing
questions regarding your patient's condition. Failure to address all questions within 30 days may result
in delay or denial of the patient's claim,
2.
I.
Did you have any professional contact lAilh the patient between 5/28/95 and 8/28/951 If so,
please advise the date(s) and the diagnosis or S}. rmPlor;s jeSented. .
g-lI-q $" ~ - I~-q S- ~ vv'- st-<tUJh
/
What hislory was given and bo'Y long have th.ese conditions wsted? I D +h hAd r
N1"H u-1&-q 5"', b~tX. p~"''''''' 't n\.A...\"V\'bruc;~ t? "n '>
c;\nu. Th~+ cL..-u
Did you order any teslS for the a~ conditions? '1!S x.. NO _' If so, please achise name
oftest(s) and date(s). S ./1- q '> ~ vV I CA.\ >{>'W\t )(YDIt( S
1/- 7-q ~ M fi::J CJ. vvtuJ SP'~
To your knowledge, was the patient on any medication for any conditions during the
period ill question II? YES -X NO _' If yes, please list tbe drug(s) and the date(s)
the dru& was prescribed. I'
R'''-~~ f.A.,rl..'vu. /I ",('1')" U1ffOW\
If-lH~ E I",vi I
To your knowledge, was tbis patient seen by an)' otber pbysiciJll or medical prO\ider
betweea the dates specified in question" l? YES _ NO y. If "YES", please live
the Il8III: and address of any additional physician. ~
3.
4.
5.
6.
Was the patient hospital COnline~rilli the dates sho1Allm question" t for this or any
other diability? YES _ NO . If """ES, please Jive the dl\tes of mnfmement and
the twill of the hospital.
7.
I'h~k comments: JOHN e IlO:lGfIlS U':I
I l>...L,.. "t1}l.~/ct(,
1'h)'Siw's Si~turt D.1tt rJS
Mary Jo Senft
a~ims AMI}'St
Sill<trel)"
..no
-
Name: WALKER, TAMMY
The patient reported to me that the date of her injury
was 6/16/95. She was driving a Ford Festival auto~obile and
was stopped at a traffic light at Carlisle. She said that she
was hit in the back by a driver going approximately 35 miles
per hour driving a Nissan Super type of vehicle. She was
stopped at the light and was driven forward into a Chevrolet
van.
She said that she started developing problems with neck
pain that evening of the accident.
She originally went for treatment to her family
physician, Dr. Kauffman. at Shermansdale Family Practice.
Apparently, at that point in time she was started on
Amitriptyline 25 mg. at h.s. and was also given a prescription
for physical therapy which she engaged in.
Later on she was refer"red to see Dr. Kosenske at:. Carl isle
Hospital's Pain Center. Or. Kosenske started her on
Gabapentin 300 mg. strength. She takes three in the Illorning,
two in the afternoon and three in the evening for a t:ltal dose
of 2,400 mg. per day.
She stated that she was diagnosed with a probable
cervical neck injury at C? through T1 interspace.
She received physical therapy as an outpa':.ient at the
Alexander Spring Facility.
She was ultimately referred to Dr. sam~els in Camp Hill
for a neurologic evaluation and for ~IG by Dr. Y-csenske. The
results of the EMO .ue unknown to me at the prese:-.,:: time.
Dr. Sllmuela. in turn. referred the patient to a Dr. lams,
a cardiothorac1c liurgaon, lit the American Office Center who
h.1I reportedly dia9no$~d the patient with thoracic outhH-
syndrome. .
The patient has c-cn~: l.l1Uin";! problem~ at t~i.s ti~e'Wit:t
chronic neck flair; ",ith r:u~tm~llS in the fin<:!l'1ts ~f4 -,he feur'.:!;
and titth l,,\jtS bl1ilter-~'illy- $h~ turt.h~t'~,ori1: h2i~ :':-~":".-!t'~1tter.t
twi tchin';:J!in'-i ~ j~rks in. h~,?:l.' .:tt"r"tS. I'<
T~~~ ~:~,t:1.~n~ i.,~"-H_-,;(~':~!:l'j' -f,1t€;~'!-- b~t l"-'i,it~ .':L'::' t0t..~~";:~ ;\ C".: '
~ \; {',-;'~ '11 ~ :~~ 5;',1..'<' '\,,'" -, t'c ~ i-,~'"U";<..1 l::h.~~ lx"~L.:~' ,.,;..: r;A;:,:',
;.~~;:r;-$<~;-:l\~J<' 1",'
~Ui.~i'lt.l Lk'-;. ~.' :'~~~ \''';~~:'~~"': !-~,'!\y::] ':'_l>:H '~ t.--:, r.:i;
drt;:;,t:' ~L ~',:l! ~:t\~ i:,}" {~'~;2>_~~t_;",\i$ 'W~t<: ::\~~, ty
,'<
Name: WALKER, TAMMY
o"'l
',.'
Prior to starting on the medicine, Elavil, she said she
had great problems with sleep having initial phase insomnia
and early morning awakening. Her appetite is said to
fluctuate. She thinks she had lost about 10 pounds since the
accident and estimated her current weight as being 160 pounds,
height 5'5". She said her sex drive has also decreased since
the accident.
She self-rated her depression as being a 4 to 5 out of 10
on the same scale.
Her stress level was said to be "high" since her chronic
pain injury and subsequent health problems.
'....
~,
In terms of other psychiatric symptoms. the patient says
that she has some decrease in en~rgy. increasing feelings of
fatigue and some decreased interest including not spending as
much time with her child as she would like to. Her memory and
concentration are also said to be marginally impaired. She
denies any suicidal or hOc.icidal ideation or intent.
PAST PSYCHIATRIC HISTORY:
The patient underwent marital counseling in the past that
she said was useful. She feels that she may have had some
possible mild postpartum depression following the birth of her
child about six years ago. but did not receive any treatment
for it and felt 1t wan not very sever'e.
In ter~s of habits, the patient said that she 5~okes
three-quarters of a package of Clgarettes per day. In terms
of alcohol use, ste said that this is only occasional. She
said that she dJes ~ot dri~k caffeine-containing products, 04t
instead drinks "3 :ct of water." Denies th~ us~ of illicit
drugs.
PAST MEDICAL, HlST~RY:
The pati€n~ i:: lef'.:.-::~nj(.;j in tel"mS ot \"ritin-g, btl~ do~s
everything else '....;:i.th 1:1)" t.ight hand. '-*
Past m;:e~iic,~l ::1.:3t,::;:'/ '..$ ~:i.l~ifi=3nt for r~~'::.,"al. $;;;::'J1C.1"~
ext~acticn ~~f ;~~:_::lj31. ~t~~:?:5 ~n ~9SS wltll nee1 ~~; r:\:~l~,~
t;::::: nlX ~,;c:';~,L. '. :"_:.t~"" :.L'2 .-:..~':' .:t.l;;:~' 2t;;'t:\~$ i ~ \.
F: :'~',.Jt>:-. d! ~:i
t .:.,}). ~.l ;:.1:;
.;;..,
; : ~ ":: ~
~:~;~) h _:. ;.:: ".::
~ ~ ,.
Name: WALKER, TAMMY
I
I
j
1.'::
I
!
I"
MENTAL STATUS EXN4INATION:
The patient is a 26-year-old white female who appears to
be about her stated age. She is dressed in appropriate
clothing. Her attitude is one of good cooperation. Her mood
appears to be ~ildly anxious and dysphoric. Her affect is
congruent, but appropriate. Her speech is coherent and goal-
directed. In terms of thought processes, there is no evidence
of flight of ideas nor looseness of association. In terms of
thought content. the patient denies any hallucinations, either
auditory or visual. Denies any suicidal or homicidal ideation
or intent. The patient's memory appears to be fairly good.
In spite of her complaints of recent memory impairr.tent for
recent, interr.lediate and long-term memory, cognitive function
appears to be intact. Judgment and insight appear to be quite
good.
BRIEF NEUROL03!CAL EVALUATION:
Brief neu:010gica1 e'l<11uat.ion revealed the patient to
have a blood pressure today of 140/80 in a sitting p~sition in
his left arm.
Deep tendon reflexe~ appeared to be symmetrical at 1+ to
2+ throughout. The pat ient had some very mild decrease to
pinprick sensation in left-sided C6 distribution. left hand.
She had :enderncos to pressure point palpation In
cervical neCK at"la including cet'vical paraspinal area as well
as low carneal spine area in the C4 thro'Jgh C6 :..nterspinous
ligaments and "Iso had sO!:^co'? te:1derneFs in the suboccipital
muscle of th"! pasteriOt' bas€' of the skull and in :::e midpoint
of the upper tnpe:.dus lett and right. greater en the let t.
There appeared to be no tender sHes in the lateral epicondyle
bilaterally.
Th<'l pati0!~t'S 9:11t apF'~,n.'t to b., unimpair''!:l.
ASSESSMENT:
This"; .. t.~ LS:~ th:;~~n::.~r;~~~;
26",;rear.("ld '..;::t":":: fem;,*l!~" '11;;;:- r
~e sGff~rl!~-l tt=~ d d~r~'~0~:V~' .
11.~.'.~).l\h:'~. ..~~;-~:. i w~"l'. .,
;;i,l~r'ic ti~':al:l1..":... ~'. en. this
,\~ lent at. t.h.t:;=r t,i~' ;\rr,!nrs ~
~l d1 r ..-is; ~.~,~~_~ ;;;; >'10 p"l..::
";'.j: ,: t'-'(~d t ,:" ~ ('-0-'::' ~:...- ~ :' ,'\f: W';;;~ ~ '.
i'']' :,h,.'
10""",' \ ~
. ~! !
". O-\' -: : .:,'~ ,
"'--H
NAME
-._""
PROGRESS NOTES
~[] rrr;I~:;'~~j DATE OF BIRTH
~,.
Forme
--
DATE. TIME
CPT CODE
DIAGNOSIS
SUBJECTIVE ~'. WT T .. - , .~- ...~
OIUECTIASVSEESSMENT "'BP p' .t: ",> " . ... '.. ~ '
I . \l._ \.:"-tY~. :\',
~~ ._~
,$'lfo'9S (,AJ"-;- Ib'i.---p __ {Jf:_ I (6_.._~_,r_,9E:':_"':;~__":':~:~:~'
/J6_e..enef.. ,. .~,.,_~_CIO. "~\. Cc\,~\.cn\ ~'" ~ CJ~~F~~~:.',
,___ _~_,I\~O"\L_-\'nroo\.l\C .lal'\~- ..:ld'e-----", ;c::;:.~ ~""'\Ii'
_~mo.;) .c. r~ ~::- ~-~----,----------,,:~:,,;~~~~~:~'I'~':':~'
____w___. _, ..~. . ~.._~t..... _?~k___ __._______ ""'f' .' .:--":"-
'. .. "".f' ~ .. . - .'
Ll."..A- ; s(~A ~ "',,"
A' '-. I I~.. ' -., " :--'--...-.......,..I~'~~'~~'--.-
.~ ..,.;-"'
.' . -~"":'~-----.;-~------
r: ll- h. ~- r----- ._-.__:~.. ---.
Oi\AoL~ -\?L .w" -p-- --1',\1 , -c-
-------.-. ,UJi /(" ~.~ f::2,<'/;bl ~=~"-;\.~'.
s- ~v- . NJ vA., _ mov~;L.:
..~ . If-~P ~~ ~~ --- ..
i1'- . % ,(J~.~-~---
.p~ I ~'vP'....: ~.-b""-ri!/J ~ J,~~_.~_f'...':.,~{
"u-.e.J..4 ,r::::F~'-(~--" ~_..---
t=~"- P'-~i.~~,_yt-_~, ~________
0: ~J.-- vy y- "'::"'1 t,. I~ . g,,~~_J': ~, _,
J, IZIJW\ t: c:.4or" ~. ~ _ _ _____.__ _ ,.,h._
A .. ~tU.. Jj....;.- 7JI 1Uvr.}-
't' '. 0"", ~ N (,..0 '\.
~ l \Jl.
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24.8 Parlier 51. CI.ItsII. PA 170130310
Clinical Laboratory Report
....., S, CrIaI.l
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IJa:R. TAMIfY S. OIlTPATIDlT REPORT
OOB:04/07/1970 AGE 26 YRS F
(0021344420 210-54-5305 17171
133 TOWER CIRCLE
DR KAUFFMAN. WILLIAM S. (attending hy:
. ""
PRINTEIl
TIME
ADMITTED
211NOV9
2152
29NOV9
PAGE
1
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DAY OF STAY FRI 001
COLL. DATE 29NOV96
, TIME 1250
PROCEDURE REFERENCE UNITS
BLOOD aLL COlIIft'
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RBC 4.48 13.58-5.26IXI0'6
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CardiovaScular
Surgicd IJ1Stitute
November 19. 1996
-,
Todd Samuels. M.D.
