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HomeMy WebLinkAbout00-02990 . I ,,--" r~2 Aua 1 B 2004 Jf MICHAEL M. BADOWSKI, ESQUIRE Pa. Supreme Court I.D. No. 32646 MARGOLIS EDELSTEIN 3510 Trindle Road Camp Hill, Pennsylvania 17011 Telephone: Fax: E-Mail: [717] 975-8114 [717] 975-8124 mbadowski@margolisedelstein.com !- i i , , Attorney for Defendants: GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C. i" CARL R. LEBO AND BEVERLY ANN LEBO, HIS WIFE, PLAINTIFFS, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNA. CML ACTION - LAW VS. DOCKET NO. 00,2990 CML TERM GEORGE SYL VESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C., DEFENDANTS. JURY TRIAL DEMANDED PRE" TRIAL CONFERENCE MEMORANDUM OF DEFENDANTS. GEORGE' SYLVESTRI. M.D. ANn COWLEY MEDICAL ASSOCIATES. P.c. 1. STATEMENT OF FACTS AS TO LIABILITY Plaintiff alleges that he sustained an injury to his right shoulder during a fall in April 1998. At the request of his employer, he was seen by Dr. Richards. who obtained x-rays and referred Plaintiff to Ernest R. Rubbo, M.D., who first saw Plaintiff on May 6, 1998. After discussions with Dr. Rubbo concerning treatment options, Plaintiff opted for surgery to the right shoulder which was performed by Dr. Rubbo on May 27, 1998, at Polyclinic Medical Center. According to Plaintiff, he was doing well for the first several days after the surgery, but then he began to experience headache and ringing in his ears with lights flashing in his eyes and tingling in his right arm. Plaintiff called Dr. Rubbo's office and spoke to Dr. Rubbo's then partner, John S. Rychak, M.D. On June 3, 1998, Plaintiff was seen in Dr. Rubbo's office where it was noted that the surgical site was healing nicely. Plaintiff was instructed to progress ,_ ~ J.~=_" >(' , from a shoulder immobilizer to a sling and begin passive range-of-motion exercises. A few days later, Plaintiff again experienced the symptoms described above and he again called Dr. Rubbo's office, once again speaking to Dr. Rychak, who advised Plaintiff to see his primary care physician. Dr. Sylvestri saw Plaintiff for the first time on June 9, 1998, and after obtaining a history, performed a physical examination, ordered a chest x-ray and obtained a CBC. Dr. Sylvestri further ordered liver function, electrolyte studies, renal function and SED rate studies. Dr. Sylvestri examined Plaintiffs right shoulder. Dr. Sylvestri's differential diagnosis included a central nervous system problem and post- operative infection. By the end of the evaluation, he ruled out pneumonia and meningitis and was satisfied that there was no wound infection. Dr. Sylvestri determined that Plaintiff should be seen again in three (3) days' time, but to return earlier if he felt ill. Plaintiff returned to see Dr. Sylvestri on June 12, 1998, again containing of fever, frontal headache, sore neck and significant right shoulder pain, although, overall, he reported feeling a little better. At that time, Dr. Sylvestri had the results of the blood tests available to him, which showed an elevated sedimentation rate (although not markedly) as well as the liver function. The liver function tests were high enough to indicate a hepatitis condition, and the patient informed Dr. Sylvestri that since 1990 the Red Cross would no longer accept his blood. Dr. Sylvestri's physical examination on June 12 revealed that he did not look toxic, and -2- ~ ~ ~ ~-c , , - i, I I I I '~, ,.. , he had basically the same findings as on June 9. Ears, nose, throat, lungs and heart were normal. His right shoulder was tender to touch, but there was no effusion, warmth or redness. The wound was clear and the tissues were close together. Dr. Sylvestri's differential on June 12 was that of a viral syndrome, including hepatitis, or perhaps a delayed reaction to an anesthetic that causes hepatitis, rather than a virus. J No antibiotics were prescribed, and the patient was to follow-up the following week for a repeat sed rate and liver function study. Mr. Lebo had a regularly scheduled appointment with Dr. Rubbo on June 16, and by that time his shoulder was oozing and he could see the redness protruding from outside the bandage. He also told Dr. Rubbo of the episodes of numbness and tingling in his arm as well as a strange feeling in his head and face. According to Dr. Rubbo, it was at that time that Plaintiff was offering complaints of pain and fever. Dr. Rubbo noted that there was some redness at the incision site and he believed that it was a reaction to a suture. Keflex was ordered because of the redness and pain. Dr. Rubbo believed that the infection, if any, was superficial. He had not, as of that date, made a definitive diagnosis of infection. Dr. Rubbo suggested warm compresses to the wound. Mter doing so that evening, yellow pustules appeared at the site and the Lebos called Dr. Rubbo and were told to go to the Polyclinic Hospital the following morning, June 17, 1998, at 8:00 A.M. At the Polyclinic, Dr. Rubbo took Plaintiff to the "casting room" and -3- -<- " opened the anterior aspect of the incision where the pustule was with a pair of scissors. He noted fluid which appeared to be a sign of infection, and which he continued to believe was superficial in nature. As a result of his findings, Dr. Rubbo admitted Plaintiff to the hospital for the administration of IV antibiotics. On June 22, 1998, Dr. Rubbo took Plaintiff back to surgery to clean out the infected area. It was at this point that he realized that the infection was not superficial, but was a deep infection. The next contact Dr. Sylvestri's group had with Plaintiff was during his subsequent hospitalization when Dr. Rubbo consulted them for medical management. :" ;;~ Dr. Sylvestri saw the patient on June 20 and discussed with Dr. Fultz, Dr. Rubbo's partner, the possibility of a second opinion from an infectious disease standpoint prior to the exploration surgery scheduled for the following day. Dr. Tkatch, an infectious disease specialist, saw Plaintiff on June 21, 1998, as the result of a request for consultation by Dr. Sylvestri. II. STATEMENT OF DAMAGES See Plaintiffs' Pre-Trial Conference Memorandum. III. STATEMENT AS TO THE ISSUES OF LIABILITY AND DAMAGES A. Whether Dr. Sylvestri fell below the accepted standard of care of a general internist with regard to his professional involvement with Carl Lebo? -4- 1_- ~__, , ~j r" ,-' !' B. Damages sustained by Plaintiffs. IV. LEGAL ISSUES Attached to this Pre-Trial Conference Memorandum is a Motion in Limine and supporting Brief (respectively marked as Exhibits A and B) to preclude expert testimony of Robert N. Dunn, M.D. with respect to the standard of care applicable to internists. V. IDENTITY OF FACT WITNESSES A. Plaintiffs - as on cross-examination; B. Dr. Sylvestri; C. John S. Rychak, M.D.; D. Lisa S. Tkatch, M.D.; and E. Ernest G. Rubbo, M.D. In addition to these witnesses, Dr. Sylvestri reserves the right to call at the time of trial, any witness identified in Plaintiffs' Pre-Trial Conference Memorandum or, as necessary, for the purpose of rebuttal. VI. IDENTITY OF EXPERT WITNESSES A. Marie A. Savard, M.D. A copy of Dr. Savard's expert reports dated June 28, 2001, and April 3, 2003, together with her curriculum vitae, is attached hereto, incorporated herein by reference and marked collectively as Exhibit C; B. Lisa S. Tkatch, M.D., consistent with her deposition of May 14, 2002; -5- d'_,. ~. -~. =m '--. f~ , " ;1 ~ c C. Ernest G. Rubbo, M.D., consistent with his deposition testimony of October 30, 2001; D. John S. Rychak, M.D., consistent with his deposition testimony of September 25, 2001; and E. George Sylvestri, M.D. VII. LIST OF EXHIBITS Dr. Sylvestri may utilize one or more of the following exhibits at the time of trial. A. Expert reports and curriculum vitae of Marie Savard, M.D.; B. Deposition transcript of Plaintiff, Beverly Ann Lebo; C. Deposition transcript of Carl R. Lebo; D. Deposition transcript of Lisa S. Tkatch, M.D.; E. Deposition transcript of Ernest G. Rubbo, M.D.; F. Deposition transcript of John S. Rychak, M.D. G. Plaintiffs' Answers to Interrogatories; H. Plaintiffs' Complaint; I. Plaintiff-Husband's medical records from the following providers: 1. Ernest G. Rubbo, M.D.; 2. Pinnacle Health System; 3. George Sylvestri, M.D.; and -6- . , ~ - -- ",~, - , 4. David Richard, M.D. In addition to these items, Dr. Sylvestri reserves the right to utilize any document identified in the Plaintiffs' Pre'Trial Memorandum or, as necessary, for the purpose of rebuttal. VIII. CURRENT STATUS OF SETTLEMENT NEGOTIATIONS Plaintiffs have made a settlement demand of $375,000.00. Dr. Sylvestri believes that this case is defensible and, therefore, no offer has been made. IX. ESTIMATEID TIME NEEDED FOR TRIAL Four (4) days. X. SPECIAL REQUESTS It is requested that the parties agree to the authenticity and admissibility of all the medical records identified above, subject only to objections as to relevancy. Respectfully submitted, Date: 7//7 JuL}- . f ! By: MICHAEL M. BADOWSKI Attorney for Defendants, GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C. -7- -' , "0 ~"- '-, " CARL R. LEBO AND BEVERLY ANN LEBO, HIS WIFE, PLAINTIFFS, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNA. CIVIL ACTION - LAW VS. DOCKET NO. 00-2990 CIVIL TERM GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C.,: DEFENDANTS. JURY TRIAL DEMANDED ORDER AND NOW, this day of , 2004, upon consideration of the Motion in Limine of Defendants, George Sylvestri, M.D. and Cowley Medical Associates, P.C., to preclude the testimony of Robert N. Dunn, M.D., and Plaintiffs' response thereto, IT IS HEREBY ORDERED AND DECREED that said Motion is granted and Robert N. Dunn, M.D. is precluded from offering any expert testimony concerning the standard of care applicable to Dr. Sylvestri pursuant to 40 P.S. ~1303.512(b). BY THE COURT: J. .-.I ~, -- -~ '-' ,,- , '" .. MICHAEL M. BADOWSKI, ESQUIRE Pa. Supreme Court 1.0. No. 32646 MARGOLIS EDELSTEIN 3510 Trindle Road Camp Hill, Pennsylvania 17011 Telephone: Fax: E-Mail: [717] 975-8114 [717] 975-8124 mbadowski@margolisede~stein.com Attorney for Defendants: GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C. CARL R. LEBO AND BEVERLY ANN LEBO, HIS WIFE, PLAINTIFFS, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNA. CIVIL ACTION - LAW VS. DOCKET NO. 00-2990 CIVIL TERM GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C.,: DEFENDANTS. JURY TRIAL DEMANDED MOTION OF DEFENDANTS, GEORGE SYLVESTRI. M. D. AND COWLEY MEDICAL ASSOCIATES. P.C.. TO PRECLUDE TESTIMONY OF ROBERT N. DUNN. M.D. 1. Plaintiffs commenced the above-captioned medical malpractice action by Complaint on or about May 12, 2002. 2. Plaintiffs allege generally that Defendant, George Syl vestri, M. D. ("Dr. Syl vestri"), failed to diagnose a post- operative infection and, as a result of the failure to diagnose, that Plaintiff sustained economic and non-economic damages. 3. Plaintiffs have now proffered reports from three (3) physicians: Arnold L. Lentnek, M.D., a family physician; Robert C. Steinman, M.D., a physiatrist; and Robert N. Dunn, M.D. 4. Dr. Sylvestri is board certified in internal medicine and was providing medical care to Plaintiff-Husband as a primary care physician. 5. By letter dated July 2, 2002, one of Plaintiffs' ~" < proffered expert witnesses, Robert N. Dunn, M.D. (ftDr. Dunn"), opines that Dr. Sylvestri deviated from the accepted standard of care by failing to diagnose the infection and by failing to make a timely referral back to Plaintiff's treating orthopedic surgeon, Ernest G. Rubbo, M.D. A copy of Dr. Dunn's report is attached hereto, incorporated herein by reference and marked as Exhibit A. 6. It is clear from Dr. Dunn's curriculum vitae, a copy of which is attached hereto, incorporated herein by reference and marked as Exhibit B, that Dr. Dunn is not board certified in internal medicine nor any other sub-speciality thereof, but, rather, is board certified in the medical speciality of orthopedic surgery. Accordingly, it is submitted, for the reasons set forth below, that Dr. Dunn is incompetent to testify as to the standard of care applicable to an internist and is otherwise incompetent to provide testimony that Dr. Sylvestri's conduct deviated from that standard of care. 7. Pa. R.E. No. 403 provides for the exclusion of relevant evidence where presentation will cause undue delay, waste of time, or needless presentation of cumulative evidence. 8. Inasmuch as Plaintiffs have proffered a report from an individual certified in internal medicine, Dr. Dunn's anticipated -2- i~~' ~ testimony is cumulative, at best, and, therefore, for this reason should be excluded. 9. Moreover, ~5l2 of the MCARE Act, 40 P.S. ~1303.5l2(b), requires that an expert intending to offer medical opinion in a medical professional liability action on issues related to a physician's standard of care: (1) Be substantially familiar with the applicable standard of care for the specific care at issue as of the time of the alleged breach of the standard of care. [and] (2) Practice in the same sub- speciality as a defendant physician or in a sub-speciality which has a substantially similar standard of care for the specific care at issue, except as provided in sub- sections (d) or (e). From a reading of Dr. Dunn's curriculum vitae, it is clear that he does not possess the requisite qualifications required by ~512 of the MCARE Act to express opinions regarding the standard of care exercised by Dr. Sylvestri and, therefore, his proposed testimony on this matter must be precluded as a matter of law. WHEREFORE, Defendants, George Sylvestri, M.D. and Cowley Medical Associates, P.C., pray this Honorable Court enter an Order precluding the testimony of Robert N. Dunn, M.D., pursuant to Pa. R.E. No. 403 and ~512 of the MCARE Act, 40 P.S. -3- < ~1303.03.5l2(b) . Date: I , ., Respectfully submitted, MARGOLIS EDELSTEIN By: MICHAEL M. BADOWSKI Attorney for Defendants, GEORGE SYLVESTRI, M. D ., AND COWLEY MEDICAL ASSOCIATES, P.C. -' -~. .-,- -4- L ORTHOPAEDIC ASSOCIATES OF PRINCETON, PC 521 Executive Drive Princeton, New Jersey 08540 (609) 924-4161 FAX (609) 921-1113 July 2, 2002 April Kutay, Esq. Goldberg, Katzman & Shipman P.O. Box 1268 Harrisburg, PA 17108-1268 Re: Carl Lebo Dear Ms. Kutay: At your request, I have reviewed the following with regarQ to the above- captioned case: 1. Records of Dr. David Richard; 2. Records of Dr. Rubbo; 3. Records of Dr. Sylvestri; 4. Records of Home Health Care; S. Report of Arnold 1. Lentnek, M.D. dated 6/27/99; According to the records, Mr. Lebo had a work-related injury to his right shoulder. He was seen by Dr. David Richard on 5/5198. Dr. Richard diagnosed the probable rotator cuff tear and referred him to Harrisburg Orthopaedics. Dr. Ernest Rubbo saw him on 5/6/98 upon referral from Dr. Richard. He noted that Mr. Lebo was a 62-year-old male and, after examination, diagnosed a full-thickness rotator cuff tear. When Mr. Lebo returned to Dr. Richard on 5120/98, after an MRI, he was diagnosed as having a full-thickness rotator cuff tear. Operative and nonoperative means of treatment were discussed and repair was scheduled for 5/27/98. At that time, an open arthrotomy was performed with. a large tear involving the supraspinatus as well as the subscapula:ris and a portion of the infraspinatus. There was disruption of the biceps tendon. An acromioplasty was carried out as well as repair of the rotator cuff. Sta-Tek sutures were used for the subscapula:ris tendon. When seen on 6/3/98, the wound appeared to be healing nicely. On 6/16/98, Mr. Lebo was complaining of pain in the right shoulder as well as fever. There was redness in the incision which Dr. Rubbo felt was because of a reaction to the Vicryl suture. His diagnosis, however, was possible postop infection, and the patient was started on Keflex orally. Mr. Lebo was to return in two to three days or sooner if the symptoms worsened. Ex. 1\" -- , ,c- " -~. , -- - ~~ 1,_, April Kutay, Esq. Re: Carl Lebo Page 2 On 6/17/98, Dr. Rubbo saw the patient and opened a "pustule" where purulent fluid was found and a large Vicryl knot was cut out and cultures taken. Mr. Lebo was admitted to the hospital for IV antibiotics. On 6/22/98, an incision and drainage was carried out and it was noted that the rotator cuff repair had fallen apart. All sutures were removed, and the cuff was felt to be irreparable at this point. It was debrided to viable tissue and drains placed. Mr. Lebo was discharged home on IV antibiotics on 6/26/98. As of 6/30/98, he appeared to be doing well and was diagnosed as status post failed repair of rotator cuff with postoperative infection. IV antibiotics were continued. Sutures were removed on 717198, with no drainage or redness noted, and physical therapy was started. On 7/28/98, there was no pain but there was marked weakness. On 9/1/98, therapy was decreased to once a week and the patient was to do exercises on his own. It was felt that he could return to a light-dutY position. The incision was well healed with no tenderness. Exams on 9/30/98 and 11/10198 continued to show the marked weakness which would be consistent with a rotator cuff tear or a failed rotator cuff repair. There is no indication of further infection. As of 4/6/99, ten months after his repair, he was only able to abduct the right shoulder 30-350 and he had marked weakness. Dr. Rubbo felt there was little more he could offer. DISCUSSION Surgery was performed on 5/27 and, as of 6/3, according to Dr. Rubbo's notes, the wound was "healing nicely." The first mention of any evidence of a possible infection that Dr. Rubbo was aware of was noted on the 6/16/98 visit. At that time oral antibiotics were prescribed. The next day a drainage was carried out with a piece of Vicryl being removed and the patient was immediately admitted to the hospital for IV antibiotics. Five days later, when that failed to be of help, the patient was taken to the operating room at which time the repair was found to have been disrupted. The standard of care at that point was to not attempt to repair the disruption in the face of an infection, as the material used to make the repair would only perpetuate the infection. By June 17, 1998, with recognition of infection by Dr. Rubbo, substantial damage had already occurred. Use of the IV antibiotics beginning on 6/17 certainly greatly slowed down the infection, although an open debridement was necessary in order to clean out and eradicate it. The disruption of the repair was substantially present by the time of the 6/17 visit. -,I ,n , - ~-, .--- :-,', . April Kutay, Esq. Re: Carl Lebo Page 3 With respect to Dr. Sylvestri, who saw Mr. Lebo on 6/9/98 and 6/12/98, he noted that the temperature on 6/9198 was 101.60. He also noted that he had been running a temperature of 1010 for approximately one week. He noted on examination of the right shoulder that there was decreased range of motion with no fluctuance or erythema around the wound, but diagnosed a "fever of unknown origin." He saw the patient again on 6/12/98, at which time he was still febrile 99-1020, complaining of frontal headaches and a sore neck. The sedimentation rate was elevated to 63. The temperature in the office was 990 and Dr. Sylvestri noted that he didn't look toxic. His impression was a postoperative fever without a source. He noted that he would expect increasing pain, erythema, swelling, and wound dehiscence if the joint were infected. He planned to follow up in a week, but at that time the patient was already in the hospital (6/17). The records are consistent that on the first postoperative visit to Dr. Rubbo, on 6/3, the patient had no evidence of infection but shortly thereafter began having fevers. Dr. Sylvestri's note a week later indicates that the patient's symptoms had been present for about one week. It is most probable that if Dr. Sylvestri had referred the patient for a possible infection at the time of the 6/9 visit the infection could have been treated without disruption of the cuff. This was also possible as of 6/12. However, by the time Dr. Rubbo saw the patient on 6/16, it was most probable that the cuff was already destroyed, Dr. Rubbo did not take a history of temperature, fevers, chills, etc., when he saw the patient on 6/16 and, therefore, deviated from the accepted standard of care. By this point the damage had already been done. Dr. Sylvestri's failure to appropriately diagnose was a substantial contributing factor in this patient's loss of his rotator cuff repair. All of the above is stated to a reasonable degree of medical certainty. This report should be considered preliminary as I would anticipate reviewing any other records and/or deposition testimony if arid when such becomes available. Should that cause me to change my opinions to any significant degree, upon your request, I would then issue a fmal written report. I am a board certified orthopaedic surgeon. Please let me know if I can provide you with any further information. Robert N. Dunn, M.D. RND/mam U~/U;::l/GUU'+ J I.'::;u ff'll'o 1114u'1'OUIV I~.- .-1,- > - " - ,~ " .- - _J ,'._,,,,,. ....V...uu...".... ,,,,. _n"", . - ROBERT N. DUNN, M.D. Address: 325 Princeton Avenue Princeton, N.J. '08540 Date of Birth: 22nd March 1943 Place 0 f Birth: Orange, New Jersey Marital Status: Married, I child EDUCATION ,I 'I Ii I 'I I " I I I College of Physicians and Surgeons, Columbia: University, New York, New York, 1965- 1969, M.D. Harvard University, Cambridge, Massachusetts, 1961-1965 A.B. The Choate School, Wallingford, Connecticut, 1957-1961 GRADUATE TRAINING Chief Resident and Senior Annie C. Kane Fellow, Orthopaedic Surgery, The New York Orthopaedic Hospital, Columbia Presbyerian Medical Center, New York, New York, July 1974 -June 1975 " Resident and Junior Annie C. Kane Fellow, O$opaedic Surgery, The New York Orthopaedic Hospital, Columbia PresbYterian Medical Center, New York, New York, July 1973 - June 1974 A.ssistant Resident, Orthopaedic Surgery, The New York Orthopaedic Hospital, Columbia Presbyterian Medical Center, New York, New York, July 1971 - June L973 Resident, General Surgery, The Roosevelt Hospital, New York, New York, July 1970 - June 1971 Intemship, Mixed Surgical, The Roosevelt Hospital, New York, New Yark, July 1969 - June 1970 EX. "{j" VO/UiJ/4UU"!> II.uV r....... I 114<J'+OO IV ., ',-.,-- -,-"..[ "'l.IJ...I,IUl..nU ...n I '-I'lnn '.- - .Ilki-_ 'i:l':J........../....'"T 2 UNIVERSITY TEACHING APPOlNTMENTS Assistant Clinical Professor of Orthopaedic Surgery College of Physicians and Surgeons, Columbia University, July 1, 1990 - June30, 1997. Associate in Clinical Orthopaedic Surgery, College of Physicians and Surgeons, Columbia University, July 1977 thru June 1990 Ii I, ,. I,! I'; Instructor in Clinical Orthopaedic Surgery, College of Physicians and Surgeons, Columbia University, July 1975 - June 1976 Visiting Clinical Fellow Ort!1opaedic Surgery, College of Physicians and Surgeons, Columbia University, July 1914 - June 1975 I I HOSPITAL APPOINTMENTS Attending Orthopaedic Surgeon, The Medical Center at Princeton, Princeton, New Jersey. Chainnan of Orthopaedic Surgery, The Medical Center at Princeton, Princeton, New Jersey MEDICAL LICENSES New York 1970 (Inactive) Florida 1970 New Jeney 1971 South ClU'olina 1971 (Inactive) Maine 1979 BOARD CERTIFICATION American Board of Orthopaedic Surgery - September 19, 1975 , Uli/Uij/C::UU4 11:;ju t-AX 'I ft:;;J4i:il:lIU , ~ ' ,,,I, , _ , ~U~UtitK~ ~^ILM^N ~ UUq./1J lq. 3 PUBLICATIONS Wisneski, RJ. and IJuJm, R.N.: "The Role of Fusion in Lumbar Disc Disease". Seminars in Spine Surgery, 6:262-268,1994. PRon;SSIONAL SOCIETIES Diplomat, National Board of Medical Examiners Member, New Jersey Medical Society Member, Mercer County Medical Society Member. New Jersey Orthopaedic Society Fellow, American College of Surgeons " Fellow, American Academy of Orthopaedic siiigery I Member, Aerospace Medical Society Member, Executive Committee of the Board of Trustees, Peer Review Organization of New Jersey .' Chairman of the Norms, Standards &: Criteria Committee of the Peer Review Organization of New Jersey Member, Board! of Trustees of Area VII PSRO Member, Board of Trustees of Sports Medicin~ Society of New Jersey , GENERAL Senior Aviation Medical Examiner, Federal AViation Administration Aircraft Accident Examiner, Federal Aviation Administration Holder of Airline Transport Pilot Certificate Aizplane, Multi and Single Engine Land with Commercial Privileges, Single Engine Sea Certified Flight InstrUCtor and Instrument Instmctor - Airplane Single and Multi Engine. January 2000 '-- f"'''" CERTIFICATE OF SERVICE I HEREBY CERTIFY that I served a true and correct copy of the foregoing on all counsel of record by placing the same in the United States mail at Camp Hill, Pennsylvania, first-class postage prepaid, on the day of , 2004, and addressed as follows: April L. Strang-Kutay, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 (Counsel for Plaintiffs) MARGOLIS EDELSTEIN By: Secretary ..o.__ ..",-_." ! d ,~.; -~ ' " ~. , '~ ' MICHAEL M. BADOWSKI, ESQUIRE Pa. Supreme Court 1.0. No. 32646 MARGOLIS EDELSTEIN 3510 Trindle Road Camp Hill, Pennsylvania 17011 Telephone: Fax: E-Mail: [717] 975-8114 [717] 975-8124 mbadowski@margolisedelstein.com Attorney for Defendants: GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C. CARL R. LEBO AND BEVERLY ANN LEBO, HIS WIFE, PLAINT I FFS, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNA. CIVIL ACTION - LAW VS. DOCKET NO. 00-2990 CIVIL TERM GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C.,: DEFENDANTS. JURY TRIAL DEMANDED BRIEF IN SUPPORT OF MOTION OF DEFENDANTS. GEORGE SYLVESTRI, M. D. AND COWLEY MEDICAL ASSOCIATES. P.C.. TO PRECLUDE TESTIMONY OF ROBERT N. DUNN. M.D. I . HISTORY OF THE CASE Plaintiffs commenced the above-captioned medical malpractice action by Complaint on or about May 12, 2002. Plaintiffs allege generally that Defendant, George Sylvestri, M.D. (~Dr. Sylvestri"), failed to diagnose a post-operative infection and, as a result of the failure to diagnose, that Plaintiff sustained economic and non-economic damages. Plaintiffs have now proffered reports from three (3) physicians: Arnold L. Lentnek, M.D., a family physician; Robert C. Steinman, M.D., a physiatrist; and Robert N. Dunn, M.D. Dr. Sylvestri is board certified in internal medicine and was providing medical care to Plaintiff-Husband as a primary care physician. By letter dated July 2, 2002, one of Plaintiffs' proffered expert witnesses, ,. - ^,--^ J~ - " Mill" Robert N. Dunn, M.D. ("Dr. Dunn"), opines that Dr. Sylvestri deviated from the accepted standard of care by failing to diagnose the infection and by failing to make a timely referral back to Plaintiff's treating orthopedic surgeon, Ernest G. Rubbo, M.D. It is clear from Dr. Dunn's curriculum vitae that Dr. Dunn is not board certified in internal medicine nor any other sub- speciality thereof, but, rather, is board certified in the medical speciality of orthopedic surgery. Accordingly, it is submitted, for the reasons set forth below, that Dr. Dunn is incompetent to testify as to the standard of care applicable to an internist and is otherwise incompetent to provide testimony that Dr. Sylvestri's conduct deviated from that standard of care. Pa. R.E. No. 403 provides for the exclusion of relevant evidence where presentation will cause undue delay, waste of time, or needless presentation of cumulative evidence. Inasmuch as Plaintiffs have proffered a report from an individual certified in internal medicine, Dr. Dunn's anticipated testimony is cumulative, at best, and, therefore, for this reason should be excluded. Moreover, ~512 of the MCARE Act, 40 P.S. ~1303.512(b), requires that an expert intending to offer medical opinion in a medical professional liability action on issues related to a physician's standard of care: -2- -' ,- --_-'! 'l. ~ , '--...: f,,__:i (1) Be substantially familiar with the applicable standard of care for the specific care at issue as of the time of the alleged breach of the standard of care. [and] (2) Practice in the same sub- speciality as a defendant physician or in a sub-speciality which has a substantially similar standard of care for the specific care at issue, except as provided in sub- sections (d) or (e). From a reading of Dr. Dunn's curriculum vitae, it is clear that he does not possess the requisite qualifications required by ~512 of the MCARE Act to express opinions regarding the standard of care exercised by Dr. Sylvestri and, therefore, his proposed testimony on this matter must be precluded as a matter of law. Accordingly, Defendants have filed a Motion in Limine to preclude the proffered expert testimony of Dr. Dunn. This Brief is in support of that Motion. II. STATEMENT OF THE QUESTION INVOLVED WHETHER AN ORTHOPEDIC SURGEON, ,WHO IS NOT TRAINED IN THE SUB-SPECIALITY OF INTERNAL MEDICINE, SHOULD BE PRECLUDED FROM OFFERING EXPERT TESTIMONY ON THE STANDARD OF CARE APPLICABLE TO AN INTERNIST PURSUANT TO THE STATUTORY REQUIREMENTS OF ~512 OF THE MCARE ACT, 40 P.S. ~1303.512(b)? [Suggested answer in the affirmative.] -3- ~. " ~_ "h III. DISCUSSION AN ORTHOPEDIC SURGEON, WHO IS NOT TRAINED IN THE SUB-SPECIALITY OF INTERNAL MEDICINE, SHOULD BE PRECLUDED FROM OFFERING EXPERT TESTIMONY ON THE STANDARD OF CARE APPLICABLE TO AN INTERNIST PURSUANT TO THE STATUTORY REQUIREMENTS OF ~512 OF THE MCARE ACT, 40 P.S. ~1303.512(b). Rule 403 of the Pennsylvania Rules of Evidence allows for the exclusion of relevant evidence where presentation of the relevant evidence will cause undue delay, waste of time, or needless presentation of cumulative evidence. Pa. R.E. 403. In addition, relevant evidence may be excluded if its probative value is outweighed by the danger of unfair prejudice. Pa. R.E. 403. The official commentary to Pa. R.E. 403 defines nunfair prejudice" as na tendency to suggest decision on an improper basis or to divert the jury's attention away from its duty of weighing the evidence impartially." Pa. R.E. 403, Comment. See Morrison v. Commonwealth Dept. of Pub. Welfare, 538 Pa. 122, 646 A.2d 565 (1994) (stating that relevant evidence can be excluded if its probative value is noutweighed" by unfair prejudice) . It is a well-established rule of evidence in Pennsylvania that relevant testimony may be excluded if it is cumulative in nature. It is proper to exclude testimony that is virtually identical to prior testimony given by other witnesses at the -4- ~~ , -~" -." . i LO - ,~_, ,! ':j iJ trial since the testimony is merely cumulative evidence. Schecter v. Watkins, 395 Pa. Super. 363, 577 A.2d 585 (1990). Admission of cumulative evidence is prejudicial because it tends to improperly suggest to a jury that the cumulative evidence should be given additional weight. See Gallegor by Gallegor v. Felder, 478 A.2d 34 (Pa. Super. 1984). The trial court has broad discretion with respect to expert testimony and may in its discretion exclude witnesses from testifying. Hannis v. Ashland State General Hospital, 545 A.2d 574 (Pa. Cmwlth. 1989). The court has the power to limit the number of witnesses on a particular phase of the case in order to prevent cumulative testimony, Commonwealth of Pennsylvania v. Amoroso, 239 A.2d 878 (pa. Super. 1968). Admission of the cumulative expert opinions by Drs. Dunn and Lentnek concerning the standard of care applicable to Dr. Sylvestri would be prejudicial to Dr. Sylvestri, because it would have a tendency to suggest a decision on an improper basis. Accordingly, Dr. Dunn should be precluded from offering any testimony regarding the standard of care applicable to Dr. Dunn, as such testimony would be cumulative of that of Dr. Lentrek. Dr. Sylvestri is a board certified internist. Dr. Dunn is an orthopedic surgeon. Dr. Dunn's curriculum vitae demonstrates -5- ~~>. that he does not possess any experience or training in internal medicine. In order for expert testimony to be admissible at trial, the expert must be qualified as an expert in the subject on which he is testifying. Pa. R.E. 702; Miller v. Brass Rail Tavern, Inc., 541 Pa. 474, 664 A.2d 525 (1995). If a witness possesses neither experience nor education in the subject matter under investigation, he is not to be qualified as an expert witness on that subject matter. Dierolf v. Slade, 581 A.2d 649 (Pa. Super. 1990) (citing Dambacher v. Mallis, 485 A.2d 408, 418-19 (Pa. Super. (1984), allocatur denied, 500 A.2d 428 (Pa. 1985)). The determination of whether a witness is qualified to testify is within the discretion of the trial court. Corrado v. Thomas Jefferson University Hospital, 790 A.2d 1022 (Pa. Super. 2001); West Philadelphia Therapy Center v. Erie Insurance Group, 751 A.2d 166, 1168 (Pa. Super. 2000). The MCARE Act has codified specific requirements for experts who intend to provide opinions as to the standard of care applicable to a defendant physician at the time of trial. The Act provides: Section 512. Expert qualifications. (a) General rule. - No person -6- - --, ~~'" '-",- """ shall be competent to offer an expert medical opinion in a medical profession liability action against a physician unless that person possesses sufficient education, training, knowledge and experience to provide credible, competent testimony and fulfills the additional qualifications set forth in this section as applicable. (b) Medical testimony. - An expert testifying on a medical matter, including standard of care, risks and alternatives, causation and the nature of and extent of the injury must meet the following qualification: (1) Possess an unrestricted physician's license to practice medicine in any state or the District of Columbia. (2) Be engaged in or retired within the previous five years from active clinical practice or teaching. Provided, however, the court may waive the requirements of this subsection for an expert on a matter other than the standard of care if the court determines that the expert is otherwise competent to testify about medical or scientific issues by virtue of education, training or experience. (c) Standard of care. - In addition to the requirements set forth in subsections (a) and (b), an exert testifying as to a physician's standard of care also must meet the following qualifications: -7- , , - (1) Be substantially familiar with the applicable standard of care for the specific care at issue as of the time of the alleged breach of the standard of care. (2) Practice in the same sub- specialty as the defendant physician or in a sub-specialty which has a substantially similar standard of care for the specific care at issue, except as provided in subsection (d) or (e). (3) In the event the defendant physician is certified by an approved board, be board certified by the same or similar approved board, except as provided in subsection (e) .... 40 P.S. ~1303.512.' The law is clear that an expert must be qualified to comment and express opinions about the specific care at issue, during the specific time of the alleged breach of the standard of care. 40 P.S. ~1303.512(c) (1). Miller; Dierolf. Being experienced in a particular sub-specialty is not sufficient to qualify to testify '40 P.S. Section 1303.512(c), effective sixty (60) days after the passage of the act in March 2002, was part of the legislative efforts to reform professional negligence tort law in the Commonwealth of Pennsylvania. As to the effective date, see 40 P.S. Section 1303.5108. A thorough review of the published case law of this Commonwealth has failed to reveal any Opinions construing this section and/or the factors that a court should find persuasive in applying the equivalency provisions of 40 P.S. Section 1303.512(b). -8- . ; - ,--,' _~'c ,-" < -;., , ',Co';:"~ ~ - -, as an expert about a particular procedure if the expert does not personally have any training or experience in that procedure. See Britt v. Peff, Phila. CCP, December Term 1999, No. 3206 (October 10, 2003); Callari v. Rosenwasser, 63 Pa. D&C.4th 366 (Phila. CCP, August 7, 2003). "Pennsylvania courts have ruled that 'it may appear that the scope of the witness' experience and education may embrace the subject in question in a general way, but the subject may be so specialized that even so, the witness will not be qualified to testify.'N Britt, at 15 (quoting Dambacher v. Mallis, et al., 485 A.2d 408, 419 (Pa. Super. 1984) ) . The trial courts have recently had the opportunity to address the expert requirements in the MCARE Act. In Britt, the Honorable Allan L. Tereshko ruled that a general surgeon did not possess the specialized training, knowledge or experience to offer opinions as to the care by an orthopedic surgeon, despite the fact that the issues in the case involved whether an oblique x-ray should have been taken and whether the Defendant physician failed to timely diagnose and treat the patient's RSD. In that case, the Plaintiff suffered a tibia-fibula fracture, which Dr. Thomas Peff treated. Dr. Peff is an orthopedic surgeon. Plaintiff sought to present the expert testimony of Dr. Moshen -9- . ~-~ --~-, - -'- -~., , '. Vahedi, a general surgeon, as to the standard of care applicable to Dr. Peff. The Court initially denied Defendant's Motion in Limine to Preclude Plaintiff from Presenting the Expert Testimony of Dr. Vahedi. However, following voir dire of Dr. Vahedi during trial, the Court ruled that Dr. Vahedi did not meet the requirements for an expert permitted to testify against Dr. Peff as to the standard of care in a medical malpractice case. Specifically, Plaintiff argued that Dr. Vahedi had sufficient ftcross-overn training as a surgeon to make him substantially familiar with the standard of care applicable to Dr. Peff. The Court found that Dr. Vahedi had virtually no education, training or experience in orthopedic surgery, was not Board certified in orthopedic surgery or by a similar board, and he had never practiced in the subspecialty of orthopedic surgery. The Court held that under existing Pennsylvania case law and Section 512 of the MCARE Act, Dr. Vahedi failed to meet the requirements to testify as an expert against Dr. Peff. The court noted that ftpennsylvania courts have ruled that 'it may appear that the scope of the witness' experience and education may embrace the subject in question in a general way, but the subject may be so specialized that even so, the witness will not be qualified to testify.,n Britt, at 15 (quoting Dambacher v. Mallis, et al., 485 -10- - ~ . --"''--' " -~ A.2d 408, 419 (Pa. Super. 1984)). The Court ruled that Dr. Vahedi's experience and education in general surgery did not qualify him in the specialized are of orthopedic surgery, and he was not substantially familiar with the standard of care, nor did he practice in Dr. Peff's subspecialty or in a sub-specialty with a similar standard of care. Britt, at 16. More recently, the Honorable Michael F. George of Adams County had an opportunity to consider the application of the MCARE Act in a situation where an orthopedic surgeon was being offered as an expert against four (4) physicians, two (2) of whom were radiologists, one a board certified emergency room physician, and the fourth, a board certified family practice physician. In what can be described as a thoughtful, if not exhaustive, analysis of Pennsylvania law, including the more recently enacted MCARE Act, Judge George ultimately determined an orthopedic surgeon was not qualified under the Act to render standard of care opinions against a family practice physician. A copy of Judge George's Opinion in McGlaughlin v. Gettysburg Hospital, 99 S. 675 (Adams Co. Slip Op. Sept. 12, 2003) is attached hereto, incorporated herein by reference and marked as Exhibit A. There is no indication that Dr. Dunn has any experience or -11- - .I~ - - , ."~ _a:' , a - '.'0' "' ^ ,-_ ~-, training in the area of internal medicine. Certainly, his training and expertise lies in the area of orthopedic surgery. Accordingly, Dr. Dunn does not practice in the same speciality or sub-speciality as does Dr. Sylvestri. Accordingly, Dr. Dunn is not competent to provide expert testimony regarding the standard of care applicable to Dr. Sylvestri. IV. CONCLUSION For the reasons stated above and in light of the precedent cited in support thereof, Detendants, George Sylvestri, M.D. and Cowley Medical Associates, P.C., pray this Honorable Court enter an Order precluding testimony from Robert N. Dunn, M.D. on the issue of standard of care or any alleged deviation thereof, pursuant to Pa. R.E. No. 403 and 40 P.S. 31303.512. Respectfully submitted, MARGOLIS EDELSTEIN By: MICHAEL M. BADOWSKI Attorney for Defendants, GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C. Date: -12- "'""--. UQ/U4/~UU4 "~V ~i;U~ rrt4 I~I " ,",-"-- , - J- ~~u U~~~ ~~n~~~v~~ ~ ~~~~~~. ~ ~--.. -. " -,~: '-" . ..'