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S) Defendant admits that he backed his vehicle from a parking space during the
course of which action there wu contact between his van and plaintifr s vehicle, but denies the
remaining allegations of paragraph S, u stated.
6) Defendant admits that at the time and place alleged his vehicle contacted the
plaintiff's car and repeats and reaJleges his answer to paragraph S, above, and denies the
remaining allegations of paragraph 6,
7) Defendant incorporates the preceding paragraphs of its answer u its response to
paragraph 7.
8) The allegations set forth in paragraph 8 are conclusions of law to which no
response is requires under the Pennsylvania Rules of Civil PlOceOure. 10 the extent that any of
said allegations are taken to be factual in nature, they are denied, subparagraphs (a) through (h),
inclusive.
9) Defendant repeats and restates its answers to the proceeding paragraphs of the
complaint as its answer to this paragraph.
10) After reasonable investigation, Defendant has insufficient knowledge or
information upon which to fonn a belief as to the truth of the allegations of this paragraph of the
complaint and therefore neither admits nor denies the same but demands strict proof thereof.
II) After reasonable investigation, Defendant has insufficient knowledge or
information upon which to form a belief as to the truth of the allegations of this paragraph of the
complaint and therefore neither admits nor denies the same but demands strict proof thereof.
12) After reasonable investigation, Defendant has insufficient knowledge or
information upon which to form a belief as to the truth of the allegations of this paragraph of the
complaint and therefore neither admits nor denies the same but demands strict proof thereof.
13) After reuonable investigation, Defendant has insufficient knowledge or
information upon which to form a bclicfu to the truth of the aIlcgationa ofthia paragraph ofthc
complaint and therefore neither admits nor denies the same but demanda strict proof thereof.
14) After reasonable investigation, Defendlllt has insufficient knowledge or
information upon which to form a belief as to the truth of the aIlcgatiOIlJ of this paragraph of the
complaint and tbctefore neither admits nor denies the same but demands strict proof thereof.
I S) After reasonable investigation, Defendant has insufficient knowledge or
information upon which to form a belief as to the truth of the a1legatiollJ of'this paragraph of the
complaint IIld therefore neither admits nor denies the same but demands strict proof thereof.
16) After reasonable investigation, Defendant has insufficient knowledge or
information upon which to fonn a belief as to the truth of the allegations of this paragraph of the
complaint IIld therefore neither admits nor denies the same but demands strict proof thereof.
17) Defendant repeats and restates its IIlswers to paragraphs I through 16 of the
complaint as its IIlswer to this paragraph.
18) After reasonable investigation, Defendant has insufficient l;nowledge or
information upon which to form a belief as to the truth of the allegations of this paragraph of the
complaint and therefore neither admits nor denies the same but demands strict proof thereof.
WHEREFORE, defendant denies the plaintiff is entitled to judgment against him in a sum
in excess ofS25,OOO.OO, or to lilY sum of money whatsoever, or to interest, costs or delay
damages.
DEFENDANT DEMANDS TRIAL BY JURY.
~w. MA TI'F.B
19. lfit ia detennined that defendant is liable under the plaintiff a' cause of action, then
plaintiffs' recovery should be eliminated or reduced in accordance with the Pennsylvania
Comparative Negligence Act, 42 Pa. C.S.A Section 1702, in that Plaintiff may have:
a. Failed to keep a proper lookout for other vehicles then and there upon the
roadway;
b, Failed to properly signal ;
c. Stopped in a manner which was unsafe and careless;
d. Was otherwise careless and negligent in the operation, control and
maintenance of her motor vehicle.
20. The foregoing acts or omissions of the plaintiff, as set forth in Paragraph 19, were
careless and negligent and proximately caused the alleged injuries and/or damages claimed by the
plaintiff.
21. If plaintiff suffered any injuries or damages as alleged, they were caused solely and
primarily by the plaintiffs' own carelessness, recklessness and negligence.