890 Poplar Church Road
Camp Hill. PA 17011
RE I Tammy S. Ka1ker
,',
Dear Dr, Samuels I
I had the pleasure of seeing Tammy S. Kalker in the office today. I evaluated her
regarding her thoracic outlet and the possibility of additional vascular
compression at the thoracic outlet being indicative of a possible neuro compression
.. also. I note that EMG studies were normal. Her Mal of the cervical spine was also
normal, The apical lordotic chest x-ray. however. was not normal and showed a
prominent exostosis of the costochondral junction on both sides and a prominent
osseous-tubercle or point on the left first rib which sometimes can occurUwith an
elevation of the periosteUlll secondary to a whiplash type injury. The patient does
have intermittent numbness and tingling of her fourth and fifth fingers on both
. ds. She does have pain in the cervical region. She has point tenderness over
tue anterior scalene muscles on the left side and also on the right side. There
is tenderness over the brachial plexus bilaterally. Her arterial study does not
show definite vascular compression at the thoracic outlet. Thus. Hrs. Kalker may
have an isolated neurologic thoracic outlet with negative EMG studies. which
certainly is not uncommon. Often these can be managed conservatively.
She has already had physical therapy. but I would appreciate her receiving another
three months of physical therapy directed toward creating more room at the thoracic
outlet space. I have enclosed copies of the thoracic outlet exercises as
recommended by the Mayo Clinic and also an article by Christine Novak. a physical
therapist who works with thoracic outlet patients. If Hrs. Kalker is not improved
following this. I feel she should be considered for surgical dec08lpression.
especially in light of the abnormalities as visuali.ed on the apical lordotic chest
x-ray.
sinc~~~ur1. ~ .' ~~ r)
Lv::/". -" "1 .',,' ./'.:)/",-,.....
,. , .....,,;.... \ .,
1111.. 8. I.... N.D,
co: Ted Kasenske. N.D.
Alexander Spring kehab
Kll11.. Kauff-.n. M.D.
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Cardiovascular
Surgical IJ1Stitute
F"",kJ. T,.vis.n., M.D.
lI'il/idlll 8. IdI/lS, M.D.
JdnltS C. H.,I, M.D.
Edu,.,ddJdrgt. M.D,
Jdllu L, PtUlloKlt. M.D.
C'.if 8, lI'iSIII.II, .'.1,0.
Jdhn p, Judsdn. M.D.
Grtgdry S. Kt.gy, 0,0,
SHOULDER-GIRDLE EXERCISES FOR THORACIC-OUTLET SYNDROME
At the beginning each exercise is done 10 times in succession
twice a day. As the shoulders and neck gain strength, the
numbar of times each exercise is done consecutively can be
increased.
EXERCISES
1, Stand erect with the arms at the sides holding in each
hand a 2-pound weight (sandbags, or bottles, jars, or
sacks filled with sand).
a) Shrug the shoulders forward and upward
b) Relax
C) Shrug the Shoulders backward and upward
d) Relax
e) Shrug the shoulders upward
f) Relax and repeat
..
2. Stand erect with the arms out straight from the sides at
shoulder level; hold a 2-pound weight in each hand (palms
should be down),
a) Raise the arms side-ways and up until the backs of the
hands meet above the head (keep elbows stralght).
b) Repeat and relax
NOTE: As strength improves and e.erclses 1 and 2 become
easier, then the weights should be made heavier,
increasing to 5 to 10 pounds,
1. Stand faCing a corner of the room wlth one hand on each
wall. a~s at shoulder level, palms forward, elbows bent
end abdominal muscles contracted,
a) Slowly let the upper part of the trunk lean forward end
pres. the chest into the corner. Inhale as the body
leans forward,
b) aeturn to the original position by pushing out with the
hends. Exhale with this movement,
t. stand ereet with the arms at the sides,
al lend the neck to the left attempting to tOUch the left
..r to the left shoulder without Shrugging the
shoulder.
L<<m.. .,.4....... ~.. ~
42.) NORTH 211' $TUET i CAMP HIll. PA 1'011 1('1\1) 91S.0900 I FA-'\( 1111) 91'.2114
, .
Page Two
.....
b) Bend the neck to the right attempting to touch the
right ear to the right shoulder without shrugging the
shoulder.
C) Relax and repeat
5. Lie face down with the hands clasped behind the back.
a) Raise the head and chest from the floor as high as
POssible while pulling the shoulders backward and the
chin in, Hold this position for a count of three.
Inhale as the chest is raised.
b) Bxhale and return to the original position.
C) Repeat
6. Lie down on the back with arms at the sides with a rolled
towel or small pillow under the upper part of the back
between the shoulder blades and no pillow under the head,
a) Inhale slowly and raise the arms upward and backward
overhead
b) Exhale and lower the arms to the side.
3) Repeat 5 to 20 times
'"
t"""\
.
: ...
i"
...
P.et. lobert H.. H,D,. I'ellow in Neurology: Henriksen. .fen.
D,. H,D. and Anderson. TbOlU8 p,. H.D,. hUo... iA ,hyslcal
Medlcine and aehablllt1on. Hayo Pow\daUon: HartiA. Gordon H,.
H,D, JhU ~tt~ of the Ha~ Cll:1C: -Tboraclc-QuU.t
Syndromet lVa ",a Oft of a netpaeuuc ercl.e 'l'Q9r... Hay
2. 1151 pp a11-217,
.
27 Brookwood Avenue
ALEIANDER SPRINO REHAB, INC.
Carlisle, Pennsylvania 17013
(717) 245-2341
THIS INFORMATION IS FOR YOUR RECORDS. THANK YOU FOR YOUR REFERRAL.
""DISCHARGE SUMMARY""
10 #
564651
NAIIE
Tammy Walker
DATE INITIATED 06/23/95
DATE OF BIRTH 04/07/70
DATE DISCONTINUED 07/14/95
....
William Kauffman. H.D.
PHYSICIAN
DIAGNOSIS
Cervical strain
INITIAL FINDINGS
1. Cervical activ. ROH,
flexion 5Bo with
600 with pain at
c.rvical pain, L
pain at the c.rvical-thoracic junction, .xt.n.ion
the c.rvical thoracic junction.
.ideb.nding 470, R rotation 890,
...
R sideb.nding 430 L
L rotation 620.
2. Pati.nt was t.nd.r to palpation ov.r spinous and tran.v.rse proc...... of C7-T4 and the
Rhomboid. bilat.rally.
3. C7 was rotated to the L while Tl was rotated to the R.
4, Pain lev.l 4-6/10.
5. Slightly decr.a.ed bic.p. r.flexes bilaterally.
FINAL FINDIN<lS
....
1. Hild to mod.rat.ly iner.a.ed muscle ton. in the upper trapeziu., l.vator .capula, &Ad
po.terior sealen.s bilaterally.
.. Pain l.v.l 2/10,
3. Cervical activ. ROM within no~l limits.
4. Rotatory dysfunction at C7 Tl has be.n corr.cted and is maintaininq it. po.ition.
DISCHARGE/HOtIE PROGRAM
..
Ms. Walker has b..n perfonainq independent home stretch Lng e.erci..s 6 ha. been instructed in
Lnd.pendent relaxation techniques. TherapeutIc exercise had been initiated on the 07/14/95 6
were to be expanded for on. DOre wk. of therapy, Pt. was unable to come to therapy that follow'
ing wk. 6 should continu. .tapiy with an independent program.
v
ATTENDANCE
Oood with .xeeptlon of mlttln; the final wk. of treatment,
REASON roa DIS~lBUAtlOM
Met mott goalt, Joint drsfunctions have been .liminated , pain level vas In a tol.rabl. rsng
SlellANg,
Oat.. 07/JI/95
Dlctat" INt I\Ot r.a4
r l, Fish.r, p,t,. pt-Q01447-t
Uje
I
27 Brookwood Avenu.
IU.U;\HDER SPRING REBAB, INC.
Carlisl., Psnnaylvania 17013
(717) 245-2341
THIS INFORMATION IS FOR YOCR RECORDS. THANK YOU FOR YOUR REFERRAL
INITIAL EVALUATION..
.
PATIENT.
BIRTH DATE.
PHYSICIAN.
Tammy Walksr
04/07/70
William Kauffman, M.D.
DIAGNOSIS. Nsck pain, c.rvical atrain
DATE PT INITIATED. 06/23/95
PATIENT 101. 564651
,.,
S, Hra. Walk.r ia a 25 yr. old f.male who ia currently employ.d at ChamMar Industrie. a. an
offic. manager. She i. curr.ntly working full duty. Mr.. Walk.r injur.d h.r n.ck/mid back on
06/16/95 wh.n while .itting in traffic ahe wa. hit from behind' puah.d into anoth.r car, In
addition, an .mpty car ..at in her back a.at waa puahed into h.r a.at. Mra. Walker atat.d that
following the accid.nt ah. had c.rvical x-raya tak.n which w.r. negativ.. Mra, Walk.r alao
atatsd that following the accid.nt h.r phyaician praacrib.d Daypro which made her aick wh.n .h.
ua.d it. Thua, curr.ntly ah. ia taking Adyil 4x per day for pain. Mr.. Walk.r stated that
ainc. the accid.nt .h. haa b..n .xperi.ncing. hsadachea, trouble al.eping, cracking in h.r
n.ck , back' occaaional mild loa a of motor control. Mr.. Walk.r rated her curr.nt pain l.vel
at 4-6/10.
...
...
0, paloation, Pt. was t.nd.r to palpation over the .pinou. , tranavera. proc..... of C7-T4 ,
the rhomboid. bilat..
C.rvical active ROM. Fl.xion 580 with pain at the c.rvical thoracic junction, .xten.ion 600
with pain at the c.rvical thoracic junction, R .ideb.nding 430 with L c.rvical pain, L aid.-
b.nding 470, R rotation 890, L rotation 620.
Refle.e.. R.flex.. w.re .imilar bil.t. with .lightly d.cr....d bic.p. r.fl.x.
Strenath. Bilat. UI .tr.ngth waa 4 to 4+/5 throughout.
Soin.l alionm.nt. C7 was rotated to the L, Tl w.. rotated to the R.
Other t..te. Po.itiv. L quadrant t.at.
A' Rot.tory dy.function at C7, Tl r..ulting in pain' mu.cl. .or.n..., cap.ular .train of
upper thor.cic .pine.
SHORT TERM COALS
1. Deer.ale cain l.v.l to 2-3/10 within 2 Wkl, 1.
2.
Correct 801".1 rotatory dv.funetlcn. within 2.
2-3 week..
Inereal. oati.nta ability to al.eo without
Dain or dileomfort by SO, in 1-2 w..ks.
LONa TJ:IIH GOALS
Patl.nt will Dr.fo~ all iob duti.. without
oaln or h..dach...
D.cr..a. oain level to 0-1/10.
3.
3. Patient will b. able to al..o without
discomfort Dr cain.
Pl.n. PT will includ. .oiat heat, ultraaound to lower c.rvical/upper t~oraclc apine, joint
.cbililationa, . educ.tion reg.rding po.ture , .tretching.
SICNATURa:.
C.
Chri.topher k. Fi.h.r, P.T., pt-001447-1
J.... c. St.tl.r, S.P,T.
Date. 06/23/91
Dinated bolt not read.
l)lL-
..11U.(U...............U) 'Rm... JIl" llIc:t;;(UI (!)
IINIIIt ,
PEN N STATE
;;
C\lllcge of Medicine
Pni\ er'"y !lo'pllal. Children" IImpil<l1
The \liltol1 S, !ler,hey \ledic<l1 Celller
()i, i\inn l,f '\l'umltll:~
November 25. 1997
IlU n.l\ ,';/1
Ik,..lh.", 1\"nlh\I\.IllI.1 j-II~,.tI.'''11
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Anorney Lauralee B. Baker
101 Pine St., PO Box 932
Harrisburg. PA 17108
RE: Walkervs. Chanin
File _3489.1
Docket _96.5128 Civil
State Farm Claim _38.7128-008
Dear Ms. Baker:
At your request I have re\'tewed background InformatIOn tn the case of Walker vs. Chaltln. I have also performed an
Independent neurologICal evaluatIOn of Ms. Tammy Walker here at the MedIcal Center on November 20. 1997, A
delalled summary of her case IS as follows:
1.) Summa,.,. of records from Shermansdale Famllv PractICe.
There are vanous \'tSIts noted for upper respiratory traCI infectIOns. She then was seen on June 19. 1995
for post.motor vehICle aCCIdent. On that VISII II was documented that she had decreased range of motion
wi1h ceMCal rotatIOn and was diagnosed wi1h a muscle stram. She was treated wi1h Daypro and TytenoI. A
copy 01 the pny$1Ca1 therapISt'S report IS also oncluded. On the 1fI11,aIlindlflgS there is eVIdence of decrHsed
range of motion 10 an areas of the ceMCaI spme, Under the final hndIngs It is also documented thelller paIn
level has dlrTllf\lShed slgnrlicantly and her range of motion IS now reported 10 be WIthIn normal ~mlts, The
patient was Instructed to conllnue With her Independenl phYSICal therapy regimen, She was evalualed by
Or, Rodgers on August 11. 1995 and was agaIn diagnoSed wllh a cervICal straIn. The note documents tull
range of mo\lQn and no neurologIcal deltclts. X,ravs a:so reooft a normal cervICal spine A course of non-
sterOtdal arm..nflammatcry agenls were reccmmenoea, PtlyslCal Iherapy was 3.S0 exlenaea at lnal t:me. Or
Redgers fully expected !ler 10 recover from these symptoms Wllh IhtS Irealment r&gunen. There IS also a
note dated November t9. 1996 from Dr. lams suggest'"9ttlal Ms. Walker has an ISOIaled neurclOg1C ll1orac:c
outtet syndrome, A 11$1 of e.efClses was preSCnllea fer !hIS condition.