-.,_ -,_ _'_';f _,c " <'- IN THE COURT OF COMMON PLEAS OF ADAMS COUNTY, PENNSYLVANIA CIVIL MICHAEL S. McGLAUGHLIN and TAMMY J. McGLAUGHLIN, Plaintiffs 99-5-675 v. V> rTt ...,If "'Ol "~~;. , r--:- "~..~ :.~~;i " . ~;' '::':' ~ ~ (.:'. r-'.' '-" , <t~. ..~ 1 ~ r .. \ ~ ::::= r::- , " G = c.z..> THE GETTYSBURG HOSPITAL, RUKHSANA K. RAHMAN, M.D., GREGORY J. CODORr, D.O., i .' ~nd JOHN DUFENDACH, M.D., Defendants ',.,I\i: . OPINION This matter comes before the Court onthe Defendants' Pre-trial Motion in Limine and concurrent Motion for: Summary Judgm~[1t. Resolution of the issues raised by the Defendants requires a brief review of the uptortunate history underlying the Plaintiffs' Complaint.1 ~- ' Ii 'I !,\ On January 15, 1999, Plaintiff Michael McGlaughlin (hereinafter referred to as , ,11', " "McGlaughlin") was transported via ambul~iice to the emergency room of Defendant ,,}J " i'l " H !, F: , i: , i :! , Gettysburg' Hospital. McGlaughlin's family ~'ipembers contacted ambulance personnel .",- after their interaction with him that moming:alerted them that he might need medical . ' ' ,~ > . treatment. Apparently. McGlaughlin was piiiyiOUsly diagnosed with juvenile myoclonic ::<;,1. ' epilepsy. Prior to the morning of January 1~, 1999, McGlaughlin noticed that previous minor twitching and occasional jerking of his arms had been steadily increasing. On the ri " Ii :1 ii i i __I, . morning of January 15, 1999, he complained to family members that he was not feeling -iT well and wished not to go into work' right away. 1 The factual recitation set forth in this opinion is base4 upon allegations in McGlaughlin's Complaint and McGlaughlin's experts' reports which w~r~ PrQvided to'lI1El C(llJrt. In considering the Defendants' Moti~n in Limine, I presume that McLaughlin ..vOl present evidence consistent with the allegations underlying hIS . >- \ EY:i!lA II ,I '"'. , 08/04/2004 WED 11:03 ~'AA 717 540 3434 !llCIUSSOCK &'Jionmau. r\C ..;;-~- " "'"~;-'J;'<';'--' ;;". -, _,_ ll!:.lU,,"OI UOlU 1" f it: " ~ >;; ';:,:1 and 17 are dismissed with prejudice. The1;mefendants' Motion for Summary Judgment j" is denied in regard to Counts 5. 11, 15 and' 21 , however. the Plaintiffs' claims in Counts ';~f} 11 and 21 are limited to the negligence, if atty, attribUtable to Dr. Rahman. BYTHE COURT: :1'", MfCHA ' . , '~'-,". Jli~g .,,::--,:,.' ',j.,., .:.i"H !,:~",f:' ''-,,:,;\. ''-''>r , " ... it . ~ , , , . It) 206.). This being a trUe and atte ed copy taken from and compared with the original Attest. 08/04/2004 WED 11:04 ~AX 717 04U 3434 MCAlSSOCK & tlo!!mau, r~ ~ U..OI U.JU Upon McGlaughlin's arrival at the Gettysburg Hospital Emergency Room on the morning of January 15,1999, Defendant Dr. Gregory Codori, examined him. Dr. Codori f' conducted an initial examination and decide,d to obtain a CT scan of McGlaughlin's , , brain. McGlaughlin was transferred to the,l~rttySbUrg Hospital Radiology Department '1-": ~ for the CT scan. During the CT scan, McGlaughlin experienced a grand mal seizure which caused convulsions. Hospital personnel, including Dr. Codori, injected ii , I' Ii il t! n H [-: q Ii II 'I I, H , , I ! ! :i II !1 II il " iI 'I II II I' II !' II II " .i Ii 'I " , i I I I McGlaughlin with the anti-seizure drug, Ativan. However, despite the ongoing seizure, the Radiology Department continued with the CT scan. From start to finish, McGlaughlin's seizure lasted approximately thirty minutes. Following his seizure, McGlaughlin was postictal and developed 'rood's paralysis.2 He remained at the , ;~.,:, emergency room for several hours until h~lwas released to return home. Upon his ,-- ,~{ ,':'U '_,"11 release he was prescribed Depakote and ad\iised to return to the emergency room if he had any further problems. He was further couhseled to contact a neurologist. The follOWing day, McGlaughlin complained of substantial pain in his neck and .!.~. shoulder area. He attributed the pain to hi~seizure and remained in bed aU day. On . -r January 17, 1999; McGlaughlin's pain w~s unbearable and he returned to the : ~. Gettysburg Hospital Emergency Room. Accprding to McGlaughlin, Defendant Dr. John <'v c",' Dufendach treated him at the Gettysburg H9spital Emergency Room. Dr. Dufendach .,1 ,;); ,diagnosed him with thoracolumbar muscle' i~train due to the seizure he suffered on January 15, 1999. Dr. Dufendach did not cpnduct any x-rays prior to his diagnosis. " claim, of which lhe Defendants seek to limit in their Motion in Limine. Commonwealth v. Pikur /Enterprises, Inc., 596 A.2d 1253, 1259 (pa.Cmwllh. 1991). . . a Todd's paralysis is post-epilep~c paralysis lasting a few 1T111lutes, hours, or occasionally, several days after a seizure. Mosby's Medical, Nursing, & Allied Hea)lh Dictionary 1719 (6th ed. 2002). " 2 08/04/2004 WED 11:05 I ' '> ,[" = FAA 717 540 3434 MCK1ss0CK &, HOTrman, YC -,I" k~_-,,' '-r " ;:, ~, LQ.Iu,,~/ UOlU -;" According to McGlaughlin, Dr. Dufendach suggested as a result of his examination that McGlaughlin visit a massage therapist. "., Apparently McGlaughlin's pain did nq~'subsist but rather continued to the extent ::i,i'.' that on January 20, 1999 McGlaughlin,:~isited his family physician, Dr. Adam Wasserman. By order of Dr. Wasserman, an x-ray of McGlaughlin's thoracic spine was performed at Gettysburg Hospital on Janu~,y 26, 1999. Defendant Dr. Rukhsana K. Rahman,.a radiologist at Gettysburg Hospit?cl,' interpreted the thoracic spine x-ray. Dr. ~, ~ Rahman's interpretation diagnosed a "focal; 'mild, sharp angle scoliosis3 in the upper . thoracic spine, probably related to a cong13nital anomaly of T-5 and possibly T-4 ,i.;. vertebral bodies". After receiving continued:\cOmPlaints of pain from McGlaughlin, Dr. <:_~, Wasserman personally reviewed McGlaug,9Iin's thoracic spine x-rayon January 28, "(. 1999. Dr. Wasserman read the thoraqic'spine x-ray to indicate that McGlaughlin ',,: ,~ suffered from "compression fractures" and di~~cted that an immediate CT scan and MRI ,"'1 .,....1. be performed. The subsequent tests, cond~:Gted at Gettysburg Hospital, confirmed Dr. ~-r!C: 'fii Wassermal'!'s interpretation that McGlaughlin had suffered a fractured vertebra. , :, ~ Following discovery of the fractu~~~ vertebra, McGlauglin visited several \~;;~-~, neurologists and neurosurgeons seeking oplriions as to treatment. As a result of the 'l:'- ,~:\ . recommendation from one of his treating ptiysicians, McGlaughlin underwent surgical intervention at York Hospital on March 10, 19~9. Currently, he claims that as a result of his injury, he suffe~ed severe pain in his splrt'e and back. He further alleges that he is permanently disabled and unable to worlkt in any capacity. He claims to have ," ", , ,,', 3 Scoliosis is a lateral curvatur!l of the spine. See Mosby's, cited above at n.2, at p. 1546. ~ ' ',' 3 - < I " .-t, 08/04/2004 WED 11:05 ~AX 717 54U 3434 MCKISSOCK & ~orrman. r~ .J " ,'--.' , ,:.--~-",' ~-- '. , _e;'" ~ u,)u/ uau ,.-,:" subsequently endured a substantial loss \:>t life's pleasures.4 On October 7, 1999, McGlaughlin initiated a medical malpractice action against a number of physicians, medical personnel and Gettysburg HosPit~1. During the course of the litigation, a ',:,' number of the issues involving several defendants have been resolved. The remaining defendants and issues for trial consist of the;f,ollowing: f-. . "r., i) a negligence claim against Dr.,Rukhsana K. Rahman based upon an alleged failure to properly read McGlaughlin's January 26,1999 thoracic spine x-ray; ,1', .... (,-;,. Ii) a negligence claim against Dt;~, Gregory Codori for his a~tions on January 15, 1999 for:' a) failing to properly supervi~~rthe administering of the CT scan;; b) failing to appropriately tre,~tMcGlaughlin when he went into a grand mal seizure; "':, c) improperly instructing m~~ical personnel to restrain McGlaughlin during his graq~ mal seizure; d) failing to call for assistanc19',after McGlaughin went into grand mal seizure; Xii e) attempting to administer a q;r scan without the radiologist present during the scan;;:'" -'/...!( . f) failing to document the gr.~nd mal seizure McGlaughlin experienced; J\ g) failing to properly follow-tip and evaluate McGlaughlin following his seizure; and\;~r.. h) failing to stop the CT scan upon commencement of McGlaughlin's grand mal seizure. *'-j1!~_~ iii) a negligence claim against o,r~ John Dufendach based upon Dr. Dufendach's alleged negligen~:in: a) failing to properly examine)~lOd diagnose McGlaughlin's injuries during the examinaponon January 17, 1999; b) failing to order appropriat~tests during the examination of McGlaughlin on Januar)i:l7, 1999; and c) advising McGlaughlin to urtdergo physical therapy. r ! I r I l! 1-: \:' I,' ,'I r,i I: i: I. I '~ " -::'J? .':(-,( 4 McGlaughlin's wife, Tammy J. McGlaughlin, jOi~~d McGlaughlin's civil action by filing a loss of consortium claim against the respective Defendants.::' . .1. "'_J! ~, ;-;,' 4,:,: ,':' .,: 08/04/2004 WED 11:06 .~ ' ~~; " -.-- ,-- , FAX 717 540 3434 McK1SSOCK & ~OTTman. ~c hi 'iL' L{{dU..).l.1 UOU iv) McGlaughlin's vicarious Hospital; :{ ,) ;',',1 liability claim against the Gettysburg v) /:,~', ~, " Tammy McGlaughlin's loss o~;:consortium claim against the four above-named Defendants. . .j, ?' The several Defendants' current Mption in Limine seeks to preclude the "',' testimony of McGlaughlin's two expert witnesses, Dr. Peter G. Bemad and Dr. Thomas K. Howard. Specifically, the Defendants argue that McGlaughlin's experts lack the J"+ ,;r!-'t- qualifications necessary to express opinion~i.regarding the standard of care applicable .~..- - ',~'- to the Defendant doctors. The Defenda~ts further move the Court for summary judgmel'lt reasoning that since a breach of ?,~tandard of care isa necessary element of ',.,:;,.. ,,;:_'~,,: a, medical malpractice claim, McGlaughli~'s inability to present qualified expert testimony in this regard necessitates summ~~ judgment in their favor. Prior to addressing the sUbstantiv~;i~)ssues raised by the Defendants, it is :-T, :{,{ important to clarify the procedural posture of,'itlis matter. GeneraJly, the specific training, (,_L and experience of a potential expert Witri~~s is to be explored at trial in order to ,/J~; determine whether the witness qualifies as Jgt'expert in the field at issue. See Rauch v. tL,:.;:: Mike-Mayer, 783 A.2d 815, 823 n.6 (Pa.~~per. 2001). This principle reflects long- ';~1 standing precedent that the credibility of eviclEi,nce is normally not a proper consideration ;~1~ . . at the summary judgment stage. See gen~rally Resolution Trust Corp. v. Urban ',~-,>, , Redevelopment Auth., 638 A.2d 972, ~75 (Pa. 1994). However, perhaps in recognition of the significance of the testimctny at issue to the viability of McGlaughlin's ~: . .rti~,~ causes of action, the current parties hl;\Ve agreed to submit the issue of the " qualifications of McGlaughlin's experts to tl1~9ourt for disposition prior to the selection . ~I ~~~/ of a jury and commencement of trial. purs,ilant to this agreement, the parties have "'[ .~,;;. 5 08/04/2004 WED 11:07 I' , ,,~ "'__ - . . __, ~__ }l'A.! 71'/ ~4U 3434 M.C1\l.SSOCK &. l10J..LillClU. r\... _ ) ~, ~-.--- -''. -- -~,~..: - , " ''I' II6IU.J~/ UiJU :1 ' 'i, \ submitted deposition transcripts of Doctors Brrnad and Howard as an offer of proof for the Court's consideration of this issue. Acckfding1y, in light of the parties' agreement, I will undertake to rule upon this issue basecl~;upon the offer of proof presented by the parties. ,i\ Historically, the standard for qualifyiri'das an expert witness in Pennsylvania has been a fiberal one. Von Der Stuck v. Ajs~~ Concrete, Inc., 779 A.2d 570, 573-74 ,,'-' ~Wj, . (Pa.super. 2001). (n Miller v. Brass R~R Tavern, 664 A.2d 525 (Pa. 1995), the Hi' Pennsylvania Supreme Court enunciatedth,~ common law test to be applied when qualifying an expert witness is "whether thJ~~tness has any reasonable pretension to '~fj 1':i: specialized knowledge on the subject unde~ investigation". Id. at 528 (emphasis in , , original). If the expert witness's qualificat\<ms satisfied this very lenient standard, +.'}'f~, Pennsylvania common law permitted the ~~pert to testify (eaving the trier of fact to ~#:~K determine the weight to be given to such tes!imony. Von Der Stuck, cited above. :~~,t However. the Medical Care AvailabiIityand Reduction of Error Act's (hereinafter <,l~t~. referred to, as "MCARE") enactment on \~i3.rch 20, 2002 preempted Pennsylvania . 'rt~~';, common law in this area.5 MCARE, accordihg to its own language, is a by-product of .'11~!. the General Assembly's effort to allow for li.:prompt determination of litigation and fair .:~~. compensation to those injured as a result .pf: medical negligence. while attempting to ",l. maintain medical professional liability insurgitce at an affordable and reasonable cost. , ,t.~; See 40 P.S. 9 1303.102. In furtherance of"that effort, MCARE codifies the standards J~i;" 5 Although the conduct at issue occurred on SePtem6~r 15.1999 and MCARE did not become effective until March 20. 2002. neither party questioned the appUcability of MCARE to the current facts. Because MCARE sets the'standard a witness must meet in Qrder to provide an expert opinion. a prospective application of it from its effective date makes it appii&ble to the current issue. Although McGlaughlin may have retained both experts prior to MCARE's 'enactment, their expert medical testimony will not occur until trial which has not yet commenced. See, C,~narj v. Rosenwasser, 2003 WL 21911912 (C.P. ,- , r " :,' 6' 08/0412004 WED 11:07 FAX 717 540 3434 JlICKlssocl< &'HOnman. t'" "e:!U,).,)/ uau ;~:l . ,f':, that a witness must meet in order to offer e*;ert medical testimony against a physician ,i::ts . 'V"- . in a medical professional liability action. M~~RE, in relevant part, provides: ',~ (a) General Rule.-No person s~~1I be competent to offer an expert medical opinion in a medical. pr,pfessionalliability action against a physician unless that perso~;; possesses sufficient education, training, knowledge and experiElnce to provide credible, competent testimony and fulfills the addjt!pnal qualifications set forth in this section as applicable. ;;"\' ,-5 ,:-, ~ (b) Medical testimony.-An e~~rt testifying on a medical matter, including the standard of care,i(lsks and alternatives, causation,and the nature and extent of the ini\!liY' must. . . r~r~'" -,;~" (1) Possess an unrestricted Rbysician's license to practice medicine...." {.>, (2) Be engaged in or retired ~thin the previous five years from active clinical practice,pr teaching. ;,'l" - ~~ Provided, however, the court may w~t~e the require~ents of this subs~ction for an expert on a matter other than the standard of care if the court determmes that the expert is otherwise competent to1t~stify about medical or scientific issues by virtue of education, training or experierlce. ':i;:IT" ",'~;' dJ' (c) Standard of care...,... . . . al!:~?<pert testifying, as to a physician's ~' il;'"'' standard of care must also me~ the following qualifications: ,", -\t:.; (1) Be substantially familiar with the applicable standard of care for the specific care ;;It issue as of the time of the alleged breach of the stand~r,p of care. "j'?_~\ (2) Practice in the same sub~peciafty as the defendant physician or in a subSpeci?J~y which, has a substantially similar standard of care (elr the specific care at issue, . except as provided in subse,4tion (d) or (e). '."* ;;~~ . (3) In the event the defendarifphysician is certified by an approved board, be board;,certified by the same or a similar approved board, eX9~pt as provided in subsection (e). I 1/ II II 1/ i, .'-,:'" ")-~' ';l" Philadelphia Aug. 12, 2003) (this opinion. is. however/an unpublished slip opinion). Since neither party has challenged the applicability of MCARE. further disfl!ssion on this issue is unnecessary. ,',./;.- 7.;: I, ,- 0&/04/2004 WED 11:08 Fll 717 04U 3434 D1C1\lSSOCK ",,11011W=. ,.... "0__. ' ',,;q ,"'- -, """ "Ii:!U,J':t1 U<.JU I' !" ~ .,,';: (d) Care outside specialty.-A court may waive the same subspecialty requirement for arrexpert testifying on the standard of care for the diagnosis or tre;atment of a condition if the court determines thatt ) ~ [L (1) the expert is trained in the:'9iagnosis or treatment of the condition, as applicable; an~<; (2) the defendant physician provided care for that condition and such care was not wlt~in the physician's specialty or competence. c ' (e) Otherwise adequate training, experience and knowledge.:"-A court may waive the sam~~specialty and board certification requirements for an expert te.s$!fying as to a standard of care if the court determines that the e?Jipert possesses sufficient training, experience and knowledge to:rprovide the testimony as a result of , active involvement In or full;time teaching of medicine in the applicable subspecialty or a related field of medicine within the previous five-year time period. ,$:: 40 P.S. 9 1303.512.6 . ;" "--,L (n reviewing this recent legislation, it i~~apparent the initial issue for determination "'h_", Ii Ii I I i i , r " I' I I: " I I i": J~:;' " concerns during which time period a pr6spective expert's qualifications are to be :'J;1, ~, considered. Specifically, the language of S~ction 512 begs the question of whether the ~~\-,,;: . 4~ critical foea! point for the five-year period r~renced by subparagraph (b)(2) is the time of the alleged negligent act; the time the exiiert witness's testimony is presented to the 'f;.' fact finder; or both. Section 512 does not e'iwresslY provide the answer to this issue. It is important. therefore, to rely upon the instrHction of our appellate courts in interpreting .;-]' statutory language., The aim of a court in statutory constfuctionis to ascertain and effectuate the legislature's intent. 1 Pa.C.S.A. ~ 1921(a); ~onk-SuJIjvan v. State Farm Mut. Auto. 'jl: 6 Appellate court interpretation of this statutory pr9~ision is non-existent since the application of the statute Is in its infancy. Thus, guidance in addressi~ the issues the Defendants raised is sparse. An exhaustive search for precedent reve!lJed only two'9lher Courts of Common Pleas addressed issues \t:i 8 - "~ 08/04/.2UU4 W1!:.L> 11:UI:I !'l-A.!. III ,;)4U ,)f.i,)f.i l!U":1\J.SSUc.;K rv 'tl=jv.....o u...... ,- .- ", ,J_"'", ';;':- Ins. Co., 746 A.2d 1118, 1120-21 (Pa.Super. 1999). When construing a statute, a court begins with the presumption that our legislatu're did not intend any statutory language to exist as mere surplusage and, accordingly,,~~urts must construe a statute so as to give :.:--.Ii effect to every word contained therein whe~~ver possible. Keystone Aerial Surveys, Inc. v. Pennsylvania Guar,Ass'n, 777 A.2~~84, 90 (Pa.Super. 2001). When words of a statute are not explicit, courts may consider; among other matters: .'1,' . . . the occasion and n~cessity for the statute, the circumstances under which i(was eritacted, the mischief to be remedied, the object to be attained, the former law, if any, including other statutes upon ;t~e same or similar subjects, the consequences of a p~rticular interpretation, the contemporaneous legislative~,j~tory and the legislative and administrative interpretations otthe statute. Meier v. Maleski, 670 A.2d 755 (Pa.CmwlthJ!;1996) (citing 1 Pa.C.S.A. {; 1921 (c)(1-8)), (" :~:J' The General Assembly's declaration ,'91 policy provides insight into the necessity ~'::~i:. of MCARE. MCARE's purpose, as stat~d by the legislature, is to allow fair ,:i I' !. , 'i ."-;' . 'compensation to those injured due to medical negligence while insuring that medical i1:;:::" care is available throughout the CommonW~~lth. 40 P.::.. 91303.102. The legislature further recognized that in order to mai&tain high quality health care, "medical ;",!(. professional liability insurance has to be d,~t.inable ,at an affordable and reasonable , '~':i,:,;:~ ~,;.~ . cost. . . ." ld. Clearly, MCARE was enacte4:iat a time when the legislature was facing a o ' health care crisis in the Commonwealth which has been attributed to the soaring costs ':~:::~~' of professional liability insurance.7 It appear#:that MCARE is an early effort to address " , , F ;. \1 related to the applicability and interpretation of this J~btion. See Callari, 2003 WL 21911912; Spotts v. Small, 61 D.&C.4th 225 (C.P. Lancas(er2003). :ii' 7 While there was substantial debate among the legislature as to the cure for the health care crisis, a reading of the legislative journal concerning enad~ent of this legislation confirms the legislature's concern over spiraling medical malpr13ctiefl insurafjqe costs, For instance, see Commonwealth of Pennsylvania Legislative Journal, House of Representetives, pp. 88-140 (Jan. 29, 2002); pp. 297-323 (Feb. 13, 2002). Additionally, a survey of publishe? leports during the relevant time period reveals a 9:)~r - ,-- "_c ~" ,',-,-, < '00'--<'-__'_" "-''''''_,"0 1€d UJOI u~u 08/04/2004 WED 11:09 FAX 717 540 3434 McKlssoc~ & Horrman. ~~ " -,.-; '-'. ; " ~,.' r~- this ongoing issue. Legislative efforts to st~f.ll exorbitant professional liability expenses have been complimented by efforts of the p,~~,psytvania Supreme Court to bring medical .:~!:~ malpractice litigation under control. For irl~tance, the Pennsylvania Supreme Court amended the Pennsylvania Rules of Civil pfqcedure to limit the number of appropriate .", venues for a medical professional liability a~tion, see Pa.R.C.P. 1006(a.1), and place ",1. , _1.-' additional hurdles on the filing of complaint~which assert a professional liability claim. , I I Ii Ii I' i !; , -, See Pa.R.C..P. 1042~ 1, et. seq. ";'~ I "!>--';:'! ~'[t_'.i,' When viewed against this backgrouJ;ld, a reading of the language of MCARE ;::~j~,l, Section 512 reveals its purpose is to nartSw the liberal common law standard for '~~i, admission of expert testimony in medicatLmalpractice actions by placing' a more stringent standard on the admission of sd6h testimony. At least one other court -';,; ,\'~ interpreting this section concurs that .the pyffiose of the legislation is restrictive. See Spotts, 61 D.&CAth at 235. ,-" 'f>! '"t';' ~,,;i'-- Although the legislative history of Seqtiqn 512 is generally unremarkable, a minor \i~:f .r-J~j~ amendment to the section during its enactment is interesting. The legislative history . ':~~;}: reveals that the legislation began in Housel(~i11 1802 of the 2001 Legislative Session. "~I Initial drafts of House Bill 1802 failed to inclu~~ any reference concerning expert witness . ~i~;:" qualifications. However, in a January 2g~02002 amended draft, House Bill 1802 '"j' '\'l~' included a section addressing expert witne1~l:qUalifications.8 Significantly, this version plethora of news articles addressing the leglslalure:~,;,concern over medical malpractice litigation. An example may be found at: Susie Kozar, Officials: Malpractice crisis needs a quick fix, http://www.lewistownsentinel.com/news_02194.htm m~,~.19, 2003). 8 The January 29, 2002 amended version of House Bil!),1802 included the following: , . Section 828-A. Expert witness qualifications.-(A) An expert witness in a medical professional liability action against a physician must possess sufficient education. training, knowledge, and experience to provide: credible, competent testimony, and meet the qualifications set forth in subsection (8), (0), (0), (E) or (F), as applicable. t/ " 10 08/04/2004 WED 11:10 ~AX 717 54U 3434 MCKISSOCK & ttOIIman, r~ ;ill I.iY U.:>i I UOJU {f;:ii: .;-j,~' \':,,;.,:}" l, ,!,:;~:, .'),> ~,JJ of House Bill 1802, while similar to the fi~~lenacted version, differed in a material .~ respect. The January 29, 2002 version required that the expert "must be . . . engaged in active clinical practice or teaching. . . .. This version also expressly allowed a ~ourt to permit expert witnesses to testify on the standard of care who did not otherwise meet the requirements of the section if, among, other criteria, the witness has training, !:~~: ' experience or knowledge resulting from thel~ctive involvement '1n the practice or full- ,.,"" time teaching of medicine within the five-year.'period before the incident giving rise to "Of, the claim". .)~~: House Bill 1802, Section 82~-A(E)(emphasis added), 2001 Session, '-,';I '!1'. (B) An expert witness testifying on a medical'iljIalter, including the standard of care, risks and alternatives, causation and nature an'd'extent of injury, must be: (1) a physician with an unrestricted license to practice in any state or the District of Columbia; and "'", (2) engaged in active clinical practice or teaching and experienced in the medical care at issue. . F 1 I' f-" I::' ';' ~ ;, i:~, ~', ~' ,- ;'~'~L', (C) An expert witness testifying as to a physidlin's standard of care must be: (1) substantially familiar with the app!icable slandard of care for the specific care at issue as of the tiirii! of the alleged malpractice; (2) in the same specialty as the defertdant physician or a specialty which has a substantially similar stand~td of care for the specific care at issue; and /r (3) if the defendant physician is certined by an approved board, certified by the same or a similar approved,board. ..:,. . ,. l'j I"~ (0) In a case in which it Is alleged that a he~(l~ care provider engaged in the process of diagnosis or treatment fora condition whIch, was not within the health care provider's specialty or competence, a specialist foul'!dby the court to be trained in treatment or diagnosis for' such condition shall be cQl1sidered competent to render an expert , opinion. (E) An expert witness shall not be precluded from offering testimony as to the standard of care under subsection (C) if the court ,makes a specific finding that the proposed expert possesses sufficient training, exp~rfence and knowledge as a result of practice or teaching in the specially of the defendant or practice or teaching in a related field of medicine so as to equip the witness' to provide expert testimo!1Y as to the prevailing professional standard of care il),a given field of medicine. Such training, experience or knOWledge must be as a result of active involvement in the practice or full-lime teaching of medicine within the live-year period before the Incident giving rise to the claim. 11 i:i I' ,-I i~ 11 [1 Ii I' " ~ tr (F) An expert witness not offering an opinion.as to the standard of care who otherwise is competent to testify about mediqal or scientific issues by virtue of education, training ",-, ,11 "r , 08/04/2004 WED 11:11 ~'AA 71'1 04U 3434 lIlCA1SSOCK ",,,110UUlau. rc, ,-O_d- ",' i_",,ii.., -n _'_ _~':. ' L"'=J VolOI Vo,lU ti;; ',~--~,t . ,~';' , r,~\ January 29, 2002 (emphasis added). Interestingly, the version of House Bill 1802 as amended February 12, 2002 included the a~ditionallanguage in Subsection(b)(2) that expanded the time period for an expert tdtbe involved in active clinical practice or ,1" . teaching to the "previous five years". Addifrgnally, this version removed the language ~r which req,uired the applicable time frame ref~renced in Subsection(e) to be within five ;Lc;f years prior to the incident. See 40 P.S.s'l303.512(e). Ultimately, the February 12, . . ;{1.) ""; 2002 version of House Bill 1802, with these changes, was adopted by the legislature. t !-(" I i II I' Ii fi I,! il I' ,I 'I "I il II :1 I " II II Ii 'i I. Ii " !I I :,1 , il I' ii II il i! i i I 'I I, I I! ] I I I :~1.:i '" In instances such as this, where the l~gislature has changed the language of the '~-:'4.\ . ,:(.31, legislation, there is a clear indication of!he legislature's admitted different intent. ~,' , Masland v. Bachman, 374 A.2d 517, 52:F22 (Pa. 1977); Deremer v. Workman's " _H;_" Compensation Appeal Bd., 433 A.2d 92~; 928-29 (Pa.Cmwlth. 1981). Thus, an '_i;',I, examination of the legislative history of thist:;fction reveals that the legislature rejected :;(\ defining the five-year focal point of Subsecficm(e) to be prior to "the incident giving rise to the claim". Moreover, this change in lan4U~ge is indicative of the legislative intent to " ":t""!'" require that the focal point of determining ~'~expert's qualification for Subsection(b) be . '~~. i'~ from the time that the expert is testifying. l-{~d the legislature intended otherwise, they would have placed defining language simil~JI,to the original version of MCARE in the ,subsection. In such circumstances, it is i~proper for a court,' under its powers of :". ;'" .- construction, to supply omissions in the st;:ute where it appears the legislature may .,'-".. have intentionally omitted those matters. Kflsza v. Maximonis, 70 A.2d 329,331 (Pa. 1950). Interpreting Section 512 to call for th'e" consideration of an expert's qualifications "~~l ~;-:,~~, 12 'l,'t. ,., ,-,--'-""-- ;,; 08/04/2004 WED 11:12 FA.!. "Ii l)4U ~4~4 1D.Cl\lSSOCK &)_tlUIJ.loaa. rv ,n 'r. ""~,, _ , . ~_ _ "~__ .I;~ ~ UoJ;:'/ UVU ~. ), ~s,,:t ,',-y ,,'r '-'.,;" '.:';(\:, :;j\,' within a period of five years "prior to the date;bf the underlying incident" would appear to "I, violate this instruction from our appellate coJHs. !k11 Although MCARE Section 512 lack~;:!an express, specific direction as to the .J relevant time frame for consideration of ~~pert qualifications, the section's general ,','i. language is revealing in this regard. Secti~rI 512 sets forth the general rule and then sets forth specific criteria contingent upon t~;~" nature of the respective expert's opinion. , ; .','L", Specifically, Subsection(b) sets forth qualifif?tions for all expert witnesses regardless of i", ~:~,H; whether they are testifying as to ''the standard of care, risks and alternatives, causation " ";~: and the nature and extent of the injury .';\j, . .. 40 P.S. S 1303.512(b). The dual Ii}; . ''''h'! requirements set forth in this subsection are Mat: 1) th'e witness possess an unrestricted ',.-' .,; . --~ ~~ ,1. physician's license and 2) the witness be e??rged in or retired within the previous five :~t~; years from active clinical practice or teachirQ. ld. A plain reading of Subsection(b) )/~( . \h.. leaves little ambiguity as to the context ofit~ language. The language speaks in the ;:~~;;;;. current tense requiring that an expert witne,~'~"testifyin9 on a medical matter. . . [b]e -:;U~~ engaged in. or retired within the previousmve years from active clinical practice or _:~c~l: teaching." ld. (emphasis added). Importa~#ly, our Supreme Court admonished that :(1 tt ' . when the meaning of a statute is plain, a col,lr;!: should not disregard the language of the , ~~~;l- law in the context of pursuing its spirit. Com'tjJonwealth v. Kelley, 801 A.2d 551, 554 J-,r' (Pa. 2002). In such instances, any further deliberation as to its meaning is unwarranted. "f,-- See generally Id. Based on this instructiori; I read Section 512(b) to require that an , '" " expert testifying on a medical matter in a~}nalpractice action possess the requisite . -, , qualifications at the time the testimony is preJ~nted to the fact finder. " :t,SL ,;?', " "{'" :"f. . 11tH. 13 ,-.", t" 08/04/2004 WED 11:12 FAX 717 540 3434 MCKISSOCK & ~OTTman. ~~ ^'---,--,- "'",- Ii!:! V'2UI UilV This interpretation is consistent with i~e interpretation of our appellate courts in '( I construing competency statutes as of the\date of the witness's testimony. See . ~J" Commonwealth v. Boris, 372 A.2d 451 (p{fuper. 1977) (interpreting the competency '::' )~ of a spouse as a witness in a criminal case td!be as of the date of testimony); Adams v. Bleakley, 10 A. 884 (Pa. 1887) (noting form~rspouses may testify against each other in civil matters if divorced at the time the testimqny is presented). Even in the absence of , ' ".:f statutory consideration, it is axiomatic in P~r}nsylvania law that witness competency is , !to? i.1,t determined at the time of the witness's testir!lgny before the trier of fact. See generally ~ ; ,: ~ ~}:; upon the date of the incident precipitating tl'J~, litigation but rather made at the time the :K ~'!%~ witness presents testimony. A statute which':r~quires certain expert qualifications within 't;i"F: five years prior to the prospective expert'~;',t.estimony is not an aberration from this ~qJ.; historical practice. See Pa.R.Evid. 609 (aqmlssibility of crimen falsi conviction against ',,,,;;.' l::~ witness requires conviction or relief of conh6ement from conviction to have occurred n. . .',1' within ten years of the trial date); see ~lff? Commonwealth v. Randall, 528 A.2d 1326 (pa. 1987). .; ~');. ) ""I, Interpreting Section 512 to require that expert witnesses be engaged in or retired ",: from active clinical practice or teaching withfry five years of the date of their testimony ':' " leads to consequences consistent with the I~gi'slature's intention to place more stringent ~'d. '..1." 14' ,,, (r,,:,y. ,( "--,. i<-_ 08/04/2004 WED 11:13 ~AA 717 fi4U 3434 mCKISs0CK & tlOIImau. r~ ,-~ ~ ,~-,",,-,.;-- ~;~ ~U'i.1./UiJU ;,,' qualification requirements on expert witness~~ and, thus, exercise restraint on medical '...,i-,' malpractice litigation. Limiti~g qualification :V~qUirements to a period of five years from i :~ the date of testimony ensures that malpractice claims will be supported by the most i!' " -1 recent medical knowledge available whenc~~esenting a malpractice claim to the fact ":{ , finder.9 co, Although I recognize that hypotheticai~circumstances may bring into question the rationality of this section,10 interpreting the relevant time period as being the date of the ;- ~-:,:. . \'r ,'''~ "Ji;'1" expert's testimony consistently results in iJj1e most recent medical expertise being ~'~~~.:; ]- , ~" · An interpretation requiring that the expert witnes~.,#e engaged in active clinical practice or teaching within five years previous to the date of the event giving rise to the claim might have a chilling effect on the fact finder being presented with the most recent"inedical expertise. Section 512 is clear that the active clinical practice or teaching is to be within the.1'j:jrevious. five years. Since every word of a statute is to be given effect, Keystone Aerial Surveys, Inc./cjted above, the premier expert in a field at the time of trial would not be qualified to testify as to causatiol1 or other medical issues concerning an incident if the incident occurred years prior to when the expen"became an active clinical practitioner or teacher. Since it is possible for one to assert a medical prof,issional liability claim within seven years after the alleged tort (or in the event of a minor within twent)/'years of the alleged tort if the tort occurs at the plaintiff's birth). see 40 P.S. ~ 1303.513, such an abSUrd result is more than remoteiy possible. Similarly, interpreting the qualifications 10 be within five years previous to the date of the underlying incident may effectively, and perhaps H1egally, preclude an inju~q,;party from ever collecting from a physician tort- feasor. Specifically, if a twenty-year old plainlifffiles il!]i:1edical malpractice action for injuries sustained as a result of medical negligence occurring when the!~illaintiff was two years old, requiring the expert's quafifications to exist prior to the date of the tort woulg:fequire the plaintiff to locate an expert witness who was in active clinical practice or teaching at a time eiQh\een years prior to the date the suit is commenced. While undoubtedly there is an abundance of willing e;xpert witnesses readily available, the mere pessage of time and the recognition that witnesses, as huma~;peings, are mortal, may, in certain circumstances, preclude a plaintiff from ever being able to recover,a~ a result of a physician's negligence. Obviously, such a result is absurd and contrary to the goals of s!i3tutory construction. See Pennsylvania Financial , Responsibility Assigned Claims Plan v. English.;;~64 A.2d 84, 87 (pa. 1995) (noting courts must presume that the legislature, in enacting a statute, di,d, not intend a result that is absurd or unreasonable nor one that would be violative of the United States or:p,ennsylvanla Constitutions.) 10 The Lancaster Court of Common Pleas in addresSirig this same issue reached a contrary result. See Spotts, cited above. In doing so, the Spotts Court hypOthesizes that using the time of the breach as the focal point for the expert's qualifications avoids Issue~i'related to an expert' who may be qualified at the time of commencement of the suit, however, later becomes unqualified due to lengthy litigation. While such a scenario certainly presents difficulties, thosil:difficultles are not insurmountable. This unlik~IY scenario would only arise in circumstances where a,l)' expert provides a report and retir,,:s from actIVe clinical practice or teaching in excess of five years prior to the trial date. In such Circumstances, regardless of the Section 512 provisions, a party would normally be prudent in obtaining a more recent expert report closer in time to the date of trial. In 'fact, the Pennsylvania Rules of Civil Procedure recognize that circumstances may arise where an exl1~rt providing an initial repo.rt is not the expert that may testify at the time of trial. See PaRC.P. 1042.3, Note. Although Section 512 may place an ':.,'111 15 ,\ ,. - ; -" -~ -. " >' l{{dU-':I!"'1 UtlV 08/04/2004 WED 11:14 FAX 717 540 3434 MCKISSOCK &tlorrman. ~~ ,,':' :! ::_:if ll; . ii~r .. avaIlable to the fact finder from witnesses wn,o are currently qualified in their field. Such , ; ~ ',-', . ,Ei:::' a consistent result is in furtherance of th$:!l~gislature's goal in establishing a more . ,~..... stringent standard for the admission of expeJ,lestimony. 't-lL.. For the foregoing reasons, I find that SGbsection 512(b)(2) references a five-year ",.' time period previous to the date of trial. H~i'ing resolved this issue, it now becomes ,t, j. ,~ necessary to apply the statute to McGlaugh/ir!s experts. r.,_,j.: -1:,::' Dr. Thomas K. Howard is curren1iIY licensed to practice medicine in the tW:;, Commonwealth of Pennsylvania. He is a gW~duate of the Jefferson Medical College of /iP, . . ,l"r, Philadelphia and is board certified by the AllJ'erican Board of Orthopaedic Surgeons11 :IKl and a diplomat with the American Academy o~ Orthopaedic Surgery. During the course of his career, he was affiliated with a number;bf hospitals in Pennsylvania and Maryland ,:iH.; and conducted a private orthopaedic practic~'trom 1968 through September 3D, 1996. i~,'t.. . r:>'c On September 3D, 1996 he retired from a,-~tively practicing and ceased performing ';~~~-! surgeries or seeing patients on a daily basi~~:Howard Tr. p. 9. By his own admission, ;-I~{~:'l" Dr. Howard has not had an active clinica~fiRractice since 1996. Id. at pp. 22, 25. l1~\4,i Although Dr. Howard has teaching experie~ge in the field of orthopaedics, he has not , ~ ,. . /;,,;, :,."-. taught since 1979. Id. at pp. 19-21. \'il Clearly, Dr. Howard has enjoyed ':,~,n impressive and remarkable career. ~,",' ,'i: However, as discussed above, the Penl}~ylvania legislature has made a policy . I~~, -;];'/,:- determination wherein it has set forth spedif,ic qualifications for an expert in medical ;_i:,' malpractice litigation. Unfortunately for Mcqlaughlin, Dr. Howard does not meet those ,,' .~-:-,:( ,':<:>>': additional burden on the parties in matters involving 'protracted migation. I do not find such a result to be absurd In light of the legislature's desire to restrict the:parameters of expert qualifications. 11 Orthopaedic l'\ledicine is a branch of health care that is connected with the prevention and correcllon of disorders of the musculoskeletal system of the body.S~e Mosby's. cited above at n.2, at 1236. . 16 ~c .'1',. ';C'" " . ,. -j _n' _ , "" __ ~ ", " ie-_' ,:,', ~~--' ,__, .~_ " ~ U"J,<l{ UUU 1.-"- 08/04/2004 WED 11:15 ~AX 717 540 3434 mCK1SsOCK & tlOrrman. y~ ;,..,- f:. " , f~-\:~~' ;/ ::' ,~" qualifications. Although licensed to practic~fnedicine, he has not been engaged in an I ;1 i:j <<I I I does not end my inquiry. (;[fil ',~,\( , ~i "I , I ,I I I, 'I I :'1 ,'I Before precluding the testimony of Dri}Howard, it is important to note that Section ,';;",-.';- ' 512 provides a waiver provision wherein ~:Wbourt may permit expert testimony by an , !