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Home My WebLink About97-05734 ~ 0'-.. ~ \J '-Q ~ \'\] ..... " ,~: ',~ }:'(.i , ~, 1 "~ \~ u '~ ~ 1 '~ ",,', .)~ :rn .';?J '. "C,,: ,-,.',i .Jl .~ ";-_{~i A ;;l -..:t~ ;.;:tJ j'~ ri .;;~j . i~t ~jlj ~ ,; .~ <I ! -1":.,'i J !J ! \ ," ~ "1 ~ ~ ~ '::. ~ ./ ,/ / ( i~ t, f ) l 'l \. '-. . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PATRICIA ANN NOVAK. and WILLIAM M, NOVAK. her husband, Plaintiffs NO. 97-5734 Civil vs, CIVIL ACTION - LAW MILDRED L. ROMBERGER, Defendant JURY TRIAL DEMANDED PLAINTIFF'S REQUESTED POINTS FOR CHARGE Respectfully submitted. FRANKEL. BARE & ASSOCIATES Date: \ \ ~ '" - 0 ~ \ti~~lX~\ Mark David Frankel. Esquire LD. NO. 17142 14 West King Street P,O, Box 1389 York, PA 17405.1389 (717) 854-3836 ~ ..... \ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PATRICIA ANN NOVAK. and WILLIAM M. NOVAK. her husband. Plaintiffs NO. 97-6734 Civil vs, CIVIL ACTION - LAW MILDRED L. ROMBERGER, Defendant JURY TRIAL DEMANDED STANDARD JURY INSTRUCTIONS REQUESTED BY PLAINTIFF Standard Civil No. Acceoted Reiected Modified 5.30 Expert Testimony 5.33 6.01A Conflicting Expert Testimony Medical Expenses 6,OlB Future Medical Expenses 6.01E Past Pain and Suffering 6.01 F Future Pain and Suffering 6.011 Enjoyment of Life 6,OlL Loss of Consortion ~~~ You will recall that Dr. Beverly Uniacke gave testimony of her qualification as an expert in the field of medicine. Similarly, Dr. Sanjiv Naidu testified as to his qualifications as an expert in the field of orthopaedic medicine. A witness who has special knowledge, skill, experience, training or education in a particular science. profession or occupation may give his opinion as an expert as to any matter in which he is skilled. In determining the weight to be given to his opinion. you should consider the qualifications and reliability of the expert and the reasons given for his opinion. You are not bound by an expert1s opinion merely because he is an expert; you may accept or reject it, as in the case of other witnesses. Give it the weight, if any, to which you deem it entitled. PA. S.S.J.I. ICiv) 6.30 The plaintiff is entitled to be fairly and adequately compensated for past, present and future loss of her ability to enjoy any of the pleasures of life as a result of her injuries. PA. S.S.J.I. IClvl 6.011 !J ~ ,," . . ." - The plaintiff is entitled to be compensated for all medical expenses which you find she will reasonably incur in the future for the treatment and care of her continuing injuries. PA. S.S.J.I. (Civ) 6.01 B The Plaintiff's spouse is entitled to be compensated for the loss of the injured party's services to him and the loss of companionship of his spouse. PA. S.S.J.I. (Civ) 6.01L PATRICIA ANN NOVAK and WILLIAM M. NOVAK, PLAINTIFF : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNA v. . . : NO. 97.5734 CIVIL : CIVIL ACTION. AT LAW MILDRED L. ROMBERGER, DEFENDANT : JURY TRIAL DEMANDED PROPOSED POINTS FOR CHARGE OF THE DEFENDANT, MILDRED L. ROMBERGER Respectfully submitted, NEALON & GOVER, P.C. Date: (f 1'/ t!) f By: ~~~~Uire ~ Attorney 1.0. No. 80058 2411 North Front Street Harrisburg, PA 17110 (717) 232-9900 D1. You are not permitted to determine your verdict based on guess work, speculation, conjecture or sympathy for a party. Engle v.. Spino, 425 Pa. 254, 228 A.2d 745 (1967), r1 e care a reason~.9~ caref person wouJ~~nder the circumstance presen in this case>~J9'tfie"'dU~ eve;~E!.rSCln";~'urdinary care not only for his n safefy amYh6' protectio,ry6f his property, but al~p"to avoid injury to /~ ./ .,.., / others. Wh conslltut;lJl'Ordlnary care..varlesaccording to the pa'rtlcular circumstances ,./ ,,/, / // and co IlIons !'Sting then aZ?d ere.... The amount of carl}, (equired by the law must be ".. , / ith the degree of er involved. /' , ' / ' / ...- / ... " ~"./ () J.. '" ' - . - - - ".~ ...... r ~ ""'I , 05. In order for the Plalnfiff to recover. the Defendant's negligent conduct must have been a substantial factor In bringing about the Plaintiffs harm. This is what the law recognizes as legal cause, A substantial factor is an actual, real factor, although fhe result may be unusual or unexpected, but ills not an imaginary or fanciful factor or a factor having no connection or only an insignificant connection with the ..........,.. o.ec:.l4:. Pa. SSJI (Clv,) 3,25 D7. A witness who has special knowledge, skill, experience, training or education In a particular science, profess or occupation may give his opinion as an expert as to any matter In whlc killed. In determining the weight to be given to his opinion, you should consider t qualifications and reliability of the expert and the reasons given for his opinion not bound by an expert's opinion merely because he Is an expert; yo may accept reject It, as in the case of other witnesses. Give it the weight, If any, tifled. Pa, SSJI (Clv) 5.30 DB. In general, the opinion of an expert has value only when you accept the facts upon which it Is based. This Is true whether the facts are assumed hypothetically by the expert, come from his personal knowledge, from some other proper source or from some combinafion of these. Pa. SSJI (Civ) 5.31 EXPLANATION OF RE()lJmED RECORDS '1'0: CUSTODIAN OF RECORIJS FOR; DAVIlJ BAKER, M.D. 1150 WALNUT UOTWM ROAD CARLlSLE,I'A 17013 HE: 50520 I'A'ITI JEAN \lURLEY Any am! all rcmrds. currcspOnlll'I1l:C, filcs and mCllloranllums. handwrillcn notl'S. hilling and paymcnl rccorlls, rclating 10 any examinalion, consullalion. carc Ilr lIcatmenl. Valcs HC1lucslcll: IIplu and including the prescnt. SnhJcct: IWITI JEAN IIUltLEV , Sucial S.'cul'II)' #: 189-56-023(, Dalc uf mrlh: 119-09-(,1 5UIO-127532 50520-LOJ.. COI"lJvlONWEALTIJ OF PI:;I~NSYLVANIA COUNTY OF CUMBERLAND III THE HATTER OF. COURT OF COI1HON PLEAS NOVAK TERM. 0000 -YS- CASE NO. 97-5734 ROHBERGER NOTICE OF INTENT TO SERVE ^ SUBPOENA TO PRODUCE DOCUMENTS [ Note. see enclosed list of locations ] TO. HARK D. SCHWARTZ HCS on behalf of JAI-IES G. NEALON, III, ESQUIRE intends to serve a subpoena identical to the one that is attached to this nutice. 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 applicablA 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 returning same to MCS or by contacting our local MCS office, DATE. 3/02/98 MCS on behalf of JAMES G, NEALON, 111, ESQUIRE Attorney for DEFENDANT CC. JAMES G. NEALON, III, ESQUIRE _ Any questions regarding this matter, contact THE MCS GROUP. INC. 1601 HARKET STREET #BOO PHILADELPHIA PA 19103 (215) 246-0900 DE02-059575 50520-COl >>~ LOCATIOIl LIST <<< rAGEI 1 ~ECORDS eEQUESTEU I-lEDICAL I1WICAL I-lEDICAL OTHER 1llSURAIlCE I-lEDICAL HEDICAL I1EDICAL I-lED I CAL HEDICAL LOCATIOH /lAME DAVID BAKER, H.D. OR. WALTER PEPPELI1A1l OCCUPATIOllAL REHAB , P.ESEA~CH ERIE INSURANCE EXCHAIlGE ALLSTATE INSURAllCE CO. STEVEN E. MORTAHSTEJIl, 0.0. ROONEY HOUGH, H,D. BEAUDRY ORAL SURGERY ANDREW C. MADEIRA, D.C. COREY R. LEES, D.C. DE02-059575 SOS20-COl EXPLANATION OF UEQUmEU UECORUS TO: CUSTODI^N OF HECOIWS FOR; /JR. W^LTER PEI'I'ELf\I^N SlISQUEII^NN^ ORTIIO. ^SSOC. X05 SIR TIIOMAS COURT "^RIOSUUIW.I'^ 17107 HE: 50520 IWITI JE^N IIUHLEY ^ny allll all records, correspondence, files and memorandums, lumdwriuen noles. hilling and paymenl records, relaling 10 any examinalil1n, cOllsullalion, care or trealmen!. Uates Hetlnested: UJltll nud iueludiug the present. Suhject : IWITI .JE^N HUHLEY , Socinl Securilv II: 189-56-0236 Uate of IJirlh:' 09-09-61 5UIO-127534 50520-L02 COMl-'IOhIWEAL'J'H OF PLo;lJNSYLVANIA COUNTY OF CUMBERLAND IN THE HATTER OF. COURT OF COllli0N PLEAS NOVAK TERM, 0000 -VS- CASE NOI 97-5734 ROHBERGER NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUHE~TS ( Note. see enclosed list of locations] TO: I1AP.K D. SCHWARTZ HCS on behalf of JAMES G. NEALON, III, ESQUIRE intends to serve a suhpoena identical to the one that is attached tu this nocice. You have twenty (20) days from the date listed below in which to file of record and serve up"n the undersigned an objection to the subpoena. If nu 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 o:dered at your expense by completing the attached counsel card and returning same to HCS or by contacting our local HCS office. DATE. 3/02/98 HCS on behalf of JAMES G. NEALON. III, ESQUIRE Attorney for DEFENDAllT CCI JAMES G. NEALON, III. ESQUIRE - Any questions regarding this matter, contact THE liCS GROUP, INC. 1601 MARKET STREET 1800 PHILADELPHIA PA 19103 (215) 246-0900 DE02-059575 SOS20-CO:L >>> LOCATION LIST <<< PAGE: 1 RECORDS REQUESTED HEDICAL 11E1lICAL liED I CAL OTHER INSURANCE HEDICAL HEDICAL I1EDICAL HEDICAL HEOICAL LOCA T1 ON IIAME DAVID BAKER, M.O, DR. ~IALTER PEPPELI1A11 OCCUPATIONAL REHAB & RESEARCH ERIE INSURANCE EXCHANGE ALLSTATE INSURANCE CO. STEVEN E. 110RTAIISTElN. D.O. RODNEY HOUGH, M,D. BEAUDRY ORAL SURGERY ANDREW C. I1ADEIRA, D.C. COREY R. LEES. D,C. DE02-059575 50520 - C O:I. ~T11 01' PrnN5YLVAIlIA axJm'Y 01' ClJMIl.FmAND . NOVAK VS File No. 97-5734 ROHBF.RGP.R SlJBPC€NA TO PROI:U:E DOC1.tENTS OR Tl-f I NC3S FOR DISCOVERY PUlSUANT TO RULE 4009:22 TO: CUSTODIAN OF RECORDS FOR: OCCUPATIONAL REHAB. & RESEARCH ASSOC. (Nne of Person or Entity) Within twenty (20) days after service of this subpoena, YOU are ordered by the court to PN>dJce the follOl'/ing d:x:unents or things: _~-E:!ACHED at THE MCS GROUP INC.. 1601 MARKF.1' ~TRFFT C;:HTTJ:' Rnn. ~llTT An~T 1m!" (Address) You may deliver or mai I legible copies of the docunents or produce things requested hI this subpoena, together with the certificate of carp I iance, to the party mak ing this request at the address listed above. You have the right to seek in advance the reasonablf cost of preparing the COPies or producing the things sought. If you fail to produce the docunents or things required by this subpoena within twenty (20) days after its serv;ce, the party serving this subpoena may seek a court order =rpelling you to carply with it. Tl-fIS SlAlPOENA WAS ISSUED AT TliE REQUEST OF TH: FOLLCWING PERSON: NAME: JAMES G. NEALON, III, ESOUIRE AOORESS: 301 HARKET STREET 9TH FLOOR PO BOX R6~ HARRT~RURG PA 17101-0865 215-246-0900 iELEPH:lNE: Sl. .,R&E exulT ATTORNEY FOR: 10 II DEFENDANT BY llE c:xlUlT: DATE: ';J. \ \~ \1'il Seal of the Court Deputy (Eft, 1/97) EXPLANATION OF I{EQllIIU:U I{ECOI{US TO: CUSTODIAN OF RFCOIWS FOR: OCCIIPArlUNAL ItEIIALl & RESEARCII HOS SIR TIIOMAS COURT IIARRISllURU, ('A 17 (0') HE: SOS20 PAnl JEAN IIURLEY Any and all rccurus, CIlI'rl'sJlllndcncc. filcs anu I11cl11l1randullls, handwrillen nllll'S. hilling anu l'ilYlllcn\ rL'CllrUS, l'e1aling III any cxalllinalilln. wnsullalilln, carc IIr Ircall11clll. Ollles Ite1luested: ul' lu allll iucludiug Ihe pl'eseut. SuhJect: l'A1"1'I JI~AN IIUnLEY , Sucial Secul'it" #: 189-56-0236 Dale ur IJil'lh:' 09.09-(.1 51J10-127536 50520-L03 COMlvl0NWI';ALT[-J OF PENNSYLVANIA COUNTY OF CUMBERLAND III THE HATTER OF. COUP.T OF COI'IHOJl PLEAS NOVAK TERM, 0000 -VS. CASE NOI 97-5734 RO~IBERGER NOTICE OF INT~NT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS ( Notel see enclosed list of locations ] TO. I-lARK 0, SCHWARTZ HCS on behalf of JANES G. NEALOll. Ill. 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 ondersigned an objection to the subpoena, If nu objection is made the subpoena may be served pursuant La 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 returning same to HCS or by contacting our local MCS office. DATE: 3/02/98 HCS on behalf of JAMES G. NEALON. III. ESQUIRE Attorney for DEFEHDANT CC. JAMES G, NEALON, III, ESQUIRE - Any questions regarding this matter, contact THE MCS GROUP. INC, 1601 M},RKET STREET 1800 PHILADELPHIA PA 19103 (215) 246-0900 DE02-05957550520-COl COMl-10NWEALTI-I OF PENNSYLVANIA COUNTY OF CUMBERLAND III THE MATTER OF: COURT OF COI1HOII PLEAS NOVAK TERM, 0000 -VS- CASE NO. 97.5734 ROHBERGER NO,!'ICE OF IN'fEN'!' 'r0 SERVE A SUBPOENA ,!'O PRODUCE DOCUMEN'I'S [ 1I0te. see enclosed list of locations ] TO I I'IARK D. SCHWARTZ HCS on b2half of JAHES G. NEALON, Ill, ESQUIRE intends to serve n SUhP""IlA 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 sUhpnUllft may be served pursuant to the applicable Pennsylvania Rules of Civil prnredure 4009.24. Complete copies of any reproduced records may be ordered at yuur expense by completing the attached counsel card and returning same tu HCS ur by contacting our local MCS office, DATE: 3/02/98 HCS on behalf uf JAMES G. NEALOII" Ill, ESQUIRE Attorney fur IJEFEIIO^,lT CC. JAMES G. NEALON, III, ESQUIRE - Any questions regarding this matter, contact TilE HCS GROUP, IIIC. 1601 MARKET STREET 1800 PIIILADELPIIIA fA 19103 (215) 246-0900 DE02-059575 50520-COl. >>> LOCATIO/l LIST <<< PAGE: 1 RECORDS REQUESTED LOCA Tl ON /lAI1E HEDICAL MEDI CAL MEDICAL OTHER H1SURAIICE I1EDICAL HEDICAL MEDICAL I1ED I CAL MEDICAL DAVID BAKER, H.D, DR. WALTER PEPPELJotAII OCCUPATIONAL REHAB & RESEARCH ERIE INSURANCE EXCHAIlGE ALLSTATE INSURAIlCE CO. STEVEN E. HORTAIlSTEIII, D.O, RODNEY HOUGH, Jot,D. BEAUDRY ORAL SURGERY ANDREW C, HADEIP~. D,C. COREY R. LEES. D.C. DE02-0S9575 50520-COl ~TlI Of' Pf~'YLVAlrrA ClXMl'Y OF ClJMUE]UJ\ND . NOVAK VS File No. 97-5734 ROMBERGER SUBPOENA TO PROOn= OOOJ.F~ OR THINQ!i FOR D I SOOVERY PUlSUANT TO E 4009. 22 TO: CUSTODIAN OF RECORDS FOR: ALLSTATE INS. CO. (Name of Person or Entity) Within twenty (20) days after service of this subpoena, YOU are ordered by the court to P/"OdJce the fOllowing docunents or things: _~E ATTACHED at THE MCS GROUP INC., 1601 MARKET STREET. SUITE 800. PHILADELPHIA (Address) You may deliver or mail legib Ie COpies of the docunents or produce things requested hI this SUbpOena. together with the certificate of carpliance. to the party making this request at the address I isted above. You have the right to seek in advance the reasonable cost of preparing the COpies or producing the things sought. I f you fail to produce the docunents or things required by this subpoena within twenty (20) days after its service, the party serving this subpoena may seek a court order CCITpe 11 ing YOU to CCJTp Iy with it. THIS SLePOENA WAS ISSUED AT 'l1-iE REQUEST OF THE FQLOYINQ PERSON: NAME: JAMES G. NEALON, III, ESQUIRE 301 MARKEl' SIKttl ~IH I'LUUR ADDRESS : TELEPt-alE: SlPRE1-E <XUlT ATTORNEY FOO: PO BOX 865 HARRISBURG PA 17101-0865 215-246-0900 10 II DEFENDANT BY THE ~T: DATE: d) It;l~~ Sea I of the Court Prot Deputy (Eff. 7/97) EXPLANATION OF REQUIIU:D RECORDS TO: CUSTODIAN OF IU,COIWS FUR: ALLSTATE INSURANCE CO. (,345 FLANK DRIVE SU ITE IlIOO IIARRISDURG,I'A 17112 HE: 511.~20 'WIT I JEAN IIUI{LEY CLAIM 1115521%25-31<7 AllY amI all claims files. Dalcs HCllncslcd: uplo 1111I1 including OO-!)!).!)!). SuhJcct : I'A'ITI ,lEAN IIUltLEY , Socllll Secul'lly II: 18!)-56.0236 Dalc or IIIl'th: O!)-O!)-61 Dalc of Loss: 12.05.!)5 5UIO-127540 S0520-L05 Clm'fll'lCAm PREREQUISITE '1'0 S~:RVICE lllo" A SlInl'OENA PURSUANT "0 RULE /,009.22 IN TilE HATTER OF. COURT OF cor.tHOU PLEAS NOVAK TERl1, 0000 ..V5.. CASE UO. 91-5734 ROHDERGER As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009,22 MCS on behalf of JAHES G. NEALON , II I, 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 se rved, (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. 3/23/98 JAMES G. NEALON, III, ESQUIRE Attorney for defendant IJEll-02D422 50520 - L 07 COl-11"lONWEALTH 01'" PEI~l~SYLV^NIA COUNTY OF CUMBERLAND 1Il THE HATTER Of. COURT Of COI1J10N PLEAS NOVAK TEPJ1, 0000 -VS. CASE NO. 97-5734 ROHBERGER NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS ( Note. see enclosed list of locations] TO: HARK D. SCHWARTZ MCS on behalf of JANES G. NEALON. III. ESQUIRE intends to serve a subpoena identical to the one that is attached tu 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 returning same to MCS or by contacting our local MCS office. DATE. 3/02/98 MCS on behalf of JAMES G. NEALON. III. ESQUIRE Attorney for DEfENDANT CC: JAMES G. NEALON. III. ESQUIRE _ Any questions regarding this matter, contact THE MCS GROUP, INC, 1601 MARKET STREET #800 PHILADELPHIA PA 19103 (2l5) 246-0900 DE02-059575 SOS20-COl EXPLANATION OF HEQlJlIUm I{ECOIWS TO: ClISTOOIAN OF RECORDS FOR: IWl>Nl'.Y 1I0UOI!. M,[), .11) !lROOKW()()!J AVENUE CAltLlSLE.I'A 1701.1 nE: 50520 PAITI JEAN IIURLEY AllY allu all rcwrus. corrcsponucllcc, filcs anu mcmorandums. hanuwrlllcn nllles. hilling alld pilymcnlll'cllrds. rclaling 10 any cxaminalion, wnsullalion, carc or Ircall1lClI1. DlIll'S J(Cllllcsll'd: up III nud illchlllilllllhc prcscllt. Suhjcct : I'ATn JEAN IIlIJ(LEY . Sudnl Sccurill' #: 1119-56.112.16 Dille uf mrth:' \l9-\l9-61 ., .. , SUIO-127544 50520-L07 CEIl'I'II'ICAm PIIEREQU 1 S lTE 1'0 SEIW lC~; 01' A SUUPOEflh l'UIISUAN1' 1'0 IIULE ',009,22 IN THE MATTER OF. COURT OF CO/.U,ION PLEAS NOVAK TERM, 0000 -VS- CASE NO. 97-5734 ROMBERGER As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on beha If 0 f JAMES G, NEALON. 11 I; ESQUI RE defendant certifies that (1) A notice of intent to serve the subpoeoa 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, anu (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. 3/23/98 JAMES G. NEALON. 111, ESQUIRE Attorney for defendant DEll-028423 SOS20-LOB COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND III THE MATTER OF. COURT OF COl.UiOIl PLEAS NOVAK TERM. 0000 -VS- CASE NO. 97-5734 ROHBERGER NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS ( Note, see enclosed list of locations J TO, I-lARK D. SCHWARTZ HCS on behalf of JAI1ES G. UEALOII, III, 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 suhpoena 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 returning same to liCS or by contacting our local MCS office. DATE, 3/02/98 liCS on behalf of JAMES G, NEALO~. III. ESQUIRE Attorney for DEFEllDANT CC. JAMES G. NEALON, III, ESQUIRE - Any questions regarding this matter. contact THE MCS GROUP, INe, 1601 MARKET STREET '800 PHILADELPHIA PA 19103 (215) 246-0900 DE02-059575 50520-COl >>> LOCATIOH LIST ccc PAGE, I RECORDS REQUESTEU LOCATlOH HAI-IE HEDICAL liElJlCAL liEDICAL OTHER lIlSURAllCE I1E:DICAL HEDICAL ~lEDICAL liEDICAL ~lEDICAL DAVID BAKER, 1-1.0. DR. WALTER PEPPELHAH DCCUPATlOHAL REHAB & RESEARCH ERIE INSURANCE EXCHAIIGE ALLSTATE lNSURAllCE CO. STEVEN E. MORTAHSTEIN, D.O. RODNEY HOUGH, M.D. BEAUDRY ORAL SURGERY ANDREW C. liADEIRA, D. C. COREY R. LEES, D,C. DE02-059575 50520-COl a>>oNWI-1\L'l'I1 Of' P~iYI.vNI-'.t~ CXXMI"i OP 0JMBrnJ J\N[) . NOVAK VS File No. 97-5734 ROMBERGER SUBPOENA TO PRCnX:E OOC1.J.FI/TS OR TH I NGS FOR 0 I SOOVERY ~SUANT TO R!A.E 4009. 22 TO: CUSTODIAN OF RECORDS FOR: BEAUDRY ORAL SURGERY: (Name of Person or Entity) Within twenty (20) days after service of this subpoena, YOU are ordered by the court to . . SEE ATTACHED PNXLce the following docunents or thIngs: __ at THE MCS GROUP INC., 1601 MARKET STREET, SUITE 800, PHILADELPHIA (Address) You may del iver or mai I legible copies of the docunents or produce things requestecf hI this SubpOena, together with the certificate of oc:rrpliance, to the party making this request at the address listed above, You have the right to seek in advance the reasonabl~ cost of preparing the COPies or producing the things sought. I f you fai I to produce the docunents or things required by this subpoena within twenty (20) dayS after its service, the party serving this subpoena may s!Oek a court order carpolling you to CClTply with it. THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOlLOoYING PERSON: NAME: JAMES G. NEALON, III, ESQUIRE JUt nAKKCl ~l~el ~ln FLOOR AOORESS: TELEPHONE: SlJ'RE1-E a:U'lT ATTORNEY FOR: PO BOX 865 HARRISBURG PA 17101-0865 215-246-0900 10 II DEFENDANT DATE: JI/8' Iq-g Seal of the Court BY TrE CXXAl~ Prothonotary 01 k, Oivi Divis ion Deputy (Eff, 7/97) EXI'LANATION OF IU~<1lJJlUm HECORDS TO: CUSTODI^N OF RECORDS F(ll{: IlI'MJDH Y OR^" SlIIWEln' J(,OO OLD (iE'ITYSlIlIIW HOM) CAMP 1111.1., M 17011 ItE: 50520 PArrl JE^N IIUHLEY ^n)' i1nd alllecords, correspondencl', files i1nd lI1ell1orandullls, hllndwrilten nolcs. hilling i1nd pa)'llIl'nll'L'cords, Il'Iilling 10 any l'xillI1inilllun, consullillion, l'afe 11/' Irl'allllenl. Unll's lte1lucslecl: u(llllnuclluducling lhc (l1'l'senl. Subjcel : I'A'ITI .lEAN IIUItLEY , SlIcilll Secul'lI \' #: I K9.5fI.112J(, Dnle IIr 1III'Ih:' 119-09-61 SUIO-12754G 50520-LOS ClmTII'ICAn: I'REREljUISITE "0 SERYICt: OF A 5UDI'OEtlA PURSUANT TO RULt: ,,009.22 111 TilE HATTER OF I COURT OF COI1HOII PLEAS NOVAK TERM, 0000 .VS- CASE NO. 97-5734 ROHBERGER As a prerequisite to service of a subpoena for documents and things pursusnt to Rule 4009.22 HCS on behalf of JAHES G. NEALON. III. ESQUIRE defendant certifies that (1) A notice uf intent to serve the subpoena with a copy of the subpoena attached thereto was mailed or delivered to each party at least twenty days priur 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 tu 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: 3/23/98 JAHES G, NEALON. III, ESQUIRE Attorney for defendant DEll-028424 50520-L09 COMJ-10/-.IWE:ALTH OF pr';r-.IH~;YLVANT^ COUNTY OF CUMBERLAND lU THE HAT1'ER OF, COURT OF COI1HOI-I PLEAS NOVAK TERl1, 0000 .Ys- CASE NO: 97-5734 ROHBERGER NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS ( Note, see enclosed list of locations J TO, HARK D. SCHWARTZ HCS on behalf of JAI.IES G. HEALOH, Ill. 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 reprodu~ed records may be ordered at your expense by completing the attached counsel card and returning same to HCS or by contacting our local HCS office. DATE. 3/02/98 HCS on behalf of JAMES G. NEALON. Ill. ESQUIRE Attorney for DEFENDANT CC: JAMES G, NEALON. Ill, ESQUIRE - Any questions regarding this matter, contact THE HCS GROUP, INC. 1601 HARKET STREET '800 PHILADELPHIA PA 19103 (215) 246-0900 DE02-059575 SOS20-COl , ;JIl\ . ..-.- ~ . COH1"10NWEAL'l'11 OF PI;:lJNSYLVANT^ COUNTY OF CUHBERLAND III THE MATTER Of: COURT OF COI-U-101I PLEAS NOVAK TERM, 0000 .VS- CASE NO. 97-5734 ROI-IBERGER NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS I Note: see enclosed list of locations J TO: I-lARK D. SCHWARTZ HCS on behalf of JAI'IES G. J.lEALOII, Ill. 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 up"n the undersigned an objection to the subpoena. If no objection is made the suupoena may be served pursuant to the applicable Pennsylvania Rules of Civil Procedure 4009.24. Complete copies of any reproduced records may ue ordered at your expense by completing the attached counsel card and returning same to I1CS or uy contacting our local I1CS office. DATE: 3/02/98 HCS on behalf of JAMES G. NEALON. III. ESQUIRE Attorney for DEFENDANT CCl JAMES G. NEALON, Ill. ESQUIRE _ Any questions regarding this matter, contact THE HCS GROUP. INC. 1601 MARKET STREET 1800 PHILADELPHIA PA 19103 (215) 246-0900 DE02-059575 50520-CO~ <X:foMlNWl,:IU:rll OF I'FNN:;yr,VJ\N!.~ CXXMI"i 01' UlHBUUIIND . NOVAI( VS File No. 97-5734 ROMBERGER TO: SIAlPOENA TO PROOl.CE DOC1J.FI-(TS Of! TH I tns FOR D I SCX>VERY FUlSUANT TO RULE 4009. 22 CUSTODIAN OF RECORDS FOR: COREY R. LEES DC: (Nne of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the oourt to PI'OCiIce the following doo.snents or thin9s: _.::: ATTACHED at THE MCS GROUP INC., 1601 MARKET STREET, SUITE 800, PHILADELPHIA (Address) You may deliver or mail legible copies of the docunents or produce things requested hI this SUbpoena, together with the certificete of carpliance, to the party making thh request at the address I isted above. You have the right to seek in advance the reasonablt cost of prll!laring the OOPies or producing the things sought. I f you fai 1 to produce the docunents or things required by this subpoena within twenty (20) days after its service, the party serving this subpoena may sElek a oourt order c:atpelling you to carply with it. THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLQl/IOO PERSON: NAI1:: JAMES G. NEALON, II I, ESQUIRE AOORESS: 301 MARKET STREET 9TH FLOOR pn Rnv ~~<; H'RRT~RllRG PA ]7101-0865 TELEPHONE: 215-246-0900 Sl. *,REI-E c:c:o:iT I 0 It ATTORNEY FOAl DEFENDANT BY THE ~T: ivi.ion DATE: &/!'r:!Cl? Sea I of the Court Deputy (Eff. 1/97) ,- 0. "- 1'- ." r-; ~. ~ . d '" I ( , .... , Ii..:: ; ,,~ -'. , . . ,.,. \~. ,. (l\ ,~ r-. -, t, ,. ("..' .' , [1...'1 ' {t.' .; .. , l(l. , -. , j~ ,<, :'::j lJ 1.,'" U ClmTll'IC^n: I'HEREflUISITE "U SERVICE 01' A SUDPOEN^ PURSUANT TU RULE 4009.22 Itl TilE MATTER OF I COURT OF COI.II.10N PLEAS NOVAK TERM, 0000 -VS- CASE NO. 97-5734 ROMBERGER As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 HCS on uehalf of JAHES G. llEALON, Ill, ESQUIRE defendant certifies that (1) A notice of intent to serve the subpoena with a copy 'lf the suhpoena attacheJ thereto was mailed or delivered to each party at least twenty days prior to the date on which the subpoena is sought to ue served. (2) A copy of the notice of intent, including the proposed subpuena. is attached to the certificate, (3) No objection to the subpuena has been received, and (4) The subpuena which will ue served is identical to the subpuena which is attached tu the notice of intent to serve the suhpoena. DATE. 3/23/98 (J . J ~.J-...-.LLL . ~ES G. NEALON, III, ESQUIRE Attorney for defendant DEll-028426 50536-LOJ. cOMMONWE:AL'l'H OF PENNSYLVANIA COUNTY OF CUMBERLAND III TilE MATTER OFl COURT OF COI.UiO/l PLEAS NOVAK TERM. 0000 -VS- CASE NO. 97-5734 ROI1BERGER NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS ( Notel see enclosed list of locations J TO. I.IARK DAVID FRANKEL, ESQUIRE HCS on behalf of JAMES G. NEALOII. Ill. ESQUIP.E intends to serve a subpoena identical to the one that is attached to this notice. You have twenty (20) days from the date listed uelow 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 compleLing the attached counsel card and returning same to I-ICS or by contacting our local HCS office. DATE: 3/02/9B HCS on behalf of JMiES G. NEALON. III. ESQUIRE Attorney for DEFENDANT CC. JAMES G. NEALON, III, ESQUIRE - Any questions regarding this matter, contact THE MCS GROUP. INC. 1601 MARKET STREET #SOO PHILADELPHIA PA 19103 (215) 246-0900 DE02-059576 50536-CO~ >>> LOCA'flOIl LIST <<< PAGE, J RECORDS REQUESTED LOCATION IIAME MEDICAL HEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL HEDICAL SEIDLE MEMORIAL HOSPITAL JOHIl S. RYCHAK, I1D BEVERLY UNIACKE, HD WILLIAJ1 PARONISH, 110 MINERS' HOSPITAL CONllElolAUGH VALLEY MEI1. HOSP. HARRISBURG HOSPITAL ROBERT J. SCHLEGEL JR., 110. iJ Jl DE02-059576 50536-CO~ mt-oNWr:7\LTlIOF PfNrNINNHA CXXJNl"{ 01' aJMBERL/\ND NOVAI( . VS 97-5734 File No. ROMBERGER SUBPOENA TO PROlX.O: OOCl..tEI-ITS OR TH I tns FOR DISCX>VERY FUlSUANT TO RULE 4009.22 TO: CUSTODIAN OF RECORDS FOR: SEIDLE MEMORIAL HOSPITAL (Name of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the oourt to Pl"OliJce the following doo.snents or things: SEE ATTACHED at THE MCS GROUP INC., 1601 MARKET STREET, SUITE 800, PHILADELPHIA PA (Address) You may deliver or mail legible copies of the docunents or produce things requested hI this subpoena, together with the certificate of carpliance, to the party making thh request at the address listed above. You have th~ right to seek in advance the reasonablt cost of prll!laring the oopies or prodwcing the things sought. If you fail to produce the documents or things required by this subpoena within twenty (20) days after its serv;ce, the party serving this subpoena may sElek a court order ccrrpe 11 ; ng you to c:crrp I y with it. THIs SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLQl/IOO PERSON: NAME: JAMES G. NEALON, Ill, ESQUIRE ADDRESS: 301 MARKET STREET 9TH FLOOR ~O BOX Bb~ HARRlSBURu ~A l/1Ul-0865 TELEPHONE: 215-246-0900 SlK'REl-f! c:c:o:iT 10 It A TTOf!NEY FOR. DEFENDANT DATE: ;lIt'? Iqcr; Seal of the Cour~ BY THE ~T: ivision Deputy (Eff. 7/97) EXI'L^N^TION OF ImQlJIRE)) HECOHDS TO: CUSTODIAN OF RECORDS FOR: SElDLI~ MEMORIAl. II 051' ITA I. 1211 SOUTII FILBERT 5TRI'ET MECIIANICSHUIW. J'A 171155 HE: 5115:1(, I'ATRICIA ANN URACKEN NOVAK Any amI all rcwnls. C"ffl'sp"mk'ncc. lilcs amlllll'mllrandllms. handwritlcn nllles. rclaling III any l'x,mllnalilln. cllnsllhalilln carc IIr Ircalment. (Jall'S Itc111lcslcd: lI(11u Ilnd inchllling lhc ('rcscnl. Snhjcrt: l'ATltlCIA ANN IlItACI{EN NOVAI{ , Sudlll Sccnrily II: 185-(.2-4505 (Jalc ur llirlh: llJ.2J.70 SUIO-127552 50536-LOJ.. cOMl-10NWEAL'l'H OF PENNSYLVANIA COUNTY OF CUMBERLAND 111 TilE H^ TTER OF. COURT OF COI1J10N PLEAS NOVAK TERH, 0000 -VS- CASE NO. 97-5734 ROHBERGER NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS [ Note, see enclosed list of locations] TO, MARK DAVID FRANKEL, ESQUIRE NCS on behalf of JAMES G. NEALON, III, ESQUIRE intends to serve 1\ suhpoena identical to the one that is attached tu this notice. You have twenty (20) days from the date listed below in which tu file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the subpoena may he served pursuant to the applicable Pennsylvania Rules of Civil Procedure 4009.24. Complete copies of any reproduced records may ue ordered at your expense by completing the attached counsel card and returning same to I-ICS or by cuntacting our local I1CS office. DATEl 3/02/9B 11CS on beha If of JN1ES G, NEALON, III, ESQUIRE Attorney for DEFENDANT CCl JAMES G. NEALON, III, ESQUIRE - Any questions regarding this matter, contact THE HCS GROUP, INC. 1601 MARKET STREET laoo PHILADELPHIA PA 19103 (215) 246-0900 DE02-059576 5053G-cO~ >>> LOCATION LIST <<< PAGE: I RECORDS REQUESTED MEDICAL I1EDICAL MEDICAL MEDICAL MEDICAL HED I CAL MEDICAL I-IEDICAL LOCA Tl 011 IlAHE SEIDLE MEI10RIAL IfOSPITAL JOHN S. RYCHAK. MD BEVERLY UNIACKE, HD WILLIAM PARONISH. 