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HomeMy WebLinkAbout01-03632 ~ I ,-,I""" .'" : ~~ , ' .'~.~ S.j~lili!l:ltr-Ji.' . \ ,':1 CHRISTOPHER RHOADS, Plaintiff : THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, : PENNSYLVANIA v. : CIVIL ACTION - LAW ~ NO. ()/- 2LJ~ C,u:l '--r-~ KATHLEEN NEWCOMER, Defendant : JURY TRIAL DEMANDED NOTICE YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LOCAL HELP. Court Administrator 4th Floor, Cumberland County Courthouse Carlisle, PA 17013 (717) 240-6200 - ,'",,1. ,,".',," '""--,,,,I, '. ~'*ig;_i<!'''''_" . NOTICIA Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (20) dias de plazo al partir de la fecha de la demanda y la notificacion. U sted debe presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas 0 sus objeciones a las demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso 0 notificacion y por cualquier queja 0 alivio que es pedido en la peticion de demanda. Usted puede perder dinero 0 sus propiedades 0 otros derechos importantes para usted. LLEVE ESTA DEMANDA A UN ABODAGO INMEDIATAMENTE. SI NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE P AGAR TAL SERVICIO, VA Y A EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUY A DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA A VERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. Court Administrator 4th Floor, Cumberland County Courthouse Carlisle, PA 17013 (717) 240-6200 :;'I~. .. ~~ -'~~li.i;\'."i . , CHRISTOPHER RHOADS, Plaintiff : THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, : PENNSYL VANIA v. : CIVIL ACTION - LAW : NO. 6/_ Sf., 3:l c;;:., fL- KATHLEEN NEWCOMER, Defendant : JURY TRIAL DEMANDED COMPLAINT AND NOW, comes the Plaintiff, Christopher Rhoads, by and through his attorneys SCHMIDT, RONCA & KRAMER, P.C., and avers the following: COUNT I - NEGLIGENCE THE PARTIES 1. Plaintiff, Christopher Rhoads, is an adult individual residing 106 Center Street, Apartment 5, Enola, Pennsylvania, 17025. 2. Defendant, Kathleen Newcomer, is an adult individual who resides at 217 Beaver Drive, Mechanicsburg, Pennsylvania, 17055. 3. The incident giving rise to this accident occurred on October 15,1999, at approximately 6:00 p.m., at the Papa John's Pizzeria parking lot, located at 4612 Carlisle Pike, Mechanicsburg, Cumberland County, Pennsylvania. " -,,^- ..;'L~"," l~_ "< ll,~;iIDi"",~> . . 4. At the aforementioned time and place, the Plaintiff, Christopher Rhoads, pulled his 1993 Toyota Corolla into the Mechanicsburg Papa John's Pizzeria parking lot and parked his vehicle in a space that was across the driving aisle from a series of other spaces. 5. At the aforementioned time and place, the Defendant, Kathleen Newcomer, was leaving the shopping center and was parked directly across the driving area from the Plaintiffs vehicle. 6. At the aforementioned time and place, the Defendant, Kathleen Newcomer, quickly backed her vehicle out of the parking space without looking behind her and hit the front ofthe Plaintiffs vehicle while the Plaintiff was still inside the vehicle. 7. The accident was caused solely by the negligence, carelessness and recklessness of the Defendant, Kathleen Newcomer, and was in no way the fault of the Plaintiff. 8. The negligence, carelessness and recklessness of the Defendant consisted of: a. inattentiveness; b. failing to have her vehicle under proper and adequate control; c. failing to apply the brakes in order to avoid the collision; d. negligently applying the brakes; e. failing to observe the Plaintiff's vehicle in the parking lot; f. failing to keep a reasonable look out for other vehicles lawfully in the parking lot; and g. operating her vehicle so as to create a dangerous situation for vehicles in the parking lot. 9. As the direct and proximate result ofthe accident, the Plaintiff, Christopher Rhoads, suffered serious, and what may be permanent, injuries which include the following: a. a large herniated nucleus pulposus at the C5-6 location; b. cervical strain; c. upper and lower back pain; d. neck pain; e. right arm and shoulder pain; f. numbness in his right hand; g. tennis elbow in his right arm; and ..........