~{ expert wHo does not meet the specifiedqjJalificat;ons but otherwise possesses an ,i~'''l ' indicia of competency. A thorough review 9f. Dr. Howard's qualifications indicates that .,'l.. despite his failure to comply with Section 51:~(b)(2), he is otherwise competent to testify ''I as to the nature and extent of McGlaughlin's'iNuries and causation. Accordingly, he will be permitted to testify in these areas. I . ,~:!h: Although Dr. Howard's impressive\gredentials allow the court to waive the . -~[":J;' requirements of Section 512(b) as it reiates;~' his testimony in regard to the nature and ;~.{;;. . '-l~" , extent of McGlaughlin's injuries and causil~on, the section necessitates a different n~.ii; result in regard to Dr. Howard's proffered ~stimony as to the applicable standards of . ;~'i;,!1 'i!U care. The waiver provisions of Section 5t2(b), by express language, apply only to ,,::- , ' l' I ;;1 I :'1 I :~I I 11 1'1 'I 1:1 l:i " ;'1 ;1 i'l "i experts testifying "on a matter other than;~the standard of care . . . ." 40 P.S. S 1303.512(b) (emphasis added). Thus, waiv~rof the requisite qualifications in regard to Dr. Howard's opinion on the applicable 11~~ndard of care is statutorily unavailable. .I'~ ' ~',i, " ' Accordingly, Dr. Howard's testimony in reg~rd to the applicable standards of care is .-"1"" inadmissible. J:/( "i'" iH.'~ ,!,' 17 08/04/2004 WED 11:15 }t.A.!, "1', b4U J4-'4- DlC.lUSSOCK &,__l1().L.LUlCiU. _n.. ~..:-!j ..~ :: l.i4I V':!!":IF Vo.JV 7"i, '.:~~~~ I~I :'", , i)i .J:.~ McGlaughlin's second expert, Dr. Peter Bemad, is a licensed neurologist12 , possessing licenses to practice medicin~iin California, the District of Columbia, [ I [i , I' t '., Maryland, Massachusetts and Virginia. Dri !?ernad currently teaches neurology at the ;' . ,; Ii I I' ;1 Ii I, I,' I 1] t: .r.' ~ George WaShington University Medical SCh~,~1 and is an adjunct professor in the field of ,.,1,+ .!~,,:', "'!-'(: neurology at the Michigan State University ,'Medical School. Bernad Tr., p. 7. He :ii~'--- currently operates a clinical practice in th~'::field of neurology in the Washington area. rd. at p. 8. Dr. Bernad is board certifi~d in neurology, internal medicine, pain ;,.1. ' ~':~ t management, sleep disorders, forensic:'medicine, electroencephalography and , I, I: , " , t I I , t " i !! .r:,,' neurophysiology. On the surface, it is apparent that Dr. Bernad enjoys extensive . ~r~ credentials necessary to qualify him as an:expert witness in the field of neurology. ",.':l' . Although the several Defendants do not seftgusly challenge Dr. Bemad's qualifications I~';':,:~ in the field of neurology, they question hi~":~ompliance with MCARE Section 512 as it , f~'IO, ",'.!' relates to the substance of his expert testimqny. ( , Dr. Bernad's expert report opines ')hat McGlaughlin most likely previously -;',1;'.. suffered from an abnormality involving the thoracic vertebral bodies. However, he , . ~ \ ,( ., I opines that the delay in proper diagno~is of the fractured vertebra caused by ~ cl,_. '" . misinterpretation of the x-rays, and a lac~!of careful examination in the emergency '~~fi1:' room, exacerbated and worsened McGlaughfin's condition within a reasonable degree , 1,,,[, of medical certainty. He concludes that the~elay in actual diagnosis and treatment led ':y; to McGlaughlin's permanent damages., ,Implicit In his opinion is that the ':1 misinterpretation of the x-rays and the lack oAareful examination of McGlaughlin in the emergency room violated the standard of ca?~iapplicable to those circumstances. ;~ ~.;"i 1~ Neurology is the field of medicine that deals with the,' nervous system and its disorders. See Mosby's, cited above at n.2, at 1176. 18. :~' 08/04/2004 WED 11:16 FAX 717 54U 3434 MCK1SS0CK "'JioITman. rlC ~ U/i<ll V<lU In regard to issues concerning caus~~,ipn and the nature and extent of the injury to McGlaughlin, Dr. Bernad is clearly qualified. In his deposition, he indicated that he is involved in both the teaching and reading ~f radiological studies, Id. at p. 9; that his clinical practice causes him to review his own,radiological films, Id. at p. 29; that it is not ,'-,1/ 'r:t: unusual for him to make his own interpretati,Qh of radiological films, Id. at p. 33; that he ~;' '" has undergone training in the radiology d,epartment, Id. at p. 34; and that he has .~ ,- interpreted thoracic spine x-rays in his cliqi9al practice, Id. at p. 35. MoreOVer, Dr. : L "~" .1(."1;);;: Bernad treats seizure patients on a regul~:~.1basis and has substantial familiarity with .,'~ !:""j" juvenile myoclonic seizure disorder. Id. at pp.10-12. Under these circumstances, I am , , satisfied that Dr. Bernad is competent t~' testify as to the nature and extent of McGlaughlin's injuries, interpretation of the r~~iological films and causation. :~,d? Dr. Bernad's qualification to testify/as to the applicable standards of care, 1".' ,;ltj" however, is a different issue. As previouslyr;ri,entioned, in regard to experts testifying as ,Vi:, to a respective standard of care, MCAij"E Section 512(c) sets forth additional <,;"10" ''';, <~ .." ,: . requirements. Specifically, an expert testil};i~g as to a standard of care, in addition to ;~:- ',l the requirements set forth in Subsection(b ),":~ust also: (1) be substantially familiar with ,;.' , , the applicable standard of care as of the time of the alleged breach of the standard of :,:,t;j care; (2) practice in the same subspecialty a~Jhe defendant physician or a subspecialty ,',,, with a substantially similar standard of canffor the specific care at issue; and (3) be '.,\'~ "j"',' certified by the same or similar board of wh'ich the defendant is certified. Once again, t"'.! 'i,~ f . . there is a waiver provision of these requireff;ents in regard to standard of care If the c~urt determines that the proffered expert ~~~sesses sufficient training and knowledge ',{ .~;, as a result of the active involvement in or fuU~time teaching of medicine in the same or . ,;'; 1~ ,,-" , -'I 08/04/2004 WED 11:17 FAX 717 540 3434 M.cKUsoCl< ~;,lionman. r" .\V' If!:! V,*UI V<JV related field of medicine "within the previous five-year time period". 40 P.S. S 1303.512(e).13 Therefore, it is apparent that resolution of the issues concerning the 1 admissibility of Dr. Bernad's testimony is dependent upon a cursory review of each of , ~ ','" the several Defendants' qualifications and t~~j,applicable standards of care at issue. , f~i:IF Defendant Dr. Codon is employed, i by Gettysburg Hospital as a licensed d,'- ; I !i II ij '.1 , II 11 il I Ii ij 'I ',1 II " .i 11 !I d H IJ emergency room physician. He is certified by the American Osteopathic Board of Emergency Medicine. Defendant Dr. Dufendach is also employed as an' emergency : ;~~: room physician by Gettysburg Hospital.,He is licensed in the Commonwealth of "" . i~,.: : Pennsylvania and board certified in the speCialty of family practice. Dufendach Tr., p. ~.- ; Ii '. :1 i 'I !,I 'I II :1 I I I I .1 :i I I J I , I I I I I I I I I I " ,j;':" 16. Dr. Rahman is employed in the GettyslJurg Hospital Radiology Department and is ," i,"':~':", board certified by the American Board of Rad'iology. ,\/;",'-:,-1" The relevant standards of care rais~~by Dr. Bernad's opinion appear to focus h" upon the standard of care rendered by Or. Codon and Dr. Dufendach during the <'.iJ emergency room examinations and upon th.~',~tandard of care rendered by Dr. Rahman ",' in interpreti~g the x-ray films. Thus, the standard of care applicable to the actions of Dr. :f.J: Codon and Dr. Dufendach is a standard 9f care exercised by an emergency room physician in examining and treating a patieriE?The applicable standard of care in regard :::!:~~~ to Dr. Rahman is the standard of care,,";applicable to a physician in interpreting ~ :1..1 " .iJ.: radiological films. :.: ':~! 13 A review of Dr. Bernad's qualifications indicates lh~~the time period of his credentials is not an iss~e. Due to the lack of any real issue, and because of theaisposltion herein, it Is unnecessary to determlfle the focal point for the five-year time period set forth i1iS,ection 512(e). However, as previously noted, the legislature clearly chose not to include language diresting that the focal point of the five-year, period be the dale of the alleged negligence. A close revie\,'/'pf the context of the language In Section 512(e) indicates that the focal point of the fIVe-year time periq9for the purpose of this subsection is also the date of testimony of the expert witness. ' / / I 20 081,04/2004 WED 11:17 ~~ 717 ti4U 3434 MCA1SSOCK ~ ~Ol!wau. r~ 'if:! v':tJ I Vo.JU , I, With this background, Dr. Bernad's qualifications may now be examined. Initially, '\' ,:',:!.-, in regard to board certification, it is clear f\9m Dr. Bernad's deposition testimony and '! " curriculum vitae that he is not board certified;'}\' the field of emergency medicine, general , , ~! ,. family practice medicine or radiology. S~E:l)3ernad's curriculum vitae at Defendants' \',.- Omnibus Motion in Limine at Exhibit 0; Bemad's Tr., pp. 18-22. Additionally, Dr. ; ~ Bernad acknowledges that clinical practice guidelines exist in the fields of emergency ':':1 medicine and general family practice of which he is not familiar. See Bemad's Tr., pp. . ",' , ~h~ 27-29,54. In his testimony, Dr. Bemad maRe,S a similar concession when he indicates ::","',' ;'li':""l-' that he is not familiar with the clinical pract!6e guidelines promulgated for radiologists. 11-"< ';'i:<ii1,' :));.1. Id. at p. 29. Critically, Dr. Bernad's testimony:lacks any indication that he is familiar with the standard of care applicable to either 'an emergency medicine or general family i/:.~: practice physician. In fact, a reading of hisgeposition as a whole leads to an opposite conclusion. His testimony in regard to th~:!istandard of care applicable for reading radiological studies is less clear. Alth049h he implies that he possesses such . . . knowledge, ,his deposition testimony lacks~rl,y conclusive acknowledgment that he IS familiar with such a' standard of care.14 ,:~} ".:"' ,<",-.1" ,:!',.;". '<'-. ,j~~~';~;: 14 Dr. Bernad's transcript indicates in relevant part .ih~ following exchange while being questioned by McGlaughlin's counsel: ;;V Q: And are you familiar with the standard' 9f care for reading radiological studies that existed in 1999 and today? ,'i', A; Well, in the sense that I'm not a radiologist, but as a neurologist, we use radiology as an adjunct, as,an assist. ,In some states like New York, for example, neurologists can actually read MRls ;~Qd CAT scans, especially Dent Institute in Northern New York. C;~ In most other facilities, thE\re are radiologists that have taken that particular aspect of medicine. So iii'our area, we read our own CAT scans, MRls, x-rays, but we don't charge for''it In the sense of having a code and so forlh, but It becomes part and parcel iJfevaluating a patient. . If you were to come in and see; me for a seizure, I would either go to the x-ray suite and track down your films or ask you to bring it with you so I can review it. .. . ' ).:Ji. ;; 21. }'" , 08/04/2004 W1!;V ..11.:.10 l'aA loll <>'l:U ol'iol'i J!I.(..:n..LlSlSvl,.;.t\. Dl.l~,.1fU.1..1.IUC:U.L. 't\ij~, , /1 ~. o ,- ~,,'''',,--, ~"-.~~ ~,.~ '='....,....., "'<<1'" ", From the foregoing, it is apparent that Dr. Bernad is not adequately qualified I " ;~ pursuant to MCARE Section 512 to testify:c\s to the standard of care in the fields of :rt,/, emergency medicine or general family pradti~e. He is neither board certified in those ff~ fields nor can I find that the fields in which ~f~iis board certified are substantially similar ,:t#b '.';-!>1" to those of Defendants Codori and Dufen4~ch. Similarly, in regard to his proffered opinion concerning the standard of care applicable to Dr. Codori and Dr. Dufendach, the record lacks any indication that Dr. Bernad is familiar with the applicable standard of , . \~;~' care to these doctors as it existed as of the ,time of the alleged breach. See 40 P.S. S ~/; 1303.512(c)(1 ).15:';f' "J, While it appears that Dr. Bemad ma~rAave similar difficulty in being qualified as ~,i~rp an expert in the standard of care for readin?j'fadiological studies, final determination in :,~1f that regard will await trial testimony. ThEO~'is substantial indication in Dr. Bemad's t:',< testimony that the field of neurology and ra~l'ology overlap in this regard. Dr. Bemad , .'~ " indicated that he reads radiological films ona,/egular basis for the purpose of assisting .i~'~ ."1' in his diagnosis of patients. On the other h,;:md. he has failed to affirmatively indicate ! . N;li~ that he is familiar with the applicable standa.@of care in 1999. Therefore, in the event !?i? that Dr. Bernad is able to affirmatively jndica!~ at the time of trial that he is familiar with , , IllV 'N'-:,~ the standard of care in 1999 applicable to~::physician reading radiological studies, he 'i':~:'~~" will be permitted to offer an expert opinion\rlthat regard. On the other hand, if he is ~~;t: unable to affirmatively make such an inditation, he will be precluded at trial from testifying. Bemad Tr., p. 9, line 21 - p. 10. line 17. A thorough reyiilw of the deposition transcript reveals that the ultimate'issue was never answered. V ( 15 Incidentally, Subsection(c) of Section 512 is consi~tl'mt with previous Pennsylvania case law. Maurer v. Trustees of Univ. of Pennsylvania. 614 A.2d 754 ,(~a.Super. 1992). i:' '!' "i;,: :~~,; 22', "; . I ' "__, ~ 'r'''' _"' , , U~/04/2UU4 WhU ~l:~~ ~AA III ~4U ~4~4 m~Al~~O~K ~ ttu~~mGil. r~ , "'" '--'j,"',; _.' -""~;" ~ ~v't:", V",V j" :r In sum, I find that Dr. Bernad lacks qualifications sufficient to testify in regard to the standards of care applicable to Dr. CodM and Dr. Dufendach. However, in regard : ~:!, !~, . to his opinion concerning Dr. Rahman, I firi~ that Dr. Bemad has sufficient training, Wi, experience and knowledge to provide testirryfilnY in regard to Dr. Rahman's reading of the radiological films provided thattestimony. reveals that he is substantially familiar with the applicable standard of care at issue. I ""ill now turn to the Defendants' Motion for Summary Judgment in light of qisposition of ~~e Defendants' Motion in L1min,e. It is well settled in Pennsylvania law Ji1t summary judgment may be granted only ,S;" in those cases in which the record clearly s~6ws that no genuine issue of material fact I i :~ I , " , 1, ;~,A' exists and that the moving party is entitled:~q judgment as a matter of law. Capek v. I r:: ~ : ;,.,{:1>".' Devito, 767 A.2d 1047. 1048 n.1 (Pa. '2001). In considering whether summary :,+ ' judgment is appropriate, the trial court is req\Jired to review the record in the light most i , , r. 1'" i I' , :'-1 f ~ ,__'i,:J favorable to the non-moving party resolving kll doubts as to the existence of a genuine ~':, " ::';: issue of material fact against the moving p~rty. Potter v. Herman. 762 A.2d 1116, 1119 (pa.~uper. 2000). 'l::E': ~lt;~~! ",1;'."t'i In order to sustain .a cause of actio~,'for medical malpractice, a plaintiff must :I};~':; :':'1' Ii Ii I, i I i-; " 'I ~ ''! ~f establish: 1. ;j>:, J;,~),r, , The physician owed a duty to t~~ patient; 2. The physician breached that d~.W; " 3. The breach of the duty was 'the 'proximate cause of, or a substantial factor in, bringing about the ha~t suffered by the patient; and 4. The damages suffered by the"~atient were a direct result of that harm.'" ~!,:'. 'tJ 23 U~/04/2004 W~ll ii:i~ <, '" , ~AA Iii ~4U ~4~4 M~A~~~O~a ~.nvL~wau. ~v " ~" '"""-',"' ".0-"'--"' T", 't!:l vvv' vvv F i ,~ ' !,' ; "i s:/ i i i t. ), ,.n"",:.'; . t~: Eaddy v. Hamaty, 694 A.2d 639, 642 (Pa.Super. 1997). Implicit in this burden is a requirement that the plaintiff offer an expert witness who will testify to a reasonable degree of medical certainty that the acts of tl)e defendant physician deviated from good and acceptable standards. /d.; Mitze/felt v.J5amrin, 584 A.2d 888, 892 (Pa. 1990).16 I I' , ~'" I , . r' l f I I E I f , I I \' An exhaustive review of the record .in this matter indicates that McGlaughlin is f".'.." unable to present admissible expert tesfi~ony in regard to the standard of care {if' applicable to Dr. Codon's and Dr. Dufendach's actions. Accordingly, the Defendants' ,-'} . ;,~r,:l:~ Motion for Summary Judgment will be grcjnted. Counts 6, 7, 16 and 17 will be , I: d~.;-' dismissed with prejudice. There appears to be a question of fact in regard to the ability of Dr. Bernad to render an expert opinion it'\:'regard to the standard of care applicable to ;.}~ Dr. Rahman's actions. Since a genuine",issue of material facts exists, summary ",~" judgment in this regard is not appropriate.:?see Capek, cited above. McGlaughlin:s kr: :~ ;~~~;: vicarious liability and loss of consortium~taims against Gettysburg Hospital will be ;\.1, "r,,"~ limited to the conduct of Dr. Rahman. ,;,~';~; 'J}' ",~ i For the foregoing, reasons, the Cour(entered the Order of September 5, 2003. . '~! !'l !,,' f] ti 1:1 , ;:1 rl II ii U ;'J ~/!~ 2o::ry. This being a true and atte ted copy taken from and ,ompa.... with the ~ A~~~ . Deputy notary "I' "'r'~ :! r1 !i Date filed: September 12, 2003 M~ MICHAE . EORGE JUDG BY THE COURT: II !: " 15 Pennsylvania courts have recognized an exception'to .this general rule where .th~ matter in dispute ~s so simple and the lack of skill or want of care so"obvlouS as to be comprehensible by lay persons. Maurer, 614 A.2d at 768 n.2. McGlaughlin has not arQued, nor do I find any support in the reC?rd for the argument, that the issues involved in the current Iiligation are ~o obvious as to be comprehensible by lay persons. ' , 24 , , ,',~l', -- ,-' ~' - CERTIFICATE OF SERVICE I HEREBY CERTIFY that I served a true and correct copy of the foregoing on all counsel of record by placing the same in the United States mail at Camp Hill, Pennsylvania, first-class postage prepaid, on the day of , 2004, and address~d as follows: April L. Strang-Kutay, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 (Counsel for Plaintiffs) MARGOLIS EDELSTEIN By: Secretary _ ,u, , ,-I., "; MARIE A SAVARD, MoO, 421 Owen Road Wynnewood, PA 19096 -.---, '--''''..-~ , April 8, 2003 Telephone: (610) 560.7240 Fax: (610) 64~1 :,",,:, E")al,I,:"~rs~~~l'~~9~~~~.net Michael M. Badowski, Esquire Margolis Edelstein P. O. Box 932 Harrisburg, P A 171 08-0932 RE: LEBO VS. SYLVESTRl, ET AL DOCKET NO. 00-2990 CIVIL TERM FILE NO. 57300.4-0082 Dear: Mr. Badowski: ii I have reviewed the Plaintiff expert reports of Dr. Arnold 1. Lentnek and Dr. Robert N. Dunn and offi:r the fullowing supplement to my original report dated June 28, 2001. EXPERT REPORT OF ARNOLD L. LENTNEK. MD: Dr. Lentoek summarized Carl Lebo's surgical history noting only the office visits with Dr. George Sylvestri, a general internist, and not noting the multiple contacts with Dr. Rubo, Mr. Lebo's treating surgical physician, and his covering partner had made. Dr. Lentnek ignored significant parts of Mr. Lebo's post-operative history and therefore fuiled to take into consideration the entire context of Mr. Lebo's problems when reviewing the care and treatment by Dr. Sylvestri. i: Dr. Lentnek stated that Carl Lebo developed rever and recurrent shoulder pain that was "brought to tbe attention of the patient's primary care doctor, Dr. Sylvestri." (Dr. George Sylvestri was not Mr. Lebo's primary care doctor as he had seen him on June 9 for the first time, which he subsequently noted in his report, on an urgent basis at the suggestion of Dr. Rubo's covering physician.) He also fuiled to note that Dr. Sylvestri knew that Mr. Lebo was already under the continuing postoperative care of Dr. Rubo for evaluation and treatment. Dr. Sylvestri would have reasonably assumed that any surgical complication would be recognized and treated by Dr. Rubo, the surgeon, rather than an internal medicine physician. (To suggest that a primary care physician is expected to diagnose and treat a postoperative wound infection rather than the surgeon is absurd.) ~" ~'! t , ;', " r , j1 , f Ii I: I: i: I "",",,'<li -<-'-J--___ - ~ ,-, ' ." ," Dr. Lentnek went on to report in great detail the comprehensive evaluation that Dr. Sylvestri performed on Mr. Lebo as a general internist. Dr. Lentnek stated that Dr. Sylvestri did not advise Mr. Lebo to confer with his orthopedic surgeon or even advise the orthopedic surgeon of these new complaints. (It is evident from Dr. Sylvestri's deposition testimony, as well as Mr. Lebo's own actions, that it was well understood that Mr. Lebo was under the ongoing care of Dr. Rubo's office and that Mr. Lebo had telephoned his treating surgeons on a number of occasions reporting his numerous complaints.) Dr. Lentnek also does not note that Mr. Lebo contacted Dr. Sylvestri's office for consultation upon the recommendation of Dr. Rubo's office. Therefore, Dr. Sylvestri had every reason to believe that Mr. Lebo was under the ongoing care of Dr. Rubo and his staff and that a postoperative complication would have been diagnosed and treated by Dr. Rubo, not by Dr. Sylvestri , i , i; i-: i,j , ,-; Dr. Lentnek further notes that Dr. Rubo evaluated Mr. Lebo on June 16, fuur days after an office visit with Dr. Sylvestri Dr. Rubo noted that Mr. Lebo had a "possible postop infection" and prescnbed an oral anubiotic and discharged Mr. Lebo to home. It is therefore unreasonable to suggest that Dr. Sylvestri is respollSlble for any delay in treatment of Mr. Lebo's postoperative wound infection when, in filct, Mr. Lebo's surgeon, Dr. Rubo, evaluated Mr. Lebo after Dr. Sylvestri's evaluation and Dr. Rubo did not recommend parenteral antibiotics and surgical drainage (which would have been standard to treat a deep- seated infection). Ice f; ;': )i ~': i " I; Four days after Dr. Sylvestri's last contact with Mr. Lebe Dr. Rubo was uncertain of the diagnosis, and considered only a "possible post-op infection". It was therefore Dr. Rubo and his office staff that was not only responsible for the unfortunate development of the postoperative infection but as well responsible for the delay in the timely and apparently necessary surgical treatment of the infection. Suggesting that Dr. Sylvestri was responsible and not Dr. Rubo and his office is ridiculous. Twenty-four hours after Dr. Rube's evaluation of Mr. Lebo for a "poSSible postop infection," Mr. Lebo again returned to Dr. Rube, and again there was significant delay in the diagnosis and treatment of Mr. Lebo's deep-seated surgical infection. Dr. Lentnek apparently is critical of Dr. Rubo, the treating surgeon, as well in his report in that he notes that "a wound infection must be diifurentiated from a stitch abscess. This latter process, representing a very localized fureign body reaction to suture material is virtually never associated with fever or systemic symptoms, does not result in wound dehiscence, and resolves readiIy once the superficial offunding suture is removed. In contrast, a wound infection, especially severe, may be associated with fever and systemic symptoms and usually requires both local debridement and systemic antibiotics to resolve." Of note, Dr. Lentnek stated in his report that during the June 16 visit with Dr. Rubo that Dr. Rubo himself stated that "on physical examination the incision was read and appears to be showing some sort of reaction to his Viczyl suture, particularly to the superior aspect of the incision where his knot has been tied." A surgeon would be expected to make that distinction 2 - L .~ whereas a primary care physician who is evaluating a patient at the suggestion of a surgeon certainly would not be expected to make that same distinction. Dr. Lentnek states that the care provided by Dr. Sylvestri on the initial visit met the standard of care, yet he is critical of the followup visit on June 12, stating that his :fuilure to begin broad-spectrum antibiotics led to a further delay and soft tissue destruction and long-term dysfunction. Dr. Rubo :fuiled to diagnose a deep-seated surgical iofection four days later and was therefore primarily respollSlble for the delay in the apparently necessary surgical and parenteral antIbiotic treatment. Dr. Lentnek's fuilure to mention this obvious filet that Dr. Rube and his associates were primarily responsible for the postoperative care and the diagnosis of the wound iofection was glaringly apparent from reading his expert report. Although Dr. Lentnek's curriculum vitae is not included, I presume he is an infectious disease consultant and one who would commonly manage postoperative wound iofections in a hospital setting in consultation with an orthopedic surgeon. Dr. Sylvestri, however, is a general internist, not an infectious disease consultant, and would not necessarily have the experience and training managing in consultation with orthopedic surgeons postoperative wound iofections in a hospital setting. The standard of care for Dr. Lentnek, if indeed he is an infectious disease consultant, in a hospital setting is obviously quite different as the standard of care for Dr. Sylvestri. Specifically, an infectious disease consultant in a hospital setting evaluating a postoperative fever is obviously consulted to aSsess the possibility of iofection and postoperative problems whereas Dr. Sylvestri was clearly consulted to evaluate a fever that was felt distinct and unrelated from his postoperative problems, as Dr. Rubo's own staff had referred him to the internist fur further evaluation of his complaints (that were therefure presumed not to be of infectious or an operative complication by Dr. Rubo' s staff). EXPERT REPORT OF ROBERT N. DUNN. MD: The expert report of Dr. Robert Dunn was reviewed. Dr. Dunn is an orthopedic surgeon. Dr. Dunn notes in his report that the first mention of any evidence of a possible iofection that Dr. Rubo was aware of was on the June 16, 1998, visit. (There is evidence in the deposition transcripts of Mr. and Mrs. Lebo that Dr. Rube's office was apprised of his signs and symptoms long before the June 16, 1998, visit.) Dr. Dunn notes that by June 17 the use of IV antibiotics "certainly greatly slowed down the infuction, although an open debridement was necessary in order to clean out and eradicate it." This open debridement did not occur, however, fur an additional five days because of Dr. Rubo's delay (and not the fault of Dr. Sylvestn). Dr. Dunn, the orthopedic expert surgeon, 3 ~...,;:,~, ~,: j ':j , " " , ,I ! ,ii , 1 , II , " !i r! " II Ii 1'1 Ii !I Ii il I, j'1 ,1 " :1 )1 " 'i II 'I I ,i II I' Ii II I, !'i 'I " " " ii II therefore suggests that it was Dr. Rubo that failed to recognize the need fur open surgical debridement and was responsible for the delay in such treatment. Dr. Dunn does not note in his report the multiple phone calls of Mr. Lebo to Dr. Rubo's office complaining of signs and symptoms that should have prompted his more thorough evaluation by Dr. Rubo and earlier diagnosis and treatment. Dr. Dunn also states that Dr. Rubo "did not take a history of temperature, rever, chills, etc., when he saw the patient on June 16 and therefore deviated from the accepted standard of care. By this point, the damage had already been done." He then notes, "Dr. Syivestri's fuilure to appropriately diagnose was a substantial contnbuting fuctor in the patient's loss of his rotator cuffrepair." Again, as noted previonsly, Dr. Dunn fuiled to note that it was Dr. Rubo's office that was apprised of his temperature, rever, chills, pain, etc., on a number of occasions, even prior to Dr. Sylvestri's care and treatment; and therefore it was Dr. Rubo's office that was responsible fur the significant delay in the diagnosis of infection and treatment. Furthermore, it was because of Dr. Rubo's office being aware of his postoperative fever, chills, pain, etc., and subsequent rererral to Dr. Sylvestri that led Dr. Sylvestri to presume that a postoperative infuction had been considered and excluded by the surgeons and that another source of rever was to be investigated from an internal medicine perspective. Of note, Dr. Dunn, did not review the deposition testimony of Dr. Sylvestri and Mr. and Mrs. Lebo and therefure was not aware of the multiple phone calls and contacts with Dr. Rubo's office and staff concerning his complaints of postoperative rever, chills, pain, etc., and therefore not aware that even prior to Dr. Sylvestri's evaluation that these symptoms were ongoing and yet a deep wound infection was not suspected by his own treating surgical statE Finally, Dr. Dunn was therefore not aware that it was Dr. Rubo's staff that suggested that Mr. Lebo see an internal medicine physician for evaluation of his rever, chills, etc. (Any reasonable patient would understand that if they were rererred by their surgeon to see an internal medicine or primary care physician that a surgical problem was excluded. Certainly, the diagnosis lU)d treatment of a postoperative wound infection is not a medical one, but rather one that is diagnosed and treated under the care of the treating surgeon, sometimes in consultation with infectious disease specialists.) Summary and Conclusions It remains my belief to a reasonable degree of medical certainty that both Dr. Rubo and Dr. Rycbak, Dr. Rubo's associate, were apprised on a number of occasions of Mr. Lebo's postoperative problems, including rever and pain, and yet they failed to provide the appropriate and necessary eva1uation and treatment. Rererring the patient to a general internist for care and treatment of a postoperative wound infuction that requires additional surgical management is obviously ridiculous and obviously makes no sense. 4 ,--" Although Mr. Lebo stated in his deposition that he believed Dr. Sy1vestri should have diagnosed the mrection because Dr. Rubo was "only an orthopedic surgeon," that obviously is not an opinion shared by practicing physicians and most patients. Any physician or patient would . understand that an orthopedic surgeon would manage postoperative surgical complications and that a general internist (or fumily doctor) would manage medical problems. Finally, Dr. Dunn, the expert orthopedic surgeon, states that had Mr. Lebo received earlier diagnosis and surgical treatment of his wound in:fuction that he would not have suffered the damages that he has. Be notes that Dr. Rubo's fuilure to take a history of fever, chills, etc., deviated from the accepted standard of care. What he fuiled to know, as well, was not only did Dr. Rubo deviate from the accepted standard of care by fuiling to ask those questions on June 16, but that his associate, Dr. Rychak, was told of those symptoms much earlier (and prior to Dr. Sylvestri's evaluation) in Mr. Lebo's postoperative course and yet Dr. Rychak as well fuiled to recommend the necessary and timely treatment that would have prevented loss ofhis rotator cuff function. IfI can be of further assistance, please do not hesitate to contact me. Sincerely, ~~ Marie A Savard, MD MAS!Im1 5 ,,~ - '.- 10 0' - ~ ~~ ' MARIE A. SAVARD, MoO, 421 Owen Road Wynnewood,PA 19096 Telephone: (610) 896-1995 Fax: (610) 649.0431 Email: savardsys@aol.com June 28, 2001 Michael M. Badowski Margolis Edelstein Post Office Box 932 Harrisburg, Pennsylvania l7l08~0932 RE: LEBO v. SYLVESTRI, at al DOCKET NO. 00-2990 CIVIL TERM YOUR FILE NO. 57300.4-0082 Dear Mr. Badowski, I reviewed the records of Carl R. Lebo which included the following: 1. Plaintiff's complaint; 2. Records from Cowley Medical Associates (Dr. Sylvestri); 3. Records from Polyclinic Medical Center, May 27, 1998; 4. Records from Polyclinic Medical Center, June 17, 1998; 5. Records from Ernest R. Rubbo, M.D.; 6. Records from David Richard, M.D.; 7. Dr. Sylvestri's deposition transcript; and 8. Deposition transcript of Carl and Beverly Lebo. It is my belief within a reasonable degree of medical certainty that the care provided Mr. Lebo by Dr. George Sylvestri was well wi thin the standard of care for a general internist and primary care physician. Specifically, Dr. Sylvestri evaluated Mr. Lebo on an urgent basis and performed a comprehensive evaluation and differential diagnosis and treatment plan. Dr. Syl vestri knew that Mr. Lebo was under the continued post-operative care of Dr. Rubbo for evaluation and treatment and would have reasonably presumed that any complications from that surgery would be handled by Dr. Rubbo. Dr. Rubbo acknowledged that Mr. Lebo was referred for a general medical evaluation in search for other causes of his symptoms believing that his symptoms were unrelated to the surgery. 1 -, ~ It was Dr. Rubbo and his covering surgical physicians that were responsible for diagnosing post-operative complications such as a wound infection. As a general internest, Dr. Sylvestri was asked to evaluate Mr. Lebo for medical problems, relying on the treating surgeon to evaluate surgical problems such as deep wound infection. Medical History Medical Records of Dr. Ernest Rubbo On May 6, 1998 Mr. Carl Lebo presented to Dr. Rubbo for evaluation of a work related lnJury. He was a 62 year-old grounds keeper at The Country Club of Hershey when he lost his balance landing on his b~nt elbow and injuring his right shoulder. He denied previous problems with his right shoulder until this injury. Since the injury he described weakness and limitation of motion of his right upper extremity and he could "not move his arm away from his side without severe pain". He was taking Motrin without improvement. His work-related doctor, Dr. David Richards, placed him on 800 mg. of Motrin and referred him for further evaluation. His past medical history was significant for a previous left knee osteotomy in 1996. His only medication was Motrin. His family history was significant for heart disease. His father had a previous heart attack. He denied smoking, alcohol or drug abuse. On physical and marked resistance. exam he had severe decrease of motion because of pain weakness was noted to external rotation against He was treated with an injection of 1 cc Dexamethasone and 1 cc of Aristocort (steroids) to give him relief. He also underwent an MRI evaluation. An MRI study revealed full thickness rotator cuff tear of the right shoulder. He was advised of operative and non-operative treatment options. He was advised of complications including "infection, decreased range of motion, pain, swelling and stiffness". Mr. Lebo decided to proceed with surgical repair which was scheduled for May 6, 1998. On May 27, 1998 Dr. Rubbo noted that Mr. Lebo underwent arthrotomy of his right shoulder. A large rotator cuff tear was noted with "attachment of the Supr1'lspinatus as well as the subscapularis and . 2 , ~ - ~-, :1 'i 'I !i l: lJ ~ i Ii ~ i 'I '-j i i II " :1 u I-J :'1 i,i I ;i 1-; ~:i , ~ I~':""- ,~.. '-""'<- .., a portion of the infraspinatus tendon as well. It was described as "complex in nature as well as destruction of his bicep tendon". A "Sta-Tek suture was used for the subscapularis repair". The rest of the tendon repair was with non-absorbable sutures. On June 3, 1998 Mr. Lebo returned one week post repair of his right rotator cuff. Dr. Rubbo's notes reveal the following: "Today his wound appeared to be healing nicely. He was changed from a shoulder immobilizer to a sling and I've instructed him on pendulum exercises as well as passive range of motion exercises." Dr. Rubbo further recommended that he return in 2 weeks for a follow up visit when physical therapy would be instituted. Mr. Lebo returned on June 16, 1998 to Dr. Rubbo, 3 weeks post rotator cuff repair for his regularly scheduled appojntment. Mr. Lebo had previously telephoned Dr. Rubbo's office, speaking to a covering doctor complaining of severe pain and fever yet not given an earlier appointment to be evaluated for this post-operative problem. Instead he was referred to a general physician to evaluate him for other medical problems. "He complains of pain in his right shoulder as well as some fever. He also relates an episode where he will get numbness and tingling in his arm as well as a strange feeling in his head and face. He was recently seen by an internist for this". (Dr. Rubbo notes that his evaluation by the internist was for evaluation of his episode of numbness and tingling in his arm and the strange feeling in his head and face.) On physical examination Dr. Rubbo noted: "Some redness to his incision and appears he may be showing some sort of reaction to the Vicryl suture, particularly to the superior aspects of the incision where his knot has been tied". It was Dr. Rubbo's impression that Mr. Lebo was "3 weeks status post right rotator cuff repair with possible staph infection". Mr. Lebo was given a prescription for oral Keflex and asked to return in 2-3 days time to see if he shows any improvement or sooner if his pain and swelling should get worse. "If so, then he may require IV antibiotics for his right shoulder". Dr. Rubbo specifically did not contact the internist about his evaluation and findings, did not request a copy of or order a CBC and sed rate or other cultures of the possible infection he was treating. Furthermore, Dr. Rubbo did not comment upon the multiple phone calls that were made to his answering service in the days following surgery. On June 17, 1998 Mr. Lebo returned noting that he pustule on the anterior aspect of his incision described as quite painful. Purulent material was 3 had a small and it was drained from .