110 MINERS' HOSPITAL CONNEMAUGH VALLEY I1EI1. HOSP. HARRISBURG HOSPITAL ROBERT J. SCHLEGEL JR., 110, DE02-059576 50536-CO~ a:MoONWF7U.'l11 OF PlllNSYLVANIA CXXMI"i OF UlHIlI-~lUIND NOV AI( . VS File No. 97-5734 ROMBERGER SUBPOENA TO PIlOOlX:E DOC1J.FNTS OR TH I tns FOR 0 I SCX>VERY FUlSUANT TO FM..E 4009. 22 TO: CUSTODIAN OF RECOFDS FOR: JOHN S. RYCHAK, MD (NIl/Tle of Person or Ent ity) Within twenty (20) days after service of this subpoena, you are ordered by the oourt to produce the following documents or things: ________SEE ATTACHED at THF Mr.S GROllP INr... 1601 MARKET STRHT. SlIITE ROO. PHILADELPHIA PA (Address) You may deliver or mail legible copies of the documents or produce things requested hI this Subpoena, together with the certificate of carp liance , to the party making thh request at the address listed above. You have the right to seek in advance the reasonablt cost of prll!laring tha oopies or producing the things sought. I f you fail to produce the docunents or things required by this subpoena within twenty (20) dayS after its service, the party serving this subpoena may sElek a court order carpelling you to carply with it. TH I S SUBPOENA WAS I SSUEO AT THE REQUEST OF THE FOLLQl/ I NG PERSON: NAJ-E: TH'1:"~ r. MP'AT np.J TIT , F~Q1JTRF ADDRESS: )0' ~ADVFT CTDP'P'T QT~ ~TnnR PO BOX 865 HARRISBURG PA 17101-0865 'i1:LEPHONE : Sl,*,REI-E c:c:o:iT A TTOflNEY FOR: 215 246 9990 10 It DEFENDANT BY THE ~T' DATE: aJ I ~ /q'8 Sea I of the Court ~ivision Deputy (Eff. 1/97) EXPLANATION OF REQlllRED H.ECOIWS TO: ClISTODIAN OF I(ECOIWS FOR: JUliN S. RYCIIAK, MD 2Hllll GREEN STI(EET IIARIUSllllRU ORTIIO. IIARIUSIlURG.PA 17110 1(1\: S1l5JIi PATRICIA ANN ImACKEN NOVAK Any illld all rl'conls, corrcsplll1llcncc. rilcs and II1l'll111l'Hllllums, hallllwrillcn nolcs, hilling allll paymcnl rcwrds, rclaling 10 any cxaminalion, consullation, carc or Ircalmcnl. Hnlcs Itcllncslcd: III' lllnlld Incllldlllg lhc prcsclI\. SlIbJl't'1 : l'i\TIUCIA I\NN IIItACl(EN NO\' AI( . Sudnl Sccllrill' II: 1115.(,2.45tl5 Hlllc ur Hirth:' tl.l.2J-7tl 5UIO-127554 50536-L02 COMHONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND III TIfE MATTER OF I COURT 01' CO/'U1011 PLEAS NOVAK TERH, 0000 -V5- CASE NO. 97-5734 ROHBERGER NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS [ Note. see enclosed list of locations J TO. I-lARK DAVID FRANKEL, ESQUIRE HCS on behalf of JAMES G. I~EALOII, Ill, ESQUIRE intends to serve" subpoena identical to the one that is attached to this notice, You have twenty (20) days from the date listed uelow in which tu file of record and serve upun 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 ue ordered at your expense by completing the attached counsel card and returning same to HCS or by contacting our local MCS office, DATE. 3/02/98 I1CS on behalf of JAl1ES G. NEALON. III, ESQUIRE Attorney for DEFENDANT CC. JAMES G. NEALON, Ill, ESQUIRE - Any questions regarding this matter, contact THE MCS GROUP, INC. 1601 liARKET STREET 1800 PHILADELPHIA PA 19103 (215) 246-0900 DE02-059576 50536-CO~ >~> LOCATIOII LIST <<< PA(;E. I RECORDS REQUESTED HEDICAL I1EDICAL HEDICAL ~lWICAL HEDICAL HEDICAL I1ED1CAL HEDICAL LOCA T I ON IlAl1E SEIDLE 11EI10RIAL 1I0SPITAL JOHN S. RYCHAK, MD BEVERL Y UIHACKE, HD WILLIAM PARONISH, 110 MIllERS' HOSPITAL COIINElolAUGH VALLEY MEM. HOSP, HARRISBURG HOSPITAL ROBER,. J. SCHLEGEL JR., I1D. DE02-059576 50536-CO~ (XM0{)NWJ07\L11I OF I'~Nt~~!'.I\NI~ CXXJm'Y OF aJHRF]UIIND NOVAI( . VS 97-57:>'. File No. ROMBERGER SUBPOENA TO PROCU:E DOCl.JoENTS OR TH I tns FOR 0 I ~RY FUlSUANT TO RULE 4009. 22 CUSTODIAN OF RECORDS FOR: BEVERLY UNIACKE. MD TO: (NlWlle of Person or Entity) Within twenty (20) days after service of this subpoena, YOU are ordered by the court to PI'O<iJce the following docunents or things: _-YEE ATTACHED at THE MCS GROUP INC., 1601 MARKET STREET, SUITE 800, PHILADELPHIA PA (Address) You may deliver or mail legible copies of the docunents or produce things requested hI this Subpoena, together with the certificate of carpliance, to the party making thh request at the address listed above. You have the right to seek in advance the reasonablt cost of prll!lsring the OOPies or producing the things sought. If you fail to produce the doo.snents or things required by this subpoena within twenty (20) days after its servke, the party serving this subpoena may sElek a court order carpel1ing you to cx:rrply with it. THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLQl//OO PERSON: NAI1:: JAHES G. NEALON, I II, ESQUIRE AOOAESS: 301 MARKET STREET 9TH FLOOR PO BOX 865 HARRISBURG PA 17101-0865 TELEPH:1NE : SlFREI1: CXlUlT ATTOflNEY FOR: 21~-246-0900 10 II DEFENDANT BY THE O:UU: DATE: ;!//8"lq'8' Seal of the Court ivision C vi Deputy (Eff. 1/97) EXPLANATION OF REQlJlJ{ED RECOJ{J)S TO: ClISTODIAN OF RECORDS FOR: BEVERLY UNIACKE, MD 2 BARLOW CIRCLE DILLSUURG.I'A 17011} HE: 505JIi PATRICIA ANN BRACKEN NOVAK Any and all rCCllrds, corrcsptlndcncc, filcs and mcmnrandums, handwriUcn ntllcs, hilling and paymcnl rccmds, relating III any cxaminalitln, l'lInsullalilln, carc nr Ircalmcnt. l)lllcs HC1lncslcd: nJllu nnd indlllling the present. Suhjccl: I'ATIUCIA ANN nHACKEN NOVAK , Sucial Sccurity #: 18S.(.Z..JStlS Ullle ur IIirlh: tl.l.Z3.70 SU10-127556 50536-L03 cnMJMoIE1I.lJI1I OF PDlNSYlNANIA CIXJm'Y 01' aJMIlElliIIND NO VAl( . VS 97-5734 File No. RDMBERGER TO: SUBPOENA TO PROOlX::E DOa..H=I-(TS OR TH' NGS FOR 0 I SCX>VERY PUlSUANT TO RULE 4009. 22 CUSTODIAN OF RECORDS FOR: WILLIAM PARONISH, MD (Name of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to PNldlce the following docunents or things: _..2.EE ATTACHED at THE MCS GROUP INC., 1601 HARKET STREET, SUITE 800, PHILADELPHIA PA (Address) You may deliver or mail legible copies of the docunents or produce things requested hI this subpoena, together with the certificate of carpliance, to the party making thi~ request at the address listed above. You have the right to seek in advance the reasonablf cost of prll!laring the copies or producing the things sought. If you fail to produce the docunents or things required by this subpoena within twenty (20) days after its service, the party serving this subpoena may sElek a court order c:arpe11ing you to COl1>ly with it. THIS SUlPOENA WAS ISSUED AT THE REQJEST OF THE FOLLQl/IOO PERSON: NAI1: : IAMF~ G NEAlON. Ill. ESOUIRE ADDRESS: 101 MAR~FT STREET 9TH FLOOR PO BOX 865 HARRISBURG PA 17101-0865 TELEPHONE: 215-1h~_nonn SlPRE!'E cx:un I D II ATTORNEY FOR. DEFENDANT BY THE Cl:XJRT: DATE: c:! I 18' )ge Seal of the Court ivision Deputy (Eff. 7/97) CEIlT II'lCATt: l'R~:Ilf:Q"JS1TE TU SF.RV1CE 01" A SIIIlI'UENA PURSUANT TO RULE 4UU9.22 IN TilE HATTER OF. COURT Of CO~g.IOII PLEA~ NOVAK TERM, 0000 -VS- CASE NOr 97-5731, ROMBERGER As a prerequisite to Nervice of a suupoene for documents and things pursuant to Rule 4009.22 MCS on behalf of JAI1ES G. NEALOII, III, ESQUIRE defendant certifies that (1) A notice of intent to serve the suupoena with a copy of the subpoena attached thereto was mailed ur delivered to each party at least twenty days priur to the date un which the subpoena is souKht to ue 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 ueen 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: 3/23/98 JAHES G. NEALON, II I. ESQUIRE Attorney for defendant DEll-02S430 50536-LOS >>> LOCATlOIl LIST <<< rAGE: 1 RECORDS REQUESTED LOCA Tl ON IIAI1E HEDICAL MEDICAL MEDICAL MEDICAL MEDICAL HEDICAL I1EDICAL HEDICAL SEIDLE MEI10RIAL 1I0SP1TAL JOHN S. RYCHAK, 110 IlEVERLY UNIACKE. MD WILLIAl1 PARONISH. 110 MINERS' HOSPITAL CONNEI-lAUGH VALLEY I1EI1. HOSP. IIARRISBURG HOSPITAL ROBERT J. SCHLEGEL JR.. MD, D:::02-059576 50536-CO~ CJ::t.MJNWEI\I:rt1 OF Pfl-lNSYLVANlA CXXMI"i 01' aJIoIBEIUIIND NOVAK . VS File No. 97-573 4 ROMBERGER SUBPOENA TO PIlCnn' DClC:l.tEI-ITS OR TH I tns fOR 0 I SCX>VERY ~SUANT TO FM..E 4009,22 TO: CUSTODIAN OF RECORDS FOR: MINERS HOSPITAL: (Nne of Person or Entity) Within twenty (20) days after service of this subpoena, YOU are ordered by the OOUrt to PrOdlce the fOllOWing docunents or things: _---=EE ATTACHED at THE MCS GROUP INC., 1601 MARKET STREET, SUITE 800, PHILADELPHIA PA (Address) You may deliver or mail legible copies of the docunents or produce things requested hI this Subpoena, together with the certificate of carpliance, to the party making thi! request at the address listed above. You have the right to seek in advance tha reasonablt cost of prll!laring the OOPies or producing the things sought. If you fail to produce the docunents or things required by this subpoena within t"lenty (20) dayS after its serv~ce, the party serving this subpoena may sElek a OOUrt order COlllelling you to carply with it. THIS SUlPOENA WAS ISSUED AT THE REQUEST OF THE FOLLQl/IOO PERSON: NAME: JAMES G. NEALON, Ill, ESQUIRE AOORESS: 301 MARKET STREET 9TH flOOR - PO BOX 865 HARRISBURG PA i 7101-0865 TELEPH::JtIE. 215-246-0900 Sl. ~REI-E c:c:o:iT I 0 It ATTORNEY FOR: DEFENDANT BY THE ~T: DATE: ~lltr /'18> Sea 1 of the Court vision Deputy (Eff. 7/97) CI'RT 11'1 CA'm PIIEIIEQUISITE TO St:RVICt: 01' A SUUI'OENA PURSUANT TO RULE 4009.22 IN TilE ~IATTER OF. COURT OF COHMON PLEAS NOVAK TERN, 0000 -VS- CASE NOl 97-5734 ROHBERGER As a prerequisite to service of a suupoena for documents and things pursuant to Rule 4009.22 HCS on behalf uf JAHES G, NEALON, III. ESQUIRE defen~ant certifies that (1) A notice of intent tu serve the subpoena with a copy of the subpuena at.tached thereto was mailed or delivered to each party at least twenty days prior to the date un which the subpoena is sought to be servetl, (2) A copy of the nutice of intent, including the proposed subpoena, is attached to the certificate, (3) No objection to the suupoena 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: 3/23/9B JA}ffiS G. NEALON, III, ESQUIRE Attorney for defendant DEll-02S431 5053G-LOG COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 111 THE MATTER OF: COURT OF' CO/.U10!l PLEAS NOVAK TERM, 0000 .VS- CASE NO, 97-5734 ROMBERGER NO'I'ICE OF IN'I'EN'I' '1'0 SERVE A SUBPOENA '1'0 PRODUCE DOCUMENTS ( !late, see enclosed list of locations J TOl I.IARK DAVID F'RAllKEL, ESQUIRE HCS on behalf of JAHES G. NEALOU, III, ESQUIRE intends to serve n suhpoena identical to the one that is attached to this notice, You have twenty (20) day. from the date listed uelow in which to file of record and serve upon the undersigned an objection to the subpoena. If no objection is made the suupoena may be served pursuant to the applicable Pennsylvania Rules of Civil Procedure 4009.24. Complete copies of any reproduced records may ue ordered at your expense by completing the attached counsel card and returning same to I-ICS or uy contacting our local I1CS office. DATE: 3/02/98 I1CS on behalf of JN1ES G, NEALON. III, ESQUIRE Attorney for DEFENDANT CC: JAMES G. NEALON, III, ESQUIRE - Any questions regarding this matter. contact THE MCS GROUP. INC. 1601 MARKET STREET ISOO PHILADELPHIA PA 19103 (215) 246-0900 DE02-0S9576 50536-CO~ >>> LOCATION LIST ccc PAGE, 1 RECORDS REQUESTED MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL HEDICAL I1EDICAL HEDICAL LOCATIOII IIAliE SEIDLE liEMORIAL 1I0SPITAL JOliN S. RYCHAK, liD BEVERL Y U1HACKE, liD WILLIAli PAROl/ISH, liD MINERS' HOSPITAL COllNEI1AUGH VALLEY 11Eli, HOSP. HARRISBURG HOSPITAL ROBERT J, SCHLEGEL JR" liD. DE02-059576 5053 G - C 0 ~ <X:fotoONWlc7\I:I'l1 OF PFNN:;YI~VN}..!.~ axJN'l"{ OP UJMmlUIINIJ . NOVAK VS Fi Ie No. 97-~n4 ROMBERGER SUBPOENA TO PROOLI::E DOC1J.FI-ITS OR TH I tns FOR 0 I SCOVERY PUlSUANT TO RULE 4009. 22 TO: CUSTODIAN OF RECORDS FOR: CONNEMAUGH MEMORIAL HOSPITAL (Nne of Person or Entity) Within twenty (20) days after service of this subpoena, yru are ordered by the OOUrt to produce the following docunents or things: _SEE ATTACHED at THE MCS GROUP INC.. 1601 MARKET STRUT. SlIITE 800. PHTlAnF.l.PHTA fA (Address) You may deliver or mail legible COpies of the docunents or produce things requested hI this subpoena, together with the certificate of compliance, to the party making thi~ request at the address listed above, You have the right to seek in advance the reasonablt cost of preoaring the OOPies or prod~cing the things sought. If you fail to produce the doctments or things required by this subpoena within t~enty (20) dayS after its service, the party serving this subpoena may sElek a court order compelling you to comply with it. THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLQl/IOO PERSON: N.AJoE: TAMJ;"t: r. NFAT nK' TIT PC;QtJTRF. ADDRESS: 301 "'R~PT ~TRPPT QTH FlnOR PO BOX 865 HARRISBURG PA 17101-0865 TELEPHONE: 215 24~ QPQO Sl,*,REM:: o::ulT 10 It ATTOflNEY FOR: DEFENDANT BY THE c:c:o:iT' OATE: ;;1/1'&-)'1'8 Sea I of the Court Oivision Deputy (Eff. 7/97) Clm'l' I fll CNm I'HEHEqtJWIT~: "U 51mVICI, Uf,' A StJlll'OENA l'lIIlSUAN'l' "0 HUI.I, I,OU9. 22 III THE HATTER OF. COURT OF COHMOH PLEAS NOVAK TERM, 0000 -vs- CASE NO. 97-5734 R0I1BERGER As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22 MCS on uehalf of JAHES G, IlEALON, Ill, ESQUIRE defendant certifies that (1) A notice of intent to serve the subpoena with a copy of the subpoena attached theretu was mailed ur 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 uf 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. 3/23/9B JAI1ES G, NEALON, Ill, ESQUIRE Attorney for defendant DEll-02B432 50536-L07 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND III THI; HATTER OF: COURT OF COI'U10N PLEAS NOVAK TERM, 0000 -VS- CASE NO. 97-5734 ROMBERGER NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS ( Note. see enclosed list of locations J TO. HARK DAVID FRANKEL, ESQUIRE HCS on behalf of JAHES G. NEALON, Ill, ESQUIRE intends to serve a suhpoena 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 ue ordered at your expense by completing th~ attached counsel card and returning same to I-ICS or by contacting our local Mes office. DATE. 3/02/9S MCS on behalf of JM1ES G. NEALON, Ill, ESQUIRE Attorney for DEFENDAIIT CC: JAMES G. NEALON, III, ESQUIRE _ Any questions regarding this matter. contact THE MCS GROUP, INC. 1601 11ARKET STREET IBOO PHILADELPHIA PA 19103 (215) 246-0900 DE02-059576 50536-cOl mM>NWE7oJ:l1I OF P~;yr,VNII^ ClXJNl"i OF Cl1HBrnlIIND . NOVAK VS Fi Ie No. 97-5734 ROMBERGER SUBPOENA TO PROO.X::E DOC:LfoEI-ITS Ofl lli I tns FOR 0 I SOOVERY FUlSUANT TO RULE 4009.22 TO: CUSTODIAN OF RECORDS FOR: HARRISBURG HOSPITAL (NlITle of Person or Entity) Within twenty (20) days after service of this subpoena, you ere ordered by the oourt to produce the following docunents or things: _____SEE ATTACHED at THE MCS GROUP INC., 1601 MARKET STREET, SUITE 800, PHILADELPHIA PA (Address) You may deliver or mail legible oopies of the docunents or produce things requested hI this subpoena, together with the certificate of ccrrpliance, to the party making thi~ request at the address I isted above, You have the right to seek in advance the ,'easonablt cost of prll!laring the OOPies or producing the things sought, If you fail to produce the docunents or things required by this subpoena within twenty (20) days after its service, the party serving this subpoena may sElek a court order ocrrpel1ing you to ocrrply with it. THIS SUlPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOo'{ING PERSON: NAME: JAMES G. NEALON, Ill, ESQUIRE ADDRESS: 301 MARKET STREET 9TH FLOOR --po BOX 865 HARRISBURG PA 17101-0865 TELEPHONE: 215-246-0900 Sl,*,REl'E c:c:o:iT I 0 It ATTORNEY FOR: DEFENDANT DATE: .;111-elq~ Sea I of the Court ~ivision Deputy (Eff. 1/97) CERTIf'ICAm 1'llEIlEQUISITE TO SEIlVICt: 01' A SIJUPOENA PURSUANT TO IlULE 4009.22 IN TIlE MATTER OF. COURT OF COIIMOIl PLEAS NOVAK TERM, 0000 .VS- CASE NO, 97-5734 ROMSERGER As a prerequisite to servIce of a subpoena for documents and things pursuant to Rule 4009.22 MCS on behalf of JAMES G. NEALOn, Ill, 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 ia 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: 3/23/98 JANES G. NEALON, Ill, ESQUIRE Attorney for defendant DEll-02S433 5053G-LOa COMMONWEALTH OF PENNSYLVANIA COUN'l'Y OF CUMBERLAND W TilE HA1'TER OF. COURT 01' COI-Ui011 PLEAS NOVAK TERti. 0000 -VS- CASE NO: 97-5734 ROMBERGER NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE DOCUMENTS I Note: see enclosed list of locatIons} TO: ~~RK DAVID FRANKEL. ESQUIRE HCS on behalf of JAMES G. UEALOII, Ill, ESQUIRE intends to serve i\ subpoena identical tu the one that is attached tu this notice. You have twenty (20) days frum the dale listed below in which to file of record and serve upon the undersigned an objection to the subpoena, If no objection is made the subpuena may be served I'ursuant to the applicable Pennsylvania Rules of Civil Procedure 4009.24. Complete copies of any repruduced records may ue ordered at your expense by cumpleting the attached counsel card and returning same to HCS or hy cuntacting ollr local MCS office. DATE: 3/02/9S MCS on behalf of JM.ms G. NEALON, Ill. ESQUIRE Attorney for DEFENDANT CC. JA~mS G. NEALON, Ill, ESQUIRE - Any questions regarding this matter, contact THE MCS GROUP. INC. 1601 HARKET STREET 'BOO PHILADELPHIA PA 19103 (215) 246-0900 DE02-059576 5053G-cO~ 2',:; (") -- c:: r-; 'J. .. ~: 1 >c- .' r-, - \c. tl~ ::: - .- , .J: p: ~.' ~ " -, 1..L :':J C,J'" C' '0 {'! 0' N ". ~<-. (,. ,:'ii'd (-'.1 ' Co', ." ~ IJ I.l.. ..::: - :..} IL.. C) 0 0' U y" . i/l-~ ~~ TO 'Ill ',;, . RI TIN RI ON" TO THI 'Ifil- I HIN TWINTY 1201 OAva 'ROM IIIIVICI HIIlIOI' OR A JUDOMENT .....V.IIlTlMOA_TVDU IV P'ftANKKL, ItAlR'lli ASSOCIATES ATTOIINllva AT LAW I~ WIl8T ICING ~IlIlT VOIIIC. F'IlNNIV\.VANIA 17~01 WI DO H'I...RIIITlFV THAT THI WITHIN II A TIlUI ANO COJI. RICT ce,v e, THI OIUOINAl 'lUe IN fHII ACTlOH IV AnCWWt ATTOIINIY IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PATRICIA ANN NOVAK, and WILLIAM M, NOVAK, her husband. Plaintiffs NO. 97.5734 Civil vs, CIVIL Ar.:T10N . LAW MILDRED L. ROMBERGER, DElfentiant JURY TRIAL DE'MANDED CERTIFICATE OF SERVICE I, Jeff Burke, of the law firm of FRANKEL, BARE & ASSOCIATES, attorneys for Plaintiffs, do hereby certify that I am this day serving a copy of the foregoing Plaintiffs' ResDonse to Defendant's Interroaatories and Reauest for Production of Documents upon the counsel of record in the following manner: BY REGULAR MAIL: James G. Nealon, III, Esquire Nealon & Gover 301 Market Street. 9th Floor P.O. Box 865 Harrisburg, PA 17108 Respectfully submitted. FRANKEL, BARE & ASSOCIATES FRANKEL. BARE 6: ASSOCIATES ATTORNEYS AT LAW I. WIST KING STRIIT YORK ..I:N....Yl.lfA...IA 11401 Date: January -ti-, 1998 . .."7.... , // ./ ,~l3t~ Jeff rk. Paralegal to: Mllrk David Frankel, Esquire 14 West King Street P.O. Box 1389 York, PA 17405-1389 Ph: (717) 854-3836 ."- n; " ,- 'uf"'j <:OJ<' IFf: 55!' 61. , , It..:L1' .. I" 1I ci ~....... 01 - . - t-. ;:... \~::~~~~ & " ;.~.. '-. .-) -'. ,.::.1 ~'(J'l ,:...! :;:.~ , )i,; ';":.l: if ,.... I -. ';-: -~ , &i ~- ~... ,.". '. .... , . I' ' ~ ~ - _ ___ . 'I; L 'i:; " ., '. t ; ~ : l. I ,j.. L.l.:~.L.._,.___.___.__._ ._,.__._.__._.____._____.___.___.__0__' j... :L1J '_'J I..'~-t;ut~i' ::it'l(~'lli1: ,,~ it /"':"l; L~-"/ 1 \..1; ....i, ',;h..' L,.' :'iLJ ,.lu 1;' ,_"'.'l Ii UI_'l;Uj d.l.ng I' './", '.j ] ~,~, 1 r i .;-,,:I;-l.Ll;;.!..\.lJL_ >_,,____ '",_'J '01:..1,;.-; L...;.'J. . , _ ~ . , ' ~. ,. , , , ;...<-":.,-__ _...:......__, :.j,j" :.._, ..,J..1.::..._........________,_._.___ ~. ill~' _-2~__.__. 1!'..,Ul\..,. '11 .ll'.' ~...:~ ,J'''I '.'1. '.2..:.:=":;-lL'"_'l '-'.: .,._.~....;~ [~_~ L...:;.l::....~~~~.:' ~ ,F:; i~~L-~ ;'. b ._J_:~ :~-:~___~_. , CUijJjE.:hLAHi.i j'llLi.'I',L:1 L. hUl'lHEF.L:Sh ',J'il.1, "I'.! ~ i"J .1..1. '.t.:d ':~,~iFr _ t I. !j,.',' i.'jj'lF~..!ll f-1T '.]\ rl ~~:.:J~T_______~__...________________~___.__1 Ii t 11 .11;"-, Ll.m~' .ji.r'~":~t.:_fl\..; lb_:L JIlL'fit..l.Un c' tll,-' GUllll:lIt~ lhf!.1'c'vl. ;t " ~J'} :'''C"'l~~~ -'Tl71~'ifl(i;'.-"E l' :"r~;:~'-~" -~1;~~'1'--J. r i.-.----.---.~-.- "i'i') 10. rJiJ '-1. _, :.\ (l;,J ,.,:\;,:J .,... r. . ii! ,-,'1 t 1 i I J f} ~3-:-!:"iS- '1- E?::!.LL, ll~ 'I ,. 1 '. i ,\ ;~:I.k. lil\hL I,,, ~. I Kc\'U-'L (J fa. t/;!.L -.'-----':,','. -q-.'.UT---:::;;;I'l:T' r-- 'zl. II'", 1],.. t,.', .lite: . ,[QJc..l:t. :.,' q] Lh--\ . .' t..L._'u~/"O.nZ- J :,' ':i " ,.; ;~,'7 III III a: III ~ q ffi . Gl 0 0 ~ ~ is ~ c ~ 0 .J C . ~ II III Z ~ c III 0 III ~ u ~ ~ :.J KI . I w )( ,. . w ~ 0 Ul Z . Gl Z 0 Z z 9 ii II: ~ d w . 0 0: .. w ~ . ~ Ii 0 a: a: . ~ :J Z . Gl . 0 !!! M IX IX C 2: . - . . . ~ PATRICIA ANN NOVAK and WILLIAM M. NOVAK, PLAINTIFF : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNA v. : NO. 97.5734 CIVIL : CIVIL ACTION. AT LAW MILDRED L. ROMBERGER, DEFENDANT : JURY TRIAL DEMANDED PRAECIPE TO THE PROTHONOTARY: Please enter the undersigned's appearance on behalf of the Defendant, Mildred L. Romberger, with regard to the above-captioned matter. Respectfully submitted, NEALON & GOVER c- ~- \_l~9z/ By: James G. Nealon, III, Esquire Ally, I.D. #46457 301 Market Street -- 9th Floor P,O. Box 665 Harrisburg, PA 17108-0865 (717) 232-9900 c AND NOW, this 4th day of November, 1997, I hereby certify that I have served the foregoing Praecipe on the following by depositing a true and correct copy of same In the United States mails, postage prepaid, addressed to: Mark David Frankel, Esquire FRANKEL, BARE & ASSOCIATES 14 W. King Street P.O. Box 1389 York, PA 17405-1389 'l~ " James G, Nealon, III, Esquire Dated: 11/04/97 . ~ . ,. ((fy\ ~i ~~ ~i . . 0 ~ Z III Eo< ~~ :i--'~'_ . " c:: III .0 UJ ::I UJ 'O.c:... c:: .... III .. .... III ., c: c:: '" .... < . III :>:.;,-< 0":'" :z:> o :z:z :z: ..:' :E < ~~ HH 0::..:1 E-<..:I <H a.~ N ,...~ 'l~ I i \(' . '\1 .-!) ~ .~ '* p ~ ~ ...., c:: -Ill 0;'0 r.lC:: ~QJ o;H r.lQJ ltlCl :E o 0; . UJ . ;. ..:I o r.l 0: ::l ...l H :E d .~ ~~Vo "-. \'- ):~ ~<:< Eo< Z H ..: ...l '" :E o :J U\ III ~ U is o J ti ~ ~ ~ ~ ~ <( lc Iii ~ ell UJ " ~ >- ~ >- III ... "UJ a: Z t: Z <( III i:I ffi ll1~Jll. J i( .. " III ~ III :.: 0 z >- <( a: \L PATRICIA ANN NOVAK. and WILLIAM M. NOVAK, her husband, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA No.1? - j714- n: ,~ vs. CIVIL ACTION - LAW MILDRED L. ROMBERGER, Defendant JURY TRIAL DEMANDED NOTICE TO DEFEND AND CLAIM RIGHTS FRANKEL, BARE 81 ASSOCIATES ATTORNEYS AT LAW .. WEST tONG STREET YOIlfM ..[NH5YL.......,ljl... 11.01 You have been sued in Court, If you wish to defend against the cleims set forth in the following pages, you must take action within twenty (20) days after this notice and pleading 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 pleading 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 A LAWYER OR CANNOT AFFORD ONE. GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Court Administrator, Fourth Floor Court Administrator, Fourth Floor Cumberland County Courthouse Carlisle, Pennsylvania 17013 Telephone (717) 697-0371 extension 6200 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PATRICIA ANN NOVAK, and WILLIAM M. NOVAK, her husband, Plaintiffs NO, vs. CIVIL ACTION - LAW MILDRED L. ROMBERGER, Defendant JURY TRIAL DEMANDED AVISO FRANKEL BARE a ASSOCIATES ATTORNfYS AT l.AW 1" WfST KING STRIEIH 'f01ll" "t:NNSYLVA,..IA 11401 USTED HA SIDO DEMANDADO EN LA CORTE. Si usted de sea defenderse de las quejas expuestas en las paginas siguientes, debe tomar accion dentro de veinte (20) dias a partir de la fecha en que recibio la demanda y el aviso, Usted debe presentar comparecencia escrita en persona o por abogado y presentar en la Corte por escrito sus defensas 0 sus objeciones alas demandas en su contra, Se Ie avisa que si no se defiende, el caso puede proceder sin usted y la Corte puede decidir en su contra sin mas aviso 0 notificacion por cualquier dinero reclamado en la demand a 0 por cualquier otra queja 0 compensacion reclamados por el Demandante. Usted puede perder dinero, 0 propiedades u otros derechos importantes para usted. LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI USTED NO TIENE 0 NO CONOCE UN ABOGADO. VAYA 0 LLAME A LA OFICINA EN LA DIRECCION ESCRITA ABAJO PARA AVERIGUAR DONDE PUEDE OBTENER ASISTENCIA LEGAL. Court Administrator, Fourth Floor Cumberland County Courthouse Carlisle, Pennsylvania 17013 Telephone (717) 697-0371 extension 6200 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PATRICIA ANN NOVAK, and WILLIAM M. NOVAK, her husband, Plaintiffs NO. '71- ~'7 ~'f (l1,',J U_ vs. CIVIL ACTION . LAW MILDRED L. ROMBERGER, Defendant JURY TRIAL DEMANDED COMPLAINT I .',\ AND NOW, this ~"day of October, 1997, come the Plaintiffs, through and by their attorneys, FRANKEL, BARE & ASSOCIATES, and file the following Complaint: 1. The Plaintiffs, Patricia Ann Novak and William M. Novak, her husband, are adult citizens of the Commonwealth of Pennsylvania coJrrently residing at 39 McCandless Drive, East Berlin, Adams County, Pennsylvania, 17316. ASSOCIATES 2. The Defendant, Mildred L. Romberger (hereinafter called Defendant) is an adult citizen of the Commonwealth of Pennsylvania currently residing at 957 West Trindle Road, Mechanicsburg, Cumberland County, Pennsylvania, 17055, FRANKEL BARE 6: ATTORNIY~ At LAW 1. WEST KING STREfT YO"" PlNHSYl....,ANIA 1'''01 3. The facts and occurrences hereinafter related took place on or about COUNT I - NEGLIGENCE PATRICIA ANN NOVAK VS, MILDRED L, ROMBERGER I. 9. Paragraphs ona (1) through eight (8) are incorporated by reference as if set forth fully hereunder. 10. While Plaintiff Patricia Novak was stopped for traffic in the eastbound lane of West Main Street, the Dafendant, in a negligent, careless, and reckless manner, slammed into the rear of Plaintiffs' car, 11. Said accident was directly and proximately caused by the negligence, carelessness, and recklessness of the Defendant which consisted of, but was not limited to, the following: a) Driving said vehicle in careless disregard for the safety of persons or property in violation of 75 Pa.C.S,A, ~ 3714; b) Failing to hove his vehicle under proper control so as to prevent the same from colliding into Plaintiff's vehicle; c) Failing to keep a proper lookout for other vehicles lawfully on the road; FRANKEL. BARE /3r; ASSOCIATES ATTORNEYS AT LAW 14 WIEST M:ING STREET 'fORK P[NNSYLVANI... 17401 d) Failing to operate said vehicle with due regard for the highway and traffic conditions which were existing and of which he was or should have been aware; e) Failing to take evasive action in order to avoid impacting the Plaintiffs' vehicle; f) Operating said vehicle at a speed greater than that which would have permitted her to stop within the assured clear distance ahead of her in violation of 76 Pa,C.S,A, ~ 3361; gl Operating said vehicle in an excessive and unsafe rate of speed under the circumstances in violation of 76 Pa.C.S.A. ~ 3361 and other applicable laws; and hI Following the Plaintiff too closely in violation of 76 Pa.C.S.A. ~ 3310, 12. Said accident resulted solely from the carelessness, recklessness, and negligence of the Defendant, and was in no way the result of any act or failure to act on the part of Plaintiff Patricia Novak. 13, As a direct and proximate result of the Defendant's negligence, csrelessness, and recklessness, Plaintiff Patricia Novak sustained personal injuries resulting in serious impairment of bodily function and has suffered, is suffering, and in the future will continue to suffer permanent, serious and severe mental and bodily injuries which include, but are not limited to, the following: a) Cervical and lumbar injury resulting in physical pain and suffering; FRANKEL BARE 6 bl Mental anguish; ASSOCIATES ATTORNEYS AT LAW cl Discomfort; ,.. WEST tClNG STREET YOAK P[NNSYLVANIA 11.0l dl Inconvenience; el Distress; fl Loss of life's pleasures; g) Embarrassment and humiliation: h) An impairment of health and sense of well being: and I) Disfigurement. 