".l Summarv of records from Alex.af1ller SpnnQ AeMe loe
CopieS of me<ltCa1 b1>>S tor VinouS set';tC8s are IOCtuOed In tn.s sect,on The catoent s pnysocallNlrapy was
IMlaled on June 23, 1995 Al fhal lime ner pam 1e~'eI was !lesertOed to be alll>e level 01 4.6.10 CfMQi
range of motton was alSO decreaseo In aU d>reolJons There was aiSO tenctemess to pa!llanon (M~r me
somous Pl'OCfSses over her cetV1Cal and ll10raclC sp,ne, Pnys:eal tl"~racy ..as tl1en dlSConllnUll\:l en July t 4
1995 All!\at bme. lhet'e was !1!perl ctlhC!1!asea "'uSCie te"e In l!"e ",USCIeS el the s"ou~r ;'FOle ..,.,
palO levell' alSO decreawo lI:l2'10 ano l"e cervocai lang& or !'!"iCt,on was Wt1nln "Cm-.al .mits r"e ""awn tc'
dtscontlnw!>O" "41$ l1Ial me M~r ""1I!lIl'\OSI goatS AlSo '0"'1 dntun.:I,O"s 1',1,. t_ ....'m'ra!1I!\1 a">d C'3'r
- was it' II ~atl!e range' AlSO I WOUIi.l "Vte It'..!t me ca!;f"!~", ~u .~ '."dl _" or ""'ta~ \"f"ft\'...
~ss "OleS "'d>Cale Q'adYal i"'C~y_nt C,",,' I me P"v'!i!Callh.rapy""u 11".., """"t>aIeO (1'1 "'-"}\iSI
29, 1995 ~... tf'hhaf @Vaj~ttt.1,M t.ccr'!:'s that She ~s. ~OtN'~'1 ccca',<~!'\.a, t'-u~!":..ss ,t1 rt"'e 4~ .}~ 5~
l,ngers l:Mla~al!y ~t c"''' ;e~....u 110 f#t ce"H:aJ ';Al"ge d ~;:!",r. WilS "i1fh,n """",,at ;emitS "'i:1lCl ,,;,
""41(j ,..'tt'ctt:-n;;:J flte-nS;(m a! 5J~~ :ll'S $t.lt~ ~"'~ tt-.. t4Nt"~t ~""@':\"J C"V" '::~ t,..at!'!':{!ll~t -A~J ~~
,-'.anc~1.~~-r !~'fa"...~~~ !'h@ Cj;:e~t ~ ~~1Ll!!.-J &,e.r~\,- T~_~ !\f:.:..:-......"',r.-4-! J- ,\).~~ ~''r\.; ~\il'i "':.rf~,,--~
'''\lC~;{'('. ,"'~4,1'"<t;'^,,. !t-.i1l rl~~"~1 ',y:\'" ~~"f'n",..1"~ 3 ~f.NS "-->"'!:~. t .-.... ",,~I,;I'-r1t'~ ., 1 ,)':If} '~...~ "\'.",1: -f'tl-"" .
"~;\f' ,;;.o,~ ~~\o> =t',MlI[!}"'~;:"'" .,;,4,....,._:1"', !.t T q'f~ ~ ~'i l."! \0'\ AS. ~""'f~-'~j,,,'q "',fi'...1 ~.~!f1 ....t~~~ 'P.~.~"l~f' 1 ~. '., "i.( ,\)
therapy on December 2, 1996 for thoracIc outlet syndrome. AI that lime her pain level was raled at 6/10,
The last note from physical therapy was on January 30. 1997 which repons some mild improvement.
3.) SummarY 01 rllCOrdS lrom Core Source.
Enclosed are various insurance claims as well as copies of the patient's emergency room visit on the day 01
the accident. The patient was discharged home.
.,
4.) Summary of records lrom Carlisle HosDrtal.
The patient underwent a tubal ligation on October 12. 1993. She was discharged home on the same day.
Pre-op cac was within normal limits. The patient was \hen evaluated at Carlisle Hosprtal on June 16. 1995
after suffering a motor vehicle accident. She was discharged with a prescnption for Advil 4 tablets 3x daily
wi1h food lor 7 days and to fOllOW-Up with her primary care physICian Dr. Kaullman in 1 week. On
presentation to the emergency room Ihe patlen"s vital signs were all stable. She did have a history 01 low
back pain lour years pnor. She was complaining 01 symptoms 01 tightness in the thoracic and lumbar spine
to the emergency room physician. Her examination was reponed to be all unremarkable. Her muscles were
reponed to be tender on palpation over the thorace-Iumbar spine and paraspinous muscles. The remainder
01 her musculoskeletal exam was wrthin normal limits. She underwent x.rays 01 her thoracIC and lumbar spine
which were reponed to De negative. She was then diSCharged home With the diagnosis of back
slrallllspasm. The pallent did arnve 10 lhe emergency room ambulatory and wllh a friend. X.ray repons of
the IhoraclC and lumbosacral spine are both negatIVe. Cop.es of consenl forms lor therapy are included .n
thiS record. Ms. Walker was also evalualed al Carlisle Hospital August 4. 1993 lor some stomach upset. She
was also discharged home and encouraged to lake some liqUidS for her GI symptoms. She also had a visrt In
December 1992 lor injUry to \he nghl Ihumb .nvolved In a car deor, She was diagnOSed With a sprained nght
thumb, X-rays were negative at that time.
.",
.j
5,) Sunvnarv oll'l!Cords lrom Carlisle HosDrtal Radloloav Deoanmenl & Iaboratorv reoons.
Ms. Walker has a normal Vl\alllln a 12 level as well as a normal CPK level. Thyroid IullClion studies are also
normal. A complete blood count WIth differential is normal. Her sedimentation rate is normal at 18. Serum
electrolytes are normal. A gallapenlln level was perlormea and reponed to be low atl. 1. The signtficance
01 a therapeutic gabapentin level is yet to be detelTTltned. A chest x-ray dated November 16. 1996 was
normal. Thent was no evidence 01 a cerw:al nb identified. An MRI 01 the ceMcalspme is also reponed to be
completely normal. Plane x.rays of the thoraCIC and lumbosacral sPine are also normal. An x.ray oIlhe nght
thumb lrom 1992 is reponedly normal.
"
6,) SummarY 01 records from Kenmar Enteronses, Inc,
A copy 01 Ms. Walkers resume IS enclOSed. She IS a 11Igh SChOOl graduale, She has had vanous
OccupallOl1S lhat are hSled cn her resume, The pallen! last ,",Of1<ed on May 2. 1996. The pat'ent was llrea
accOrding to Ihe l'I!Cords, The reason for lermlnabon was lor elceSSlVe lOng distance calls, The paben! had
worlred at Kenmar Enferpnses from June 23. 1994 to May 2. 1996, She was WOrlrlng as a
lBCep110tl1S1Isecrelary ana an offICe manager, It IS indICated Ihatlhe pallBnl did recBlve w"lIen or V.1Oa1
warTllng poor 10 betng terminated, An evaluatIOn of her perlonnance daled Apnl 6. 1995 gives her above
average renngs,
..
7) Summarv oIrecorm !rom Or David Petk.ash.
Ms. Walker was evaluated on November 25, 1996 by Or, Pet1<ash al Holy Setr:1 Hosp.tal On \he evaluallOn.
Dr. Pelkash stales "\he pa\lenl .as relerred because 01 problemS 0ea""9 .,Ih ~ CO'WOrlrt~ and Oeahng
M\h fnenas". ....s, WAlker ccmclalneQ cf neck pam lellow'"9 A car accldtlnt en June 16. 1995 She WIS lr:I'J
Ofl several medlclll8S WhICh 1hi!l8rJy began w~h Am.lnptylll18 25 mg at be<lIune. She lhen ,",as stalled on
?allaOenl!l\ 300 mg She "'as t.1iunq 3 tctal dO~ 01 2,400"'~ L"l'r d3y Acccrtllnq Ie Or PelleaSh s reN..
""f' raloenr reQ()t!ed acptClImale1y a 6000 reducllOl1 III her ra!l\ Or Petk.ash s nol. staleS If... tho! ~~I. '.I
se!f,'ated hef deOt\!ssJOn as tto.nq " 4,5 cut cf 10 Her snss :tV9l..as alSO "OOl'ledlO lle nogn SInce,..,
,:nrcniC "'I\Ify M1 WI!Io,Bf haS a r:!Slory 01 r:>css'ble POS' t:.l!'\um ~SSiOn and alSO unde.......~ marqt
c~ '" !tie paSI Or Pelkash "~u."d Us Walker 10 tit s..!!tf>f'.t;I1rom A ;:fl:!reSS'~" """'<3 Ot1iOf\lltt U
.-ft as a pa." (t,~rder asSCCl8ttl<1 w,1Il r.,. ~,l1 medica! co"""tocn She ...as .n'lIapy stal'\ed on Ser:C!'l'
'00 mq ana \he A""t"t~''''' ..;IS otlCreasel1 Se'llm l.UlC,r!'cr-; II'SIS...... !~C,.,..,""'MtI1 She was m."
.@o~~f~) L~' '\.;I"!"':*' r$'t(-"".:.)}i.~3! ?t?"\H',1' ~,' 0- .,i~hn tJ,.h'lZ: s."'~ w-.u "':$.\.~ '~c~~"",@"':j.'j '~":.t t!c!HOt-.:.l.,_
'~.'a""
,""'
8,} Summarv of records fro-n Orthocedlc Suraery 01 Carlisle limited.
Ms. Walker was 3valuated by Or. John ROdgers an orthopedic surgeon on August 11. 1995. His physICal
examination documents normal strength In upper and lower extremrtles. Reflexes were symmetrical. She
also had fun movement of her cervical spine on his note. He diagnosed her as suffering from cervical strain
and she was raferred lor further physical therapy as well as a course of non.steroidal anti. inflammatory
agents. Follow-up visits wllh Or, Rodgers reports gradual improvemenl In her symptoms. She was then
relerred lor an MRI of her cervical spine to rule OUI a hemlaled disc as her symptoms did not show further
improvement. She was also referred for ceMcal traction. Her MRI returned normal. She was instructed to
continue cervical traction and wear a soft cervICal collar. On Ihe lasl office visit the notes report a negative
Adson's test bilaterally. She continues 10 have gOOd range of motion In her neck. She was Ihen relerred for
an evalualion by a pain theraplsl. Or. Ted Kosenske.
9,) Summarv of records from Holv SOtrrt HOSDllaVCommuMv Mental Heallh,
Ms. Walker has been tried on several medicatiOns Including Serzone. Elavll. Wellbulrin, Ultram. Gabapenlin.
An anxiety index scale was performed which revealed mmimal to moderale anxiety level in Ms. Walker.
Various progress notes indicate no signtlicant improvement and various adjustments cl medications are
carried out through her VISitS, Ms, Walker also m'ssed certain appointments.
10,) Summarv of records from crescrtotlon bills and doctor excuses,
This section contains multiple excuse leners from her work as well as ccples of prescnp\lons 01 her vanous
medicaltons. A total 01 five excuses are submitted,
I 1,) Summary of records from me cain ChnlC,
Ms. Walker underwenl ceMcal nerve blOCkS and rtghH,ded suprascapular nerve blOCkS on Ille fOlloWIng
dates: September 4.1997. Augusl21. 1997. Augusl12. 1997. July 29,1997. July 10. 1997. June 23.
1997. June 4.1997. May 19. 1997. May 1, 1997, All oflhe InjeCllOns were performed by Or. Kosenske.
After eacll procedure llle pal,ent reported good pain relief and was fOlloWed-up on subsequent visits.
12.) SlA'I1IT1afY of It!COrds from Dr W~I/8m lams.