~^---~,''"--.' , " the pustule that was believed to be superficial. Dr. Rubbo debrided the area and cut out a large vicryl knot. Aerobic and anaerobic cultures were obtained. (Patient had already received apparently 3 doses of antibiotic). He was then admitted for intravenous antibiotic treatment and daily dressing changes. On June 22, 1998 Mr. Lebo returned in follow up for his recent hospitalization where he underwent incision drainage and treatment of the infection of his right shoulder (this was 6 days after Dr. Rubbo diagnosed a post-operative infection). It was noted that purulent material was seen underneath the deltoid. It was further noted: "The rotator cuff repair that was done 3 weeks ago was completely undone and Ethibond suture was noted to be loose". The rotator cuff was believed to be massive and "irreparable". The rotator cuff was "debrided to viable tissue and then left alone". He was to complete a course of intravenous antibiotics with home IV for 40 days and a follow up with Dr. Rubbo. , , !] ! " [ , I , i On June 30, 1998 he returned for a second visit and it was noted that he no longer had the pain that he had had in the past. It was Dr. Rubbo's impression that Mr. Lebo was "status post failed repair of rotator cuff with postoperative infection". He continued to be followed by Dr. Rubbo and he began physical therapy. , I I i: I I: ! In September of ,1998 he was advised that he could perform light duty with any job that does not involve the use of his right upper extremity. f' L~ I, A final office visit on April 6, 1999 with Dr. Rubbo notes that he is 10 months post rotator cuff repair complicated with infection postoperatively where the repair came apart. Dr. Rubbo stated: "He's coming along as well as one can expect with this situation. He could actively abduct his right shoulder approximately 30-35 degrees and has marked weakness to his right shoulder". Dr. Rubbo further stated: "I do not feel there is anything more to offer him and I will see him back on an as needed basis". Mr. Lebo was placed on permanent restriction of light duty and was working at the country club on a part time basis, driving golf carts at that time. Polyclinic Medical Center Admission 5/27/98 The records of Mr. Lebo's initial hospitalization at the Polyclinic Medical Center for repair of his right should rotator cuff injury were reviewed. The records reveal that Mr. Lebo was given three (3) intravenous doses of the broad spectrum antibiotic 4 ~ , , ,," Kefzol as requested by Dr. Rubbo for prophylaxis against infection. Preoperative blood work drawn on May 22, 1998 revealed normal electrolytes, BUN and creatinine as well as blood sugar and calcium. His alkaline phosphatase was normal at 87 (30-115 normal range). His Alt (SGOT) level was elevated at 75 (normal 24-65) and his total bilirubin was minimally abnormal at 1.1 (normal 0- 1.0). His GGTT, another test of liver function, was elevated at 190 (normal 5-85). In addition, his preoperative white blood count was elevated at 11,900. (He had recently received a total of 2 cc of intra-articular steroids which may have been a factor in the elevated white blood count). On differential he had an increased percentages of neutrophils at 80% (normal 50-70) and 8% bands or young neutrophils, with a decreased lymphocyte count of 6% (normal 25-45). f, ~ I;, 'I "j ;\j , ~ 1 At discharge Mr. Lebo was instructed to use ice for 24-48 hours and to take Vicodin, a narcotic analgesic, 1-2 pills every 4 hours as needed for pain and to resume any regular medication (this implies he should resume Motrin, 800mg. Tablets). He was also advised to be seen in 10-14 days with Dr. Rubbo. He was given a prescription for Vicodin by Dr. Rubbo at discharge. (' 0,1 " H ii !'; ~ I U U [i ,I i: The abnormal liver function studies, elevated white blood count and left shift required evaluation before elective surgery which was not done. Furthermore Mr. Lebo should have been alerted to the abnormal tests so that when he was referred to a general internist for further evaluation, this information could be taken into consideration. i: i; i" " " , Medical Records of Dr. George Sylvestri On June 9, 1998 Mr. Lebo presented to Dr. Sylvestri for the first time for evaluation of an acute complaint. His weight was noted to be 178 pounds, blood pressure 134/82 in his left arm and temperature 100.6. The medical assistant noted the following history: "Complained of an episode one week ago of severe pain in head associated with tingling and numbness of body and dizziness-- patient on Motrin 800 mg. for pain of right shoulder--recent rotator cuff surgery. Headache persists and fever daily". Dr. Sylvestri noted the following history: "New patient in 20 minute acute slot. 2 weeks status post right shoulder rotator cuff surgery. One week headache, facial numbness, shortness of breath, palpitations. Felt to be reaction to Motrin so 5 - ',-," ',." discontinued (it appears he may have been taking toxic doses of Motrin, so this was reasonable consideration). Fever to 101 since. Still feels lightheaded. Positive nausea, positive frontal headache, positive paresthesia of both hands, some pain in right shoulder, positive cough--dry". Dr. Sylvestri noted the following medications: Motrin as needed and that there was no known allergies except anaphylaxis to shellfish. Past medical history was essentially negative except for left knee surgery in 1996. He was noted to be a non-smoker and that he was a retired computer specialist who was also a non- drinker. It was also noted in parenthesis; "mother died this morning at time of coronary artery bypass grafting". On physical examination he was anicteric. His extraocular movements were normal and his pupils were equal and reactive to light. His neck was supple. He had no abnormal lymph nodes. His right shoulder revealed "decreased range of motion, negative fluctuance or erythema around wound." His lungs were reported to be clear, heart was normal without a murmur and abdominal exam was soft, non-tender without liver or spleen enlargement. He had no peripheral edema. His cranial nerves were intact. He was oriented. His speech was fluent and his motor exam was non-focal. > !; I; " f' I:: t' I,: ~ : [: This represents an extremely comprehensive, general physical examination and neurologic examination (comprehensive evaluation of the wound was the responsibility of Dr. Rubbo). A chest x-ray was done and immediately reported to be negative. Hemoglobin was normal at 14.7 and white blood count normal at 8,700. (In fact, it was reduced from the preoperative elevated white blood count of 11,900). The impression was postoperative fever of unknown origin and the treatment plan was "check liver function studies, SMA, sedimentation rate, and hold off antibiotics but follow up in 3 days". ;,; 1:1 I: I'! ! This represents an extremely comprehensive emergency evaluation of a patient who had an unexplained neurologic event and fever. Although Dr. Sylvestri reasonably considered a postoperative infection in his differential, his role as a general internist in a patient who was already receiving ongoing care by the treating surgeon, was to evaluate Mr. Lebo for general systemic or other causes of his complaints. A general internist would reasonably expect the treating surgeon to have the expertise and be in the best position to diagnose a post-operative wound infection. The treating surgeon alone knew of the pre-operative abnormal blood studies, the steroid injection (increases the risk of infection) and the intra-operative findings and surgical technique. 6 o ", '. ., ~ ,-,,,,o:.:.i,j., ' . '. Mr. Lebo returned 3 days later as requested. His weight was 178 and his blood pressure was 146/80. According to Dr. Syl vestri' s notes, Mr. Lebo remained febrile with temperatures between 99 and 102 but "overall may be a little better". He continued with a frontal headache and sore neck with no abdominal pain or diarrhea. Dr. Syl vestri noted an increased sedimentation rate of 63 and abnormal liver function tests. He further noted that Mr. Lebo "had received letter from Red Cross in '96 that they could no longer accept his blood". Dr. Sylvestri also noted that Mr. Lebo was still with significant right shoulder pain. On physical examination his temperature was 99 and he did not appear toxic. He again was anicteric (no jaundice). His neck was supple and his lungs were clear and his cardiac exam was normal. His right shoulder exam revealed tenderness without increased warmth erythema and that his "wound is clean" (the treating surgeon and not the internist would have performed a detailed exam of the surgical site). I C I I !-, :;' ~ , Ii:; ~ ': Dr. Sylvestri's impression was that Mr. Lebo had a postoperative fever without a source. He further stated: "Would expect increased erythema swelling of the wound if joint infected". He further noted increased abnormal liver function studies were non- specific but needed follow up and that the increased sedimentation rate was non-specific as well. (In the postoperative setting the sedimentation rate would be elevated.) The treatment plan was not to give antibiotics for now but to follow up in one week and check the sedimentation rate and liver function studies again. , , " I, I, 1': r:: ~: I i" n ~~ Blood work drawn by Dr. Sylvestri on June 9, 1998 revealed white blood count of 8,700 with 82.5% granulocytes, 3.9% monocytes and 13.6% lymphocytes. His hemoglobin was 14.7 and hematocrit 43.1 and his platelets were normal. This essentially represents a normal complete blood count with a minimal left shift consistent with recent surgery and pain. In addition, his sedimentation rate was noted to be 63 (normal 0-10). Again, the increased sedimentation rate is a non-specific finding of inflammation and consistent with a postoperative setting and/or chronic inflammation from previously undiagnosed liver disease. Other blood studies revealed a hepatic profile that was abnormal including an elevated alkaline phosphatase of 275 (normal 30-80), elevated ASP/SGOT of 61 (normal 12-26) and elevated ALT/SGPT 171 (normal 4-31). These abnormal liver function studies are quite significant and reflect some underlying presumed chronic liver disease. His history of previous rej ection for blood donations suggests he has a chronic undiagnosed liver abnormality and it was 7 , ""' reasonable and medically appropriate for Dr. Sylvestri to recommend follow up of this condition (which should have been the recommendation of Dr. Rubbo pre-operatively as well) . It was reasonable that Dr. Sylvestri would presume that Mr. Lebo's postoperative care for his shoulder including evaluation of his wound, complaints of continued pain, etc. would be done by his treating physician who he would continue to see his patient on an ongoing basis. It is ridiculous to suggest that a medical consultant would focus primarily on the surgical problem. Mr. Lebo's general medical condi tion was the purpose of his presentation to Dr. Sylvestri in the first place. Mr. Lebo returned to Dr. Rubbo, his treating surgeon, 4 days after the second visit with Dr. Sylvestri for his routine follow-up visit, still complaining of pain and fever. For the first time, redness and a possible reaction to the suture was noted. Dr. Rubbo suspected an infection and instituted oral antibiotics without requesting immediate hospitalization. It was not until one day later when Mr. Lebo returned with the pustule and purulent material that Dr. Rubbo then recommended hospitalization. Mr. Lebo was admitted to the hospital on June 17, 1998 from Dr. Rubbo's office. He was begun on intravenous antibiotic therapy. However, because of persistent drainage, he underwent irrigation and debridement of the wound on June 22, 1998 when he was noted to have soft fiber tissues and evidence of infection. He had a coagulase negative staph species on a subculture. In consultation with an infectious disease specialist his antibiotics were changed to Vancomycin. It is evident that once admitted to the hospital another 5 passed before Mr. Lebo received appropriate debridement antibiotic therapy for his wound infection. On July 6, 1998 Mr. Lebo returned and was treated by Dr. Sylvestri for a reaction to his Vancomycin. Dr. Sylvestri consulted the infectious disease expert as of that visit for advice concerning his presenting complaints and to recommend appropriate treatment. days and His final office visit on September 10, noted that he had no new complaints and Vancomycin previously. He was' advised physical examination. 1998 with Dr. Sylvestri that he had finished his to return for a yearly 8 ~ .",-; ,...'., _,",d~ " " '_d_' Review of Deposition Test~ony of Car1 Robert Lebo Mr. Lebo stated that following his injury at Hershey Country Club he was referred by the company doctor to see a Dr. Richards who began the Motrin therapy. Mr. Lebo stated that he did well following the surgery for the first day or so but then during the weekend he had an episode where he experienced "pounding headache, ringing in my ears and lights flashing in my eyes and tingling in my arms that lasted for quite awhile". This episode apparently occurred before the first post-op visit with Dr. Rubbo yet Dr. Rubbo did not comment upon this in his evaluation. Mr. Lebo telephoned his son, a dentist, asking whether or not this could be a reaction to the Motrin he was taking for his severe pain. His son advised him to talk to Dr. Rubbo because he did not think Motrin would do that. This was the Saturday following the operation and apparently prior to the first postop visit with Dr. Rubbo. Dr. Rubbo's office was called and Dr. Rychak was on call. He suggested that Mr. Lebo cut back on the Motrin. (Mr. Lebo was taking 6 800 mg. tablets of Motrin and he was advised to cut back to 4). This represents an excessive dose of Motrin, that is 4800 mg. a day and certainly could explain his toxic side effects. Cutting back to 4 was inappropriate. He should have discontinued them altogether. Furthermore, Mr. Lebo did have a prescription for Vicodin already from Dr. Rubbo and he was advised to take Vicodin postoperatively at discharge. Mr. Lebo stated that he started to have fevers and cold sweats ever since that episode. Mr. Lebo stated that he did tell Dr. Rubbo about the event and the fever. It was therefore Dr. Rubbo's responsibility to consider the broad and appropriate differential diagnosis of his complaint and recommend appropriate evaluation and treatment. Mr. Lebo stated that infection never crossed his mind. "I didn't even think that anything-- an infection -- would take place." It is therefore apparent that Dr. Rubbo did not suggest to Mr. Lebo the possibility that he could have a postoperative infection, given his complaints of fever as well as severe shoulder pain. Following his initial visit with Dr. Rubbo, Mr. Lebo's pain was getting more intense and he called Dr. Rubbo's office again on a Saturday morning. He again talked to Dr. Rychak, the covering physician. Dr. Rychak stated he would speak to Dr. Rubbo about his complaints. "He also suggested that I see a doctor or internist and talk to him about my problem". It is therefore evident, based on Mr. Lebo's deposition testimony that Dr. Rubbo's covering physician did not consider a post-operative infection and 9 " . ",-'"'^ " -I,,,, had taken the responsibility to refer him to an internist for further evaluation and that he would also alert Dr. Rubbo to Mr. Lebo's telephone call. It is the responsibility of the treating physician to consider postoperative infection and recommend appropriate evaluation and treatment. It was the responsibility of the general internist to exclude other causes for Mr. Lebo's continuing, ongoing complaints, but not to primarily perform a postoperative evaluation related to the surgery, per se. Mr. Lebo stated that he had difficulty finding other doctors to handle his case because he was a workman's compensation problem. Dr. Sylvestri, however, was able to see him that following afternoon immediately after his telephone call for an appointment. Mr. Lebo stated in his deposition that he told Dr. Rychak about "the fever, chills and the pain in the shoulder getting worse, and the look to him as if it were getting red". He stated Dr. Rychak did not suggest to him the cause of his symptoms. He did state that Dr. Rychak wanted to talk to Dr. Rubbo about it, however. Mr. Lebo stated that Dr. Sylvestri did not examine his shoulder during the visit. Although this statement is in contrast to Dr. Syl vestri' s documented note of evaluating his shoulder, even if Dr. Syl vestri had not removed the dressing that Dr. Sylvestri' s role in evaluating Mr. Lebo was to consider non-surgical causes of his fever and symptoms. As noted, a comprehensive evaluation of the surgical site was presumably done by the treating surgeon who was actively following the patient as well. Mr. Lebo stated that Dr. Syl vestri prescribed Vicodin for him. This is in contrast to Dr. Sylvestri's deposition testimony. Furthermore Mr. Lebo was prescribed Vicodin by Dr. Rubbo as documented in the discharge summary. Mr. Lebo stated that he volunteered to Dr. Sylvestri that he was turned down for blood donations in the past and he believed the reason was "I had given an excess of 70 pints of blood and I thought maybe that was enough and they didn't want it anymore". The Red Cross would not deny blood without suspicion of abnormality and would have alerted Mr. Lebo to that. Mr. Lebo's failure to follow up, given the previous letter from the Red Cross, and evaluate his abnormal liver function studies would have alerted his subsequent physicians to the possibility of a chronic infection and need for special precautions in his care and treatment. Mr. Lebo did nothing following that letter from the 10 c', ",u ,'d,"~-- .- " , ~'" ,,', ,,,--;,., I ~ j 'I :1 II I, ,I :1 :1 11 !I Red Cross. Mr. Lebo stated that his second postoperative visit with Dr. Rubbo was a regularly scheduled appointment and that before this appointment he noted oozing, the bandage was stained and it was red and yellow with redness protruding from the outside of his bandage. He then saw Dr. Rubbo who began the oral Keflex antibiotic as discussed above. He also recalled being advised to put warm compresses on his wound and incision. He stated that when the pustules appeared after that visit he telephoned Dr. Rubbo and again received Dr. Rychak who recommend he return to the hospital the following morning. ' Mr. Lebo stated that the following morning Dr. Rubbo removed the bandage and lanced the area. "Everything just exploded out, pus and green sediment and blood". (Dr. Rubbo did not recognize the need for hospitalization, IV antibiotics and possible debridement just 24 hours earlier so how could a general internist know to recommend such treatment a number of days before?) Mr. Lebo recalled that it was the infectious disease consultant who recommended the incision and drainage, not Dr. Rubbo who simply treated him with intravenous antibiotic after the initial lancing of the incision. It was also the infectious disease specialist who recommended the change in antibiotics to Vancomycin. i I I I) I .1 :1 I [I II I , 'I Mr. Lebo's final note when asked about the care provided to him by Dr. Rubbo and why he did not sue Dr. Rubbo he stated: "I think he did what he was supposed to do. Of course, he's not an internist, he's just an orthopedic surgeon. He was concerned about the repair of the shoulder which was his primary function." This statement, of course, by Mr. Lebo suggests he has no understanding of the role of the surgeon and consultant general internist. Dr. Rubbo recommended surgery and it was his duty to apprise Mr. Lebo of the potential postoperative complications. It is a standard part of a surgeon's care and treatment to include postoperative care and evaluation and treatment of any surgical complications. It was not the role of a general internist to provide postoperative care and treatment for postoperative complications. A general internist is consulted to evaluate for other general medical problems either in a pre or postoperative setting, but again, would not provide primary care of the surgical complications. It is therefore apparent that Mr. Lebo did not understand the roles of his treating physicians and therefore erroneously considered Dr. Sylvestri's care as below the standard 11 Dr. Sylvestri stated that he was concerned about a central nervous system problem because of his headache, fever, numbness and tingling. He was concerned about illnesses such as meningitis, encephalitis and rare disorders. He also was concerned about the usual post operative infections such as infection of the wound and the chest. He stated that pneumonia was ruled out by the chest x- ray and examination and he "was pretty much satisfied that there was no wound infection". He further stated that: "I did know that Mr. Lebo had been still under the care of his orthopedic surgeon. He had seen him the week before..." !i , I: ,I II I' Ii Ii I'i II ,I 'I II :-1 " ,I 'I h I, I Ii 11 Ii :1 I' :! I' II II II II I 'I 'I I, Ii d II Ii !I " " II 'I ~I I i " of care when, in fact, it was Dr. Rubbo's postoperative care that should be evaluated as to the appropriateness of the standard of care and whether that standard of care was breached. Deposition testimony of Dr. George Sylvestri Dr. Sylvestri was questioned whether or not he removed the dressing to look at the wound. He stated: "I know I looked at the wound because I charted it. I looked at the wound, and the stand.ard of care when any patient comes in after surgery for infection would be to have to look at the wound." He stated he did not put Mr. Lebo through a range of motion of his shoulder because he was a postoperative patient "so you don't usually--I wouldn't do that". Dr. Sylvestri considered his abnormal liver function test as possibly reflecting viral illness. (His hepatitis serologies were subsequently negative as was some of his liver tests). Dr. Sylvestri also considered a delayed reaction to an anesthetic. (He had ,a previous abnormality related to an anesthetic in the past) . Toxicity to Motrin is yet another consideration and the patient had already stopped the Motrin. Dr. Sylvestri noted that Mr. Lebo returned with a copy of a letter from the Red Cross and that he apparently had elevated liver function test in 1991 on blood donation but follow up in 1993 had shown normalization. This was further reason for him to be concerned about Mr. Lebo's fluctuating liver function studies and the possible causes contributing to his postoperative problems. Summa~ and Conclusions Carl Lebo was a 62 year-old man when he underwent surgical repair of a massive right rotator cuff tear. He had a prior history of abnormal liver function studies and was declined for blood donation. (Subsequent hepatitis serologies were negative for 12 Hepatitis A, B and C) . He had received 2 cc of intra-articular steroids in the immediate preqperative period and was noted to have an elevated white blood count and abnormal liver function studies preoperatively. The int~a-articular injection of steroids would increase the risk of postoperative surgical infection and could contribute to the abnormal white blood count. His elevated white count and abnormal liver function studies were not noted or evaluated preoperatively whiqh would have been standard. He did receive 3 intravenous dos~s of prophylactic antibiotics during the perioperative setting as requestE!d by Dr. Rubbo. Postoperatively he developed increasing shoulder pain, fever, episodes of headache, numbness and tingling. He was followed by Dr. Rubbo, his orthopedic surgeon, in the postoperative period who was apprised of his postoperative difficulties. Furthermore, his associate, Dr. Rychak, was also apprised by telephone of Mr. Lebo's ongoing difficulties, including fever and increasing shoulder pain. At no time in the postoperative setting, until June 16, was a postoperative infection considered by his treating or covering orthopedic surgeon. Furthermore, even when an infection was diagnosed as of June 16, he was treated by his surgeon with oral antibiotics and not hospitalized for an additional 24 hours. Following hospitalization there was a delay of another 5 days before he underwent the necessary surgical debridement and the change to the appropriate antibiotic. Dr. Sylvestri was a general internist who evaluated Mr. Lebo for the first time in the postoperative setting following a suggestion by Dr. Rychak, Dr. Rubbo's covering physician. Dr. Rychak suggested that he see an internist for further evaluation. Although Dr. Sylvestri believed there was no specific evidence of a wound infection he did consider this in his differential diagnosis. . He was also aware that Mr. Lebo was being followed by Dr. Rubbo. (Dr. Sylvestri would not have knowledge that Mr. Lebo had received a prior intra-articular injection of steroids nor that his preoperative blood studies were abnormal) . Dr. Syl vEestri performed a comprehensive internal medicine evaluation. Dr. Sylvestri noted the abnormal liver function studies and suggested follow up of his condition. As he did not diagnose a bacterial infection, he did not begin antibiotics. Finally, he reasonably relied on Dr. Rubbo to continue postoperative care of his shoulder as would be standard. It appears that Mr. Lebo is suing Dr. Sylvestri believing that Dr. 13 " - '" v -" -~, ,- = ". ~-- '"; Sylvestri breached the standard of care. Mr. Lebo's belief that Dr. Rubbo was "only an orthopedic surgeon" and that the general internist should have diagnosed the postoperative wound infection and initiated appropriate treatment is, of course, not reasonable nor consistent with the practice of internal medicine in providing consul tation and care in a postoperative setting. A general internist relies on the surgeon to evaluate and treat postoperative problems related to the actual surgery. The internist is consulted to provide general medical care and evaluation and treatment of general medical problems that would arise. The wound infection that was subsequently diagnosed was certainly not a general medical problem but rather a postoperative surgical problem. Both Dr. Rubbo and Dr. Rychak were apprised on a number of occasions of Mr. Lebo's postoperative problems and yet they failed to recommend the appropriate and necessary evaluation and treatment. If I can be of any further assistance, please don't hesitate to contact me. Sincerely, I ~ fL---r1 Marie A. Savard, M.D. MAS/mch 14 -, " ,'-"-'." , .,,-,,( "',- CURRICULUM VITAE MARIE SAVARD M.D. ADDRESS: 421 Owen Road Wynnewood, P A 19096 phone (610) 896-1995 fax (610) 649-0431 email:SavardSys@AOL.com DATE OF BIRTH: October 25, 1949 PLACE OF BIRTH~ York, PA i, , f; CITIZENSHIP: U.S.A. MARITAL STATUS: Married to Bradley W. Fenton, M.D. CHILDREN: Zachary, 10/4/80 Aaron & Benjamin, 1/18/82 EDUCATION: 1967-1970 1968-72 R.N. Hospital of the University of Pennsylvania School of Nursing B.S.N., University of Pennsylvania 1972-76 M.D., University of Pennsylvania School of Medicine POST GRADUATE TRAINING AND FELLOWSIDP APPOINTMENTS: 1976-79 Residency, Internal Medicine Hospital of the University of Pennsylvania 1979-81 Fellow, General Internal Medicine University of Colorado Health Sciences Center 1980-82 Master of Community Health program University of Colorado Health Sciences Center ACADEMIC APPOINTMENTS: - ._n', 2 1979-81 Instructor, Clinical Medicirie University of Colorado Health Sciences Center 1981-89 Assistant Clinical Professor of Medicine University of Pennsylvania School of Medicine 1989-2000 Associate Clinical Professor of Medicine University of Pennsylvania School of Medicine 1994-1996 Associate Professor of Medicine Medical College ofPennsylvaniaIHahnemann University 1995-199- Associate Clinical Professor of Medicine Jefferson Medical College Ii , i'i HOSPITAL AND ADMINISTRATIVE APPOINTMENTS: 1981-88 Section Chief, General Internal Medicine Pennsylvania Hospital Department of Medicine :i !i Ii i " , I 982-present Medical Director and primary care physician to Cabrini Retirement Community and Nursing Home !; r,1 I 1988-present Attending Staff - Pennsylvania Hospital ij 1: " 1994 through 1996 Medical Director, Center for Women's Health Medical College ofPennsylvaniaIHahnemann Hospital , \1 , , , ! i :1 '1 Ii d " .! ',1 1993 and 1994 Medical Director, Quality Assurance and Utilization Review, Pennsylvania Hospital 1997-1999 Private Practice, Internal Medicine and Osteoporosis Consultations at Jeanes Hospital 1998-present Meniscus Educational Institute, Medical Education Committee and Consulting Director of Medical Education. 1998 Founder of Savard Systems, patient education and consulting company .-'.,-.," ", " . 3 I r I f: 2000- Senior Medical Consultant to Lifetime Television program, Strong Medicine (help write and edit the scripts) LICENSURE: Pennsylvania - MD 020735-E v SPECIALTY CERTIFICATION: 1980 American Board of Internal Medicine " I,. HONORS AND AWARDS: 1970 Letitia White Award, Highest Graduate in Nursing School Class, Hospital of the University of Pennsylvania " f r I I I c' t ! 1974 Alpha Omega Alpha National Medical Honor Society 1976 A warded Recognition for the Highest Female Graduate Academic Record in the Class, University of Pennsylvania School of Medicine American College of Physicians j: I, c r I' I I I I, 1980's - 1996 Philadelphia Magazine, Top Doc in Philadelphia MEMBERSHIP ][N PROFESSIONAL SOCIETIES: Society for General Internal Medicine American Medical Women's Association Eastern Pennsylvania Osteoporosis Society, Founding Member EDITORIAL POSITIONS: 1986-88 American Cancer Society Newsletter 1986-90 National Board of Internal Medicine, Prototype Scoring Committee 1993- University of Pennsylvania Trustees Council of Women 1994-1996 MCP Delegate to the National Academy of Women's Health Education American BOard ofInternal medicine "Gold Standard" Panel for " ",,,.- "'-' - - ~, , ' " , . 1995-1996 Subcommittee, ABIM, DefIning Clinical Competency and Women's Health l' . , [;.! I'." I I:" 4 , " . , II c I' I' , , I I,: . ~:-i , , , I: i , 1'1 !:1 i:,1 I; 1'; I, i I ( RecertifIcation Exam of General Internists 1991-1996 Medical Secretary, American Board ofInternal Medicine Writing and Review of Internal Medicine Questions, for RecertifIcation Exam Pretest examination committee 1995-1996 Women's Dav Magazine. Regular column writer & editor of health issues. PUBLICATIONS: Orbrlnal PaDers: Savard-Fenton, M.A., Fenton, B., Reller, B., Lauer, B., Byyny, R., Single-Dose Amoxicillin Therapy with Follow-Up Urine Culture: Effective Initial Management for Acute Uncomplicated Urinary Tract Infection. AJM 73:808,1982 <: i, t , Savard, Marie A. Et al., Postmenopausal Osteoporosis: Diagnosis, Treatment and Prevention Journal of Clinical Outcomes Management. Vol. 3, no. 5. September/October 1996 pp. 37-54. ABIM Subcommittee on Clinical Competencies and Women's Health (M.Savard et al) Core ComDetencies in Women's Health: What Internists Need To Know Excerpta Medica 1997 ~; " ~, Abstracts: Savard-Fenton, M.A., Fenton, B., Efficacy of Single-Dose Amoxicillin Therapy with Follow-Up Urine Cultures in Acute Urinary Tract Infection. Clinical Research 29:48A, 1981 Savard-Fenton, M.A., Fenton, B., Byyny, R. Cost-Effectiveness of Single-Dose Amoxicillin Therapy with Follow-Up Dipslide Culture in Acute Urinary Tract Infection. Clinical Research 29,1981. Wigton, R.S., Fenton, B., Savard-Fenton, M.A., Steinmann, W.C. Do Clinical Presentation or the Antibody Coated Bacteria Test (ACB) Predict Treatment Failure in Urinary Tract Infection? Presented at SREPCIM National Meeting, 1985. Book ChaDters: ,. '" ,,; .-, " -0" . 5 Savard-Fenton, M.A., Goals of Primary Care Training. Chapter 4, The Education of the General Internist. T. Thompson and R. Byyny (ed.)Ovid Bell Press, Inc., Missouri, 1982 pp 29035. Savard-Fenton, M.A., Incorporating Patient Education Activities Into The Practice of Primary Care Residents. Chapter 13, The Education of the General Internist. T. Thompson, and R. Byyny, (ed.) Ovid Bell Press, Inc., Missouri, 1982, pp 113-125. Savard-Fenton, M.A., The Education of Primary Care Residents in Team Health Care Delivery. Chapter 14. The Education of the General Internist. T. Thompson and R. Byyny, (ed.) Ovid Bell Press, Inc., Missouri, 1982, pp 126-133. Savard-Fenton, M.A., The Female Patient. in Cardiovascular Health and Disease in Women. Pam Douglas (ed.) W. B. Sauders Co., Philadelphia, 1993, pp 1-2. Savard, M.A., The Religious Community as Family: The Primary Care Physician's Perspective, in Grieco, AJ, Kramer EJ, Phelan, G& Glassman, KS (editors), Patient Education and the Familv. NY, Springer, 1997 Auerbach, MI, Kramer, EJ, Phelan, G, Savard, M & Palacios, D, Educational Strategies. in Grieco, AJ, Kramer, EJ, Phelan, G & Glassman, KS (editors) Patient Education and the Familv, NY, Springer, 1997 Books Savard, Marie, The Savard Health Record.' Six Steps to Managing Your Health Care, VA. Time- Life, Inc. April 2000 Savard, Marie with Sondra Forsythe, How To Save Your Own Life: The Savard System of Managing and Controlling Your Health Care, NY, Warner Books, May 2000 WEB Programs Savard, M.D., Marie and Frances Batzer, M.D. for Meniscus Educational Institute, continuing medical education program; Medical Decision Making and Hormone Replacement Therapy. Savard, M.D., et al. US Oncology Group; Risk Reduction Therapy in Breast Cancer. Lectures: (not inclusive or current list) Grand Rounds. Hospital of the University of Pennsylvania and Pennsylvania Hospital, Urinary Tract Infections. , ". ,-' ~,- " -,' ~.- ,) ., . 6 Women's Health Issues including: Hormone Replacement Therapy, Osteoporosis, Psychosocial Issues, Vaginitis, Urinary Tract Infections, Coronary Artery Disease, Screening, and Mammography. Penn Trustees Council. University Women Groups World Presidents' Organization Meeting in Florence 1992; Hong Kong, 1994 Senator Allison Schwartz: Yearly Conference on Women's Health, Lecture on Women's Health Humanities and Medical Literature: Healing and the Doctor-Patient Relationship Workshop. Meeting of American Academy of Family Practice. American Psychiatric Association Centennial Meeting, Lecture on Women's Health Care Issues. Osteoporosis for the Primary Care Physician, a CME Accredited Program Global Health Alliance Keynote address in Beijing, Fourth World Conference on Women 1995, "Wellness in the Mature Woman" i !; Rome 1999 Women's Health at the Dawn of the New Millenium Frequent lectures and seminars on patient empowerment and health management Written Testimony Conference on Medical Mistakes and Patient Safety in Washington, September 2000 OTHER ACTIVITIES: 1992-1994 Advisor on Health Care to Congresswoman MaIjorie Margolies Mezvinsky. 1995 Technical Advisor, World Health Organization, Fourth World Conference on Women, Beijing 1996-1997 Pennsylvania Judicial Evaluation Commission 1997- present Pennsylvania Commission For Women, appointment Governor Ridge Revision 1/01 _~ .s 00-'..',"..,' r , I I .. CERTIFICATE OF SERVICE I HEREBY CERTIFY that I served a true and correct copy of the foregoing on all counsel of record by placing the same in the United States rnail at Camp Hill, Pennsylvania, first-class postage prepaid, on the _ day of 2004, and addressed as follows: April L. Strang-Kutay, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 (Counsel for Plaintiffs) MARGOLIS EDELSTEIN By: Secretary " -~, - '- <' ,,'>, 0"',,": . . SEP 0 1 2004 ~ April L. Strang-Kutay, Esquire Attorney I. D, No. 46728 David M. Steckel, Esquire Attorney I.D. No. 82340 GOLDBERG KATZMAN, P.c. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 Telephone: (717) 234-4161 Attorneys for Plaintiff CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CNIL ACTION - LAW v, NO. 00-2990 Civil Term GEORGE SYL VESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P.C.,: JURY TRIAL DEMANDED Defendants PLAINTIFFS' MEMORANDUM OF LAW IN RESPONSE TO MOTION IN LIMINE FILED BY DEFENDANT SYL VESTRI 1. mSTORY OF THE CASE Plaintiff, Carl Lebo, a previously healthy 62 year old male, presented to Dr. Ernest R. Rubbo (orthopedist), on May 6,1998, approximately two weeks after sustaining a work-related injury to his right shoulder. On May 6, 1998, Dr. Rubbo ordered an MRI scan pertaining to Mr. Lebo's right shoulder; this scan demonstrated a full thickness rotator cufftear. On May 27, 1998, Dr. Rubbo admitted Plaintiff to Polyclinic Hospital where he performed a surgical procedure (an arthrotomy, and an open acromioplasty) torepair the tear. That surgical procedure was accomplished uneventfully and no unusual incidents or occurrences are noted in the operative report. One week following surgery, Plaintiffretumed, as instructed, to Dr. Rubbo's office for a routine follow-up evaluation; at that time, according to Dr. Rubbo's office note, the shoulder was . .1 ,.., "~ . "healing nicely" and Plaintiff was instructed to progress from a shoulder immobilizer to a sling and to begin passive range of motion exercises. On June 9,1998, Plaintiff presented to the offIce of Defendant George Sylvestri, M.D., an internist, for evaluation of symptoms he had developed involving episodic severe headaches, accompanied by facial numbness, nausea, light headedness, shortness of breath and tingling feeling in his extremities. On that date Dr. Sylvestri evaluated Plaintiff for the above-stated complaints and also noted in the record that the patient had been running a fever for approximately one week. A physical exam on June 9, 1998, conducted by Defendant Sylvestri, indicated that Plaintiff had a decreased range of motion of his right shoulder. Dr. Sylvestri was not alarmed by the appearance of the shoulder wound. Based on the above fIndings, Dr. Sylvestri proposed a diagnosis of "post-op fever, of unknown origin," and elected to withhold antibiotics, preferring to instruct the patient to return for follow-up in three days. As requested, Plaintiff saw Dr. Sylvestri on June 12,1998. Plaintiff reported to Dr. Sylvestri that his fever had ranged, in the past three days, between 990F to 1020F. At that time, Dr. Sylvestri noted the right shoulder to be tender with increased warmth and swelling. Once again, Dr. Sylvestri proposed a diagnosis of "post-op fever, of unknown origin", and elected not to prescribe antibiotics and to re-evaluate him in one week with a repeat sedimentation and liver function test in the interim. On June 16, 1998, Plaintiff saw his orthopedic surgeon, Dr. Rubbo for routine follow-up. Plaintiff complained of pain in his right shoulder, as well as fever. Dr. Rubbo noted that the incision was red and "appears to be showing some sort of reaction to his Vicryl suture, particularly to the superior aspect of the incision where his knot has been tied." Dr. Rubbo 2 " i' concluded that Plaintiff may be suffering from a "possible post-op infection" and prescribed an antibiotic, with instructions for the patient to return in two to three days, or earlier, should the pain and swelling get worse. Plaintiff returned to Dr. Rubbo the following day. At that time, Dr. Rubbo noted the presence of a pustule, which he opened, with drainage and culture of purulent fluid "which appeared to be mostly superficial." Subsequent culture of this material demonstrated infection. Additional debridement was then carried out with excision of a large Vicryl knot from the open area, after which Plaintiff was immediately hospitalized by Dr. Rubbo for further evaluation and treatment. Plaintiff was immediately begun on a regime of intravenous antibiotics, twice- daily dressing changes and pain medication. On June 22, 1998, Dr. Rubbo returned the patient to surgery and re-explored his shoulder, which re-exploration demonstrated an infectious fluid collection found in the subdeltoid space with failure of the entire rotator cuff repair; the area was then debrided and irrigated, but in view of the size of the defect, no repair was felt to be feasible, and'the area was closed over a drain. Plaintiff was ultimately discharged from the Polyclinic Hospital to home the same day as the surgery with plans to receive a six week course of antibiotics through intravenous administration. The net result of the post-op infection, which went untreated, was that Plaintifflost his rotator cuff repair and the cuff was destroyed. The basis of Plaintiffs claim is that Defendant, Dr. Sylvestri, should have become aware of the infection during his evaluations, which took place on June 9,1998 and June 12,1998, and that ifhe had, the problem could have been resolved without destruction of the rotator cuff. 3 ~ ~I __ _'I ~<' . II. COUNTER-STATEMENT OF OUESTIONS INVOLVED 1. Whether Dr. Dunn, Who Is Board Certified in Orthopedic Surgery, Should Be Permitted To Offer Standard Of Care Testimony Against Defendant Sylvestri, An Internist? Sug:~ested Answer: NO r: ~ " l " ~ I'; ! 2. Whether Dr. Savard, Who Is Board Certified In Internal Medicine, Should Be Permitted To Offer Standard Of Care Testimony Against Treating Orthopedic Surgeons, Drs. Rubbo and Rychak? SUllgested Answer: NO III. DISCUSSION A. Pursuant To Section 512 Of The MCARE Act, Dr. Dunn Is Not Competent To Offer Standard Of Care Testimony Against Defendant Sylvestri. Plaintiffs agree with Defendant's position that Dr. Dunn, an orthopedic surgeon, should not be permitted to offer standard of care testimony against Defendant, an internist, Dr. Sylvestri, Dr. Dunn has been retained by Plaintiffs to offer causation, and damage, testimony only. Dr. Dunn's opinion, as embodied in his expert report, pertains to how, and to what degree, Plaintiff was damaged by the latent diagnosis of his post-operative infection. In his report, he offers no testimony concerning the standard of care involving the conduct of an internist for diagnosing and managing such infection as Plaintiff developed post surgery. 