14. As a direct and proximate result of the Defendant's negligence, carelessness, and recklessness, Plaintiff has suffered, Is suffering, and in the future will continue to suffer financial injuries which include, but are not limited to, the following: a) Past, present, and future medical expenses which have or may in the future exceed applicable legal limits; b) Incidental costs resulting from dealing with said injuries; and c) Loss of earnings and earning capacity, WHEREFORE, Plaintiffs respectfully request this Honorable Court to enter Judgment against the Defendant in an amount in excess of $25,000.00, plus costs and interest as allowed by law. COUNT II - LOSS OF CONSORTIUM WILLIAM M. NOVAK VS. MILDRED L. ROMBERGER FRANKEL. BARE a ASSOCIATES ATTORNE\'S AT LAW ,.. WEST KING STREET YORK ~[NNS'l'LVANI" 17401 15, Paragraphs one (1) through fourteen (14) are incorporated by reference as if set forth fully hereunder. 16. As a result of the act of the Defendant, as more fully described in the preceding paragraphs, Plaintiff William Novak has sustained a loss of his wife's comfort, society, aid, consortium, and services. WHEREFORE, Plaintiffs respectfully request this Honorable Court to enter Judgment against the Defendant in an amount in excess of $26,000,00, plus costs end interest as allowed by law, Respectfully submitted: Dote: October ,( , 1997 'RANMEL BARE 6 ASSOCIATES ""O"NI'('I A' tAW '04 Wl!'tH ItINti .unt' '10"" ...t4.....'lV,."tA "o4ll1 VERIFICATION I verify that the statements made in this l:omp!aint are true and correct. understand that false statements herein are made subject to penalties of 18 PA C,S, ~4904, relating to unsworn falsification to authorities, lO/l5/Y7 Date ;~A:~a a ~ Patricia Ann Novak IO/15/Y7 Date ~;;" ;?;I/ ;;c.":"'", William M. Novak / / C_. FRANKEL. BARE a ASSOCIATES ATTORNEYS AT LAW t.. WEST KING STREIT 'fORK P~NHS'l."'ANIA 17401 '.'.' I " .. ~ " ..- I" , , , <" , .' '! " 011 .. II 8 </ ffi 3 011 ~ 0 ~ ~ ~ ~ . ~ 0 <( . ~ CIl " Z (!) . 011 ~ 0 011 u I:i I<l III I ;J . >- '" )( .. . IoJ ~ 0 III Z z Gl Z 0 Z z 0 ;; II: ~ ci '" ~ . 0 0: .. w ~ .,; ... 0 0: 0: . ~ :> Z . Gl . 0 ~ l'l 0: 0: <( :I: - .' - " , PATRICIA ANN NOVAK and WILLIAM M. NOVAK, PLAINTIFF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNA v. NO. 97-5734 CIVIL CIVIL ACTION .AT LAW MILDRED L. ROMBERGER, DEFENDANT : JURY TRIAL DEMANDED ANSWER 1-16. Paragraph 2 is admitted; it is further admitted that on February 13, 1997, at approximately 11 :20 a.m., Defendant, Mildred Romberger was the owner of a 1989 Mercury Topez, which she was operating in an eastbound direction on West Main Street, Mechanlcsburg, Cumberland County, Pennsylvania, and that the Romberger vehicle came in contact with the rear of the vehicle being operated by the Plaintiff, Patricia Ann Novak; the remaining averments contained in the Plaintiff's Complaint are denied pursuant to Pa.R.C.P. 1029(e), Respectfully submitted, NEALON & G~VER! \ ..- .. -"----7h} -~~ \. ~__/~ /(1'// By: James G. Nealon, III, Esquire Atty. 1.0. #46457 301 Market Street - 9th Floor P.O. Box 865 Harrisburg, PA 17108-0865 (717) 232-9900 AND NOW. this 24'" day of November, 1997, I hereby certify that I have served the foregoing Praecipe on the following by depositing a true and correct copy of same In the United States mails, postage prepaid, addressed to: Mark David Frankel, Esquire FRANKEL, BARE & ASSOCIATES 14 W, King Street P.O. Box 1389 York, PA 174(J5-1389 '- (1 ~../ James G, Nealon, III, Esquire Dated: 11/24/97 Beverly Uniacke. M.D. Novak v. Romberger Multi-Page not 1 PATRICIA ANN NOVAK and WILLIAM M, NOVAK, her husband, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs vs, Civil Action - Law MILDRED L, ROMBERGER, Defendant No. 97-5734 Civil Videotape Deposition of: BEVERLY UNIACKE, M.D. Taken by Plaintiffs Date October 8/ 2001, 3:20 p,m. Place 2 Barlo Circle Dillsburg, Pennsylvania Before Donna S. Elicker, RMR Reporter - Notary Public Wayne Howell Video Operator APPEARANCES: FRANKEL, BARE & ASSOCIATES By: DARRYL W, CUNNINGHAM, ESQ. For - Plaintiffs NEALON & GOVER By: CHRISTOPHER J. KNIGHT, ESQ. For - Defendant ELICKER & ASSOr.IATFS RFPOR'I'INn llnn.1l4n.Q17Q 1>11."717 Beverly Uniacke, M.D. Novak v. Romberger I , , a&VUlLt UWIACIUl, M.D. . .., Ally. CWlah,b_ , II., AU.,. lla1qat . 1 . . " II ... UlIACItI DU'OlIITIOI IXUIIIIT IlUIIlUUUI " I . 0 . . w,nrasa DIUC1' C1lD5a UUnlaCT Ql.'WltIlI " 1!Ql.lall 10 &XJIJBITS r_ I Mlt<tlc:U a.eell'l" 13 .. " .. 11 10 .. " " " " " " . I , aTUVLAIIOII It h benbJ .upullU4 by 04 t.t.... C'1l\lA..1 1 rOI" tb. I'I.peaU.I put.1.. ~t r..d.Uq. Illf.daq, . .."UI". ~I'UUC&UQ. ucl UU..." II:I bUlb., ...ahed. , . 101'. Uahc:kl Depo.it.101 bhiblt II .uh4 ror 1 14..t.1rlcIUoal .. ....LLI "'.... lit ..}'H 80_11. I I upr-...at Vl-.o ra.,.., US .,..hln Lalli, Ila4 Llo., 10 r._.yl.UL1I, I1JU. TocS.I.,'. 4th 11 OCtobu If 2001. 11 Th. u.. or ~., h 3lJO p... " Tb.b d._padUa. "I. 'f14eotap.l1 U 2 kdo IJ Chel., DUht.u:q, hA...,hl.h. !be C.ptJOI or the c.a.. 14 11 ".tdc1a AruI IO'al .... Wl1l1_ M. IQull, blr bUlbIolld. U pldatlrr.. '.I'IUI MI14.-" L. ~",.r, ar..da.t, e... " IfIaMr '1-5134 Chll. "'..... or lb. "I un. h &...1"1y 11 Uahc::t., M.D. Tbll 4epollUolll 11 t.laq dlMutAped OD 11 1Mbdr or 01. pl...u.tUh. .. COll...1 "UI .ow laUoduc. U.....h... " ATTY. CV..I.IlI~: o.rryl C\maIDqh.. aa blIhdr 11 or u.. plaIaLUr.. " ATTY. DIGlIT: Chrhtophu IlAlqht oa blIh.U or 2] MlIdnlt ~rq.r. " MR. "mnu.!., Th. CUllI"t r.potur will aow 2~ pl.... Id.aLlry har..lr .lId ....u. I. the "lu.... Multi-Page'" ro.. , Page 4 1 MS. ELICKER: My nwne is Donna Elicker with 2 Elicker & Associates Reporting. 3 4 DEVERL Y UNIACKE, M.D., called as a witness, S being duly sworn, testified as follows: 6 DIRECT EXAMINATION 7 DY ATTY. CUNNINGHAM: 8 Q Dr. Uniacke, could you state your full nwne, 9 please. 10 A Beverly Uniacke. 11 Q And your business address? 12 A 2-A Barlo Circle, Dillsburg, Pennsylvania. 13 Q And how arc you employed, Doctor? 14 A I wn an employed physician by Pinnaclc Health I S Systems. 16 Q And how long have you been in that position? 17 A Five yellfs, 18 Q Okay, Can you describe your educationnl 19 background beginning with college and telling us the 20 different degrees that you have earned. 21 A I have a bachelor of lIr1s degree from Chestnut 22 Hill College in Philadelphia, Pennsylvania. I have a 23 medical doctor's degree from Mllfshnll University in 24 Huntington, West Virginia. And I completed a family 2S practice residency in 1995 at Polyclinic Hospital. r... . Page 5 1 Q Polyclinic Hospital is located where? 2 A In Harrisburg, Pennsylvania, It is now part 3 of Pinnacle Health Systems. 4 Q Okay. After you completed your training, what S was your frrst job? 6 A This was my first job. 7 Q Okay. And you have been employed consistently 8 with Pinnacle HcalUl since you have graduated? 9 A Yes, I have. ]0 Q Okay. Do yOU have privileges at any II hospitals? 12 A I have privileges at all of the Pinnacle 13 HealUl System hospitals. 14 Q Do you know how many hospitals Pinnacle has? IS A Pinnacle Health Systems consists of Harrisburg 16 Hospital, Ostcopathic Hospital, Polyclinic Hospital, and 17 Seidle Memorial. ]8 Q Okay. Do you belong to any professional 19 organizations? 20 A 1 belong to UIC American Academy of Family 2] Physicians. 22 Q Okay, And are you -- you are a certified 23 physician? 24 A I wn a board certified family physician by the 2S Amcrican BOllfd of Family Physicians. Beverly Uniacke, M.D. Novak v. Rombcmer Page Ii I Q And have you testified as an expen before? 2 A No. J Q Is this your first time? 4 A Yes. S Q Okay. And are you being paid for your time to 6 testify today? 7 A Yes, I am. I am being paid at an hourly rate 8 for the time that I spend in testimony. 9 AITY. CUNNINGHAM: Okay. I would offer 10 questions for qualifications. II AITY. KNIGHT: 1 do have just a few questions. 12 CROSS, EXAMINATION (AS on Qualifications) IJ BY AITY. KNIGHT: 14 Q Hello again, Dr. Uniacke. I understand your IS residency was in family practice? 16 A Yes, that's correct. 17 Q And you are working essentially as a general 18 practitioner? 19 A Many people refer to it as that. We try to 20 make the distinction that we train 10 specially be family 21 physicians. 22 Q Okay. So you would call it a family practice? 23 A Yes. 24 Q Y Oll see people for all sorts of routine 2S complaints? Colds? Flu? Page 7 I A Correct. 2 Q Okay. 3 A And all ages. 4 Q You didn't .. obviously then didn't have a S residency in orthopedic surgery? 6 A No, I didn't. 7 Q You arc not a surgeon? 8 A No, 1 am not. 9 Q And 1 take it you don't have any advanced 10 training in biomechanics or injury mechanics beyond what I I you got in medical school? 12 A We do some orthopedics in residency, but it is 13 just part of our training, yes. There is nothing .. I 14 did not do anything beyond what is norm&lIy done for a I S family doctor. 16 '\ITY. KNIGHT, Those arc all Ule questions 1 17 have on your qualifications. Thank you. 18 DR. UNlACKE, Okay. 19 AITY. CUNNlNGllAM, I would offer her as an 20 expert in the field of medicine. Any ohjections? 21 AITY. KNlGlrr, No objection. 22 BY AITY. CUNNlNGlfAM, 2J Q Doctor, whe'O did you first see Ms. Novak? 24 A I f.rst saw her in March of 1997. 25 Q And you arc aware that her -- the collision in Multi-PageTlol Page 8 I Uli, maller occurred on Fehruary IJ, 1997" 2 A I Wa.~ aware that it occurred SOn1Ciln1C pnor to ) r.1Y first visit with he..., but I did not know the exact 4 dnte. S Q Okay. What problcms Was Ms. Novak prcS<.'Oilng 6 to you with? 7 A She complained at that time of headaches and 8 she Was concerned that she be checked to be sun: then: 9 was no Olher reason for the headaches other than the 10 whiplash injury that she had su.stained at the accident. II Q Okay. And do you know what diagnosile tests 12 had been dnne to ha prior to the time that she met with 13 you? 14 A Prior to the time that she met with me, I know I S that she had been seen by an orthopedic specialist, but I 16 do not know what tests he performed at that time. 17 Q Okay. During the course of your treatment 18 with her, did you have contacts with an orthopedic 19 specialist? 20 A Yes, 1 had contacts with other specialists 21 that she saw after her first visit with me. 22 Q Okay. Can you give me a history of what 23 specialists she saw, what your involvement was, and what 24 diagnostic testing she may have had? 2S A Okay. After her .. and if you don't mind, 1 Page 9 1 will just take a minute so I am sure I put it in the 2 correct order. J After that visit, we had left it that if she 4 wasn't improving, that We should have her "'" a S specialist again. And she did go to see a specialist, a 6 Dr. Robert Schlegel who was a neurosurgeon in the York 7 area. And 1 have two letters from him having seen her. 8 He diagnosed her -- 9 A ITY. KNIGHT, Objcction. 10 MR. HOWELL, Going off the video record. The II time of day is 4:27. 12 AITY. KNIGHT, 1 almost objected to the ] J question, but it was .. the question was whether or oat 14 she had any" who she had seen and whether or not she 1 S had had any diagnostic testing performed, wlllch I think 16 is okay as a question. But it leads to a response like 17 it sounded like we were about to get whereby Dr. Uniacke 18 would be telling us what opinions nther doctors had 19 formulated. And I think that's hearsay and that's 20 objectionable. 21 A ITY. CUNNINGHAM, Well, 1 think the record 22 itself is a business record that is normally transmitted 2J that doctors rely on in making their diagnosis and their 24 treatment plans. And I think she is entitled to testify 25 what the testing proved, what the doctor reporled to her, Page 6 - Page 9 CI ''''Vr:n 0_ .. ~~,...,.... .......~" ........_",.............._ .......ft....._ .....__ Beverly Uniaeke, M.D. Novak v. Romberger Page 10 I and how her treatment went after that. 2 A TrY. KNIGHT: I understand your response, but 3 I am going to have an ongoing objection to Dr. n I'll 4 try not to interrupt the video if we kCt'p going over 5 this. 6 ATrY. CUNNINGHAM: That's fine. 7 A TrY. KNIGHT: But any time Dr. Uniacke tries 8 to provide an opinion or a diagnosis that was fonnulated 9 by another doctor, I think it's inadmissible for her to 10 simply parrot that. 11 ATrY. CUNNINGHAM: That's fine. Just so the 12 record is clear, we are not going to object every time, 13 but your objection will be preserved Ulfoughout. 14 ATrY. KNIGHT: If that's okay with you, then 15 that makes for a better video. 16 ATrY. CUNNINGHAM: Yes, I think so too. 17 Okay. 18 MR. HOWELL: We are back on the video record. 19 The correct time is 3 :28. 20 BY ATrY. CUNNINGHAM: 21 Q Doctor, can you -- you were about to tell us 22 about the results that you received from Dr. Schlegel. 23 Can you explain what Dr. Schlegel reported to you abou 24 Ms. Novak. 25 A He, after his evaluation, made a diagnosis of Page 11 I myofasdal cervalgia and started her on n did an MRl and 2 started her on a treatment with prednisone and a muscle 3 relaxant called Robaxin. And when he saw her back, she 4 was improved and he discharged her from his care stating 5 that he thought she would continue to have some symptoms 6 and making recommendations to me that if things got 7 worse, I should try her back on the muscle relaxant or 8 some physical therapy. 9 Q Can you explain what myofascial ccrvalgia is? lOA Most people would probably call it a headache 11 and neck pain. 12 Q Neck pain, okay. Now, when Ms. Novak came to 13 see you, you examined her. Is that correct? 14 A Yes. 15 Q And were your findings consistent with what 16 Dr. Schlegel reported to you as far as her 17 symptomatology? 18 A In her exam .- in this 1",,'1 exam? I am not 19 sure which time -- 20 Q lbroughout your treatment with her. 21 A Okay. I am sure that Dr. Schlegel did a more 22 involved exam than I ever did as a specialist, hut I 23 never found anything in the exams that I performed that 24 was inconsistent with either the patic.."t1t1s complaints or 25 things which other physicians had reported. Multi-Page T>< Page 12 1 Q Okay. I know you wen: asked this about ynur 2 qualifications. As a family doctor, an: you n do you 3 normally diagnose and tn:<lt neck pains, orthopedic 4 prohlems in your patients'! 5 A Yes, mild and common symptoms similar 10 that 6 I do see and treat. 7 Q Okay. And the report Ulat you received from 8 Dr. Schlegel, do you routinely receive those types of 9 reports from specialists for your patients? 10 A If I refer them to the specialists, yes, most II specialists will sc:nd me a report of their findings and 12 recommendations. 13 Q Okay. And those reports, what do you use 14 those for? IS A I use them, first of all, to keep track of 16 what the patient -- what the patient's problem is and how 17 they arc being treated. And I use them then to base how 18 I continue to treat the patient, particularly if the 19 specialist has specifically said, I discharge the patient 20 back to you. 21 Q Okay. Now, Dr. Schlegel did discharge Ms. 22 Novak back to you. Is that correct? 23 A Yes. 24 Q Can you tell us what other contacts you have 25 had with her since that discharge by Dr. Schlegel? Page 13 1 A Since that time, she had four other visits to 2 our office. Do you want the dates of the visits? 3 Q That's fine, sure. 4 A In August of 1999, October of 1999, August of 5 2000, and September of 2001. 6 Q Okay. Wore those visits related to the 7 treatment you were rendering to her from the February 13, 8 1997 motor vehicle collision? 9 A Two of Ulose visits were. Two were for 10 separate complaints. II Q Okay. Not related at all to that collision? 12 A No. 13 Q Okay. The two that were related, can you tell 14 us what those were for, what the complaints were and what IS treatment you provided? 16 A Okay. TIle rust of those visits would have 17 h....n in August of 1999. At that time, she saw my 18 partner. And according to her note, she complained of 19 ongoing headaches that were relatod to a motor vehicle 20 accident several years ago. And I am quoting from Dr. 2] Wagne'T's note. She had seen a physiatrist and a 22 neurosurgeon. And at that time, after Dr. Wagner saw 23 he", she suggested having a trial of a medication called 24 Cclebrex which is a relatively new antHnnwnmatory 25 medication that the palient had nnt triod up until that Page 10 - Page \3 ELICKER & ASSOCIATES REPORTING llOO-1l40-'l17'l (i'\'\-~71? Beverly Uniacke, M.D. Novak v. Rombergcr Multi-Page '''' Page 14 I point. 2 At that time, she was also seen n then: was 3 also some discussion ahout her concern ahout mitral valve 4 prolapse, which is complotely unrelated. And they 5 addressed Utat issue the'll as well. 6 Q All right. Just so we an: clear, the miu-al 7 valve prolapse has nothing to do with this collision? 8 A Correct. 9 Q And we an: not claiming it is. Is thai 10 correct? II A Correct. 12 Q Was that .- the visit where the Cclebrex was 13 provided, was that the last visit or is there another one 14 after Ihat? 15 A No, then: is one more after that. And that 16 was in September of 200 I, at which time she was """" for 17 requesting a complete pbysical and a discussion of her 18 headachcs. 19 Q Okay. And what, if any, results did you find 20 at the time of that evaluation? 21 A Okay. Do you want -- would you like all the 22 infonnation thai [ have including the history she gave or 23 do you want jusllhe summary of whalthe diagnosis .. 24 Q Anything thai is relative 10 the motor vchicle 25 collision. Page 15 1 A Okay. At thai lime, the history that she was 2 giving was complaints of headaches occurring about every 3 one to two weeks since the motor vehicle accident, that 4 genemlly these were she considered mild to modcmte. We 5 use a pain scale of z.:ro to five, where zero is no pain 6 and five is pain that is almost intolemble. Shc mted 7 these headaches genemlly as a two on a scale of :rero to 8 five. 9 That gencmlly she had not found any of the 10 medications prescribed in the past to be particularly II effective or more effectivc UlOn regular Tylcnol which is J 2 what she would takc on occasion if shc needed to. 13 In the last few weeks prior to thai visit, she 14 had been complaining of an incrcased freqll<.'11cy on these 15 headaches that she related to stress. And at thattimc, 16 she was having hcadaches almost on a daily basis and was 17 concerned that she was beginning to take Ihe Tyle'11ol on a 18 daily basis. 19 She also related UlOt she continued to have 20 discomfort on Ihe left side of her neck and that this 21 made it very difficull for her to carry any heavy objects 22 in her left arm. She couldn't really carry her infant in 23 her lefl arm or heavy ohjects. If she did, that ofte'11 24 the neck pain would then progress inln a headache. 25 And at that time on the examinalion of her Pagc 1/\ I nc..:k, she did have some n what I felt was some uc..:n:a.'ic:u 2 range of mulln" in her n.:ck, l11a1 was grcatc:it with 3 exlension, which is lilting the head hackwards 4 (Indicating), and rotating to the righl or turning 10 lhe 5 right. I do nlll have any method for measuring degrees, 6 so Ihal wo.s nol perfonncd. 'n,at's simply my o.''''SS01<.'11t 7 of the cxam at thai time. 8 And I thought thai the strength in hcr upper 9 cxtremities WIl.S nonnal, hut that she Wa.'l very guarded 10 with using her left arm. So at IlIatlimc, my diagnosis II was recum.'11t headaches and recurrenl neck pain. 12 Q Okay. Doctor, I am going to show you whal we 13 have marked for purposes of lhis deposition as Exhihit I. 14 Can you identify for me whal thai packct of infonnation " is? 16 A Ycs, and I did look through it more complelely 17 earlier. This is a copy of the record which I have here 18 in front of me from my office. 19 Q Okay. And those records include not only your 20 office noles, bUlthe reports that were senl to you from 21 various other providers. Is that correct? 22 A Correct. 23 Q Okay. Doclor, ba.'iCd on your treatment and 24 eXllJllination of Ms. Novak and your review of the oUter 25 infonnation .vailahle 10 you, have you fanned an opinion Page 17 I to a reasonable degree of medical certainty lIS to the 2 relationship of the treatment for the headaches and the 3 neck pain and the problems from the car accident of 4 February 13, 1997, with respect to Ms. Novak" 5 A Yes. 6 Q And can you state what that opinion is, 7 please. 8 A I think thai she docs have recurrent headaches 9 and recurrent neck pain that by history and evaluation 10 hIlS been related to the motor vehicle accident and hIlS II occurred n hll.q been ongoing since that time. 12 Q Do you also have an opinion to a reasonable 13 degree of medical certainty lIS to whether these problems 14 arc pennanent or will continue in the future? 15 A J think that there is a good degree of 16 certainty that she will continue to have some problems. 17 I cannol say n 1 don't think J can make any estimation 18 of how severe they would be or if they could ever go 19 away. It's possible thnt they could, but it has been 20 several years and tllo:rc hIlS been little change in tile 21 recent time, so 1 wouldn't expect any major change any 22 time in the future. 23 Q Okay. And you have obviously reviewed all of 24 tile treatment rccords from tile collision n 25 A Yes. EI.IC,KF.R & A~Snrl^TPS RIOPODT''''r. '/nn_UAn_O''10 .."., c..... Page 14. Page 17 Beverly Uniacke, M.D. Novak v. Romberger Page IX I Q -. from (he \!ilfinus pruvidcn. Do ym\ have an l opllllon to iI rcusonahle degree of medical u:rtainty 3 whether the tn:almc"tthal w"" involved a",lthe expense.< 4 thaI were incurred by M.<. Novak were reasonahle and 5 n=ssary for the injuric.< caused by the Fehruary 13, 6 1997 collision'! 7 A Yes, J think that all of Ule trcuUm.,,1 and 8 referrals thaI she received "lire appropriate for the 9 prohlems that she complained of. 10 Q And all of the opinions which you have stated II today arc to a re""onable ~ of me.lical CC'1ainIY'! 12 A Yes. 13 Any. CUNNINGHAM: 1 have no further questions 14 for Dr. Uniacke. 15 CROSS.EXAMINATION 16 BY ATIY. KNIGHT: 17 Q Dr. Uniacke, I do have some questions for you. 18 A Sure. 19 Q As I understand it, the flrstlirnc you saw Ms. 20 Novak was in March, the 18th of March in 19971 21 A Yes, that's correct. 22 Q And at that tirnc, she came to you complaining 23 about headaches. Right'! 24 A Yes. 25 Q You said you didn't know exactly when the car Page 19 I accident had occurred. Vou just knew it was before that 2 visit? 3 AVes. 4 Q Okay. As it turns out, it was actually about 5 five weeks before that visit. Right? 6 A Okay. 7 Q 1 guess she still never gave you the precise 8 date, but I'll just ask you to asswne that it was on 9 February 13th of 1997. So more than a month earlier? 10 AVes. II Q Okay, Now, you mentioned whether or not the 12 headaches were related to a whiplash injury, but you 13 never diagnosed her with a whiplash injury. She was 14 seeing an orthopedic surgcon at that time. Right? 15 A Correct. 16 Q Dr. Rubbo? 17 A I think the name u 18 Q Pardon me. 19 A -- that j placed in my no!C was differenl, but 20 I know that both our orthopedic physicians u and were 21 practicing together at the time. n Q I wn sorry. 1 miss poke. I said Rubbo. Vour 23 note actually says Rychak. 24 A Dr. Rychak is the name that she gave me. 25 Q 1 didn't mean to trip you up. I am sorry. Multi-Page '''' Page 20 I Acconhng to your note from that first visil, Dr. Ry~hak 2 wasn't sure if Ihe headaches were from the motor vchicle 3 accide"l. Right'! 4 A Ife didn'l know if they were related" she S said thattm reason she presented to me was because he 6 wasn't ccrtain that the headaches wc:re related to her 7 whiplash injury was Ihe way that I understood it. 8 Q And according to your records, she had also 9 hc:.:n to see a dentist to see if ber problems were related 10 to some prohlem with her leeth7 II A Yes. 12 Q Vour records indicate that she told you that 13 tne headaches would generally go away when she would tok.: 14 ibuprofen. Is that right? I S AVes, the note said that they 1VI.'rC responsive 16 to ibuprofen. 17 Q And in fact, she laid you that the headaches 18 seemed 10 be brought on andlor made worse by stress. Do 19 you remember that? 20 AVes. 21 Q And in fact, she told you that she had been 22 under more stress in her life than she ever had bet." 23 before. Do you l'CD1l.'IDber that from your records? 24 A Yes, from my note. 2S Q If you need to look, 1 would be happy to give Page 21 I you the time to double-check. But you remember that? 2 A I remember that, yes. 3 Q Okay. And you reviewed those records -- 4 A Yes, I did. 5 Q -- 1 assume before you testified today. And 6 when you.. after you saw her that day and evaluated her, 7 you told her to go ahead and keep using ibuprofen for her 8 headaches? 9 AVes, 1 did. 10 Q And you asked her to come back if they would II continue to cause a problem? 12 AVes. 13 Q And she didn't come back in fact until over a 14 year later? I S A That's correct. 16 Q TIle next time you saw her was in May of 1998, 17 follrlet." months or so after that visit? 18 A Com.'Ct. 19 Q Now, you testified a few moments ago that in 20 your opinion, Utat the headaches were a result of Utis 21 accident and the whiplash problem. Vour notes from that 22 original visit actually say that it was .. you used the 23 word prohably related. Right? 24 A Ves, that's the words that I used in the nole. 2S Q TIlat's a little bit different from the legal Page 18 - Page 21 I'll ''''VCD 11. "C'~n"""T~C"'I nrnnn.........'"'' IlAft ....... ....._... ....... __._ Beverly Uniaeke, M.D. Novak v. Rombc er Page 22 I lerm thallhe allomey asked you, a reasonable degree of 2 medical certainty. Your actual notes use the wvrd 3 probably? 4 A Well, when I was dictating the note, I wasn't S really dictating it for a legal proceeding. 6 Q I understand. After that visit in May of '98, 7 fourteen months after you first saw her, she didn't come 8 back until more than another year had gone by, Right'/ 9 A You arc saying after '98'/ 10 Q After the May '98 appointment, the next time 11 she came in, she saw your partner. And that was in 12 August of '99'1 13 A Correct, 14 Q Then she had a couple of visits within the IS next year for unrelated problems? 16 A Yes. 17 Q And in those notes, from those two visiL~, 18 there is no mention whatsoever about the headaches? 19 A No. They were acute visits for unrelated 20 problems and the chronic problems were not discussed. 21 Q So the next time she was seen actually with 22 any headache complaint was in September of this year? 23 A Yes. 24 Q Just less than a month ago today? 25 A Correct. Page 23 I Q Or about a month ogo today? 2 A (Nods head) 3 Q And you actually saw her that time? 4 A Yes, I did, 5 Q Did she tell you that this case was going 10 6 trial and we were expecled to have a trial during Ule 7 week of November 5th when shc camc in on Seplcmber 5th of 8 2001 afler more than two years without complaining about 9 any headaches? 10 A No, she didn't lell me specifically that there 11 was a trial. She did tell me that she thought some of 12 her recent stress was related 10 some legal problems. 13 Q And ogain, she laid you at that visit Ihat 14 there was some correlation between stress and the 15 headaches? 16 A She said that they increased the frequency of 17 Ihe headache. 18 Q Now, you would agree wilh me, Doctor, that not ]9 every car accident results in injuries. Righi? That's 20 sort of obvious. 21 A Yes. 22 Q And not every car accidcnt is severe enough 10 23 injure Ihe occupants of the vehicles? 24 A You an: correct, not everyone is. 2S Q And your opinions that you slated hcre today Multi-Page"" Page 24 I l1lC largcly hased on Ihe history Ihat was provided to you 2 by the palienl in lenns of whalthe cause was for 3 particular problems" 4 A When you say.' I anI not sure exaclly what you 5 mean hy .. what you an: asking. 6 Q All right. Let me Iry to be more precise. 7 You lestified Ihat the prohlems with her head.. her 8 headaches specifically and her neck problems were caused 9 in the car accidL'Ilt IIlat we an: having this case about, 10 that we an: having a trial for. II A Okay. 12 Q Right? 13 A Yes. 14 Q And when you offer your opinion that that car 15 acciili.'Ilt was Ihe cause of it, that would have 10 be from 16 the history that the patienl provides you. Righi? 17 A Yes. 18 Q I mean, she basically comes in and says, I had 19 a car accident and now I am having headaches. 20 A Yes, Ihat's prelty much the basis for any 21 physician/patient visit. 22 Q Right. So the history is very important 23 obviously. 24 A Yes. 2S Q 1 take it in fonnulating IIlat opinion as 10 Page 25 I the car accident being the cause of her problems, you 2 never reviewed a police report? 3 A No, I have not seen any police report. 4 Q And you haven't heard any or read any detailed 5 testimony from the other driver involved in the accident, 6 have you? 7 A No, 1 have not. 8 Q And it sounds like Ms. Novak didn't really 9 teU you much about the accident either. 