~. ,~, ,_ ',,> , r 'h~' ~ . '-I, ~L. '" ,'---' >"~ "-'-~'"l l""-''''!lb:J ci!l~~\' .. . h. anterior cervical discectomy and fusion surgery at the C5-6 location, with iliac crest bone grafting from the Plaintiff's hip. 10. As a direct and proximate result of the accident, the Plaintiff, Christopher Rhoads, has incurred medical expenses to-date of$18,678.84 and may continue to incur medical expenses into the future, and, thus, a claim for these expenses is made. 11. As a direct and proximate result of the injuries sustained in the accident, the Plaintiff, Christopher Rhoads, has sustained a wage loss of$I,811.88 and may continue to Incur additional wage loss into the future and, thus, a claim for these losses is made. 12. As a direct and proximate result of the injuries sustained in the motor vehicle accident, the Plaintiff, Christopher Rhoads, has been advised and, therefore, avers that the aforementioned injuries may be permanent in nature and effect and, thus, a claim for these injuries is made. 13. As a direct and proximate result of the injuries sustained in the motor vehicle accident, the Plaintiff, Christopher Rhoads, has undergone in the past and, will continue to undergo in the future, great pain and suffering and, thus, a claim for these losses is made. 14. As a direct and proximate result of the injuries sustained in the motor vehicle accident, the Plaintiff, Christopher Rhoads, has been obliged to spend various sums of money and to incur various expenses for the injuries that he has suffered, and may continue to incur the same in the future and, thus, a claim for these losses is made. 15. As a direct and proximate result of the injuries sustained in the motor vehicle accident, the Plaintiff, Christopher Rhoads, suffered a permanent diminution of his ability to enjoy life and life's pleasures and, thus, a claim for these losses is made. " ^ ,I ~ '-,-,11<, .' ; ,,~.,' , ,~j,', "'::i~,-' . . , . 16. As a direct and proximate result of the injuries sustained in the motor vehicle accident, the Plaintiff, Christopher Rhoads, suffered a loss of earnings and an impairment of his earning power and capacity and, thus, a claim for these losses is made. WHEREFORE, the Plaintiff, Christopher Rhoads, demands judgment on the Defendant, Kathleen Newcomer., in an amount in excess of Thirty-Five Thousand ($35,000.00) Dollars and in excess of an amount requiring compulsory arbitration. Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. /~ DATE: till/Oj erard C. Kramer Attorney J.D. #44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiffs , .. 'A.''- ",.-",;,,1 , _, '- ^- '-'''*-< .;,~ , """,,,; "'''-' '",4,'''-'-'''-~' ;'.' ... . . .. VERIFICATION BASED UPON PERSONAL KNOWLEDGE AND INFORMATION 'OBTAINED THROUGH COUNSEL I, CBRISTOPHER RHOADS, verify that I am the Plaintiff in the 'foregoing action and that the attached Complaint is based upon information which has been gathered by my counsel in the preparation of this lawsuit. The language of the Complaint to the extent that it is based upon information which I have given to my counsel is true and correct to the best of my knowledge, information and belief. To the extent that the contents of the Complaint is that of counsel, I relied upon counsel making this Verification. I understand that intentional false statements herein are subject to the penalties of 18 Pa. C.S.A. ~ 4904 relating to unsworn falsifications to authorities. Date: /3/4/CO ~*.;~jffia;w:m;$ffiJ:c"ii';ill1~i!i!i(!!,;'~~~-*"&ttL,,j,lI4;;di<~bicl:~';'-'l1';!!diii.Mi\lJI,~-!j!:'f.~,,;~~~,-"~.1'~!l" """",,,~ fiii!IJ '- ~ ~ 'iJiiliir~ f'~""""~ -"--"'^ ~ .' , '~'_'l''';'--''-~a'l( o~ '"'1i!lt .. 0 C::. ('-~, (J 0 ~ -k:J. c " <'" .-- '1:J-' i ~ u' 8 \ mtT - -Jd ~ --;>'---;-- fu~'; ~~c:~~ C3 . i'''-'') ,'.,..", -<L (') J.. ........ ""- & ~ ~c~ --;~,} -c: .,. " ~ () () :>.- ~-" ;:---:::-;-::IJ z;-;' :=-:~:C) I I .-\.....' f'..) c5'-'1 G; .Pc: '\y ~ Z ---J ~ ~ ..,.,.,; ~ :b (}, ," -< \' .:..J.-. J- . ~,- ,.- ~ ,,~ , '''-'~" ",,'''"-- , :'-',;4 ,-,wkL-,-"~-".'''c"";,''\).",:,i:;;;''''''"."",,,i'/ 'j'",,<,',:j __',"^'" ""0;'" .:c;:" CHRISTOPHER RHOADS, Plaintiff v. IN THE COURT OF COMMON PLEAS DAUPHIN COUNTY, PENNSYLVANIA NO. 01-3632 CIVIL TERM KATHLEEN NEWCOMER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED PRAECIPE FOR APPEARANCE TO: Prothonotary Please enter the appearance of Richard H. wix, Esquire, of the firm of Wix, Wenger & Weidner, on behalf of Defendant Kathleen Newcomer in the above-captioned matter. WIX, WENGER & WEIDNER By rt.