A report of a vascular study IS enclOsed. Thu. sludy reports loss of continuous wave pulse WIth
hyperabduction on botll sides. It is also staled that the patient did not develop numbness Illlhe hands
dunng these maneuvers. The lOSs 01 flow was fett 10 be secondary to movemenl of lhe Doppler probe. The
study was mrpreled as InconclUSive regardlng e\/ldence of altenal compresslOrrat the Il\oraclC outlet. A
cllest Nay with apteallordotlC vlflw was performed whlCl\ sl\owed no evidence at a cervICal fib, A letter daled
November 19, 1996 10 Or Samuels stales tllat Ihe paliSnl may be sulfenng from neurologIC tlloraclC outlet
Or, lams does reallle I".at st\e r>as negatIVe EMG st1.lclles and fel/ls fhls IS certainly nOI uncommon. She was
\I,ven a prescnpllOn lor InoraCIC cutlel exercises ana II was alSO fell that sne SI\oUIQ t:e CC"SI<:lererl lor
surgICal decompreSSIon. HIs "c~e slales mal lnere were aonormaht!8S Vlsualllea on me apICal lordotIC CheSI
I.ray. I\owever tile report states ftllS was a normal stuay
13 I Summary of llValuatlO!1 tv D' T :>ad SamL'8lS.
Ms. Walker was eVlIlvated en I~vember 6. l'l96 by Dr SamuelS. On hiS examlnal10n !1e t<:>Ul'd absolutely
na ~ of motor or ~sorv deflcll$. Her neurolOgQI .lamtnaliO" was c~lelV un_ritabte, He
Old docutTIenl p&ll\ 10 paillal1Cn avl/I toth clavICles HIS C;,t'l;Ca!'l'I"presstOll was !hat she !13(] SymptOm$
SIl99t!SI1W of thoracoe cunet svno!'Cme She was then relemlQ 10 Or lams ter turtl".er evaluatton He did
Teq\.'8St the SI\e Ul'dergo an EMG r.erve conO\lCtton SIUOV Sl1e unael'Wel't1 EMG "e"'lII ccnd\.lctlOn $too,es
;.)n Nc..,.f'\'lt)er 11. ,.~ Nef\@ c:r'2auct::n $M!~S wert! c:er'!'cr!Y"eO en: t~ meOtd.!'\ ~1':1 ~~3t f""@I"Vf'S on
toI!\ IJQOef eJltl'em;"-s The a"',tl.f1JcleS al'\(/ Ialel'lCitS are .liI w.tt,," tt\e ~I r3\'\Q1! I i.to 'fI(l ,\ ""erasl,n\)
1'\ ff\At lit of ~ &f'I!'lCht~ (.'r' ~"'e t.,~t:-1 'j'"Je a~ "tlef'lL(i),i !~ !!"\'t a~"~\r--'Jf$ c-n ~ ~?t '(;;-<le '!'\i."'\Ca~~ \\~"
iludv"'Q~" ..'I' ,'.." ;: ',...."1'," i~A~ ""e ..S<illI/y''''<IS a '."at"," "..the ~""t'i,l,,~ .rem stQe
~o ~ e:~ tf"I~.at MIc<tj'wa-5 as wet! as i~ ;';)t;@f"r!\ >\,1~ sv~t:'1'l'\at\?':_~'l"i(:f nc'te- ~ht) '-~ii~l~l! N~t~r!\:f!;~"
~~$e~ "tuc:fy .., !"'--(~t t'1!'''':,~(<1 ':'~ t'<4!"~' \.~""t'f' ).tl-tI:<.:hl- 1t?'t:.1~n.:l!"<,r~ f(ltl!';"'~~":j ',,~,,;~~J \~~~;\ ~"O ~VUH
~- ~ en t-::~ S-C::~~ "'-"$ "l';Ll11,. lo\:a'i ,r'!~rf:i'<1 .._il ,':ef"'r',;}:i
14.1 SummarY of ohOloQraohs of the aCCloenl site,
Vanous plclures are taken from Ihe fronl as well dS Ihe backslOe of Ihe Ford Festlva that Ms. Walker was
driVIng on the day of the accident. The accident occurred on June 16. 1995 and the pictures are dated
June 21. 1995. The pictures are not taken at the accident srte. She states that their car was struck from
behind however I do nOI on Inspection of the photographs see any eVidence of damage to the rear pan of
Ihe car. Photographs of the interior and Ihe engme companment are enclosed. however I am uncenain of
Ihe significance of these photographs, She also states that when her car was struck from behind she was
pushed and struck a Chevy van in fronl of her. Again photographs of Ihe front end of the car do not show
any slgndicant damage.
.....
15,) SummarY of exhibilS.
There is an extensive summary of all of the vanous meOlCalions and dosages that Ms. Walker has been
laking. In addition. caples of all of her prescnptlons and COSIS are Included. There also IS a section that
consists of copies from the physicians desk reference on the vanous drugs that Ms, Walker has been on.
...
16.) Indecendent medical examination cerformed on November 20 1997.
Ms, Walker IS a 27 year old left.handeo woman whO was dnVlng a Ford Fest,va on June 16, 1995. She stales
~hat she was stoppeo at a reo ilght There were aoproxlmately 5.6 cars aheae of her, Sr.e states Ihal she
\Vas weaMg her seal belt She states that she \Vas struck from behind and her car was pUShed forward and
struck a Chevy van that \Vas olrec::y In front cf rer, She did not have an air bag In lhe car, She slates lhal
sne was Ihrown forward and her cnest hit the steering wheel and then She lerked backwards. There was a
coaster seat In Ihe !lack seat of the car '.,n,cn StruCK the back ponlon of the pallent s seal. The boosler seat
Old not slnke her head but Slruck the heaa rest. She states that she was shaken UP frem the aCCident She
:lId not descnbe any slgOlflCan1 pain .n:tlally as sne was In the slate 01 some shock al the Iirne, She slates
thaI she was taken VIS another persons car to !he noSplta!. No celVlcal collar was plaCed, She states lhal
there were polICe on the scene. but they sfaleo Ihalthls was a non,reponable case according to her.
Apparently both pan,es had gathered Ihe Insurance Inlormalion al lhe scene of the accident She
underwent evaluatIOn at the emergency ream In Carlisle Hosprtal. She had .-rays done and they were
negatlV9 lor any lractures, She states that apprOxlIThllely one hOur after her aCCldent she began to complam
of some llIId-back pallllhal was non-rad18tlng. She stales thatlhe palll was an aching sensanon. She also
had some Chest dtscomfort antenot1y but there was no signmcant radtalooto her palll. She states that as
time went on she began to feet worse and Ihen began to have some neck pain, She states thatlhe pam was
more on the nght Side than on the lell. Her neck pain Ihen radlaled Inlo Ihe shotftder region. ApproXimately
one week laler she began to complain of numoness and ,,"gllng In lust the flngen,Ps of dlgllS 4 and 5 on
coth sides, She also states thaI from :.".,e to tme She gels lerklng ana tw'tchlng sensations 01 her upper
B.~remltles. She also "ears a pOPClng Jno seraelng SOl.ino In '''e "9Ck \V,tn slgn,flcant ""'cvement of her
"ecx, Currently sne contlnues to rla,e cenca,c "urr-c"ess In me tiPS cf a:glls " a"a 5 en torn SloeS, Her
wmproms are not worsenEd Wit'" ccugr.1.fiQ. s!"'eezirg or With VaiSal'woa. She states that twrn!n9 her heaO f":1"'1
;"e side to the olher aces cause an ,rerease ," r.er syrr.otoms. She also reoorts occasional Jerks of bolh
a"""s as wen as the "anas ana mese 'erliS cccur -:u9"'Y twICe a month. She aen19S anv symptoms ,n the
.;\\.er IItltremfttes. 5r.e a..:es not recaii ;f anv ;,';;e::;:r ..iCt;'Vlr~' wcrsefiS f',er sV~lOms e.,ceCll0f f.Jmtng nEr
"eaO lorm Side 10 s,de. She oen,es il"V 5 '9n"<:a'" weaxness .n the tipper eltremlt'es, She denH!s
';rotlQlng any OOte(:IS or ih alll1cutty cpe",ng WS She a.n,,,s anv comola,nls of mUSCle cramos. She aoes
$lal9lhal her sensory cometa,,'ts "crse"e\1 a::e' elerc,se WhiCh may '''Ctuae hOuSehC'Q cean,ng as we\l as
.acuum.ng. She "as "nden;lone erte"s,ve cr,s'.:a! l!'leracy ana f,rl<Sheo a four ",.:nm ccurs" of thera:::v
St>,e did s.too phvsal the-racy 1M AC"! Cot !)9i S.he C;:@s ccntlnue k~ 00 ~hcractC r'ute! sv~me e.el"C:ses
.:it ..erne. St\e ccca$. 'Cf"ta'lv a'sc aces C-\~! - """t? 1~{;!" t"3c:::;n ,,\$ l;H-;:}~" :1 ;:)\l{jitC!"! t.) ~.~ '~rper- ew.!l'em;tv
C.:J!"!""C:Hait1tS ,he uoe~ CCff".N;n ct $t\e--~:lrQ: ,n t~e -,.;:wer €"Iltrerr>,lts t,,:, ilCtrcl,f1'1:3!e,v ::~e "\€',)f .~ur3tlCt1 S~e
.~,' mat tt'-eM a~ ""i?'ilte\l!~ !'_€f O'P~"'\~~;..J; ;,;...:: ~ ],-'\J ...., '.1(;1 ~~, S\\'eJ;lr~$ W":-ct$f,' d!':,~r:J r{'t ~-1N'~:ses .~....~
:f~!'$ af'l'V ~m.r u~,.~c," (?' ...~ct::r (~~c\a:!'ts .~ ~~ '.\Of'" '~" '~_t~'! rj."i'~. ,'\ r{~ ~"')~'-~~~,' t~;-w... i,"'t
::-J'~.Je-t IM'ui'"!diO~ Sh* <}ttt'J1E~ ~~\' 4~t~~_~~ ;" ~'$-;:,<...'a~,;;:-;"'& .f'l ~...,~ €'~f~~~,r:t?~
."\
S;....e J:e!'i}E-$ ~t'!'v C?"f"" .::::;-~.';s.!')"'<1 C~--~"lJ'~~"i .' "(ltL:'l:;:~e.:;;,-~~'::'1f \-~,-'n ;f"r\lt~:) ,t'~,'J,,' :.~~~~ >J~'1,1'i !i!.1~t?
....~! i."::l,":c.as.-...~~ ,&,1". s~., ~~.lt'$ <l~:: ~;"'::$ ~"H.t'i.'l>'Ii'('~'....!''S 1:\!"'-'@' ~;~ -S::i!u,r;q_ ~,..,{ ~+&'r....~;~s~,t"' tJo.p ~,.:,...,
t~t:J Shtt itw rttt"c~,. ~"".~$..€ ~"V-1 \\:\"'-~... -"',~t\~e-s He ...-,.~ ~'-e~t ~"" -:~\_ts,\"rq,t.. -d\',,~~ ,:,'c~~ ,"::',-f'~~5
-'~'". ::~"';l.'-! .l"'-\}].,! _~~"':"~.~-!""" ---{-' ,", 'f,f- ..,,~~. ~'lO'! ''';,{. ~,-~.. e ~'';.l' t. ,i:t'''-''' <,' ~"'<.'t"..~t'~
_~:'"l;~.:\~~;'y oi,\)", ..~.~-.,'" '~"'S etc. _~: _~('"
~ .. ~~Hl.~.. ~,,' "->" ,,..,, ("'" 1 ',"'t" ,H'f",t ,t'>'j
Iighl suprascapular region every 2 weeks, She states thai pre-In/ecllon her pain leve. IS approximately 6-
7/10 and fOllowing the Injection approxlmalely one day later her pain level IS roughly 3/10 in strength.
'"
She denies any sigMlcant past medical history lor hypertension or diabetes. She does suffer from irregular
menses lor the past one year. She does smoke tobacco three quarlers of a pack per day for the last 8 years.
She denies any alcohol use. Family hislOry IS slgmficant for coronary artery disease and stroke. Currenlly
she IS working as an administrative assistant lor a construclion company since July of 1996. She has one
daughter who IS 7 years 01 age and suNers Irom attention deficit disorder. Her current medications include
Neurontin 3200 mg daily and she lakes Ihis as fellows: 1200 mg in the momlng. 800 mg in the aftemoon.
and 1200 mg at mght. She also lakes Elavll 40 mg diVided In two dosages 20 mg In Ihe mormng and 20 mg
In the aftemoon.
On exartllnalJOn she was a pleasanllemale In no acute distress. Her \IIlal signs were all stable. On
neurological examination her mental status was Intact Wllh f1uenl speech. There was no evidence of an
aphasia. apraxia. agnosia or dysarlhria noted. Cramal nerve exartllnallon: her eX1raocular muscles were
intact. There was no nystagmus noted. Pupils were equally round and reactive 10 lighl and accommodalion,
There was no ptosis nOled. FaCial strenglh was Intact. Exam'nallon of her longue revealed no atrophy or
fa::clculallons. Her palate was mldl:'1e, F~c131 E~S'iUO" was ,n:act In aU Ihree dislnbullor:s of Ihe tngermnal
nerve, Heanng was mlact bilaterally, The streng:n of her slemocleldomastold muscles were Intact btlalerauy,
Shoulder elevallon was also Intact bilaterally, Examlnallon of her neck revealed potnttendemess over IIle
postenor aspect of her celVlCal spme, There were no palpable spasms noted. There was also some potnl
tenOemess over the nght suprascapular region, Range of motion of her cervICal spine was Iim'ted towards
the nghl With rotation as weU as lateral sloe benoing, The strength of her neck flexors and extensors were
normal. CaroM pulsations were 2+ and symmetncal. There were no palpable masses appr8C1dted in the
cervICal region, She did not have droopy shoulOers, Examlhallon of her extremmes revealed normal tone,
bulk. strength Ih all lour eX1remllles both prOXimally as well as dlstaUy, There was no evidence of atrophy or
fasclCUlalions noled. There was a mild Tiners sign present at the nght elbow causing tingling Ih digits four
and five. Her pulses In the upper ell1remilles were normal. Wilh both arms completely abducted and with a
reSIStance fOllowing a few minutes of thiS posillOn slle began 10 develop lingllng In digils four and five on the
nght side. Her pulses remained present and there was no discoloration of her sklh. Her strength also
rematned normal. Sensory exarmnatton was completely normal 10 an modalities in an dlStnbutlOflS, SensatIOn
to Iighttouc:ll. pm. lemperature. \IIbratlOn and posillon sense were an normal throughout. Deep tendon
reflexes were 2+ In lhe upper extremitieS and 2+ In lhe lower extremities. Planla.t responses were flexor
bilalerally, ExamlnaltOl1 of her gail was unremar1<able and she was able to walk on her loes. heels. and
performed tandem gall wllhout OINicul1y Rombe'g tesllng >\as also negative. Ce'ebellar lesllng >\as
completely normal.