10 A No. We didn't discuss too much details, I II did specifically in the first note ask if she had had any 12 loss of consciousness, which she denied. 13 Q In tenns of how the accident happened or the 14 severity of the accident, those sorts of things, you IS didn't have any of that information? 16 A We didn't.. I do not recall discussing that 17 and the details I did not put in my note. 18 Q You don't know how much damage there was or 19 wasn't to either of the vehicles? 20 A No, I don't. 21 Q You never saw any pictures of the vehicles at 22 all, did you? 23 A No. 24 Q Or review any damage estimates? 25 A No. J;r '~VCD gp A~~n"'''TnC' nnnnnT""T'" nnn fI.n n'~" ....... Page 22 - Page 25 Bcvcrly Uniaeke, M.D. Novak v. Rombergcr Multi-Page 1M Page 26 Page 28 I AITY. KNIOIIT: 1110se are all the queslions I I Q Okay. And earlicr you lold us lh.t you u.<cd 2 have. ll1ank you. 2 records from various specialisls and olhcr providers in 3 AITY. CUNNINOII.\M: Ijust have a few follow'up 3 detcnnininy" in rcachiny your opinions. Is that 4 questions. 4 co""cl'! S DR. UNIACKE: Sure. S A Yes. 6 REDlREcr EXAMINATION 6 Q Is that one of ~le records that you used'! 7 BY ATIY. CUNNINGIIAM: 7 A ActUlllly, 1 have to say that I don't remember 8 Q leI'S finish up where he just ended or start 8 "",iny this one specifically. 9 there. You indicated -- or he asked you and you 9 Q Okay. With n:spectto 'he two visits that you 10 indicated that yOU hadn't seen pictures of the vehicles 10 had with Ms. Novak that wen: not Rllaled .. II that were dlUTlaged. Is that correct? II A Yes. 12 A Correct. 12 Q You said that they wen: acute visits for 13 Q Would you have been able to look at those 13 nonn:latcd problems and chronic problems wen: not 14 vehicles and look at the damage to them and determine 14 addressed. Can you explain to me what that means" IS what, if any, injuries Ms. Novak would have had', IS A Well, it depends on why a patient has made an 16 A No, I don't think I could with any accident. 16 appointment. If they have made what we call an acute 17 Q When you treat any patients, do you ever read 17 appointm:nt, that means that we are going to see them 18 the police reports to find out what injuries they have? 18 that day for the one specific complaint that they need 19 A No, 19 addressed at that time. And generally, at those visits, 20 Q Okay. You talked about having taken a verbal 20 1 do not address an ongoing or chronic problem. 21 history from Ms. Novak. Is that correct? 21 Q Okay. Now, Attorney Knight has asked you a 22 AVes. 22 numb<:r of questions. lIas any of the questions or answers 23 Q In Exhibit I which you identified as your 23 that you have .- that he has asked or answers that you 24 records, you also had records from Pinnacle Health Care 24 have given changed the opinions '.hat you staled about Ms. 2S from the date of the injury. Is that correct? 2S Novak's tn:atment and her diagnoses? Page 27 I A Okay. Yes, that is in there, 2 Q 1be first record that is on the top of that 3 exhibit indicates that she was being seen, if I am right, 4 about an hour after the collision. Is that correct? S AITY. KNIGHT: Objection. 6 MR. HOWELL: Going off the video record. 1bc 7 time of day is 3:48. 8 AllY. KNIGIIT: It's leading. I mean, I let 9 you go a couple times. 10 AllY. CUNNINGHAM: Okay. I'll rephrase it. II AITY. KNlGfIT: 1 don't want you to walk her 12 through the whole thing, IJ ATIY. CUNNINGHAM: Okay. I'll rephrase it. 14 MR.1I0WELL: Back on the video record. The 15 time of day is 3:48. 16 BY ATIY. CUNNINGHAM: 17 Q Dr. Uniacke, the record that is on the very 18 first page of that, when was that reeord generated? 19 A This record was generated on February 13, 20 1997. 21 Q At what time? n A This says 12:01. 23 Q Okay. That record was in your file, Is that 24 correct? 2S A Yes, it was. Page 29 I A No, it h:lS not. 2 AllY. CUNNINGHAM: 1 have nothing else. 3 AllY. KNIGHT: I don't have any other 4 questions. S MR. HOWELL: 'This video deposition of Beverly 6 Uniacke, M.D., is now concluded. The time of day is 7 3:50 p.m. 8 (The deposition concluded at 3:50 p.m.) 9 10 II 12 JJ 14 IS 16 17 18 19 20 21 22 23 24 2S JU.lrJ("PJl Jl, AC;:C;:OrIATftc: Dt:Df'\UT,,,,n Qnn_.VAn n..,n ~.,., &"1'''' Page 26 - Page 29 Beverly Uniaeke, M.D. Novak v Romberger M ). P 1M U 11- age #1 - employed - 97-57341'1 I:l 1.16 Barlol'l 1:133:12412 2X IX :deniedIl12l:12 -#I- baselll 12.11 complaints 1'1 6:25 dentist III 209 #11113.6 -A- based III 162324:1 11:24 13:10.14 Il:2 deposition 1'1 1:10211 able III 26:1l basis III 15:16,182420 complete 1>1 H: 17 30:Y )6,12,1116:132Yl.8 beginningI'I 41Y Ill7 completed PI 4.24 54 30:6 -&- Academy III l:2l) describe I" 4:18 accident 1"1 8:10 IUO behalf III 3: 18,20.22 complelely 1'1 14:4 &1'1 1:20,224:2 1.5:3 17:3,IOIY:1 2l):3 belong 1'1 l: 18.2l) 16:16 detailed III 2l:4 21:21 23:IY,22 24.9.ll better II I 1O:ll COnCCrn(11 14:3 details III 2l.IO.17 -,- concerned 1'1 8:8 Il: 17 determine III 26:14 24:192l:I.5.9,13.14 betwccn (II 3:223:14 '981'1 22:6,9,10 26:16 BeverlYI1l 1:10 2:3 3:16 concluded PI 29:6.8 determining III 28:3 '9911122:12 according III 13:1820:1 4:4,10 29:5 30:8 consciousness III diagnose III 12:3 20:8 beyond III 7: 10, 14 25:12 diagnosed III 9:8 19:13 -I- Action III 1:4 biomechanics (II 7:10 considered (II 15:4 diagnoses (II 28:25 1111 2:1216:1326:23 actual III 22:2 bit III 21:25 consistent III 11:15 diagnosis 1'1 9:23 10:8 12:01(11 27:22 aeute(11 22:1928:12,16 board ('I 5:24,25 consistently I" 5:7 1O:2lI4:23 16:10 131'1 8:1 13:717:418:5 address ('I 4:11 28:20 brought(11 20:18 consists (II 5: Il diagnostic III 8: 11.24 addressed III 14:528:14 contacts III 8:18,2l) 9:15 27:19 28:19 business III 4: II 9:22 12:24 dictating III 22:4,5 13th (II 19:9 1551113:9 advanced (II 7:9 -c- continue 1'1 11:512:18 differcntlll 4:2019:19 again(11 6:149:523:13 17:14,1621:11 21:25 17356 (II 3:10 ages III 7:3 cannot(11 17:17 continued II I 15:19 difficult I" 15:21 18(11 2:6 agO(41 13:2021:1922:24 caption (II 3:13 COPY(1116:17 Dillsburglll 1:1l 3:13 18th(ll 18:20 23:1 earrll 17:318:2523:19 eorrcet(161 6:167:192 4:12 1995 III 4:25 agree III 23:18 23:2224:9,14,1925:1 10:19 11:1l12:22 14:8 DIRECT I'; 2:3 4:6 1997 III 7:24 8: I 13:8 abcadlll 21:7 care (II 11:4 26:24 H:IO,II 16:21.2218:21 direction 1'1 30:11 17:4 18:6.20 19:927:20 almost III 9:12 15:6,16 earry(ll 1l:21.22 19:1521:]5,1822:1J.2l discharge III 12: 19,21 1998(11 21:16 23:24 26: 11.12.21,25 27:4 American (I] 5:20,25 easel41 3:13,1523:524:9 27:24 28:430: II 12:25 1999111 13:4.4,17 Annl'l 1:13:14 caused (II 18:5 24:8 com:lation III 23: 14 discharged III 11:4 -2- answers III 28:22,23 Cclebrex PI 13:24 14:12 counsel [II 3:2.1930:13 discomfort III 15:20 anti-inflammatory (II certain III 20:6 County III 1:2 30:3.6 discuss III 25:10 2 I'l 1:1l 3:]2 13:24 certainty 1'1 17:1.1l,16 couple III 22:]427:9 discussed (II 22:20 2-A(114:12 APPEARANCES (II 18:2,1 I 22:2 course ('I 8:17 discussing III 25:16 2000 III 13:5 1:19 certification III 3:4 discussion I'l 14:3,17 court PI 1:1 3:24 2001('1 1:123:10 1l:5 appointment III 22:10 certified 1'1 5:22.24 CROSS ;'1 2:3 distinction III 6:20 14:1623:830:16 28:16.17 certify (II 30:6,9.1l doctorrlOI 4:137:15.23 25th (II 30:15 appropriate {II 18:8 CROSS-I!XAMINATION III cervalgialll 11:1.9 6:12 18:ll 9:2510:9,21 12:2 16:12 261112:4 area (II 9:7 change (II 17:20,21 CUMBERLAND [II 16:2323:18 arm(11 15:22.2316:10 changed (II 28:24 1:2 doctor's II] 4:23 -3- arts III 4:21 checked III 8:8 Cunningham 1101 1:20 doctors III 9:18,23 3 (II 2:12 assessmentl'l 16:6 Chestnut (II 4:21 2:43:20.204:76:97: 19 done II] 7:148:12 3:20 ('I 1:123:11 Associates ('I 1:204:2 Christopher 1'1 1:23 7:22 9:21 10:6, I 1,16.20 Donnal41 1:144:130:5 assume('1 19:821:5 18:1326:3,727:10,13.16 30:19 3:28(11 10:19 3:22 29:2 double-check III 21:1 3:48111 27:7,15 attorney 1'1 22: I 28:21 chronic III 22:2028: 13 3 :50 ('I 29:7,8 attorneys (II 30:14 28:20 -0- Drr"l 2: II 3:6 4:8 6: 14 Atty(I'1 2:4,53:20.220 Cirele(IJ 1:1l 3:1l4:12 7: 18 9:6,17 ] 0:3,7,22,23 11:16.2112:8.21.2513:20 -4- 6:9,1],1l7:16.19.2I,22 Civil III 1:4.53:16 01112:1 13:2218:14.1719:16.24 9:9,12.21 10:2.6,7,11.14 daily III 15:16,18 4(112:4 10:16,2018:13,1626:1.3 claiming (II 14:9 20:1 26:527:]7 26:727:5,8.10.11,13,16 elearm 10:1214:6 damage III 25:18,24 driver(ll 25:5 4:27(11 9: II 29:2,3 Colds (II 6:25 26:14 duly III 4:5 30:9 August (41 1l:4:4.17 eollegol'l 4:19.22 damaged IIJ 26: II duringI'I 8:1723:6 -S- 22:12 collision (II 7:25 1l:8 Darryl PI 1:2l) 3:20 5th ('I 23:7,7 available (II 16:25 13:11 H:7,25 17:24 18:6 datel'l 1:123:10 8:4 19:8 -E- aware III 7:25 8:2 27:4 26:25 -6- away 1'1 17:1920:1l common III 1:112:5 Dated {II 30:15 E1112:1 6111 2:5 Commonwealth III dates (II 13:2 earned (II 4:20 -B- 30:2.5 decreased III 16:1 educational (II 4:18 -8- baehclorrlJ 4:21 complained 1'1 8:7 defendant III 1:5,24 effective III 15:11,11 13:18 18:9 3:15 either PI 11:2425:9,19 8(11 1:123:10 background (II 4:1') complaining PI 15:14 degree IMI 4:21.23 17: I E1icker(" 1:144:1,],2 backwards III 16:3 IH:222J:8 17:1l,15182,1122:1 30:5,19 -9- BARE(l1 1:20 complaint III 1222 dcgrees III 420 16:5 employcdI414:1J.14 PI.TrKJ41l Jl, ^c;:c;:()r'ATr.~ DCDnD"1.t~'r! u^n VAn n...,n ,"'" r~."" Index Page I Beverly Uniacke, M.D. Novak v Romberger Multi-Page ,>< ended - offer S:130:14 fourtccn (II 21:17 22:7 21:7 le~~ III 22:24 N(112:1 ended III 26~ FRANKEL(II 1:20 identification III 3:7 lellerS(119:7 name('1 3:8,164:1.8 enlitledlll 9:24 frequencYI'I IS:14 identified III 26:23 life III 20:22 19:11,24 ESQ III 1:211,23 23:16 identify 1'1 3:lS 16:14 Lionlll3:9 NEALON(II 1:22 es~entially (II 6: 11 front(11 16:18 Image~ III 3:9 located III S:I neee~~ary(11 18:5 estimates III lS:24 full 1'1 4:8 30: II important III 24:22 look 1'1 16:1620:2S neclq II I 11:11,12 12:3 estimation III 17:11 future (II 17:14,22 improved (II 11:4 26:13,14 IS:2I1,24 16:1,2,11 17:3,9 evaluated (Ii 21.6 improving(119:4 lo~~ III 25:12 24:8 nccd (II 20:25 28: 18 evaluation I'I 10:25 -G- inadmi~sible III 10:9 14:20 17:9 generaltll 6:11 include(11 16:19 -M- nccded(l] ]5:12 neurosurgeon (II 9:6 euet(11 8:3 generallYISI IH,7,9 including III 14:22 M(l1 1:23:14 13:22 euetlYl'1 18:2524:4 20:13 28:19 inconsi~tent(II 11:24 M,DI'I 1:10 2:3 3:17 4:4 never(sl 11:2319:7,13 examl'l 11:18,18,2216:7 generaled(ll 21:18,19 increased III IS: 14 29:6 30:8 2S:2,21 examination 1'1 4:6 given (II 28:24 30: 10 13:16 major(11 17:21 new III 13:24 I S:25 16:24 26:6 giving (II 15:2 incurred III 18:4 make~ III 10:15 nextl'l 21:1622:10,15 examined(11 11:13 gone (II 22:8 indicate II] 20:12 March III 1:24 18:20,20 22:21 exams (II 11:23 good III 17:15 indicated III 26:9,10 marked (II 3:6 16:13 Nods III 23:2 exhibitlsl 2:11 3:6 16:13 GOVER III ('22 indicates III 27:3 Marshall III 4:23 nonrelated III 28:13 26:23 27:3 graduated (II 5:8 Indicating III 16:4 mailer III 8:130:14 normal (I) 16:9 EXHlBITS III 2:10 greatest(11 16:2 infant(11 15:22 may 1'1 8:24 2 I: 16 22:6 normally (II 7:149:22 expect III 17:21 guarded III 16:9 infonoation 141 14:22 22:10 12:3 expected (I( 23:6 guess (II 19:7 16:14,2525:15 mean 1'1 19:2524:5,18 Nolary(11 1:1530:5,19 expenses III 18:3 injure (II 23:23 21:8 nolellll 13:18,21 19:19 expert (II 6:] 7:20 -H- injuries 1'1 18:523:19 means (2) 28:14,17 19:2320:1,15,2421:24 explain (II 10:23 11:9 26:15,18 measuring (II 16:5 22:425:11,17 28:14 Hanoveqll 30:15 injuryl'l 7:10 8:10 19:12 mechanics (II 7:10 notes (SI 16:2021:21 extension III 16:3 bappy (I) 20:25 19: 13 20:1 26:2S medicall'l 2:] 24:23 22:2,1730:12 extremities (I] 16:9 Harrisburg (II 5:2,15 interested(11 30:]4 7:11 17:1.13 18:2,11 22:2 nothing(11 7:1314:7 head II] 16:3 23:224:7 interrupt (II 10:4 medication (II 13:23,25 29:2 -F- headache ('1 11:1015:24 intolerable(11 15:6 medications III 15:10 Novak(17) 1:1,23:14,14 22:22 23: 17 introducc(l( 3:19 medicine III 7:20 7:238:510:2411:12 fact III 20:17,2121:13 headaches 1241 8:7,9 12:22 16:24 17:4 18:4,20 family ('1 4:24 5:20,24 13:1914:1815:2,1,15,16 involved III 11:2218:3 Memoriallll 5:17 25:826:]5,21 28:10 5:256:15,20,22 7:15 12:2 16:11 17:2,8 18:23 19:12 25:5 mention (II 22:18 Novak's III 28:25 far III 11:16 20:2,6,13,17 21 :8,20 involvement (II 8:23 mentioned III 19:11 November(11 23:7 Februaryl'l 8:1 13:7 22:1823:9,1524:8,19 issue (II 14:5 met III 8:12,14 now 1111 3:19,245:2 17:418:5 19:921:19 Healthl'l 4:14 5:3,8,13 itself (II 9:22 method(ll 16:5 11:1212:2119:11 21:19 felt III 16:1 5:1526:24 mild III 12:515:4 23:1824:1928:21 29:6 fewI'1 6:1115:1321:19 heard (II 25:4 -J- Mildrcdlll 1:53:15,23 numbeqll 3:1628:22 26:3 hearsay III 9:19 J (II ]:23 mind III 8:25 NUMBERS (II 2:11 field (II 7:20 heavy (II 15:21,23 job (2) 5:5,6 minute(l] 9:1 file III 27:.13 Hellc:.(116:14 misspoke(ll 19:22 -0- filing (II 3:4 hereby (II 3:2,4 30:6 -K- mitral (II 14:3,6 object III 10:12 findings (II 11:15 12:11 hereinbefore III 30:7 keep('1 10:412:1521:7 moderate (I] 15:4 objected (II 9:12 fine ('I 10:6,11 13:3 herself(11 3:25 objection III 7:21 9:9 finisb (II 26:8 HiIIlll 4:22 knew (II 19:1 moments (II 21:19 Knight (101 1:23 2:5 3:22 month('1 19:922:24 10:3,1327:5 first IIsl 5:5,6 6:3 7:23 hislory 1'1 8:22 14:22 3:226:11.137:16,219:9 23:1 objectionable (II 9:20 7:248:3,21 12:1513:16 15:1 17:924:1,16,22 9:1210:2,1,1418:1626:1 months (II 21: 17 22:7 objections III 7:20 18:1920:122:725:11 26:21 27:5,8,11 28:21 29:3 objects III 15:21,23 27:2,18 Hospitallsl 4:255:1.16 most III 11:10 12:10 fivelsl 4:1715:5,6,819:5 5:16,16 motion III 16:2 obvious (I] 23:20 Flu (II 6:25 hospitals III 5:11.13,14 -L- motor(61 13:8,19 14:24 obviously I'I 7:4 17:23 follow-up (II 26:3 hour (I I 27:4 L(II 1:53:15 15:317:10 20:2 24:23 follows III 4:5 bourlY(l16:7 Lane(l( 3:9 MRI(IIII:I occasion III 15:12 foregoing III 30:6,11,13 Howell('l 1:153:8,8,24 largely II( 24: I M~ (III 4:1 7:238:5 10:24 occupants (II 23:23 formed('1 16:25 9:1010:1827:6,1429:5 last (II 11:1814:1315:13 11:1212:2116:2417:4 occurredl'l 8:],2 17:11 18:4,1925:826:15,21 19:1 formulated(II 9:1910:8 Huntington 1'1 4:24 Lawlll ]:4 28: 10,24 occurring III 15:2 formulating (II 24:25 husband (II 1:23:14 leading III 27:8 mUScle(l1 ]]:2,7 October('1 1:123:10 fortb(11 30:7 leads (II 9:16 myofascialtll 11:1,9 13:430:]6 found 121 II :23 IS:9 + leftlsl 9:315:20,22,23 off (II 9: 10 27:6 four III 13:1 ibuprofcn(11 20:14,16 16:10 -N- offeqll 6:97:1924;]4 legallll 21:2522:523:12 F1.I('J(FR /l, A <:<:flrIATr.<: Dr.Pf\DTll\In vnn_VAn_nl'7n ,c?? ~.,.., Index Page 2 D~VfoiUY Ullld.....C. M.1J. Novak v. Romberger Mum-rage oUlce - track offtcefll 13:2 16:18,21l 5:12.14.1526:24 readlDg II I J:) 18:23 19:5.14 20:3,14 SS11130:2 often (II 15:23 placel1l 1:1330:6 really III 15:2222:525:8 21:2322:823:1924:6,12 start II I 26:8 oneill 14:13,1515:328:6 placed III 19: 19 reason 121 8:920:5 24:16,2227:3 started!>1 11:1.2 28:8,18 plaintiffs 161 1:3,11,21 rea.~onable (61 17: 1,12 RMRIII 1:1430:5,19 state 121 4:8 17:6 ongoing ('1 1Il:3 13: 19 3:15.18,21 18:2,4.11 22:1 Robaxinlll 11:3 stating (II 11:4 17: 11 28:21l plans III 9:24 receive (II 12:8 Robert (II 9:6 Operatorrll 1:16 PLEAS III 1:1 received (II 1Il:22 12:7 Romberger III 1:53:15 stenographically (II opinion I" 10:8 16:25 30:10 pointlll 14:1 18:8 3:23 still III 19:7 17:6,1218:221:2024:14 police (II 25:2.326:18 recent 121 17:2123:12 rotating (II 16:4 stipulated II I 3:2 24:25 Polyclinic III 4:255:1 recommendations 121 routine (II 6:24 opinions ('I 9: I 8 18: 10 5:16 11:612:12 routinely (II 12:8 STIPULA nON III 23:25 28:3.24 3:1 orderrll 9:2 position II I 4: 16 record 111(9:10,21,22 Rubbol1l 19:16.22 strength (II 16:8 possible III 17:19 10:]2,1816:1727:2.6,14 Rychak (II 19:23,200:1 organizations (II 5:19 27:17.]8.19,23 stress 1'1 15:1520:18,22 original 121 21:2230:11 practice (II 4:256:15,22 recordsllll 2:1216:19 23:]2,14 orthopedic (61 7:58:15 practicing III 19:21 17:2420:8,12,2321:3 -s- subject (II 30:14 8:1812:3 19:14,20 praetitioner(1) 6:18 26:24.24 28:2,6 S (II 1:1430:5,19 subsequently III 30:10 orthopedics (II 7:12 precise (21 19:7 24:6 RECROSS III 2:3 sawll3l 7:248:21,2311:3 suggested (II 13:23 Osteopathic III 5:16 prednisone (I) 11:2 recurrent (41 16:11,11 13:17.2218:1921:6,16 summary (II 14:23 outcome (II 30:14 prescribed II I 15: 10 17:8,9 22:7,11 23:325:21 supervision 111 30:11 presented III 20:5 Red (II 3:9 says PI 19:2324:18 surgeon 121 7:7 19:J4 -P- presenting [II 8:5 REDIRECT (21 2:3 27:22 surgeI)' (I) 7:5 preserved III 10:13 26:6 scale!>1 15:5.7 sustaincd (II 8:10 p.m('1 1:123:11 29:7,8 refcr(21 6:1912:]0 Sehlegel(11 9:6 10:22 paeket(11 16:14 pretty (II 24:20 referrals III 18:8 10:23 11:]6,21 12:8,21 swear III 3:25 page(21 2:11 27:[8 privileges (21 5:10.12 regular 11 I 15:11 12:25 sworn (2) 4:5 30:9 paid(21 6:5.7 problem ('I 12: 16 20: 10 school(11 7:11 symptomatology II I pain('1 11:11,1215:5,5,6 21:11,21 "8:20 related("1 13:6.11,13 sealinglll 3:4 11:17 problems (171 8:512:4 13:1915:15,1917:10 symptoms (21 11:5 12:5 15:24 16:] I 17:3.9 17:3,13,16 18:9 20:9 19:1220:4,6.92]:23 see 1'1 6:247:23 9:4,5 pains 111 12:3 22:15,20,2023:1224:3.7 23:]228:10 30:13 I]: 13 J 2:6 20:9.9 28: 17 System (I) 5:13 Pardon (II 19:18 24:825:1 28:13.13 relationship (II J 7:2 sceing 121 19:1428:8 Systems PI 4:155:3,15 parrot II I 10: 10 proceeding II I 22:5 relative (II 14:24 Seidle[115:17 part 121 5:27:]3 professional (II 5:18 relatively (II 13:24 send III 12:11 -T- partieular(1) 24:3 progress (II 15:24 relaxant 121 11 :3,7 sent III ] 6:20 teeth[l) 20:10 particularly (21 12:18 prolapse 12I 14:4.7 rely II I 9:23 separate [I] 13:10 telling[21 4:199:18 15:10 proved II] 9:25 remember('1 20: 19.23 September(41 13:5 term (II 22:1 parties 121 3:3 30: 13 provide (II 10:8 21:1.228:7 14:1622:2223:7 terms (21 24:225:13 partner!>1 13:1822:11 provided III 13:1514:13 rendering (II 13:7 set (II 30:7 testified ('I 4:H:I 21:5 Pastlll 15:10 24:1 rephrase 121 27: 1 0, 13 seVerall21 13:20 17:20 21:1924:7 patient(7J 12:16.18,19 providers (II 16:2118:1 report 1'1 12:7.11 25:2,3 severe (2] 17: I 8 23:22 testify ('I 6:69:2430:9 13:2524:2,1628:15 28:2 reported ('I 9:25 10:23 severity (II 25:14 testimony (4] 6:8 25:5 patient's [21 11:24 12:16 provides (II 24:]6 II: 16,25 30: 10 shorthand II I 30: 12 30:7.10 patients ('I 12:4,926:17 Public (II 1:1530:5.19 reporter(41 1:153:24 show(11 16:12 testingp] 8:249:JS,25 Patricia (21 1:1 3:14 purposes (II 16:13 30:5.19 side 111 15:20 tests (21 8:11,16 Pennsylvania(lo) 1:2 put(21 9:] 25:17 Rcporting (II 4:2 signing (II 3:3 Thankl2l 7:1726:2 1:133:10,13 4:]2,22 5:2 reports 141 12:9,13 ] 6:20 similar(11 12:5 themselves III 3:19 30:2.5.15 -Q- 26:18 simply (21 10: JO 16:6 thcrapY(l) 11:8 peOr;le('1 6:19,24 11:10 represent (II 3:9 performed(41 8:169:15 Qual(1) 2:5 requesting (II 14:]7 sometime II] 8:2 thereOf(11 30:14 II :23 16:6 qualifications (41 6:10 residency (41 4:25 6: 15 sony (21 19:22.25 thought ('I 11:5 16:8 6:127:17 12:2 sort III 23:20 23:] I permanent 111 17:14 7:5.12 tluough 121 16:16 27:]2 Philadelphia II) 4:22 questions 1101 6: 10,11 respect 121 17:08:9 sorts [21 6:2425:14 physiatrist II) 13:21 7:1618:13.17 26:1,4 respective [II 3:3 sounded III 9: 17 tluoughout (21 10:13 28:22,22 29:4 sounds (II 25:8 t 11:20 physical(21 11:8 14: 17 quoting II I 13:20 response (21 9: 16 10:2 ilting [II 16:3 physician III 4:]45:23 responsive (II 20:15 specialist(61 8:15,199:5 t imes [II 27:9 5:24 9:511:2212:19 physician/patient III -R- result (II "1 :20 specialists [61 8:20,23 t odaY(61 6:618:11 21:5 results [JJ 10:22 14:19 22:2423:1,25 24:2] range 111 16:2 23:19 12:9,10.11 28:2 Today's (11 3:10 physicians ('I 5:21,25 rate III 6:7 review 121 16:24 25:24 specially (II 6:20 6:21 11:25 19:20 rated(1) 15:6 reviewed PI 17:2321:3 specific 111 28:18 t ogether(1) 19:21 pictures (21 25:21 26:10 reaching (II 28:3 25:2 specifically ('I 12:19 t 00(21 10:1625:10 Pinnacle(7J 4:145:3,8 readl2l 25:426:17 right 1161 14:616:4,5 23:10 24:8 25:11 28:8 t op [II 27:2 spend II I 6:8 track [II 12:15 ELICKER & ASSOCIATES REPORTING 800-840-9179 633-5712 Index Page 3 Beverly Uniaeke, M.D. Novak v. Rombergef Multi-PageT" train - zefO tram [I) 620 VISits (III 13: 1.2.6.9.16 training!,) 5:47:10.13 22:14.17.1928:9.12.19 transcribed III 30:10 VS(lI 1:4 transcript(11 30:11 transmit1ed(l1 9:22 -w- treatl4' 12:3.6.1826:17 WII) ):20 treated II] 12:17 Wagner (I I 13:22 treatment II)I 8:179:24 Wagner's I') 13:21 10:1 11:2.2013:7.15 waived II) 3:4 16:23 17:2.24 18:3.7 walk (I) 27:11 28:25 trial(,) 13:2323:6.6.11 Waynell) 1:153:8 24:10 week (I) 23:7 tried (II 13:25 weeks (') 15:3.13 19:5 trics II) 10:7 West(l) 4:24 trip (II 19:25 whatsoevCf(11 22:18 truc III 30:11 wherebY(11 9:)7 truth (II 30:9 whiplash (') 8: 10 19:) 2 try(4) 6:1910:411:724:6 19:1320:721:21 turning (I) 16:4 whole (11 27:) 2 30:9 turns (I) 19:4 William(1) 1:23:14 two I') 9:7 13:9.9.13 15:3 within (I) 22:)4 1S:7 22: 17 23:8 28:9 without (II 23:8 Tylcnol (1) 15:11.17 witncss ('I 2:1 3:)6,25 types (II 12:8 4:4 30:9 word III 21:2322:2 -U- words (I) 21:24 undcf(1) 20:22 30: 10 worse (11 11:720:18 undcrstsnd (4) 6: 14 10:2 Wynshire (I) 3:9 18:1922:6 undcrstood (I) 20:7 -x- Uniaeke [11] ) :102:3.11 X(I) 2:) 3:6.174:4.8.106:147:18 9:17 10:7 18:14.1726:5 -y- 27:17 29:6 30:8 University (I) 4:23 ycaf(4) 2]:1422:8.15,22 unrelated (11 14:422:1S years (41 4:] 7 13:20 22:19 )7:2023:8 up 11) 13:25 19:2526:8 York (11 9:6 30:3,6 uppef(l) )6:8 -z- uscd(4) 21:22.2428:1.6 using('1 16:10 21:7 zero (1) 15:5.5.7 -y- valve (1) 14:3.7 various (11 16:21 18:) 28:2 vehicle 1'1 13:8.1914:24 )5:317:10 20:2 vehicles (') 23:2325:19 2521 26:10.)4 vcrbal (I] 26:20 versus (I) 3:1S vidco('l 1:163:99:10 10:4.)5.1827:6.1429:5 Vidcotape (II ):9 videotaped (11 3:12,)7 Virginialll 4:24 ) visit(I41 8:3.219:314:12 14:13 15:13 )9:2.520:1 / 21:17.2222:623:13 24:21 . .' .' PI trJ(J1D ., A <:c:nrTATn<: DCDnDT'~Jn unn OAn n1..,n ........, ""...,'" Index Page .. interrogatory on the issue of substantial factor (legal causation) as well as on damages, The parties have agreed to stipulate as to the authenticity of medical records. Although it a~pears to the Court that Plaintiffs would be permitted to introduce evidence of, and recover for, medical expenses paid by workers' compensation, counsel for Defendant has not formally conceded the issue, and to the extent that he believes such evidence or recovery would not be permissible, a motion in limine should be filed by Defendant to that effect to enable the trial judge to dispose of the issue, Defendant has agreed to furnish to Plaintiffs' counsel a copy of the medical records of Dr. John s. Rychak, To the extent that any deposition testimony will be read or shown to the jury at trial and contains objections requiring rulings by the trial court, counsel are directed to furnish a copy of the transcript of such testimony to the Court at least five days prior to commencement of the trial term, with the areas of objection being pursued highlighted and with brief memoranda in support of their respective positions on the objections. With respect to settlement negotiations, Plaintiffs have demanded $17,500.00 (now withdrawn). No counteroffer has been made by Defendant. Plaintiffs' counsel has indicated that a scheduling conflict involving his daughter will make it extremely inconvenient, if not impossible, for him to participate in this trial before Thursday, November B, 2001, and that he would be compelled to request a continuance of trial in the event that the case could not begin on that date. counsel for Defendant has indicated that, although he would not object to the trial's commencement on November B, 2001, he is not at this point agreeing to a continuance of the case. By the Court, Mark David Frankel, Esquire For the Plaintiffs Christopher J. Knight, Esquire For the Defendant Court Administratrix wcy .', ..... C) '- C. L:: l- " .~ I ::J.....,... ~, (>1 "J '.-, 'OJ I: ',_1;',:: '1. '-... ")~ , , L ~..., .,~ ill L N ..l;;'=: I- :;.:: f!lU I_~ nn.. Cl -- t"i ".J Co) <; /:-:. / " ! ' i ~ . _-J. .. . PATRICIA ANN NOVAK and WILLIAM M. NOVAK, her husband, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Plaintiffs vs. civil Action - Law MILDRED L. ROMBERGER, Defendant No, 97-5734 Civil . . . . . . . . . . . . Videotape Deposition of. BEVERLY UNIACKE, M.D. Taken by Plaintiffs Date October 8, 2001, 3:20 p.m. , ~ Place 2 Barlo Circle Dillsburg, Pennsylvania Before Donna S, Elicker, RMR Reporter - Notary Public Wayne Howell Video Operator APPEARANCES: FRANKEL, BARE & ASSOCIATES By: DARRYL W. CUNNINGHAM, ESQ. For - Plaintiffs NEALON & GOVER By: CHRISTOPHER J, KNIGHT, ESQ. RECEI\JL:D -,' . For - Defendant ,.. ..) ..'. l . . '11 L~ D.W.C. 2 .1 I N D E X WITNESS BEVERLY UNIACKE. M.D. DIRECT CROSS REDIRECT RECROSS By Atty. Cunningham 4 26 By Atty. Knight 6 (Qual) 18 EXHIBITS DR. UNIACKE DEPOSITION EXHIBIT NUMBERS ~ 1 Medical Records 3 '-.. 3 1 1 STIPULATION 2 It is hereby stipulated by and between counsel 3 for the respective parties that reading, signing, 4 sealing, certification and filing are hereby waived. 5 6 (Or. Uniacke Deposition Exhibit #1 marked for 7 identification) 8 MR. HOWELL. My name is Wayne Howell, I 9 represent Video lmages, 155 Wynshire Lane, Red Lion, 10 Pennsylvania, 17356, Tcday's date is October 8, 2001. 11 The time of day is 3:20 p.m. 12 This deposition was videotaped at 2 Barlo 13 Circle, Oillsburg, Pennsylvania. The caption of the case 14 is Patricia Ann Novak and William M. Novak, her husband, 15 plaintiffs, versus Mildred L. Romberger, defendant, Case 16 Number 97-5734 civil, The name of the witness is Beverly 17 Uniacke, M,D, This deposition is being videotaped on 18 behalf of the plaintiffs. 19 Counsel will now introduce themselves. 20 ATTY. CUNNINGHAM. Darryl Cunningham on behalf ,- 21 of the plaintiffs. 22 ATTY. KNIGHT: Christopher Knight on behalf of 23 Mildred Romberger. 24 MR. HOWELL. The court reporter will now 25 please identify herself and swear in the witness. 4 MS. ELICKER: My name is Donna Elicker with Elicker & Associates Reporting. BEVERLY UNIACKE, M,D" called as a witness, being duly sworn, testified as follows: DIRECT EXAMINATION BY ATTY. CUNNINGHAM. Q Dr. Uniacke, could you state your full name, please. A Beverly Uniacke, Q And your business address? A 2-A Barlo Circle, Dillsburg, Pennsylvania. Q And how are you employed, Doctor? A I am an employed physician by Pinnacle Health Systems. Q And how long have you been in that position? A Five years. Q Okay, Can you describe your educational background beginning with college and telling us the different degrees that you have earned. A I have a bachelor of arts degree from Chestnut Hill College in Philadelphia, Pennsylvania. I have a medical doctor's degree from Marshall University in Huntington, West Virginia, And I completed a family practice residency in 1995 at Polyclinic Hospital. 1 1 2 3 4 5 6 7 8 9 10 5 Q A Polyclinic Hospital is located where? In Harrisburg, Pennsylvania, It is now part of Pinnacle Health Systems. Q Okay. After you completed your training, what was your first job? A This was my first job. o Okay. And you have been employed consistently with Pinnacle Health since you have graduated? A Yes, I have. Q Okay. Do you have privileges at any 11 hospitals? 12 A I have privileges at all of the pinnacle 13 Health System hospitals, 14 0 Do you know how many hospitals pinnacle has? 15 A pinnacle Health Systems consists of Harrisburg 16 Hospital, Osteopathic Hospital, Polyclinic Hospital, and 17 Seidle Memorial. 18 Q Okay. Do you belong to any professional 19 organizations? 20 A I belong to the American Academy of Family 21 Physicians. '-.r 22 23 24 25 Q Okay. And are you -- you are a certified physician? A I am a board certified family physician by the American Board of Family Physicians, 6 1 1 2 3 4 5 6 Q A Q And have you testified as an expert before? No. Is this your first time? A Yes. Q Okay, testify today? And are you being paid for your time to 7 A Yes, I am. I am being paid at an hourly rate 8 for the time that I spend in testimony. 9 ATTY. CUNNINGHAM. Okay. I would offer 10 questions for qualifications. 11 ATTY, KNIGHT: I do have just a few questions, 12 CROSS-EXAMINATION (As on Qualifications) 13 BY ATTY, KNIGHT: 14 Q Hello again, Dr. Uniacke. I understand your 15 residency was in family practice? 16 A Yes, that's correct, 17 Q And you are working essentially as a general 18 practitioner? 19 A Many people refer to it as that. We try to 20 make the distinction that we train to specially be family 21 physicians. 22 Q Okay. So you would call it a family practice? '--' 23 24 25 A Yes. Q You see people for all sorts of routine complaints? Colds? Flu? 