22. If the plaintiff suffered any injuries as alleged, plaintiff. by her conduct, assumed
the risk of those injuries and damages due to the conduct herein before alleged.
23. Defendant asserts all defenses, limitations and exclusions under the Motor Vehicle
Financial Responsibility Law, 75 Pa. C.S.A. Section 1701 ~ and avers that plaintiff may not
plead, prove, introduce into evidence or recover any benefits paid or payable under the Motor
Vehicle Financial Responsibility Law.
24. The complaint fails to state a claim against the defendant.
25. The damages and injuries allegedly sustained by the plaintiffs were proximately
caused by the acts and/or omissions of plaintiff or third persons for whose actions defendant is not
legally responsible.
26. The right to file such additional defenses, affirmative defenses, crossclaims,
counterclaims and/or third party claims as msy be appropriate upon completion of investigation
and discovery in this mstter is reserved.
27. PlaintifTfailed to mitigate damages.
28, The right to chaIItnge any award of delay damages in this case is hereby reserved.
29, Defendant demands that appropriate hearings be conducted in this case prior to
any award of delay damages.
30. Rule 238 of the PeMsylvania Rules of Civil Procedure, on its face, and as applied
is violative of the Due Process and Equal Protection clauses of the Fourteenth Amendment to the
Constitution of the United States. Section 1983 ofTitle 42 of the United States Code and Article
I, Sections 1,6, II and 26 and Article V, Section IO(c) of the Pennsylvania Constitution and
imposes a chiDing effect on the exercise by defendant of his constitutional rights.
WHEREFORE, defendant demands judgment against the plaintiffs, and for the defendant,
and for such other relief as the Court deems appropriate.
DEFENDANT DEMANDS TRIAL BY JURY.
Respectfully submitted,
HARRINGTON, KAUFFMAN &. SHILLING
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MARGARET S. MARTZ and
W. ARNOLD MARTZ, Her Husband,
Plaintiffs
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNA.
v.
CIVIL ACTION - LAW
ROBERT E. FOOSE,
Defendant
NO. 97-1099 CIVIL TERM
JURY TRIAL DE~~DED
COM P L A I N T
1. Plaintiffs Margaret S. Martz and W. Arnold Martz are
husband and wife adult individuals, who are citizens of the
Commonwealth of Pennsylvania, residing at 704 Charles Street,
Mechanicsburg, Cumberland County, Pennsylvania.
2. Defendant Robert E. Foose is an adult individual and
citizen of the Commonwealth of Pennsylvania, who resides at 6972
Wertzville Road, Enola, Cumberland County, Pennsylvania.
3. The facts and occurrences hereinafter related took place
on or about June 6, 1995, at approximately 3:50 p.m., at the PNC
Bank parking lot, Carlisle Pike, Mechanicsburg, Cumberland County,
Pennsylvania.
4. At that time and place, Plaintiff Margaret S. Martz
stopped in the traveling lane of the parking lot, waiting for a car
to back out before parking her 1993 Ford Taurus.
5. At that time and place, Defendant Robert E. Foose was
preparing to pull from a parking space, located behind Plaintiff
l07909/LRJ
forced to incur similar expenses in the future, and claim is made
therefor.
13. As a result of the aforementioned injuries, Plaintiff
Margaret S. Martz has undergone and in the future will undergo
great physical and mental suffering, great inconvenience in
carrying out her daily activities, loss of life's pleasures and
enjoyment, and claim is made therefor.
14. As a result of the aforesaid injuries, Plaintiff Margaret
S. Martz has been and in the future will be subject to great
humiliation and embarrassment, and claim Is made therefor.
15. As a result of the aforementioned injuries, Plaintiff
Margaret S. Martz has sustained loss of earning capacity, loss of
opportunity, and possible future impairment of her earning power
and capacity as a school teacher, and a claim is made therefor.