She trough! CQpIes of her MRI ot me cervICal spire as >\eN as Havs ! perscra,lv ,eVlewea mese !;lms. Or
the MRI of tne cervICal spme l'la'e IS seme mild tu:gtng noted attlte C-l.5 ano 5-6 levelS Wltrout any
SignifICant neuro ImpIngement. The thecal sac was normal ano f/'\ere was 1'0 evidence of CCIT'.promiSf!
nOTed, There were no elll'aau'''llesK'ns IOel'llflee Exam:r:atlon c' he, '.'avs were that 01 ;m 301Cai IOrcct,c
vl8w Her c~t .-'ay was normal and there was r:> evtdence ct a CeNlQIl ,.t: acorec.alea
I 7) Summa/)'
Basea on my re\<ll!W ano hnQln9S t can reacn The f;)IIoWing COncluSionS. casea en a rt'asonabie ae-;;!'H Of
medlt:at CertBtnty. Ms, Wa'kef nas a COl'l'lOlete<',' rC""-1lI'1e\il'ClOqiQi e.al""....aT,Cr. at ttl!s !,me i illd "<:1 1,"'1
anv CIll<<tlV8 evidence !;) Slo'Cccrt t"l' tlla9!'lOSlS Cf lIIoraoc oultet sv"orc".." 1"\'P'ea<ly r~,c?t!"< lIIc'ac c
C'"it.' '\---norome f'$ cnatacten.tE<J ty ccrr,press:cn ;t m. k..'-WI.' !~p:'fr\..o1af c.:~ N~. t"r.lC_~li11 t'~.'I..$ ~~,$
5 "Si;3~Y due to a f~rous ~nd ano may tl! NeC'C'latea t'IIlra"ma <\"'''1:3'''10'' examll"4r,,'" C"'I! '''0$
~'t.atlt':.u a-N2 S-e"'SOt"y !CSt ~~1 ~f:E- O:$.tf4)\.lt,-,;"."TI 0 ~... ca. r'1!".r:.ervat\Fd r"!u-"&c.~, "'Ms:~ f,~h")">"",, >"s.s ;t~ ~t'-
~')lo\I!cre~ ilr'!\2 "'l!dtal aSC<<1 Of t!'>e /laM 'WI".. "I These "~N;$ "'l'''l! '~j en Ms \\,,""" t
e-.A~lf'l:atlOf' rt:..~ W@-f@o rQ 1~~<'\t'. .lC'nC~.:}i:Jt;(~ :-~s:er"t fl'-i.~-~' E:~t"';.':"--1-.J:"":':$tc "i;...<':t~S ,l"t ""~;-t'~~.;,;~ :'
,;:;;-('l~ ~e tt:l";~$'$ f-' h';:C!-1(:~ i.-:t;tt'4: $\ot";:-:....... r... C:.aS5;t """,}-:tr"',3!'lf.,"_! ~~[l'!~-Qttf''''\~ ....,~.y..};,,::\: .~~;..:1";<-1
~,v"',-:r:::......, Cf!:"'" E-e-c~!"<~'.'~';l!\t~'~i!:\~ ~!~1V '>'C\.I:I'J t~..1 ~~c!"!""'~ ,....':Ja~ "''t'''~C;'''\;''''''ISrt';f':'!ii'' '(i>:.t."":t'"" '"1J:~
';f'1"io1;""N ~~~~.J"";_t\t'Ni--<C'61 '...;.,~'.;,1f ..:1!";.: :'!"~.:..;-af\~- !,:~ ~e-~~n --'i:-~ -.. "-"if;}fl "-,Ftlf'i;;:is \\f-""~ p.r,'I'.v'"
.,,!... ,\i~lItH"\ tt~-h'(.lJ ".'''-1'"", ''''-l:~ \,;\~ l-t::.......'l"i'T'f" ~ '<t,~'~;-,\...r. ~''''''+''f'P f~~.(.~, 'l:l--'''',V:<,+'::,c\ .' ".,.:,\;,t'''' ".~, ,
, '~~.h:'1 '~~~r:' C:8.'" -M"'~"\".t>:l -'U~'':.'f'~ .J,.'L1" '~.\-41 ,,;.~t '-"'~ .. "-01'. f'~\'_'C); ".;~!\;\.. '<\'~::"1
"V' 1'1".'e,-,;,\j,~,~~'~h'~'" ~.~" tr:ftt.:F_"J~l~'"
.. .
: :~" H^-.;l- ~t?-"',,,~ ", :t' ,11 -~ ~'t'~,"~l\~i"!"\ i"'''} :''''-<t,''
""'
amplitudes are Identical on both sides. TYPically Ihere IS a vanatlon In the amplitudes from one side to
another in any subject Ihat electncal studies are performed. Studies have shown that on needle
examination the abductor pollicis brevis (APB) muscle provIded more sensitivity than does the ulnar
innervated ll1U8CIea. In Ms. Walker's case. the APB muscle was not tested. Also. the Illl:dlaJ anIHInIchIaI
cutaneous sensory response was not examined on either side. There have been reports In the literature
that this sensory response is more sensitive for identifying subtle abnormalities in neurogenic thoracic
outlet. However. given the normal responses obtained in the median and ulnar motor and sensory studies. I
do not believe that the lack of the medial anti-brachial study provides any flaw to the electrodiagnostic study
performed. In addition. there was no eVIdence 01 her cerYlCal nb apprecIated on her x-rays. Her MAl also of
the cervical spIne showed no structural abnormalities whatsoever.
I do believe that Ms. Walker did sustain a musculoskelelal injUry secondary 10 the accident. She most likely
has residual muscle problems Irom Ihis InJury. I do not believe this was of any serious nature. I also do not
believe that It causes any impairment 01 her body lunction. She does have limited range 01 motion 01 her
cervical spine and with subtle range of motion exercises I believe this clearly can improve. I did discuss WIth
Ms. Walker that I did not leeI that she is a surgical candidate at this time. There is absolutefy nothing surgical
that one would consIder operating on In her case. I am unclear as to what Dr. lams would resect to treat her
It\.)racic outlet syndrome symOlom:<, She does nOl 'lave any evidence 01 a cervIcal nb arid there are no
structural abnormalities In her cervical spine area. An MAl ot her brachial plexus has not been performed and
If this did show a t,brous band compresSing the lower trunk then potentially there would be a surgocalleslon
present. There were atlSOlutely no electrodlagnostlC correlates to support any palhology to the lower trunk
of the brachlBl plexus and thus I would not teel the necessity to perform an MAl of the brachial plexus at thiS
time.
Currently she takes Neurontln and Elavlllor her pain, Neurontm IS a drug that IS used to treat eptlepsy under
FDA regulabons, There are numerous anecdotal reports shOwIng the ublity of Neurontm to treat
neuropathic pain. Ms. Walker clearly feelS that her symptoms are much better when she takes Neurontin
and W she ~ a dose 01 NeurontlO she clearly teels worse, It IS unclear as to how much of Ms. Walker's palO
IS neuropa\hit: Il\ nature and how much IS Sl~ly lOcalized musculoskeletal discomlort. Similarly Elavil is also
prescnbed 10 treat dl!press1Ofl. however 1\ clearly has an effect to treat neuropathic palO. She is on . ratl'1er
elllenSive dose of Neurontm and . very modest dose 01 EIaIl1l at this time. Both drugs do not appear to be
caumg arry signlficanl SIde effects Il\ Ms. Walker's case. h IS unclear whether the EIavd that she is taking IS to
treat some lorm of undertyrng depressIOn or ratl'1er this IS betng used to treat her j18UropathIC s~,
She may actuaDy beneII\ trom some muscle relaxants. I think that Ms. Walker should contInue W1th hef home
exerose. and lISo perform some range 01 motion exercises lor her neck to give her some more moblllly 01
her cervtcal spme.
In summary. I do not leel thaI Ms Walker ~as eV1dence ot neurogeruc thoracIC outlet synd"Ome, She has a
cOlTlllletely non-Iccal neul"OlogJCalexammat.on and exhtbtts no molOr or sensory dellots on l!X8ITllnatoon,
She also nas normal electrodl89nostIC studles She does not have any studies to sUQport the O1agnoSls ot
Ihor8C1C oullelsvnorome. and '''I;S wOUld not recommend SUlg1:21 mtllfVentlon at thiS t,me
I hocle I heYlt provtCled the onlormal1on you reQUIre on thts cau I thank you for allowlflg me 10 18_ her
records and txamttl'"\I her personally II you have any '~her QuestlOflS, please do nol hes.lare 10 contact
me
S,ncerelv.
"
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1 WITNESSES
2 NAME EXAMINATION
3 TAMMY S. WAL1<ER
4 BY: HR. BANKO 3
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STIPULATION
It is hereby stipulated by and between counsel
for t~a res~ective parties that reading, signing, sealing,
certification and filing are hereby waived; and that all
objections except as to the form of the question are
reserved to the time of trial.
TAMMY S. WALKER, called as a witness, being
duly sworn, testified as follows:
EXAMINATION
BY HR. BANKO:
o Please tell me your full name.
A Tammy Sue Walker.
o It's Mrs. Walker?
A Yes.
o Mrs. Walker, my name is Steve Banko. I'm a
lawyer with offices in Harrisburg, and I represent the
defendant in this lawsuit that you brought arising out of
a motor vehicle accident which I think happened in
Carliale. We're here to take your deposition. I'm going
to a.k you a series of questions which. at least in my
mind, are de.igned to find out about the accident and your
health before and after. If at any tiae I ask you a
que.tion that you don't hear, ple.se stop me and "Y. I
didn't hear your question, would you please rephra.e the
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question, If you're shaking your head yes, please say
yes.
A y~s,
a That will be an instruction, too. We'll get
there. Likewise, if I ask you -- and this is more likely
because I'm doing what I'm doing right now, I interrupt
myself in the middle of questions -- so if I ask you a
question that you don't understand, please say, look, I
didn't understand what your question was, I don't know
what you're driving at, would you rephrase the question
for me. Would you do that?
A Um-hum, correct, yes.
a We have a court reporter here. She is very
good at what she does and she can take down everything
that you say. She can also take down shakes and nods of
the head, but I found that over the years when you do
that, when we try to read it back later on when a booklet
is made out of it, it doesn't make as much sense. So
every time I ask you a question, if it calls for
especially when it calls for a yes or no answer, say yes
or no to begin with. Then you can explain your answer any
way you want, I don't care about that, but at least
verbalize your answer up front so we know what your answer
vaa, and .0 that there isn't any confusion about what your
testimony vas. Okay?
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A Okay.
Q Finally, as I've told you, I have a very bad
habit of interruptillg myself, so if you just wait until
I'm done speaking until you try to answer the question
I've asked, it will be easier for the court reporter to
take down what was said because we won't have two people
speaking at once, and again, there won't be any confusion
as to what your testimony was. All right?
A Okay,
Q This isn't an instruction, but if at any time
you want to take a break, speak to Ms. Fields for any
reason, you're free to do that. Okay?
A All right.
Q I won't let you get away without not answering
the questions. How old are you, Mrs. Walker?
A 27.
Q And your date of birth?
A 4-7-70,
Q Where were you born?
A Tarentum, PA,
Q Spell that for .e.
A Okay. T-A-R-E-N-T-U-K
Q I've never heard of Tarentua, PA, Where is
that?
A It's outside of Pittsburgh,
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Q And where do you live now?
A Carlisle PA.
C What's your address?
A 133 Tower Circle, Carlisle.
Q Is that in the Borough or is it in one of the
surrounding townships?
A It's in the surrounding township,
Q Which one?
A North Middleton.
Q How long have you lived at that address?
A Five years.
o How long have you lived in Cumberland county?
A Eight.
o And you're married?
A Yes.
o And your husband's name?
A David Walker.
o And you and Mr. Walker currently reside
to<Jether?
" Yea.
o Ooe. anyone el.. live beside. you and your
husband at the 133 Tower Circle addre..?
" Ye..
o Who el.. r..id.. there?
" My daughter.
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A No.
Q Are you currently employed outside the home?
A Yes.
Q Where do you work?
A Steel Building Erectors, Inc..
Q In fact, I know I saw some letterhead from
them, but where are they?
