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WAUI'ER a. PARMER/ IndividuallYI
and as EHeoutor of the Estato I
of GAIL A. PARMER, I
Plaintiff I
I
V. I
I
DONALD A. BRUAW, 1).0. / I
Dofendant I
IN 'l'lm COUR'I' 01' COMMON l'l,f;AS 0f1'
CUMllEIH..ANl> COUN'l''l / l'ENNfJYLVANIA
NO. '/" (, ,) 'II' ("iv. /'T/.,-
CIVIl, AC'I'ION - LAW
JUHY 'J'IUAl, DEMANDED
COMPLAIltr
1. Plal.ntiff, Walter G. Parmer, is a oiti~en of the
Commonwoalth of Pennsylvnnia and is the EHeoutor of the Estate of
his late wife, Gail A. Pnrmer, by Letters of Administration duly
issued by the Register of Wills of Cumberland county/ Pennsylvania.
2, Defendant, Donnld A. I3ruaw, D.O. / is an ostecpathic
physioian licensed to prnctioe medicine in the Commonwealth of
Ponnsylvania.
3, Deoedent, Gail A. Parmer/ was a patiol1t of Defondant/
Donald A. Bruaw, D.O., and was examined and treated at Oef.endant's
office in Enolft, Cumberland county, pennsylvania, at all material
timas herein.
4. At all material times herein, the nurses, medical
assistants, office staff, and other medical personnel at Oefendant,
Donald A. Bruaw, D.O. 's, office in Enola, Cumberland county,
Pennsylvania wero agents, apparent agents, servants, partnet's /
members, and/or employees of Defendant, Donald A. Bruaw, 0.0.
5. Donald A. Bruaw, D.O. (hereinafter Defendant BrUaw) had
been Mrs. Parmer's family physician for at least the last fifteen
lQ0655/JkW
(151 yoarQ and hod treated her various al.lrnents datinq baok to at
least 1990.
6. On or about April 3, 1995/ Mrs. Parmer waR B 57-year old
fomale who had B history of a heart murmur/ hypertension, diabetos,
mellitus, hyperlipidemia and tobacoo use.
7. At this visit, it was recorded by Defendant Uruaw and/or
hiu aqents, apparent agents, servants/ partners, members, and/or
employeQQ that Mrs. Parmer weighed 203 lbs., had a blood pressure
of 140/90 and was cllrrently taking Calan SH (sntihypertensive),
Glynase (hypoglycemic), and Lescol (lowers cholesterol) .
B. Additionally, Plaintiff believes Defendant had presorIbed
additional medications to include appetite suppressants to Mrs.
Parmer over the last ten yoars.
9. At this visit, on or about April J, 1995, Defendant Uruaw
and/or his agents, apparent agents, partners, members, servants,
and/or employees prescribed two appetite SUppl:'essants for Mrs.
parme r .
10. Theso appetite suppressants or anorectics were Pondimin
(l'enfluramine) and Ionamin (Phentermina).
11. Defendant Bruaw and/or his agentl3, apparent agents,
partnera/ members, servants, and/or employees knew or shOUld have
known that there were substantial risks of harm associated with the
proscribing of the appetite suppressants, Phentermine and
Fenfluramine, to a patient, such as Mrs. Parmer who had history of
hypertenaion, diabetes, and heart murmur.
2
12. Defendant Bruaw, in pl'elllurihin9 fentluramino and
l'hentormino, knuw or shoUld havo Imown that a goneral history and
physioal exalnillftthln IU'O to be porformed nnd specific lab dntft
obtained, espeoially in a patient, such as Mrlll. Parmar, who had ft
history of hypertenaion, diabetes, and heart murmur.
13. Defendant Ilruaw/ in preBodbing F'antluraml.ne and
PhelltermJ.llo, I<now or should hllve Imown the oontra indicat ionB /
precautions, and/or lIdverse reactions IIssociatod with these two
dru\JR, especially in II patiant, such as Mrs. Parmor, who had a
history of hyportension, diabeteo, and heart murmur.