16. Plaintiff Margaret S. Martz continues to be plagued by
persistent pain and limitation and therefore, avers that her
injuries may be of a chronic or permanent nature, causing residual
problems for the remainder of her lifetime, and claim is made
therefor
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MARGARET S. MARTZ and
W, ARNOLD MARTZ, her husband,:
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO.97-I099 CIVIL TERM
ROBERT E. FOOSE,
Defendant
NOTICE OF HEARING BY BOARD OF ARBITRATORS
YOU ARE HEREBY NOTIFIED that the Board of Arbitrators appointed by the
Court has scheduled the Arbitration Hearing in the above-captioned case for Monday,
December 7, 1998 at 9:30 A.M, at the Second Floor Hearing Room, Old Cumberland
County Courthouse, Carlisle, Pennsylvania.
Joseph D. Buckley, Esquire
Patricia R. Brown, Esquire
Diane B. Carvell, Esquire
Date: ?tfv., oS, I 'i9 'l
B~.
Joseph D. Buckl y, Esquire
Chairman, Board of Arbitrators
1237 Holly Pike
Carlisle, P A 17013
(717) 249-2448
cc: Patricia R, Brown, Esquire
Diane B. Carvell, Esquire
Michael E. Kosik, Esquire for Plaintiffs
C. William Shilling, Esquire for Defendant
Office of the Court Administrator
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MARGARET S, MARTZ and
W, ARNOLD MARTZ, her husband,:
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLV ANlA
NO.97-1099 CIVIL TERM
v.
ROBERT B, FOOSE,
Defendant
NOTICE OF BEARING BY BOARD OF ARBITRATORS
YOU ARE HEREBY NOTIFIED that the Board of Arbitrators appointed by the
Court has scheduled the Arbitration Hearing in the abovc-captioned case for Monday,
December 7, 1998 at 9:30 A.M. at the Second Floor Hearing Room, Old Cumberland
,
County Courthouse, Carlisle, pennsylvania.
Joseph D. Buckley, Esquire
Patricia R. Brown. Esquire
Diane B. Carvell, Esquire
Date: 7\tv-, .5, 11 f ,
B~'
Joseph D, Buckl y, Esquire
Chainnan, Board of Arbitrators
1237 Holly Pike
Carlisle, PA 17013
(717) 249-2448
cc: patricia R. Brown. Esquire
Diane B, Carvell, Esquire
Michael E. Kosik, Esquire for Plaintiffs
C. William Shilling, Esquire for Defendant
Office of the Court Administrator
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LAW OFFICES OF
HARRINGTON, KAUFFMAN & SHILLING
ATfORNEY: Tim J, Harrington, Jr.
SUPREME COURT I,D. NO,: 71242
100 PINE STREET, SUITE 300
HARRISBURG, PA 17101
(717) 720-0700
A TfORNEY FOR:
Derendant Robert E. Foose
MARGARET S. MARTZ and
W. ARNOLD MARTZ, her husband,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs,
vs.
ROBERT E. FOOSE,
DOCKET NO. 1997-1099 Civil Term
Defendant.
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
AND NOW, this~1ay of July, 1997, I, Tim 1. Harrington, Jr., Esquire, attorney for
Defendant, affirm that I served Admission of Liability by depositing the same in the United States
Mail, postage prepaid, in Harrisburg, Pennsylvania, addressed to:
Michael E. Kosik, Esquire
Angino & Rovner
4503 North Front Street
Harrisburg, PA 17110
(Attorney for Plaintif1)
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22. Denied. This averment is a conclusion of law to which no
responsive pleading is required. To the extent that a response may
be deemed proper, it is specifically denied that Plaintiff Margaret
Martz was aware of or could assume the risk of her injuries. It is
further denied that the doctrine of assumption of the risk is
applicable to a motor vehicle accident similar to that which is set
forth in Plaintiffs' Complaint.