A Carlisle, PA.
Q Do you know the mailing address?
A 1660 Spring Road, Carlisle,
Q How long have you worked there?
A It'll be a year in July.
Q What do you do there?
A I'm an administrative assistant.
Q Tell me what you do there. What are your
duties?
A I job cost, I do payroll, I do all insurance, I
do unemployment.
Q Is it a full time job?
A Yes.
o How ..ny hours per week do you work?
A Anywhere between 38 to 40.
o Are you paid by the hour or are you salaried?
A Hour.
o What iA your hourly rate?
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A Ten.
Q Have you been an administrative assistant since
YQu've been there?
A Yes.
Q Has that always been your job title?
A Yes.
Q Have your duties always remained the same?
You've gotten more responsibility as time goes on, would
that be fair?
A Correct,
o You started there in July of 1996, is that
right?
A Correct,
o And were you employed immediately before that,
before starting there?
A Well, I was unemployed tor two and a halt
months.
o So you were unemployed between, say, April some
tiae and July?
A Well, I took a part time job in May.
o Where did you work -- what was your l.st
e.ployaent before where you're working now?
A You mean full tiae employment?
Q No, Any kind of jOb at all. What job did you
have before this job that YOu have now?
11
1 A Yes.
2 Q Before starting in -- you were paid an hourly
~ rate plus tips?
4 A Correct.
5 Q What did you average for a 10 to 12 hour day
6 between what you were paid and tips?
7 A .Just in tips only?
8 Q No, both what the employer paid you and tips.
9 A Anywhere between 100 to 150.
10 Q And so you were there until .January or February
11 of this year?
12 A .January.
13 Q Why did you leave in .January of this year?
14 A My doctor disabled lIle.
15 Q What doctor is that?
16 A Dr. Kosenake.
17 Q In Carlisle?
18 A Yes.
19 Q Where did you work before starting the part
20 time employment at the Gingerbread Man?
21 A Ken.ar Enterpri....
22 0 Where is that?
23 It CarlisI., Pit,
24 0 They'r. the ovners of the McDonald'., 1s
25 that --
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A In Carlisle,
Q When did you leave Kenmar?
A May 2nd of '96.
Q Was there any period of unemployment between
leaving Kenmar and going to the Gingerbread Man
A Yes.
Q Around how much?
A About three weeks.
Q What did you do at Kenmar?
A I was the office manager,
Q Why did you leave there in May of '961
A I was fired,
Q Why were you let g01
A Long distance phone calls,
o ~o the Pittsburgh area?
10 Ye..
o What va. your hourly rate when you were let go
at Itenaar?
A I need a calculator. I don't know. I va.
aalary.
o That vas a poor que.tion then. What vas your
.alary per well?
10 pu vqU
o 'Ub, WIwlt vas your yearly .alary, Whlcbever
way you c.n u 11 .. besU
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Yearly waD 19-8.
That'D about what you're making now, about 20
A
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thousand?
II Correct.
o When did you start working at Kenmar?
II June '94.
o This accident that we're here about today
happened in June of '95, is that right?
II Correct.
o Between June of '95 and leaving Kenmar 11
month. later, did you have any period of unemployment?
II No.
o Where did you work before Kenmar?
II K , H Ford.
o What did you do there?
II Accounts receivable,
o When did you leave there?
II June of '94.
o Wa. there any period of unemployment between
tho.e tvo job., K , Hand Kenmar?
II II fev day.,
o Why did you leave K , "?
II To increase my .alary,
o When did you .tart at K , H1
II "o~.aber of '93.
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2 there?
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Were you paid hourly or were you paid salary
Hourly.
How much was the hourly rate?
I believe 6.50.
other than the situation at Kenmar, have you
7 ever been fired from any other employment?
8
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Well, I was let go during my two week notice at
9 Dauphin Deposit Bank.
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A
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Q
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16 me.
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Q
When was that?
'93.
Was that where you were before going to K , H?
No.
Why were you let go at Dauphin Deposit?
Basically, the regional manager did not like
Have you ever been convicted or have you ever
18 pleaded guilty to any crime?
19
20
A
No.
Q
Tell me about your educational background.
21 Were you . high school graduate?
22
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Yes.
Q
A
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What school and What year?
Apollo ~idqe Senior high. 'II.
Where is that?
,
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A Apollo, PA.
Q What was your course of study?
A Business.
Q Since leaving high school in 1988, have you had
any other formal education or technical training?
A No.
Q I want to -- let's see. 27. I want to go back
to the time from when you graduated from high school. So
June of '88, in the last nine years. And the time period
that I'm going to focus all these questions on is from the
time you graduated from high school until the time of the
accident in 1995. All the questions I ask, even if I
don't preface and say in that seven years, it will all be
designed to find out about those seven years, then I'll
ask you since that time, but I want to ask you about that
time first. Were you involved in any other motor vehicle
accidents?
A No.
Q Had you ever been injured on the job and made a
claim for workers' compensation?
A No.
Q Had you ever been injured in an accident inside
or around the ho.. where you might have slipped down some
steps, rallen off a ladder, tripped over a curb, anything
like that at all?
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company, or insurance company in which you've claimed that
you were injured as a result of the conduct of another
person or some product?
A Prior to this?
a Yeah, prior to this.
A No.
a Now, in the seven years that we were talking
about before the accident, did you have a family doctor?
A Yes.
Q Who was that?
A Do you want current or --
Q I want to know all family doctors you saw in
those seven years before the accident.
A I didn't really have a family doctor before we
went in the military.
a When was that?
A I was married in '88.
a When you say we went in the military, your
husband was in?
A Well, my husband was in.
Q Where was his primary duty station?
A KawaU.
a Was there a clinic, a medical clinic there
Where civilian dependents were treated?
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'92, is that right?
A In Carlisle.
o In Carlisle, I und~rr,tand. Then he was
released from active duty in 1992?
A Correct.
Q So in 1992, you wouldn't have been able to go
to the Dunham Medical Center any more. Did you get a
family doctor then?
A No.
o Have you seen any ramily doctors in Carlisle?
A Okay. When he got out in '92, we had two years
of medical privileges, so.
o You continued to be seen for whatever you would
have needed at Dunham Medical Center?
A Correct.
o After that ran out in '94, then --
A Dr. Kauffman.
o Where is Dr. Kaufrman?
A Shermana Dale.
o Have you had family doctora aince then other
than Dr. Kauffman?
A 110.
o SO you aince comir\q to CarUale in 19'9, have
you ever been admitted to any hoapltal for any reaaon at
all? Let.. beclt up. "ave you been adllltted to any
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hospital other than for the birth of your daughter?
A Yes.
o Tell m~ abo~t when and what hospital.
A Carlisle Hospital. October 12th of '93. I had
tubular ligation.
o I know about that. Any other hospital
admissions?
A No.
o Other than this and the birth of your daughter.
A No.
o Have you been treated in the -- again, between
1989 and 1995, before the accident, before the accident,
had you been treated in any emergency room and then
released?
A Yes.
o Tell me about where and when.
A I know I went to the emergency room in Carlisle
for 80mething, but I can't remember.
o Those records I probably have. That's all
right. Kave you ever been seen in the emergency room of
any facility other than the Carlisle Hospital?
A No.
o Now, berore the accident, between moving to
Carlisle and before the accident, had you been ...n by
doctors other than Or. Jauff.an and the folks in the
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A No.
Q Have you, other than this lawsuit, have you
been a pa~ty to any other lawsuit?
A We retained a lawyer for our Lemon Law.
Q I'm not really interested in that.
MS. FIELDS: There is a companion case to this
arising out of the same accident and their tort selection.
8 BY HR. BANKO:
9 0 Who is your first party carrier?
10 MS. FIELDS: Anthem?
11 THE WITNESS: Yes, Anthem.
12 BY KR. BANKO:
13 0 And is that suit in Cumberland County?
14 A Yes.
15 Q Other than being involved in a Lemon Law suit
16 and tort selection issue against your first party carrier,
17 and this case, have you been a party to any other lawsuit?
18 A No.
19 0 Over than arising out of this particular
20 accident, have you ever made claim to any person, company
21 or insurance company in which you've claimed that you were
22 injured a. a result of the negligence of or the conduct of
23 another person or so.e product?
24 A. No.
25 0 Have you had any type of accident inside or
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outside the home, such as a slip and fall, misstep off a
curb, some -- a trip down steps, any kind of injury
whatsoever oth~r than this accident?
A Is it a serious injury or just a stumble and
fall?
o Any kind of injury whatsoever. We all have
different ideas about what constitutes serious, so if you
just tell me about it.
A No serious injury.
o Just tell me any type of incident whatsoever.
A My daughter stepped in front of me, and her and
I tumbled in a parking lot.
o When was that?
A I have no clue.
o Did you seek any specific medical treatment as
a result of that?
A No.
o Did your daughter require any kind of medical
treataent?
A No.
0 Tell me about the accident. Do you recall what
day of the week it waa?
A Friday.
0 And do you know IiMt ti.. of the day it wa.?
A Lunch ti...
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o And how is it that you recall that it was a
Friday at lunch?
A It's never g~ing to leave my mind.
o Well, where were you going, and where had you
been and where were you going?
A I was coming from the Golden Wok picking up my
lunch, going back to my office.
o Where is the Golden Wok and where is your
office?
A Both located on High Street. Well, extensions.
o The Golden Wok is out by the Dickinson --
A Dickinson field.
o The Dickinson rootball field?
AVes.
o And was your office closer to town or further
away from town going out the Ritner Highway?
A Closer.
Q It was closer to town?
A Ve.. Well, it wasn't out Ritner.
o Do you know the addre.. of the office?
A Where I used to work?
Q Yeah. I live in the Carlisle, .0 explain to
-
A 1217 Trlndle Road.
Q Okay. SO you're way out on tM other 81de of
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town. At least you're on the other side of town?
A From Hanover. I was right down from the
Carlisl~ Plaza Mall. It's real close. I wouldn't call
that out of town.
Q So you were on your way -- so you're heading
east on High Street?
A Correct.
Q Where did the accident happen?
A I was about four or five cars back sitting at
the red light.
Q Which red light?
A The square.
Q Hanover and High?
A Yes.
Q Then what happened?
A I was sitting there and then boom, struck.
o Did you see the car that struck you before
impact?
A No.
o Do you know, thererore, hov raat that car may
have been going at the time of impact?
A Unknown.
o What kind of vehicle were you driving?
A rord Festiva.
o What kind of vehicle atruck you?
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Q
How long were you at the scene of the accident?
A
15 minutes.
Q
Were police summoned?
A
Yes.
Q
A
Do you know if there is a police report?
No.
8
o I'm sorry, that was a bad question.
police report?
Is there a
9
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12 that.
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A
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Q
16 injured?
17
A
18
o
19 accident?
20
A
No.
Do you know why there's no police report?
He said it was a non-reportable, something like
It was a male officer?
Yes.
Did you indicate to the of ricer that you were
No.
What did you do after leaving the acene of the
The guy that I was pushed into drove to the
21 Ford dealerahip. They had to bend the rear end on ay car
22 in order to qet - to Where I used to work. And then from
23 there I went to the hospital.
24
Q
2S
A
How did you qet to the hospital?
One of the aanaCJera c... down to pick _ up.
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Q Can you tell me about how long it took for
those areas to get better?
A About a week.
Q If you were going to describe or rate your pain
that you were having in your low back and mid back that
week between the accident and when they resolved -- when
they were at their worst, when the pain was at its worst
and you were going to rate that pain on a meter or scale
from zero to ten, zero being no pain at all, ten being the
worst pain you had, what would you rate that pain?
A About an 8.
o Then over the course of a week it subsided to a
zero, is that correct?
A Correct.
o Currently, what problems if any are you having
as a result of the accident?
A Neck pain.
o When you say neck pain, tell me where in the
neck it is.
A It's from my Cl down to my C7 into .y
ahouldera.
o The pain in the neck itself, is it on one aide
or the other. or is it down the back in the aiddle?
A 10 percent on thia aide 30 in the other.
o 70 percent on the right?
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A Right side.
Q Then 30 percent on the left?
A Of pain level.
Q Would that be the same as that extends into
your shoulders, the pain on the right would be more severe
than this pain on the left?
A Correct.
o When did you first start noticing that you were
having pain in your neck?
A Probably about the next day.
0 The next day arter the accident?
A Correct, Saturday.
0 When you were treated and released from the
emergency room, were you given any type of appliance or
apparatus, you know, a back brace, an Ace bandage. a cane,
anything like that at all?
A No.
o Were you given medication or a prescription tor
medication?
A I don't remember.
Q When wea the next time that you aought medical
attention after being released from the e..rqency rooa?
A That next week.
Q Where did you go?
A Shermana Dale Family Practice.
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A Prior to February.
0 Have you seen him at all since February?
A No.
0 Do you have an appointment into the future as
we sit here today with Dr. petcash?
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It's hard to get an appointment. I am very
A
7 limited when I can leave my office.
8
Is the answer to that question no? Do you have
o
9 an appointment with Dr. Petcash into the future?
A
Not yet, no.