14. hcaording to Defendant Bruaw'a rucords, Defendant Bruaw
and or his agentB, apparent agents, partners/ members, servants/
and/or employees did not perform a physical examination of Mrs.
Parmer, nor did they obtain any base line laboratory data prior to
prescribing these two dangerous appetite suppressants, despite the
fact that Mrs. Parmer had a history of hypertension, diabetes, and
heart murmur.
15. De fendant merely recorded Mrs. Parmer I s blood pressure
and weight.
16. Plaintiff avers that the standard of care prior to
initiating treatmellt with Phentermine and f'enfluramine (or any
appetite suppressants) is that a general history and physical
examination shOUld be performed and specific lab data obtained.
17. Plaintiff avers that the appropriate standard is to, at
the very least, record blood prossure, pUlse, height and weight and
perform and record an examination of a patient such as, Mrs. Parmer
3
to inolude BlIsellsmont of thel.r neok, lungs, hellrt/ f1pdomen, Rnd
general neuroloqiofll systom.
10. Additionally, 1'1Bintl.ft Ilvers that the Ilpproprillte
IItllndard of oaro, at tho very loast, noooaaitatea the taking and
recording of aptloifie lap atudioa slleh All hemoglobin or homatoot'it,
blood gluoose, electrolytoll, liplda, And thyroid profile.
19. Defendflnt Urullw / in proser iblllg l'enr.lurllmine Ilnd
l'hentermine, knew or should hllve I<nown thAt Iln EKG is to be
performed, ellpoaially in A pationt, such IlS Mrs. Pllrmer/ who had a
history of hypertenaion, dillbetes, and hellrt murmur.
20. No EKG was performed on Mrs. Pllrmer on April 3, 1995 or
at Ilny time durinl/ the proscription of f'entluramine and
l'hentermine.
21. Alao, Plllintiff avera that again the Ilppropriate atandBrd
of care calls for the performance of an J!:1<G prior to initiating
treatment with aforementioned appetite suppressants, espeoially in
a patient with a history of hypertension, dillbetes, Bnd heart
murmur/ such as Mrs. Parmer.
22. Moreover, on or about April 3, 1995/ when Defendant Bruaw
and/or his agents, apparent agents, partners / members, servants,
and/or employees prescribed Pondimin and Ionomin to Mrll. Parmer,
they failed to order any follow-up or monitoring for Mrs, Parmer,
despite the fact that she was receiving appetite suppressants and
had a history of hypertension, diabetes, and heart murmur.
23. Defendant Bruaw, in prescribing Fentluramine and
Phentermine, knew or should have known that follow-up or monitoring
4
appointments are to occur, at least, at monthly intervals,
eapecial1y in a patient, Buch au Mrs. Parmer/ who had a hiutory of
hypertenuion, di"botes, and heart murmur.
24. 01\ or about ;Iune 5/ 1995/ Mra, Parmer returned to
Defendant'a office complaining at 0 problem with numbnesB which ahe
hod complained of prior to the initiation 01' the oppetite
suppressant treatment.
25. At this visit, Defendant merely obtained her blood
preullluro (which had .ill~eased to 160/90) / recorded hl'ilr weight
(which hod incrella~ to 204 1/2, despite her appetite suppressant
treatment), and adjusted her Lescol dose.
26. Defendant failed to perform any tcllowMup examination,
obtain any lob studies, or addrean or even consider tho performance
of any monitoring of Mrs. Parmer while he prcvided her with
dangerous appetite auppreosant treatment.
27. Plaintitl' avers that the accepted standard of practi,ce is
to follow-up with patients on appetite supprel$sant therapy at
intervals not to exceed one month.
20. Plaintiff avers that following the ll1itiation of this
dangerous appllt i te suppressant therapy, in Apr i 1 of 1995/ no
follow-up visits Wllre scheduled in MayoI' 1995, June of 1995, July
of 1995, or in August of 1995.