(' kL J-J. Wd Richard H. Wix, Esq., 1.0. #07274 Attorneys for Defendant 4705 Duke street Harrisburg, PA 17109-3099 (717) 652-8455 Dated: July 17, 2001 If w~,,""'" ~~ ",.~-~-~ '" -oj "'......~-~,.- ;,fi,'':'';' -,," .. -, '~ G::.Jii;> SHERIFF'S RETURN - REGULAR CASE NO: 2001-03632 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND RHOADS CHRISTOPHER VS NEWCOMER KATHLEEN KENNETH GOSSERT , Sheriff or Deputy Sheriff of Cumberland County,Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon NEWCOMER KATHLEEN the DEFENDANT at 1022:00 HOURS, on the 29th day of June 2001 at 7 ASHBURG DR MECHANICSBURG, PA 17055 by handing to STEVE NEWCOMER, SON a true and attested copy of COMPLAINT & NOTICE together with and at the same time directing His attention to the contents thereof. Sheriff's Costs: Docketing Service Affidavit Surcharge So Answers: 18.00 4.96 .00 10.00 .00 32.96 r'"~~-<~ R. Thomas Kline 07/02/2001 SCHMIDT RONCA & KRAMER Sworn and Subscribed to before IFf e-- day of By: ~vs~/ me this ( )~ :l€H> I A.D. q , ~~O ~I(~-'Iij r thonotary , ... - ~,-, - "-~ --, , ' . - ,"",'" ,-".".': '~Ii-"'r';,',->-~' . '-h:2,y"i''-~,i;i;''''';d,,;;-;'ii',o.i-:'::' ~,~..,,:;,;.;, ~ii CHRISTOPHER RHOADS, Plaintiff v. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 01-3632 CIVIL TERM KATHLEEN NEWCOMER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED NOTICE TO PLEAD To: Christopher Rhoads; and Gerard Kramer, Esquire, Attorney for Plaintiff You are hereby notified to plead to the enclosed New Matter within twenty (20) days from service hereof or a default judgment may be entered against you. WIX, WENGER & WEIDNER By ~~ .f.!. Lv~ Richard H. Wix, Esq., I.D. #07274 Attorneys for Defendant 4705 Duke Street Harrisburg, PA 17109-3099 (717) 652-8455 Dated:, 8/13/01 - '~ _:" ",,-- ;', t^" "~ - c~"'\:r),~-'~';,, ~,__s '/^", <-,^;,k";. "c~ <' _,~, ~.:.;~_. '''~";i:.: CHRISTOPHER RHOADS, Plaintiff v. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 01-3632 CIVIL TERM KATHLEEN NEWCOMER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED DEFENDANT'S ANSWER WITH NEW MATTER TO PLAINTIFF'S COMPLAINT AND NOW comes the Defendant, Kathleen Newcomer, by her attorneys, Wix, Wenger & Weidner and sets forth the following Answer with New Matter to Plaintiff's Complaint: 1. Admitted. 2. Admitted that Defendant Kathleen Newcomer is an adult individual. 3. Admitted. 4. It is admi tted that Plaintiff's vehicle was on the parking lot, however, the remaining averments are denied and proof is demanded. 5. It is admitted that Defendant was intending to leave the parking lot when the accident occurred. 6. Denied. 7. Denied. 8. Denied. 9. Denied. 10. Denied. 11. Denied. :: . ' -",,",-',' "-"'-"""'-'<,~'" '"'Ij",,,,y,..,~v'_-<, ,;,,,,: -'c, ""-",1',,,: ,'0', ;~_ ;,',>c,.c.,;;;",-{. "-_"'-'-~;:4>',~--~' '", ~...", i~~:; 12. Denied. 13. Denied. 14. Denied. 15. Denied. 16. Denied. NEW MATTER 17. Plaintiff's claims are barred in whole or in part by his own negligence. 18. Plaintiff's claims are barred in whole or in part by the provisions of the Pennsylvania Motor Vehicle Financial Responsibility Law. WHEREFORE, Defendant demands judgment against the Plaintiff, together with costs of this action. Respectfully submitted, WIX, WENGER & WEIDNER By %~ .(.r ~ Richard H. Wix, Esq., ID# 07274 Attorneys for Defendant 4705 Duke street Harrisburg, PA 17109-3099 (717) 652-8455 Dated: 8/13/01 , ,-- ".' " "'.,,- J,~ ". 0,'__ _, ~ ,,' "',."., ''-' 0",-_;"''-< -', ~ ,.';;.:' ;;;'- ,,~,,--" -"I,':" "__"_-",0 -,_j'~_" .';'<,;,,,,o,''-,J'','';'if; :';;0",: VERIFICATION I, Kathleen Newcomer, have read the foregoing Defendant' s Answer with New Matter to Plaintiff's Complaint which has been drafted by my counsel. The factual statements and/or denials contained therein are true and correct to the best of my knowledge, information and belief. I am authorized to make this verification. This verification is made only as to the factual averments contained therein and not to legal conclusions and averments authorized by counsel in his capacity as attorney for the party or parties hereto. This