Q
It looks as though you've also -- I know you've
12 seen Dr. Kosenske and you've seen Dr. lams, is that right?
13
14
A
Yes.
o
And you also apparently have treated with Dr.
15 Rogers?
16
17
18
A
Correct.
Q
Now, let's try to make sure we've got them all.
Since the accident, have you treated with
and of
19 course, you may have been sent for tests, and that sort of
20 thing, but what I'm apacifically looking for are treating
21 phyaicians or treating providers that saw you more than
22 once as a consult or once for a test or so..thing like
23
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that. Okay?
A
Ohy.
o
Have you seen providers or doctors other than
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Dr. Kauffman, Alexander spring Rehab, Carlisle Hospital
including Dr. Kosenske. Dr. Rogers, Dr. Petcash and Dr.
lams?
A Correct.
Q Have you seen anyone else?
A Yes.
o Tell me about that.
A Samuels.
o The neurologist?
A Yes.
o When did you see Dr. Samuels?
A I believe it was in November.
o Do you have an appointment into the future to
see Dr. Samuels?
A No.
Q Any other doctors other than the ones we
mentioned?
Were you seen at the Hershey Medical Center as
well?
A No. I believe that's it.
Q These thinqs start to run together. I have a
couple of questions involving patients of Dr. ~osensk.,
and I waa mixing you up with somebody else, that's why I
aaid Hershey Medical Center.
As we sit here today, do you have an
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appointment into the future with any of your doctors or
other providers?
A Yes.
Q Tell me about those appointments, when they are
and who are they with?
A Tomorrow.
Q So that would be the 4th?
A 4th. Dr. Kosenske.
o What for? No, 1 understand what he's seeing
you for. Anybody else?
A No.
Q When was the last time you saw Dr. lams?
A The 27th, last Monday. Tuesday, I'm sorry.
Q 26th was Monday. You don't have an appointment
with Dr. Iaa. into the future?
A No.
o Now, this problem with your neck and in your
shouldera, since you noticed it the day after the
accident, h.a it gotten worse, has it gotten better, has
it stayed the s.me?
A That'a hard to anawer.
o You'll have to give a. soae indication about
your cond i tion.
It. Well, t felt lJood and bad.
o "-'11 talk about. the variO\la 900d and Dad and
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1
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8
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11
12
13
14
15
16
17
18
19
20
21
22
23
24
2!l
-
-
37
waxing and waning, we'll talk about that. Overall. You
have to understand that part of what we're doing here
today i~ for me to evaluate your claim, and I can't, as I
tried to say before, I'm not clairvoyant. I can't do that
without your help. So I need the information from you.
Generally speaking, again, I'm not going to hold you day
by day, or anything like that, but over the course of two
years --
A Yes.
o Is it worse, better, the same?
A Better.
Q And you've already described for me good days
and bad days, would that be fair?
A Correct.
Q NoW, in the last six months, since the
beginning of the year, let's say, on your worst days, I'm
going to ask you to rate your pain again. well, first let
me back up. Does your pain increase with level of
activity?
AYe..
Q Do.. weather affect the level of your pain?
A 'tes.
o So rainy, cold weather, damp weather hurts you
worse than nice sunny days?
A CorrltCt .
I
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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19
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39
expected of you, but you can't do because of your injury?
A You mean little things?
Q Anything that would go along with your job duty
that you can't do.
A No.
Q So like me, as long as I can move my mouth I
can make a living. I know you have to do more stuff than
that, but in other words, your jOb doesn't really require
heavy lirting or overhead lifting, or anything like that,
does it?
A Not all the time.
Q Is there anything that you did on a social
basis before the accident that you cannot do now? Not
what you do with dirficulty, but you absolutely can't do
it and you did it without any problems before the
accident?
A Sitting still.
Q Why can't you sit still?
A Because when I'm in a position for so long it
qets to me, so I got to move, and I'm up and down. I
can't lIOW.
Q What is it about lIOWing that you can't do?
A The pushing and pulling.
o Anything else?
A The length of ti.. that I have to be doing
.
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40
that.
1
2
3 do?
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
2S
Q
I'm sorry. Any other activity that you can't
A I can't look up ahead of me, I can't look
above, therefore, I can't reach up and pull things down.
I can't lift my daughter. I can't do certain groceries.
I can't ride in a car ror a long period of time.
o Anything else?
A Playing with my daughter as much as I used to.
o We're going to get into the areas or things
that are more dirficult now, but I want to know what it is
that you absolutely can't do that you could do before.
A It was the lifting, pulling, the mowing, the
vacuuming. I can't get a lot of groceries. I can't look
above me. I'm not sure what else. I know there's more.
o Well, I'll make a deal with you. Ir you think
of anything else that you cannot do, please tell Hiss
Fields so she can tell me so I'll know what yOU'll say if
this case should ever go to trial. All right?
A Okay.
o Let's talk abOut things that you like to do,
either on a social basis or things that you did around the
house that you do with difficulty now .a a reault of your
injury. Tell.. about those thinga.
A Washing dlahe..
1
Q
-
-
42
I won't ask you any more questions about that,
2 because I don't really care, but anything else?
3
A
Doing things with my daughter. Not able to go
4 to parks, like amusement parks.
5
Q
6
A
Why can't you do that?
Because of some of the things I would like to
7 ride, I can't ride.
8
o
9
10
A
o
Such as?
Roller coasters.
Anything else? Any other activity that you do
11 now with difficulty that you didn't have any difficulty
12 with before?
13
A
Sitting still, standing, riding in a car for a
14 long period of time, looking above my head, looking down.
15
o
A
o
16
17
18
A
What is it about looking down that bothers you?
Well, it's pulling my neck.
Any other activity?
Watching a movie for a long period of time,
19 cooking, depending on what I'm cooking.
20
o
Anything else? You see the pattern here? I'm
21 not qoing to atop until you say there's nothing else.
22
MS. FIELDS: Well, she's obviously not able to
23 think of every single way in which this injury has
24 affected her lite, and ahe probably haan't discovered ao.e
a of the vaya the in)ury lb." aUecte4 her Ufe. bther than
,
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CIIArnNI'1 I" I 14 I IS dln:ction III .1.111 ,employee III .1.1 15
children I' I ... :" counsel 1'1 ,1 .: din:clly III .4 I- .. I. .-
chiropractor 111 :: It .ne. ,,1.1 1(; .UI4\- dlsahled 11 I II ,. employerlll II~
chronlc"l n l~ County 141' 2 hi: dIScovered 111 ..~, :.. employment 1'1 ~ 22
Circle "I .. ." =~ n HI ()ISCUSSlon 111 .. I~ ., :1 IUO 14 ,
CIVil. PI ,. I' couple III 1(; =.: .Hl dishes "I oil:' .1 " end 1>1 :'l'l ~I .H2
C1"han 111 I'" :" eOlUse 141 t'1 11'1: distance 1>1 . 4 energy 1'1 413
c1alm"l ~ ;t 1(, ,:!!I ql'l .'" - I: I. Enlerrriscs III 1121
It-Ii. If> :" :: :, ,court 111 It .111 dl~lIICCIII' :: Erectorslll ~~ . .
~ 1 ~,. 1"1 " doctor "., II ,. II I' esp;cially 1'1
of :0
claimed PI ,- I crimel'l l.lll'i Ih: I"': j" ~ 1 ~ I" ESQU(J.(i Ilt IIY
:1:1 :: :t j'l4 ::. ~ ::.. I"
c1a,n."yanllll ~.. .a Cumberland 1'1 , : ",. n:.
evaluate III J7J
CI.ERK"I I ;n ". t: :1 p HI doct..n"I'" ,: ;'-'1-
chent", Curhl'l ['':. '", . ,,~ : j ':" q:, cnlulcd III H2O
:.1.& .
dlnlC!'1 .:~ : ~ l i '" \. I cm:nillClll 10 IY
1 ~ : ~ I" .. ~
-' ,docSft't"I. I' t'I" I;XAMINATIONt2,
11.1 I! c!lrn:ftt I"l I' 11
d"..estiel'l !Il'; " '10
chnlC< 111 :: h. Clltlll '\\j
:: ~10: C&cq1t III \40
c10SCI'I :,. t dtMtt: I" .. CUK"tll 41 II
closer 1'1 : ~ ! \. ':" I'" -0-
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c1UCI'I :"1<1 1111 ......'1 .Ill -I'''' ......lai..... : I =~2~
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('"(\,I;s.kr1PI ":'-1 t" ~\ 211 : ~~ ~" \!':-'l
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10 ,1.,''10 &.:' >, I' " ,,~ hlnhty", " .
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.
711.212~M.n91.5101
Multi-I'age :", fallen - left
TAMMY S. W AI.KER't
fallen III 15.24 IH III III I'- II ~II hourly 1.' S ~, II ~ ,
1-..-..-------.
familYII"IIH 17 12 I:" 12 I':' 14 I 14 , +
17:14 I'J.~ 2{J_~ glven!'1 'I 14 ill,.... 144 i .-.. ..' -..-.-. ---- ....._--.---.-.___.. u_____.~__._
e 2lJ:1lI 20:20 :!Y:I ..4 ;11 hours 1'1 l"i21 10 J.l !January III 1110
: II 12 II I)
31:25 43.11 goes II I 'j I< 11IIfl 4\ I ,. b
!hOUSCIII IJO IIlI Xl' X p,
fashion III 16:12 Golden I 112; ,. :li. }Io, 402.l I '): ~ t)'~1I l)-H
fastl" 26:2lJ 1S II ,housecleaninl: III 41 " I '124 '12; 1;1'1
fault 121 1'1.23 27'17 gone II I ~. l! Ihu"1I1 27 := I 22211 .1S 14 .1'13
February III 11:10 good 1'1 4 14 .1,,;-1 Ihu"SIII 17 2.1 )9 H
34:1 34:2 ~h.~~ 31 12 ; husband 1'1 12 jobSll1 132C1
felt III 3624 graduale III 1-121 , h1:! 7X 721 JRIII I 22
Festiva III 26:24 gradualed III IH 171'1 17 Zll IS 12 JuIYI" Sl2 'III
fewlll 13:21 15 II 1')1 In; '11'1 4422
field 121 2S,12 25:13 groceries III ""I' ;husband'slll nl6 June 1'1 I 13 IH
I
Fields 11"1 1:14 I:IS 4014 IH 13 III 13 IS
1:19 5:11 7:17 IguiltYfll 14 II< I -I- 15.'1
, JURYfll
23:6 23:10 27.1'1 guy III 27 11 2H20 Iiams 1'1 J4 12 3; 3 IS
40:18 42:22 l612 36 I'
filcdl1l 7:13 7:21 -11- licefll 16S -K-
filing III 3:4 ,11"1 1.114 U211 ideafll IS - IKI'I 1314 Illll
FinallYll152 1 1.1:: D 1-1 1-1 I: ideas fI I l-l .. I 1322 1324 1412
financially III 44.17 Ihabitfll ~ .' imm.:diately III 914 !Karcnfll III 441
finelll .1223 ih81flll lilt- ,impactlll 2n IS 2h ~ I ' 4423
fired 121 12.12 147 'handfll "".. : i inactivitYfll 41 Is IKaullmanlll1 21117
':tllh -Ztl ~ I ~I ~~
first 171 15.ln IS.20 'lIanoverlll ~l' : IncIII ~< 22 J 321 3' '
:3 .,. ~3 16 lis . '
~" p incident III 14 lu J2 v 32 :.. 3J 1.1
3225 1717
five J2I 'hardl>1 '..,- _'t> :1 including III J~ .: ' J5 I
6 II 2ft'J iK~f;narII"12 <
locus III ! lIarrisburg III 11- . inereasc J2I Il ~, 11 ~I
15 III (IIAVASIII t;i )" IS I: ~
lolksll' 21~~ i lIawaii III I' 2: 11<1 indicate III ~~ I; ; I ~ 1M III I) 10
e 101l0WIII I I) J) O~(} IH
32.3 i l':Ift indicatioo III 3n 22
lollowing III I~ 13 i ,kind... \j 24 I~ 'I
'head 1'1 41 4 In indilL"Ctly III UI- : 242
follows II' l.'I 4~ 14 ~4 h ~.. Ii'
1001111 !headingll, information III }':'40 I 1" 23 2~ 2~ 1\1 Iii
I_ 16 :... ~ injections II' J~ Itf ,knew III 3214
foolballlll :~ n 'health III 1 :' :~ It< injllICll1 I. I' lknowkdCCll1 'll
force III 10 I~ ;he.tflll ~ .:.. .. : ~ Injured .111' I" I~ ~'! ~H 41 I/o
Ford 1'1 IJ I~ 2rd'-4 ; heard III f, .: ~ ,- I~ 2 12 ':11 ! KOlICllSke .'1 II I_
:1'021 :'-1 I 2'J I 'heavy III '\9" .;-' :: n' ~h III ,.. I: J~ ; 1~ ::
.' ... I
foregoinCl1I 44 n iheldlll " I. . injunes III If\ ,~ I ). ~
10reiJ:n 1112' I ;helPIII ,-, injllry 1'8. I." In 17 1 -----------
form III ~ ~ '1Il;rcb)' 1'1 ,1 :- 14 24 ~ 2" ~ Z.. " I -L-
lormallll 1 ~ ~ , ...... U 14 :.a " lVl .at, 1.- iLI" Il~
FOSTER 1II I I~ :he~ntolll .U :: .&z ~J .'t ~c Iladderlll
IIlside: III 15 2~
I I. ' lIershey III l~ i~ l~ .:: nzt ,IU".I
'i :1 Il V
found". ~ In ,~ :.1 ill5UlICtioa III .~ l~ ." lJ 21 }} =~
lour III :~ 41 high I"I l.f :" I" :.. ' III ! _'ft I~ \fill 11 I~
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1.111"' lull" , ., lalelCOllf1C III U 1" 'laWsllit.., ) I' If! ~l
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111.211.~M./)9lnOI
- - .. ..