29. In fact, no follow-ups were ordered at all.
30. Plaintiff avers that follow-up visits, according to the
standard of care, should include such assessments as weight, pulse,
5
Rnd blood preosure IInd thRt fur.ther phyoioal and olinioal exams oal1
be indicated by the pationt'a hlato~y or oomplainta.
31. l.'rom
approxlmRtely
JunlJ
5,
199!\,
until
her
hoapitaliution on ,'July 1/ 1995/ Mra. PArmer had no toll ow-ups with
De tendant IH:Uaw.
32. In addition, the two assessments that were reoorded at
both of those vioits, Mr.s. Parmer's weight and blood preasure,
appeRr from DefendRnt UruRw'a reoords to be aasesaments that he or
his IHJents, appCH'ont nqonta / partners / ml:llnbers / servants, and/or
employees always performed on Mrs. Parmer/ even betore the
initiation of her appetito suppressant therapy.
33. On or. about July 1, 1995, Mrs. Parmer suttered Ii
myocardial infarction at home, lost consciousness, and was
transported to Uoly spirit /lospital.
34. She never. regained oonsciousness due to her suttlJring an
al10xic inj ury to her bra in and she subsequently passed a~lay on
August 17, 1995, at the age of 57.
COUNT I
Walter G. Parmer. Individually and as Executor ot
the Estate of Gail A. Parmqr v. Donald A. Bruaw. 0.0.
35. Paragraphs one through thirty- four are incorporated by
referonce as if set forth at length herein.
36. Plaintiff, Walter Parmer, and his wife, decedent Gail
Parmer,
reasonably relied upon Defendant Bruaw's apparent
expertise, apparent competence, and authority in assessing,
6
prescribl.ng, llnd monitoring Mrs. Parmer's health llnd llppetito
suppressant thorapy proporly.
31. Ponald A. Bruaw/ P.o. and/or through tho aotions of hia
ll'iJenta/ apparont llgonts/ servants, pllrtners/ members, and/or
employees are liable to Plaintiff for their negll.gence inr
(a) Presoribing l'entluramine and Phentermine to Mrs.
Parmer on April 3/ ],995, despite the tllet tMt she had a
history of hypertension, diabetes llnd heart murmur,
(b) Failing to obtain II consultation with a
speoialist in llPpotite suppJ.'essBnt therapy or obesity
management tor II patient, such as Mrs. PBrmer, who had a
history of hypertension, diabetes, Bnd hellrt murmur,
(c) Fa i ling to perform n phys ion 1 ellllmitlBtion of Mrs.
Parmer prior to the initiation of her Bppetite Buppressant
therapy,
(d) Failing to record a physical ellamination on Mrs.
Parmer prior to the initiation of her appetite Buppressant
therapy,
(e) F'ailil1g to perform any laboratory studiea on Mrs.
Parmer prior to the initiation of her appetite suppressant
therapy,
(f) Fa il ing to record any laboratory values on Mrs.
Parmer prior to initiating her appetite suppressant therapy,
('iJ) Failing to perform an EKG on Mrs. Parmer prior to
initiating her appetite suppressant therapy,
7
(h) Failing to understand tho neces~ity of or to even
con.idor / order / record, and/or perform the appropriate
physical, examination and laboratory studios on Mrs. Parmer
prior to initiating her appetite uuppressant thorapy,
(i) Fail ing to order t'ollow-up appeti te supprenant
monitoring appointments with Mrs. Parmer/ despite the fact
that she had a history of hypertension, diabetes, and heart
murmur,
(j) FCliling to understand the necessity of follow-up
appointments or evon consider or encoul:age follow-up appetite
suppressant monitoring appointments for Mrs. Parmer/
(k) Failing to inform Mra. Par.mor and her husband of the
dangerous nature of Fenfluramine and Phentermino, eapecially
in somoone who has a history of hypertension, diabetes, and
heart murmur,
(1) Failing to inform, Mrs. Parmer and her husband
of the importance of proper monitoring and follow-up
appointments with the administration of Fenfluramine and
Phentermine, especially in someone who has a history of
hypertension, diabetes, and heart murmur,
(m) Failing to recognize the appropriate physical
examination that shOUld have been performed and recorded on an
individual, such as Mrs. Parmer, undergoing appetite
suppressant therapy,
8
(n) "Riling to I."ocognhe whnt lab repol."ts should havo
been obta inod and 1110n i torod on an ind iv idua 1, lIuah us Ml."s.