23. Denied. This averment is a conclusion of law to which no
responsive pleading is required. To the extent that a response may
be deemed proper, it is specifically denied that the Pennsylvania
Motor Vehicle Financial Responsibility Law provides any defenses,
limitations, and exclusions to the cause of action and damages
sought in Plaintiffs' Complaint.
24. Denied. This averment is a conclusion of law to which no
responsive pleading is required. To the extent that a response may
be deemed proper, it is specifically denied that Plaintiffs'
Complaint does not set forth a cause of action against the
Defendant for motor vehicle negligence.
25. Denied. This averment is a conclusory statement
unsupported by any factual statements, and therefore, no responsive
pleading is required. To the extent that a response may be deemed
3
proper, it is specifically denied that Plaintiff Margaret Martz's
injuries and damages, as set forth in the Complaint, were caused by
the acts or omissions of some unidentified and unnamed third party
and not the Defendant. To the contrary, it is averred that
Defendant Robert E. Foose, as identified in Plaintiffs' Complaint,
was the sole proximate cause of Plaintiff Margaret Martz's injuries
and damages.
26. This averment is not an affirmative defense and
therefore, does not require a response. Pennsylvania Rule of Civil
Procedure 1030 provides that a party may set forth as new matter
any affirmative defense. Defendant's reservation of his right to
assert affirmative defenses or crossclaims in the future provides
the Defendant with any additional rights that he would have had
under the Procedural Rules, and this paragraph is irrelevant.
27. Denied. This averment is a conclusion of law to which no
responsi ve pleading is required. To the extent that a response may
be deemed proper, it is specifically denied that Plaintiff Margaret
Martz failed to mitigate her damages. To the contrary, at all
times, Plaintiff Margaret Martz has cooperated with and followed
the instructions of her treating physicians and has attempted to
mitigate her injuries and damages.
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28. Defendant's reservation of his right to challenge delay
damages is inappropriate.
29. Defendant Robert E. Foose's request for a hearing on
delay damages before an award and request for delay damages is
improper and irrelevant.
30. Denied. This averment is a conclusion of law to which no
responsive pleading is required. To the extent that a response may
be deemed proper, it is specifically denied that Pennsylvania Rule
of Civil Procedure 238 is unconstitutional or violative of the Due
Process and Equal Protection clauses of the Fourteenth Amendment of
the Constitution of the United States or the Pennsylvania
Constitution. By way of further answer, Defendant Robert E. Foose
is required to notify the Pennsylvania Attorney General's Office
when challenging the constitutionality of a statute or the
Conunonwealth is not a party. ~, Pennsylvania Rule of Civil
Procedure 235. To Plaintiffs' knowledge, Defendant Robert E. Foose
has not provided appropriate notice to the Attorney General's
Office of the alleged unconstitutionality of Rule 238, and
therefore, this averment is improper.
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Defendant Foose has admitted liability for the accident as
indicated by the admission of liability which was filed by defense
counsel attached hereto as Exhibit A. The defense, although
admitting liability, questions the causation of Maggie Martz's
plantar fascitis injury. Based upon a review of the defense's
medical report, the Defendant is not questioning the cervical
injury which she sustained.
Plaintiff Maggie Martz maintains that the Defendant's position
on causation is primarily because of the contention that she could
not have sustained this type of injury to her feet as a result of
the impact. Plaintiff Maggie Martz does not dispute that the
injury to her feet did not occur as a result of the initial impact
but rather maintains that the injury to the feet came as a result
of her panicking when she was struck and slamming her feet on to
the brake several times after impact in response to the impact and
the sensation of her car being moved.
II. INJURIES AND DAMAGES
Plaintiff Maggie Martz did not immediately seek treatment,
although her head and neck began hurting at the scene. Over the
days following the accident, she continued to have problems,
however, the day of the accident was the last full day of school.