verification is made subject to the penalties of 18 PA. C.S. Section 4904, relating to unsworn falsification to authorities which provides that, if I knowingly made false averments, I may be subject to criminal penalties. Date: '8j/3){){ ~..))i ~ athleen Newcom r '::""'~"::':':l , I 1 , i-I i! ;:] :J '.:1 I 1 I:] :~ " 'i I !! _A '" -,"-', -," --- -, ;-' "",[,~, ," ,-- ",,' ~ "' '-"..: ~1, _,ji __,',i .'", :1-2 "<':~ -. -';"i'." ;,"'~' ,:~,;:"~,j,,,\:/(')'- "~-/:}i! . ' CERTIFICATE OF SERVICE AND NOW, this 13th day of August, 2001, I, Richard H. wix, Esquire, of the firm of Wix, Wenger & Weidner, attorneys for Defendant, hereby certify that I served the within Defendant's Answer with New Matter to Plaintiff's Complaint this date by depositing a copy of same in the united states mail, postage prepaid, in Harrisburg, Pennsylvania, addressed as follows: Gerard C. Kramer, Esquire Schmidt and Ronca, P.C. 209 state street Harrisburg, PA 17101 WIX, WENGER & WEIDNER By ~~ it W~ Richard H. wix, Esq., I.D. #07274 Attorneys for Defendant 4705 Duke street Harrisburg, PA 17109-3099 (717) 652-8455 '~tj:-r ,( <- i,,:_li;!',..~,:;;,~"O "'."-:;i':~Lf;;;,t:J;k6Lj-ji'i:;.-,,:"-. - ,',,-,,_,;1, ;~~'!fti~Jid~ilr"f " ',i ,:';,:' h~; Ji' -- "';'--"~'" ~",~-,~ ,;",,",,"---,, ,,:,;,--; ..,. ..... '; ,,' ~".;.., """,',,'. '" , - ~'_'&;e."~ -,,,,,,,- ... II' . (') Ci 0 ~ "'J no , "DC"' 6;') rnn' 2:".> z~- .:>-- 0>.., ; -<.,:- .. <::c .'U );; "-7C,) -'", --, 5"..,,; .,;''=:C'; ,,- ?l ... >-, L. 4/:"__ a ~ :< '0 '"'" ~ -- , ........1 " -,~- -, - ~' CYjj ,-- ,-<"-'-~" ',,, ,: '~~ _ ;"':ill, , CHRISTOPHER RHOADS, Plain tiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE AND NOW, this JS-+/.-.-- day of O^-^1-'U' nt ,2001, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Plaintiff's Response to Defendant's Requests for Production of Documents by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. ~ Ji .~~~:iiiW.ltid::4fl-jj;fpj,l,JI&1,.~~~oo';W~;iii;.'i#",*,k.!\!1'(\1i~~j,,'~:li8ltWi~~~<oiIo-~~"I:f:!!iW'''''' " ~ - 1 1'l"~"f"~'.~ .. - 'II , 0 C:'; C :c :0- ~...... "iJc;::; ~ rDr"" :;=) z" ,J-.- 1"V zr- (j) ;~" CO -<,.,-:.- -'.\ '>,~ kCi ~",C" ~O -". ~:::;': (") -0 N '-",I;'"' )>C .::;~_I Z ',' =<! '::::l ::b 0"\ -~ , ,. ,-, I" - " ,,- , ~ ,,' ~ '-" .' "'-:;0- _;' :, , >~ ;;t" CHRISTOPHER RHOADS, Plaintiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE AND NOW, this /:s f/..-uay of ~~ ,2001, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Plaintiff's Answers to Defendant's Interrogatories Directed to Plaintiff - Set II by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. By erard C. Kramer Attorney at Law Attorney J.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff ~ ." , ;j~a1!il~f~';_WA,ill,jj~ii<:;;,~1!;~~~i\>-'/':M~i>1~6~f"Ji-'i~~"#i:~'nli.'-ir>.w-i&_~~~tiil~~~Iil:ial:W.".~""'- ~l'-"'~l 111~"--' (') C) '_..J c: l'i $: ~ -oCC: rnr-;-. s.""S -. Z::c. ~--" zc ;'~-.,) .~j (j)~, 0 -<-":::: - I S? !<,C ~(~~ ) :.'= ,;;:;. () "'=C. N ~~C;"i Pc Z :::> :.:! <~ C}1 -'> -< =~ .~ ,~ -~~,' . '_'_U'. <-,~~ . L,~" ' ~j CHRISTOPHER RHOADS, Plain tiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE AND NOW, this /f::#--aay of ~u.~ , 2001, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Plaintiff's Answers to Defendant's Interrogatories Directed to Plaintiff - Set I by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. By erard C. Kramer Attorney at Law Attorney LD. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 ~ i~~,~",-=~~~~~_,~~~-,;;e,,~~~ illtIii:i*__.iUI''''' '';'. --., '"' .Si:::~j_ n;,j I I J 0 C> c: ;s;: ::;,:;. 'UCTJ ~ ,- fIlfT' ~J") Z:::;J 1'.) Zt;' U)<"" c:' -<L- : ~~ '. ,<C "', :?:C'! L.l~' r~ J>e: :;;;.: c::> r.< ~ -'-' CT- -< ';: ,.",.."".. ~ ." "-. .- L . , ~.ill' ", ~~ ~," ~, ~ -;,f CHRISTOPHER RHOADS, Plain tiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED PLAINTIFF'S ANSWERS TO DEFENDANT'S NEW MATTER AND NOW, comes the Plaintiff, Christopher Rhoads, by and through his attorneys, SCHMIDT, RONCA & KRAMER, P.C. and responds to Defendant's New Matter as follows: 17. No responsive pleading is necessary. 18. Paragraph states a conclusion of law to which no responsive pleading is necessary. WHEREFORE, the Plaintiff respectfully requests that the New Matter of the Defendant be denied. Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. DATE: ~!/1Iol ~ erard C. Kramer Attorney at Law 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney J.D. #44715 ,,,,;iil_ ~~, . ~ -"-"k" ---;, ".,:-"'- ''*ii<' VERIFICATION I, Gerard C. Kramer, verify that I am attorney of record for the Plaintiff, and that the foregoing document contains no facts within the knowledge of the Plaintiff, but rather, is based upon the record or facts solely within the knowledge of the attorney; and, for that reason, I make this Verification on Plaintiffs behalf. I verify that the facts contained in the foregoing document are true and correct to the best of my knowledge, information and belief. I understand that intentional false statements herein are made subject to the penalties of 18 Pa.C.S.A. 13 4904 relating to unsworn falsifications to authorities. SCHMIDT, RONCA & KRAMER, P.C. ~ erard C. Kramer Attorney at Law Attorney I.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiffs Date: g /1710 I r ~ , i_ --,I;, ,_.J.. -c_ ""'" """"----'~l#-, CERTIFICATE OF SERVICE AND NOW, this ] 7flday of Wlf(ld:;- ,2001, I, GERARD C. KRAMER, ESQUIRE, hereby certifY that I have, this day, served a copy of the Plaintiff's Answer to Defendant's New Matter by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. ~ By erard C. Kramer Attorney at Law Attorney I.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff '"""~'~~, _'"O~ ~'. ' ""~_ . ~2 ~~" '~--dliiI:l --,I "hi-~ i '~"'" ,~\i -,,; ",~ ,; ~ "-":':;-..J CHRISTOPHER RHOADS, Plain tiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE AND NOW, this 51/- day of ~~ ,2001, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Plaintiffs Interrogtories Addressed to Defendant Kathleen Newcomer (Set No.1) by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. .------ By erard C. Kramer Attorney at Law Attorney J.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff -'1 ~f~1<<~jlihli:H~:~lilll:":-;jjffiHitbi;,;<;,:*i:l-!tt:'"'"',*'bt,,'n;'''''.i,i,,c,'4.%iftiillt),'~ii~!>'~'lli%~fuMi\;i"""!;B"-=-'-'cti"'~;,m:",~~~ ~-, - -.~" '-"-"'."'....,,'~lJ_ ~ =~ ".' <:'> c::> 0 c: ., .. ;;: en .,-,) ~EB r"/'I " " :712 ~~ I -=:2rn -J .,qO "';,') ~o :Do ','" --n ~o ::ll: ?\::ti ZC) >8 9? om z "" ~ =< Ul -< , " ',,_. "0 ~ " 1"-. -, ":.-..-..l:.,.,"",",' . ~.~it;" CHRISTOPHER RHOADS, Plaintiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CMLACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE AND NOW, thisS'fI.- day of s..pk~ , 2001, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Plaintiffs Requests for Production of Documents Directed to Defendant Kathleen Newcomer by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. ~. ~il~~~i~IIli\~'IDlJJi..~~~);,*j~'Ii1,g~~-",--W\'~;mni'!i(P~'~h,1'l;<;,,-t"<lj"''"-4_~:~'~P1:Gi~.mm\i~iL.!!m~Iili~" '-;""""""'~~fjIlY.iW,-'lf'::~j'fl'.jJr I'm) ~ III lIil>lilIj&,! . (') 0 ~ ,,0 .., ~ffl U) "....-! ,...., -u ~;-=;:n 2::0 f 'r- enS; :gm ~2 -.; '-~V O.L KO ":lO> .:;i!;f> ~o :J:: "::) '~d )>:0 9? isM ~ w ;;;! Ul ~ ~.__" _ - " "". ,"" t-___ '", ~~~"' ~. ~..~^",' ,~" -_ ,."~"C _^~_ ." . in; - , ,I~ "" '.,., , ~ ' ,~;;.'...> ": CHRISTOPHER RHOADS, Plaintiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE AND NOW, this /2it~day of GJ-oh OA...J . , 2001, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Plaintiff's Second Supplemental Response to Defendant's Interrogatories and Requests for Production of Documents by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. t-- rard C. Kramer Attorney at Law Attorney LD. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff :,~r~~~.dm~!",~j~~0t':i!,."i-;,L~'ilil15~W~:Ir,,'jjf";;,;;;;::l~'e--"~_lIIIill~!l~ J,,;:l.~~DJJL -,,"t, _ _ "_"~M~ ~"",. et""'"e,",_" _ _'~C"',' ^, -...._,,,',~,',,' ,"'-=-~"""_. _'f' ,,,",,,_", ., -~~ 0 0 (') C "-,., ;::: 0 :,;1 ~~ n -I '::'11 :r..'J :D ,... ~s;: 0-. ~16 """ Z;'1/r 0 :3~Y! :< :>>- "'--+1 ~8 :x ?(~ 9 .2: rn )>c 0 ~ N ~ -< I';' ~ /.' I~,.~~"," .', '~''1'T~'z'-- ',-"-"~'-'; -~"'^ '--~. <---' CHRISTOPHER RHOADS, Plain tiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE AND NOW, this ! /ff- day of ()uh)~ ,2001, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Plaintiffs First Supplemental Response to Defendant's Interrogatories and Requests for Production of Documents by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attomey for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. ~ ~~W;,~~~3l'li1Mi~~~!1t1:i\~JMitjr~,:w:~~:li'<t',",-,'mic~_"if""""'"' ~,~"r,;>",}~l";,,,,)L "-[,l1I!!JIJ!t.