Parmor / undorgol.ng appot ite supproasant thel."apy, and
(0) Ful.ling t,o realize or ovell conaider tho harmful
etrocts thRt Fentlul."nmine and Phentormine would have on an
individual, auoh as Mn. Pal."mel."/ who haa a hilltory of
hypertension, diabetes, and heart nwrmur.
la. All a direct and proximate I."osult of Defendant's
negligence in aaaessing Mrs. Pal."mer, proscribing Fenflurnmine and
Phentermine to Ml."s. Parlllol."/ and monitoring Mrs. Parmel."/ as
a fOI:esa id / De fondant Llrunw increufled the risk of harm to Mrs.
Pal."mer chat sho would suffer an MI with subsequent anoxic injury
and death, and a claim is made therefor.
39. As a direct and proximate result of Defendant's
negligence in failing to appropriately assess Ml."s. Parmer/
presoribe appetite suppressant therapy to Mrs. Parmer/ and monitor
Mrs. Pal."mel.", Ml."s. Pal."mer suffered a MI with subsequont anoxic
injury and death.
40. As a direct and pl."oximato result of Defendant'~
negligence in failing to properly assess and monitor Mrs. Parmer,
while prescribi.lg appot i to suppressant therapy, Mrs. Parmer
suffered a myocardial infarction with subsequent anoxic injury to
hel." brain and resultant death, and claim is made therefor.
WHEREFORE, Plaintiff, Walter G. Parmer, Individually, and as
Executor of the Estate of Gail A. Parmer, demands jUdgment against
Defendant, Donald A. Bruaw, 0.0., in an amount in excess of
9
compensatory damagea l.n the amount of Twonty-Pive ($25,000)
'l'houJ:land Dollars, exclusivEl of interest and oosts alld in exoess of
any jurisdiotional amount requiring compulsory arbitration,
CLkIH I - SURVIVkL OLkIH
I1li te r G. l:a.rm~lJ;,.-.lJl!;lj,ylgl.ljJUY...JIIJ!;l,JHLJ:;JlJI aU to rot
the Estate ,!.lJ:...J.ill1L[I. Pamer v----D!lllJJl.'il..AJ_J3nIaw, 0,0.
41. Paragrapha one through thirty-four and count I of thl.s
complaint are inoorporated herein by reforence,
42. PlaintiH, Walter G. Parmer, brings this action on behaJ.f
of the Estate of Gail A. Parmer, under and by virtue af the Act of
1.976, July 9/ P.L. 586/ No. 142/ ~2, 42 Pa. C.S.A. ~8302.
43. Defendant and/or his agents, apparent agents/ servants/
members, partner.s and/or employees are liable to the Estate of Gail
A. Parmer for damages as set forth herein.
44. Defendant and/or his agents, apparont agents/ servants/
members, partnLlrs/ and/or employees are jointly and severally
liable to the Estate of Gail A. Parmer for damages as set f.orth
herein.
45. Pla intiff, Walter G. Parmer, as Executor of the Estate of
Gail Parmer, deceased, and Walter G. Parmer, Individually, claims
on behalf of said Estate the damages suf.fer.ed by the said Estate by
reason of the death of the decedent, for the pain and SUffering the
decedent underwent prior to death, loss of ear.nings and earning
capacity for decedent's life expectancy, and for all other damagea
sustained by the said Estate by reason of the death of deoedent.
10
WHEREFORE, Plaintiff, Walter G, Parmer/ Indivl.duallY, and as
Executor of the E9tate of Gail Parmer/ demanda judgment againRt
Defendant l.n an amount in exaea9 of Twenty-Fl.ve ($25,000) Thousand
Dollara, exclusive of interest al1d costs and in exceas of any
jurisdictional amount requiring compulsory arbitration.