When her condition did not resolve over the following weekend, she
sought treatment from Dr. Hamsher at Orthopedic Institute the
following Monday, June 12, 1995. At that time, she was having
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headaches and neck pain as a result of the accident. She had
limitations in rotation of her neck, and Dr. Hamsher diagnosed a
cervical strain and sent her for physical therapy. Plaintiffs have
prepared a medical treatment summary of Plaintiff's treatment
relating to the accident which is attached hereto as Exhibit B.
Copies of Plaintiff's medical records have been supplied in a
separate Appendix.
Plaintiff Maggie Martz received physical therapy for her
cervical strain following the accident. She maintains that she was
having symptoms with her feet, however, these were not so severe as
to require medical treatment. It was not until after Maggie Martz
delayed vacation in late July that her foot symptoms became more
significant. On her first physical therapy visit following her
vacation, August 1, 1995, she again spoke to the physical therapist
about the problems that she had been having with her right foot and
the fact that they related back to the time of the motor vehicle
accident. She immediately spoke with Dr. Lippe and received a
prescription for physical therapy for the right foot in which he
made a diagnosis of plantar fascitis on August 2, 1995. ~,
prescription from Dr. Lippe attached hereto as Exhibit C. From
that point forward, Plaintiff continued to receive physical therapy
and treatment initially from her orthopedic physician and then
ultimately from a podiatrist, Dr. Douglas Bream, for the plantar
fascitis. She eventually underwent surgery on 1/31/97 and 2/28/97
I-
and has had a slow recovery from the plantar fascitis. Both Dr.
Ronald Lippe, the orthopedic physician who was treating her after
the accident, as well as Dr. Bream have confirmed that the plantar
fascitis is related to the motor vehicle accident. ~,copies of
their reports which are attached hereto as Exhibits 0 and E
respectively.
Plaintiff Maggie Martz maintains that contrary to the'
assertions of the Defendant, her cervical strain did not resolve by
the end of September of 1996. Plaintiff Maggie Martz agrees that
her treatment and disability for the cervical strain ended
following her September 23, 1996 visit with Dr. Lippe. However,
after being released from treatment by Dr. Lippe, Maggie Martz has
continued to have intermittent problems and flare-ups with her neck
but has not returned to the orthopedic doctor.
After being released by Dr. Lippe, Maggie Martz continued to
have problems with the plantar fascitis. At that point, she began
treating with Dr. Douglas Bream who is a podiatrist. She had
initially been referred to Dr. Bream for orthopedic heal cups by
Dr. Lippe in August of 1995. Dr. Bream as well diagnosed her
continuing problems as plantar fascitis relating to the motor
vehicle accident. Given the passage of time and the failure of
conservative treatment for approximately one and a half years, Dr.
Bream recommended surgery. Dr. Bream performed two out-patient
arthroscopic procedures, both to Maggie Martz's heals, one in
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January and one in February of 1997. He projected that she would
slowly recover over a period of three to four months following
these procedures. Maggie Martz continued to treat with Dr. Bream
through 1997 but ultimately sought a second opinion of Dr. Paul
Juliano, an orthopedic specialist at Hershey Medical Center for
foot and ankle problems. Dr. Juliano's records are included in
Plaintiff's medical records. Dr. Juliano anticipated that her'
condition would slowly improve. As of Dr. Juliano's visit on March
2, 1998, he anticipated her condition would continue to improve
over the next several years. Although Plaintiff Maggie Martz's
heal injuries for the plantar fascitis are greatly improved
compared to prior to the surgery, she has not totally recovered and
continues to improve from this condition.
Plaintiff Maggie Martz's medical expenses have been covered by
her first-party medical coverage and private medical coverage and
is not in issue. Maggie Martz is entitled to be compensated for
the pain and suffering for these injuries, as well as loss of
enjoyment of life and inconvenience in carrying out her daily
activities. Her husband, Arnold Martz, is entitled to be
compensated for his loss of consortium.