<~__,,~~,_,, ,_.. _""', ~,' '-.'" --" d'"_"""'~"> '"_",-e<~_"_,__,,~ ~~ ~ ,.,"<,,__~., '-- " ~.~ ~ " - --"",~. .~~.iIi'"'~~.'."~ 'ii 8 0 r) - ';1 1!: <:;) ::1 ~W; C") ~-"",,'l :0 --I ; \1r= ~~ ::gm 0"> -, 0 ,~. 0 "'" ~;jQ ~ 62:.\ 3Eo :II: --",,-('") >f: S' /.~.rn ~ ~ ~ :Iii ,'d?:liA', ,'"~ - .1 ~ - , - ,~"' ,-, -~--^--aj ....""=. 4 '~ :""w.J,. PRAECIPE FOR LISTING CASE FOR TRIAL (Must be typewritten and submitted in duplicate) 1'0 THE PROTHONOTARY OF CUMBERLAND COUNTY Please list the following case: (Check one) (XX) for JURY trial at the next term of civil court. for trial without a jury. .~~M___M_.M~UM.._~U__._...~~__M_M_MMMM.~."U_~~_M~~.~~_.~.__......_~~~_M.~.__.M..~_.~.~~_~_~~___~_~M~~M~.nMM~_~~~~~._~MM~___MM~'n~.n~._~~~.M.'._~~.~~U~.'_'_~Mn._ CAPTION OF CASE (entire caption must be stated in full) (check one) t .".' Assumpsit CHRIsTOPHER J. RHOADS ) " Trespas;> ( X) Trespass (Motor Vehicle) (other) (Plaintiff) ,vs. KATHLEEN NEWCOMER The trial list will be called on . October 8, 2002 ([)efendant) and Trials commence on ,November 4, 2002 Pretrials will be held on October 16, 20 0 ~ (Briefs are due 5 days before pretrials.) I vs. (The party listing this case for trial shall provide forthwith a copy of the praecipe to all counsel, pursuant to local Rule 214-1.) . . No. 01-3632 CiviL Term. .m1'~.<!!..Q02 Indicate the attorney who will try case for the. party who files this praecipe: Gerard C. Kramer, Esq" Schmidt, Ronca, & Kramer, p, C" 209 State Street, Harrisburg, PA 17101--,-(717) 232-6300 .___._.____ Indicate trial counsel for other parties it known: Richard. H. Wix, Esq.,~.: 'Nix, Wenger & Weidner, Harrisburg, PA 17109-3099 (717) 652-8455 .~_..~..,-_._"-, ------,.._.-----~- 4705 Duke Street, ~-"--------------_.._---_. Signed: ---.,..--,----.----.-----.-- .~_...~.~,. This case is ready for trial. (~ _.,-~ 9 j /1 J 0 2- Date: _~_._~_.__. Gerard'C. Kramer, Esquire me: __________,.._,l-.__.,____..__.,_~~._ Plaintiff . Attorney for: .._---- ___.__u_:.________. ,/ """:'-'1,-1' ,.~...._ ~- ;;"'- I. " _........._ ...J... _= __. ___ _ ~ lil\ ~ ~ CERTIFICATE OF SERVICE AND NOW, this / /f/---day of ~~ , 2002, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Praecipe for Listing Case for Trial by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. // t-----.- By /~ / Gerard C. Kramer ,. / Attorney at Law / Attorney J.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff - ,;;,~,~j,_, :'J~'>'.~~"~'';;I>'.'''''''''i'lfk~~~'''''''o;~_'''-l!,~!bf=_'--' ',-- - '""";'~~]'"1iW:i"';;\;~~-"'''''"::4N''''~-- I '~.'" . ib F,,~,. ~~,_~_"""~.""'''''''_~, ~,"";".""'-" ""-1',,- " ---,,,,,,,,,,,,. "'''''~ ~~",'F~'''''', "''''r_''''',~= ., ~,,,,,,-,""'" -,.' ~",,"-'~.'-~ -- ".."" _h<" . ""-"-- ~ 1'1:11, "~,,,',~ ";' -,,', -.~",,';'~ '~'", 'J<'o-b,. o ~~. t0~"" -<&- t;2'C' ~c:, -",-(-, ~C :z =< d~l,i,_e' . ,.' ~"' = rc,.) V) j-fl .~O ~, ',_I -q , h~ :,1 ~ r.....;-, _1- L) ::''Sj ,.')--:-:- ~~~!~ .-\ ~. :0 -< :c~ ~ ~. 9? --I >Zi d,~~,..,....,;~'~~l~"""~ ., -" ~ ;~l L -~ ,. ^~ ,- 'l~ ~.~ '~"~ '''''''''-''', Plain tiff OCT~OZ THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA . -' ., \.. .. CHRISTOPHER RHOADS, v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED ORDER AND NOW, this day of ,2002, upon consideration of the Plaintiffs Motion in Limine, IT IS HEREBY ORDERED AND DECREED that the Plaintiff's Motion in Limine is granted and Perry Eagle, M.D. is not qualified as an expert in anterior cervical discectomy and should not be allowed to testify at the trial of this matter on any issues relating to or in anyway relating to anterior discectomies. In addition, Perry Eagle has not evaluated the patient. A medical records review is not accepted by the American Medical Association as an accepted manner for determining causation. BY THE COURT: J. " ,""',!.i"'__'__""'_~'...J ~~ l.. ~~ '~i;;." ".1 "... CHRISTOPHER RHOADS, Plaintiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED PLAINTIFF'S MOTION IN LIMINE The Plaintiff, Christopher Rhoads, by and through his attorney, Schmidt, Ronca, & Kramer, P.C., respectfully moves this Honorable Court to prohibit certain testimony at trial and respectfully avers as follows: 1. The above-captioned matter involves an automobile accident which occurred on October 15, 1999. 