4 . . .I ~"',' B. Pursuant To Section 512 Of The MCARE Act, Dr. Savard Is Not Competent To Offer Standard Of Care Testimony Against Treating Orthopedist, Dr. Ernest Rubbo and Dr. John Rychak. Dr. Marie Savard, Defendants' expert, is a Board Certified Internist who possesses no Board CertifIcation in orthopedic surgery, nor equivalent experience in the orthopedic field. In her role as a liability expert for the defense, she opines in her expert report that Dr. Sylvestri met the standard of care in his treatment of Plaintiff. By virtue of her training, credentialing, and experience, Dr. Savard is competent to evaluate Dr. Sylvestri's treatment, from the perspective of internal medicine, during the period under scrutiny. However, in her report, Dr. Savard liberally criticizes treating orthopedists, Dr. Ernest Rubbo and Dr. John Rychak, by indicating, at several different points in her reports, that the orthopedists were negligent in their care of Plaintiff, and that their negligent conduct directly resulted in the damages sustained by Plaintiff. On pages 8 through 11 of Defendants' Brief in Support of the Instant Motion, the law clearly set forth, and has particular applicability to Dr. Savard's (Defendants' expert witness) role in this case. This case law accurately describes that a physician such as Dr. Savard, who is Board Certified in Internal Medicine, with professional experience limited to this field, is not competent to testify as to the standards of care governing the practice of an orthopedic surgeon. With respect to this analysis as set forth by Defendant in his Brief, as noted above, Dr. Savard should not be permitted to offer testimony critical of the conduct of Plaintiffs treating orthopedic surgeons. Dr. Savard does not appear to have any experience or training in the area of orthopedic surgery. She is not Board CertifIed in the specialized area of orthopedic surgery, and, with such lack of experience and credentialing, cannot be substantially familiar with the standard of care 5 ~I governing the conduct of an orthopedic surgeon. Accordingly, Dr. Savard is simply not competent to provide expert testimony regarding the standard of care applicable to Drs. Rubbo and Rychak, who were Plaintiffs treating orthopedic surgeons. If, in fact, Defendant is correct that Dr. Dunn, as an orthopedist, should not be permitted to offer standard of care testimony against Dr. Sylvestri, then, correspondingly, Dr. Savard, an internist, should not be permitted to offer testimony critical of the conduct of Plaintiff s treating orthopedic surgeons. IV. CONCLUSION For all of the above reasons, Plaintiffs respectfully request that the Court preclude standard of care testimony as against Defendant, Dr. Sylvestri, and preclude Dr. Savard from offering standard of care testimony against Plaintiff s treating orthopedic surgeons. Respectfully submitted, GOLDBERG KATZMAN, P,C. ~. ./ By: . 1/ ! ..)-~-- A;~lJ~~-iu~~~, -- ~ire Attorney LD. # 46728 David M. Steckel, Esquire Attorney LD. # 82340 320 Market Street, P. O. Box 1268 Harrisburg,Pennsylvania 17108-1268 (717) 234-4161 Attorneys for Plaintiffs Dated: August 26, 2004 1131953 6 - " " ,," ' i -~ "1'-, CERTIFICATE OF SERVICE I HEREBY CERTIFY that I served a true and correct copy of the foregoing document upon all parties or counsel of record by depositing a copy of same in the United States Mail at Harrisburg, Pennsylvania, with CertifIed, fIrst-class postage prepaid, addressed to the following: Michael M. Badowski, Esquire Margolis Edelstein 3510 Toodle Road Camp Hill, PA 17011 By: ) ,/ ^ " / / ,/~'\._""" ~:--"'C' 7/L.v,L /~".".> p ,,,-J, ~ . ,"~ A~ril i!. Strang-Kutay, ESquire Attorney LD. No. 46728 David M. Steckel, Esquire Attorney LD. No. 82340 320 Market Street, P. O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorneys for Plaintiffs Date: August 26, 2004 113195.3 ~' ~ _ r.-till :i ~~ .'.' \,..,,,,, SEP 0 1 2004 t5 i/ , ''I ~ :: :'; , i'J GEORGE SYLVESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P.C., : Defendants JURY TRIAL DEMANDED ;1 :1 i~ l;J I ::i I'j 'I !':I 'I I! ',1 ;-:1 ;1 ~~ [j li1 n CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW v. NO. 00-2990 Civil Term AND NOW, this _ day of , 2004, upon consideration of the Motion in ;1 'i :'1 :J ;,1 " !:! ;::i . "~ "1 Iii r'l Ii !:~ Ii;! :1 ;ij D ~:: i!~ . ~. Ii i:~ ORDER Limine of Defendants, George Sylvestri, M.D., and Cowley Medical Associates, P.C., to preclude the testimony of Robert N. Dunn, M.D., and Plaintiffs Response thereto, it is hereby ORDERED and DECREED that said Motion is GRANTED, and Robert N. Dunn, M.D., is precluded from offering any expert testimony concerning the standard of care applicable to Dr. Sylvestri, pursuant to 40 P.S. ~1303.512(b); and, additionally, Marie Savard, M.D. is precluded from offering any expert testimony concerning the standard of care applicable to Dr. Ernest Rubbo or Dr. John Rychak, also pursuant to 40 P.S. ~1303.512(b). BY THE COURT: J. - Ii 1 i 1 l CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW GEORGE SYLVESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P.C. , Defendants NO. 00-2990 CIVIL TERM PRETRIAL CONFERENCE AND NOW, this 18th day of August, 2004, before Edgar B. Bayley, Judge, present for the plaintiffs was April L. Strang-Kutay, Esquire, and for the defendants, Michael M. Badowski, Esquire. This is a medical negligence claim involving plaintiff, Carl Lebo, age 62. Plaintiff, Carl Lebo, contends that on May 27, 1998, he was operated on for a full thickness rotator cuff tear. On June 9, 1998, he presented to defendant, George Sylvestri, M.D., an internist, for symptoms he had developed involving episodic severe headaches, facial numbness, nausea, shortness of breath and paresthesis. The diagnosis of Dr. Sylvestri was "post-op FUO". Plaintiff presented a second time to Dr. Sylvestri with elevated temperatures. Defendant decided to reevaluate him a week later with a repeat sedimentation and liver function test in the interim. On June 16, 1998, plaintiff presented to his orthopedic surgeon who concluded that he may be suffering from "possible post-op infection". He was prescribed Keflex. On June 17, 1998, plaintiff again presented to his orthopedic surgeon with continuing complaints. The surgeon had plaintiff admitted to the hospital and placed on a regimen of intravenous Cefazolin and analgesics. On June 22, 1998, the surgeon reexplored the shoulder which demonstrated infection in the area of the entire . .... ..' '~--...' , . rotator cuff repair. Plaintiff claims that as a consequence of the postoperative infection he lost his rotator cuff repair and the cuff was destroyed. He seeks damages against the defendant internist on a claim that his misdiagnosis was below the standard of care and that his negligence caused plaintiff to lose his rotator cuff repair. Defendant denies plaintiff's claim and maintains that his care of plaintiff was within the standard of care. Plaintiff seeks general damages and recovery for medical bills, lost wages and loss of earning capacity. Estimated time of trial, four days. Because of witness scheduling problems, this case must start on the first day of trials. April L. Strang-Kutay, Esquire For Plaintiffs Michael M. Badowski, Esquire For Defendants prs iI~L~-, ........-1Il'lilt' ~ t!iI~.....i....'WlII'~ '~llJrhi~m-( ~",,,"-.,,,,,,,," ,---, .t.U~,_.. '__'~~<7_>_ _. '-. ioll_ -~,""'" "'" ~",J-'jj;;" :,l" >''''''0 , '~,' M_~< ,"', , "'Jiri"'-" n c ~:-, -,",,"'~ . ", I::::::) ~ ~.... C- (,-") o -1'1 '-I :r: "'1 rl1p::: -(""in'"] :.fJy C~(:J :':;:::l~; C~~ ~~ CjlTI ,--I ~.,., :en ,,< ill :t;::::. 0,) 0'\ 08/26/2004 15:47 FAX 717 234 6808 GOLOBERG KATZMAN & SHIPM 1t1010/012 ~ '\. ", ~"": ~ ... April L. Slrang.Kuloy, Esquire Attomey I. D. No. 46728 David M. Sleekel, Esquire Attorney !.D. No. 82340 GOLDBERG KATZMAN, r.C. 320 Market Street P.O. Box 1268 Hanisbutll. PA 17108.1268 Tolephono, (717) 234-4161 Attorneys for Plaintiffs CARL K. L.I:iliU and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COlJNTY, PRNNRY{.v A NT A CNIL ACTION - LAW v. NO. 00-1990 Civil Term GEORGE SYL VESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P.C.,: JURY TRIAL DEMANDED Defendants l"LAlNTIFFS' MOTION TO STRIKE CASE FRO~ SEPTEMDllltt 13. 2004 TRIAL TERM AND NUW, .Plaintiffs, Carl R. Lebo and Beverly Ann Lebo, by and through their counsel, Goldberg Katzman, P.C" who state the following in support of the instant Motion to Strike the Case from the September 13, 2004 Trial Tenn: I. The above-indicated case is scheduled to be tried during Cumberland County Te.nn of Court September 13, 2004, with pl"O-uial coufercnc" Illwiu~ tllk.cn pll1Cc before tl:1e Honorable Judge Bayley on August 18. 2004. 2. On August 26, 2004, Plaintiffs' counsel learned of an urgent medical emers=ey affecting a member of the family such that counsel will not be able to participate in the upcoming trial, as scheduled. 08/28/2004 15:48 FAX 717 234 6808 "_L GOL08ERG KATZMAN & SHIPM It! 011/012 < , , 3. On August 27, 2004, Plaintiffs' counsel communicated this urgent concern to defense counsel, Michael Badowski, who, in turn, conferred with his client, advising that there would be no opposition to removing the case from the September] 3, 2004 trial term WHEREFORE, Plaintiffi respectfully request that thi~ Court grant Plai.atiIfs' Mution, about which lJetendants have concurred, and remove the case from the September 13, 20041rial term. GOLDBERG KATZMAN, P.C. i J. i~ /1 Ap - . Strang-K . Esquire AttnmeylD, #46728 David M. Steckel Attorney I.D, Ii 82340 320 Market Street P. O. Box 1268 Harrisburg, P A 171OR-121l8 (717) 234-4161 Vate: August 26, 2004 Counsel for Plaintiffs 08/26/2004 15:48 FAX 717 234 6808 , '", "~- " -:.r___,..,,,,_,_ GOL08ERG KATZMAN & SHIPM 141012/012 ...-~ .,- ~,.:. ,,", CERTIFICATE OF SERVICE I HEREBY CERTIFY that I served a true and Correct copy of the foregoing document upon all counsel of record by depositing the same in the United States Mail, filS! class, postage prepaid, at Harrisburg, PennsylVania, on the 26lh day of August, 2004, addressed as follows: Michael M. Badowski, Esquire Margolis TIdclstciu 3510 TrindleRoad Camp Hill, P A 17011 GOLDBERG KATZMAN, P.C. ., I By V"-__/..~ I{p-~ -- April L. S6=<lIl!S.Kutay~ Esquire Attorney !.D. # 46728 David M. Steckel Attorney 1.n. # 82340 320 Market Street P. O. Bull. 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Counsel ful" PhrinLiffs I ~ '. _L;~, "' ~ ~N('Jjc'c' f ,-"" 0, AUG 1 3 2004 ~ April L. Strang-Kutay, Esquire Attorney L D. No. 46728 David M. Steckel, Esquire Attorney LD. No, 82340 GOLDBERG KATZMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 Telephone: (717) 234-4161 Attorneys for Plaintiffs CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYL VANIA CIVIL ACTION - LAW v. NO. 00-2990 Civil Term GEORGE SYLVESTRI, M.D, and COWLEY MEDICAL ASSOCIATES, P.C.,: JURY TRIAL DEMANDED Defendants PLAINTIFFS' MOTION TO LIST CASE FOR SEPTEMBER 13. 2004 TRIAL TERM AND NOW, come Plaintiffs, Carl R. Lebo and Beverly Ann Lebo, by and through their counsel, Goldberg Katzman, P.C., who state the following in support of the instant Motion to List this Case for Trial during the Court's September 13, 2004 term and, further, to request that the trial begin on Monday, September 13, 2004: 1, Following a status conference before The Honorable Kevin A. Hess on December 4,2003, the Court issued an Order which stated, in pertinent part, as follows: "3. This matter shall be tried during the week of civil trials commencing September 13,2004, and counsel are deemed by this order to be attached for trial during that week. Counsel for the plaintiffs will take the responsibility oflisting this case for trial prior to the cut-off date of July 26,2004." 2. Through an oversight, Plaintiffs' counsel did not list the case for trial prior to July 26,2004. . ~- ~= .-. :_J -- '~'- 3. Nevertheless, the parties were of the belief that the case was attached for trial beginning on September 13, 2004, 4. In reliance thereon, the parties arranged for their expert witnesses to appear as though the case, which is expected to last approximately four (4) days, were to begin on the morning of Monday, September 13th. 5. Counsel for the respective parties jointly request that this case still be set for trial beginning on the morning of September 13th. 6. If the above request presents an inconvenience for this Court and is, in fact, not feasible, counsel jointly requests that this case be scheduled for trial during the fIrst trial term of2005. WHEREFORE, Plaintiffs respectfully request that this Court grant Plaintiffs' Motion, which Defendants concur with, and schedule this case for trial beginning in the morning of September 13, 2004. GOLDBERG KATZMAN, P.C. By April . Strang-Kut , E Attorney LD. # 46728 David M. Steckel Attorney LD. # 82340 320 Market Street P. O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Date: '6/0}01..} Counsel for Plaintiffs -~ -- -L-.c-<i,---,i'- :.' ",-__" I, - CERTIFICATE OF SERVICE I hereby certify that I served a copy of the foregoing document upon the person( s) indicated below by depositing a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania and addressed as follows: Michael M. Badowski, Esquire Margolis Edelstein 3510 Trindle Road Camp Hill, PA 17011 GOLDBERG KATZMAN, P.C. By L~. (jE~ Legal Secretary for April 1. Strang-Kutay, Esquire Attorney for Plaintiffs Date: ~113/oL{ ~ Ij"~i" .' .~ -li.....,.=,b'"~'" - ~'"'~+ ~~'':'''' o ~-:,; - "" 'C:o c::> .Jc-:- [;: GO) C) -n .-' ~" _J,,, ~n rnF'; -012] -,1l..) ~~:i ~~) ;~1~~ 5'; T -< Q, ,~ (..) N ~- ,>----, ,- ~"'- . ~, ^ M" -"__ ^.'- -- "-'~, I" - ,,,,~,,-~: ;,- ,-r' ^",-"I'--- -- , ~.- , "'-"'-,. ,~,' ;'..:' ',; ;-:~^~~: -,:,,::;,,{ ,",^"',,. .." ..".,- 'l; _ i ';,;-'~ ,.; -:-t": _-, '-. --,0'- "":1 ~. - " AUG 1 3 20041Y April L Strang-Kutay, Esquire Attorney L D. No, 46728 David M. Steckel, Esquire Attorney LD, No. 82340 GOLDBERG KATZMAN, P.C. 320 Market Street P.O, Box 1268 Harrisburg, PA 17108-1268 Telephone: (717) 234-4161 Attorneys for Plaintiff CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW v. NO. 00-2990 Civil Term GEORGE SYL VESTRl, M.D. and COWLEY MEDICAL ASSOCIATES, P.C.,: JURY TRIAL DEMANDED Defendants PLAINTIFF'S PRE-TRIAL MEMORANDUM AND NOW, come Plaintiffs, Carl R. Lebo and Beverly Ann Lebo, by and through their attorneys, Goldberg Katzman, P.C., and submit the following Pre-Trial Memorandum in anticipation of a Pre-Trial Conference on August 18, 2004 in the Cumberland County Courthouse. 1. STATEMENT OF FACTS ON LIABILITY AND DAMAGES Plaintiff, Carl Lebo, a previously healthy 62 year old male, presented to Dr. Ernest R. Rubbo (orthopedist), on May 6,1998, approximately two weeks after sustaining a work-related injury to his right shoulder. On May 6, 1998, Dr. Rubbo ordered an MRI scan pertaining to Mr. Lebo's right shoulder; this scan demonstrated a full thickness rotator cuff tear. On May 27, 1998, Dr. Rubbo admitted Plaintiff, Carl Lebo, to Polyclinic Hospital where he performed an arthrotomy, and lID open acromioplasty. That surgical procedure was accomplished uneventfully '" '''" .~ ---.,. ,~ ;,1 ,,~'"'''' -, -. :^I; r;"._~,-'"' - -"'~->'-'-""';"'" ."~_~_ " . . _, ". ,.,,"_'_,_, :'-;: and no unusual incidents or occurrences are noted in the operative report. One week following surgery, Mr. Lebo returned, as instructed, to Dr. Rubbo's office for a routine follow-up evaluation; at that time, according to Dr. Rubbo's office note, Mr. Lebo's shoulder was "healing nicely" and the Plaintiff was instructed to progress from a shoulder immobilizer to a sling and to begin passive range of motion exercises. On June 9, 1998, Plaintiff, Carl R. Lebo, presented to the office of George Sylvestri, M.D., for evaluation of symptoms he had developed involving episodic severe headaches, accompanied by facial numbness, nausea, light headedness, shortness of breath and paresthesis, On that date Dr. Sylvestri evaluated Mr. Lebo for the above-stated complaints and also noted in the record that the patient had been febrile for approximately one week. A physical exam on June 9, 1998, conducted by Dr. George Sylvestri, indicated that Mr. Lebo had a decreased range of motion of his right shoulder. Dr. Sylvestri noted that there was no erythema or fluctuance around the wound. Based on the above [mdings, Dr. Sylvestri proposed a diagnosis of "post-op FUO," and elected to withhold antibiotics, preferring to instruct the patient to present for re- evaluation in three days time. As requested, Mr. Lebo presented again to Dr. Sylvestri's office on June 12, 1998; in the office that day, Mr. Lebo's recorded temperature was 990F; however, the patient reported to Dr. Sylvestri that his fever had ranged, in the past three days, between 990F to 1020F. On June 12, 1998, Dr. Sylvestri noted the right shoulder to be tender with increased warmth and erythema, but no obvious effusion. Once again, Dr. Sylvestri proposed a diagnosis of "post-op fever without source", and elected to continue the patient off antibiotics and re-evaluate him in one week with a repeat sedimentation and liver function test in the interim. 2 to", ,^,' On June 16, 1998, Mr. Lebo presented again to the office of his orthopedic surgeon, Dr. Rubbo. Dr. Rubbo's office notes confirm that Mr. Lebo complained of pain in his right shoulder, as well as fever; on physical exam, Dr. Rubbo noted that the incision was red and "appears to be showing some sort of reaction to his Vicryl suture, particularly to the superior aspect of the incision where his knot has been tied." Based on his impressions as a result of the June 16, 1998 examination of Mr. Lebo, Dr. Rubbo concluded that the Plaintiff may be suffering from a "possible post-op infection" and prescribed "Keflex", with instructions for the patient to return in two to three days, or earlier, should the pain and swelling get worse. On the following day, June 17, 1998, in response to Mr. Lebo's ongoing complaints, Dr. Rubbo re-evaluated Mr. Lebo's shoulder. At that time, Dr. Rubbo noted the presence of a pustule, which he opened, with drainage and culture of purulent fluid "which appeared to be mostly superfIcial." Subsequent culture of this material demonstrated coagulase negative staphylococci and Propionibacterium acnes. On June 17, 1998, additional debridement was then carried out with excision of a large Vicryl knot from the open area, after which Mr. Lebo was hospitalized immediately for further evaluation and treatment. Carl Lebo, was admitted to Dr. Rubbo's service at Polyclinic Hospital on June 17, 1998, and was immediately begun on a regime of intravenous Cefazolin, twice-daily dressing changes and analgesics. On June 22, 1998, Dr. Rubbo returned the patient to surgery and re-explored his shoulder, which re-exploration demonstrated a purulent fluid collection found in the subdeltoid space with failure and dehiscence of the entire rotator cuff repair; the area was then derided and irrigated, but in view of the size of the defect, no repair was felt to be feasible, and the area was closed 3 .If; - ~ ,.-- "" ,". . "- '""" ,,~ - '.- -- ~-~'-~ ,-.~,:I: ""'''<-' -,_~:,-,,__, 0 _~', ,-v...-..", '-_' 0" _"~' 0 ";.-,-",,.- ',,..;-. " '.:"---_ >'.~',,;O"_.~ :.- over a drain. As a result of consultation with an infectious disease consultant, Dr. Tkatch, Mr. Lebo's antibiotic regime was changed from Cefazolin to Vancomycin. Carl Lebo, was ultimately discharged from the Polyclinic Hospital to home on June 22, 1998 with plans to receive a six week course of Vancomycin. As a consequence of the substantial damage effectuated by Carl Lebo's post-operative infection, he lost his rotator cuff repair and the cuff was destroyed. II. SEPARATE LIST OF ISSUES AS TO LIABILITY AND DAMAGES Plaintiffs appreciate no unusual legal issues with respect to this matter. The case is founded in medical negligence, and will involve the usual issues of standard of care and causation. III. TRIAL WITNESSES I. Carl R. Lebo, Plaintiff 2. Beverly Ann Lebo, Plaintiff 3. Carl Gary Lebo, D.D.S., son of Carl and Beverly Lebo 4. Dr. Lentnek, expert in orthopedic surgery 5. Dr. Dunn, expert in orthopedic medicine (by video) 6. Dr. Ernest Rubbo 7. Dr. Steinman, expert in physical medicine 8. Dr. Sylvestri (as if on cross) In addition to the preceding, Plaintiffs reserve the right to supplement or amend this list 4 '<IT_"_ _," .~, ", _ ~." ~-',~- ;,',," .'I'_^-_;';'O;'_---- . -' -. _ c_'~"_ _..,~ _, --' . - - ,;~ ~f. "","--,,~w .,. '<--~~ ,-,-, -, "<'7'-' '.~ ....'1 -''''-I , of witnesses prior to the time of trial and upon appropriate notice to opposing counsel. IV. TRIAL EXHIBITS At the trial of this case, Plaintiffs may utilize as exhibits any or all of the following, which relate to this matter: 1. Records of Dr. Rubbo 2. Records of Dr. Sylvestri 3. Records from Polyclinic Medical Center 4. Expert report of Dr. Robert Dunn, Orthopedist 5. Expert report of Dr. Arnold Lentnek, Surgeron 6. Expert report of Dr. Robert Steinman, Physiatrist 7. C.V. of Dr. Dunn 8. C.V. of Dr. Lentnek 9. C.V. of Dr. Steinman 10. Anatomical diagrams and medical models of the shoulder 11. Summary of medical expenses 12. Medical literature In addition to the preceding, Plaintiffs may utilize all pleadings of record, discovery responses, transcripts of depositions taken in connection with the Plaintiffs' civil action, and the CV s and reports of all experts exchanged throughout discovery in this case. Plaintiffs also 5 '" ~'__, n,',_ ,_=._~,_,,,,_.,_., "~C ,- X"'~'__I...~,,:~''''"--' '_-,i'~" - ! ';. ---':.::"'-~:<;.-"L'-,,,,,,_,; C':_"';""'~ 'i,C-:':'," -'~- ---,"'--'0<.. '__-0_---___,-. ,;, ~,' .".~';_L;~~__. -""') reserve the right to utilize any exhibits listed by the Defendants in their Pre-Trial Conference Memoranda. Plaintiffs also reserve the right to supplement or amend this list of exhibits prior to the time of trial and upon appropriate notice to opposing counsel. v. DEPOSITION TRANSCRIPTS TO BE USED IN LIEU OF TESTIMONY None at present. VI. STIPULATIONS SOUGHT Plaintiffs request a stipulation as to the authenticity of records documenting the care and treatment rendered to Carl Lebo. Respectfully submitted, GOLDBERG KATZMAN, P.C. By: ?!t;Jt;IL Attorney LD. # 46728 David M. Steckel, Esquire Attorney LD. # 82340 320 Market Street, P. O. Box 1268 Harrisburg, Pennsylvania 17108-1268 (717) 234-4161 Attorneys for Plaintiffs Dated: August 13, 2004 112920.1 6 if; "',~"o "p., _. ~~ _'_.-~"" , ,- ~'. ,-1--,;,- ~~ '. - " '. ,~ C"", , :,_,'',;,___-_1_0.' ,-~."'_c".'~,..,_'-.i/ ,"',~>,," :;: .,- ~c .;'_'~.;'::~"_'~_:::;/-;,:;_,.::.:;,--:' . - ~;~; CERTIFICATE OF SERVICE I hereby certify that I served a copy of the foregoing document upon the person( s) indicated below by depositing a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania and addressed as follows: Michael M. Badowski, Esquire Margolis Edelstein 3510 Trindle Road Camp Hill, P A 17011 GOLDBERG KATZMAN, P.C. By: ~4QthOAf~fL G enda J. Ebersole Legal Secretary for April 1. Strang-Kutay, Esquire Attorney for Plaintiffs Date: 8( 13/04 " ..- '~~ -- --', . -..- y ,->-" , ,,-~ ,,,__ _'.. ~"~,,,,;;,;. ,",i_..-;,_'.<~ ~"""- --;1 , 1 II II II J I 'I ~ April L. Strang-Kutay, Esquire Attorney 1 D. No. 46728 GOLDBERG, KATZMAN & SHIPMAN, P.c. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 Telephone: (717) 234-4161 Attorney for Plaintiffs CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW v. NO. 00-2990 Civil Term GEORGE SYLVESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P.C.,: JURY TRIAL DEMANDED Defendants ORDER OF COURT AND NOW, this /61J day of You'!. 0 _ , 2003, upon consideration of the attached MOTION FOR STATUS CONFERENCE, it is hereby ORDERED that the parties and their respective counsel appear on the~ day of 111 ~ ' 2003 at02 ; .30 0' clock j2.. m., before the Honorablt'~ O.~ in Cumberland County Courthouse in Court Room ~, at Carlisle, Pennsylvania, in the above-referenced matter. BY THE COURT: By: 1. 96872.1 ; ~ ,,-'~" "'~_. , ':TJ!!~Y . i',> 11,,'1':1: '.'[j - ,I ,_ . '..... C"U''''=;'.: i;. . 'ii: I\J',,, ,vk.:c~, ;._'",: ',;,j '_,)",.;,,;) " PEi\j;\JSYlVAilJIA <--I" ,,- ,~ - - ~~, ~,,' 'iiloIiiiii , ~~ ".' -. -.- -~~" "_^.____~'o ,-'.-,-- O'-'M"'M'"~"",<lW____~__~"_ "-~--~-'--"~"'~"''''''''; ,'" ,,,' ",i~ , ~ !1 April L. Strang-Kutay, Esquire Attorney 1. D. No. 46728 GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 Telephone: (717) 234-4161 Attorney for Plaintiffs CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW v. NO. 00-2990 Civil Term GEORGE SYLVESTRI, MD, and COWLEY MEDICAL ASSOCIATES, P.C.,: JURY TRIAL DEMANDED Defendants PLAINTIFFS' MOTION FOR STATUS CONFERENCE AND NOW, comes Plaintiffs, Carl R Lebo and Beverly Ann Lebo, by and through their counsel, Goldberg, Katzman & Shipman, P.C., and April L. Strang-Kutay, Esquire, who states the following in support of this Motion for Status Conference made pursuant to Local Rule of Court 206: 1, Petitioners are Carl R. Lebo and Beverly Ann Lebo, Plaintiffs in the above-captioned matter, 2, Respondents are George Sylvestri, M,D. and Cowley Medical Associates, P.C., Defendants. 3. This case commenced on May 12, 2000 with the filing of a Complaint in Cumberland County Court sounded in medical malpractice. 4. The Plaintiffs and Defendant's depositions have been taken. - _--, " ' --, ~"=_-<., ._'""",""--""> ' "",',,",',, '0. "r.-.<'"",_,__~", "'=_""-"'.1",,_, '.___ 5, Plaintiffs have furnished Defendants with all oftheir expert reports. 6. To date, Defendants have not provided expert reports. 7. Plaintiffs request that the Court set deadlines for discovery, including exchange of expert reports in this matter, 8, Plaintiffs also request that the Court set a date-certain for trial in order for Plaintiffs to coordinate three experts who will be called to testifY at trial. WHEREFORE, it is respectfully requested thatthe Court enter an orderrequiringDefendants to complete discovery and that the Court permit Plaintiffs to list the case for trial at a time when attendance of multiple experts can be coordinated, Respectfully Submitted, Dated: r- '1 ).00 ~ / /f By: April . Strang-Kutay, I.D, #46728 320 Market Street P.O, Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 81249,1 Attorney for Plaintiffs 2 f ,-, ,- - ~".'~ ~" ,.,_",. '~'_"'",'r.' _,..,',,, ,~,,-=",,__,,"_~ \,"";;_ ;,1 !I i~ 'j !j U i;1 :'j :/1 i H II II I !", :i ;:j 'i " ,] Ii n \;1 Ii r.i r, ~,] n i' ~ q l-1 !:1 ,.j II II !' !:j n n II 1'1 fl Ii I:j II II 1:1 il !I i I 'i II I , I , I I I CERTIFICATE OF SERVICE I hereby certifY that I served a copy of the foregoing document upon the person(s) indicated below by depositing a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania and addressed as follows: Michael M. Badowski, Esquire Margolis Edelstein 3510 Toodle Road Camp Hill, PA 17011 GOLDBERG, KATZMAN & SHIPMAN, P.C. By: Glenda J, Ebersole, '/ Legal Secretary for April L Strang-Kutay, Esquire Attorney for Plaintiffs Date: W 110103 .!Iii~".;,;' "- ,~,~j-'""'----I: '. -111'- ']-i- li' ~t rtt ~t e _'~ ,__ ""'0" ~,~" ~. , , ". l'::.. ~ ...,J'" e ,*>--,;, -~, --~-"---~-"--, " ~ -"" "-u "'~'~ ." ,.._,e f ""'-'---'("-......:" J. ,;' J -~. ,,-- ~--, 'j ,_;0,' .,' -~_,,--' ,k .~-" (' ~ ~ t: ~ ;; if! o c "-;::'> <, ;:g}~.~; ~L.~ (j~ "':, ~"~t__" i.::;C" 6C~ )>~; ~ -< . \ '" o ,'1 ",,-I =--="J ; r r~', ["", -:,() _~ ~i-: )~ :'"j ~D U.J ~ " , ',,'-,,- ---'"_~'_d."_ - ,-" .,I~ ",:'-,!'_" ~'';_,__o .",,; ,;;__;~,_",~;""Co", -';"",l,"'_, ~" -<"",-"",~;:);-;.'c,- ,-- ' " ~ II " il I' ): April L Strang-Kutay, Esquire Attorney 1. D. No. 46728 GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P,O, Box 1268 Harrisburg, PA 17108-1268 Telephone: (717) 234-4161 Attorney for Plaintiffs " !:! i~ " ::1 ,Ii ~j " II " n I.,' ,I CIVIL ACTION - LAW Ii ,I II i1 i1 6:1 " 11 !j i) !;, i- ,~ il H ~ ~! Ii I' II II "~I CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v, NO. 00-2990 Civil Term GEORGE SYLVESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P.C.,: JURY TRIAL DEMANDED Defendants ORDER OF COURT AND NOW, this ~ day of 1.J....i> "t- , 2003, it is hereby Ordered that the status conference in the above-captioned matter is rescheduled to December 4, 2003, at 2:00 p.m. in the Cumberland County Courthouse, Courtroom 4, at Carlisle, Pennsylvania. BY THE COURT: ~~ ~+~ p;6? .0 \0 BY? / 44 J. 96872.1 :E .. ..., -".-"-,. ,-~ \,jt C,:) nrT Ci ; 1: ~\2 CUii/iLr.., ~:."" \,>~;U;'~TY PENNSYLW'NA .. "_',,,,1'- ;,':',u, _._--~-. " ~ ''";~''''''~'' -~ "'0-. ^.'. \ ~-, ., ", . '" .,,-, -~"" -"". 'v-".,_ ~'Fo". IU(fIUlilltl u_ <,!"IRI!~ .~-~ ~". ~-~,~ -,- .-",-~ '-~;,,"-~' '-~-,~"- ~,~-,"~--,---,-,,--,._..~,,~-~ ,,~~~ , "" , ::'! April L. Strang-Kutay, Esquire Attorney 1, D. No. 46728 GOLDBERG, KATZMAN & SHIPMAN, P.c. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 Telephone: (717) 234-4161 Attorney for Plaintiffs l'i " ., t! ., ,I r! 1'1 ~i n :i ii \1 , Ii II j:l I CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYL VANIA \:! 1\ I: " ,., '{I \' :, CIVIL ACTION - LAW ii , I' d .' il J:l v, NO. 00-2990 Civil Term GEORGE SYL VESTRl, M.D. and COWLEY MEDICAL ASSOCIATES, P,C.,: JURY TRIAL DEMANDED Defendants AND NOW, this z/" day of 1.,., ,2003, following consultation with and II I'! I,: ,! ]1 II " I, [i rj " I" I' " II ~ 11 j I! ORDER OF COURT agreement by all parties, it is hereby Ordered that the status conference in the above-captioned matter scheduled for July 23,2003, at 2:30 p.m. has been rescheduled for August 27,2003, at 3:00 p.m. in the Cumberland County Courthouse in Courtroom 4, at Carlisle, Pennsylvania. BY THE COURT: By: c/l;l ~ ~~6'J (\');. o J. 96872.1 0:." ~-'I'l !UIIJU gmL.J" ,_.0, >- 0\ C~ "":': 1~ Z (': :::;. -.;.,,-r .') .~ .'-) :;0- ~ 'J :-.:'..1 --- 0') C\J ~~'7 -, 'LO :0 .~~:l (I- I.l_ j c;, (J .1.-_, " . -".~t> ' ^-- ~'F =', , . "-~ IF. ~_eo , =-, - ,." _~"o,~~_ _. ~".. ~.~ , h~'~,".<,_ <'< ._r'__ ~."'=_"_,. '"'".',~_,",<--__,~ ' 'j Ii II ,I ': . , April L, Strang-Kutay, Esquire Attorney I D. No. 46728 GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P,O. Box 1268 Harrisburg, I? A 17108-1268 Telephone: (717)234-4161 Attorney for Plaintiffs CARL R. LEBO and BEVERLY ANN LEBO, his wife, Plaintiffs : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW : NO. m - ;)990 GUl(T~ v. GEORGE SYLVESTRl, M.D. Cowley Medical Associates 425 North 21" Street Camp Hill, PA 17011 and COWLEY MEDICAL ASSOCIATES, P.CO 425 North 21" Street Camp lIill, PA 17011 Defendants , : JURY TRIAL DEMANDED YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE ALA WYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 Liberty Avenue Carlisle, PA 17013 Telephone: (717) 249-3166 " ~, ~<',,~ ~" ~'" ""' "'"'" '"'~""." '"","" ,',,-, "" ""'i NOTICIA Le han demandado a usted en la corte, Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted debe presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas 0 sus objectiones alas demandas en contra de su persona. Sea adisado que si usted no se defiende, la sin previo aviso 0 notifIcacion y por cualquier quja 0 puede perder dinero 0 sus propiedades 0 otros derechos importantes para usted. LLEVE ESTA DEMANDA A UN ABOGADO IMMEDIATAMENTE. SI NO TIENE ABOGADO 0 SINO TIENEELDINERO SUFICIENTEDE PAGAR TAL SERVICIO, VAYA EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUY A DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. CUMBERLAND COUNTY BAR ASSOCIATION 2 Liberty Avenue Carlisle, PA 17013 Telephone: (717) 249-3166 Apri11. Strang-Kubly, Esquire Attorney 1 D. No, 46728 GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg,PA 17108-1268 Telephone; (717)234-4161 , II Ii 11 d j t1 i1 'I :l H 1'1 " , !.i h ii Attorney for Plaintiffs :~ 'I ri I ~ I' 1 II j I: " i fl Ii II ~ II " f; I. ,I Ii !~ , !:I II II I .1 ~ ., l~ ! ! i l I CARL R. LEBO and BEVERLY ANN LEBO, his wife, : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs v. : CIVIL ACTION - LAW : NO, tlf) - ;2 990 {l;;J 7~ GEORGE SYL VESTRI M D , . . Cowley Medical Associates 425 North 21" Street Camp Hill, PA 17011 and COWLEY MEDICAL ASSOCIATES, P.C, 425 North 21" Street Camp Hill, P A 17011 : JURY TRIAL DEMANDED Defendants ii..k~4if&i}*JJfl[f@1~!~*=rtilif~111tilti~*t1ft.el_ltlt.~i~l%i11ftll~t~ij*liii~lif~t~ltj~tj~it~I$fJ~f11~[ AND NOW, come the Plaintiffs, Carl R. Lebo and Beverly Ann Lebo, by and through their attorneys, Goldberg, Katzman and Shipman, P.C., who respectfully represent as follows: 1. The Plaintiffs are adult individuals, husband and wife, residing at 638 Springhouse Lane, Hummelstown, Pennsylvania, 17036. 2. ThattheDefendant, George Sylvestri, M.D., hereinafterreferred to as "Dr, Sylvestri", is a physician licensed to practice medicine in the Commonwealth of Pennsylvania at 425 North 21" Street, Camp Hill, P A 170 II. 3. That the Defendant, Cowley Medical Associates, p, C., is a business entity located at 425 North 21" Street, Camp Hill, PA 17011, 4. That at all times relevant hereto, Dr. Sylvestri was acting as an employee and/or agent of the business entity known as Cowley Medical Associates, P.C. - ,~ = ~ , " ,--. '. '''I' "H""""'. "" .. oC'':'''<_'",,"" 1'_'""'.-- "_c_ '_~:_ "'-._"'"'-" l"~'"_-~_'-,-"":-;;,,,,,~:, .. ,-~ .C. ,;"~,,, ,-"->",,--;;'"~~''''' ,".,,' ""~', "~ _, '_""i__'''_ 5. Plaintiff, Carl Lebo, a previously healthy 62 year old male, presented to Dr. Ernest R. Rubbo (orthopedist), onMay 6, 1998, approximately two weeks after sustaining a work-related injury to his right shoulder. 6. That on the date of May 6, 1998, Dr. Rubbo ordered an MRI scan pertaining to Mr. Lebo's right shoulder; this scan demonstrated a full thickness rotator cuff tear, 7. That on May 27, 1998, Dr. Rubbo admitted Plaintiff, Carl Lebo, to Polyclinic Hospital where he performed an arthrotomy, and an open acromioplasty. 8. That the surgical procedure which took place on May 27, 1998 was accomplished uneventfully and no unusual incidents or occurrences are noted in the operative report. 9. That one week following surgery, Mr, Lebo returned, as instructed, to Dr. Rubbo's office for a routine follow-up evaluation; at that time, according to Dr. Rubbo's office note, Mr, Lebo's shoulder was "healing nicely" and the Plaintiff was instructed to progress from a shoulder immobilizer to a sling and to begin passive range of motion exercises. 10. On June 9, 1998, Plaintiff, Carl R. Lebo, presented to the office of George Sylvestri, M.D., for evaluation of symptoms he had developed involving episodic severe headaches, accompanied by facial numbness, nausea, light headedness, shortness of breath and paresthesis. 11. That on the date of June 9, 1998, Dr. Sylvestri evaluated Mr, Lebo for the above- stated complaints and also noted in the record that the patient had been febrile for approximately one week. 12. A physical exam on June 9, 1998, conducted by Dr, George Sylvestri, was essentially normal except for decreased range of motion of the right shoulder. SpecifIcally, Dr. Sylvestri noted that there was no erythema or fluctuance around the wound, 13. That a chest x-ray and complete blood count ordered by Dr. Sylvestri were normal, however, the sedimentation rate was markedly elevated. 14. That based on the above findings, Dr. Sylvestri proposed a diagnosis of "post-op FUO," and elected to withhold antibiotics, preferring to instruct the patient to present for re- evaluation in three days time. 2 15. That, as requested, Mr. Lebo presented again to Dr. Sylvestri's office on June 12, 1998; in the office that day, Mr. Lebo's recorded temperature was 990F; however, the patient reported to Dr. Sylvestri that his fever had ranged, in the past three days, between 990F to 1020F. 16. That on June 12, 1998, Dr. Sylvestri noted the right shoulder to be tender with increased warmth and erythema, but no obvious effusion. 17. Once again, Dr. Sylvestri proposed a diagnosis of"post-op fever without source", and elected to continue the patient off antibiotics and re-evaluate him in one week with a repeat sedimentation and liver function test in the interim. 18. That on June 16, 1998, Mr. Lebo presented again to the office of his orthopedic surgeon, Dr. Rubbo, Dr. Rubbo's office notes confirm that Mr. Lebo complained of pain in his right shoulder, as well as fever; on physical exam, Dr. Rubbo noted that the incision was red and "appears to be showing some sort of reaction to his Vicryl suture, particularly to the superior aspect of the incision where his knot has been tied," 19. That based on his impressions as a result of the June 16, 1998 examination of Mr. Lebo, Dr. Rubbo concluded that the Plaintiff may be suffering from a "possible post-op infection" and prescribed "Ketlex", with instructions for the patient to return in two to three days, or earlier, should the pain and swelling get worse. 20. On the following day, June 17, 1998, in response to Mr, Lebo's ongoing complaints, Dr. Rubbo re-evaluated Mr. Lebo's shoulder. At that time, Dr. Rubbo noted the presence of a pustule, which he opened, with drainage and culture of purulent tluid "which appeared to be mostly superficial." 21. That subsequent culture of this material demonstrated coagulase negative staphylococci and Propionibacterium acnes. 22. That on or about June 17, 1998, additional debridement was then carried out with excision of a large Vicryl knot from the open area, after which Mr. Lebo was hospitalized inunediately for further evaluation and treatment. 3 ,..,- .,'<_~_~o__-. _ "",<M' .". '~I' -- ,-~,~- "__,,,_~__,_; -- ,,".,,- -. ; .'__ '.~ ,i.'~,,--__o'-" __ "__.!._-,,~;~ -., -,-"-,,, =_,-,~-~h",'" ,-,,'-'~M, c',~""" ,"_-~J-'."__<;"~--~''''",:d'<. ' ,--.-",~; 23. That Plaintiff, Carl Lebo, was admitted to Dr. Rubbo's service at Polyclinic Hospital on June 17, 1998, and was immediately begun on a regime of intravenous Cefazolin, twice-daily dressing changes and analgesics. 24. That on June 22, 1998, Dr. Rubbo returned the patient to surgery and re-explored his shoulder, which re-exploration demonstrated a purulent fluid collection found in the subdeltoid space with failure and dehiscence of the entire rotator cuff repair; the area was then derided and irrigated, but in view of the size of the defect, no repair was felt to be feasible, and the area was closed over a drain. ; I II II 'I ,I 'I i ! II II II 11 II II I 25. That as a result of consultation with an infectious disease consultant, Dr. Tkatch, Mr. Lebo's antibiotic regime was changed from Cefazolin to Vancomycin. 26. The Plaintiff, Carl Lebo, was ultimately discharged from the Polyclinic Hospital to home on June 22, 1998 with plans to receive a six week course of Vancomycin. 27. That as a result of substantial damage effectuated by Plaintiff's, Carl Lebo's, post- operative infection, the patient lost his rotator cuff repair and the cuff was destroyed. COUNT I CARL R. LEBO v. GEORGE SYLVESTRI. M.D. 28. Plaintiffs incorporate by reference hereto each and every paragraph of this Complaint as if each had been set forth at length herein. 29. Thatthe Defendant, Dr. Sylvestri, was negligent and careless in the medical treatment and/or advice provided to Carl R. Lebo in that he: a. failed to appropriately diagnosePlaintifI's deep-seated post-operative infection, thus delaying treatment; b. failed to recognize the signifIcance of Plaintiff's persistent, elevated temperature, accompanied by systemic symptoms which should have induced suspicion of bacterial infection associated with his recent rotator cuff repair; c. failed to timely recognize that Mr. Lebo's persistent fever, localized pain, and loss of joint mobility were suspicious for a deep post-operative infection; 4 , - --", -~ _~_o,.. , '~,~~. ~- >"""~ '<~"-.' '. ...~ ""~'-"'."'--'. -~,,-, "-,,oj-', -",_~ d. failed to appropriately recognize that a deep-seated post-operative infection, the symptoms of which Mr. Lebo displayed, has the potential to cause severe, systemic illness and sepsis, and to result in long-term dysfunction ifnot promptly recognized and treated; e. failed to recognize the signifIcance of Plaintiff's, Mr, Lebo's, markedly elevated sedimentation rate, which, along with this other symptoms as described above, was strongly suggestive of a deep post-operative soft-tissue infection which required urgent treatment; f inappropriately elected to advise patient to simply observe his symptoms for an additional week upon the June 12, 1998 evaluation; g. failed to refer Mr, Lebo for immediate work-up and treatment for deep post- operative infection or for June 9, 1998 and June 12, 1998; and h. through his failure to appropriately diagnose Plaintiff's deep-seated, post- operative infection, delayed treatment of this serious condition such that Mr. Lebo was exposed to the increased risk that his surgery to repair a torn rotator cuff would ultimately fail. 30. That as a result of Dr. Sylvestri's conduct as described in the preceding paragraph of this Complaint, Plaintiff was exposed to the development of serious infection, and further exposed to the risk that this infection would ultimately result in the complete destruction of his rotator cuff repair, which complications did, in fact, occur. 31. That as a result of Dr. Sylvestri's conduct, Plaintiff was exposed to prolonged hospitalization, prolonged treatment and permanent injury/deformity with respect to the failed rotator cuff repair, which complications did, in fact, occur. 32. That as a result of Dr. Sylvestri's conduct as described in paragraph 29 above, Plaintiff's treatment of his deep seated post-operative infection was delayed, compromising his recovery from this infectious process. 33. That as a result of Dr. Sylvestri's conduct as described in paragraph 29 above, Plaintiff incurred medical bills. 