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 7 A Correct. Q Okay. A And all ages. Q You didn't -- obviously then didn't have a residency in orthopedic surgery? A No, I didn't. Q You are not a surgeon? A No, I am not. Q And I take it you don't have any advanced training in biomechanics or injury mechanics beyond what you got in medical school? A We do some orthopedics in residency, but it is just part of our training, yes. There is nothing -- I did not do anything beyond what is normally done for a family doctor. ATTY. KNIGHT. Those are all the questions I have on your qualifications. Thank you. DR. UNIACKE. Okay. ATTY. CUNNINGHAM, I would offer her as an expert in the field of medicine. Any objections? ATTY. KNIGHT: No objection. BY ATTY. CUNNINGHAM, Q Doctor, when did you first see Ms. Novak? A Q I first saw her in March of 1997. And you are aware that her -- the collision in 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 this matter occurred on February 13, 1997? A I was aware that it occurred sometime prior to my first visit with her, but I did not know the exact date. Q Okay. What problems was Ms. Novak presenting to you with? A She complained at that time of headaches and she was concerned that she be checked to be sure there was no other reason for the headaches other than the whiplash injury that she had sustained at the accident. Q Okay. And do you know what diagnostic tests had been done to her prior to the time that she met with you? A Prior to the time that she met with me, I know that she had been seen by an orthopedic specialist, but I do not know what tests he performed at that time. Q Okay. During the course of your treatment with her, did you have contacts with an orthopedic specialist? A Yes, I had contacts with other specialists that she saw after her first visit with me. Q Okay. Can you give me a history of what specialists she saw, what your involvement was, and what diagnostic testing she may have had? A Okay. After her -- and if you don't mind, I 8 9 2 ~-. 1 will just take a minute so I am sure I put it in the 2 correct order. 3 After that visit, we had left it that if she 4 wasn't improving, that we should have her see a 5 specialist again. And she did go to see a specialist, a 6 Dr, Robert Schlegel who was a neurosurgeon in the York 7 area. And I have two letters from him having seen her, 8 He diagnosed her 9 ATTY, KNIGHT: Objection. 10 MR. HOWELL: Going off the video record. The 11 time of day is 4:27. 12 ATTY. KNIGHT. I almost objected to the 13 question, but it was -- the question was whether or not 14 she had any -- who she had seen and whether or not she 15 had had any diagnostic testing performed, which I think 16 is okay as a question. But it leads to a response like 17 it sounded like we were about to get whereby Dr. Uniacke 18 would be telling us what opinions other doctors had 19 formulated. And I think that's hearsay and that's 20 objectionable. 21 ATTY. CUNNINGHAM. Well, I think the record 22 itself is a business record that is normally transmitted 23 that doctors rely on in making their diagnosis and their 24 treatment plans. And I think she is entitled to testify .----. 25 what the testing proved, what the doctor reported to her, -2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 and how her treatment went after that. ATTY, KNIGHT: I understand your response, but I am going to have an ongoing objection to Dr. -- I'll try not to interrupt the video if we keep going over this. ATTY. CUNNINGHAM: That's fine. ATTY. KNIGHT: But any time Dr, Uniacke tries to provide an opinion or a diagnosis that was formulated by another doctor, I think it's inadmissible for her to simply parrot that. ATTY. CUNNINGHAM, That's fine. Just so the record is clear, we are not going to object every time, but your objection will be preserved throughout. ATTY. KNIGHTl If that's okay with you, then that makes for a better video. ATTY. CUNNINGHAM: Yes, I think so too. Okay. MR, HOWELL: We are back on the video record. The correct time is 3.28, BY ATTY. CUNNINGHAM: Q Doctor, can you -- you were about to tell us about the results that you received from Dr. Schlegel. Can you explain what Dr, Schlegel reported to you about Ms. Novak. A He, after his evaluation, made a diagnosis of 10 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 3 ~~ 11 myofascial cervalgia and started her on -- did an MRI and started her on a treatment with prednisone and a muscle relaxant called Robaxin, And when he saw her back, she was improved and he discharged her from his care stating that he thought she would continue to have some symptoms and making recommendations to me that if things got worse, I should try her back on the muscle relaxant or some physical therapy, o Can you explain what myofascial cervalgia is? A Most people would probably call it a headache and neck pain. o Neck pain, okay. Now, when Ms. Novak came to see you, you examined her. Is that correct? A Yes, o And were your findings consistent with what Dr. Schlegel reported to you as far as her symptomatology? A In her exam -- in this last exam? I am not sure which time -- o Throughout your treatment with her. A Okay. I am sure that Dr, Schlegel did a more involved exam than I ever did as a specialist, but I never found anything in the exams that I performed that was inconsistent with either the patient's complaints or things which other physicians had reported. 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 12 Q Okay. I know you were asked this about you= qualifications, As a family doctor, are you -- do you normally diagnose and treat neck pains, orthopedic problems in your patients? A Yes, mild and common symptoms similar to that I do see and treat. Q Okay. And the report that you received from Dr, Schlegel, do you routinely receive those types of reports from specialists for your patients? A If I refer them to the ~pecialists, yes, most specialists will send me a report of their findings and recommendations. Q Okay. And those reports, what do you use those for? A I use them, first of all, to keep track of what the patient -- what the patient's problem is and how they are being treated. And I use them then to base how I continue to treat the patient, particularly if the specialist has specifically said, I discharge the patient back to you. Q Okay. Now, Dr. Schlegel did discharge Ms, Novak back to you. Is that correct? A Yes. Q Can you tell us what other contacts you have had with her since that discharge by Dr. Schlegel? _.3 1 A 13 Since that time, she had four other visits to 2 our office. Do you want the dates of the visits? 3 Q That's fine, sure. 4 A In August of 1999, October of 1999, August of 5 6 7 8 9 10 separate complaints. 11 Q Okay. Not related at all to that collision? ",-,' 12 13 14 15 16 17 18 19 20 21 22 23 24 25 2000, and September of 2001, Q Okay, Were those visits related to the treatment you were rendering to her from the February 13, 1997 motor vehicle collision? A Two of those visits were, Two were for A No. Q Okay. The two that were related, can you tell us what those were for, what the complaints were and what treatment you provided? A Okay, The first of those visits would have been in August of 1999. At that time, she saw my partner. And according to her note, she complained of ongoing headaches that were related to a motor vehicle accident several years ago. And I am quoting from Dr. Wagner's note. She had seen a physiatrist and a neurosurgeon. And at that time, after Dr. Wagner saw her, she suggested having a trial of a medication called Celebrex which is a relatively new anti-inflammatory medication that the patient had not tried up until that 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 point. At that time, she was also seen -- there was also some discussion about her concern about mitral valve prolapse, which is completely unrelated. And they addressed that issue then as well. o All right. Just so we are clear, the mitral valve prolapse has nothing to do with this collision? A o Correct. And we are not claiming it is. Is that correct? A Correct, o Was that the visit where the Celebrex was provided, was that the last visit or is there another one after that? A No, there is one more after that. And that 16 was in September of 2001, at which time she was seen for 17 requesting a complete physical and a discussion of her 18 headaches, 19 0 Okay. And what, if any, results did you find 20 at the time of that evaluation? 21 A Okay, Do you want -- would you like all the 22 information that I have including the history she gave or 23 do you want just the summary of what the diagnosis -- 24 0 Anything that is relative to the motor vehicle 25 collision. '- 14 3 4 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 .-- 15 1 A Okay. At that time, the history that she was 2 giving was complaints of headaches occurring about every 3 one to two weeks since the motor vehicle accident, that 4 generally these were she considered mild to moderate, We 5 use a pain scale of zero to five, where zero is no pain 6 and five is pain that is almost intolerable. She rated 7 these headaches generally as a two on a scale of zero to B fi ve . That generally she had not found any of the medications prescribed in the past to be particularly effective or more effective than regular Tylenol which is what she would take on occasion if she needed to. In the last few weeks prior to that visit, she had been complaining of an increased frequency on these headaches that she related to stress. And at that time, she was having headaches almost on a daily basis and was concerned that she was beginning to take the Tylenol on a daily basis. She also related that she continued to have discomfort on the left side of her neck and that this made it very difficult for her to carry any heavy objects in her left arm. She couldn't really carry her infant in her left arm or heavy objects. If she did, that often the neck pain would then progress into a headache. And at that time on the examination of her 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 -~ 16 neck, she did have some -- what I felt was some decreased range of motion in her neck. That was greatest with extension, which is tilting the head backwards (Indicating), and rotating to the right or turning to the right. I do not have any method for measuring degrees, so that was not performed. That's simply my assessment of the exam at that time, And I thought that the strength in her upper extremities was normal, but that she was very guarded with using her left arm. So at that time, my diagnosis was recurrent headaches and recurrent neck pain, Q Okay. Doctor, I am going to show you what we have marked for purposes of this deposition as Exhibit 1. Can you identify for me what that packet of information is? A Yes, and I did look through it more completely earlier. This is a copy of the record which I have here in front of me from my office. Q Okay. And those records include not only your office notes, but the reports that were sent to you from various other providers. Is that correct? A Correct. Q Okay. Doctor, based on your treatment and examination of Ms. Novak and your review of the other information available to you, have you formed an opinion 4 1 2 3 4 5 6 7 B 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 -' 17 to a reasonable degree of medical certainty as to the relationship of the treatment for the headaches and the neck pain and the problems from the car accident of February 13, 1997, with respect to Ms, Novak? A Yes. o And can you state what that opinion is, please, A I think that she does have recurrent headaches and recurrent neck pain that by history and evaluation has been related to the motor vehicle accident and has occurred -- has been ongoing since that time. o Do you also have an opinion to a reasonable degree of medical certainty as to whether these problems are permanent or will continue in the future? A I think that there is a good degree of certainty that she will continue to have some problems, I cannot say -- I don't think I can make any estimation of how severe they would be or if they could ever go away. It's possible that they could, but it has been several years and there has been little change in the recent time, so I wouldn't expect any major change any time in the future. o Okay. And you have obviously reviewed all of the treatment records from the collision A Yes. ._4 1 18 Q -- from the various providers. Do you have an 2 opinion to a reasonable degree of medical certainty 3 whether the treatment that was involved and the expenses 4 that were incurred by Ms. Novak were reasonable and 5 necessary for the injuries caused by the February 13, 6 1997 collision? 7 A Yes, I think that all of the treatment and 8 referrals that she received were appropriate for the 9 problems that she complained of. 10 Q And all of the opinions which you have stated 11 today are to a reasonable degree of medical certainty? 12 13 A Yes. ATTY. CUNNINGHAM: I have no further questions 14 for Dr. Uniacke. 15 CROSS-EXAMINATION 16 BY ATTY. KNIGHT: ! , . 17 18 19 Q Dr. Uniacke, I do have some questions for you. A Sure. Q As I understand it, the first time you saw Ms. 20 Novak was in March, the 18th of March in 1997? 21 22 A Yes, that's correct. Q And at that time, she came to you complaining 23 about headaches. Right? ~ l___ 24 25 A Yes. Q You said you didn't know exactly when the car ,_'I 5 1 2 3 4 5 6 7 8 9 accident had occurred. You just knew it was before that visit? A Yes. a Okay. As it turns out, it was actually about five weeks before that visit. Right? A Okay. a I guess she still never gave you the precise date, but I'll just ask you to assume that it was on February 13th of 1997. So more than a month earlier? 10 A Yes. 11 a Okay. Now, you mentioned whether or not the 12 headaches were related to a whiplash injury, but you 13 never diagnosed her with a whiplash injury. She was 14 seeing an orthopedic surgeon at that time. Right? '-.' 15 16 17 18 19 20 21 22 23 24 25 A a A a Correct. Dr. Rubbo? I think the name -- Pardon me. A -- that I placed in my note was different, but I know that both our orthopedic physicians -- and were practicing together at the time. a I am sorry. I misspoke. I said Rubbo. Your note actually says Rychak. A Dr. Rychak is the name that she gave me. a I didn't mean to trip you up. I am sorry. 19 r _3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 ".-....- 20 According to your note from that first visit, Dr. Rychak wasn't sure if the headaches were from the motor vehicle accident. Right? A He didn't know if they were related -- she said that the reason she presented to me was because he wasn't certain that the headaches were related to her whiplash injury was the way that I understood it. Q And according to your records, she had also been to see a dentist to see if her problems were related to some problem with her teeth? A Yes. Q Your records indicate that she told you that the headaches would generally go away when she would take ibuprofen. Is that right? A Yes, the note said that they were responsive to ibuprofen. Q And in fact, she told you that the headaches seemed to be brought on and/or made worse by stress. Do you remember that? A Yes. Q And in fact, she told you that she had been under more stress in her life than she ever had been before. Do you remember that from your records? A Yes, from my note. Q If you need to look, I would be happy to give _5 1 2 3 4 5 6 7 8 9 10 11 12 21 you the time to double-check. But you remember that? A I remember that, yes. o Okay. And you reviewed those records -- A Yes, I did. o -- I assume before you testified today. And when you -- after you saw her that day and evaluated her, you told her to go ahead and keep using ibuprofen for her headaches? A Yes, I did. o And you asked her to come back if they would continue to cause a problem? A Yes. 13 0 And she didn't come back in fact until over a 14 year later? '-- 15 16 17 18 19 20 21 22 23 24 25 A That's correct. o The next time you saw her was in May of 1998, fourteen months or so after that visit? A Correct. o Now, you testified a few moments ago that in your opinion, that the headaches were a result of this accident and the whiplash problem. Your notes from that original visit actually say that it was -- you used the word probably related. Right? A Yes, that's the words that I used in the note. o That's a little bit different from the legal 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 ~. 22 term that the attorney asked you, a reasonable degree of medical certainty. Your actual notes use the word probably? A Well, when I was dictating the note, I wasn't really dictating it for a legal proceeding. Q I understand. After that visit in May of '98, fourteen months after you first saw her, she didn't come back until more than another year had gone by. Right? A You are saying after '98? Q After the May '98 appointment, the next time she came in, she saw your partner. And that was in August of '99? A Correct. Q Then she had a couple of visits within the next year for unrelated problems? A Q Yes. And in those notes, from those two visits, there is no mention whatsoever about the headaches? A No. They were acute visits for unrelated problems and the chronic problems were not discussed. Q So the next time she was seen actually with any headache complaint was in September of this year? A Yes. Q Just less than a month ago today? A Correct. 5 " 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 - -.~' 23 1 Q A Or about a month ago today? (Nods head) 8 3 Q And you actually saw her that time? 4 A Yes, I did. 5 Q Did she tell you that this case was going to 6 trial and we were expected to have a trial during the 7 week of November 5th when she came in on September 5th of 8 2001 after more than two years without complaining about 9 any headaches? A No, was a trial. she didn't tell me specifically that there She did tell me that she thought some of her recent stress was related to some legal problems. Q And again, she told you at that visit that there was some correlation between stress and the headaches? A She said that they increased the frequency of the headache. Q Now, you would agree with me, Doctor, that not every car accident results in injuries. Right? That's sort of obvious. A Yes. Q And not every car accident is severe enough to injure the occupants of the vehicles? A You are correct, not everyone is. Q And your opinions that you stated here today 6 1 2 3 4 5 6 7 8 24 are largely based on the history that was provided to you by the patient in terms of what the cause was for particular problems? A When you say -- I am not sure exactly what you mean by what you are asking. Q All right. Let me try to be more precise. You testified that the problems with her head -- her headaches specifically and her neck problems were caused 9 in the car accident that we are having this case about, 10 that we are having a trial for. 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 A Q Okay. Right? A Yes. Q And when you offer your opinion that that car accident was the cause of it, that would have to be from the history that the patient provides you. Right? A Yes. Q I mean, she basically comes in and says, I had a car accident and now I am having headaches. A Yes, that's pretty much the basis for any physician/patient visit. Q Right. So the history is very important obviously. A Q Yes. I take it in formulating that opinion as to 6 .~' 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 1 2 3 4 5 6 7 8 the car accident being the cause of her problems, you never reviewed a police report? A No, I have not seen any police report. Q And you haven't heard any or read any detailed testimony from the other driver involved in the accident, have you? A No, I have not. Q And it sounds like Ms. Novak didn't really tell you much about the accident either. A No. We didn't discuss too much details. I did specifically in the first note ask if she had had any loss of consciousness, which she denied. Q In terms of how the accident happened or the severity of the accident, those sorts of things, you didn't have any of that information? A We didn't -- I do not recall discussing that and the details I did not put in my note. Q You don't know how much damage there was or wasn't to either of the vehicles? A No, I don't. Q You never saw any pictures of the vehicles at all, did you? A No. 9 Q A Or review any damage estimates? No. 25 . 26 6 ~ 1 ATTY. KNIGHT: Those are all the questions I 2 have. Thank you. 3 ATTY. CUNNINGHAM: I just have a few follow-up 4 questions. 5 DR. UNIACKE: Sure. 6 REDIRECT EXAMINATION 7 BY ATTY. CUNNINGHAM: 8 Q Let's finish up where he just ended or start 9 there. You indicated -- or he asked you and you 10 indicated that you hadn't seen pictures of the vehicles 11 that were damaged. Is that correct? 12 A Correct. 13 Q Would you have been able to look at those 14 vehicles and look at the damage to them and determine 15 what, if any, injuries Ms. Novak would have had? 16 A No, I don't think I could with any accident. 17 Q When you treat any patients, do you ever read 18 the police reports to find out what injuries they have? 19 A No. 20 Q Okay. You talked about having taken a verbal 21 history from Ms. Novak. Is that correct? 22 A Yes. 23 Q In Exhibit i which you identified as your 24 records, you also had records from pinnacle Health Care .-' 25 from the date of the injury. Is that correct? 6 Okay. Yes, that is in there. 1 A 2 Q The first record that is on the top of that 3 exhibit indicates that ahe was being seen, if I am right, 4 about an hour after the collision. Is that correct? 5 6 ATTY. KNIGHT: Objection. MR. HOWELL: Going off the video record. The 7 time of day is 3:48. 8 ATTY. KNIGHT: It's leading. I mean, I let 9 you gu a couple times. 10 ArTY. CUNNINGHAM: Okay. I'll rephrase it. 11 ATTY. KNIGHT: I don't want you to walk her 12 through the whole thing. 13 ATTY. CUNNINGHAM: Okay. I'll rephrase it. 14 MR. HOWELL: Back on the video record. The 15 time of day is 3:48. 16 BY ATTY. CUNNINGHAM: 17 Q Dr. Uniacke, the record that is on the very 18 first page of that, when was that record generated? 19 A This record was generated on February 13, 20 1997. 21 22 23 At what time? This says 12:01. Okay. That record was in your file. Is that Q A Q 24 correct? -..,./ 25 A Yes, it was. 27 ~ 1 2 3 4 5 6 7 8 9 10 11 28 Q Okay. And earlier you told us that you used records from various specialists and other providers in determining -- in reaching your opinions. correct? A Yes. Q Is that one of the records that you used? A Actually, I have to say that I don't remember seeing this one specifically. Q Okay. With respect to the two visits that you had with Ms. Novak that were not related -- Is that A Yes. 12 Q You said that they were acute visits for 13 nonrelated problems and chronic problems were not 14 addressed. Can you explain to me what that means? 15 A Well, it depends on why a patient has made an 16 appointment. If they have made what we call an acute 17 appointment, that means that we are going to see them 18 that day for the one specific complaint that they need 19 addressed at that time. And generally, at those visits, 20 I do not address an ongoing or chronic problem. 21 Q Okay. Now, Attorney Knight has asked you a 22 number of questions. Has any of the questions or answers 23 that you have -- that he has asked or answers that you ~4 have given changed the opinions that you stated about Ms. 25 Novak's treatment and her diagnoses? ,--,' 29 7 r-~ 1 A No, it has not. 2 ATTY. CUNNINGHAM: I have nothing else. 3 ATTY. KNIGHT: I don't have any other 4 questions. 5 MR. HOWELL: This video deposition of Beverly 6 Uniacke, M.D., is now concluded. The time of day is 7 3:50 p.m. 8 (The deposition concluded at 3:50 p.m.) 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 , -- 25 Beverly Uniaeke, M.I>. Novak v Romberger -H- H 1111 J6 -&- & 1'1 I :1t1.~2 4:2 -'- '98 III n:~,9.1O '99111 2212 -1- II'I 2:12 1~:13 2~:23 12:01111 27:22 131'18:113:717:418:5 27:19 13th III 19:9 155111 3:9 173561113:10 18 III 2:~ 18thlll 18:20 1995111 4:25 1997111 7:248:1 13:8 17:418:6,2019:927:20 1998 III 21:16 19991'1 13:4.4.17 -2- 21'1 1:133:12 2'A1I14:12 2000 II I 13:5 2001161 1:123:1013:5 14:1~ 23:8 30:16 25th1l130:15 26111 2:4 -3- 3111 2:12 3:201'1 1:123:11 3:28 III 10:19 3:481'1 27:7,15 3:50121 29:7,8 -4- 4111 2:4 4:271119:11 -5- 5th 1'1 23:7.7 -6- 6111 2:5 -8- 8121 1:123:10 -9- M 1. P '" u 11- age HI - employed llarlOl'1 I IJ .112 412 28 IX base III 1217 complaintsl'16,2l based III 1623 :41 11241.110,14 1~2 basiSI'I I~I~,IH 24 20 jcompletclll 14 17 JO'I beginning III 419 I ~ 171 completed "I 424 5 4 behalfl'13IH.20.22 IcomplctclYl'l, 144 belongl'l ~,18,20 I~ I~ beller II I 10,Il concern III 14 3 betwcen121 3:223:14 concerned "I XK 15,17 Beverly 111 110 2:3 3.1 6 concl~ded III 29,~,H 4.4,10 29:l 311S eonsclOusncss III beyond 121 710,14 2ll: biomechanics III 7:10 eons~deredlll Il.4 , bitlll 21:2~ cons!stentlllll:15 aeutel'l 22:19.8:12.16 b d' consistently III 5:7 ddr 4 II '8 '0 oar 1'1 5:.4,25 . a essl'l: .:~ brought III 20:19 consists III 5,15 addressed III 14:5.8:14 b . " contactSI'I 8:18,20 28:19 uSlnessIl14:119:.. 12:24 advanced (II 7:9 continue 1'1 11:5 I:: 18 againI'I ~:14 9:5 23:13 -C- 17:14,1621:11 ages III 7:3 cannot III 17:17 continued III 15:19 agol'l 13,2021:1922:24 caption III 3:13 eopY(11 16:17 23:1 caflll 17:318:2523:19 correct (261 6:167:192 agrcc1l123:18 23:22 24:9.14,19 25:1 10:1911:131:22149 ahead III 21:7 earclllll:426:24 14:10,111~:21.2218:21 almost 1'1 9121'61L earryl'l I' '12' 19:1521:15,18 :2:13.25 . ' ~" ~J w:. . .. :::3:24 26: 11.1 :!,:! 1.25 ~7:4 Ameneanl'15:20.25 casel'l 3:13,1523:524:9 27:2428:430:11 Annl'l 1:13:14 caUSedI'I 18:5248 correlation III 23,14 answers "I 28:22.23 Celebrex III 13:24 14:12 counsel 1'1 3:2.1930:13 anti-inflammatory III certain III 20:6 ,County 1'1 1.2 30:3.~ 13:24 certainty 161 17: 1.13.16 I couple 1'1 22: 14 27:9 APPEARANCES III 18:2.1122:2 I course 8'17 1'19 'f' . 'I'I ' , . cert~ !cal1on III 3:4 I court "I I: I 3::4 appointment 1'1 22:10 certifIed III 5::2,24 I CROSS I "3 28,1/..17 certif 130'6913 II., appropriate III 18:8 YII.' . ' , . CROSS-EXAMINATION "I a 7 cerva gla"l 11:1.9 ~:1218:15 are 1119: change 1'1 17:211.21 CUMBERLAND III aOOIll 15:22.2316:10 changed III 28:24 1:2 arts III 4:21 checked III 8:8 Cunningham IlOI 1:20 assess~ent III 16:6 Chestnut III 4:21 2:43::0,204:7 6:9 7: 19 ASSOCiates 1'1 1:204:2 ChristopherI'I 1:23 7:22 9:21 IO:~, 11.16,20 aSSUmC121 19:821:5 3'" 18:13 26:3.7 27:1lI,13,1~ .... "'9" allorneYI'1 22:128:21 chronic III 22:2028:13 . ,. allorneys (II 30:14 28:20 Attyl"1 2:4.53:20.22 4:7 CircleI'I 1:133:134:12 ~:9,11.J3 7:16.19,21.22 Civil 1'1 I:U 3:16 9:9,12.21 10:2.6.7,11.14 claiming III 14:9 10: I ~.20 18: 13.16 2~: 1.3 I 2~:7 27:5,8.10.11.13,16 e ear"l 10:1214:6 29:2.3 Colds III 6:25 Augustl'l 13:4.4,17 college 121 4:19,22 22:!2 collision 1'1 7:25 138 available III 16:25 13:11 14:7.25 17:24 19:~ aware 121 7:25 8:2 27:4 away 1'1 17:1920:13 common 121 1:1 12:5 Commonwealth III JO:2,5 complained 1'1 8:7 1J:18189 IcomPlainingl'l,l~14 IR::!2 :!JR IcomplaintPI :!:!.:!1 denicd III 25 12 dentist III 209 deposition 1'1 I 10 2 II 3td~.J7 InlJ 19.5,H 306 describe III 4 IS detailed III 25,4 details III 2llll.17 deteooinellJ 26:14 deteooininglll :S l diagnose III 12:3 diagnosed 121 98 1913 diagnoses III 28:25 diagnosis 1'1 9:23 10,8 10:2514:2316:10 diagnostic 1'1 8,11.24 9:15 dictating 121 22.4.5 different 1'1 4:20 19:19 21:25 difficult III 1521 Dillsburgl'1 1:13 3:13 4:12 D1RECTIlI 2:346 direction (II 30: II discharge 1'1 12: 19,21 12:25 discharged III 114 discomfort III 15:0 discuss III 25:10 discussed III 22:20 discussing III 25: 16 discussion III 14:3.17 distinction III 6:20 doctorllOI 4:137:15.23 9:2510:9.21 12:216:12 16:2323:18 doctor's III 4:23 doctors "I 9: 18.:3 done 121 7:148:12 Donna 1'1 1:144:130:5 30:19 double-check III 21:1 DfI"l 2:11 3:64:86:14 -D- 7:189:6,1710:3,7.:2.23 Dill 2:1 11:16,2112:8,21.251320 d '1 13:22 18:14,17 19:16.24 a\ YI2I 11:16,18 20:126:527:17 damage 1'1 25:18,24 driveflll 25:5 2~:14 duly 121 4:530:9 damaged III 26:11 d' O I unng 121 8: 17 23:6 arry 1'1 1:20 3:20 date 1'1 1:123:108:4 19:8 :!ti::!S Dated III 30:15 dates III 1J:2 decrcased III 16: I I defcndant 1'1 1:5,24 3:15 I degrce III 4:21.23 17: I 17:13,15 IS:2,11 22 I idegrees121 42(116'~ 97-5734121 U 3.16 -A- ablelll 26:13 Academy III 520 aeeidentl"l H:lll 1320 15:3 17:3,10 19:120:3 212123:19,22 24:9.15 24:1925:U,9.13,14 26:1~ accordingI'; 13:IH 20:1 20:8 Action III 1:4 actual III 22:2 -B- baehelorlll 4:21 background III 4:19 backwards III 1~:3 BARE III 1:20 ELICKER & ASSOCIATES REPORTING 800-840-9179 633-5712 -E- E1112:1 earned III 4:20 educational III 4:18 effectiveI'I 15:11.11 cithcfl'l 11:2425:9.19 Eliekerl'l 1:144:1.1.2 30:5,19 employed 1'1 4:13.14 1 ndex Page 1 ,--, Beverly Uniacke, M.I>. Novak v Rombergcr M \. P 1M U 11- age less III 22:::" Icllers III '17 life III 21122 Lionll' 3 'I located III 5: I 100kl4, 10:1620 2l 2~ 13,14 loss III 25: 12 ended - offer NII121 namcl'13X,I~",I.K 1917,24 NEALON III 122 nccessary III I b5 ncckllll 11.11.12123 15,20.24 1~,1.2,11 173.9 2U need PI 21125 281 K needed III 15:12 ncurosurgeon PI '1:6 1322 ncverl'l 11:23197,13 25:2,21 newIII 1324 nextl41 21.162210.15 22:21 Nods III 23:2 nonrelated I'I 28:13 normal III 16:9 normally III 7:149:22 12:3 Notary III 1'15305,19 notellll 13:18,21 19:19 19:23 21l: 1.1 5,24 21 :24 22:4 2~: 11.17 notes 1'1 10:20 21:21 22:2.1730:12 nothing III 7:13 147 29:2 Novak 1171 1:1.2 3:14,14 7:238:5102411:12 12:22 16:24 17:4 18:4.20 25:8 2~:U.21 2810 Novak's III 28:25 November III 23:7 now 1111 3:19.245:2 11:1212:2119:1121:19 23:1824:1928:2129:6 number PI 3:1628:22 NUMBERS ", 2:11 21:7 identification III 37 idcntified III 2623 idenlifypl J 2510,14 Imagcs III 3'1 limportantll124,22 improved III 11.4 improving III 94 inadmissiblclIl 111'1 include III 16:19 including III 1422 MI'I 1:23:14 inconsistent III 11.24 M.D 161 I: III 23 3:174:4 increased 1'1 15: 14 29:6 3(1.8 23,16 major II I 17:21 ineurrcdlll 18:4 makcslIl 10:15 indicate III 20:12 Marchlll 7:24 18:21l.20 indicated "I 2~:9.10 marked PI 3:~ 16: 13 indicates III 27:3 Marshall III 4:23 Indicating III 16:4 matlefl'l 8:130:14 infantlll 15:22 may,41 8:2421:16226 information 141 14:22 22: 10 16:14.2525:15 'mcanl41 19:2524:5,18 injure III 23:23 27.8 injuricsl41 18:5 23:19 meansl~1 2814,17 2~:15,18 mcasunngll' 16:5 Hanovcrll130:15 ,injuryl'l 7:108:10 19:12 mechanics III 7,10 happy,ll 20:25 I 13 0 7' v 19: 2:.