2. Following the automobile accident, Christopher Rhoads treated the following day at the Holy Spirit Hospital and was put into a soft collar and prescribed Flexeril and was instructed to refrain from work. 3. His symptoms did not improve and he was eventually referred to William W. DeMuth, M.D., an orthopedic surgeon. 4. The first appointment was on November 16, 1999. 5. Dr. DeMuth ordered an MRI and diagnosed a disc herniation at C5-6. 6. On February 8,2000, Dr. DeMuth performed an anterior cervical discectomy fusion at C5-6 with iliac crest bone grafting from Christopher Rhoads' hip. ~~""~ "= -"~ - ~'" - L_. .L.~.,.: '1 '-,. 7. Dr. DeMuth was asked to opine on causation by State Farm, his insurance carrier. 8. Dr. DeMuth rendered an opinion on causation. (See attached Exhibit "A.") 9. A third party action was filed against the Defendant, Kathleen Newcomer, whose vehicle struck Christopher Rhoads' vehicle. 10. Ms. Newcomer is also insured with State Farm. 11. The case has been listed for trial. 12. On October 14, 2002, at 4:45 p.m., a fax was received which contained a medical records review performed by Perry A. Eagle, M.D. on some of the records of Christopher Rhoads. (See attached Exhibit "B.") 13. The report renders an opinion that cannot be said with a reasonable degree of medical certainty that the motor vehicle accident of October 15, 1999, necessitated the performance of the surgery. 14. A records review is not an accepted or proper way to determine causation. 15. Dr. Eagle did not (1) exam the Plaintiff; (2) interview the Plaintiff; (3) review the depositions; or (4) discuss the Plaintiffs care or treatment with the treating physicians. 16. The AMA supports medical records review in only billing situations for medical necessity determinations (only when inappropriate or illegal behavior is suspected and not for causation). C_),,,,,,~,,,,,,";,.....,_~w..,~"...,'J. ~< ,~ .- .~ ~ ,. L. ."'~~ -~ ~"""""""";w ..1 ~.... 17. The Plaintiff also requests that Dr. Eagle be precluded from any testimony concerning anterior cervical fusion surgery and grafting because he does not do this type of surgery and has no recent or substantive experience in performing cervical anterior discectomy with fusion/grafting. 18. Dr. Eagle's testimony and documentation obtained from the York Health System in other cases indicates that over the past five (5) years, Dr. Eagles has performed only two (2) back surgeries. Both were exploratory and none involved the cervical spine. (See the deposition excerpts and York Health System records attached as Exhibits "c" and "D.") 19. A policy of the American Medical Association states that with regard to medical testimony that medical experts should have recent substantive experience in the areas which they testify and should limit testimony to area of medical expertise. (See attached Exhibit "E.") 20. Dr. Eagle does not have recent substantive experience in these areas and should be precluded from testifying in these areas. Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. y erard C. Kramer Attorney at Law Attorney I.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for "~"""",_-",c""~,,,,,.,~,~,,,,_.,<=-,,~&,,,_~*,,,,_,,--v-.""'~",,",...iiilll~~..,"~,,,,,,,,-'F_'-'~ "~~~"""",,,,=.,.~~ "=.--" , . "-J~~~""",,,,,~,,,,,J~""''''''''''';'''~-'-'''_''''''rl~,_=it''''''''-'''''"'t.B:3:!i'I@'im''t!a!'M>.I''l&,m.,""'';'",i,<r;"q@~-_ . 1 'l. E. X.., 81.B'..... "'1'" ':"T'" '.'. ' - '-' ,~,,- '" -'" ,,~",.,," . ...,.... ..:.... ........,. ,.,.' .." ........ ',. ,... '.. . "A" e.___a~"'~'~.~ ~"'---' '~~ ~' l....-llill" , ~- "lfii - i"ri u ~:&li.lIll;" iI'- , ( " .?