III. WORK LOSS AND EARNING CAPACITY
At the time of the accident, Plaintiff Maggie Martz had been
employed as a special education teacher with the CUmberland Valley
School District for eight years. She had been involved as a
teacher since September of 1979. A copy of her resume is attached
hereto as Exhibit F. Prior to the accident, Maggie Martz had
inquired about the availability of summer school teaching positions
with the Cumberland Valley School District, as well as the West
Shore School District, however, all positions had been filled.
~, letter from Timothy Ritter Summer School Director for
Cumberland Valley attached hereto as Exhibit G. It is anticipated'
that Defendant will be presenting the testimony of Mr. Ritter as a
witness during the course of the arbitration.
Plaintiff Maggie Martz had also placed her name in a directory
for the Heritage Acres and Blackburn Village Community, listing
herself as being available for tutoring and day care in hopes of
supplementing her income during the summer of 1995, should she not
be able to find any other position. ~, relevant portions of the
1995 service booklet attached hereto as Exhibit H.
Although Plaintiff Maggie Martz had been working full time as
a teacher, at the time of the accident she was looking to
supplement her income, since her husband who is a principal with
the Northern York School District was already working long hours
and could not take on any additional employment. At that time,
Maggie Martz and her husband Arnold Martz were looking for
additional income to assist with the college tuition needs of Mr.
Martz's two older sons, one who had just completed one year of
college and the other who would be starting in the fall of 1995.
.
...
As a result of the injuries she sustained in the accident,
Plaintiff Maggie Martz was not able to work in any capacity in the
summer of 1995 and was disabled by her treating physicians through
at least June of 1997. Plaintiff Maggie Martz was initially
disabled by Dr. Lippe for her cervical strain, and although he
discussed return to work with her as of her August 30, 1995
appointment, even as of her October appointment, he was indicating'
that the neck was creating difficulties which would have prevented
her from returning to work. Dr. Lippe did not provide her with a
return to work slip until September 23, 1996 permitting her to
return to work as of October 1, 1996. ~,disability slips from
Dr. Lippe's office attached hereto as Exhibit I.
After beginning treatment with Dr. Douglas Bream's office and
undergoing surgery in early 1997, Maggie continued to be disabled
at the direction of Dr. Bream for a period of approximately three
to four months following his surgery which would take her until
June of 1997. See, disability slip from Dr. Bream's office
attached hereto as Exhibit J.
It is anticipated that the Defendants will produce a letter of
resignation authored by Plaintiff Maggie Martz on August 7, 1995,
in which she submitted her resignation effective August 23, 1995,
to Harold pomerang, Coordinator of Pupil Services for the
Cumberland Valley School District. In that letter Plaintiff Maggie
Martz indicated to the school district that her reason for doing so
was in order to stay home with her young son, Scott, and that her
decision to resign was for personal reasons and not for any
professional problems that she had with her position. At the time
of her resignation, her son Scott would have been three and a half
years old, having been born on February 17, 1992.
Plaintiff Maggie Martz maintains that although one of the
reasons for her resignation was'so that she would be able to spend'
more time with her son, her decision to resign was primarily
impacted by her inability to physically perform her job as a
special education teacher. As indicated above, initially Dr.
Lippe, and subsequently Dr. Bream, felt that she was unable to
return to a teaching position where she would be required to stand
and sit for long periods of time, and she was physically unable to
return to her position.
Whether characterized as actual lost earnings or loss of
earning capacity, Plaintiff Maggie Martz was unable to return to a
teaching position as a result of injuries she sustained in the
accident, until at least June of 1997. At the time of the
accident, Plaintiff Maggie Martz was earning approximately $40,000
and had looked into the possibility of even higher paying jobs with
local intermediate units. Plaintiff Maggie Martz maintains that as
a result of injuries she sustained in the accident, she suffered
lost earnings or earning capacity since she was prevented from
returning either to full time or substitute teaching prior to June
.