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I.emon - police
TAMMY S. WALKER
l.emon III l' ~
l.EMOYNEIII
leogthlll )Ill'
LESl.IElI1
letterhead ill
level 1'1 3 I )
ri ~I ~Xtl
lifeI'I l~ I~
.I''''''
lift 111 ~II"
liftingI'I 3'14
411 I'
ligation III
light III ~,III
likely 111 4'
Likewise 111
Iimitcdlll,n
IivCJ11 ,I
:~ ~:
Iivcdl'l "III
Iivinglll ,-,-
located (II :c; Il'
look 1'1 H
4n4 "'11 101
looking 1'1
J:' 14 .C 14
looks 1'1 )) ~II
loss III ~:o
IOt5111 ~I ,
IOWI'1 ~" 10
)0 Ii;
lowerl'l :1''''
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lunch t 'I :4:" ~( :
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Mill II"
mailing 11 I
malnlalllCd 111
malc 11 I =_ I'
MaliI'I :' 1
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Hi 14 II :"
managcr III
1,&1;':
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MAR""" 111
marTlag<:I'1
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midi.' :11"
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'MisSIII ~1I1"
misslepl'l
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In I~
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monthslo," 1-
III ~4 IJ II
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I North "I ""
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; November 1'1
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: party 1'1 23 3
~J Ih ~J 17
paticnts I"
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I I" :2,~
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l'l:lcash 101
11 :1. J\ :!~
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117-2Jl.SM4fl9l-5101
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prefacclIllS:IJ
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primary (I)
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problems ('I
19:1 I 29:24
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23:23
promise [I)
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psycbologistlll
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!runfll 3~ 11
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'1~:2" 1j 13
I Samuels III
i 33:11 3S14
I Saturday II)
I saw IS) 8tl
I )J25 34.21
I scale 12I JO:S
I SCCDC 12) :8:1
school (5) 14:21
I 15:4 15:S
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'SCCII2) 15,"
2ta J" :7 17
~2.: I 32:1'&
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,
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SCriollS 111244
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'set III U:I
_11)41 151;
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'shalLnll, 415
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TAMMY S. WALKER
Islip", 10'
slipped (1l15 :J
smallcflll :i 2
social", 3'11:
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-
PRAECIPE FOR LISTING CASE FOR ARGUMENT
(IU;t be typewritten and subnitted in d1lpl icate)
TO THE PROTHONOTARY OF CUMBERLAND COUNTY:
Please list the within matter far the next Argunent Court.
---------------------------------------------------------------------------------------
CAPTION OF CASE
(entire captim nust be stated in full)
Ta~rny S. Walker ano
David Walker, her husband
(Plaintiff)
YS.
Geoffrey S. Chattin,
(DeftnSant)
ft:J. Q6-,)12/l Civil
1990
l. State IllIItter to be Arlped (i.e., plaintiff's mtian far rww trial. dBfendllnt's
cSIIIIuaer to ~I..i"t. etc.):
MN Motton of nefenoant, Geoffrey S. Chattin. for Partial
SUl'll'Iar:v .1uol1;l'lent
2. Identify allnSel WID will ar'lp! case:
(a) fer plaiAtiff:
Ildch. :
(b I fer d1tf~,..,t..lt:
Id:b. 1:
Davirl Foster, Esquire
Costopoulo~, Foster, &
;< H ~larke:ll ~tl'et't
I.f'MOvnf', PA 17(111 ~-O?n
Fields
:)tephen L. !\"Inko, Jr.
/\"10"'31<1, Banko, Kr('11, lIronthl\l, !L !\.'!kl!'!'
P. 0. flox ql7
H,'rrt~~ur.~, PA J71(H~-r;,)1~)
). 1 will notify 411 s-rt- in wrttlnq wtth1ft hIQ __ that this ... ...
... Uated for ~t.
4. ...-t O:un hate:
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"serious injuries" as denncd and interpreted by her automobile insurance policy and/or the
policy's election of tort options fonn violates sec. 1705 of the Motor Vehicle Financial
Responsibility Law and is therefore invalid.
9. As a further direct and proximate result of the negligent. careless and/or reckless acts
of the Defendant. Geoffrey S. Chanin, the Plaintiff, Tammy S. Walker, has been obligated to
receive and undergo medical attention, care and expenses for the injuries she has suffered and
may be obligated to continue to illCllr such expenses for an indefmite time in the future.
10. As a further direct and proximate result of the negligent, careless and/or reckless
acts of the Defendant, Geoffrey S. Chanin, the Plaintiff. Tammy S. Walker, has suffered a loss
of earnings and/or impairment of her earning capacity and power.
II. As a further direct and proximate result of the negligent, careless and/or reckless
acts of the Defendant. Geoffrey S. Chanin, the Plaintiff, Tammy S. Walker. has suffered
medically detenninable physical impairments which have prevented her from perfonnm, all of
the normal acts and duties which constilUtC her usual and customary daily activities.
12. As a further direct and proximate result of the negligelll. careless and/or reckless
acts of the Defendant. Geoffrey S, Chattin. the Plaintiff. Tammy S, Walker. has experienced
severe pain and suffuina. mental anpish and humiliation. and in the future may continue to 110
ClpCli&occ.
U. As a futtber direct and proximate result of the negliJcnt. carelm and/or m:klcu
acts of the Defmtut. Ocoffrey S. Cbattin. the PIailltitT. Tammy S. Walka. has svffcmlaloss
of life', plratureS IIIIS ill the futurc will tCdinlac to SUfTcf a loss tlf life', pt.wum
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COMMONWEALTH OF PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
TAMMY S. WALKER and . No. 96 - 5128 Civil
.
DAVID WALKER, her husband, .
.
Plaintiffs .
.
.
.
v. . CIVIL ACTION - LAW
.
GEOFFREY S. CHATTIN, .
.
Defendant : JURY TRIAL DEMANDED
ANSWER AND NEW MATTER OF DEFENDANT,
GEOFFREY S. CHATTIN, TO
PLAINTIFFS' COMPLAINT
1. Ad.itted.
2. Admitted.
3. Denied.
4. Denied aa auted. It 18 acbaitted that the front of
Defendant'. vehicle at ruck the rear of . vehicle being operated by
Plaintiff-Wife. All other a11egationa, however, are denied.
5. Denied.
6(a) - (i). Denied.
7(a) - (C) . Denied.
.. Denied.
,. Denied.
10. Dlnied.
11. Dlnied.
12. Denied.
13. Denied.
WHEREFORE, Defendant, Geoffrey S. Chattin, demands
judgment in his favor and aqainst Plaintiffs.
Count II
Plaintiff-Husband v. Defendant
14. The answers contained in paragraphs 1 throuqh 13
hereof are incorporated herein by reference as if set forth in
their entirety.
15. Denied.
16. Denied.
WHEREFORE, Defendant, Geoffrey S. Chattin, de"nds
judqa8nt in his favor and against Plaintiffs.
NEW MATTER
17. The answers contained in paragrapha 1 throU9h 16
hereof are incorporated herein by reference as if aet forth in
their entirety.
la. Plaintiffs' claim for nonaeconoaic d...9tla 18 barr.d
or otherwi.e governed by their aelection of the -Ualted tort
option- .
- 2 a
COMMONWEALTH OF PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
TAMMY S. WALKER and No. 96 - 5128 Civil
DAVID WALKER, her husband, :
Plaintiffs :
.
.
v. CIVIL ACTION - LAW
:
GEOFFREY S. CHATTIN, :
Defendant . JURY TRIAL DEMANDED
.
CERTIFICATE PREREQUISITE TO SERVICE
OF A SUBPOENA PURSUANT TO RULE 4009.22
As a prerequisite to service or subpoenas for documents and
things pursuant to Rule 4009.22, Defendant, Geoffrey S. Chattin,
certifies that
(1) a Notice of Intent to serve subpoenas with a
copies of the subpoenas attached thereto was mailed or
delivered to each party at least twenty (20) days prior
to the date on which the subpoenas are sought to be
served;
(2) a copy of the Notice of Intent, including the
proposed subpoenas, are attached to this certificate;
(3) no objection to the subpoenas has been
received; and
(4)
identical
Notice of
the subpoenas which will be served
to the subpoenas Which are attached to
Intent to serve the subpoenas.
are
the
Date, 0"
. r
"I ;" 1
I
By:
BADOWSKI, BANKO, KROLL, KRONTHAL,
and BAKER
A P~, ~s/o nal Corporation
\ : I
" :
,
Step en L.
Attorne I.D.
101 Pine Street
Harrisburg, fA 17108-0932
(717) 236-3200
Counsel for Defendant,
Geoffrey S. Chattin
This subpoena was issued at the request of:
Stephen L. Banko, Jr.
Attorney I.D. No. 41727
BADOWSKI, BANKO, KROLL, KRONTHAL and BAKER
101 Pine Street
Post Office Box 932
Harrisburg, Pennsylvania l710S-0932
(717) 236-3200
Attorney for Defendant, GEOFFREY S. CHATTIN
BY THE COURT:
Date: "j... L .17 &:if
, ,
(Seal of the Court)
/[/ :;. l ti... ) j) ;;d.:~
{Prothonotary) ,f
_/<:72,- }-c [. 7P.Ol h L , UtI,,::?
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COMMONWEALTH OF PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
TAMMY S. WALKER and . No. 96 - 5128 civil
.
DAVID WALKER, her husband, .
.
Plaintiffs .
.
:
v. . CIVIL ACTION - LAW
.
.
.
GEOFFREY S. CHATTIN, .
.
Defendant : JURY TRIAL DEMANDED
K:lTION OF DEFENDANT , GEOFFREY S. CHATTIN ,
FOR CONTINUANCE
1. This matter is scheduled for trial during the september
1999 trial term, commencing on Monday, September 13, 1999.
2. Counsel for Defendant has now been attached for trial
before the Honorable John D. Kuhn in Adams County in a case styled
Sharon L. Marvon and Gre~ory Marvon v. Bernard P. SUllivan, 98-5-
557. A copy of the order from Judge Spicer dated August 30, 1999,
is attached hereto, incorporated herein by reference and marked as
Exhibit "A."
3. Given the Order of Attachment, counsel for Defendant in
the instant case, will not be available during the week of
Septeaber 13, 1999, to try the instant case, which will take no
le.. than two full trial days.
4. Defendant is no longer a resident of Pennsyl vania.
currently, he reaides in Carolina Beach, North Carolina Where he is
a qraduate student. With Counsel's attachment and Defendant's
situation, it is submitted that a continuance would permit
Defendant to Mite appropriate travel arrange.ent. to return to
Pennsylvania when the ca.e i. likely to be called for trial.
5. Counsel for Plaintiff, David Foster, Esquire, has been
apprised of the situation and he opposes this Motion for
Continuance.
WHEREFORE, Defendant, Geoffrey S. Chattin, prays this
Honorable Court enter an Order continuing this matter until the
next civil trial term.
BADOWSKI, BANKO, KROLL, KRONTHAL
and BAKER
onal corporation
Date: ~ M1
By:
n L. Banko, Jr.
ey I.D. #41727
101 Pine street
Harrisburg, PA 1710S-0932
(717) 236-3200
Counsel for Defendant,
Geoffrey S. Chattin
... 2" -
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1
2
3
.
5
5
7
l 8
9
,
, 10
t
11
12
13
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18
17
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IN THE COURT OF COMMC.N PLEAS OF ADAMS COUNTY, PENNSYLVANIA
CIVil.
SHARON L. MARVON lInd
GREGORY L. MARVON
98.S-557
v
tD & rE D I;LLt~
SEP - I ~ Ii; :
Lkl
BERNARDP.SULUVAN
ORDER OF COURT
AND NOW, this 30th day of August. 1999. this case IS HEREBY ~et for a
two (2) day jury trial during the September 13, 1999, Civil Trial Term.
Jury selection shaI1 begin at 9.00 AM. on Monday, September 13, 1999. Trial
shaII ~mmenee at 900 A.M on Wednesday, September IS and resumc at 9.00 A.M.
on Thursday. September 16, 1999, in Courtroom 2 with the Honorable John D. Kuhn
presiding.
BY THE COtJRT,
IS! OSCAR 1=. SF'ICER
OSCAR F SPICER
Presidellt Judge
de
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19 n. ;"his b!!~r:r I tr~.
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