~ ., medical III 2: 12423 HarrisburgI'I 52,15 interested III 311:14 7:1117:1.1318:2,1122:2 hcadlll 16:323:224:7 ,interrupt III 104 ,mcdieation121 13:23.25 headache 141 11:1015:24 intolcrablelll 15:~ medications III 15:10 22:22 23,17 introduce III 3: 19 mcdicinc III 7:20 factllI20:17.2121:13 headaches 124, 8:7.9 . I d ' M . I family 1'1 4:245:20,24 13:1914:1815:2.7,15.16 '~V~ ve III 11:.218:3 em?na III 5:17 5:256:15.20,227:1512:2 16:1117:2.818:23 19:12 ,.5:- Imcnllonll122:18 far III 11:16 20:2.6.13,1721:8,20 mvolvemcntll18:23 ,mcnlionedlll19:11 Februaryl'18:11J:7 22:1823:9.1524,8.19 issuelll 14:5 ImctpI8:12.14 17:418:519:927:19 Hcalthl'l 4145:3,8,13 itselfIl19:22 Imcthodlll i~:5 feltlll 16:1 5:15 2~:24 mild 1'1 12:515:4 fewl41 6:1115:1321:19 heard III 25:4 -J- Mildrcdlll 1:53:15,23 26:3 hearsay III 9:19 Jill 1:23 mind III 8:25 field III 720 heavy "I 15:21.23 . b ml'nutell19',1 f'l H II JO PI 5:5,~ 0 I elll 27:23 COllI 6:14 misspokelll 19:22 - - filing III 3:4 herc~y III 3:2.4 30,6 -K- mitrall'l 14:3.6 objcct III 10:12 findings 1'1 11:1512:11 hercmbeforelll 30:7 moderatellll.~',4 objectcdll19:12 f. he If kCCPI'1 10412:1521:7 \Delli 10~,1113:3 .rse 1113:25 I moments III 21:19 objection 1'1 7:219:9 f' . h I' II knew III 19:1 \D'S 1112~:8 '.' 1114:22 month III 19:922:24 10:3,13 27:5 firstl"l 5:5,66:37:23 hIstory III 8:22 14:22 Knight "01 1232:53:22 23:1 objcetionable III 920 ii~No2Uinnl'6 ;~;t9 241.1~,22 ~:~; ~ol;YI~:~:~~ ~:I months 1'1 2117 227 objections III 720 27:2.18 Hospital 1'1 4:25 5:1.16 27:5,8,11 28:21 29:3 mas~ 1'1 11:10, 12: 10 objects PI 15:21.23 f. at 16' obvious III 23:20 ,vel'l 4:17 15:5,6.8 19:5 5:16.16 m lonlll .. Flulllo:25 hospitals PI 511.13,14 -L- 'motofl61 13:8.1914:24 obviously PI 7:4 17:23 f 11 h L I 5 3 15 15:317:1020:2 24:23 o ow-up III 26:3 OUTIII 27:4 1'1 : : MRl' occasion III 15:12 follows III 4:5 hourly III 6'7 Lanc III 3:9 III 11.1 forego,'nglll 30',6.11.13 H II '<, , largely III 24:1 MSII'I 4:1 7:238:510:24 occupants III 23:23 owe 1'1 1'1. H.8..4 11'1' 1'21 16"4 IN occ rrcd 8'1' 17 II formedllll~:25 9:10!0:1827:6,1429:5 last III 11:18141315:13 1l;:4~19.i5:826~15.2I' 19:~ 141, ,. : formulat~d J2I 9: 19 10:8 Huntmgton III 4:24 Law III 1:4 28: 10.24 occurring III 15:2 formulatmgll12425 husband 121 1:23:14 leading III 278 musclcpIII:2.1 Octobefl411:123:1O forth III 3117 leads III 9,1~ myofascial PI 11:1.9 13:4 30:16 found 121 11.2315:9 -1- lertl'19:315:21l.22,23 IOffl21 9:1027:6 fourlll131 ibuprofen 1'1 21114.16 I~IO -N- offerII16:97:1924.14 i legal III 21::~ :::5 2J:l:! fourteen III 211722:7 FRANKEL III 1.20 frequency I'l Ill4 23 In front III 10 IS full 121 U31l,II future 1'1 17: 14.22 5731114 cndedlll 268 entitlcdll1924 ESQ PI I 20,23 cssentiallYll1617 cstimatcs III 2l:24 estimation III 11:17 evaluated III 21~ evaluation III 10:25 -G- 14:21l 17:9 gcneral III ~:17 exact III 8,3 generally 1'1 154,7.9 exactly 121 18:25244 20:1328:19 examl41 1I'18,18,221~:7 gencratcdl2l 27:18,19 examination 141 4:6 given "I 28:24 30: 10 15:25 16:24 2~:6 giving III 15:2 cxamined III 11:13 gonc I'I 22:8 exams III 11:23 good III 17:15 exhibitl'l 2:11 J6 1~:13 GOVER III 1:22 26:23 27:3 graduated III 5:8 EXHIBITS III 2:10 greatest III 16:2 cxpectlll 11:21 guardcdlll 169 expected III 236 guess III 19:7 expenscsIII 18:3 expert 121 61 7:20 explain III 10.23 11:9 28:14 extension III I ~:3 extremiticslIl 1~:9 -F- -1I- -M- ELICKER & ASSOCIATES REPORTING 800-840-9179 633-5712 Index Pagc 2 Beverly Uniaeke, M.D. Novak v. Romberger Mulli-I'age' " -, officeI'I 13:2 16,1~.2t1 l:I2.14,ll 26 24 readingI'I J l often III I l:2l place 121 I: 13 JtI,~ really 1'1 IS:22 22l 2lX onel'11413,15IlJ2X~ placcdlll19,I9 reason 111 h,'I2t1l 288.~8 plaintiffSI'II:3,IUI reasonable 161 171.12 ongolOgl'l 10J 131'1 lll,18.21 Ih2,4,11221 17,1128:20 plans III 92~ reccivellll28 O~e~atorlll 116 PLEAS III II reccivcdl'1 11122 127 oplOlonlll 1II:816:2l point III 14:1 Ih8 176.12 18,221.2024:14 poll'cc 'l' 1 '.'10 reccntlll 17 '1'11' 24:25 III. ....n 0 ,. ..: . Polyclinic III 4:2ll: I recommendations 121 5:1~ 11:612:12 position III 4:1~ record 1111 9,1II,2U2 possiblelll 1719 10:12,18 16:17 27:2,~,14 I' 27:17,18,19,23 prac ICCIII ~:2l6:15.22 recordsllll 2:12 1~:19 practicing III 19:21 17 '4' 0 , :. .0:0.1.,2321:3 practitionerlll ~:18 2~:24.24 28:2.~ precise 121 19:7 24:~ RECROSS 111 2:3 prednisone III 11:2 recurrcntl'l 16: 11.11 prescribed III 15:10 17:8,9 presented III 20:5 Red III 3:9 presenting III 8:5 REDlRECTI11 2J preserved III 1013 266 p.ml.1 1:123:1129:7,8 re'erl' 619 I' 10 PrettY111 2UO I' I: .: packet III 16:14 ' I pageI'I 2:1127:18 privileges 1'1 5:10,12 re,erra Sill 18:8 paid 111 6:5,7 proble,m~~I,I2:I~20:10 regularlllll:11 . 21:11..1.8:.0 relatedll'II3:~,11.13 palDl'l 11:11.12 15:l.5,~ bl 13'191' I' 191710 15:2416:1117:3,9 pro emsll~1 8,:lI2:4 ,.: -. : " 17J,13,16 18:9.0:9 19:1220:4,6.921:23 palOslll 1.:3 2215,20.2023:1224:3.7 23:1228:1030:13 Pardon III 19:18 24:8 2l:1 28:13.13 rclationshiplIl 17:2 parrot III 10:10 procccdinglll22:5 relative III 14:24 part 121 5:27: 13 professional III 5: 18 rclatively 111 13:24 particular 111 24:3 progress 111 15:24 relaxant 111 11:3.7 particularly 1'1 12:18 prolapse 121 14.4,7 rely 111 9:23 Il:I.O provcdll19:2l remember 1'1 20:19,23 part1esl'I 3:330:13 provide 111 10:8 21:1.278:7 partnerl'l 13:1822:11 provided III 13:1514:13 rendcnnglll 13:7 past 111 15:10 24:1 rephraSeI'I 27:10.13 patientl71 12:16.18,19 providerslll 1~:21 18:1 reportl.1 12:7.11 25:2.3 13:2524:2.1628:15 28:2 reported 1'1 9:2lI0:23 patient'sl'l 11:2412:16 provides III 2~:1~ 11:16,2530:10 patients III 12:4.926:17 Publiclll 1:1530:5,19 reporter 1.1 1:ll3:2~ Patricia 121 I: I 3: I ~ purposes 111 16: 13 30:5,19. Pennsylvania 1101 1:2 putl'l 9:1 2l:17 Rcportmg 111 4:2 1:13 3:10,13 4:12.22l:2 reportsl'l 12:9,13 1~:20 lO:2.5.ll _Q_ 26:18 people III 6:19,24 11:10 - represcntll13:9 pcrformedl.1 8:169:15 Qual III 2:l requesting 111 14:17 11.23 1~:6 qualifications 1.1 ~:IO residency 1.1 4:2l6:15 pcrmanentlll 17:14 6:127:1712:2 7:5.12 Philadelphia 111 4:22 questions 1101 ~: 10,11 respect 121 17:4 28:9 physiatrist 111 13:21 7:1~ 18:13,17 2~:1.4 respective 111 3:3 h . 28:22,22 29:4 p YSlcal121 11:814:17 quoting 111 13:20 respOnSeI'I 9:1610:2 physician III 4: 14 5:2l responsive 111 20: Il 5:24. . .R- result III 21:20 P~4Y2sllelan/patientlll results I'l 10:22 14:19 ., , . range 111 16:2 23:19 phYSICians 1'1 5:21.2l rate III ~:7 revicw 1'1 16'24 ""4 6:21 11:2519:20 rated III 15:6 .' .... Pictures ""12' reviewed "I 17:2321:J , 1'1 .... ~,1O rcachingll128:3 2l:2 PIOnac1el7l 4:145:3.8 readl11 2l:4 26:17 rightll6l 14,6164.5 orinions 1'19:1818:10 3:25 28.3.24 order III 9:2 organizations 111 l:19 original 1'1 21:2230:11 orthopedic 1'1 7:l 8: Il 8:1812:319:14.20 orthopedics III 7: 12 Osteopathic 111 l:l~ outcomcll130:14 -p- SSIII ltl2 startlll 2~X started 121 II 1.2 slate I'l 48 17,6 stating 111 11.4 stenographically III 30,10 slilllll 197 stipulated 111 3:2 STlPULA TJON 111 ):1 strength 111 1~8 stress 1'1 15:1520:18.22 23:12.14 -S- subject 111 30: 14 S III 1:1430:5,19 subsequently III 30:10 sawl"l 7:24 8:2U311:3 suggested 111 13:23 13:17,22 18:19 21:~,16 summary 111 14:23 22:7.11 23:3 2l:21 supervision 111 30: II s~r~rl 19:23 24:18 surgeon 111 7:7 19:14 S I 15<7 surgery 111 7:5 ca e12I:.. s stain d 810 SchlegcllKI 9:610:22 U e 111 : 10:23 11:16.21 12:8,21 swearll13:25 12:25 sworn 111 4:530:9 school 111 7:11 symptomatology III scaling III 3:4 11:17 scc 1'1 ~:24 7:23 9:4.5 symptoms 111 11:5 12:l 11:13 12:620:9.928:17 Systemllll:13 seeing 1'1 19:14 28:~ SystemSI'I 4:155:3,15 Scidlell15:17 scnd III 12:11 -T- scntlll 1~:20 tccthll120:1O scparatelll IJ:IO telling 111 4:199:18 Scptemberl.1 13:l termlll 22:1 14:1622:2223:7 termSl11 24:22l:13 set III 30:7 testifiedl'l 4:56:1 2Ll sevCrall11 13:2017:20 21:1924:7 scvcrc121 17:1823:22 lestifYlI1 6:69:2430:9 scverity III 25:14 testimonYI.1 6:825:5 shorthand III 30: 12 30:7.10 show 111 16: 12 testing 1'1 8:24 9: Il,2l sidelll 15:20 testSI'I 8:11.1~ signing III 3:3 Thank 111 7:1726:2 similar 111 12:5 thcmselvcsll13:19 simplYI'I 10:10 I~:~ thcrapYlI1 11:8 sometime III 8:2 thereofll130:14 sorry 1'1 19:22.25 thought III ILl 16:8 sort 111 23:20 2l:11 sortSI'I 6:2425:14 throughI'I 1~:16 27:12 d d throughoutl'l 10: 13 soun e 111,9:17 11:20 sounds III .5:8 1'It' spccialistl61 8:15,199:5 ! IOglll 1~:3 9:5 II:n 12:19 hmes1l127:9 spccialists 1'1 8:20,23 tod~YI'1 6;~ 18:11 21:l 12:9.10,11 28:2 22:.~ 23:1..5 specially III 6:20 Today'sll13:10 spccifie 111 28:18 together 111 19:21 spccifieaIlYI'112:19 tOOJlII0:162l:10 23:1024:825:11288 top 111 27:2 spend 111 68 track 111 12:15 Ik ~J P) ~.I" ~1I:11" ~I~J ~1:M 13,19 14h.12 14 1(\.12 27.3 RMRp11:14Jtll,19 IRobaxin 111 II 3 Robert III 96 Romberger PI (j ll5 3:23 rotating 111 164 routine 111 624 routinely III 128 RubbOI'I 19:1~.22 Ryehak III 19:23,2420:1 ELICKER & ASSOCIATES REPORTING llOO-1l40'9179 633-5712 Index Pagc 3 tralD III b~(1 VIsits 1111 1),1.2.6,",16 training III l:4 710.1) 21:J4.17,191H:lJ.12.(t) transcribed III JO 10 vs III I 4 transcript III .lOll ---.---- transmittcd III 922 -w- treatl'l 123.~,18 2617 WIIIUO treatcd III 1217 Wagneflll 13:22 treatmcntlIJI 817924 Wagner's III 13,21 10:111:2,2013.7.15 waived III 3:4 1~23 172,24 IM3,7 walk III 27:11 28:25 trialJ'l 13:23 23:6,6,11 WayncIII 1:153:8 24:10 week (II 23:7 tried III 13:25 weeks III 15:3.13 19:5 meslll 10:7 West III 4:24 trip III 1925 whatsocvcrlll 22:18 true III 30:11 whereby III 9: 17 truth III 30:9 whiplash 1'1 8:10 19:12 try 1'1 6:1910:4 11:724:6 19:13 20:7 21:21 tuminglll 16:4 wholc (21 27: J2 30:9 Williaml'l 1:23:14 tumslll19.4 within III 22:14 two "1 9:713:9,9,13 15:) 15:722:1723:828:9 without III 23:8 TylenolI'I 15:11.17 witncss 1'1 2: I 3: 16.25 types III 1l:8 4:430:9 wOrd(21 21:2322:2 -u- words III 21:24 under 1'1 2022 30:10 worse (21 11:720:18 understandl'l ~14 10:2 Wynshire III 3:9 18:1922:6 -x- 'J understood III 20:7 Uniacke 1111 I: 102:3.11 XIII 2'1 3:6.174:4,8,10 6:14 7:18 9:1710:718:14.1726:5 -y- 27:1729:630:8 Univcrsity III 4:23 yearl'l 21:1422:8,15,22 unrclatcdlll 14:4 22:15 years (41 4:17 13:20 22:19 17:20 23:8 UPJll 13:25 19:2526:8 York 1'1 9:630:3.6 uppeflll 16:8 -z- uscd ('I 21:22,24 28: 1:6 usinglll 16:1021:7 zero 1'1 15:5.5,7 -v- valve III 14:3.7 variousl'l 16:21 18:1 28:2 vehiclcl'l 13:8,1914:24 15:317.1020:2 vehiclcs 1'1 23:23 25:19 25:21 2~:1O,14 vcrb.tllll 2~:20 versus III 3:15 videol'l I:I~ 3:9 9:10 10:4.15,1827:6,1429:S Videotape III 1:9 vidcotaped 1'1 3:12.17 Virginia III 4:24 visit 11'1 8:3.219:314:12 141315,13 19:2.520:1 21:17.2212:623:13 =4:21 Beverly Uniaeke, M.I>. Novak v. Romberger Multi-Page '" - ,..,../ ELICKER & ASSOCIATES REPORTING 800-840-9179 633-5712 train - :t,cro Index Page 4 \ ~ , . .... . ~. ~ ... ,f hI, :~~~- ,-t. .:F . :'~. j; " TO YOU' Qiil HiRlIY NOTIFIED TO Fill ~III RIIPOIIII TO THI " WITHIN TWINTV 1201 DAY I FROM , , _el HlRIOF 011 A JUDGMENT ',MAy. 8ITIJIID AOAIHIT YOU ".IV ATTDRNIY FRANKEL. BARE a ASSOCIATES ATT'DRNIYa AT LAW 14 WIlT KINa ITlIIIT VORK, 'INN8YLVANIA 17401 ".:-. .-, WI DO HIRI.... CIRTIFY - 'Tli THI WITHIN 18 A TRUI AND CC RICT COP'" OF TNI " ORla11l "LID IN THlI ACTION. ' . 0',' .... "-, An~,.':,.~.. .),I:'.~,. ,."", ..., " ,". ".:,'~ r""'i-'I.." I , . . . " , I . " ? ,..-. \ . \ ..,...,-- -'7-_u-'-'r-"-:"':.:':_~.;...-_!:-~~_.-,-- -"1 ~ - ~, - PRAECIPUOR I.ISTING CASt: FOR TRIAL (Mu'l be I)'pewrltten and lubmlUed In duplicate) TO TilE PROTIIONOTARV OF CUMBERLAND COUNTY: Plea,e list the following case: (Check One) tA for JURY trial at Ihe next lemlof civil court, ( ) for Irial wilhoUI a jury. (CAPTION OF CASE, entire eaptlon mu.t be .tateln full) (Check one) (X ) Civil Action. Law () Appeal from Arbitration ( ) PATRICIA ANN NOVAK and (other) WILLIAM M. NOVAK, PlainlifTls) Thc trial list will bc callcd on Octobcr 9. 2001 Trials commencc on Novcmbcr 5. 2001 vs MILDRED L. ROMBERGER, Defendanl Prctrials will bc hcld on October 17.2001 (Briefs are due S days pretrial.) (The parly lI.tlng this case for Irlal .han provide forlhwlth a eopy of Ihe Praecipe to an eounsel, pursuant to Local Rule 214,1.) NO,91 ,5134 Civil Action - Law. 1997 Indicate thc allomey who will try case for the party who filcs this Praecipc: Christooher J. Knil!ht. Esauirc Indicatc trial caunscl for other parties ifknown: Mark I>avid Frankcl. Esauire This casc is rcady for trial. NEALON & GOVER, P.C. Dale: ~ ()\ BY:~ Chdslopher J. Knight Esquire Allomey 1.0. No, 80058 Allomey for: Defendants 2411 North Front Slrcet Harrisburg, PA 17110 (111) 232.9900 . 1 CERTIFICATE OF SERVICE AND NOW, Ihls --L- day of ;1":) . .,J ,2001 I hereby certify that I have served the foregoing Praecipe for listing Case for Trial on the following by depositing a true and correct copy of same In the Uniled Slates mails, poslage prepaid, addressed to: Mark David Frankel, Esquire FRANKEL, BARE & ASSOCIATES 14 W, King Street P,O, Box 1389 York, PA 17405.1389 /JA~ Christopher J. Knight, Esquire FRAN~==::,;r~TU j', W~T~~~I:~T~r~~lf~i _.N~:~'=",~~~~if~ijiJI ,) ...;' ! . 1'0 yoil ARI HEREBY NOTIFIED TO fiLl A ,WRITTlN RElPON8E TO THE ~ ' ENClOUO ' WITHIN TWENTY 1201 DAYS fROM IIRVICE HEREOP OR A JUDGMENT MAY II ENTtN!0 AOAtNIT YOU IIY ;. A~ , , . -. , .- :,; . " ! \ !" i ~, , , \ , ,1 I. I , \ ,....... . .' ,~-- .-;~--, l'-._~~'f ~- . f IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PATRICIA ANN NOVAK, and WILLIAM M, NOVAK, her husband, Plaintiffs NO. 97-5734 Civil vs, CIVIL ACTION - LAW MILDRED L. ROMBERGER, Defendant JURY TRIAL DEMANDED PLAINTIFFS' RESPONSE TO DEFENDANT'S REQUEST FOR ADMISSIONS AND ACCOMPANYING INTERROGATORY v , P'RANKEL, BARI! 81 ASSOCIATES ATTORNEYS AT LAW 14 WEST KING STRUT 'fa"" "INNaYl.VANIA 11401 PLAINTIFFS' RESPONSE TO DEFENDANT'S REQUEST FOR ADMISSIONS A. Each of the following statements is true: 1, The photographs attached hereto and Incorporated herein as Exhibils 1(a), 1(b) and 1(c) are fair and accurate depictions of the molar vehicle you were driving thai was Involved In the accident with the Defendanl, on or about February 13, 1997. 1, Admitted. 1 I 4. There were no repairs performed to your motor vehicle Ihat was involved in the accident on or aboul February 13, 1997 as a result of any damage sustained in that accident. 4. Denied. On the contrary, repairs were made by Jeff's Body and Paint Shop pursuant to the Allstate Estimate of 02/20/97. Payment for the repairs was made on or around March 07, 1997, Documentation of this payment for repairs is attached and may be used by Plaintiffs at trial as an exhibit, By way of further response, there was also a 02/21/97 estimate of the damage provided by Continental Motors Bodyshop in the amount of $598,24, of which a copy is attached, 5. An inspection was performed on or about February 20, 1997,10 assess any damage suslained to your vehicle in the subject accident. 5, It Is admitted that an Inspection was performed by or on behalf of Defendant's Insurance company, Allstate, on the date of 02/20/97. 6, As a result of Ire inspection performed on your vehicle on or about February 20, 1997, an estimate for repairs was generated which indicated a lolal costs for repairs In Ihe amount of 5347.84, 6. It is admittad that the 02/20/97 estimate generated by or on the behalf of Defendant's insurance company, Allstate, indicated a total repair cost of $347.84. ;J 7. The estimate attached hereto and incorporated here!n as E~hibit 2 Is a Irue and correcl copy of the estimate generated as a result of the Inspecllon of your vehicle on or aboul February 20, 1997. 7, Admitted. Said estimate was preparad by, or on the behalf of Allstata, the Defendent's Insurance company. In eddition to the estimate prepared by Allstate, there was also e 02/21/97 estimate of the damaga provided by Continental Motors Bodyshop In the amount of $698.24. Respectfully submitted: Date: October j., , 2001 FRANKEL, BARE &, ASS7ES I ~ f\ ~w\ \\~\ 1AL\~ ~ Mark David Frankel, Esquire' . ~ I.D,No.17142 Attorney for Plaintiff(s) 14 West King Street P,O. Box 1389 York, PA 17406-1389 Ph: (717) 864-3836 PLAINTIFFS' ANSWER TO DEFENDANT'S INTERROGATORY 1. Defendant hereby requests that for each request for admission set forth above which you deny, in whole or in part, state: a. all facts, information and matters, including relevant dates, times and places. upon which your denial is based; b, any statutory, regulatory provision(s) or other legal basis upon which your denial is based; c. the identity by name, address, phone number, and employment litle of all persons with information or matters upon which your denial is based; d, a summary of the information or knowledge possessed by each such person; and e. Ihe identity and description of all documents that refer or relate to the facls, information and matters upon which your denial is based. 1. a-e. See Plaintiffs' Responses to Defendant's Request for Admissions, Respectfully submitted: Date: October~, 2001 FRANKEL, BARE & ASSOCIATES. \.\\)fl~ M~~~~d Frank~ESqUire ,fl." ~ ' 1.0. No, 17142 Attorney for Plaintiff(sl 14 West King Street P.O. Box 1389 York, PA 17405-1389 Ph: (717) 854-3836 EXHIBIT 1(b) EXHIBIT 1(b) EXHIBIT 1(0) . -- EXHIBIT 1(c) EXHIBIT- 2 "t.. t . ':';' L'~ r.j :.. 'j:. (. ~ .', ~. , .lIl .'irl. ".".', ..I'.'r',. ;.. .' I.' " 1-...11 ,; ...t "... . .~ .' ..... "'.'_' ....-. .. .. . .. I." .... ...._.,',.., .. I ...".." ':.<:',1" """Il":l'j.,... ,-,:. '-.'. -. . ,', ~..' C:'!F,~,r:'''''',~,-rj:'h; .., "', ~',l !! t ':: ::.~- ":'?-:' ".-- .... ,','I. .. . : j.<'':';.'l;,r. .:;~.L..=. ";'" ,:I-r:.: . ...-,. .. -. "~:...' , - . .;.. ';',' .:I..I'.':Iftt..:VIT tiC,\h-i.". F'{~TFICI(.'1 '" ,,:, 'IE 1...1~'~":, ~'''''r'rr '..~I:"lr.-:." IT'f :: !'.i: ;f ~.!"-I" T ~ Me-I 7 IJ";'.~ r;'.,'(EE r ~ i'; ;~'E (T Ic'r.l T','r'C: FIELL' ~i-;' ~,;:a: ;r.::r\ : U',i'l:: ....~,:.c:r~.~E " t\'~r.l~F. i 1...C:~'lr.;: . .' -,. -.- .1..,..,:.0'.'.'.....' ~!'~:F:: " C\1.'t-.~ 'C'" , . '. .,- .: '::'J ,):. 7:':.';' ;:,:;;-".:. .,.,.:,;."".;. r::::.: : :-.,,~ :'::1-'51~2 ~< ", ',~"'-:'f'>":': r::':~~-= ~~r/'!'" [,t':o c.,t:' .. . ...~ . .:',) !(\i....~r. ~.l......r- ,.'::'::'11'-';'" ~_,:'(,'~T!ON PES (I;";' ~,':I:i CITY STATE '. '.. 1 = httr::'RI';'~:'I:::' ';. 1711::- ,~ ,~ ':'" re. ~. '.. . ':'~'li:l;':R r;ril'lC: :;':'i-~~ r-".:'J~;=: :~1 "7', . . - ' . 1:' .:. :. w'):)')':: ". :5':'" ~'1r-:.e ';'. ;:'.~'~:';::ES" ::' ': : ~'1' -:' - :, i:~ r;O', ,.;::, r':-1T;:~ICI(~1 ::C';' "'11:'f:'.~"I!"'.i~.I_E'::o:. :.:=' ~ ::::;::::1. -rrJ ..,t_ r ..'. ? ;i':lr~::: \ .j (~ ::i I ~':I ~, '7 -'1 ,:.- - - . -'::..-t.....J.:\ ::IP ;~r~;; 8.)~'1 ~~!O~~ (717) 7~O-94~7 ~: ..>..1..1 .~ l'I';F;f.C: '1'-:' r MEC.HANIC SBI.'F:", "17(15'.:)- ....... I*,'j. r ;.~ ~.~ 1:;'E:S' ~,~;:)F' ~'HONE 1~:'[';'::E':o;. Ci-iY ST :~TE PA ~ I:;':"::: (1!~7 r-';'t~"3 Tl) F.~l;,. ~,> Rr::;:';:':I; \/r:~': '::LC: ......~.,.: : '_'!:',;:: '_' L~I~..'\': y :01":::""1':: !'.F' ..j;:':'::':' ~ 4+:-'(L 1~:;rtS-(ILltoJr:: 2. '5 [.O~(' ~':-'7 ~.~:t~S ';i'ITI-LOCt E-t=:nl(E ';'I'~TE;'l ':RUISE ('JI,r,ROL =":I\oJEF, [.(lOR LO( L S ~ :.I..JER l,11 1. i'i[:'(ll~S F'EAR 1-11;:'2:" l':'l!JTOttlATIC TF',.';N~ ,.;:::~: ('(':\!~'f!~!.")~;P:"-:; [<UMPEF: CO'!;::;:; f"l)u~m,.p FOG LAI1F'$ i::LEC F'E-"'O~E C'-I"'IT:::()L if,I~'RIJF:S l.!_:I:;':iHI:-1~ r..p..:~ .~ _'..l~:==:l_ .-. r.:,[.',' ,:.':Il.(:R C')l'I['ITION L .r(.Er",~,E n LICENSE STriTE WHITE a;iCII~t' ~r~!~i~E '~.575 F'A VIN 4S~BG6857T73826S.~ (,')['E F'::::: 1 ....EH !H:iF' 11 ,-:.[. j-r:. L,:,) EXHIBIT 2 . f \ ClI;P I r':rl (L')'iI.R~ SHEE r FRO," ,l? L"r.'~l , , III Jf/6- ,/ fl. l) \..: IJ , I t~ (I,U\,I1 I:;") ~(' 3tW? LRSID ~ (e~ 0001,88011 o IrF. 0..\1,\\ ...S:iIG,""ED ''2'- (1 . 97 IIc'-'ll< ,.,..~ jj7 f /"lIst" FIELD I,...ITJ....L C....LL INSPECT ESTIo\.\A TE ESTIMATE D,....TE DATE A."'OUNT COMPLETE D.....TE '2 - -z." ?~~() 1 '17. fy 2..- '1, SECOND C....LL D.....TE '].-'ZC) I ___J -'-- '-- - - (. --. ~ _MILDRED L ROHBER~FF ':':':~~CCi~T~~~~:NT OF ANY ~NTi ALL CLAJM': ...i ;;;.' i"f::,]F'I::RTY DHMAGE CAUSED BY "ACCIDENT ON 02/13/97 $ TH"EE HUNDRED FORn SEVEN DOLLARS AND 84 CENTS*~U.* ***.*~ " _ INVOICE NUMBER PROC MCO IRS PA~eE 76233098 0,1.i.,; 04' 9;' 76:!:l:l'l99 7 Allstate" 7b233098 7 "L'..STI.TE :NS,-,P,.l.NCE CO'-IP.a.N't' OR op.E c~ ITS AFFilIATES ~ ;~: f'AlRICItI HDVI\K 3~ MCCANDLESS DR E IJERLLI Po' 173\6 ~ FILE COpy NON-NEGOTIABLE '" ( - -- --,~m~~1l2);-- --- -'- - _0_-'--'-- ---_..---~ ___.u _ ________. - -- -.-- -- 1 RECONCILE DATE A""OUNT DUE REFUND RECEIVED DATE R~c,I" ilJlul: 8 .' Stiofe, 0 . OUf,nJ. ,... . ....itef iupplemtnl r.pe: I . Incorrect Price; 2. O"r1ooked O~m~le; J. Hidden O~m~ge .J _ .'l~;("r!J'c'J ,l"'Ol'rH. 5 - ~tJll Rt!r'JC~m~nt CO,)! ': .. ?d:l~ t-' IC. 1.\..f'.'J'L JEfF'S '.?/7/,) BODY &nd PAINT SHOP Oil. Pllnt Code Owner , 1 ~--; 7' / ))J .:{''- B()(1y Slyle Prod. Oale --:.; Makl/Model -:-<',;; U (':'6~' / ):;-1. ..:/(..-." Senal Z..IO SOUTH lo4"ltKItT !ITltEn Io4ICHANlc:.IIU"a, "A. t70ll1 ""OHI 17171 7~'''17 " (', d' J 17,-'" Vllr Phonl Add,US f"i jI, t .,,;sS ~l Z LAlOR WI$C, NEW "l' ITtW I'A<<l1 ~',~ :.4 ,;:;.. ~ .;A.-A , ,-"e., I~'-S-~ i. ..;C;'. . r ,..... -l.'. d 7/'1'1 t' ----- The abov. is In nlimltl based on our Plrh S inspection Ind does not COVlr Iny hiddln _ Houri @ Labor S dllmlaU. PricI quotlltions Ire based on current listinasand Ire subject 10 chinle. Mise, S 5 J5 .I( /-1<; ~ Tax S '1,,",, Towinl S S<f7 S <[" Authorization to RlplIlr: TOTAL ESTIMATE S 1 I I 325..=t CONTINENTAL MOTORS BODYSHOP .,:..:...;, ;;. . - .- .. -. ~.~. - .. '., ~ 4 ~. ~"; -.:.-. ~. i"" ~; ~ I , f -, -. .'..' . ro'.... ;.... ~!::: .... -' . -. . ~. ... ~.. '.. .' : - . ... _I- ~ "; _ .. :.1':': '" .. - - '. --- Visual Damage Quota.tion #3254 bV DE~NY PAYNE on ~2-al-~7 ......J,., _~...\-'.I' .......; '" l~l.', \,"::~: ..~~;:~,:;:,:'., ;.:.:..=.:-: .. ". ..,\, . Ir.s I.:rtf" ~~jw,t,1'" ~?p,.allt"': C: .oi r"i"t I ~ f', " '...'" to:1 : ~: II =,' . C:Gl~ .. '::~':_;:.:s :.:.: St y) f t.i~1 P:i~t: :'alnt C,.:e: ='1'",.:. ~ it i 1 M _ .... _. . \ M .... :":".f' .:.:~-~:;=I "'- . .. --- .. :r: t ~ 1, :;. :f~wct~::f: - . 'I' ~ : f .;; e ; .........,. ..,.. .. .. '.... ,,:.,.-'..:' .. ..' :-- -~. . , ~'..; :, ~I::" ~,:.. t ~,:" ~...". :....!:, . , . ..- ...: o. w " " .. .. . . ,.' .~.. , :. :.:-. of"" . ';;.. . . . ... , :. :,:,:"':'. ..... . . .. .'... ~i::" :: ~It:..::~~:.~ ..;..... ...... .,- .-.:" .::. ..;.......:. ; :". 0_- .. ';" '':''' .....a a.__ ',:a' .. : ....,;.' , : ~:~ta.~ :~f. Lru"r ~=-:' i iio.. .' 5.=:n .t~ I: , ::.- ":. 'I'" ...\. ::':',. w:-E::::..:- :' "'.. -., ~ ~ ,.- \:.' Z::, :.t. .:.. :! ~;,. ~.: . .- ;'-. ...a.._.. ...._ a..a.....: ..:: co ... . ~:. .... i.. (: ..: i~ i i.. i: .;. ii ..' .. :........ :...;'. . :,.....10 '..1' ..... .. 4. 1 .' i ~ I: :: l~ I:~ i~ 1"; II f . ~.. .. ...:..., ~l~: .. z;. ~ ~ :;'1'':1 ~:r ::. ...... .' G....and Total 598.':4 E5Tl~TE RECAlL ~~ERI ~~-~1-97 ~l:!?:l! r.ilc!1tll ~.h \'trI1C"1 FEB_~7 Eltir..lt ~hl il I trt~tttrk cf ~,II:~lll :r,ltmtiml C:~rr:,~t l~~:.lii~ ~11 ~1;~1' ~fllr~t' ...' . I , . I . t.. " t' ./-; , \' '\~,.,;\; . ' " "a. t{ 1./ ,1l1\U,', . I., t '. ,. ~. , LJi............. t.kiA t I" t". , n' .. \\ l". ~ ,~~ 't:,' I~ij"!tj".'\: " , " :' , ~ I ,".\' ',' .: ~ , r t" :'\l-i,"" , - I ~"J"""" " '\,r , . , -!. .' - , - , , - " BJiJIi* , till;! I Illl,j I' . Ii " ~~. . ...,,;,' ".Ii.:,..... ., I !'L.-, " . ' ~ . . . . URIFICATION I verify that the statemants made in this Response to Defendant I s Interrogatory and KeqUest for Admissions are true and correct. I understand that false statements herein are made subject to penalties of 18 PA C.S, !4904, relating to unsworn falsification to authorities, 10/23/01 Date 4A.C-t&?l (l /r->,v~ Patricia Ann Novak lO/23/0l Date , :;;' , / // ..-1, ~y ( ~/, /.:r"///Ol ft'lffip></,.. William M. Novak FRANKEL. BARE a ASSOCIATES ATTORNEY' AT LAW '4 WElT KINO S"tIIT 'lOA" ..IN....n.v...N." 17401 . . ., IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PATRICIA ANN NOVAK, and WILLIAM M. NOVAK, her husband, Plaintiffs NO. 97,5734 Civil vs, CIVIL ACTION, LAW MILDRED L. ROMBERGER, Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE I, Jeff Burke, of the law firm of FRANKEL, BARE & ASSOCIATES, attorneys for Plaintiffs, do hereby certify that I am this day serving a copy of the foregoing Resoonse to Defendant's Reauest for Admissions and Accomoanvina Interroaatorv upon the counsel of record for the Defendant in the following manner: BY REGULAR MAIL: Christopher J, Knight, Esquire NEALON & GOVER 2411 North Front Street Harrisburg, PA 17110 Respectfully submitted, FRANKEL, BARE & ASSOCIATES P'..ANK[L BARE a ASSOCIATES AnORNIY. AT LAW ,. WI.' KING 9T"IIT 'OIlK ,"INNS'LVANI" '''401 Date: October 23, 2001 ~ l3t-vtk e , Paralegal to: Mark David Frankel, Esquire Attorney for Plaintiffs 14 West King Street P.O. Box 1389 York, PA 17405,1389 Ph: (717) 854-3836 ">- i~ In c: r.; .' , -,- G ;;- .,).....1'" I } _;~ .:~,~ I ';:j 'oj !/; , ~2 ( .~. .' ,. N .'.. t c:. :'j (J CJ c) :/ . . . -n . .w.. ~'" r. ~i ri' ~ .. ~ '!t ;: . i"' l; f~ .', i;'J'O 'vou AIIlI HEMIV NOTIFIED TD FILE A W~ITnN ~IIPON81 TO THE .. INCLOIIO ,WITHIN TWENTY 13DI OAVI F~DM II~I HI~IOF OR A JUD3MINT .MAV .lNlIIlID AQAlNIT VOU IV ATTORHIY .. . FRANKEL, BARIE . ASSOCIATES A1TORNKYa AT LAW t4 WUT KING IlTRIKT YORK, ...NNlnVANIA 17401 .' ~. . ',_::~;'.:r}:~#~~~, WI DO HIRIIV',CIR1VY,.,':;' ' "','Ili',.".,' THI WlTlIIH II A TllUt; , '~-': RICT COpy' 0' "THf;", .., ,."" :aow~:c;~;,;~;,lf~~ ~/ 'ie,' ;'~~~~; '&' . . . , . ,.... -~.._. I \ ....... ~. I--~- ~_. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PATRICIA ANN NOVAK, and WILLIAM M. NOVAK, her husband, Plaintiffs NO, 97-5734 Civil vs, CIVIL ACTION . LAW MILDRED L. ROMBERGER, Defendant JURY TRIAL DEMANDED PLAINTIFFS' OBJECTIONS TO THE VIDEO DEPOSITION OF SANJIV H, NAIDU. M,D.. Ph,D The Plaintiffs, Patricia Ann Novak and William M. Novak, through there attorneys, Frankel, Bare & Associates, by Mark David Frankel, Esquire, object to the following portions of Dr, Naidu's video deposition as set forth hereandafter in the hard copy of the video deposition of the doctor. 