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LAW OFFICES OF
HARRINGTON, KAUFFMAN & SHILLING
ATTORNEY: Tim J, Harrington, Jr.
SUPREME COURT LD. NO.: 71242
100 PINE STREET, SUITE 300
HARRISBURG, PA 17101
(717) 720-0700
ATIORNEY FOR:
Defendant Robert E. Foose
.'
MARGARET S, MARTZ and
W, ARNOLD MARTZ, her husband,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs,
vs.
ROBERT E. FOOSE,
DOCKET NO. 1997-1099 Civil Term
Defendant.
JURY TRIAL DEMANDED
...,
ADMISSION OF LIABILITY
NOW COMES the defendant, Robert E. Foose, by and through his attorneys, Harrington,
Kauffinan & Shilling, and for his admission of liability in this matter, states as follows:
I, Defendant admits that he was negligent in causing the accident which is the subject
matter of this lawsuit, and, further, that his negligence was a substantial factor in causing the
contact between his vehicle and that of the plaintiff, Margaret Martz.
2. Defendant admits that Margaret Martz was not negligent in the operation of her
vehicle at the time of the accident and was not, therefore, guilty of any contributory or
comparative negligence.
Respectfully submitted,
Harrington, Knuffinan & Shilling
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DOUGLAS A. B~AM, D.P.M.
Podiauic Medicine &. Surgery
4740 Dclbrook Road
Mcchanicsburg, PA 170~~
(717) 761.6862
July 21, 1997
Suite 201 . Medical Arts Building
233 College Avenue
Lancaster, PA 17603
(717) 393-4~03
Michael Kosik
4503 N. Front street
Harrisburg, PA 17110
RE: MARGARET "MAGGIE" MARTZ
DATE OF ACCIDENT: 6/6/95.
Dear..Mr. Kosik:
I am writing in regards to Maggie Martz who we saw on
December 27, 1996, for a painful plantar fasciitis of both
heels. She states that she was in a car accident in 1995,
and she sustained an injury to the bottom of her feet and
was diagnosed at that time with plantar fasciitis. She
had anti-inflammatory medications and orthotics treated
previously by her orthopedic surgeon, Dr. Lippi, prior to
our first office visit. She was still in pain with both
heels at the time of our first appointment. She continued
to have plantar fasciitis with exquisite pain on ambulation.
She was unable to walk in any shoes for long periods of time
without severe pain in both heels. We took x-rays at the
time of our first visit and noted that she did have some
heel spurs present. The heel spurs are not the cause of the
pain, but they are the result of the continued plantar
fasciitis. Our diagnosis at that time was plantar fasciitis
that resulted from trauma back in 1995.
We talked Maggie about her treatment options at that time.
She had already been through a year of anti-inflammatory
medications and orthotic management without relief.
We therefore, opted to surgically release the plantar
fascia through an endoscopic plantar fasciotomy. We placed
her on Cataflam and we re-cvaluated her on January 3, 1997.
She was not having any success with the medication and the
orthotics. She decided at that time she would like to have
the endoscopic procedure performed. She was then taken to
Holy Spirit Hospital on the 31st of January to have an
endoscopic plantar fasciotomy of the left foot. The surgery
went without complication. She was seen in the office
on the 7th of February for suture removal. She was given
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(7'il ig5.8200 . TO!i ;:'ee From PennsylvanIa Only 1.800.382.130.1 . Fax (717) 795.23 IS
PHYSICAL CAPACITIES EVALUATION
.'
Date: 'D1:c.. 14 , IqQS
Your Patient: Mo.r,go.re+ Mo.rti:.