5 ~- -- - -- ,- - -,- -,---- 34. That as a result oIDr. Sylvestri's conduct as described in paragraph 29 above, Plaintiff has been caused to sustain, and will, in the future, continue to sustain pain, suffering, inconvenience, emotional distress, embarrassment, scarring, disfigurement and loss oflife's pleasures, 35. That with respect to Dr. Sylvestri's conduct as described in paragraph 29 above, Plaintiff has lost wages, and may anticipate a diminution of his earning capacity in the future_ WHEREFORE, the Plaintiff; Carl K Lebo, demands judgment against George Sylvestri, M_D_ for a sum in excess of the jurisdictional amounts of arbitration, together with interest and cost of suit. COUNT II CARL R LEBO v. COWLEY MEDICAL ASSOCIATES. P.C. - NEGLIGENCE 36. Plaintiffs incorporate by reference hereto each and every paragraph of this Complaint as if each had been set forth at length herein. 37 _ That at all times material hereto, Dr. Sylvestri was an agent, servant and/or employee of the business entity known as Cowley Medical Associates, P .C., acting within the course and scope of that agency and/or employment. 38. That Defendant, Cowley Medical Associates, p, C, acted negligently with respect to the treatment of Carl R. Lebo as set forth in paragraph 29 above. WHEREFORE, the Plaintiff, Carl K Lebo, demands judgment against Cowley Medical Associates, P .C. for a sum in excess of the jurisdictional amounts of arbitration, together with interest and cost of suit. COUNT m BEVERLY ANN LEBO v. GEORGE SYLVESTRI, M.D. and COWLEY MEDICAL ASSOCIATES. P.C. - LOSS OF CONSORTIUM 39. Plaintiffs incorporate by reference hereto each and every paragraph ofthis Complaint as if each had been set forth at length herein_ 40. That as a result of the conduct of Defendants, George Sylvestri, M_D. and Cowley Medical Associates, P .C, Beverly Ann Lebo, wife of Carl K Lebo, has sustained damages as a result of the loss of services, guidance, companionship, society, affection and consortium of her husband, 6 '.- -'--"i I' ! i' t : , 11 i! 1\ !! Ii I' iI I, I' " , II !( ii " It _ ^_ _~ _ _-._ H' __ ~~~" C, ~~,' "' ,'W," , '" ~ .-'.-"'-' O',,'~ ,""v. '. -~_-' ," - -" .','_'0)'6,<,""",,"'_'"'' ''''",c'd-' - ,-,>--.-_0. <v-"-;.,..,-,W0~,'~''''- '~>'-., """, -. ," '"" --'>';';~~'OO"~~ WHEREFORE, Plaintiff demands judgment against Defendants, George Sylvestri, M.D. and Cowley Medical Associates, P,c, for a sum in excess of the jurisdictional amounts of arbitration, together with interest and cost. Respectfully submitted, GOLDBERG, KATZMAN & SHIPMAN, P.C. By: ~4~ (t-- April L. Str -K , E~;-- {J Attorney I. D. No. 46728 P. O. Box 1268 Harrisburg, PA 17108-1268 Attorneys for Plaintiffs [1 11 , 1 , DATE: May 11, 2000 425lU 7 .,., .."",..".~...,,'., '''.'C.~.,. ;,-"e,;1 ,I I I I I I 'I " ,I i VERIFICATION I hereby acknowledge that I have read the foregoing Complaint and that the facts stated herein are true and correct to the best of my knowledge, information and belief The undersigned understands that the statements therein are made subject to the penalties of 18 Pa. C.S. ~4904 relating to unsworn falsifications to authorities. /1tt/tt Carl R. Lebo DATE: Vf~ /7 ,;MtN) " <Ii ~ Ii ~i il i VERIFICATION I hereby acknowledge that I have read the foregoing Complaint and that the facts stated herein are true and correct to the best of my knowledge, information and belief The undersigned understands that the statements therein are made subject to the penalties of 18 Pa, C.S. ~4904 relating to unsworn falsifications to authorities, 8~~ ~ J1Jo Beverly A Lebo DATE: ~) 7/h CIti) 42666.1 ;mii~"-: "~~,,I ".. .^"-...'~<<'"'' ~,,-~, '_' " _ ~",^c -~""_"" ,'-f -.-7, t- '.,~,'" -;'.'- ,-, -'t,. ~ "s (0~ -.t ~ f0 Vz \) \t- !l () g d -.Q .l:: vt -0 I f'J ~ uK) p: ~ r ~ ~ '-E--.. "'" , ,--, --::JC'_i t~i~'; ~s~, r__~ (~J ):;C) f.c.c "">~ --1 -< r ~; c::> .:::::;) 0(;) " ._, .,"-. \f) .":i(11 ~.;~.~.' ---:~ ~~~~ (:5171 ",,, ~ :0 -< -~ ._"v. ;-':'10 -'" f'j v ::1:. 1'0 o ~. " ..,-,-'-' " --'-- ,'~ -"lIt: SHERIFF'S RETURN - REGULAR CASE NO: 2000-02990 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND LEBO CARL R ET AL VS SYLVESTRI GEORGE MD SHANNON SUNDAY , Sheriff or Deputy Sheriff of Cumberland county, Pensyl vania , who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon SYLVESTRI GEORGE M D the DEFENDANT , at 0012:15 HOURS, on the 22nd day of May , 2000 at COWLEY MEDICAL ASSOCIATES 425 NORTH 21ST STREET CAMP HILL, PA 17011 NANCY MORGAN (NURSING SUPV) by handing to a true and attested copy of COMPLAINT & NOTICE together with and at the same time directing Her attention to the contents thereof. Sheriff's Costs: Docketing Service Affidavit Surcharge 18.00 9.30 .00 10.00 .00 37.30 So An7~~L,t R. Thomas Kline OS/23/2000 GOLDBERG, KATZMAN & SHIPMAN Sworn and Subscribed to before By: 1l~rY\ 711. J,~J7f - Deputy Sheriff me this ,,2 ~ day of ~ ;Lr.rvOA. D. n. A. Q fl,dh.-, ~ '-1~othonotary , " "'" '"., ".. -u " '" SHERIFF'S RETURN - REGULAR CASE NO: 2000-02990 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND LEBO CARL R ET AL VS SYLVESTRI GEORGE MD SHANNON SUNDAY , Sheriff or Deputy Sheriff of Cumberland County, Pensylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon COWLEY MEDICAL ASSOCIATES P C the DEFENDANT , at 0012:15 HOURS, on the 22nd day of May 2000 at 425 NORTH 21ST STREET CAMP HILL, PA 17011 NANCY MORGAN (NURSING SUPV) by handing to a true and attested copy of COMPLAINT & NOTICE together with and at the same time directing Her attention to the contents thereof. Sheriff's Costs: Docketing Service Affidavit Surcharge So Answers: ~~~ r-K"d'~~f 6.00 .00 .00 10.00 .00 16.00 R. Thomas Kline OS/23/2000 GOLDBERG, KATZMAN & SHIPMAN Sworn and Subscribed to before By: j('UMUnl tn, ~ -un"'.., r " Deputy Sheriff' me this ,2 ~ day of q,... ~ olo-tro A. D . ~. fl. ""'hufj,...-~, othonotary . I , -i, ~ ~ " J ,-'1l MICHAEL M. BADOWSKI, ESQUIRE Pa. Supreme Court I.D. No. 32646 MARGOLIS EDELSTEIN 3510 Trind1e Road Camp Hill, Pennsylvania 17011 Telephone: Fax: Direct E-Mail: [717] 975-8114 [717] 975-8124 GEORGE mbadowski@margolisedelstein.com Attorney for Defendants: SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C. CARL R. LEBO AND BEVERLY ANN LEBO, HIS WIFE, PLAINTIFFS, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNA. CIVIL ACTION - LAW VS. DOCKET NO. 00-2990 CIVIL TERM GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C.,: DEFENDANTS. JURY TRIAL DEMANDED PRAECIPE TO ENTER APPEARANCE TO THE PROTHONOTARY OF CUMBERLAND COUNTY, PENNSYLVANIA: Kindly enter my appearance on behalf of Defendants, GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C., in the above-captioned matter. Date: r::~u i / By: / "0 ICHAEL .. Attorney for Defendants, GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C. ~,~~"~~. " ;. '.' ~"'r! - _j" f'_', .J '--... CERTIFICATE OF SERVICE 11:1 , , 2000, and ,Ii " ,I' "'I :" I",jl I I': I'~ :1.' ,II. 11 ii: If; l,l ,:1 ![<l 'I .'~'I' " " 11 II I I HEREBY CERTIFY that I served a true and correct copy of the foregoing on all counsel of record by placing the same in the United States mail at Camp Hill, Pennsylvan~a poe'age prepaid, 00 "e J31L day of ~ . , addressed as follows: first-class April L. Strang-Kutay, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 (Counsel for Plaintiffs) MARGOLIS EDELSTEIN ii' By:q;AAW'AJ;9-JL, ~. Se etary ~.~~~~wm:~tmHiii~~~~~~"~~~b.ll!Jil a lJittllllll;a' ".-., .. ~-" . , --lj .Delf I UI'__~1ll\WIJlli!l: P ':tJ~ -!Pt~i <(/ 0__"_, ;::s~:..::. '-c $; ;2:0 :SO r::: ."2- ~ .. - -", '-II ',.",~" 6~"- L c C;) '- c::: -- ..~- o -r, " I \.0 ;:1:1 ..1c' "':i"i,:!) '~i,-' i,'-:?S~.'J ,'~N ~':::-; f ! ; >- $ ~ ~ - "- !Wi ,~ , f' CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22'F IN THE MATTER OF: COURT OF COMMON PLEAS LEBO TERM, -VS- CASE NO: 00-2990 SYLVESTRI, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of MICHAEL M. BADOWSKI, ESQUIRE defendant certifies that (1) A notice of intent to serve the subpoena with a copy of the subpoena attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena is sought to be served, (2) A copy of the notice of intent, including the proposed subpoena, is attached to the certificate, (3) No objection to the subpoena has been received, and (4) The subpoena which will be served is identical to the subpoena which is attached to the notice of intent to serve the subpoena. nATE: 07/05/2000 ~aj~#-"~' MICHAEL M. BADOWSKI, ESQUIRE Attorney for DEFENDANT DEll-190837 31323-LOl .,. ~- "" s;., .. COMMON~EALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND IN THE MATTER OF: COURT OF COMMON PLEAS LEBO TERM, -VS- CASE NO: 00-2990 SYLVESTRI, ET AL NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS POLYCLINIC,HOSPITAL ERNEST RUBBO, M.D. MEDICAL MEDICAL TO: APRIL L. STANG-KUTAY ESQ MCS on behalf of MICHAEL M. BADOWSKI, ESQUIRE intends to serve a subpoena identical to the one that is attached to this notice. Yeu have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served pursuant to the applicable Pennsylvania Rules of Civil Procedure 4009.24. Complete copies of any reproduced records may be ordered at your exppnse by completing the attached counsel card and returning same to MCS or by contacting our local MCS office. DATE: 06/15/2000 MCS on behalf of MICHAEL M. BADOWSKI, ESQUIRE Attorney for DEFENDANT CC: MICHAEL M. BADOWSKI, ESQUIRE WILLIAM BOLTZ - 57300-4-0082 - 3359610103 Any questions regarding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET 1800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-l24534 31323-C02 '"""~ l' " COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND LEBO VS File No. 00-2990 SYLVESTRI, ET AL SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: CUSTODIAN OF RECORDS FOR: POLYCLINIC HOSPITAL (Name of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following documents or things: . SEE ATTACHED . at MCS GROUP INC. 1601 MARKET STREET SUITE 800 PHILADELPHIA PA 19103 (Address) You may deliver or mail legible copies of the documents or produce things requested by this subpoena. together with the certificate of compliance, to the party making this request at the address listed above. You have the right to seek, in advance, the reasonable cost of preparing the copies or producing the things sought. If you fail to produce the documents or things required by this subpoena, within twenty (20) days after its service, the party serving this subpoena may seek a court order compelling you to comply with it. THIS SUBPOEN A WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON: NAME: MICHAEL M. BADOWSKI, ESQUIRE ADDRESS: 3510 TRINDLE ROAD CAMP HILL PA 17011 TELEPHONE: (215) 246-0900 SUPREME COURT ID It: ATTORNEY FOR: THE DEFENDANT '-- DATE: ... )" L:l7' I J. ,J 1"Y'l7) , Seal of the Court _n _ ,__ " "-1 ,--"'. ,,' . EXPlANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: POL YCLlNIC HOSPITAL 2601 NORTII TIIIRD STREET HARRISBURG, PA 17105 RE: 31323 CARL LEBO Any and all records, correspondence, files and memorandums, handwritten notes, relating to any examination, consultation care or treatment. Dates Requested: up to and including the present. . Subject: CARL LEBO 638 SPRINGHOUSE LANE, HUMMELSTOWN, PA 17036 . Social Security #: 181-26-9950 Date of Birth: 01-20-1936 SUlO-252200 31323-LOl . CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22'F IN THE MATTER OF: COURT OF COMMON PLEAS LEBO TERM, -VS- CASE NO: 00-2990 SYLVESTRI, ET AL As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of MICHAEL M. BADOWSKI, ESQUIRE defendant certifies that (1) A notice of intent to serve the subpoena with a copy of the subpoena attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena is sought to be served, (2) A copy of the notice of intent, including the proposed subpoena, is attached to the certificate, (3) No objection to the subpoena has been received, and (4) The subpoena which will be served is identical to the subpoena which is attached to the notice of intent to serve the subpoena. DATE: 07/05/2000 MICHAEL M. BADOWSKI, ESQUIRE Attorney for DEFENDANT DEl1-190838 31323-L02 l...... i_ """' ' ~ . - , .~ ~ . COMMON~EALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND IN THE MATTER OF: COURT OF COMMON PLEAS LEBO TERM, -VS- CASE NO: 00-2990 SYLVESTRI, ET AL NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS POLYCLINIC HOSPITAL ERNEST RUBBO, K.D. MEDICAL MEDICAL TO: APRIL L. STAHG-KUTAY ESQ KCS on behalf of MICHAEL K. BADOWSKI, ESQUIRE intends to serve a subpoena identical to the one that is attached to this notice. You have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served pursuant to the applicable Pennsylvania Rules of Civil Procedure 4009.24. Complete copies of any reproduced records may be ordered at your exppnse by completing the attached counsel card and returning same to KCS or by contacting our local KCS office. DATE: 06/15/2000 KCS on behalf of MICHAEL K. BADOWSKI, ESQUIRE Attorney for DEFENDANT CC: MICHAEL K. BADOWSKI, ESQUIRE WILLIAM BOLTZ - 57300-4-0082 - 3359610103 Any questions regarding this matter, contact THE KeS GROUP mc. 1601 MAUET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-124534 31.32.3 -CO 2. ~- .;,i" ~' . COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND LEBO VS File No. 00-2990 SYLVESTRI, ET AL SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: CUSTODIAN OF RECORDS FOR: ERNEST RUBBO, M.D. (Name of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following documents or things: SEE ATTACHED at MCS GROUP INC. 1601 MARKET STREET SUITE 800 (Address) PHILADELPHIA PA 19103 You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together with the certificate of compliance, to the party making this request at the address listed above. You have the right to seek. in advance, the reasonable cost of preparing the copies or producing the things sought. If you fail to produce the documents or things required by this subpoena, within twenty (20) days after its service, the party serving this subpoena may seek a court order compelling you to comply with it. THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON: NAME: MICHAEL M. BADOWSKI, ESQUIRE ADDRESS: 3510 TRINDLE ROAD CAMP HILL PA 17011 TELEPHONE: (215) 246-0900 SUPREME COURT ID It: ATIOR."<EY FOR: THE DEFENDANT DATE: '),10 )p I;) :J fY)O , c Seal of the Court ~~ ! L 'I . ~ ~~ :t EXPlANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: ERNEST RUBBO, M.D. 2800 GREEN STREET HARRISBURG, PA 17104 RE: 31323 CARL LEBO Any and all records, correspondence, files and memorandums, handwritten notes, billing and payment records, relating to any exam;nation, consultation, tare or treatmen~. Dates Requested: up to and including the present. Subject: CARL LEBO 638 SPRINGHOUSE LANE, HUMMELSTOWN, PA 17036 Social Security #: 181-26-9950 Date of Birth: 01-29-1936 SU10-252202 31323 -L02 ~;l!iliiilil_"-~"'<~i,:,~ .-~llMi1WlmIdjl~liIlIMl"lllIiiiii' ~J~l[)}Lt!L".I"."~,~ _ ._=',=C~,',. 'C.,. ~~__~ ,-~, < ".""1IJ;l;;lIli~~iiiIIl~- -r ~, -~_ * ',- '..I 'c,,' ~~ - ....to.:.... .. (J r.=l ,:=) C 0 , ~ ;.?.,: '- --~ -0 rD ~ m I r: ;~= 'TI Z -n " r. ~S;~ "'''),,- "? -<..,..::.. ~~G] r:: r.:; ~,--. ~; ?5:D Z"-j - '-:7 ~ J j;~ 9? ""--,'n c::-) , l_ "-\ Z t:"' :x.- :;:: ::D rV -< , .[ '" l:,..-_, . "-..c._ __'oj \. MICHAEL M. BADOWSKI, ESQUIRE Pa. Supreme Court I.D. No. 32646 MARGOLIS EDELSTEIN 3510 Trindle Road Camp Hill, Pennsylvania 17011 Telephone: Fax: E-Mail: [717] 975-8114 [717] 975 - 8124 mbadowski@margolisedelstein.com Attorney for Defendants: GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C. CARL R. LEBO AND BEVERLY ANN LEBO, HIS WIFE, PLAINTIFFS, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNA. CIVIL ACTION - LAW VS. DOCKET NO. 00-2990 CIVIL TERM GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C.,: DEFENDANTS. JURY TRIAL DEMANDED NOTICE TO PLEAD TO: PLAINTIFFS and their counsel, April L. Strang-Kutay, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 YOU ARE HEREBY NOTIFIED to plead to the enclosed NEW MATTER within twenty (20) days of service hereof, or a default judgment may be entered against you. Date: y;~~ , I ill! .=~ - " "J --_On u'~ i MICHAEL M. BADOWSKI, ESQUIRE Pa. Supreme Court I.D. No. 32646 MARGOLIS EDELSTEIN 3510 Trind1e Road Camp Hill, Pennsylvania 17011 Telephone: Fax: E-Mail: [711] 975-8114 [711] 975-8124 mbaaowski@margolisedelstein.com Attorney for Defendants: GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C. CARL R. LEBO AND BEVERLY ANN LEBO, HIS WIFE, PLAINTIFFS, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNA. CIVIL ACTION - LAW VS. DOCKET NO. 00-2990 CIVIL TERM GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C.,: DEFENDANTS. JURY TRIAL DEMANDED DEFENDANTS' ANSWER AND NEW MATTER TO PLAINTIFFS' COMPLAINT 1. Admitted upon information and belief. 2. It is admitted that Dr. Sylvestri is a physician licensed to practice medicine in the Commonwealth of Pennsylvania. 3. Denied. By way of further answer, current to the events alleged in the Plaintiffs' Complaint, Cowley Medical Associates, P.C., was not a business entity. Prior to the events giving rise to this lawsuit, Cowley Medical Associates, P.C., was purchased by Beacon Medical Group, P.C., at which time Cowley Medical Associates, P.C., ceased to exist. ~~ ~ 1-, .'_.",' ,~. . 4. Denied. By way af further answer, at the times alleged in Plaintiffs' Camplaint, Dr. Sylvestri was acting as a physician emplayee af the Beacan Medical Graup, P.C. 5-9. Denied. After reasanable investigatian, Dr. Sylvestri is withaut knawledge ar infarmatian sufficient to. farm a belief as to. the truth af the averments of these paragraphs af Plaintiffs' Camplaint and, therefare, said averments are denied. 10-12. Admitted to. the extent reflected in Dr. Sylvestri's 6/9/98 affice recard entry. 13. It is admitted that a chest x-ray and camplete blaad caunt ardered by Dr. Sylvestri were reparted as being within narmal limits with the exceptian af the sedimentatian rate which was elevated. 14. Admitted as mare accurately and campletely reflected in Dr. Sylvestri's affice recard entry af 6/9/98. 15. Admitted as mare accurately and campletely reflected in Dr. Sylvestri's affice recard entry af 6/12/98. 16. Denied. To. the cantrary, as reflected in Dr. Sylvestri's affice recard entry af 6/12/98, Mr. Leba's right shaulder was examined and faund to. be tender withaut effusian, increased warmth ar erythema. - 2 - " - .I~,~".",,-- ~.~ 17. Admitted as more accurately and completely reflected in Dr. Sylvestri's office record entry of 6/12/98. 18-25. Denied. Currently, Dr. Sylvestri is without knowledge or information sufficient to form a belief as to the truth of the averments of these paragraphs of Plaintiffs' Complaint and, therefore, said averments are denied. 26. Admitted upon information and belief. 27. Denied. Currently, Dr. Sylvestri is without knowledge or information sufficient to form a belief as to the truth of the averments of this paragraph of Plaintiffs' Complaint and, therefore, said averments are denied. COUNT I CARL R. LEBO VS. GEORGE SYLVESTRI. M.D. 28. Dr. Sylvestri incorporates herein by reference his answers to paragraphs 1 through 27 of the Plaintiffs' Complaint as if the same were set forth in their entirety. 29. (a)-(h) Denied. The averments of this paragraph and its subparagraphs of the Plaintiffs' Complaint recite medical and legal conclusions to which no response is required. Dr. Sylvestri avers, however, that at all times and for all purposes relevant to his professional involvement in this matter, he acted appropriately and in a fashion commensurate with acceptable - 3 - i;.s "[ - <"^ ~"~,"-. --.1 " ~ ,. -Jil standards of health care applicable under similar circumstances and he in no way negligently caused any injury or damage to Plaintiffs. 30-35. Denied. The averments of these paragraphs of the Plaintiffs' Complaint recite medical and legal conclusions to which no response is required, Dr. Sylvestri avers, however, that at all times and for all purposes relevant to his professional involvement in this matter, he acted appropriately and in a fashion commensurate with acceptable standards of health care applicable under similar circumstances and he in no way negligently caused any injury or damage to Plaintiffs. WHEREFORE, Defendant, George Sylvestri, M.D., demands judgment in his favor and against Plaintiffs. COUNT II CARL R. LEBO VS. COWLEY MEDICAL ASSOCIATES. P.C. NEGLIGENCE 36. Dr. Sylvestri incorporates herein by reference his answers to paragraphs 1 through 35 of the Plaintiffs' Complaint as if the same were set forth in their entirety. 37. Denied. To the contrary, at all times relevant to his professional involvement in the health care of Carl Lebo, Dr. - 4 - ;-'~ ~ .'<. ,.' l, ~."~--',,, .-0,,,,,_.;_] Sylvestri was an employee of the Beacon Medical Group, P.C., and not Cowley Medical Associates, P.C. 38. Denied. As of June 1998 and before, the business entity of Cowley Medical Associates, P.C., was no longer in existence. WHEREFORE, Defendants demand judgment in their favor and against Plaintiffs. COUNT III BEVERLY ANNN LEBO VS. GEORGE SYLVESTRI. M.D.. AND COWLEY MEDICAL ASSOCIATES. P.C. - LOSS OF CONSORTIUM 39. Dr. Sylvestri incorporates herein by reference his answers to paragraphs 1 through 38 of the Plaintiffs' Complaint as if the same were set forth in their entirety. 40. With respect to the allegations regarding Cowley Medical Associates, P.C., Dr. Sylvestri specifically incorporates his answers to paragraphs 36 through 38 of the Plaintiffs' Complaint as if the same were set forth in their entirety. By way of further answer, at all times and for all purposes relevant to his professional involvement in the health care of Carl Lebo, Dr. Sylvestri acted appropriately and in a fashion commensurate with acceptable standards of health care applicable under similar - 5 - ~ ~~ m~_ ,-' L~ ,0-_' -. ~. " , circumstances and he in no way negligently caused any injury or damage to Plaintiffs. WHEREFORE, Dr. Sylvestri demands judgment in his favor and against Plaintiffs. NEW MATTER 41. To the extent that Plaintiffs have sustained any injury or damage as alleged in their Complaint, any such injury or damage being specifically denied, any such injury or damage was the result of the acts or omissions of third persons other than Dr. Sylvestri and for whom Dr. Sylvestri is in no way responsible. 42. At all times and for all purposes relevant to his professional involvement in the health care of Carl Lebo, Dr. Sylvestri acted appropriately and in a fashion commensurate with acceptable standards of health care applicable under similar circumstances. 43. Dr. Sylvestri did not cause or contribute to cause any injury or damage to Plaintiffs. 44. At all times relevant to his professional involvement in the health care of Carl Lebo, Dr. Sylvestri acted within the course and scope of his employment with the Beacon Medical Group, P.C., and not Cowley Medical Associates, P.C. - 6 - - . ,'O,"~ <__ -/' ,,' "~J 45. To the extent applicable, or to the extent that it may later become applicable, Defendants plead the statute of limitations referable to personal injury actions in Pennsylvania to preserve this affirmative defense for the record. 46. To the extent discovery reveals, Dr. Sylvestri pleads Plaintiffs' contributory negligence and/or assumption of risk to preserve these affirmative defenses for the record. Dated: ~/;?ko ~d By: MICHAEL M,ADO SKI Attorneys for Defendants, GEORGE SYLVESTRI, M.D., AND MEDICAL ASSOCIATES, P.C. COWLEY .7- , I ---,";, - ", ,- \~~ ". ,-. Aur-17"OO 02:21pm From- T-880 P.OI/Ol F-828 . , ...... ~ ." .;' t,' " .,:,VIlI!-XI'IC!AUQ. .. ". . . I, GEORGE SYLvEST~I, M.D., have read the foregoing DBFENDAN'l" S ANSWER AND 'd~:.:~'1"l'ER TO P;t.AIlITTIFF'S' CON1'LAJ:1lI'l' which .. ~..b .::: haa been drafted by my couJ:).sel"'.. The factual statements contained. ::'. .. ';'. ~ ,'. " ", therein a.re known by me., ~!i>aJ::e erue and. correct to the best of . ...-',. I, my knowledge, informatioI?- .andbelief. This statement andverificat:i.on is made subject to the penal ties of 16 Pa, C. S ,.A., Section 49 04. relating- to unsworn falsifications to autho~it,~(;lS~; .JIlhich providelJ that, if I knowingly make false aVEl:t1llSI).1;'S, 1 may };le su!:lject to criminal . ,-' " penalties. ~~~'. ,]' Date: ?-n-<<:l " : .,~ . ';, :'l~~'. " , I;~ ....' I, K.l:l. INDIVIDUALLY COWLliIY Ul:l:tCAL 01.: .;.. .: ..~. . . . , ,.(",!., . , . , .~ . ~ ,.,." . ..., - . . , ~ ~.~ . ;- '".r. .' 0" , . ' ~.. . , : .. ~ ~ ... . " :,,' "L. /j" _ . . '''"~j . . CERTIFICATE OF SERVICE I HEREBY CERTIFY that I served a true and correct copy of the foregoing on all counsel of record by placing the same in the United States mail at Camp Hill, Pennsylvania, first-class postage prepaid, on the Ig~ day of ~ , 2000, and addressed as follows: April L. Strang-Kutay, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 (Counsel for Plaintiffs) MARGOLIS EDELSTEIN ByUkJ~~t~ S retary ---- , ,ui_.~~~~J!"'''''''~~ ~~',:~~~~-'llMO~.~- ~" .~ .hJllei!lillwh ~l"'" ......""ooiMllu; 'rJ _ iJ'~ ""~~~~ll!ll! ~~ '- C) C ~--"" -Gr:;~ ~~~ ;:::;::z , r-~ ~:; ~j <e-> .-) ~;() )>~- '- ~ ~""M ..jt ,3"',-" w co <n c-;:. CJ "'" G-J i"V ~;:. () " --/ [~'li}] n '-'j \_-' "( c) ","~,l ~, 'I 6;~ -I :to' :0 -< ,", I :1 II I !:i II " , , , . r '^-'-'-_"--~f., "-' -"-'. ','~ ._--i>'",,,,,","_,'d,,,,-'';''"",~o'__ ',-~-"-"-_""";:"-',,'--':-&.'';;'''~;'k''C''..- ---'\';-",I;;""''',~--~co.~-__' , __:,^;'V"1 . '" " April L. Strang-Kutay, Esquire AttorueyI.D,}[o.46728 GOLDBERG, KATZMAN & SHlPMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 Telephone: (717) 234-4161 Attorney for Plaintiffs CARL R. LEBO and BEVERLY ANN LEBO, his wife, : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA Plaintiffs v. : CIVIL ACTION -LAW : NO. 00-3'110 GEORGE SYLVESTRI, M.D. Cowley Medical Associates 425 North 21" Street Camp Hill, PA 1701] and COWLEY MEDICAL ASSOCIATES, P.C. 425 North 21" Street Camp Hill, P A 17011 : JURY TRIAL DEMANDED Defendants PLAINTIFFS' RESPONSE TO NEW MATTER 41. Denied. 42. Denied. 43. Denied. 44. Admitted as stated on belief 45. Denied as applicable. 46. Denied, Goldberg, Katzman & Shipman, P.C. Date: 1H/'4~ BY~~ Aprlf 1. rang-Kutay, Esquire ~\' '--"~-' - T" .~ .. . I~""...v_,~_ ."""''''''-'_=_'',,_.,' ,-- L,' -~ -:'"~- -, -~' ,-.- .-;,., ""-'--"'~~"'; ~-.- _, 'r~''-'" ~---i!,1-J;C-.; -1' _" '('~ ,- .:", -~"",';,-,'i -.,"; '''-___ ..'-'<-!. -- _' 1. CERTIFICATE OF SERVICE I hereby certify that I served a copy of the foregoing document upon the person(s) indicated below by depositing a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania and addressed as follows: Michael Badowski, Esquire 3510 Trindle Road Camp Hill, PA 17011 By: N & SIDPMAN, P.e. Date:August 29,2000 1-11-. ~ill...-- ~- ~ "<''"" ,~ ,,<,' "~~- ,~ _ ~,-~"'- ,-"'--"" <~ ,,~~<, 1,~'-- - ,'~ ;;--.i,-,J::;, , ^--t,--.' ,< ,~- ~ ('-, 6 o c l~ ~"- ""-1""-","--' ~~~ <'=\ c!: ),--:>Os /--- ':<I. t::> 'J:p -:-;) L<.) '-"^ 1'. 'I i' I i , , ,:j "'n -'t,~' .,;_""""""Ii. - - illliGt!,.. , * CERTIFICATE PREREQUISITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22'F IN THE MATTER OF: COURT OF COMMON PLEAS LEBO TERM. -VS- CASE NO: 00-2990 SYLVESTRI. ET AL As a prerequisite to" service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of MICHAEL M. BADOWSKI, ESQUIRE defendant certifies that (1) A notice of intent to serve the subpoena with a copy of the subpoena attached thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena is sought to be served, (2) A copy of the notice of intent. including the proposed subpoena, is attached to the certificate, (3) No objection to the subpoena has been received, and (4) The subpoena which will be served is identical to the subpoena which is attached to the notice of intent to serve the subpoena. ~7J;~ DATE: 09/28/2000 MICHAEL M. BADOWSKI. ESQUIRE Attorney for DEFENDANT DEll-209527 3~3Z3 -L03 ""'~ .1- - ~-'~"'---"",,>e,,,~ . ~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND IN THE MATTER OF: COURT OF COMMON PLEAS LEBO TERM, -vs- CASE NO: 00-2990 SYLVESTRI, ET AL NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS DAVID RICHARD, M.P. MEDICAL TO: APRIL L. STANG-KU'l'AY ESQ MCS on behalf of MICHAEL M. BADOWSKI, ESQUIRE intends to serve a subpoena identical to the one that is attached to this notice. You have twenty (20) days from the date listed below in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may be served pursuant to the applicable Pennsylvania Rules of Civil Procedure 4009.24. Complete copies of any reproduced records may be ordered at your expense by completing the attached counsel card and retuming same to MCS or by contacting our local MCS office. DATE: 09/08/2000 MCS on behalf of MICHAEL M. BADOWSKI, ESQUIRE Attomey for DEFENDANT CC: MICHAEL M. BADOWSKI, ESQUIRE WILLIAM BOLTZ - 57300-4-0082 - 3359610103 Any questions reg~rding this matter, contact THE MCS GROUP INC. 1601 MARKET STREET #800 PHILADELPHIA, PA 19103 (215) 246-0900 DE02-131768 31323 -C02 - - . ~ , J~""l' COMMON\\'EAL TH OF PENNSYLVANIA COUNTY OF CUMBERLAND LEBO VS File No. 00-2990 CIVIL SYLVESTRI, ET AL SUBPOENA TO PRODUCE DOCUMENTS OR THINGS FOR DISCOVERY PURSUANT TO RULE 4009.22 TO: CUSTODIAN OF RECORDS FOR: DR. DAVID RICHARD, FAMILY MEDICINE CENTER OF HERSHEY (!'o:.a.m~ of Person or Enrit)') \-\"ithin n-."enty (20) days after ser\'ice of this subpoena. you are ordered by the court to produce the following docuI::lents or thin9" SEE ATTAr.l1F.D .t MCS GROUP INC., 1601 MARKET ST., #800, PHlLA., PA 19103 (Address) You nt2:~. deli\'er or mail legible copies of the documents or produce things requested by this subpoena, together ",,;th the certificate of compliance, to the party making this request at the address listed above. You have the right to seek. in advance, the reasonable cost of preparing the copies or producing the things sought. Ii you fail to produce the documents or things required by this subpoena.. within twenty (20) days after its sen.ice. t:"e part)" sen."ing this subpoena may seek a court order compelling you to comply with it. THIS SUBPOENA WAS ISSUED AT THE REQL'EST OF THE FOLLO\VING PERSON: 1>:AME: MH~HAET, M. RADOWSKT. F.SQIJTRE ADDRESS: 3S10 TRINDLE RD. CAMP HILL, PA 17011 TELEPHONE: (215) 246-0900 SUPREME COURT ID II: ATTOR.:'lEY FOR: THE DEFENDENT DATE: xljE ",-1"", ~ ~ .:M-t-v BY THE COURT:p . ~I2L~.' . Prothonowy/c!fe;k. ~il Division ~L () ~~ Deputy Seal of the Court (::=-f. 7/97) ~- """"' I ",;",;---"" ~" '.<....~;~~"" ,_> ~ .h"~,,^ EXPlANATION OF REQUIRED RECORDS TO: CUSTODIAN OF RECORDS FOR: DAVID RICHARD, M.D. 1135 W. GOVERNOR ROAD HERSHEY, PA 17033 RE: 31323 CARL LEBO Any and all records, correspondence, files and memorandums, handwritten notes, billing and payment records, relating to any examination, . consultation, care or treatment. Dates Requested: up to and including the present. Subject: CARL LEBO 638 SPRlNGHOUSE LANE, HUMMELSTOWN, PA 17036 Social Security #: 181-26-9950 Date of Birth: 01-20-1936 5U10-266388 31323 -L 0 3 illr1l!i._~~i&4~";b;!lli~,.l!J~~_",...'6<"-.-~_~!_,>,,tei::;';lbllMo!@~~'~'.'riiid1~Ii3~~W!i&llil'!il.>'_...."'~.l -~--~~~~~ - ~ l.)'nltlrlill!llll~ ~ ,"'"'"' ' - , () 0 0 C CJ <'" '1 -ofi-'1 a .~ nlrf-: n Z::t'J -; .... zr J -.:~ co),_.... c-...:; -<"'>>: 'TJ ~o ~ ;,~) d;:C) " ~:-.:-- -n ""-- - '~~j==s p~ r- -(5f"'tl -. -I ""-- :< N 'J> t;::) Xi --< " "",. 'II J.i ,1,.1 Ji"j,~,l.; ~,'lil'I~" 'I I lil:~,i.I~dlil.L;:.'L L I:i ;1ot:A ~ ../J ~d~ ~ tk p.;: ~~. ~.t::7Y---~ ~ ~ , ~ "~,,;' -",.-. .;, ~--, ,.,< "- ,oj, -,,,;, ,,~,~ "-" II'" , , l ..i.i , ,..- ,'," -~~ ""): Ii CO Ii " 0. SEP 0 1 20041J" CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CNIL ACTION - LAW v. NO. 00-2990 Civil Term GEORGE SYLVESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P.C.,: JURY TRIAL DEMANDED Defendants ORDER AND NOW, this _ day of ,2004, upon consideration of the Motion in Limine of Defendants, George Sylvestri, M.D., and Cowley Medical Associates, P.C., to preclude the testimony of Robert N. Dunn, M.D., and Plaintiffs Response thereto, it is hereby ORDERED and DECREED that said Motion is GRANTED, and Robert N. Dunn, M.D., is precluded from offering any expert testimony concerning the standard of care applicable to Dr. Sylvestri, pursuant to 40 P.S. g1303.512(b); and, additionally, Marie Savard, M.D. is precluded from offering any expert testimony concerning the standard of care applicable to Dr, Ernest Rubbo or Dr. John Rychak, also pursuant to 40 P.S. g1303.512(b). BY THE COURT: J. ; -' ~,~ -, .1':-- .'~r'__[: , --,,-;., . -;",--,' -,,--'--- -'-'-";'0-,,>,' . ", , '~, ''-,~ "'-"""'1 p~ .,,' April L, Strang-Kutay, Esquire Attorney J. D. No. 46728 David M. Steckel, Esquire Attorney J.D. No. 82340 GOLDBERG KATZMAN, P.c. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 Telephone: (717) 234-4161 Attorneys for Plaintiffs CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW v. NO. 00-2990 Civil Term GEORGE SYL VESTRl, M.D. and COWLEY MEDICAL ASSOCIATES, P.C.,: JURY TRIAL DEMANDED Defendants PLAINTIFFS' MOTION TO STRIKE CASE FROM SEPTEMBER 13. 2004 TRIAL TERM AND NOW, Plaintiffs, Carl R. Lebo and Beverly Ann Lebo, by and through their counsel, Goldberg Katzman, P.C., who state the following in support of the instant Motion to Strike the Case from the September 13, 2004 Trial Term: 1. The above-indicated case is scheduled to be tried during Cumberland County Term of Court September 13, 2004, with pre-trial conference having taken place before the Honorable Judge Bayley on August 18, 2004. 2. On August 26, 2004, Plaintiffs' counsel learned of an urgent medical emergency affecting a member of the family such that counsel will not be able to participate in the upcoming trial, as scheduled. .. "n, ',-- ~ =,," '-'I"~,',, - - ~ ,'- ""^ :' ,,----~.._' 'J""- '_,<-_-0;,' ", "-"-~';':-"';': '-- ",". , .;'.';1 , 3. On August 27, 2004, Plaintiffs' counsel communicated this urgent concern to defense counsel, Michael Badowski, who, in turn, conferred with his client, advising that there would be no opposition to removing the case from the September 13, 2004 trial term. WHEREFORE, Plaintiffs respectfully request that this Court grant Plaintiffs' Motion, about which Defendants have concurred, and remove the case from the September 13, 2004 trial term. GOLDBERG KATZMAN, P.C. ../......\ By./ Ap . 1. Strang-K , Esquire Attorney LD. # 46728 David M. Steckel Attorney LD. # 82340 320 Market Street P. O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Counsel for Plaintiffs Date: August 26, 2004 - '-' '''' -'-~.,-- -1.,-, ,. <-' '0"-':.,;''';;,-_,, ~,.; ."~"'" - ,.~'~ '.-'-~-J,',,:--" .__"","._" ._~""", :'_, _.n._, ,- :":;'~~~i';~ " CERTIFICATE OF SERVICE I HEREBY CERTIFY that I served a true and correct copy of the foregoing document upon all counsel of record by depositing the same in the United States Mail, fIrst class, postage prepaid, at Harrisburg, Pennsylvania, on the 26th day of August, 2004, addressed as follows: Michael M. Badowski, Esquire Margolis Edelstein 3510 Trindle Road Camp Hill, PA 17011 GOLDBERG KATZMAN, P.C. By -- .I'->.-A A rilL. S ang-Kutay,'E-squ' Attorney I.D. # 46728 David M. Steckel Attorney I.D. # 82340 320 Market Street P. O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Counsel for Plaintiffs , , iiiIi.' - " <.,,-~" . " , >;,,:,1' -,,-- > ;-~-~-ii' -~ ,,"~ '.r, ~" ',,"-," '" . .. ~ ~. ."~, .. ''"' "'- .., j , ..., 0 () = co -n C .r- -l ;g:: :>> :L..,., ""O-1.1-J c::: rn-F CPr:;:! en -om .-.~~: N :0'7 z'- (f)';::;; CT' S~ ..;.c~~. 5" ~~-' -0 (') ~o ::0:: 6r{, .-0 :l>c .r:- --1 .. S ~ N '< .. ~ ,_. ,- CARL R. LEBO and BEVERLY ANN LEBO, his wife, Plaintiffs vs. GEORGE SYL VESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P.C., Defendants , -,- ' .-,,,. ,-, :1 ~:-:,: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL V ANlA \L" ,", \:,:1 'II II 1 i1 II II 1 I I I I I I I I ! I: I I i I. Ii ~ I J ,1 , 1 I , I . I I ! i I I I I I I 00-2990 CIVIL CIVIL ACTION - LAW JURY TRIAL DEMANDED IN RE: PLAINTIFFS' MOTION TO LIST CASE FOR SEPTEMBER 13, 2004 TRIAL TERM ORDER AND NOW, this If' day of August, 2004, the motion of the plaintiffs to list this case for the September 13, 2004 trial term is GRANTED. pril 1. Strang-Kutay, Esquire For the Plaintiffs ~ichael M. Badowski, Esquire For the Defendants -.J :rlm BY THE COURT, /ld. O~ -/q-O! ~, !{ , d ~, - -~ , '~~1i*.l'lIirr'i ,~~ ., ~. ~ ~ -- ,~ '"~~ ,~"" . ,',-' -,,-' . , '"'~ "'" :? o .1 -l :r: >"1 rnf';::; -orn :'.::)U 9(1:) :r~ :p ~)t~ (Srn -.-\ ~~ ~ ~ c::: en 0:> ~ ~..,:,,. ~ 'f! U1 O'~ ... i ~ - I~ -"'--- ~;M,;' v FIt ~:r}--(jc~-\r\c:: n"" T' jt~-::'~~... .....'1 i IVL Jr Irl!.: J-1;iOTI-':{\J\;'(\Tli"J , '..-" ",../" ~'lr AUG 1 3 2004 1Y April L Strang-Kutay, Esquire Attorney J. D. No. 46728 David M, Steckel, Esquire Attorney J.D. No. 82340 GOLDBERG KATZMAN, P.e. 320 Market Street P,O, Box 1268 Harrisburg, PA 17108-1268 Telephone: (717) 234-4161 laD!' 'P" '6 ' '.11 kl.fJ j Pf'l 3: 12 CUfV:~. ';;'::'--;'~_-;~'-(i (fi! 1;_ i"fV J}P~'I1;,!"Vl11.-:;--vnlll -. \j \0 i l.V/~'\tA Attorneys for Plaintiffs CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CNIL ACTION - LAW v. NO. 00-2990 Civil Term GEORGE SYLVESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P .C.,: JURY TRIAL DEMANDED Defendants PLAINTIFFS' MOTION TO LIST CASE FOR SEPTEMBER 13. 2004 TRIAL TERM AND NOW, come Plaintiffs, Carl R. Lebo and Beverly Ann Lebo, by and through their counsel, Goldberg Katzman, P.C., who state the following in support of the instant Motion to List this Case for Trial during the Court's September 13, 2004 term and, further, to request that the trial begin on Monday, September 13, 2004: 1. Following a status conference before The Honorable Kevin A. Hess on December 4,2003, the Court issued an Order which stated, in pertinent part, as follows: "3. This matter shall be tried during the week of civil trials commencing September 13,2004, and counsel are deemed by this order to be attached for trial during that week. Counsel for the plaintiffs will take the responsibility oflisting this case for trial prior to the cut-off date of July 26, 2004." 2. Through an oversight, Plaintiffs' counsel did not list the case for trial prior to July 26,2004, ~,,,,,"'~ ~ -,- "0 ""~ -- - ,"~ I 3. Nevertheless, the parties were ofthe beliefthat the case was attached for trial beginning on September 13, 2004. 4. In reliance thereon, the parties arranged for their expert witnesses to appear as though the case, which is expected to last approximately four (4) days, were to begin on the morning of Monday, September 13th. 5. Counsel for the respective parties jointly request that this case still be set for trial beginning on the morning of September 13th. 6. If the above request presents an inconvenience for this Court and is, in fact, not feasible, counsel jointly requests that this case be scheduled for trial during the fIrst trial term of2005. WHEREFORE, Plaintiffs respectfully request that this Court grant Plaintiffs' Motion, which Defendants concur with, and schedule this case for trial beginning in the morning of September 13, 2004. GOLDBERG KATZMAN, P,C. By ~ April . Strang-Kut y, E Attorney LD. # 46728 David M. Steckel Attorney LD. # 82340 320 Market Street P. O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Date: '6JI]JO~ Counsel for Plaintiffs ~ ; CERTIFICATE OF SERVICE I hereby certify that I served a copy of the foregoing document upon the person( s) indicated below by depositing a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania and addressed as follows: Michael M. Badowski, Esquire Margolis Edelstein 3510 Trindle Road Camp Hill, P A 17011 GOLDBERG KATZMAN, P.C. By: ~l d (., ~ (Jllwt, Glenda J. Ebersole, t Legal Secretary for April 1. Strang-Kutay, Esquire Attorney for Plaintiffs Date: '?! 131 O~ ~, > -, -.,--~--- .' , - ., ">" --".;.-,-~;' --.,--'-,"-. : -; ^': '-" _-,'.' - ,-, c -- _,~ CARL R. LEBO AND BEVERLY ANN LEBO, HIS WIFE, PLAINTIFFS .: IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA V. GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C., DEFENDANTS : 00-2990 CIVIL TERM ORDER OF COURT AND NOW, this 1<6" day of August, 2004, following a review of the motion of defendants to preclude the testimony of Robert N. Dunn, M.D., IT IS ORDERED that plaintiff shall file a response memorandum in the chambers of this judge not later than Thursday, August 26, 2004. ~ril L. Strang-Kutay, Esquire For Plaintiffs > ---- vMichael Badowski, Esquire For Defendants :sal " I I " il I I ! I t " '"" ",,,,,,,, , -~" Ir <,~' , , F\Lf:D~()fF;8E OF t~E 'PPCTHC1;---,:OlF'.RY ZGO~ pjUG i 13 F~"l l~.: 0 S _"':,"-_C;',._,'".,;;, '!'"" "1 " .. ~_.,,~ ~,,",-"!"l!'''