1. Page 8, beg, line 11 to page 9 line 8, "I'm objecting to him testifying as an expert in engineering and "RANKEL BAR!; a I ASSOCIATES ATTORNEYS AT LAW ~ I. wu, ."0 STRUT lOR. "...smA'" '''0' I biomechanics for the simple reason that he was - our understanding of what he would be asked to do was to provide an independent medical examination, Your report clearly indicates that he is making comments about how the accident occurred and biomechanical issues which are not part of a standard medical examination, I mean, for instance, his records indicate that he's estimating the velocity et the time of the point of impact and the damage based on those types of things, That's clearly biomechanica!. If he's going to say, gee, I think based on the medical review this injury is related and this injury is not, that's clearly a medical determination, But when he starts testifying about vehicles and speeds and collision, those are all clearly things that - MR KNIGHT: Okay, so - MR CUNNINGHAM: What I'm saying is I think it's easier if he testifies to everything and then prior - you know, whatever, when you sit down with the Judge prior to the taping showing, you go through the transcript with the Judge and you say we object to this piece and this piece and this piece and the Judge says, yes, no, yes, no," 3, Page 12, beg, line 5 to line 14, "Correct, And he was - we were not advised that he was also FRANKEL BARE., ASSOCIATES ATTO"NI.... AT LAW 14 WIST ICING STR(IT going to be offered as a biomechanical expert. Our client would have had absolutely no requirement to speak to your biomechanical expert, and ws would have objected to him being the expert in that case, And since you didn't tell us, we're at this point in time, we get the report, you know, within the last whatever it is, 30 days. less than PATRICLr>. ANN NOVP,K ,r.,Nu WILLIAM M. NOVAK, PLAINTIFFS IN THE COU,<.T OF CO!'::'10N PLEAS CUMBERLAND COUNTY, PENNSYLVANIA V NO. 97-5734 CIVIL CIVI!. ACTION - AT LAW MILDRED L. ROMBERGER, DEFENDANT JURY TRIAL DEMANDED VIDEO DEPOSITION OF: SANJIV H. NAIDU, M.D., Ph.D. TAKEN BY: DEFENDANT DATE: PLACE: PAMELA'S. SULLIVAN, REPORTER-NOTARY PUBLIC OCTOBER 30, 200l, 4:24 P.M. FREDRICKSEN OUTPATIENT BUILDING 2015 TECHNOLOGY PARKWAY MECHANICSBURG, PENNSYLVANIA BEFORE: APPEARANCES: NEALON & GOVER, P.C. BY: CHRISTOPHER KNIGHT, ESQUIRE FOR - DEFENDANT FRANKEL, BARE & ASSOCIATES BY: DARRYL W. CUNNINGHAM, ESQUIRE FOR - PLAINTIFFS ALSO PRESENT: JOE VENGOECHEA, VIDEOGRAPHER f , I ~ I I ! ! __ ~ _.___ . n_ . ____ ...._. _ ... h.~~~, ,-- ---- I' Jr~' 2 I 2 3 4 ~ 0 7 K 'I I" II I~ D 14 15 16 17 18 1'1 ~O 11 22 ~3 ~~ :!~ I WII~LSS 1'i1~C .. I Q (iIHlJ day. D~. Naidu. Wlluld )(lU 11.:11 u~ )uur full 2 name ;,lOJ rrurc~\iunal aJdrc!ls. ph:a~e'! J 1\ Yes. Sanji\; Naidu. M) professionul address is -I ~lllJ Universil) Drive. I h:rshc)' ~1eJicull'enlcr. I also haH a ~ pr..II:til:c \lut here in rechnulog) Park in Mcchanic!lhur.: at Ihe 6 Ilinnade Ilealth S)'Slem in the: lIanJ and Upper E\tremil)' 7 In~titule. 8 Q And Gcncrall)' n )'1)\1 !Ion uftuuchcd un iI a 9 Iinle hit. nut how arc) tlU employed, Dr. Naidu? lOA I'm emplo)cd b)' the lIershe)' ~I,dical Cenler. II Q Now. did lOU revle\\' some records and conduct on 12 c\'aluation uf Ilatrido Nu\'ak in this case? 13 A Ye" I did, I~ Q Defore we get into the ~pedrk!t a"oUI this cose. 15 I have II few questions JUSI III ask )'OU a"out )'uur cducalion 16 and training, I undcr>land lhal ) ou grew up in Ihe 17 Philadelphia arca" 18 ,\ Yes, 19 Q And \\here did )OU altend high school? 20 A I \\cnt 10 Salesianum Schou) for Ho)'s in 21 Wilmin~lon. Dclawilll:. 22 Q And ofter Ihilt )OU \Hnton 10 college'! ~3 A Yc>. I did. ~~ Q What college did )OU GO to. ilnd \\hut was )'our :!S major? P'i,3 l'il~e ~ I MR, VENGOECIlEA: M)' name is Jo, Vengocchca, I 1 A I "'cnt 10 Comc:lI11nivcrsily in hhaca.!':.:w Yor~. 2 represent Video Images. I SS Windshirc Lane. Red Lion. ~ I studied ,Iectrical ,ngineering. ThUl was my m'jor allh'l 3 IJcnns) l\'ania. Today's date is October the 30th of Ihe )'ear 3 pain!. ~ 1001. The lime ofda)' is ":2-1 p.m. This deposition \\ilS 4 Q Where did )oU go 10 m,dical "hool? I \ iJeotaped al2015 Tel:hnolog)' Parkwa). ~Iechanicsburg. 5 A I \\cnllo the University ofPenns)'I\'ania School 6 Pcnns)'lvania, 6 of Medicine in I'hiladelphia, 7 The caption of the case is POltricia Ann ~o\'ak and 7 Q And wh,n did )'ou graduate from Ih, Uni,,,,il)' of E William M. NO\'ak versus Mildred L. RomberGer. Case l'o. 8 Penns)'I\'anin'! 9 97.5734 Ci\'il. The name ofthc witness is Sanji\' II. Naidu. 9 -\ 1988 forthe School of Medicine. 10 ~ID,. I'h,D, Thi, d'pmilion i. bcing I'id,olapcd on b,h,lf 10 Q Aner )'oU gradualed from medica) "hoo), )'ou 11 of the Defendant II received some spcci[lliz~d medical training. Is that right'.' Il Counsel "ill no\\' introduce lhcm!\chc:s. I~ A Yes, Along Ihelime I was receiving medical IJ MR. KNIGIIT: Christopher Knighl on behalf of 13 training, I was also studying eng.ineering in Ihe Graduale I~ ~hldrcd Romberger. I~ School of Engineering and Applied Science allhe L'niv",ilY 15 MR, CU)O;NINGlIA~I: OurI')I Cunningham on behalf of 15 of Penns)'I\'ania. I wen I on 10 complete m)' Ph.D. in 16 the Plainliffs. 16 engineering allhe University of Pennsylvania as well. I 17 MR. VENGOECIIEA: The court reporter will noli' )7 studied fracture mechanics nnd biomechanics during Ihat 18 please identify herself nnd swear in Ihi: \\ ilncss, 18 lime. 19 MS, SULLIVAN: My nom, is I'amcla Sulli"an, I 19 In addition \0 Ihal. concordant wilh Ihal 20 rcprescnlllu@hesAlbright Reporting Senicl:. 20 training. I also wenl on to complete 3 residenc)' In 21 21 orthopaedic ,urgery allhe Univcrsil)' of Pem1s))vania, I I 12 SANJIV II. NAIDU. M.D.. Ph,D.. "II,d a.\. 21 subscqu,nll)' did a hand and upper ,,",mill' fellowship al 23 \\ ilncss, being dul)' sworn, lcstilied as r,IIIO\\ s: 23 Ihe Uni"",il)' ofl'ennsylvania b,fore) joined Ihe faeully ~~ EXAMINATION ~~ allhe Penn Sl.tc Collese of~ledicine in 1994. And I'''e 21 BY ~IR, KNIGIIT: 25 bocn in Ihe eapacily of an Assi>!anl Profmor 10 belCnurcd NAME LX,\\I1SSrll IN SANJIV II, NAIIlI', \Ill, l'hD, BY: \IR. KNllillT BY: MR,lTSSISlillAM J. I l D.3J EXIIIIlITS EXHIBIT NO, PllODlJCED & MARKED I ,CURRICUlLIM VITAE, EIGHTEE:o.i PAGES 6 1. REI'ORT DATED 9.~8.0I, FOL'R I'AGES 10 3. REPORT DATED IO.~~.OI, FOUlll'AGES 16 4, REPORT DATED 2.13.97, ONE PAGE 43 5. REPORT DATED ~.13.97. Ol'\ErAGE ~J ~. REI'ORT DATED 2,15.97, ONE PAGE 44 7. REPORT DATED 2,25.97. ONE )'AGE H - - -..--- ----._. -- - ~'" - 2 (Pases 2 10 5) ~ - I'Jt'" I I ill AS!>~.Clale J'rofl:s\or SUOIl. and 1\ c ~!:cn hl:rc fnr i1twul ~ ,C\'en and iI hal f) cars. I .1 \Curri,ulum vitae. eighteen pat:c5. phll.lUf.:cd and .. I11Jr"cd E xlllhit r\u. 1.1 5 BY ~IK, KSI(,H f: 6 Q Dr. Saidu, ~tlU'H' puwiJcd U'lo "nil ~tlur 7 profcuional resume and ,\;e\c mmkcd it;1s [\hihil 110 ~(lUr S Jepositiol1. Is thai II true and correcl cupy uf)'our , t) prllfcssion;alrcaumc':l 10 "ThaI's ,arrect. II Q Dr. Naidu. ho\\' is an unhopaedic surgeon 11 different from It family doctor as a practicall11ancr? 13 r\ An onhopJcdic surGeon is II" hoth II primary 14 care specialist and a subspecialty surgeon \\ho focuses 1 S solcly on the musculoskeletal injuries. Ihe a"atom)', the 16 biomechanics, the fracture mechanics and also the treatmenl t7 of hone and jOint disorders. 18 An onhopaedic surgeon is both a primary care I Q physician for musculoskeletal problems and also a surgical 10 subspedali>! for trealing Ihe problems, We're able 10 ~ I diagnose al a primary care Ic~\el and treat at a leniar)' ." care level in the sense chat we can actually fix the 13 problem, I::!~ Q So \\h31 can you do as an onhopaedic surgeon. J :~ generally, that a far.lil)' doctor is not able 10 do or not , I , 1'i1~l: It I hilllT1~',hal1ir.:~ anJ frJl:turc lhalilln" ::! A rhJt\ f;nrrCl:1. 3 (J And lh..I'!'I abn hum thc l !ni\Cr~il) III' 4 I'cnns) h ania'! S ,\ That's f.:(lrrCt;t, (I MR. "!\IGIIT: At thi!'l time. I \\'(luld urfcr Dr, 7 !'\ajJu J!i an c\pl:n in urthopacdic mt:didne and hillmt:..:hanic5, K ~1Il. t'I!NSINGIIAM: IIbi""i"n. 9 MK. \'ENGOEc.:IIEA: (j"inG "lflhe viJe", The lime 10 "fJa)' Is4:29 p,m. II MR. CUNNINGHAM: I'm objeeling 10 him lestlfling 12 Il5 an expen in engineerina and biomechanics fur the simple 13 letlSOn that he was n our under51anding ofwhut he would he 14 asked to do was 10 provide an independenl medical 13 examination. Your repon clearl)' indlcalcs that he is I (J maklna comments nbout 110\\' the accident occurred and 17 biomechanicallssues \\'hich arc nol pan of 11 sumdnrd 18 medical examination. 19 lI,d "e ~een apprised oflhat. "e "ould h3\'e ~() ohjec1ed 10 our client having 10 speak with him hecause 21 she's not required to prm'ide infomlation to a biomechanical .22 engineer (or Ihis type of infonnation. We would object 10 23 him te'lif) ing 10 Ihal. .24 Now. just forclarificatinn of the re..:oro.1 25 don't womt 10 have 10 keep ohjecting. I'm sure you're: going l'agc:7 Plse 9 I qualified to do? I 10 ask him questions based on the WII)' the occident occurred. ~ A We operatc, and we: fix pCClple. 2 Cnn we airee thai we're going to .. I'm J;oil1B to question J Q Arc you licensed as a medical doctor in 3 him .. cross.e:\aminc him on whote\er )'()u questiun him about. ~ Pennsyl\'ania? 4 Butl don't wnnlto have 10 keep objecting and MOp thc lope 5 A Yes. I am. 5 as we go through, I 6 Q And arc )'ou 3 member of an~ professional 6 Can \\ c agree that it's going to he: 0 continuing. 7 organizations in Ihe medical field? 7 objection to .m),thing othcr than the medical issues Ihat 8 A Yes, I am. 8 hc's goina to tes1if)' 10? 9 Q What organizalions, briefly. arc )'oJu a member 017 9 MR, ""IGHT: 11'.11, Ilhink Ihe dinkult)' j,.. 10 A American Academ)' ofOnhopaedic Surgeons, 10 and this may Icad us to hil\'ing to hu\e you m3J.;c )our II Americ.n Sodet). for the Surge!)' of the Hand and the II l'hjections, Bccause the difficulty is wh<<:n \\C look hack 611 12 Onhopaedie Research Soeiet)'. In addition. I .1'0 belong 10 12 il .. I don't know.. it's all son uf rolled in lo~clht:r, 13 1he American Chemical Sociely. American Associalion for 13 And I think thai that's problematic \\ ilh your ol1jection in 14 Advancement oflnstrumen1a1ion,Insti1ute of Electrical nnd 14 adJilion tD the actual mechanics of the deposition here , 15 Electronics Engineers nnd numerous other engineering 15 toda)' because it's all pan IUld parcel of the same issues. , 16 societies, 16 f Ie happens to ha\'c ndditiunaltraining IInd , 17 Q Are you ccnified as an onhopaedic surgeon? 17 c\pcnise heyond the slandard trl1inin~ Ihat 11 medical doctor 18 A Yo>, I .m. 18 or c\ en an orthopaedic surgeon would have in that hc studied 19 Q And is Ihat a board cenificalion? 19 biomcchonics. I think thai .. 10 !\pedfically respond 10 20 A Yes. I am. 20 )"our objection. the e\amination Ihat \\11~ conducted and the 21 Q And, just briefly, what j, Ihe ,ignifieance of 21 evalua1ion of the malerials. I think. \\as consislc:nl with 22 board cenification as an onhopaedic surgeon? 22 \\hat Dny ind~pc"den1 medicill e\amining doctor \\ould do. In :'J A "ou're qualified as a specialist. 23 addition to that. based on his cxpt:riencc and training in 14 Q Now. )'ou mentioned thai in addi1ion 10 )'our 24 the relalcd lidu .,f biomc(;hanics. he's also e\"OIUaled ~5 medical1raining )'ou h:\\'e an advanced engineering degree in 25 ndJilional materials and reached some conclusions in that 3 (Pages 6 to 9) 1'.lre: 10 1 n:garJ, I don'llhink il.. and perhaps )OU I.:..m a.s.k him questions ir)'ou \\antll! ('plort that. BUll Jtln'tthink lhat ht:' \\lluld tdl) uu that lhe (xamination part uf it l,r (\'en the history-taking part or the c,aluallon \\<Cl dune any differentl)' a.1I a resull of his ttjl1mcchanic traininQ than it \\ould ha\'e been dant! in any other inJ~pendcn' medical e\amination seuinw;, So I understand )'our ohjectitlR, and it'lt nOlcJ for the record. But thai's m)' limited response at this time, 3 4 5 6 7 R 'I 10 II 12 MR. CUNNINGHA~t: So )UU wanl me 10 continue It) 13 interrupt and otlje..:t as we GO through? 14 MR. KNIGHT: 1 think Ihat in ,um. ,.n,c "c almu't 15 ha\'e to do i1that way and perhaps not necessaril)' to e\'ery 16 single questiun Ifwc're asking foIlO\\.up questions in the 17 same area Ihat )'ou've already stated .10 objection. 18 BUll think just to sa)' a blankel objel;'\ion is 19 going to really mudd)' Ihe \\'ah:rs for later on and tr)- to :!O ha\'e us try to figure out. well. what was a biomechanical .21 opinion. what's a mcdical opinion. MR, CUNNINGHAM: And Itbink Ibat', Guinllto be Ihc problcm, Becau,e 1 if I bave to objcctlo ,omc of Ibcm, I have to object to all of them and we're going to continue 10 go on and of( and on and of( and on and of(. I rcally 22 13 24 25 r'gc 11 I don't think it sh(1uld be 0 problem if we can sil do\\.n with :! the Judge 011 the time of the triol and say Ihis is \\here the 3 issues arc. And let the Judge say tum the machine ofT here 4 and turn it buck on there. 5 I mean, for instance. his records indicate Ihat 6 he's estimating the \'docil)' at the time of the poinl of 7 impact and the damage based on those types oflhings. 8 That's clearly biomechanical. Ifhe's going 10 say, gee. I 9 think based on the medical review this injul)' is rchued and 10 this injury Is nOl, 1hal's clear I)' a medical determination. II But when he stans testifying about \'chicles and speeds and 1.2 collision, those are all c1carl)' things thaI.. 13 MR. KNIGHT: Ok,y. '0 .. 14 MR, CUNNINGHAM: What rm ,aying is I think it', 15 easier ifhe tcstifies to c\'C:rything and then prior.. you 16 know, whalc\'cr, whcn )'OU sit dO\"n wilh the Judpe prior 10 17 Ihe taping showing, )'OU go through Ihe transcript with the 18 Judge and you 53)' we object to this piece and this piece and 19 this piece and the Judge says, )'1:5, no, )'C5, no. 20 MR. KNIGHT: Specifically, )our ohjection is to 21 him offcring conclusions as to the speed orlhe at'cid~I1I, 22 Ihe mechanics of the accident. 23 ~tR. ClJ1'..'NINGHAM: The damage. ~ou ~now. basing any 1.. lYIlt of delerminalion about wh3t injuries could or could 110t 15 hu\'e occurred ba.~ed on the dama1!e oflhe Hhides, Iho!oc 1'4~C I! I I~ pcj, of lhl/l~~. 2 1\11t Io;.NIGII rAnd thl: hii\l~ Ipr Ih,lIl!1lhal ) tholl'" t1e~tlnd \\hill an lOiJ~pellJenl TllcJu;i11 e'amlnlng 4 ph) ~IC1Jn \\uuhl nllnTIJII) du 5 MR, CUNNINGIIAM: CUrtect. And hc "..... wc "crc 6 nol ad\'iscd that he was also ,oina 10 be offered U5 a 7 biomechanical e\pert, Our c;licnt \\ould ha\'c had ahsolutel)' K no rtquircmel1lto speak to )'our biomcchanical e\pert. a.,d we 9 would hne objected to him beina the e~pcn in that case. I U And since )'OU didn'ltcll us, ""t're althis point II in lime, we get the r~port. )-'ou know, within the last 12 whalever it is, 30 days, less than 30 da)'s. And there's no 13 way for us to now objett and tountennand it without 14 continuing the Irial. So thai's where we're objecting. 15 MR, K!\IGIIT: Okay. I understand, And Ithmk nml 16 Ihat "c\e narro\\ed.. that I'm clear at h:aslllhink 17 hcl1erClTllhe narrow scope Or)tlUr uhjeclion.lhen I \\ould 18 SJ)' lhal ) our on~oing ottjection is noted and it's n01 going 19 to he necessary for) au III object to c,,:r) sinj;h: question, 21) MR, CUl'!\INGIIAM: That lI'il1 make thmg' 8U mUlc 21 Smo(llhly here. and \\e \\on'llakc.!Oo mu\:h oflhe: dOtlor'S 22 time here, 23 MR. KNIGIIT: Just so \\.:'re clear, I lake il )OU 24 ha\t:' no objection 10 his qualifications as an orthllpaeJic 25 ~urpeon or c\en spc:cificall)' as l\ hillmechanical engineer. p;:age IJ I It's just the issue of surprise essJ:ntiall)', .2 t\IR. CU~'NINGII."'~I: Curree\. I'an goiny to brieO) 3 queslion him aboul his quulitications, Uut in reality. I 4 think he dearl)' meets the standard of an c\pen thaI's 5 required from eimer field. 6 MR. KNIGHT: So )ou'\c got some questions when \\e 7 8u hack on? 8 MR. CUNNINGHAM: Vel') bricf, ~es, 9 MR. \'ENGOECHEA: ReaJ~ l<l GO baek on'! 10 ~IR. KNIGHT: Ycs. II ~IR. \'ENGOECllE,\: Returning baek lu Ihc \ideu. 1.2 The time llfday- is 4:36 p.m. 13 EXAMINATION 14 BY MR, CUl\"NINGHAM: 15 Q Dr. Naldu. my namc i, Darryl Cunningham, And I 16 represent Patricia No"ak and hcr husband in this case. I 17 \\antto a.'ikjust a few questions aboul )'our qualifications. 18 You indicated that )'ou ha\'e a de~ree in 19 engineering from the l1ni\'er~il)' of Penns)'I\'ania. That's in 20 electrical enGineering primarily, Is that my understanding'! 21 A No. that's in the School of EnGineering and 22 Applied Stience. 23 Q But the concentration is in poly-mer engineering, :!4 pulymer \\ car and fracture. Is that what) our resume 25 indicates? 4 (Pagc, 101013) I',~, ;~I I'aj;elfl I ,\ That's the.. thaI is lhe dcpartJ1lcnl1hat I ~ol I I ,.\ ThaI's currect. I 2 the: engineering dc:~tcc: in. but Ihal is in u:lalion In 2 () ,\nd )OU 11;I\c Ihmc repum in front of)ou as 3 onhopaccJlc fracture mCl.:hanks and biol1u:,hanil.:s. .1 \\CII ~s mall)' orthe recurds thilt )IlU rc\'ic\\cd? 4 Q And )OU indkaled thill there: was a ullfcrcncc 4 ,\ Yes, 1 do. 1 hCl"ec:n an orthopaedic surgeon ilnd 31lcnCfill pracliliollcr. 1 (Repon daled Seplember 28,2001. Cour page" ~ You indicated hasicall)' was thallhe Nlhopacdilo: ullI:lUr 6 produced and marked E:l\hibit ~o. 2.) 1 could do sUlgery to rcpair fractures, Ihall)pc uflhing. 1 (Repon daled Oclober 24. 200 I. Cour pages, 8 Is thai correct? 8 produced and marked Exhibit No, 3.1 9 A No, it's u linle more than thil1. An orthopaedic '/ DY MR. Kl'IGHT: 10 Joctor is a primary care specialist for musculoskeletal 10 Q And ju,1 Cor the record, \\C'"e marked a, Exhibit II injuries "celluse that's "h)' we train for si~ )'cars. We nol II !'o:o, 210 )our deposition )our repun ofSeplember ~8th, 12 onl)' diagnose a problem inlhe clinie. bUI we ha\C Ihe added 12 2001. Is Ihal "hallhill is? 13 radlity of bciniJ able 10 opcfah: on the 11alieRllo correct 13 ,\ Tha"s correct. 14 lhe particular problem. So. in Ihal sense, we arc more 14 Q And Exhibit 3 to )our deposition is )'our 15 ~omplcle physicians. Il ,upplemental repon of October 241h, Is thai whatlhat is? 16 Q For orthopaedic purposes? 16 A That's correct. 17 A For musculoskeletal purposes, 17 Q Now. )'OU mentioned that )Oll reviewed a number of 18 Q But a general practitioner is also trained in the 18 records as part of )'our evaluation. Whal records did you 19 treatment of orthopaedic iS5UCS and can treat l11an)' 19 review? 20 orthopaedic problems. 15 lhal correct':' 20 A I'll Co Ihrough them brien).. ~I A Nor in my inslilulion. 21 There \\cre a series of records from Dr. Rychak's 12 Q SOl in an orthopaedic clinic. Is it fair to 51\)'. 22 omee. He's atrealing onhopaedie surgeon. On 3,5.1997 ~3 Doctor, that general practiliontrs trcat muscular and 23 examinalion. Dr. R)'chak staled that palienl had right 24 skeh::tal problems on a dail)' basis? 24 lattral. on Ihe right side. trapezius and 2~ A To what level of sophistication? I don't know. 25 sternocleidomastoid tenderness on Ihe right side. She was PJ@( I~ Pa8t 17 I Q Sprains. strains. I 10 rclurn to \\ork at light dut)' status. 2 A Sure, Ihey treat sprains and strains. 2 On 3.18.1997, Dr. R) chak Maled Ihal Palricia had 3 Q Fractures on occasion? 3 recent cenical acute strain Ihal ha.'l re~ul\'Cd. This was 4 A They don'tlreat fra:tures. 4 aboul onc month after the molOr \'chicle .li:ciuCIlI of 5 Q But Ihe) do treat .. do onhopaedic medicine 011 5 :!-13-1997. Clinicall)'. she \\.a~ duing well ulthallimc. 6 occasion, Is thai correct? 6 She had linlc pain or discomfort with range of mati on, .Ier 7 .-\ II all depends on whal you define as onhopaedie 7 dcep Il::ndon rcflexes. thai is a ncurolu};ic exam. \\ as normal. 8 medicine, 8 She \\as discharged from Dr. R)'chak's carc althal 9 Q They treat muscular issues on a dail)' basis? 9 time. She was to return on an as needed hasis. Then:: wa5 a 10 A If)'ou sa)' muscular issues, )'cs. 10 nolc from Dr. R)'chak. 4-23-1991, where he staled the II Q They also Ireat people who ha"e skeletal problems II diagnosis was right cervical 51rain. She continued to ha\ e , 12 on a daily basis. is that correct, 10 some degree? 12 cervical discomfon on the right side at thai lime. She was 13 A To some degree, yes. 13 to l1e put into II collar at work. 14 ~lR. ClJ)I.'l'INGHAM: I ha,e no funh.. queslions on 14 Therc was also n 2-2.5.1997 note frllm Dr. R)'chali.. 15 qualifications. 15 This \,'as 12 du) s aftcr Ihe molor \'ehiclc: accident. At that 16 EXAMINATION 16 lime, she hod di>comCon goinC back to the heod and 17 BY MR, KNIGHT: 11 occipilal area here and allhe bo<k occiput. She had full 18 Q Dr. Naidu, )'OU stated Ihat you e"alualed the 18 range of motion with rcCiltds 10 her neck wilhllUI an)' spasm. 19 Plainliff in Ihis case. Patricia Novak, regarding this car 19 She WOl.'i placed on a home ccn'icallraclion proGram al that 20 accident oCFebruary 131h, 1991, In oddilion 10 aClOall)' 20 time. E\'el}thing was conlined to Ihe: right side:. 21 examining her, did you review any rccords or other materials 21 Th~re was also a cervical spine MIU report from 11 as part of your evaluation? 22 1997. Thc:re was no c\idence of an)' son ofhemiation or 23 A Yes, I ~id, 23 stenosis. There wus no c\'idence for an)' sort of cervical , 24 Q And you prepared \wo differenl repons in thi, 24 spine compromise. There was n notc from York Neurosurgical 25 case related 10 your evaluation of Miss No\'ak? 25 ^"ociale, on 4.30.91. .,--.= ~ (Pages 14 to 17) 1'i1l!cIK Ila~c :.!O I Again, the neck x.ra)'s were completely tine. The I consult, on 11-:23-1990 suggcstinl! Ihilllhcrc was possible 2 impression was myofascial cervical spine strain \\'ith clement 2 neurolo~ic involvcment for Ihal previous accidenl, Thc 3 of right triceps numbness and weakness, again on lhe right 3 patienl was a 10.year-old \\'oman who war. hCillth~' until 0 4 ,ide, She wnslo ~el nn ~IRI, nnd .he was al.o pUI on a 4 molar vchicle accident of 12-22-1990. 5 Medrol Dose rak al Ihal lime. Thai's jusl an 5 In ahal histor)'. Ihe paticnt was a passcnl!cr when 6 anti-innammntory. The cervical spine ~IRI was apparently 6 Ihe vehicle hil. dilch .nd hil a lelephone pole, The speed 7 jllso within l1ormallimits. 7 ollhat time was questionable at besl. The patient did nol 8 Upon his review of 5.14.1997 "Ihis is from a 8 lose consciousness and wos umbulalory ullllat time. The : 9 nole, an omee nole" e,am wa> ab,enl for radiculop.lh)' 9 palient had an ele"aled alc"hol c"nlcnl. 10 and Ihe renexes were completely normal. The neurologic 10 MR, CUNNINGHAM: Objeclion, II exam was completely normlll. II MR, VENGOECIIEA: G"in~ "fflhe "ideo, The lime 12 Q Dr, Naidu, lei me just slop you Iher., Whal is 12 of day is 4:46 p,m. 13 .. )'ou said Ihe examination was absent for radiculopalhy. 13 ~IR. CUNNINGHAM: Obj.clion ofreference 10 an)' 14 Whall, radiculopalhy thallhe)' did nol find? 14 alcohol, She was Ihe pa>sen~er in a "chicle, II has no 15 A Thai is a pinched nerve in Ihe neck, 15 relevance 10 Ihe currenllssue III all. 16 Q And lhose noles arc from the neurosurgeon. Dr. 16 MR, KNIGHT: Thai's fine, I asree. 17 Schle~el? 17 MR, CUNNINGHAM: We requestlhal be stricken, 18 A From Ihe York.. yes, York i'\eurosursical 18 MR. KNIGHT: We'lIlnke Ihal pan oul ofilia 19 A !sociates. 19 the extent it wos on the video. 20 Q Whal Olher records did you rel'iew, and \l'hal did 20 MR. VENGOECHEA: R.lumin~ back 10 Ih. "ideo, 21 JOU find significant aboullhem? 21 The lime of day is 4:46 p.m. ~::! A E>senliall)', Dr. Schle~el. Ihe neuro,ur~e"n, Ihe ::!::! BY ~IR. KNIGHT: 23 guy who opemtes on the neck and the brain, discharged Ihe 23 Q Dr. Naidu, you were describing whal records you 24 pOlienlallhalllme on 5,14.1997. Addilionnl "'a)' repons 24 reviewed with respect to a previous motor \'ehicle accident. 25 oflhe lumbar 'pine. Ihal IS,Ihe back, low back, Ihis \l'as 2S Would lOU just continue with what you found significant ra~e 19 J1a~e 21 I within normallimils. The cervical spine x-rays (to 111 I \1hOUllhosc records'! 2 2-14'1997,lhis \l'as also whhin normallimilS, 2 A Yes. She had dimculty n1l1\ing the ri~ht ann at 3 Q Did you al,o re"iew ,ome records Ihot predoled 3 Ihal time. TIll: diagl10sis was OJ cervical spine sprain. 4 this car accidenl? 4 cer\'ical rJdiculopath)' and perhaps irritation of the S A Yes, I did, S brachial plexus as a result of the accident. 6 Q And \l'hal did you find sisnificanl aboullhose 6 Q \\'hal is Ihe brJchial ple"u.? 7 records? 7 A The hrachial plexus is Q S~I of nerves that arc 8 A There was a nole from Dr. Paronish, M up here near ~'our collarbone which innervute. mohilize. mO\'c 9 P,A,R.Q.N,I.S.H. which daled alllhe \l'ay bnck 10 1988, a 9 ~ our shoulder. arm and the foreman and the elbow and the 10 ,eries ofnoles. There is a nole from 1.28.1991 from Dr. 10 hand. And it's hasicall)' peripheral nl:r\'cs. So that's .. II Paronish where he stated that patient had persistent pain in II it's just a hundle of ncrycs that molOr Y<1ur upper 12 Ihe neck area radinlins dO\l'n Ihe righlarm. She S1aled Ihal 12 cxtn:mit)'. 13 at thai time she had weakness. 13 Then: was olso an admission note from Dr. 14 Dr, Paronish could nOI find any focal neurolosic 14 Paronish. The assessment \\'35 a closed head lnJul)' with 15 findings. Thai means neurologically she was inlact as well. 15 cer\'ical strain. ncurolosic S)'mplOms riGht arm. rule out 16 Therapy was conlinued. Most of Ihe pain "as in the back of 16 plexus Injur)'. 17 Ihe neck and Ihe shoulder, 17 Q And what does it mean when )'ou S3)' an admission 18 Q So was she receiving some physicallhcrapy at 18 nOle? 19 Ihattime based on those notes that )'ou reviewed? 19 A Thm mcans she was admitted hllhe hospill1l. 20 A Yes, she was. 20 Q No\\'. in addilion to those mcdi~al records. did , 21 Q And Ihal "as back in 1991? 21 )'ou also.- were )'OU also pro\'ided wilh phOI01!rnphs of the 22 A That's correcl. 22 n:hh:lcs from this particular accident'! 23 Q Whal olher records did )'ou review Ihal )'ou found 23 A Yes, 24 significant? 24 Q And did )'OU also rc\icw some testimony Ihut had 25 A There was also a neurologic e:'+Oam, a neurological 25 neen recorded pre\'iously from Miss Novak as \\'ell as ~ liss 6 (Pnges 181021) I'J~t 22 I Ftomhcfj::cr? ~ "Yes.llooked IItllie deposillon Ihlles ofl'atrkia 3 Novak of '.1 ~.1l)98. There Wi1S al!lo a re\.jew of.. I abo .. rcvic\\cd Ihe dcposilion of Mildred Romberger, 1 aho S rc\'ic\\ed Ihe polke ,1I:cidenl rcport. 6 Q And "hal did )'oU nnd ,icnincanl. C,"I of all, 7 aboutlhc phlllO}Jraphs o(lhe \'chides in Ihis ~lUe? 8 ^ Can I yo into Ihe dClJils as far as whatc\'cr q details I found? IU Q Su,o. II A I rOliowod a piclUlo oflhe Subaru Outback, Thi. I~ i~ an all.whecl drive Subaru Legacy. There was minimal 13 damace to Ihe rear bumper, Thi. photocraph w"' daled 14 2,20,1997, The rear bumper from Ihe driler'. .ide appeared I ~ intact, and lhe bumper from Ihe passenger side view also 16 look(d intacl. There was scuff marks. Olherwise, grossly 17 intact, 18 There was al.o a plclure ofa ~Iercul)' Topaz. 19 Thi. was al.o photocraphed on 2.20,1997, Thi, i. a red 20 M..cury Topa> wilh minimal damace to Ihe front bumper, I 21 could nol appreclale any bumper pulling off the frame oflhe 2~ car. There was no headlight or taillight damage on either 23 the Subaru Legacy or the Mercul)' Topa>. 24 The passenger .id. oflh. bumper appoared to ha" ~S a small dent. There was, hO\\e\:er, no damage (0 the chrome P3~e 23 I liner over the bumper. The remainder of Ihe vehicle 2 app.ared complelel)' inlacl. 3 Q From )'our review of those photograph.. did you 4 reach any conclusions within a reasonable degree of 5 bioengineering cenainty aboulthe accidenl? 6 A y...1 did, 7 Q And what wcre Ihose conclusions? 8 A Within a reasonable degree of engineering 9 certainty. I reached the conclusion Ihatthis \\ a'i a low 10 .nergy injury. II Q You mentioned that you rel'ie"ed the I..tlmony of 12 both of the drive" in Ihi. cas. as lIell "' Ihe polite 13 repon? 14 A Yn, I did, 15 Q And whal was significant about .hose materials? 16 A I would Iik. to go through Ihe delail ofPalr;cia 17 Novak's testimony... 18 Q Okay, 19 A.. on 5-12.1998. 10 Q Let's start with her lestimon)'. 21 A On Page 9 oflh. depo,ltion, the accidenl from 12 1991 was discussed. AI Ihat lime, she was a passenger. The 13 dri\'er was Maryann Dual. The patient \\as Ireatcd al ~tiners 14 Hospital at that time. The patient W3.5 admined by Dr. 25 Paronish who pUI her inlO Ih. ho'pital. thai i,. admitted I',J~': 2'" I ,,\c.:t111~I" fur uh"f\.llhl/l PlIlIor I'MOIII,I; \\.1' lh~ fumll) 1 \111\"llIr J '\Nhu~nll)". \1,,: "..'" IlJlIllll~J mounl) hc..:.IU;o.e ul" a -I IH:..d IIIJur)'. flu: palu:1I1 \\as SCl.:n h) .. ncurtllll~!I~1 Ullhdt 5 llOu: I'h, pdlu:nl ilhu had numhnc\\ In her r1~hl ..rm ,11 h 111iI1lillle. r111I11 hilnd ..lllmllitOe fhe p;lIic.:nllIlJ flut 7 r''':01Il injuring her n!:d. Jllhall1l11e II On Pa~e Itl uf Ihe deros-Iuun. I'alridil Nm a~ Ilh.u 'I !lJid thallhe riWtl1 side (If her ncd and riulll !t.huuldcr and HI sume hlh;~ pam "as II major pnlblem uncr lhe ..,tidenl of II It)1J7. Priur 10 the JI)tJ7 accidenl, )he ne\er had an)' 12 pftlhlerns \\ nh her neck. She nt:\l:r had un)' rruhlcms \\ ith her 13 shoulder eilher 14 After the 191J7 accident Ihe ralil:nt \, enllu the I j Scidle f1u:spital. And !lhe drove there hcrsclr. Ther~ \\ as nn 16 ambulance Bllhe ~~ene oflhe a,eidenl. The major reaSl10 17 thai she wen I 10 Ihe hospilal \\ as lhut the should!:r and nec~ 18 was ~ellinB sliff. She was diagnosed \\ith SHain oflhe 19 ne,k and t1ack muscles. The major complainl was soreness and 20 stiffness 21 After Ihe accident. Dr. Rychak appare"ll}' )<1\\ h!:r 21 three limes. I\nd she aho 53\\ his rh~ sidan a~5islanl 23 1\\ j(e. She cuntinued to ~el headaches and pain in Ihe ~4 shoulder and ncd,;. The onl)' other time she had heJdache~ 2j \\ as \\ h(n she was pregnanl anJ la~h:J fur ahout three monlh!i. 1'3ie 1~ I On Page 25 ofth. depo.ition. .he al,o stated 2 that Flexeril alleviated Ihe pain in the neck and Ihat the 3 neck pain reall)' ne\'er resl]l\'ed but il recurs whenever it is 4 raining. S In the depo.ltion. .he al.o clearly stated that 6 il was Ihe righl .Ide ofth. neck Ihal "a. painful. The 7 shoulder "as less prohlemalic according to her on Page 27. 