Date of Injury': tclL>lqS
Claim Number: 010110 I Lo44lD I
IMPORTANT: PLEASE COMPLETE THE FOLLOWING ITEMS BASED ON YOUR EVALUATION OF
THE PATIENT AND OTHER TEST RESULTS. ANY ITEM YOU ARE UNABLE TO ANSWER
SHOULD BE MARKED N/A (Not Answerable)
1) In an 8 hour day, patient can:
sit: "7
<-- Number of Hours
Stand: "" \ Number of Hours
Walk: <-I Number of Hours
2 ) Patient can lift: RARELY
(1-3%)
Up to 10 lbs.
11 - 20 lb~.
21 - 50 lbs.
51 - 100 lDs.
NO RESTRICTIONS:
3 ) Patient can use hands
Right -L Yes No
Left + Yes No
4 ) Patient is able to:
Bend:
Climb :
Kneel:
Reach:
Stoop:
OCCASIONALLY
(4-33%)
0<
FREQUENTLY
(34-66%)
for repetitive
. Thl$8 Recor~s .:e not to be IN/I/ased v,uhaut
act~on :written S..t..tiJ"". feG~I" ...Io:u, .tale
confidenliality laws may apply.
RARELY
OCCASIONALLY
'X
:I<
~
.')'-
FREQUENTLY
. .
......
Patienl'S name
ATTENDING PHYSICIAN'S SUPPL.EMENTARY STATEMENT
//}rr" -t
105.1
Nature of alckness or Injury.
(Describe complicaUons. II any.)
Describe any olher dlseasas ar Infirmity
aHecllng present condlUon. .
Give dales af !realments
(since 'last repart).
. .. .
'Is paUent sUII under your care lor this
candiUon?
II discharged; giva dale.
How long was or will paUant be canllnuausly
lolally disabled (unabla lor work)?
How lang was ar will pallent be partially
disabled?
If slcknass, was pallent confined to the
hause?
(If .Vas," give dates.)
;tre'et'Address,# ;"::'I'.!&: i. .., ....,~ i" I
.1. ,. ...... ...
Office
Home
Hospital
es
Dale
From
From .s-,:--t.
Dyes (LJ.No-
From
Degree
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Area : exChange No.
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/I,cc, ~ 71;
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,19_
,192L.thraugh :Y.-.'~..........7L ,19~
,19_through ,19
,19_thrau9h ,19_
Individual I ~
PracUUaners-5.S. #
All Others ". C} 3 e:Jf:J t./..3/,:r '1
Emplayer 1.0. # , _
Must be lurnished under authority of law.
.....
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Dr THE COURT OP CCMMell PT...EP.S
:jU(~fl!' GOtTilT'! J n~r!-rSY.r}!A:lI.1l.
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NOTICE OF APPEAL
!"ROM ATIlABJ; OF !:OARD OP A.l1EIT:lJ1.TORS
TO 'r~ ?ROTF.CNCTARY:
~'If) I '
Notice is gillen t~t "Oe,''[
2' heW
a;rpeals froe
tl":e award of tl":e board of arbitrators entered 1r. this case on
'j)C'CCI?,bClY' '/-, /'F)Y
A jury trial is demanded N (0l".eak:!.. CJlt if' a JU!'y t:,ial ~s
demanded. Ct~I"..r1se jury trial is ~ffii'led.)
I hereb:r cert1f:r that
(1) tb.e compensation of' the arbi';rators c.as been paid J or
(2) application ~s been ~de for permission ~o proceed 1r.
forma. pauperis. (Stri~<e out t~/r~;i:~~b.~~jl:~:-=~
. /~~/. '--,j//, /'C' /---
, 1:;: / ,;/,/ .--//
..' / P, .," [--.--...-
0.- . ~ --=--L-. F ..... .___ ~-;/
or At't'O;,.. --r;;r Ao-cellent
/ ~...:CB1 ~o . .
,---
freT.::: Tr.e. demand for jury trial on appeal
from ~omuulsory arbitration is ~cuerned
by Rule i007.1 (b). -
(b) No a.ffida '11 t or 1J'eri:'icat ion '!os rec;u ired.
/