~' ,-" - ;- 1 ~ -0.:, , " ,,-, - 1_ CARL R. LEBO AND BEVERLY ANN LEBO, HIS WIFE, PLAINTIFFS V. GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C., DEFENDANTS AND NOW, this -::zr ,: 1,_, _ _ _,_..'-' _,__ _ <;'4- .',:~'--,,,,_,, ~,' '! ,. t~ ii' : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA 00-2990 CIVIL TERM , I' n I I I I [ I I ORDER OF COURT \ f Ii day of August, 2004, on the motion of plaintiff to strike the case from the September 13, 2004, trial term, not opposed by the defense, the motion IS GRANTED. The case is stricken and may be relisted for trial as of course by either party. .,;(pril L. Strang-Kutay, Esquire For Plaintiffs ~chael Badowski, Esquire For Defendants Court Administrator :sal Edgar B. Bayley, J. " ) 03-27-oi " ., ,,'~' .,." . . , _ __l~,,_~, - ~ Q. ~~~~~" ~:ili 'i'; -:9;1 ~")..~ rO 6 ~c ....l ~' ~;~~~ ~C.) ~ g 'l q ~ 9. :::. 0<:: """_"""",,,,,~;~,,!:,,-,_!p! "_ ~~_~~~,,,,, ._~l!l!,,~_. !!!II ~.'~' ~~,~~- ~ PRAECIPE FOR LISTING CASE FOR TRIAL (Must be typewritten and submitted in duplicate) TO THE PROTHONOTARY OF CUMBERLAND COUNTY Please list the following case: IZI for JURY trial at the next term of civil court o for trial without a jury, CAPTION OF CASE (entire caption must be stated in full) CARL R. LEBO and BEVERLY ANN LEBO, his wife (check one) GJ Civil Action - Law o Appeal from arbitration o (other) (Plaintiff) vs, The trial list will be called on and 6/21/0'; GEORGE SYLVESTRI, I1.D. and COWLEY M:EDICN, ASSOCIATES, P.C. (Defendant) Trials commence on 7/ tg.' Q '; vs, Pretrials will be held on fi 17.910 '; (Briefs are due 5 days before pretrials No, 00-2990 ,CIVIL Term Indicate the attorney who will try case for the party who files this praecipe: David M. Steckel,Esq. Indicate trial counsel for other parties ifknown: Michael M. Badowski, Esq. Signed: ~-~ This case is ready for trial. Print Name: nmlin M. Srprk,,1, ,ERq. 3/30/05 Attorney for: Pbmtifh Date: ~liiIi-' L. olI;jfu~~.~-"'ftlild_WW$l~~,-!i;lI1~JlilU- ""~ """""--illiillilIl........' "Iii ~ JJ-/ !IIllll J '" ,,- ~ """',,, ~- .^' ~~. , ~-~;........,~1liIlIlIilill -." ,,~ .'''lliilIIII (') '" c: = ~ = .,- CJ1 "'DtD ;r... ~:IJ r-r: ,-.~ " Z'''' "j--j ~~:' :::0 ~~ I ;:5;:: CO -<:,C, d::"f....,. ;{E ::;:1,. ~~-" g~ ~.,.o .PC ~ ~ en ;;g - -:: Jil !liJil/" .~ - , 3: CARL R. LEBO and BEVERLY ANN LEBO, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs, 00-2990 CIVIL CIVIL ACTION - LAW GEORGE SYLVESTRI, M"D. and COWLEY MEDICAL ASSOCIATES, P.C., Defendants JURY TRIAL DEMANDED IN RE: PRETRIAL CONFERENCE Present at a pretrial conference held this date were David Steckel, Esquire, attorney for the plaintiffs, and Michael Badowski, Esquire, attorney for the defendants. This is a medical malpractice case in which the plaintiff contends that Dr. Sylvestri' s treatment of him following shoulder surgery, and particularly the doctor's failure to detect and treat infection, fell below the standard of care. There are no particularly unusual or complicated procedural or evidentiary issues in the case. The trial should be of approximately four days' duration. Dr. Rubbo, who performed the shoulder surgery, is available to testify on Tuesday afternoon of the trial week and counsel agreed that they would accommodate his schedule even if it meant taking Dr. Rubbo's testimony out of order. The parties will share the usual number of juror challenges. David Steckel, Esquire For the Plaintiffs /r;.{ June 29, 2005 Michael M. Badowski, Esquire For the Defendants Court Administrator ~ - -~.= _.~l"Mt~!@!iP'~ I.Ll FILED-OfFICE OF THE PROTHONOT,4RY 2005 JUN 29 PH 2: 3 I; CUMBERLNiO COUNTY PENNSYLVANIA ~._o.;"'__, L~ _" ~~tII!lIJllr~lll",~jc'"~~""""_~ ~~ "-~----, ,,~ ,_"1"1'lJIli .,.. ~," .,-- ,'" . .""'.', ,-. ~^-_'''''~ '_""~' ,,,,~ "=--.".F '" ~';;_''''~'''N' ',"___' ~ ,- , ' '- ','~ --,' - . -'''~'':I .1 I, li , . 0) RECEIVED JUN 282005 :Y . ~, i;- April L Strang,Kutay, Esquire Attorney I D" No, 46728 David M Steckel, Esquire Attorney rD, No" 82340 GOLDBERG KATZMAN, P. C. 320 Market Street P.O" Box 1268 Harrisburg, PA 17108,1268 Telephone: (717) 234-4161 it i'r Attorneys for Plaintiff ,~ ;, ,,-, " I!, !f 1~ ~ f , ! i !~ h~ :i: !~ I i: !! " " CARL R LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW v" NO. 00-2990 Civil Term GEORGE SYLVESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P"C,. JURY TRIAL DEMANDED Defendants PLAINTIFF'S PRE-TRIAL MEMORANDUM i~ i: I~ I~' i~ ~ ;,- I'~ , i~ I ~ I' , , " , ! ~ !" ~ Ii: AND NOW, come Plaintiffs, Carl R. Lebo and Beverly Ann Lebo, by and through their attorneys, Goldberg Katzman, P"C, and submit the following Pre-Trial Memorandum in anticipation of the trial set to commence on July 18, 2005 in the Cumberland County Courthouse" 1. STATEMENT OF FACTS ON LIABILITY AND DAMAGES Plamtiff, Carl Lebo, a previously healthy 62 year old male, presented to Dc Ernest R. Rubbo (orthopedist), on May 6, 1998, approximately two weeks after sustaining a work-related injury to his right shouldee On May 6, 1998, Dc Rubbo ordered an MRI scan pertaining to Me Lebo's right shoulder; this scan demonstrated a full thickness rotator cuffteae On May 27, 1998, Dc Rubbo admitted Plaintiff, Carl Lebo, to Polyclinic Hospital where he performed an arthrotomy, and an open acromioplasty, That surgical procedure was accomplished uneventfully and no unusual incidents or occurrences are noted in the operative report. One week following surgery, Me Lebo returned, as instructed, to Dr. Rubbo's office for a \ ,~, .-'. ."',~, '~~'_,_,Jr,' _ ~.. "'~w ",._'. _ ,'-<~'__ '~_.,,",,"" _ "_~""~,,,,,"_-~"_, ,~ ''''''~,_._'~'_'''~._~~ _~.,~ " routine follow-up evaluation; at that time, according to DL Rubbo's office note, ML Lebo's shoulder was "healing nicely" and the Plaintiff was instructed to progress from a shoulder immobilizer to a sling and to begin passive range of motion exercises" On June 9, 1998, Plaintiff, Carl R. Lebo, presented to the office of George Sylvestri, M.D., for evaluation of symptoms he had developed involving episodic severe headaches, accompanied by facial numbness, nausea, light headedness, shortness of breath and paresthesis" On that date DL Sylvestri evaluated ML Lebo for the above-stated complaints and also noted in the record that the patient had been febrile for approximately one week. A physical exam on June 9, 1998, conducted by DL George Sylvestri, indicated that Mr, Lebo had a decreased range of motion of his right shouldeL DL Sylvestri noted that there was no erythema or fluctuance around the wound. Based on the above findings, DL Sylvestri proposed a diagnosis of "post-op FUO," and elected to withhold antibiotics, preferring to instruct the patient to present for re-evaluation in three days time" As requested, ML Lebo presented again to DL Sylvestri's office on June 12, 1998; in the office that day, ML Lebo's recorded temperature was 990F; however, the patient reported to DL Sylvestri that his fever had ranged, in the past three days, between 990F to I020P, On June 12, 1998, DL Sylvestri noted the right shoulder to be tender with increased warmth and erythema, but no obvious effusion, Once again, DL Sylvestri proposed a diagnosis of"post-op fever without source", and elected to continue the patient off antibiotics and re-evaluate him in one week with a repeat sedimentation and liver function test in the interim" On June 16, 1998, ML Lebo presented again to the office of his orthopedic surgeon, Dr. Rubbo. Dr. Rubbo's office notes confirm that ML Lebo complained of pain in his right shoulder, 2 ',,"',> k"-"""-',' d ~1 j;j 1,1 Ii' i;:j "j fI n 'I d I:,j '1;1 [,a 'I ~il \1 ~ I , I I r I i f ! f il II !: :' i' II ,jll .:j " il II 11 Il i' - ~~,-.- W' ._ -- ~-'- "__'_,~"._ ,___, __' .-~. 0'." 0 ~'_'"';-C~^'_ ,""' '-.0 , .- ~ '~"-'-"'-~'",",~ . "'k.:,; " M ~ fl I as well as fever; on physical exam, Dr. Rubbo noted that the incision was red and "appears to be f~ showing some sort of reaction to his Vicryl suture, particularly to the superior aspect of the , I, i~ " if incision where his knot has been tied:' Based on his impressions as a result of the June 16, 1998 examination of Mr. Lebo, Dr. Rubbo concluded that the Plaintiff may be suffering from a "possible post-op infection" and prescribed "Keflex", with instructions for the patient to return in two to three days, or earlier, should the pain and swelling get worse. On the following day, June 17, 1998, in response to Mr. Lebo's ongoing complaints, Dr. Rubbo re-evaluated Mr. Lebo's shoulder. At that time, Dr. Rubbo noted the presence ofa pustule, which he opened, with drainage and culture of purulent fluid "which appeared to be mostly superficial:' Subsequent culture of this material demonstrated coagulase negative staphylococci and Propionibacterium acnes" On June 17, 1998, additional debridement was then carried out with excision ofa large Vicryl knot from the open area, after which Mr. Lebo was hospitalized immediately for further evaluation and treatment. Carl Lebo, was admitted to Dr. Rubbo's service at Polyclinic Hospital on June 17, 1998, and was immediately begun on a regime of intravenous Cefazolin, twice-daily dressing changes and analgesics, On June 22, 1998, Dr. Rubbo returned the patient to surgery and re-explored his shoulder, which re-exploration demonstrated a purulent fluid collection found in the subdeltoid space with failure and dehiscence of the entire rotator cuff repair; the area was then derided and irrigated, but in view of the size of the defect, no repair was felt to be feasible, and the area was closed over a drain. As a result of consultation with an infectious disease consultant, Dr. Tkatch, Mr. Lebo's 3 . . ~ . . , _'~'" ",- "_~_-'-''''"' ,_,,'~=-. d"~,_'~" '''''><'~,-''~'''-"-_, '-~',~'_~'" . "_"'''~''" . ..;- - ~ -~', , antibiotic regime was changed from Cefazolin to Vancomycin, Carl Lebo, was ultimately discharged from the Polyclinic Hospital to home on June 22, 1998 with plans to receive a six week course of Vancomycin. As a consequence of the substantial damage effectuated by Carl Lebo's post-operative infection, he lost his rotator cuff repair and the cuff was destroyed. II. SEPARATE LIST OF ISSUES AS TO LIABILITY AND DAMAGES Plaintiffs appreciate no unusual legal issues with respect to this mattec The case is founded in medical negligence, and will involve the usual issues of standard of care and causation" m. TRIAL WITNESSES 1. Carl K Lebo, Plaintiff 2" Beverly Ann Lebo, Plaintiff 3. Carl Gary Lebo, D,D,S", son of Car] and Beverly Lebo 4" Dc Lentnek, expert in orthopedic surgery 5. Dc Dunn, expert in orthopedic medicine 6, Dc Ernest Rubbo 7" Dc Steinman, expert in physical medicine (by video) 8. Dc Sylvestri (as on cross) In addition to the preceding, Plaintiffs reserve the right to supplement or amend this list of witnesses prior to the time of trial and upon appropriate notice to opposing counseL 4 > ,.~.- -~,- ., >,' ~-- -"~'",,-.~"~.,-.'----- '"'"~"- '.,.,., .''',,_'m"" -"-'-'-"""'-'--''''~'"'~';'''-'~-'~''''''''''.'.",'" - ,',;;.- ", -;;"1:; " IV. TRIAL EXHIDITS At the trial of this case, Plaintiffs may utilize as exhibits any or all of the following, which relate to this matter: L Records ofDL Rubbo 2, Records ofDL Sylvestri 3, Records from Polyclinic Medical Center 4. Expert report ofDL Robert Dunn, Orthopedist 5. Expert report ofDL Arnold Lentnek, Surgeon 6" Expert report ofDL Robert Steinman, Physiatrist 7. C.Y ofDL Dunn 8, CY ofDL Lentnek 9" C.Y ofDL Steinman 10" Anatomical diagrams and medical models of the shoulder 11. Summary of medical expenses 12" Medical literature In addition to the preceding, Plaintiffs may utilize all pleadings of record, discovery responses, transcripts of depositions taken in connection with the Plaintiffs' civil action, and the CVs and reports of all experts exchanged throughout discovery in this case, Plaintiffs also 5 "',< '. . '"',,,,, """ "_~ -"'W';~"'=- , '~_~"'._ ,___"~""~'~ ,.",,,,,,_,,,,-"~_"""'_'. ,"" , " , l I i I ", reserve the right to utilize any exhibits listed by the Defendants in their Pre-Trial Conference Memoranda" Plaintiffs also reserve the right to supplement or amend this list of exhibits prior to the time of trial and upon appropriate notice to opposing counseL V. DEPOSITION TRANSCRIPTS TO BE USED IN LIEU OF TESTIMONY None at present. VI. STIPULATIONS SOUGHT Plaintiffs request a stipulation as to the authenticity of records documenting the care and treatment rendered to Carl Lebo. Respectfully submitted, GOLDBERG KATZMAN, P"C. By: /}~ ~- ~ April L Strang-Kutay, Esquire Attorney LD" # 46728 David M" Steckel, Esquire Attorney LD. # 82340 320 Market Street, p" 0, Box 1268 Harrisburg, Pennsylvania 17108-1268 (717) 234-4161 Attorneys for Plaintiffs Dated: June 29, 2005 112920"2 6 -.-- - - .~ . ~,j'" r~ _."'""< """'_ _..'',~.,,.- -- -'-- -. " "ee'!1 , " CERTIFICATE OF SERVICE I HEREBY CERTIFY that I served a true and correct copy of Plaintiffs' Pre,Trial Memorandum upon the following counsel of record via hand delivery: Michael M, Badowski, Esquire Margolis Edelstein 3510 Trindle Road Camp Hill, PAl?O 11 By: ~0 ) April L Strang,Kutay, E~ Attorney ID. No, 46728 David M" Steckel, Esquire Attorney ID" No" 82340 320 Market Street, p, O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorneys for Plaintiffs Date: June 29,2005 7 -= , -, ,-- (/j) RECEIVED JUN 2 & 2005 P MICHAEL M. BADOWSKI, ESQUIRE Pa. Supreme Court 1.0. No. 32646 MARGOLIS EDELSTEIN 3510 Trindle Road Camp Hill, Pennsylvania 17011 Telephone: Fax: E-Mail: [7171 975-8114 [7171975,8124 mbadowski@margolisedelstein.com Attorney for Defendants: GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.c. CARL R. LEBO AND BEVERLY ANN LEBO, HIS WIFE, PLAINTIFFS, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNA. CIVIL ACTION - LAW VS. DOCKET NO. 00-2990 CIVIL TERM GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C., DEFENDANTS. JURY TRIAL DEMANDED PRE-TRIAL CONFERENCE MEMORANDUM OF DEFENDANTS. GEORGE SYLVESTRI. M.D. AND COWLEY MEDICAL ASSOCIATES. P.C. 1. STATEMENT OF FACTS AS TO LIABILITY Plaintiff alleges that he sustained an injury to his right shoulder during a fall in April 1998. At the request of his employer, he was seen by Dr. Richards, who obtained x-rays and referred Plaintiff to Ernest R. Rubbo, M.D., who first saw Plaintiff on May 6, 1998. After discussions with Dr. Rubbo concerning treatment options, Plaintiff opted for surgery to the right shoulder which was performed by Dr. Rubbo on May 27, 1998, at Polyclinic Medical Center. According to Plaintiff, he was doing well for the first several days after the surgery, but then he began to experience headache and ringing in his ears with lights flashing in his eyes and tingling in his right arm. Plaintiff called Dr. Rubbo's office and spoke to Dr. Rubbo's then partner, John S. Rychak, M.D. On June 3, 1998, Plaintiff was seen in Dr. Rubbo's office where it was noted that the surgical site was healing nicely. Plaintiff was instructed to progress .. '" ~.~." -.- ". , . . ~~~"'-'='--" .-C-',_'",,- i;, I' ~[l- If h Dr. Sylvestri saw Plaintiff for the first time on June 9, 1998, and after , k :~ " I~ 11 If' ,', , , ,. ,. '~' r ",. ~ I, ! f t ! , , i from a shoulder immobilizer to a sling and begin passive range-of-motion exercises. A few days later, Plaintiff again experienced the symptoms described above and he again called Dr. Rubbo's office, once again speaking to Dr. Rychak, who advised Plaintiff to see his primary care physician. obtaining a history, performed a physical examination, ordered a chest x-ray and , ~ ~- ! , ~,- ! l obtained a CBC. Dr. Sylvestri further ordered liver function, electrolyte studies, renal function and SED rate studies. Dr. Sylvestri examined Plaintiffs right shoulder. Dr. Sylvestri's differential diagnosis included a central nervous system problem and post- operative infection. By the end of the evaluation, he ruled out pneumonia and meningitis and was satisfied that there was no wound infection. Dr. Sylvestri determined that Plaintiff should be seen again in three (3) days' time, but to return earlier if he felt ill. Plaintiff returned to see Dr. Sylvestri on June 12, 1998, again containing of fever, frontal headache, sore neck and significant right shoulder pain, although, overall, he reported feeling a little better. At that time, Dr. Sylvestri had the results of the blood tests available to him, which showed an elevated sedimentation rate (although not markedly) as well as the liver function. The liver function tests were high enough to indicate a hepatitis condition, and the patient informed Dr. Sylvestri that since 1990 the Red Cross would no longer accept his blood. Dr. Sylvestri's physical examination on June 12 revealed that he did not look toxic, and -2, ~ " ~< he had basically the same findings as on June 9. Ears, nose, throat, lungs and heart H r,: ~ I l I were normal. His right shoulder was tender to touch, but there was no effusion, warmth or redness. The wound was clear and the tissues were close together. Dr. t;' Sylvestri's differential on June 12 was that of a viral syndrome, including hepatitis, or perhaps a delayed reaction to an anesthetic that causes hepatitis, rather than a virus. Mr. Lebo had a regularly scheduled appointment with Dr. Rubbo on June to I I I i I , j, I i No antibiotics were prescribed, and the patient was to fOllOW'UP the following week for a repeat sed rate and liver function study. 16, and by that time his shoulder was oozing and he could see the redness protruding from outside the bandage. He also told Dr. Rubbo of the episodes of numbness and tingling in his arm as well as a strange feeling in his head and face. According to Dr. Rubbo, it was at that time that Plaintiff was offering complaints of pain and fever. Dr. Rubbo noted that there was some redness at the incision site and he believed that it was a reaction to a suture. Keflex was ordered because of the redness and pain. Dr. Rubbo believed that the infection, if any, was superficial. He had not, as of that date, made a definitive diagnosis of infection. Dr. Rubbo suggested warm compresses to the wound. After doing so that evening, yellow pustules appeared at the site and the Lebos called Dr. Rubbo and were told to go to the Polyclinic Hospital the following morning, June 17, 1998, at 8:00 A.M. At the Polyclinic, Dr. Rubbo took Plaintiff to the "casting room" and -3- ^'~ ' .~ "I ! II II I II II II II :1 II II II I Ii !I 1 I j ~ II " Ij ~ I' t1 ~ :i I ~ opened the anterior aspect of the incision where the pustule was with a pair of scissors. He noted fluid which appeared to be a sign of infection, and which he continued to believe was superficial in nature. As a result of his findings, Dr. Rubbo admitted Plaintiff to the hospital for the administration of IV antibiotics. On June 22, 1998, Dr. Rubbo took Plaintiff back to surgery to clean out the infected area. It was at this point that he realized that the infection was not superficial, but was a deep infection. The next contact Dr. Sylvestri's group had with Plaintiff was during his subsequent hospitalization when Dr. Rubbo consulted them for medical management. Dr. Sylvestri saw the patient on June 20 and discussed with Dr. Fultz, Dr. Rubbo's partner, the possibility of a second opinion from an infectious disease standpoint prior to the exploration surgery scheduled for the following day. Dr. Tkatch, an infectious disease specialist, saw Plaintiff on June 21, 1998, as the result of a request for consultation by Dr. Sylvestri. II. STATEMENT OF DAMAGES See Plaintiffs' Pre-Trial Conference Memorandum. III. STATEMENT AS TO THE ISSUES OF LIABILITY AND DAMAGES A. Whether Dr. Sylvestri fell below the accepted standard of care of a general internist with regard to his professional involvement with Carl Lebo? -4- , c '."' ,"., , 'I ! B. Damages sustained by Plaintiffs. IV. LEGAL ISSUES Issue with respect to precluding testimony of Robert N. Dunn, M.D. with respect to the standard of care applicable to internists. V. IDENTITY OF FACT WITNESSES A. Plaintiffs' as on cross,examination; B. Dr. Sylvestri; C. John S. Rychak, M.D.; D. Lisa S. Tkatch, M.D.; and E. Ernest G. Rubbo, M.D. In addition to these witnesses, Dr. Sylvestri reserves the right to call at the time of trial, any witness identified in Plaintiffs' Pre, Trial Conference Memorandum or, as necessary, for the purpose of rebuttal. VI. IDENTITY OF EXPERT WITNESSES A. Marie A. Savard, M.D. A copy of Dr. Savard's expert reports dated June 28, 2001, and April 8, 2003, together with her curriculum vitae, is attached hereto, incorporated herein by reference and marked collectively as Exhibit A; B. Lisa S. Tkatch, M.D., consistent with her deposition of May 14, 2002; C. Ernest G. Rubbo, M.D., consistent with his deposition testimony of October 30, 2001; ,5- " . .' , ,- L. ,"~,,~ f \!ll\!IiJ~ D. John S. Rychak, M.D., consistent with his deposition testimony of September 25, 2001; and E. George Sylvestri, M.D. VII. LIST OF EXHIBITS Dr. Sylvestri may utilize one or more of the following exhibits at the time of trial. A. Expert reports and curriculum vitae of Marie Savard, M.D.; B. Deposition transcript of Plaintiff, Beverly Ann Lebo; C. Deposition transcript of Carl R. Lebo; D. Deposition transcript of Lisa S. Tkatch, M.D.; E. Deposition transcript of Ernest G. Rubbo, M.D.; F. Deposition transcript of John S. Rychak, M.D. G. Plaintiffs' Answers to Interrogatories; H. Plaintiffs' Complaint; 1. Plaintiff-Husband's medical records from the following providers: 1. Ernest G. Rubbo, M.D.; 2. Pinnacle Health System; 3. George Sylvestri, M.D.; and 4. David Richard, M.D. In addition to these items, Dr. Sylvestri reserves the right to utilize any document ,6- .' - ~' ~~ '-- ,'~-" .,""'''~- -~.--~. '-"'L"';'_: ",,"~~,; V'I I identified in the Plaintiffs' Pre-Trial Memorandum or, as necessary, for the purpose of rebuttal. VIII. CURRENT STATUS OF SETTLEMENT NEGOTIATIONS Plaintiffs have made a settlement demand of $375,000.00. Dr. Sylvestri believes that this case is defensible and, therefore, no offer has been made. IX. ESTIMATED TIME NEEDED FOR TRIAL Four (4) days. X. SPECIAL REQUESTS It is requested that the parties agree to the authenticity and admissibility of all the medical records identified above, subject only to objections as to relevancy. Respectfully submitted, Date: /~;k~/os ( I By: MARGOLIS E LST~// rt~!I MICHAEL M. BADOWSKI Attorney for Defendants, GEORGE SYLVESTRI, M.D., AND COWLEY MEDICAL ASSOCIATES, P.C. ,7- 'c" u - ,~ """-, ".' MARIE A. SAVARD. MD. 421 Owen ROad' Wynnewciod. PA 19096 Telephone: (610) 8~1995 Fax: (610) 649.0431 Emall:.savardSYS@aol.com June 28,2001 Michael M.. Badowski Margolis Edelstein Post Office Box 932 Harrisburg, Pennsylvania l7l08~0932 RE: LEBO v. SYLVESTRJ:, et al DOCKIilT NO. 00-2990 CJ:VJ:L ''rB1lH YOUR FILE NO. 57300.4-0082 Dear Mr. Badowski, I reviewed the records of Carl R. Lebo which included, the following: l. Plaintiff's complaint; 2. Records from Cowley Medical Associates (Dr. Sylvestri) ; 3. Records from Polyclinic Medical Center, May 27, 1998; 4. Records from Polyclinic Medical Center, June 17, 1998; 5. Records from Ernest R. Rubbo, M.D.; 6. Records from David Richard,'M.D.; 7. Dr. Sylvestri's deposition transcript; and '8. Deposition transcript of Carl and Beverly Lebo. .It' is my belief within.a .reasonable degree of medical certainty that the care provided Mr. Lebo by Dr. GeorC]eSylvestri was well within.the standard of care for a general internist and primary .' care physician.. Specifically, Dr. Sylvestri . evaluated Mr. Lebo on . an. urgent bas.is and' performed a comprehensive evaluation and differential diagnosis and treatment plan. Dr. Sylvestri. knew . that Mr. Lebo was under the continued post-operative care of Dr. RUbbo for evaluation . and treatment and would have reasonably preslimedthatany complications. frotnthat surgery w.ould be>hand,led by <Dr. Rubbo. Dr. Rubboacknowled,ged that Mr. . Lebo was referred, for a general medical evaluation in searCh for other causes oihis symptoms believing that .his symptoms were.. unrelated to the. surgery, 1 , . D8.001 ,-- ""'1", It was Dr. Rubbo and his covering surgical physicians that were responsible for diagnosing post-operative complications such as a wound infection. As a general internest, Dr. Sylvestri .was asked to .evaluate Mr. Lebo for medical problems, relying on the treating surgeon to' evaluate surgical problems such as deep wound infection. Medical. Hi.story Medical. :Reoord.!! of Dr. Ernest Rubbo On May'6, 1998 Mr. Carl Lebo presented to Dr. Rubbo for evaluation of a work related injury. He was a 62 year-old grounds keeper at The Country Club of Hershey when he lost his balance landing on his bent elbow and injuring his right shoulder. He denied previous problems with his right shoulder until this injury. Since the injury he described weakness and limitation of motion of his right upper extremity and he could "not move his arm away from his side without severe pain". He was taking Motrin without improvement. His work-related doctor, Dr. David Richards, placed him on 800 mg. of Motrin and referred him for further evaluation. His past medical history was significant for a previous left knee osteotomy in 1996. His only medication was Motrin. His family history was significant for heart disease. His father had a previous heart attack. He denied smoking, alcohol or drug abuse. On physical and marked resistance. exam he had severe decrease of motion because of pain weakness was noted to' external rotation against .He was treoited with an injection of 1 cc Dexamethasone and 1 cc of Aristocort (steroids) to give him relief. He also underwent an MRI evaluation. . An MRI study revealed full thickness rotator cuff tear of the right shoulder. . He was advised of operative and non-operative treatment options. He was advised of complications including "infection, decreased range of motion, pain, swelling and stiffness", Mr. Lebo decided to proceed with surgical repair which was scheduled for May 6, 1998. On May 27, 1998 Dr. Rubbo noted that Mr. Lebo underwent arthrotomy of his right shoulder. A large rotator cuff tear was noted with "attachment of the supraspinatus as well as the. subscapularis and . . . 2 D8.002 . ,- , "~ a portion of the infraspinatus tendon as well. It was described .as "complex in nature as well as destruction of his bicep tendon". A "Sta-Tek suture was used for the subscapularis repair". The rest of the. tendon repair was with non-absorbable sutures. On June 3,.1998 Mr. Lebo returned one week post. repair of his right"'rotator cuff. Dr. Rubbo's notes reveal the following: "Today his wound appeared to be healing nicely. He was changed from a shoulder immobilizer to a sling and I've instructed him on pendulum exercises as well as passive range of motion exercises." Dr. RUbbo. furtl1er recommended that he return in 2 weeks for a follow up visit when physical therapy would be instituted: Mr. Lebo returned on June 16, 1998 to Dr. Rubbo,. 3 weeks post rotator cuff repair for his regularly scheduled appojntment. Mr. Lebo had previously telephoned Dr. Rubbo's office, speaking to a covering doctor complaining of severe pain and fever yet not given an earlier appointment to be .evaluated for this post-operative problem. Instead he was referred to a general physician to evaluate him for other medical problems. "He complains of pain in his right shoulder as well as some fever. He also relates an episode where he will get numbness and tingling in his arm as well as a strange feeling in his head and face. He was recently seen by an internist for this". (Dr. Rubbo notes that his evaluation by the internist was for evaluation of his episode of numbness and tingling in his arm and the strange feeling in his head and face.) On physical examination Dr. Rubbo noted: "So!lle redness to his incision and appears he may be showing some sort of reaction to the Vi cry 1 suture, particularly to the superior aspects of the incision where his knot has been tied". It was Dr. Rubbo's impression that Mr. Lebo was "3 weeks status post right rotator cuff repair . with possible staph infe.ction". Mr. . Lebo . was given a prescription for oral Keflex and asked to return in 2-3 days time to see if he' shows any improvement or sooner if .his pain and swelling should ,get worse. "If so, then he may reqUire' IV antibiotics for his right shoulder" Dr. Rubbo specifically did <" not ,contact the internist about his evaluation and findings, did . not request a copy. of or . order a . CBC and sed' rate . or other cultures of the possible infection he was treating. Furthermore, Dr. Rubbo did not comment upon the multiple phone calls that were made to his answering service in the days following surgery. On June 17, 199.8 Mr. Lebo returned noting that he pustule. on the, ante~ior aspect of his i~cision described as qu~te paJ.nful. Purulent materJ.al was 3 had a small and it was drained from D8.003 ~~ the pustule that was believed to be superficial. Dr. Rubbo debrided the area and cut. out a large vicryl knot. Aerobic and anaerobic cultures were obtained. (Patient had already received apparently 3. doses of antibiotic). ~e was then actmitted for intravenous antibiotic treatment and daily dressing changes. On June 22, 1998 Mr. Lebo returned in follow up for his recent hospitalization where he underwent incision drainage and treatment of thei~fection of his right shoulder (this was 6 days after Dr. Rubbo diagnosed a post-operative infection). It was noted that purulent material was seen underneath the deltoid. It was further noted: "The. rotator cuff repair that was done 3 weeks ago was completely undone and Ethibond suture was noted to be loose". The rotator .cuff was believed to be massive and "irreparable". The rotator cuff was "debrided to viable tissue and then left alone". He was to complete a course of intravenous antibiotics with home .,...__.~__I.v for 40 days and a follow utLwith Dr. Rubbo. On June 30, 1998 he returned for a second visit and it was noted that he no longer had the pain that he had had in the past. It was Dr. Rubbo I s impression that Mr. Lebo was "status post failed repair of rotator cuff with postoperative infection", He continued to be followed by Dr. Rubbo and he began physical therapy. In September of .1998 he was advised that he could perform light duty with any job that does not involve the use of his right upper extremity. . A final office visit on April 6, 1999 with Dr.. Rubbo notes that he is 10 months post rotator' cuff repair complicated with infection postoperatively where the repair came apart. Dr. Rubbo stated: "He' scorning along as' well as one can expect with this situation. He could. actively abduct. his right shoulder approximately 30-35 degrees and has marked weakness to his right shoulder", Dr. Rubbo further stated: "I do not feel there is anything more to offer him and I will see him back on an as needed basis" . Mr. .Lebo was placed on perm:anent restriction of light duty and was working at the country club on a part time basis, driving golf carts at that time. . ..' Polyclinic Medical Center Admission 5/27/98 The records of Mr. Lebo's initial hospitalization at the Polyclinic Medical Center for repair of his right. should rotator cuff injury were reviewed. The records reveal thatMr,Lebo was given three (3) intravenous doses of the broad spectrum antibiotic . . . 4 D8.004 " -~ ' -. -" "^ -"-,' Kefzol as requested by Dr. Rubbo for prophylaxis against infection. Preoperative blood work drawn on May 22, 1998 revealed normal electrolytes, BUN and creatinine as well as blood sugar and calcium. His alkaline phosphatase was normal at 87 (30-115 normal range). His Alt (SGOT) level was elevated at 75 (nOrmal 24-65) and his total bilirubin was mihimally abnormal at 1.1 (normal 0- 1.0) . His GGTT, another test of liver function, was elevated at 190 (normal 5-85). In addition, his preoperative white blood count. was elevated at 11,900. (He had recently received a total of 2 cc of intra-articular steroids which may have been a factor in the elevated white blood count). On differential he had an increased percentages of neutrophils at 80% (normal 50-70) and 8% bands. or young neutrophils, with a decreased lymphocyte count of 6% (normal 25-45). . At, discharge Mr. Lebo was instructed to use ice for 24-48 hours and to take Vicodin, a narcotic analgesic, 1-2 pills every 4 hours as . needed for. pain and to resume any regular medication Cthis implies he should resume Motrin, 800mg. Tablets). He was also advised to be seen in 10-14 days with Dr. Rubbo. He was given a prescription for Vicodin by Dr. Rubbo at discharge. The abnormal liver function studies, elevated white blood count and left shift required evaluation before elective surgery which was not done. Furthermore Mr. Lebo should have been alerted to the abnormal tests so that when he was referred to a general internist for further evaluation, this information could be taken into consideration. . ;: Medical Rec~rds .of Dr. Georqe Sylvestri On June 9, 1998 Mr. Lebo presented to Dr. Sylvestri for the first time for evaluation of an acute complaint. His weight was noted . to be 178 pounds, blood pressure 134/82 in his left arm and temperature 100.6. The medical assistant noted the following history: "Complained of an episode one week ago of severe pain in head associated with tingling and numbness of body and dizziness-- '. patient on Motrin 800 mg. for pain of right. shoulder--recent 'rotatorcuff'surgery. Headache persists and fever daily". Dr. Sylvestri noted the following history: "New patient in 20 minute acute slot. 2 weeks status post right shoulder rotator cuff.. surgery. Orie week headache, facial numbness, shortness of breath, palpitations. Felt. to be reaction to Motrin so 5 08.005 - , discontinued (it appears he may have been. taking toxic doses of Motrin, so this was' reasonable . consideration) . . Fever to 101 since. Still feels lightheaded. Positive nausea, positive frontal headache, positive paresthesia of both hands, some pain in right shoulder, positive cough--dry". . Dr. Sylvestri noted the following medications: Motrin as needed and that there was no known allergies except anaphylaxis to shellfish. Past medical' history was essentially negative except for left knee surgery in 1996. He was noted to be a non-smoker and that he was a retired computer specialist who was also.a non- drinker. . It was also noted in parenthesis: "mother died this morning at time of. coronary artery bypass grafting". On physical examination he was anicteric. His extraocular movements were normal and' his pupils were equal and reactive to light. His neck was supple. He had no abnormal lymph nodes. His right shoulder revealed "decreased range. of motion, negative fluctuance or erythema around wound." His lungs were reported to be clear, heart was normal without a murmur and abdominal exam was soft, non-tender without liver or spleen enlargement. He had no peripheral edema. His cranial nerves were intact.. He was oriented. His speech was fluent and his motor exam was non-focal. This repres~nts an extremely comprehensive, general physical examination and neurologic examination (comprehensive evaluation of the wound was the responsibility of Dr. Rubbol.Achest x-ray was done and ill1Illediately reported to be negative. Hemoglobin was normal at 14.7 and white blood count normal at 8,700. (In fact, it was reduced from the preoperative elevated white blood count of 11,900). The impression was postoperative fever of unknown origin and the treatment plan was "check liver function studies, SMA, sedimentation rate, and hold off antibiotics but follow up in 3 days". This represents an extremely comprehensive emergency evaluation of a patient who had an unexplained neurologic event and fever. Although .Dr. Sylvestri reasonably considered a postoperative infection in his.differential, his' role as a general internist in a patient. who was already. receiving ongoing care by the treating surgeon, was. to evaluate Mr. Lebo for general. systemic or other causes of his complaints. A general internist would reasonably expect the treating surgeon to have the expertise and be in the best position to diagnose a post-operative wound infection. The treating surgeon alone kne.w of the pre-operative abnormal blood studies, the steroid injection (increases the risk. of infection) and the intra-operative findings and surgical technique. 6 D8.006 - ,," ~ -~;,; Mr. Lebo returned 3 days later as requested. His weight was 178. and his blood pressure was 146/8.0. According to Dr; Sylvestri's notes, Mr. Lebo remained febrile with temperatures between 99 and 102 but "overall may be a little better". He continued with a frontal headache and sore neck with no abdominal pain or diarrhea. Dr. Sylvestri noted an increased sedimentation rate of 63 and abnormal liver function tests. He further noted that Mr. Lebo "had received letter from Red Cross in '96 that they could no longer accept his blood". Dr. Sylvestri also noted that Mr. Lebo was still with significant right shoulder pain. On physical examination his temperature W;:iS 99 and he did not appear toxic. He again was anicteric (no jaundice). His neck was supple and his lungs were clear and his cardiac exam was normal. His right shoulder exam revealed tenderness without increased warmth erythema and that his "wound is clean" (the treating surgeon and . not the internist would have performed' a detailed exam of the surgical site). Dr. Sylvestri's impression was that Mr. Lebo had a postoperative fever without a source., . He further stated: "Would expect increased erythema swelling of the wound if joint infected". He further noted increased abnormal liver function studies were non- specific but needed follow'up and that the increased sedimentation rate was non-specific as well. (In the postoperative setting the sedimentation rate would be elevated.) The treatment plan was not to give antibiotics for now but to follow up in one week and check the sedimentation rate and liver function studies again. Blood work drawn by Dr. Sylvestri on June 9, 1998. revealed white blood count of 8.,700 with 8.2.5% granulocytes, 3.9% monocytes and 13.6% lymphocytes. His hemoglobin was 14.7 and hematocrit 43.1 and his platelets were normal. This essentially represents a normal complete blood count with a minimal left shift consistent with recent surgery and pain. In addition, his sedimentation rate was noted to be 63 (normal 0-10). Again, the increased sedimentation rate is a non-specific finding of inflammation and consistent with a postoperative setting and/or chronic inflammation from previously undiagnosed liver disease. Other blood studies revealed a hepatic profile that was abnormal including an elevated alkaline phosphatase of 275 (normal 30-8.0), elevated ASP/SGOT of 61 (normal 12-26) and elevated ALT/SGPT 171 (normal 4-31). These abnormal liver function studies are quite significant and reflect some underlying presumed chronic liver disease. His. history of previous rej ection for blood donations suggests he has a chronic undiagnosed liver abnormality and it was 7 D8.007 . ~i,,;_i reasonable and medically appropriate for Dr. Syl vestri to recommend follow up of this condition (which should have been the recommendation of Dr. Rubbo pre-operatively as well). It was reasonable that Dr. Sylvestri would presume that Mr. Lebo's postoperative care for his shoulder including evaluation of his wound, complaints of. continued pain, etc. would be done by his treating physician who he would continue to see his patient on an ongoing basis. It is ridiculous to suggest that a medical consultant would focus primarily on the surgical problem. Mr. Lebo's general medical condition was the purpose of his presentation to Dr. Sylvestri in the first place. Mr. Lebo returned to Dr. Rubbo, his treating surgeon, 4 days after the second visit with Dr. Sylvestri for his routine follow-up visit, still complaining of pain and fever. For the first time, redness and a possible reaction to the suture was noted. Dr. Rubbo suspected an infection and instituted oral antibiotics without requesting immediate hospitalization. It was not until one day later when Mr. Lebo returned with the pustule and purulent material.that Dr. Rubbo then recommended hospitalization. Mr. Lebo was admitted to the hospital on June 17, 1998 from .or. Rubbo's office. He was begun on intravenous antibiotic therapy. However, .because of persistent .drainage, he underwent irrigation and debridement of the wound on June 22, 1998 when he was noted to have soft fiber tissues and evidence of infection. He" had a coagulase negative staph species on a subculture. In consultation with an infectious disease specialist his antibiotics were changed to Vancomycin. It is evident that once admitted to the, hospital another 5 passed before Mr. Lebo received appropriate debridement antibiotic therapy for 'his wound infection, On July 6, 1998 Mr. Lebo returned and was treated by Dr. .Sylvestri for a reaction to his Vancomycin. Dr. Sylvestri consulted the infectious disease expert as of that visit for advice concerning his presenting complaints and to recommend appropriate treatment. days and His final office visit on September la, 1998 with Dr. Sylvestri noted that he had no new complaints and that he had finished his Vancomycin previously. He was" advised' to return for a yearly physical examination. 