8 On a "ale of 110 10, Ih. pain in Ih. shoulder "as about 2 9 out of 10 ollhalllme, 10 Those were the imponant highlights ofth. II depo,ition that I found, 12 Q And th.n )'OU al.o revie"ed the depo.ition I j testimony of Mildred Romberg.., I> thaI right? 14 A Yes. IS Q And whal did you note about her depo.ilion 16 testimon)'? 17 A Th. only .ignlC,canlthing was on Page 8 ofthe 18 depo.ition ~lildred Romberger stated that .he was pulling off 19 from the red lighl before .h. struck Patricia NOI'ak, She 20 was just pulling out oflhe red light. 21 Mildred Romberger al.o had S 1300 wonh of damage 22 10 her car. She stated Ihatthe entin~ front bumper \'..as 23 cracked and il WDO pu.h.d up. The hood lIa. not damaged, 24 The .id. was not damag.d, 25 Q O:d she indicale in her deposition \\hether or nol 7 (Pages 22 to 25) I'J~C ~f, !.he wa~ injurell inlhe accidclll? ~ A I dun'l ,ecall. llulllhink.. I don'llhink ,he 2 J \\as injured lll:curding IU her, ,1 4 Q And lhen )'OU also reviewed the pulic..: m.:cidcnl 4 ~ rCp(lrt wilh respect 10 how the accider1t tUlppencll'? I 6 A Yes, 6 7 Q And IIhal did you learn from Ihal? 7 8 ,\ lI'ell, emnlially,lhal Unil No, Ilhal \\IIS K 9 d..i~naled was Mercury Topaz, II failed 10 slop IInd hil q 10 Unil No, ~ and pushed it forward illlo Unit No,), Unil No. 10 II ) had no damawelo hi, vehicle and len Ihe scene. II 12 Q Now, )ou conducted on examination of Patricia I~ 13 Novak, Is Ihal ,iWhl? 13 14 A Yes,l did. 14 I~ Q As part of your examinalion process, did )'OU meel II 16 wilh her and discuss her problems? 16 17 A Yes,l did, 17 18 Q And is Ihal \\hal you call1akinw a hi5l01)' from a 18 19 patient? Iq ~o A Yes.lhal's correcl. ~O ~I Q And II hal \\as Ihe hi5l0ry Ihal \\'a' pro,'ided 10 ) ou ~I " b)' Miss Novak? ~2 ~3 A She was 31 years old, She is ri~hl,hand ~3 ~4 dominanl. She is a regiSlered nu"e. Her dale ofinjul')' ~4 ~S was ~.13.1997, She \\a' in a molor ,ehicle aceidenl allhal ~l Pa~e 27 lime, She wur~ed for Pinnade lIcallh Syslcm Ilome Carc, She 2 is a reGistered nunc on the CIIF learn, and she's \\urk..:d J the:re fur nine )'ean with Pinnade, And she's worked on the: 4 C1IF 1":l1m for about six )'ears, 5 She: \\itS apparcOIly stopped behind 1\\0 cars. She 6 was in 01 Suharu Outback, She was hit from h('himJ. She 7 could nol recall exactly what kind of car hit her from the: 8 tHiCk. Subsequently. she had damages to her bumper. The 9 enlire bumper was not damaged, but th(' parts had to he 10 replaced, She cauld not recall the exacl COSI of the I I repairs, Her front end apparenll)' hit the car in froOl of 11 her. bUllhe fronl end had no damll~e \\halsoe\'er. 13 She had to [!o to the emergenc)' room al thai lime. 14 Subsequently. she snw Dr. Uniad;e. her family doclnr. who 15 dia[!nosed her \\ith posttraumatic cen'ical strain and rut 16 her in trilclion. She also had ph)'sicaltherapy and I j .U1li-inl1ammatories, ImrnedinlCI)', ho\\e\er, she was seen nt 18 the Seidle HospilUI in Mechanicsburg "h('rc her ,..-ra)'s \\ere 19 apparent I)' completely fine, :W Her major complaint nllhe time ofm)' examination 11 WllS Ihat she had occipital headaches. headaches arigina1ing 22 from here:, and neck pain mos!ly on the 1('0 side nnd left 23 ann pain, 24 Q Did she lell )'ou ahout the: ear accident thnt she 15 "as in back in December of 19907 Paljl: ~JI " Yes, f) And whal did she lell you aboul thill? ^ She "as in II moWr \chide ut:t:idclIl UII 11.1~. 1')11(), She was II ra!.sell~cr utlhllltime, lIer friend \\a!. dri\'in~. I don't ~lInw if I ~huuld ~II inln the: oc,..1 stillel1lent. I will !.~ir Ihat sl.UernerH, The) hil a blimp and hil U lelephollc pille, She hiUJ sume "-Cil~ncss at Ihat lime un her ri~lll side:, She >Ialed Ihullhe second 111010' ,ehlcle accidenl was significanlly worselhan Ihe filSl one. Thai is.lhe leN7 acci~enl wus worse Ihan Ihe I qqO accidcnl, II i, aner Ihe .econ~ aceidenllhal she has been ha\'ins more oflhl. neck pain and cervical ,pine pain, AI Ihis poinl. .he's nol selling any aCli\'e lrealmenl for Ihe cervical .pine pain, Q Now. al any point during) our discussions with her or )'our clCnminl1tion with her. did she ever mention that she waS invol\'Cd in another motor \'ehicle accident in which she liB> injure~ in Oclober of I qq8? A I don'l recall, I only remember IWO l1Iolor \;chiclc accidents. Q An~ Ihere'. nOlhins in )'Our report Ihal indicale, slie laid )'ou aboullhi. OClober 1998 car accl~enl where she \lBS injured, Is Ihal righl? :\ That's correct. Page ~9 Q Would ~ou d..:scrihe for us thl: ph)'sicnl 2 e\tunination thai )'ou cundueted ofhl:r? 3 A Yes. She was a vcr)' rl..:asant \\(lman. She was 4 oboul5 feel. 6 inche5lall, weighed abOUI 175 poun~'. lIer S neck ranse of mOlion. that is. cervical spine range of 6 motion, was nearly full eseert for a little limitation on 7 laleral bending 10 Ihelen ,I~e. Thai's Ihl, wa)', There S were no siGnificant triSGer points. Then: was no evidcnt:e 9 of an)' sort of spasm, 10 Q Lei me jusI Slop you Ihere anJ ba"e you e'plain I I to us what ~'ou mean b)' there wcre no significant1riSGer 12 points. 13 :\ That means there \\'..:re no ar..:as \\ hich w..:re 14 ",arke~I)' more guarded Ihon olhers, In a~dition, Ihe" lIa' I S no ti~htncss of the muscles. The)' \\ ere fairly wdlloosc 16 and surple. There was no evidence for on)' sorl oftrnpezius 17 Of the 51cmoclcidomastoid spasm. There was no evidence of 18 IIn) sort of shoulder girdle spasm, Th. shoulders had 19 r.markabl)' full range of mol ion, ~O The elbuw examination wns unremarkahle. There 21 was no e\'idence for frozen shoulder or rotator cufflear. 12 There was no evidence of nn)' Impingl:menl. AJllhe thorodc 23 outlet maneuvers. which are the maneuvers Ihat we put p('ople ~4 through to test for brachial ple:\us. \\ ere also negative. ~S Wrist examinntion was entire I)' unrcmnrkuhlc. TI1Jl'S .lust n 8 (Pages "610 "9) I',lp~ .111 I lerm 10 say that il was normal. 2 Pro'..ocati\c wrist tesls wcrc ne~alive. The 3 lingers had full ran};c of mol ion. The thumb \\a!. supplc. .. There was full strenGth. Therc \\as nol any e\ idcnce t.lf 5 peripheral enlrapmerH neuropalh)', Thalme:ans i1l1the nel'\ cs 6 arc working line in both the upper C:Xlrcrnitie:s, Thatl1lc;ms 7 Ihe br",hlal plexus WB> workin~ fine in bOlh Ihe upper S cxtremilies, That olso means thlltlhe nco,c routs lhill \\cre 9 coming from Ihe cervical spine were also workinG flne. 10 Q Lei meju" Slop you and B>k )OU to clarify to II make ,ure \Ie undersland. All of these findings, "hen )'nu're 12 saying there was no cvidence, for example, ofuapezius 13 !pasm, lhere was no evidence of shoulder girdlc spasl1I, cl 14 cetcra, are those all findings Ihal )'OU would expect in a 15 nOmlal healthy pmon7 16 A Yes. 17 Q What el,e can )'OU lell us aboul your examlnallon? 18 A I further went on 10 do my lIandard grip "'englh 19 lelling, Emnlially. what you do is you give a grip 10 strength meier, a dynamometer -- I don'l have Ihat with me 21 to show lOU, But. e"enllally, )'OU lelllhe pallenl to 22 squeeze Ihe right ,ide and the left ,ide \lilh the hands, 23 There should be e"enlially no dimepancy bellleen the 24 dominant rlghlside and Ihe nondominanlleft ,ide excepl for 25 maybc a 10 percenl difference between Ihe lWO, f';1;eJI I I went on 10 do lhis wilh her, and Patricia on 2 Ihe right side had significantly more "'ength than Ihe left 3 ,ide, And I eould not explain B> 10 \\ h)' in lighl of Iniac I 4 foream musculature. in light ofintacl intrinsic muscles, 5 The ani)' reB>onable conclu,ion Ihall could come up \lilh at 6 Ihal time \lB> that she WB> not puning her full e!Tort on 7 the left side. 8 The Jamar.. this is called a Jamar slrength 9 telling. It should nonnally re\'eal a nice bell-shaped 10 cu",e, and Ihat's \lhat you get on the right side \lhen I do II the te". And, inlereSlingly, thai was Ihe side Ihat \lB> 12 injured and Ihat's lhe side of question. But I gel a nice 13 bell"haped nOmlal cu",e on the righlside. On the Jeft 14 side, however. it was a complete I}' flat cun'c sUGgesting 10 15 me thaI there WB> a lack of e!Tort, 16 Q Now.. 17 A In addition ., 18 Q Go ahead. 19 A In addition, I went on to do the rapid exchange :!O Jamar strength testing which went on 10 fUrl her slate that 21 the left side all of a sudden increased in '''englh to 50 to 22 70 pounds, which is even harder 10 explnin at this point, 23 Because when I was gi\'ing her Ihe d)'namOmeler 10 squeeze. 14 she was putting out only 20 pounds of force. But when I 25 switched ofTvcry quickly -- at thai time. your brain does -- JI..~c )2 I nlll 11.1\1: li1lle: In Ihill~ .1huutllll\\ Illudl clfurt hi pul in. inltl :! the !\\lla'r./lnc part .. lthl.' c\hihill.'J lIuflllal l'olrcf11:1h 1111 the J lell !'lidC'. Sulhal'!i IhL' unl) \\ il) Ihall cuuld real'll U .. I:lHu.:lu!\iul1 Ihat !lhe \\01.li I1l1t pUlling uut full cllurl un Ihe 5 loft ,iJ., tl !':'!\cnliull)' wilh rC1!llrds 10 h)' and lip pim.:h 7 slrcn.:th tcslinl:. she did pn:u) \\cll. !\oJ she ,\ us K n:asunahh:. She \\U5 con!tlslt:n1. ller n:lh:>.cs ami I) ncuruluuic c\um WIl.'i normlll. There was nu c\'iJcncc: fur an)' IH sort uf pruhlems with the ccrdcal spine tlr lhe !lpinal cord. II And. cssc:nllall)', it was it nurmal examination 12 ""pi for the fa" Ihat ,he had ,"hjecli,e lcll.,ld.d pain I J \\hich \\us \crHied fUrlher h)' I::rip slrcnGth le!llln~ \\hkh 14 shtm cd thai slle had a flat cur\'e on thc Icli sidc. So she: I S must hove heen having some: sun of left. sided pain. 1(, Q f'o\\', if I undersluud )'UU corrccII)'.lhc records 11 that )'ou rcvic\\ cd rCGarding her histo!")' following lhls IS accldenl indicated thai her complaints \\ere on the right 19 ,ide of her neck and ,houlder. Am I rlghl uhnullhal1 20 A That's corrcct 21 Q nUl when ).ou saw hcr and tonk her histnr)' fwm 22 her and then conducled the examination. the prohlcms she was 23 h:llin~ )'OU aboul \'ere on the left side us oppmcd tn the 2-1 riGht':' 25 "That's corn:CI. r'id3 I Q AI an)' poinl during or following the examinalion, 2 did Miss NO\'Dk make an)' complaints us to the miUlner in \\ hich 3 it wus c;:onductc:d? 4 ,\ I dnn'tr...U. , Q No\\'. hilsc:d on nil of the medical records Ihat 6 )OU'\'C re\"icwcd and Ihe additiunal materials thm ) ou'\!: 7 reviewed and the hi!ilOI)' thai )'ou took from Miss NO\'i1k nnd 8 the examination thai )'OU performed of her. did) uu reach nn)' 9 conclusions as 10 \\ helher or nol she sU!itilined an)' injuries 10 intheaccidentofFebruary 131h, 1997? II A Th: onl)' conclusion I really cun reach i1llhc 12 time of the examination nnd from all ufthe records that I 13 thorough I)' re\ lc:\\ ed \\'as that the most she could hB\'e 1-1 sustaim:d Blthat time was B cervical spine strain. That's I' the most she could hil\"c sustained. And that usuall)' takes 16 within IWO, three. four months 10 rcsohe, And th.\I's the: 17 0(1)" thinB I can reach. All the olh.rthin~s are jU>l .. I 18 mean. I would tic spcc;:ulating. 19 Q Now, ha\'e nil of Ihe opinions and conclusions 20 that) ou'\'t testified hue to loday been slated within II 21 rCil.",onatllc dcgrtc of mtdicnl und hiomechanical Cer1ainl)'? 22 A Yes. I h:ae. .n fl.IR, Kl'\IGlIT: I don'l ha\"e nn)" (llher quc5lions, 24 Thank) 0", Dr, Naidu, 2S EXAMINATION ._'. _.. _ . _.. _~ _ __ __uh_' ._. _ ..____ 9 (I'a~es 30 to 33) l'.ltC.''& I II)' MR. n,TNNIN(jIlAM: I ~ Q Dr. Naidu. I ha\e a few qucsti,m~ fur )'IU. I.c('~ 2 3 Mart \\ilh Ihe rc\iew oftllc \chklc~ unJ those Ihin~s, 3 4 !'\ow.) OU SiI\\ 1\\0 phntuj;rarhs prmiJed l'\) the dcrcn~c 4 5 1.:1Iun!locl. is Ihut l,,'orrcct. one of each \ chide uCl.:orJing 1,1 5 () )tlur rcpurt'! 6 7 ,\ There \'ere a clluple uf each \chidL'. 7 K Q Uutlhos.c were pholtlcraphs prnvidcd b)' Mr. 8 9 ~ni1tht's office. Is Ihut correct'! 9 III A That's fo:orn:cl. 10 II Q Yuu didn't DClunH)' 1;0 out and set: the vehiclc:s II 12 and crawl around Dnd hmk for damaGe underneath or an)'thing 12 13 li.e Ihu!. 13 14 A That's corn:ct. 14 15 Q Is that corrcfo:\'! IS 16 A That's correct. 16 17 Q Vou didn't take nn)' Iypes ofmea.liuremcnls ('Ir 17 18 anything al the scene of the collision to d(termine whal 18 19 ofo:curred1 19 20 A Thai's correct. 20 ~I Q You hD\C no crush calculations or an)'thins of 21 22 thaI nature wilh respecl to the damaGe to the bumpers? You 22 23 didn't measure to S(c how deep the fractures were ofthc 23 24 breaks in the bumpers l1r how long lhe 5C'uff marks .... ) l1U 24 25 hwk no measurements of nn)' "mure. Is thaI correct'! 25 Pa~c J~ I .II ThaI'S ri~hl. I didn'l mea.'ure. 1 Q Your n:vicw of the collision hasically i~ based 3 entin:ly on information pro\'ided to you by defc:nse cllunsl.'! .. or by the police report. Is that correct? S A The pictures. the infonnalion from the defense 6 counsel, the deposition ofMildrcd Romberger.lhe deposition 7 of Palricia NOI u. und al1lhe records Ihall hale, 8 Q Well, lel'slal. ahoullhe deposilion 9 inform.nian. Miss Romherger told )"OU she hudjust stan.:d JO out from 0. stop when the collision was made. Is that J I correct'? 12 A ThuI's ri~hl, 13 Q You indicated in )'our repon and in )'our 14 leslimony that according to the police repon they 15 detennined Ihut she fuiled 10 SlOp und hit Mi>s No\u.'s 16 vchicle und pushed it inlo Ihe cur in fronl of her. Is Ihal 17 correct? 18 A That's correct 19 Q So Mi>s Ilombercer hit the rear. There's one :!.O impact to Miss No\'ak's hod)". one force against her hod)'" .:! I And then her car would have impacted the vchide in front of 21 her causing 0. different force: against her hod)". Is thlll 23 com:ct? She had two impacts. ~tiss Romberger had one. 24 A Miss Romberger had one impact. .:!S Q Miss Novak suffered t\\'o impacts. Miss I'J~C Jh Romherger's vehicle impacting her vchide. lllHJ then her vchicle being pushed illln the \'chide in from of her. Is that curn::ct? A If you call the sccond one an impact Q Correct According to Ihe pulice rcpm1, it was pU'hed forward inIU Unil 3. II hich is the olher v<hide. Is lhlll corrcct? A Unit 3 hud no prubl<m,. Y<" Ihal" correct. Q [Jullhere were 1\\0" A If )'OU .. Q .. impacts of the Novu. vehicle? A In you define impact as such. yes, Q Conlacl belween lhe IWO vehicles? A Yes, Q And. in fUCI. Ihere was damage 10 bOlh vehicles. Is thul correcl? A That's correct. Q In )'OUr review oflhe Ill<dical records, you said you loo.ed al Dr, R)'cha.'s record" Is Ihal correct? A Yes, Q Dr, Ilycha. diagnosed an acule cervical strain as a resuit oflhis collision. Is lhal correcl? A Thai', correct. Q Dr, Un;ac.e also treuled Miss Nova. and diagnosed. according to your repon. a posttraumatic P.lt:c: 37 I cervical >!rain, Is Ihat correcl? 2 A Thai's correct. 3 Q And Miss Novak was trealed wilh Iraclion? 4 A ThaI'S correct. 5 Q What happens when ,ollleone is Ireated wilh 6 traclion? Whal do Ihe)' do? 7 A Well. I mean, there arc a couple of wa)" 10 do 8 it. I mean, one is home traclion VI here they pUI a linle 9 cup along lour chin and )'OU 101) in traclion al home with 10 VI ei~hts. II Q And whal's the pu!]'ose oftraclion? 12 A TIlere are several ways -- the main reason for 13 traclion is for an)' son of cervicul 'pine sprain, strain or 14 spusm, It's for neck strain. And Ihe olher thing i, 10 15 aClually r.duee a di,location, which she did nol have. 16 Q The pu!]'o,e oflhe truction is to, whal. stretch 17 the muscles and put Ihem in proper alignment? Is Ihut 18 what.... 19 A No, it's nol ,. Ihal's nOI it. 20 Q Then explain 10 me what's Ihe pUlpo>e of 21 traction. 22 A It's biofeedback almost, es>cntially biofeedback. 23 except when )'ou're u,ing Ihe traclion to reduce a C,spine 24 fracture dislocation. Then )'ou're actually stretching lhe 25 .. fatiguing Ihe muscles. And you're aClually .. b)' 10 (Pages 34to 37) P:lre 3M I stretching it. the muscles get fatigued and you reduce a ::! dislocation, f'ow, that's a mechanical problem, 3 In her case, the cer\'ical spine strain. what it .. does is )'ou're really not realigning an)'lhing. Y cu're S putting traction so that there's a biofeedback mechanism as 6 far as the muscles are Betting tired. it temls to relax. 7 Ihey're nol firing as much an)'more, II', a biofeedback 8 mechanism. 9 Q So it belp' to reducelhe pain because oflhe wa)' 10 .. the interaction with the muscles, becau,e Ihey're not II firing as you said? 12 A II could, II could not. I mean, I clln'l tell 13 you Ihat. I'm nol .. I mean"" 14 Q They also ordered herlo tllke I S anti-inflammatories. 15 that corrcct? 16 A Thal'><onecl, 17 Q An anli,inflammalory i, for II hat purpo,e? 18 A II's JUSllo reduce inflammalion. 19 Q Inflammation of the mu,c1e.. ~O A No. 21 Q.. or tissue or whalel'er it would happen to be? 22 A II could be both, II could be.. it could be to 23 .. ba,ically an anti.infiammalor)' acts in a IDeation where 2.. there's inflammalion basically. II reduces inflammation in :S Ihal illherefore decreas.s pain. Essentially, that's what 11.1111:411 I A With re~pel:llo Ihis injury. Ilhought these \\Cre 2 Ihe mU!it significant. I'm not ~ilyil1g nuthing ch.e was 3 significanl. 4 Q Mter thc 1991 uuto eollision in which the)' S diul::noscd c1med head injuries.thmc types llflhings, 6 there's muhing in the record 10 indicate that Miss NO\'ak 7 was hal'ing any I)pe of problem Ihat kcpl her from laking 8 pllr1 in an)' of her normal aCli\'ities. is that correct. up 9 unlil the 1997 collision? lOA 11,al'><orr.cl, II Q And, In fact. she was apparentl)' water skiing 12 because Dr, Schlegel in 1997 as a mull of this collision 13 told her not to waler-ski for a season, Is thai correcl? 14 A 11,at'><orrect, IS Q ,\nd Dr, Schlegel is a neurosurgeon, Correct? 16 A Yes. he is a neuro,urgeon, 17 Q And he diagnosed Miss NOl'ak, according to )aur 18 report, wilh m)'ofa,cial ccrvical spine pain with an element 19 of righltriceps numbness and weakness. Is thai correel? 20 11'. on )'ourrepon of September :8, :00 I. al the bottom of : I Page I and besinning of Pase 2, 22 A M)'ofascial cer\'ical spine pain with element of 23 right triceps numbncss and weakness, yes. :4 Q And a, a resull of thai, he ordered an MRL 15 Corrcl:t? l'olEc3lJ l'ol~C 41 I )'ou use 1he anti-inflammatories for. I A ThaI's correct, 2 Q Doctor. for those of us who don't do Ihi, el'e" : Q \\'hal's an MRI? 3 day, inflammation would be \\hal? 3 A MRI is a fancy imasing lechnique which look, at 4 A Inflammation i. essenlially how the tissue heals. 4 Ihe 501\ ti"ues of the bod)' better. 5 Inflammation is good. For example, if I create a surgical 5 Q Detter than x.ra)'s'? 6 wound and I cuI. it ha, to heal wilh inflal1lmalion, 6 A No. X.rays arc greal for looking at bone, To 7 Inflammalion is good. II', jusl .. 7 look al 501\ lissue., like for esample, the cushioning 8 Q Dut whal is it really? 8 betwcen the discs, the cushioning between the spinal 9 A Inflammation isju51 irritaled tissues. It could 9 \'Cr1cbrae, the discs -. the rOUnor cutT, for example. >'ou 10 be .. whal it i, is it's a proce" by which Ihe body tries 10 can't see on an x.ray, You'll he able to see bcner with an \I to fil::ht something. be it acute inflammalion or chronic II MRI, II's just .. and )'OU can seethe .pinal cord better 12 inflammalion. 11'5 just a body respo",e, \2 wilh an MRI, Sol\ li"ues are belter. 13 Q So whal would be the purpose Ihen of giving an 13 Q And Dr, Schlegel al,o ordered, I think, according 14 anti.inflammatory? 14 10 lour report, a Medrol Dose Pak? \5 A That i, if)'ou diagno,e ,omebudy with 15 A Ycs. 16 inflammation at a cer1ain point. )'ou want to givc an 16 Q And whal's that? 17 anti-innammalor)' to reduce the pain mediators. 17 A TIlat'sjust an anll.innammalory except in an 18 Q You talked about Dr, "aroni,h's records, which 18 accelerated fonn. 19 you reviewed Ihe whole way back to 1988. ISlhat corrcct? \9 Q Now, )'OU osamined Miss Novak on September 18, , :0 A There "as a whole bunch of1hem, )'C'S. I re\'iewed :0 2001. Is Ihal correct? :\ Ihem all, but I listed Ihe significanl ones I thought, 21 A TI\at's correct I " Q And olher II"n the ones Ihal lou'\e listed in 22 Q And the colli,ion in Ihis ca,e occurred on :3 lour report and you've alrcady Icstified 10, nothing else 23 February 13. 1997. Is Ihalaccurate? :4 was significant as far 85 )'ou were concerned with respcct to :4 A TI1Dt's correct. :!~ this inju')? :5 Q SO )'OU wcre sceing her more than four )'cars, II (Pages 38(041) I'J~C ~2 I ahuUl f(lur ) t'ar~ ilnJ ~C\ en mtlnlh~ ali~r the il1:1u..J 2 1:ullisiun'! J ^ That's wrrccl. .. CJ ..\nJ" hcn Dr. It} dlil~ illld Ur. 11niil'~c ,and Dr. ~ Sdl1et;c:I \\ ere scein~ hcr. it \\ aOli fairl) close 1(llhe lime uf 6 the collision'! 1 A Thill'S \:llrre\:1. H Q Anlllhc)' \\ert: AClualll"hh: 10 !lct: her. luuc.:h Y her. seC \\hat was going un with her as it \\ns haprening. Is 10 that correc('! II ^ Thai's currect. 12 Q And )'OU \\uuld huve IlSsumcd base..! on their recurds 1 J and )our c1(omination that" hc:n )'ou examined her she wouldn't I" still he hi1\'ing thme acth;c 5)'mrloms. Is that correcr! IS You \\ould ha\'e heen surprised ifshc: was still hil\"inS the 16 same muscle spasms and 011 the prohlems Ihat \\ere delailed 17 h)' Dr, R)chak and Dr. Uniacke .nd Dr, Schle~d in 1997 \\hen IS )OU sa\\ her in 2001. Correct? 19 ^ I would not he surprised if she \\ as having 20 prohlems relaled to Ihat accident I would C'PCCl her 10 21 ha\'e in the same anatomic distrihution the same pain thai 22 ~he':q::01. 23 Q No". )'OU indicated thai the prohlems thai she had 24 from this collision \\ere all riGht sided. Is that correct? 2S A That's \\ hat I .. I didn't indicate. Thal's \\ hat P:lJ:C .u 1 lhe records show. 2 Q And )'ou reviewed the medical records from this J accident. Is thai correct? 4 A Yes, I did, 5 lReport d.led February 13, 1997, nne p.ge, 6 produced and m.rked Exhibit No, 4,) 7 BY MR. CUNNINGHAM: H Q Let me show )'ou what "e're ~oing to mark for )'OUr 9 depo,ition US Exhibil 4, which is a Pinn.cle Heahh record 10 from February 13, 1997, And )'ou'lI see in the middle there II arelwo ilems th.lare highlighlCd in )ellow, In medical 12 records is it a common praclice when )'ou mean left and righl 13 to pUI an "L N or an lOR N with a circle around it? 14 A Thai's correct. 15 Q Doe'n'l it indicate that ,he's having len finger 16 tingling .nd numbness on 2.13,19917 17 A Let me lell)'ou "hat this note 'a)". 18 Q Look atlhe highlighted )'ellow part, Docs it, in 19 ract. have an "L" with a circle and sa)' "L" finger tingling 20 and numbness? 21 A Nearl)' gone. )'C>. Originall)' had len finger 22 tingling and numbness. Nc.arly gone. >'cs. Did )'oujusl want 23 me to go Ihrough Ihat highlighted part? 24 Q No, jU51thal part there. 25 I Report daled February 13, 1097. one p"~e, ~-~ l'ajicH 2 produccd and marked Exhihil r\n, ~.) BY ~IR, CUNNINGHAM: Q I'm Ylling 10 sho\\' )'UU anolher record from I'lIIna<le Ileahh daled 2.13.1 <)<)7. and atlhe top of thai record it ~a)'s d~51cripli(ln of incident. And doesn't it sa)' "L" in u circle and arm? A Injured back .nd len arl11, )'e,. TI,is is dated 2.13.1994, ).... Q h's 2.13.1997, i'n'l il? h's a bad 7, hUI iI', 3 4 5 (, 7 8 9 10 . seven. II A Yeah, right, You're righ!. 12 (Report d.ted February 15,1997, one page, 13 produced and marked Exhibil No.6,) 14 BY MR, CUNNINGIlAM: 15 Q I'll show )"ou what I'm marking a, Exhibit No.6, 16 \\hich is .Iso a record from Pinnacle Heahh dated February 17 15th, 1997. And the ,ame area that', highli~hted where il 18 'a)s descriplion of incidem, doc, it all again reference to 19 Ihe left arm? A Thi, is daled 2.15,97, correct. Am I correct? Left arm. The desc'iplion or injur)' is injured back, left ~:! ann. This was a Pinnacle Health m~dical report form. 23 (Report dated February 25,1997, one page, ::4 produced and m.rked Exhibil No, 7,) ~S BY MR. CU!\'NINGHA~I: ::0 21 Paic 4~ Q I'm going 10 show >OU \\hi1tl'lll marking as E,hillit ,. \\hkh is from lIarrisburg OnhorJ~dic Associates. dated 3 .2-2S.97. On the first paragraph do ~uu s~c un area where it ~ sa~'s. She appears to have all the Sil:05 and s}mrtoms ofa S cervical strain sprain more so ri~ht 1han len side? When 6 it says more so righllhan 1he lel1 wlluld that indicate 10 7 > ou that h's on both sides. il's justlhat nne is more 8 pronounced'! 9 "It could mean Wl),thing. ~'es. It could mean that 10 the right side \\'as affected and Ihe len ,ide not .rfeeted II too, 12 2 MR. CL'N:-II:-IGHAM: I ha\e no further que"ion, for 13 Dr. Naidu, 14 MR. KNIGHT: I don't h.ve an)' other question,. IS Thank) ou. Doctor. 16 HIE WITNESS: You're \\'elcome. 17 MR. VENGOECHEA: This \ ideot.pe depo,ilion ufDr, 18 Naidu i, nul' concluded. The time or da)' is 5: 18 p,m. 19 (Whereupon, Ihe deposition \\as concluded at 5: 18 2U p,m.) 21 ~2 23 :2.- ~5 " I~ (Pag., 4:: to 45) Ilil~" 46 I COll1\fY OF (lAlll'llIl" SS 2 COMMON\\'E/\LTlI OF I'EI"1\SYI.\',\1\I,\ 3 4 1,l'umela S. Sulli\an. D N~)tarJ I'uhllr;. IIUllltlrized tn 5 administer oaths within Ulh.l fur Ihe CUllIl1lon\H'uhh of 6 Penns)'I\'ania, do herl:h)' certif)' Ihat lhe fnrewoinu: i!i the 1 lestilTwn)' ofSanjiv II. NlIh.lu. M,D.,l'h.D. 8 I further certif)' thai hcfure the takin>> (If sllid I} depOliilion. Ihe willless WjlS dul)' sworn: Ihulthe questiuns 10 and answers wen: taken dO\\n SI(nO~rllphicall)' b)' the said II RCJlortcr.NllluJ')' Public. and afierwan.ls reJuced 10 12 t)'pc\uiting under Ihe dirt:ctiun of Ihe said Reponer. 1 J I further certif)' Ihallhe said depusilion \\ 11.' tuken 14 at the time Ilnd place spccined in the captinn shcel hereof. 15 I further certify lhallam nota rclati\ e or emplo)'ee 16 or a1l0mc)' or (oun5cll0 nn)' of the partics. (lr a relative 11 or crnplo) ee of such altornc}' of cuunsel. Uf nnancially 18 interested directl}' ur indirect))' in Ihis aClion. 19 I further certif)' tha1the suid deposition 10 constitutes a Irue n:cord of the tcslimon)' gh'cll by the said 21 witness. 22 IN WIl1'ESS \\'IIEREDF, I have hereunlo ,el my hand Ihis 23 30lh day o[Deloher. 2001. 2~ 21 Pamela S. 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NOVAK, her husband, Plaintiffs NO. 97.6734 Civil vs, CIVIL ACTION . LAW MILDRED L. ROMBERGER, Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE I, Jeff Burke. of the law firm of FRANKEL. BARE 8. ASSOCIATES, attorneys for Plaintiffs, do hereby certify that I am this day serving a copy of the foregoing Brief Reoarding Plaintiffs' Objections to Testimonv of Dr, Naidu upon the counsel of record for the Defendant in the following manner: BY REGULAR MAIL: Christopher J, Knight, Esquire NEALON & GOVER 2411 North Front Street Harrisburg, PA 17110 Respectfully submitted, FRANKEL, BARE 8. ASSOCIATES FRANKEL. BARE ill ASSOCIATES ATTORNEYS AT LAW I. WI[ST KING STREET 'ORK PENNSYLVANIA 17401 Date: November 01, 2001 ~/'~- Jeff e, Para ega to: Mark David Frankel, Esquire Attorney for Plaintiffs 14 West King Street P.O. Box 1389 York, PA 17405-1389 Ph: (717) 854,3836 .- f:J ,.- if: c.: 1- - , c"':j :1..... , ( .~. -: ~c -J ;~ lL i-.j .,.:,..- , ~.I ~~~ I . L ,'. r ' ,dill .llll- ... d C"j . ., 1<) \'rut {2{~ a~htt(l/}1..t CASE NO,: / (J ~"tt,J2 DOCKET NO.: q 7 - '- ~ 1-13'1 Juror. Judge _ CIet1llP",lh ~.r...1d _' ',;1 _g ~OURTRO{)M NO.: VS t'JfYj ~t? I DATE: 11/7/0 I ~ I Random No. 60 81 13 18 14 7 53 5 .., 68 79 ~ "., 37 51 30 3 11 74 85 44 34 511 It 78 56 71 76 Name IIrlll,II,ldrt-77r / Green. Robyn K -1116345567 -1114594070 -1063190677 -1061947801 -1970038611 -1530819413 -1447147694 -1418805464 -1146636617 -998308786 -788101708 -775643614 .515OJ9179 -467511301 -33650 1691 -161534490 108994686 191159043 411079151 646557373 654153108 880791964 930186554 1005141996 1189015814 1373450971 1378610809 1431317657 1764131659 10<<036560 9011..... .a.1lelPlrJr- 7TLj Brownlnll. Lis. A F.lcone, Fr.nk G 'iLI,I, II~I ~d Jr 7r~ 55 lIumpbrle.. Jobn II Sr J~'lldall", A.lluld P A3 w.Il.... s.t.y S Franz, Dolore. D M IlIonl, Betty L Sypbrll, NI.ola A C.rter, Jerrrey S 11 j:..7.... ('1151,,11., M.I....-~IA A \ FtelllOR;c...., A"J;cb. D A&..( du~u, \'I.;~l B Evans, Lom. R T.ylor, Gertrude R (;lIr~.. K8b..... 7T ~ Lanlle. Jobn J Jr Dell, Ellen K Shlery, lori A Greenbel'll, Sus.n KII, Heunll Jason VOlIel, Robert A Melewsky, Ad.m R O'Rourke. lori V Brinton, G.ry L lI.uller, Jo.n F Mellale, J.ne M WlIcII~, ""-'t.'*' 01, 1001 ... 111. t