OLAIM II - WRONOFUL D!ATH
IiallJl~-iJU'JD.!U:J-InsUYJ..r.Ul.llllY-..AJllL~n9U to rot
thL.b.t.ate of GlIU A. .EJU'.m.gr v. DQn.ll.l5Lfu_J3n1.ll.1i.L..JltiL.
46. Paragraphs one through thirty-tour and Count I and Claim
I of this complaint are inQorporated herein by reference.
47. Plaintiff, Walter G. Parmer, Individually and BS Executor
of the Estate of Gail A. Parmer, deceased, brings this action for
the wrongful death of Gail A. Parmer/ on behalf of all persona
entitled to recover therefor under and by virtue of the Act of
1976, July 9, P.L. 586/ No. 142, 42 Pa. C.S.A. ~8301, as amended
1982, Dec. 20, P.L. 1409, No. 326, art. II, 8201.
49. Decedent Gail A. Parmer did not bring an action for her
injuries during her lifetime.
49. As a result of the aforementioned events, Mrs. Parmer
sustained cons iderable emotional trauma / aa well a8 pain and
SUffering, and a claim is made therefor.
50. As a result of the death of the decedent, Mrs. Parmer has
suffered a pecuniar.y loss Bnd has been, and in the future will be
deprived of the decedent's companionship, contribution, aupport,
comfort, Bnd services and so on, for all of which damages are
claimed.
11
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CLAIM II - WRONGFUL DEATH
Waltor (j. Parmer, Indlvldu,llIy and .IS E~llrulor of
Iho fatale o( Gall A. Palrn1l'r v. Oil/wid A. Oruilw, 0,0.
46, Pnragrapln 1.]4 .lI1d CounlI ,lI1d Claim I o( Ihls Answer Wllh New Maller
to Plaintiff's Campl,tlnt i1rll InrOrpllrilllllllwl!ln hy ru(l!tenCl!s ,IS SI!I (orlh i1llenglh,
47, 1115 ,ldlllllled thill Plillnll(( Is hrlnKlngthls ,IClIllnlJy Vlrlul! o( 42 PiI. C.S,A,
S 6301, Howevl!r, Ills denied Ihatlho dl!(l!nd.ullls In ,lilY W,IY 1I,Ibll! to or rl!spllnsllJle 10
Ihe 1)ll1lnll(( undcr silld statute.
48. The avermcnls ronl.llr1l'd In P,lr.1Kt.lph 48 o( PI,llnllff's Complillnt aro
illlrnllll!C1.
49.50. II Is oIdmllled thiltli'll! Plillntlf( Is nhlklllgthc c1.1Ims (or damages set
(orth In Paragraphs 49 and 50 o( Plillnll(('s COll1plollnl. Howl!vl!r, It 15 denied Ih.1t Ihe
responding DI!(elldant Is In any WilY IIi1bll! or responslblll (or s,lld dill1'iages. Furthermore,
Ihe responding De(endant bellcves ill1d Ihere(ore, i1vers Ih,lt the dilmilges c1i1lmed In
Paragraph 49 o( Plaintiff's Complaint as well as the loss o( consortium claims set (orth In
Paragraph 50 o( Plalntl(('s Complaint alre '101 pl!rmllled under Ihe wrong(ul deitlh statu Ie,
51. It Is admllled that Plalnllf( Is maklngthl! c1illms for dallll1ges set (orth In
Paragraph 51 o( Plaintiff's Complaint. However, Ills denied thiltlhe responding De(endant
Is any way liable (or or I'l!sponslble (or said dilmolgl!s.
WHEREFORE, the responding De(cndolnt dl!mandsjudgmcntln his (avor and
against Plalntlf(s.
NEW MAHER
By way af (urther answer to PloIlntlWs Complaint, the responding Defendant
offers the (ollowlng new mailer.