8 08.008 i..: ....- _-'.0 '-"'~'-;-." ~ ~ .Review of Deposition Testimony of Carl Robert Lebo Mr. Lebo stated that. following his injury at Hershey Country Club he. was referred by the company doctor to see a Dr. Richards who began the Motrin therapy. Mr. Lebo stated that .he did well following the surgery for the first day or so but then during the . weekend he had an episodewhe.re he experienced "poundihgheadache, ringing in my ears and lights flashing in my eyes and tingling in my arms that .lasted fo.r quite awhile". This episode apparently occurred before the first post-op visit with Dr. Rubbo yet Dr. Rubbo did. not comment upon this in his evaluation. Mr.. Lebo telephoned his son, a dentist, asking whether or not this could be a reaction to the Motrin he was taking for his severe pain. His son advised him to talk to Dr. Rubbo because he did not think Motrin would do that. This was the Saturday following the operation and apparently prior to the first postop visit with Dr. Rubbo. Dr. Rubbo i s office . was called and Dr. Rychak was on call. He suggested. that Mr. Lebo cut back on the Motrin. (Mr. Lebo was taking 6 800 mg. tablets of Motrin and he was advised to cut back to 4). This represents an excessive dose of Motrin, that is 4800 mg. a day and. certainly could explain his toxic side effects. Cutting back to 4 was inappropriate. He should have discontinued them altogether. Furthermore, Mr. Lebo did have a prescription for Vicodin already from Dr. Rubbo and he was advised to take Vicodiri postoperatively at discharge. Mr. Lebo stated that he started eo have fevers and cold sweats ever since that episode. Mr. Lebo stated that he did tell Dr. Rubbo about the event and the fever. It was therefore Dr. Rubbo's responsibility 'to . consider the broad and appropriate differential diagnosis .of his complaint arid recommend appropriate evaluation and treatment. Mr. Lebo . stated that infection never crossed his mind. "I didn't even think that anything-- an infection. -- would take place." It is therefore apparent that Dr. Rubbo did not suggest to Mr. Lebo the possibility that he could have a postoperative infection, given his complaints. of fever as well as severe shoulder pain. Following his initial visit with Dr. Rubbo, Mr. Lebo's pain was getting more iritense and he called Dr. Rubbo's office again on a Saturday morning. He again . talked to Dr. Rychak, the covering physician. .Dr. Rychak stated he would speak to Dr. Rubbo about .his complaints. "He also suggested that I see a doctor or internist and talk to him about my problem". It is therefore "evident, based on Mr. Lebo's deposition testimony that Dr. Rubbo's covering physician did not consider a post-operative infection. and . 9 08.009 . had taken the responsibility to refer him to an internist for :further $valuation and that he would also alert Dr. Rubbo to Mr. !.ebo's telephone. call. It is the responsibility of the treating physician to consider postoperative infection and recommend appropriate evaluation and treatment. It was the responsibility of the general internist to exclude other causes . :for Mr. . Lebo's continuing, ongoing complaints, but not to primarily perform a postoperative evaluation related to the surgery,' per se. Mr. Lebo stated that he had difficulty finding other doctors to handle his case because he was a workman's compensation problem. Or. Sylvestri, however, was able to see him that following afternoon immediately after his telephone call for an appointment. Mr. Lebo. stated in his deposition that he told Dr. Rychak about "the fever, chills and the pain in the shoulder getting worse, and the look to him as if it were getting red". He stated Dr. Rychak clid not suggest to him the cause of his' symptoms. He did state that Dr. Rychakwanted to talk to Dr. Rubbo about it, however. Mr. Lebo stated that Dr. Sylvestri did not examine his shoulder during the visit. Although this statement_ is in contrast to Dr. 5yl vestri r s documented note ,of. evaluating his shoulder, even if. Or. ,Sylvestri had not removed the ciressing that Dr. Sylvestri's role in evaluating Mr. Lebo was to consider non-surgical causes of 'his fever and symptoms. . As noted, a comprehensive evaluation of the surgical site was presumably done by the treating surgeon who was actively following the patient as well. . Mr. Lebo stated that Dr. Sylvestri prescribed Vicodin for him. This . is in ,contrast to Dr. Syl vestri r s deposition testimony. furthermore . Mr. Lebo was prescribed Vicodin by' Dr. Rubbo as documented in the discharge summary. Mr. Lebo' stated that he volunteered to Dr. Sylvestri that he was turned down for blood donations in the. past and he believed the reason' was "I had given an excess of 70 pints .of' blood and I thought maybe that was enough and they didn f t want it. anymore" ~ The . Red Cross would not deny blood without suspicion . of abnormality and would have alerted Mr.' Lebo to that. . Mr. Lebo's .:failure to follow up, given the previous letter from the Red Cross, and evaluate his abnormal liver function studies would have alerted his subsequent physicians to the possibility of a chronic infection and need for special precautions in his care and treatment. Mr. Lebo did nothing following that letter from the 10 D8.010 ~, - . ,!f; Red Crass. Mr. "Leba stated that his second pastoperative visit with Dr. Rubba was a regularly scheduled appaintment and that before this appaintment he nated aazing, the bandage was stained and it was red and yellawwith redness pratruding fram the .outside .of his. bandage. He then saw Dr. Rubba wha began the .oral Keflex antibiatic as discussed abave. .He alsa recalled being advised ta put warm campresses on his waund and incisian. He stated that when the pustules appeared after that visit he telephoned Dr. Rubba and again received Dr. Rychak wha recammend he return ta the hospital the fallawing marning. " Mr. Leba stated that the fallawing marning Dr. Rubba remaved the bandage and lanced the area. "Everything just expladed aut, pus and green sediment and blaad". (Dr. Rubba . did nat recognize the need far haspitalization, IV antibiatics .andpassible debridement just 24 hours earlier. so how' could a general internist knaw ta recammend such .treatment a number .of days befare?) Mr. Leba recall,ed that it was the infectiaus disease cansultant who recammended the incisian and drainage, nat Dr. Rubba wha simply treated him with intravenaus antibiatic after the initial lancing .of the incision. It was alsa the . infectiaus disease specialist wha . recammended the change in antibiatics ta . .--vancomycin.u-~._._- ..,...--- .-.....--...- Mr. Leba's final nate when asked about the care pravided ta him by Dr. Rubba and why he did not sue Dr. Rubbo he stated: "I think he did what he was suppased tada. Of caurse, he's nat an internist, he's just an arthapedic surgean. He was concerned abaut the repair of theshaulder which was his primary function." This statement, .of caurse, by Mr. Leba suggests he has na understanding .of the rale .of the surgean and cansultant general internist. Dr. Rubba recommended surgery and it was his duty ta apprise Mr. Leba .of the patential pastaperative camplicatians. It is a standard part .of. a surgean's care and treatment ta include pastaperative care andevaluatian' and treatment .of. any surgical complications. It was nat the role. of a general internistta provide pastaperative care and treatment far pastaperative camplicatians. A general, internist is cansulted to. evaluate for ather general medical problems either in a pre .or postaperative setting, but again, would nat pravide primary care of the surgical complications. It is therefare apparent that Mr.. Leba did nat understand the roles .of his treating physicians and therefare erroneausly considered Dr. Sylvestri's care as below the standard 11 D8.011 """ -~~ - . . ;&JC,- of care when, in fact, it was Dr. Rubbo's postoperative care that should be evaluated as to the appropriateness of the standard of care and whether that standard of care was breached. Deposition test:i.mony of Dr. Georqe Sylvestri Dr. Sylvestri was questioned whether or not he removed the dressing to look at the wound. He stated: "I know I looked at the wound because I charted it. I looked at the wound, and the standard of care when any patient comes in after surgery for infection would be to have to' look at the wound." He stated he did not put Mr. Lebo through' a range of motion of his shoulder because he was a postoperative patient "so you don't usually--I wouldn't do that". Dr. Sylvestri stated that he was concerned about a central nervous system problem because of his headache, fever, numbness and tingling. He was concerned about illnesses such. as meningitis, encephalitis and rare disorders. He also was concerned about the usual post operative infections such as infection of the wound and the chest. He stated that pneumonia was ruled out by the chest x- ray and examination and he "was pretty much satisfied that there was no wound infection". He further stated that: "I did know that Mr. Lebo had been still under the care of. his orthopedic surgeon. He had seen him the week before. .." Dr. Sylvestri considered his abnormal liver function test as possibly reflecting viral illness. (His hepatitis serologies were subsequently negative as was some of his liver tests). Dr. Syl vestri also' considered . a delayed reaction to an anesthetic. (He had a previous abnormality related to an anesthetic in the past) . Toxicity' to Motrin .is yet another consideration and the patient had. already stopped the Motrin. . Dr. Sylvestri noted that Mr. Lebo returned with a copy of a letter fr'om the Red Cross and that he apparently. had elevated liver function test in 1991 on blood donation but follow up in 1993 had shown normalization. This was further reason for him to be concerned about Mr. Lebo's fluctuating liver function studies and the possible caUses contributing to his postoperative problems. Summary and Conclusions Carl Lebo was a.. 62 year-ol<;l man when he underwent surgical repair of a massive right rotator cuff tear. He had a prior history of abnormal liver function studies and was declined for blood donation. (Subsequent hepatitis serologies were negative for' 12 D8.012 ,,--. _'bn"O' '--. . Hepatitis A, B and C). He had received 2 cc of intra-articular steroids in the immediate preoperative period and was noted to have an elevated white blood count and abnormal .liver function studies preoperatively. . The intra-articular injection of steroids would increase the risk of postoperative surgical infection and could contribute to the abnormal white blood count. His elevated white count and abnormal liver function studies were not noted or evaluated preoperatively which would have been standard. He did receive 3 intravenous doses of prophylactic antibiotics during the perioperative setting as requested by Dr. Rubbo. " Postoperatively he developed increasing shoulder pain, fever, episodes of headache, numbness and tingling. He was followed by Dr. Rubbo, his orthopedic surgeon, in the postoperative period who was apprised of his postoperative difficulties. Furthermore, his associate, Dr. Rychak, was also apprised by telephone of Mr" Lebo's ongoing difficulties, including fever and increasing shoulder pain. At no time in the postoperative setting, until June 16, was a postoperative infection considered by his treating or covering orthopedic surgeon. Furthermore, even when an infection was diagnosed as of June 16, he was treated by his surgeon with oral antibiotics and not hospitalized for an additional 24 hours. Following hospitalization there was a delay of another 5 days before he underwent the necessary surgical debridement and the change to the appropriate antibiotic. Dr. Sylvestri was a general internist who evaluated Mr. Lebo for the first time in the postoperative setting following a suggestion by Dr. Rychak, Dr. Rubbo's covering physician. Dr. Rychak suggested that he see an internist for further evaluation. Although Dr. Sylvestri believed there was no specific evidence of a wound infection he did consider this in his differential diagnosis. 'He was also aware that Mr. Lebo was being followed by Dr. Rubbo. (Dr. Sylvestri would not have knowledge that Mr. Lebo had received a prior' intra-articular injection of steroids nor that his preoperative blood studies were abnormal). Dr. Syl vestri performed a comprehensive internal medicine evaluation. Dr. Sylvestri noted the abnormal liver function studies and suggested follow up of his condition. As he did not diagnose a' bacterial infection, he did not begin antibiotics. Finally, he reasonably relied on Dr. Rubbo to continue postoperative care of his shoulder as would be standard. It appears that Mr. Lebo is suing Dr. Sylvestri believing that Dr. 13 08.013 ~ . "",.-1 Syl vestri breached the standard of . care. Mr. Lebo I s belief that Dr; Rubbo was "only an orthopedic surgeon" and that the general internist should have diagnosed the postoperative wound infection and initiated appropriate treatment is, of course, hot reasonable nor consistent with the practice of internal medicine in providing consultation and care in a postoperative setting. A general internist relies on . the surgeon to evaluate and treat postoperative' problems. related to the actual surgery. The internist is consulted to provide general medical care and evaluation and treatment of general medical problems that would arise. .The wound. infection that was subsequently diagnosed was certainly not a general medical problem but rather a postoperative surgical problem. Both Dr. Rubbo and Dr. Rychak were apprised on a number of occasions of Mr. Lebo's postoperative problems and yet they failed to recommend the appropriate and necessary evaluation and treatment. If I can be Of any further assistance, please' don't hesitate to contact me. Sincerely, 1 ~ ~__u____~___,.__ Marie A. Savard, M.D.. MAS/mch ,: 14 D8.014 , , b MARIE A. SAVARD, M.D. 421 Owen Road Wynnewood,PA 19096 April 8, 2003' ,',... -'-~.-;......",~ ...,~ ~ . . - TitephoJiei (810) 18G:.~ FBx:(810)84&4431 ~"T;~~nel . Michael M. Badowski, Esquire Margolis Edelstein p. O. Box 932 Harrisburg, P A 17108-0932 RE:. LEBO Vs. SYI,VESTRI, ET AL DOCKET NO~ 00-2990 CIVIL TERM -. FILE NO. 57300.4-0082 Dear: Mr. Badowski: I have reviewed the plaintiff expert reports of Dr. Arnold L. Lentnek and Dr. Robert N. Dunn and o:ffi:r the fullowing supplement to my original report dated June 28, 2001. ;; EXPERT REPORT OF ARNOLD L. LENTNEK. MD: Dr. Lentnek sUmmarized Carl Lebo's surgical history noting only the of1ice visits with Dr. George SyIvestri, a general internist, and not. noting the nmltiple contacts with Dr. Rubo, Mr. Lebo's treating surgical physician, and his covering partner had made. Dr. Lentnek ignored significant parts of Mr. Lebo's post-operative history and therefure :6illed to take into consideration' the entire context of Mr. Lebo's problems when reviewing the care and treatment by Dr. Sy1vestri. Dr. Lentnek .stated tbaJ: Carl Lebo developed rever and .recurrent shoulder pain tbaJ: was "brought to ..tJ;te attention of the !J!ltient'~ primary care doctor, Dr. Sylvestri." (Dr. George Sylvestriwas not Mr. Lebo's primary care doctor as be had seen him on June 9 for the first time, which be subsequently noted in his report, on an urgent basis at the suggestion of Dr. Rubo's revering physician.) He also :6illed to note that Dr. Sy1vestri kneW that Mr. Lebo was already under the coritin1rlng postoperative care of Dr. Rubo fur evaluation and trp.Htmp."L Dr. Sy1vestri Would. have reasonably assumed tbaJ: any . surgical complication Would be recognized and treated by Dr. Rubo, the smgeori, rather than an internal medicine physician. (To suggest that a primary care physician is expected to diagnose and treat a postoperative . woundinfi:ctionmtherthan the smgeoil is absurd.) 1 D9.001 .. ;: Dr. Lentnekwent on to reporUn great detail the comprehensive evaluation that Dr. Sylvestri performed on Mr. Lebo as a general internist. Dr. Lentnek stated that Dr. Sylvestri did not advise Mr. Lebo to comer with his orthopedic surgeon or even advise the orthopedic surgeon of theSe new complaints. . (It is evident from Dr. Sy1vestri's deposition testimony, as well as Mr. Lebo's own actions, that it was well understood that Mr. Lebo was under the ongoing care. of Dr. Rnbo's office and that Mr. Lebo' . had telephoned his treating surgeons on 8 nmnber of occasions reporting his IlI1IlIerOUS complaints.) Dr. Lentnek also does not note that Mr. Lebo contacted Dr. Sylvestri's office fur consultation upon the recommendation of Dr. Rnbo's office. Therefure, Dr. Sylvestri had every reason to believe that' Mr. Lebo was under the ongoing care of Dr. Rnbo and his. staff and that 8 postoperative complication would have been diagnosed and treated by Dr. Rnbo' not by Dr. Sy1vestri. Dr. Lentnek further notes that Dr. Rnbo eva1uated Mr. Lebo on June 16, fuur days after an office visit with Dr; Sy1vestri. Dr. Rubo noted that Mr. Lebo had 8 "possible postop infuction" and prescribed . an. oral antibiotic and discharged Mr. Lebo to. home. It is therefure unreasonable to' suggest that Dr. Sylvestri is responsible fur any delay in . treatment of Mr. Lebo's. postoperative wo1l!Jd infuction when, in iK:t, Mr. Lebo's surgeon, Dr. Rnbo, evaluiited Mr. Lebo after Dr. Sylvestri's evaluation and Dr. Rnbo did .not recommend parenteral antibiotics and surgical drainage (which would have been standard to treat a deep- seated infection). . Four days after Dr. Sylvestri's last contact with Mr. Lebe Dr. Rubo was UIICertain of the diagnosis, and considered only 8 "possible posl-op infuction". It was therefure Dr. Rnbo and his office staff that was not only responsible fur the 1JIIfurtunate development of the postop<11aUve infection but as weD responsible fur the delay in the timely and apparently necessary surgical lre>ot""."rt. of theinfuction. Suggesting that Dr. Sylvestri was responsible and not Dr. Rnbo and his office is ridiculous. Twenty-fuur hours after Dr. Rubo's evaluation of Mr. Lebo fur 8 "possible postop infection," Mr. Lebo again returned to Dr. Rnbo, and' again there was RigJ>ffiCllTTt delay in the ,;i~ll""s1S and treatment of Mr. Lebo's deep-seated surgical infuction. Dr. LentneIc apparently is critical of Dr. Rnbo, the treating surgeon, as weD in his report in that he notes that ..8 wound infuction nmsl be difIia.,. diAtPA from 8 stitch abscess.' This latter . proce&'!, rcprGS(,~ a very localized fureign body reaction to suture material is virtually never associated with rever or systemic symptoms, does not result in wound debiscence, and resolves readily once the superficial offi:nding suture is. removed. In contrast, 8 wound infection,. especially severe, may. be . associated with rever and systemic symptoms and usualJy . requires both local debridement and systemic antibiotics to resolve." Of note,. Dr. Lentnek . stated in his report that during the June 16' visit with Dr. Rube that Dr. Rnbo himself stated that "on pbysical ~Rtinn the incision was read' and appears to be showing some sort of ~ to his Vicryisuture,particularly to the superior ~ of the incision where his knot has been tied." A surgeon would be expected to make that distinction 2 D9.002 L~ . ^".- """""'j-o whereas a primazy care physician who is eVllb~ a patient at the suggestion of a surgeon certainly would not be expected to make tbat same distinction. Dr. Lentnek states that the care provided by Dr. Sy1vestri on the initial visit met the standard of care, yet .be is critical of the fuDowup visit on June 12, stating that his fuilure to begin broad-spectrum antibiotics led to a further delay ami soft tissue destruction ami long-term dysfunction. Dr. Rubo 1lUled to diagnose a deep-seated surgical inR:ction fuur days later ami was therefure primari1y responsible fur the delay in the apparent1y necessary surgical ami paienkild antibiotic trP.a-. . Dr. Lentnek's fuilure to mention this obvious :IiIct that Dr. Rullo ami his associates were primari1y respollSible fur the postoperative care ami the diagnosis of the wound infection was glaringly ..pvmwl. Jrom reading his expert report. Ahhough Dr. Lentnek's cuirieulum vitae is not. included, I presume he is an inli:ctious disease consu1tantand one who would connnonly manage postoperative wound infections in a bospital setting in consultation with an orthopedic surgeon. or. Sylvestri, however, is a general internist, . not an infectious disease consultant, ami would not necessarl1y have the experience ami training ~g in consultation with orthopedic surgeons postoperative wound infections in a hospital setting. The standard of care fur Dr. Lentnek, if indeed be is an infectious disease consultant, in a hospital setting is obviously quitedifiilrent as the standard of care fur Dr. Sy1vestri. Specifically, an. infectious disease consultant in a hospital setting evalll"ting a postoperative :fi:ver is obviously consulted to assess the possibility of infection ami postoperative problems whereas Dr. Sylvestri was clear1y consu1ted to evaluate a :fi:ver that was feh distinct and unreJated Jrom his postoperative problems, as Dr. Rubo's own staff bad referred him to the internist fur further evaluation of his complaints (that were therefure presumed not to be of infectious or an operative complication by Dr. Rullo's staft:). EXPERT REPORT OF ROBERT N. DUNN. MD: The expert report of Dr. Robert Dunn was reviewed. Dr. Dunn.is an orthopedic surgeon. Dr. Dunn notes in his report that the first mention of any evidence of a JlOSSlole infection that .. Dr. Rubo .was aware of was on. the June 16, 1998, visit (There is evidenceinthedejlosition t:raIIscripts of Mi. ami Mrs. Lebo that .Dr. Rubo's o:lticewas w;,.,d of his signs ami symptomslongbefuretheJtmc 16, 1998, visit) Dr. Dunn notes that by June 17 the use of IV antibiotics "certainly greatIy slowed doWn the infection, although an open debridP.mAnt was necessary in oIder to clean out and eradicate it... This open debridement did not occur, however, fur an additional five days becanseof Dr. Rullo's delay (ami not the :limit of Dr. Sylvestn). Dr. Dwm, the orthopedic expert surgeon, 3 D9.003 ~ . ~, . therefure suggests that it was Dr. Rullo that fuiled to recognize the need fur open surgical debridement and was responsible fur the delay in such treatment. Dr, Dunn does not note in his report the multiple phone calJs of Mr. Lebo to Dr. Rullo's office complaining of signs and symptoms that shOuld have prompted his more thorough evaluation by Dr. Ruboand earlier . diagnosis and treatment. Dr. Dmm also states that Dr. Rullo "did not take a history of ~atll1'e, ti:ver, chiDs, etc., when he saw the patient on June 16 and theJ:eii..." deviated from the accepted standard of care. By this point, the damage bad already been done." He then notes, "Dr. Sylvestri's fuilure to appropriately diagnose was a substantial contributing fiu:torin the patient's loss of his rotator cu:ffrepair." Again, as noted previously, Dr. Dmm fuiled to note that it was Dr. Rullo's office that was apprised of his temperature, ti:ver, chills, pain, etc., on a number of QCCaSions, even prior to Dr. SyIvestri's care and treatment; and thereIDre it was Dr. Rullo's office that was responsible fur the significant deJayin the diagnosis of inrection and treatment. Furthermore, it was . because of Dr. Rullo's office being llWlIre of his postoperative rever, chiDs, pain, etc., and subsequent reiimtl to Dr. SyIvestri that led Dr. SyIvestri to presume that a postoperative infection bad been considered and excluded by the smgeons and that another llOUt'Ce of ti:ver was to be investigated :from an internal medicine !",,~p<Niive. Of note, Dr. Dunn, did not review the deposition testimony of Dr.Sylvestri and Mr. and Mrs. Lebo and therefure was not aware of the multiple phone calJs and contacts with Dr. Rullo's office and staff concerning his complaints of postoperative ti:ver, chills, pain, etc., and thelefu.c not aware that even prior to Dr. SyIvestri's evaluation that these symptoms were. ongoing and yet. a deep wound infection was not suspected by his own treating surgical . staft Finally, Dr. Dmm was therefure not aware that it was Dr. Rubo's staff that suggested that Mr. Lebo see. an. internal medicine physician fur eva1uation of his ti:ver, chills, etc. . (AJrj reasonable patient would understand that if they were refurredby their surgeon to see an internal medicine or. primary care physician that a surgical problem was excluded. Certainly, the diagnosis and tI~ of a postoperative wound inreCt.i.on is not. a medical one, but rather one that is diagnosed and treated under the care of the treating surgeon, su~'in consll1t;rtjon with irlfi:ctious disease specialists.) Summary Il.]1rl ~t1clmrinns " It remains my belief to a reasonable degree of medical certainty that both Dr. Rubo and Dr. Rycbak, Dr. Rullo's associate, were apprised. on a number of occasions of Mr. Lebo's postoperative .' problems, ;""hliling rever' and pain, and yet they fuiled to provide the ~;.ne and necessmy evaluation and b~I,,~.t.. ReJi:ning the patient to a general intet~t fur care and ll~~of a postoperative wound infection that requires additiomil surgical management is obviously ridiculous and obviously makes no sense. 4 D9.004 ~ " '" - - I , " -, ~ " . A1though Mr. Lebo stated in his dc:position that be believed Dr. Sylvestri should have diagnosed. the infi:ction because Dr. Rubo was "only an orthopedic surgeon." that obviously is not an Opinionsbared by practicingpbysicians and most patients. Any Jlhysicianor patient .WOUId understand. that an. Orthopedic surgeon Would '1llll1lllge' postope....tivesurgical complications and that a general internist (or fiunily doctor) would manage medical problems. FiDaIly, Dr. Dum, tbe expert Orthopedic surgeon, states that bad Mr. Lebo received earlier diagnosis and smgical1:lr.>>1..~,,1 of his wound inrection that be would not have ~.,d tbe damagelJ' that . he bas.. He'.;notes that . Dr. Rubo's fuilure to take a. history . of !ever,' chills; etc.; .' deviated from tbe accepted~ of care. What be:liii1ed to know, as well, was not only did Dr. Rubodeviate lfum tbe accepted ~ of Care by fuiling to ask those questions. on June 16, but that his associate, Dr. Rycbak, was told of those symptoms much earlier (and prior to Dr. Sy!vestri's evaluation) in Mr. Lebo's postoperative course and yet Dr. Rycbak as 'well:liii1ed toxeco...n .end tbe necessmyand timely treatment that would have prevented loss ofhis rotator cufffimctioIL . If! can be of:linther HRoistaooe, please do not hesitate to contact me. Sincerely, ..., AI'. '" tJ....-A.. -'VV~,- ~ Marie A. Savard, MD MASI1ml s 09.005 - "- CURRICULUM VITAE MARIE SAVARD M.D. ADDRESS: 421 Owen Road Wynn,ewood, P A 19096 phone (610) 896-1995 fax (610) 649-0431 . email:SavardSys@AOL.com DATE OF aIRTH: PLACE OF BIRTHl CITIZENSHIP: October 25, 1949 York, PA U.S.A. MARITAL STATUS: Married to Bradley W. Fenton, M.D. CHILDREN: Zachary, 1014180 Aaron & Benjamin, 1118/82 EDUCATION: 1967-1970 1968-72 . '..-" .-.> " Wi"; . R.N. Hospital of the University of Pennsylvania School of Nursing B.S.N., University of Pennsylvania 1972-76 M.D., University of Pennsylvania School ofMedi!)ine POST GRADUATE. TRAINING AND FELLOWSHIP APPOINTMENTS: 1976.79 . Reside.iiCy, Internal Medicine Hospital of the University of Pennsylvania . .l1ellow; General Internal Medicine University of Colorado Health Sciences center 1979-81 ;" 1980-82 Ma$ter of Community HC!Ilth program . University of Colorado Health Sciences Center ACADEMIC APPOINTMENTS: D10.001 - , "j: 2 1994-1996 Instructor, Clinical Medicirie UnIversity of Colorado Health ScienCes Center Assistant Clinical Professor of Medicine University of Pennsylvania School of Medicine Associate Clinical Professor of Medicine University ofPeimsylvania School of Medicine Associate ProfessorofMe&cine . Medical College ofpennsylvanialHahnemann U~versity . 1979-81 1981~89 1989-2000 1995-199- Associate Clinical Professor of MediCine Jefferson Medical College 1981-88 Section Chief. General Internal Medicine Pennsylvania Hospital Department of Medicine ,I :! :1 :1 II 'I II :1 II il :1 :1 'I I HOSPITAL AND ADMINISTRATIVE APPOINTMENTS: 1988-present Medical Director and primary care physician to Cabrini Retirement COiDIllunity and Nursing Home Attending Staff -. Peimsylvania Hospital MedicalDfrector, Quality Assurance and UtiliZation Review, 'PCrinsylvania Hospital 1994through1996 . MedicalDirector,CenterforWomen'sHealth . ..... . Medical. College of PennsylvanialHahnemann Hospital 1982~present . 1993 and 1994 ." 1997-1999 1998-present 1998 .' Founder of Savard Systems, patient education and consulting company D10.002 ;" ~. ~ . ..l'tJ' 3 2000- Senior Medical Consultant to Lifetime Television program, Strong Medicine (help write and edit the scripts) . Pennsylvania - MD 020735-E LICENSURE: . SPECIALTY CERTIFICATION: 1980 American Board ofInternaI Medicine HONORS AND AWARDS: 1970 Letitia White Award, Highest Graduate in Nursing School Class, Hospital of the University ofPennsyl~ 1974 Alpha Omega Alpha National Medical Honor Society 1976 Awarded Recognitionfor the Highest Female Graduate Academic Record in the class, University of Pennsylvania School of Medicine 1980's - 1996 PhiIadelphiaMi\gI17ine, Top Doc in Philadelphia MEMBERSIllP IN PROFESSIONAL SOCIETIES: American College of Physicians Society for General Intemal Medicine American Medical Women's Association Eastern Pennsylvania Osteoporosis Society, Founding Member EDITORIAL POSITIONS: 1986-88 American Cancer Society Newsletter National Board oflnternaI Medicine, Prototype Scoring Committee ., 1986-90 1993- 1994-1996 University of Pennsylvania Trustees Council of Women MCP Delegate to the National Academy of Women's Health Education American Board oflntemal medicine "Gold Standard" Panel for 010.003 " --~"~KI 4 . Recertification Exam of Geneml Internists 1991-1996 Medical Secretary, American Board of Internal Medicine Writing and Review ofIntema1 Medicine Questions, for Recertification Exam . Pretest examination committee 1995-1996 Subcommittee, ABIM, Defining Clinical Competency and Women's Health 1995-1996 Women's Dav Malzazine. Regular column writer & editor ofhea1th issues. PUBLICATIONS: On,,",91 Panen: Savard-Fenton, M.A., Fenton, B., Reller, B., Lauer, B., Byyny, R., Single-Dose Amoxici1Iin Therapy with Follow-Up Urine Culture: Effective Initial Management for Acute Uncomplicated Urinary Tract Infection. AJM 73:808,1982 Savard, Marie A Et al., PostmenopaUsal Osteoporosis: Diagnosis, Treatment and Prevention Journal of Clinical Outcomes Man=ent. Vol. 3, no. 5. September/October 1996 pp. 37-54. ABIM Subcommittee on Clinical Competencies and Women's Health (M.Savard et al) Core Comnetencies in Women's Health: What Internists Need To Know Excerpta Medica 1997 Abstracts: Savard-Fenton, M.A.; Fenton, B., Efficacy of Single-Dose Amoxicillin Therapy With Follow-Up Urine Cultures inAcute Urinary Tract Infection. Clinical Research 29:48A, 1981 Savard-Fenton, M.A, Fenton, B., Byyny, R. Cost-Effectiveness of Single-Dose Amoxicillin Therapy with Follow-Up Dipslide Culture in Acute Urinary Tract Infection. Clinical ResearCh 29,1981. Wigton, R.S;, Fenton, B., Savard-Fenton, M.A., Steinmann, w.e. Do Clinical Presentation or the Antibody Coated Bacteria Test (ACB) Predict Treatment Failure in Urinary Tract Infection? Presented at SREPCIMNational Meeting, 1985. Book Chanters: 010.004 .....- .-. t jJj:- 5 Savard-Fenton, M.A., Goals of Primary Care Training. Chapter 4, The Education of the General InterniSt. T. Thompson and R. Byyny (ed.)Ovid Bell Press, Inc., Missouri, 1982 pp 29035. Savard-Fenton, M.A., Incorporating Patient Education Activities Into The PractiCe of Primary Care Residents. Chapter 13, The Education of the General Internist. T. ThompSon, and R. Byyny, (ed.) Ovid Bell Press, Inc., Missouri, 1982, pp 113-125. Savard-Fenton, M.A., The Education of Primary Care Residents in Team Health Care Delivery. Chapter 14. The Education of the General Internist. T. Thompson and R. Byyny, (ed.) Ovid Bell Press, Inc., Missouri, 1982, pp 126-133. Savard-Fenton, M.A., The Female Patient. in Cardiovascu1ar Health and Disease in Women. Pam Douglas (cd.) W. B. Sanders Co., Philadelphia, 1993, pp 1-2. Savard, M.A., The Religious Community as Family: The Primary Care Physician's perspective, in Grieco, Ai, Kramer EJ, Phelan, G& Glassman, KS (editors), Patient Education and the Familv. NY, Springer, 1997 . Auerbach, MI, Kramer, EJ, Phelan, G, Savard, M & Palacios, D, Educational Strategies. in Grieco, Ai, Kramer, EJ, Phelan, G & Glassman, KS (editors) Patient Education and the Familv. NY, Springer, 1997 Books Savard, Marie, The Savard Health Record: Six Steps to Managing Your Health Care, VA. Tune- Life, Inc. April 2000 " Savard, Marie with Sandra Forsythe, How To Save Your Own Life: The Savard System of Managing and Controlling Your Health Care, NY, Warner Books, May 2000 WEB Programs Savard, M.D., Marie and Frances Batzer, M.D. for Meniscus Educational Institute, continuing medical education program; Medical Decision Making and Hormone Replacement Therapy. Savard, M.D., et aI. US Oncology Group; Risk Reduction Therapy in Breast Cancer. Lectures: (not inClusive or current list) Grand Rounds. Hospital of the University of Pennsylvania and Pennsylvania Hospital, Urinary Tract Infections. D10.005 " =- '.~", 6 Women's Health Issues including: Hormone Replacement Therapy, Osteoporosis, Psychosocial Issues, Vaginitis, Urinary Tract Infections, Coronary Artery Disease, Screening, and Mammography. Penn Trustees Council. Umversity Women Groups World Presidents' Organ17J1non Meeting in Florence 1992; Hong Kong, 1994 Senator Allison Schwartz: Yearly Conference on Women's Health, Lecture on Women's Health Humanities and Medical Literature: Healing and the Doctor-Patient Relationship Workshop. Meeting of American Academy of Family Practice. American Psychiatric Association Centennial Meeting, Lecture on Women's Health Care Issues. Osteoporosis for the Primary Care Physician, a CME Accredited Program Global Health Alliance Keynote address in Beijing, Fourth World Conference on Women 1995, "We11ness in the Mature Woman" Rome 1999 Women's Health at the Dawn of the New Millenium Frequent lectures and seminars on patient empowerment and health management Written Testimony Conference on Medical Mistakes and Patient Safety in Washington, September 2000 OTHER ACTIVITIES: 1992-1994 Advisor on Health Care to Congresswoman Marjorie Margolies Mezvinsky. 1995 Technical Advisor, World Health Organization, Fourth World Conference on Women, Beijing 1997- present Pennsylvania Judicial Evaluation Commission. Pennsylvania Commission For Women, appointment Governor . Ridge , 1996-1997 Revision 1101 010.006 ~-~ ~. 1- _ -";'-- --,-> - CERTIFICATE OF SERVICE --"';---, tj I HEREBY CERTIFY that I served a true and correct copy of the foregoing on all counsel of record via courier (hand delivery) on thej&/t:day Of~ 2005, to the below listed address: April 1. Strang-Kutay, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street P.O. Box 1268 Harrisburg, PA 17108,1268 (Counsel for Plaintiffs) MARGOLIS EDELSTEIN By: 12tlM-~q}t.; ~ Se etary " '.O~~'_ ",^,.",,-,_,.,,_ _~ _" ".. _ ,.',,,~,, _', '~-'~'=' _n ,-.,__ -,,',- ,~-_ _" - ,-;_,0'-. "I 1 CARL R. LEBO and BEVERLY ANN LEBO, his wife, Plaintiffs vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 00-2990 CIVIL CIVIL ACTION - LAW GEORGE SYL VESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P.C., Defendants JURY TRIAL DEMANDED IN RE: PRETRIAL CONFERENCE Present at a pretrial conference held this date were David Steckel, Esquire, attorney for the plaintiffs, and Michael Badowski, Esquire, attorney for the defendants. This is a medical malpractice case in which the plaintiff contends that Dr. Sylvestri' s treatment of him following shoulder surgery, and particularly the doctor's failure to detect and treat infection, fell below the standard of care. There are no particularly unusual or complicated procedural or evidentiary issues in the case. The trial should be of approximately four days' duration. Dr. Rubbo, who performed the shoulder surgery, is available to testify on Tuesday afternoon of the trial week and counsel agreed that they would accommodate his schedule even if it meant taking Dr. Rubbo's testimony out of order. The parties will share the usual number of juror challenges. David Steckel, Esquire For the Plaintiffs ~L June 29, 2005 Michael M. Badowski, Esquire For the Defendants Court Administrator 'If3 ALliD-OFFICE OF THE PROTHONOTARY 2005 JUN 29 PH 2: 3L! CUMBEfiLi'i'iO COUNTY PENNSYLVANIA -;" '. ,.~~ ." ~~'"~--'~-_":--'~~'> . ~ .1:>, --~!'" ~ - r j - . ,1;l!ln~?-...,-,,,- . - '~-'T';':'~" '=, -.,.<,". .., .oiL.;r c. ~.' , . '" ,:0:;'-. 'i-;'i'~;, ,/,_;,-".~, i~ ;, >C,,<--;"::'-'., _:,~-,__-_. . ,'--",- "-';--6'\- _,-",;"' .,-:" " ",-, - "'-~ April L Strang-Kutay, Esquire Attorney L D, No" 46728 David M. Steckel, Esquire Attorney LD, No. 82340 GOLDBERG KATZMAN, P.c. 320 Market Street P,O, Box 1268 Harrisburg, PA 17108,1268 Telephone: (717) 234-4161 Attorneys for Plaintiff CARL R. LEBO and BEVERLY ANN LEBO, His Wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION, LAW v. NO. 00-2990 Civil Term GEORGE SYLVESTRI, M.D. and COWLEY MEDICAL ASSOCIATES, P.C.,: Defendants JURY TRIAL DEMANDED -(L. /Rro..eci ~e... fE'fITUm TO DISCONTINUE TO THE OFFICE OF THE CUMBERLAND COUNTY PROTHONOTARY: Please be advised that, pursuant to Pa. R.C.P. No. 229(a), Plaintiffs, Carl R. Lebo and Beverly Ann Lebo, are voluntarily discontinuing the above captioned action with prejudice. Respectfully submitted, GOLDBERG KATZMAN, P.C. By: /)4'-~ April 1. Strang-Kutay, Esquire Attorney LD" # 46728 David M. Steckel, Esquire Attorney LD. # 82340 320 Market Street, P. O. Box 1268 Harrisburg, Pennsylvania 17108-1268 (717) 234-4161 Attorneys for Plaintiffs Date: July 12, 2005 :- -,;;,~-:. ;,~:~~;~ j j ;1 j ,I 1 I'.' l 11.. II Il 11.J. '1 'i !! [I 11 II ,. "1 j J J ~I rJ 11 ~ II I I I I ',"," ; -,--:.:.1,." .; _, " ~- . ,,_-,',-_ ,"- "0- -,_ CERTIFICATE OF SERVICE I HEREBY CERTIFY that I served a true and correct copy of the foregoing document upon all parties or counsel of record by depositing a copy of same in the United States Mail at Harrisburg, Pennsylvania, with Certified, first-class postage prepaid, addressed to the following: Michael M. Badowski, Esquire Margolis Edelstein 3510 Trindle Road Camp Hill, PA 17011 By: /}.-/~ ~.--:/ April L. Strang-Kutay, Esquire Attorney J.D. No. 46728 David M. Steckel, Esquire Attorney 1.0. No. 82340 320 Market Street, P. O. Box 1268 Harrisburg, P A 17108-1268 (717) 234-4161 Attorneys for Plaintiffs Date: July 12,2005 2 -" ~- ", it ~1 << 5~ r; [': I:; i" I' a ~j t; ~i fi i' 11 ~ I' Fi ~j f.1 " ~ ~ t; bl ~1 ~~ ~ ~'! ~ V I;! !, I:; k " I ~ Ii I ~ p. I " [, ~ I ~ , I. I i ~~L__~ - >..-.:> C",,_ ~, ~ "~~.~ . 0,' '~" . 'd ,;;.,c",,- C'," ,t',,,"- o ~ ~--"~ ~F F~~ --;r '-, "'.:;0::: ,- - ~ ~ "'S~ \,_ '=C ::t>c: Z -" -<: " -" .....' = = "" C- c: r o -n -l ']',"'11 nF -Cd :0\ SQ, -1: -h Or) 2m S :Pc ~ N -a ~, ~. ':? r Co.) " ,~