~ / 6IP' 'riM (C 2000 {~',' DAVID M. JOYNER. M.D., F AC.S. ,1 R1Q1AR1i)J. BaAL, M.D. ROBERT R: 1lAliMUS. M.D. 5rn'tIEN W. DAILEY. M.D. e' ~LLIAMW. D.eMUIll.M.D" FAC.S. . ;HN R ffiANKENY ft, M.D" F AC.S. MARKR. GRUBB. M.D. RlClfARD 1l.1lALLClCI\ M.D. ORTHOPEDIC INSTITUTE OF PENNSYL VANIA TELEPliOI'lE: (717) 761-5550 . (8001854-4020 . FAX: (717) 757-7197 April 25, 2000 JAlI''ES R IiAMSI1ER. M.D., f AC.s. GREGORY A.lWiJIS, M.D. ALEXANDERKAl.ENAI\ M.D., F.A.CS. ROBERTR.1WiI!I>'\, D.O. RQI'iALD W. LIPPE, M.D., f ACS. JASONJ. LlTI'ON. M.D. STEVEr!B. WOLl',MD. TIIOMAS J.l'OCIliI. M.D. Tania Brungard Claim Representative STATE FARM INSURANCE COMPANIES PO Box 14007 York, PA 17404-0867 RE: Christopher J. Rhoads 196 48 4125 ' (). Claim Number: 38-J420-859/, I,) \ Dear Ms. Brungard: The following letter is written on behalf of my patient, Christopher J. Rhoads. Mr. Rhoads was involved in a motor vehicle accident on 10/15/99 and was sUbsequently seen in my office on 11/16/99 for evaluation of a cervical disc herniation. According to my records, he was in a parked car which was struck by another vehicle. My note further states that he twisted his head and neck at that time and began to experience shoulder and right upper extremity pain. At the time of his initial visit in my office on 11/16/99 he stated that he had a history of cervical disc disease at the C5-6 level which had been treated by Dr. Violago and Polacheck in the past. He apparently had been involved in a motor vehicle accident in 1997 as well. , He was subsequently sent for a repeat MRI scan of the cervical spine following that visit and these studies showed a large herniated nucleus pulposus at the C5-6 level which corresponded with his clinical symptoms. It was the feeling of the radiologist that this disc had increased in size since the 5/21/97 examination and was essentially causing marked central canal stenosis as a result. This was apparently a new finding since the 5/21/97 examination. After treating this gentleman nonsurgically without success, he was scheduled for surgical excision of the C5-6 disc with a bone grafting procedure on 2/8/00. The patient has done reasonably well since the surgery. After receiving your letter I had an opportunity to review the records of the previous treating physicians, Drs. Violago and Polacheck, regarding his previous cervical spine injury. My review of these records indicate that he had had EMG'SI and nerve conduction studies as well as MRI evaluation of his neck following the original accident in 1997. The electrodiagnostic studies were normal showing no evidence.of chronic cervical radiculopathyand, further the changes seen at his C5-6 disc were felt to be small and OR1llOrr;OIC SUIlCIwriS. LTD. ADDRf55 ALL CORReSPONDeNce TO: 675 POPLAR CHURCH ROAD, CAMP lULL, fA 17011 CAMP HILL OFFICE HARRISBURG OFFICE CAMP HILL OfFICE HERSHEY OFfiCE CAMP HILL ornCE 3916 TRlNDLE RD. 450 POweRS AVf!,. 890 POPLAR CHURCH RD., STE. 108 10 wesT CHOCOLATE Ave.. STE. 105 875 rof"LAR CltURCtl RD. ._or"''''r.>! , , c ; -~, Vr' ( ''1..:-:"" .od~~ ",,'.," ~'~ - _.~- c I.~ ' ; ,~ ~, 'n'h' ,~" =- f , ,/,"., I', . I. RE, RHOADS, CHRISTOPHER J. I PAGE 2 April 25, 2000 , , (,: -, ~: ", -~ ~ <!' MAY 01 2000 degenerative in nature and not significant to the degree that surgery would be required. He received extensive nonsurgical treatment consisting of injections and physical therapy and other nonoperative treatment were mentioned through 1997, 1998 and into early 1999. As of his 1/27/99 visit with Dr. Violago the patient primarily had shoulder and elbow symptoms which were being treated with phonophoresis and iontophoresis for tendinopathy. He was not receiving specific treatment for his neck according to my interpretation of the records at that time. He was released for pm treatment as of 2/23/99 through Dr. Violago for right bicipital tendinitis and right lateral epicondylitis. In summary, it would appear that Mr. Rhoads did have some issues related to his C5-6 disc prior to the motor vehicle accident of 10/15/99. The objective findings. however, were clearly different from those he had upon presentation to my office in the fall of 1999 following the motor vehicle accident of 10/15/99. It is my opinion, within a reasonable degree of medical certainty, that the motor vehicle accident of 10/15/99 was instrumental in progression of the disc herniation at the C5-6 level which subsequently required surgical intervention. I trust this letter answers the questio~: ~""~D . ' // Wl 'am W. Demuth, M.D. WWD/kir I ~ J < l E.. x... H. . lB..... .1.. ....T.. ......., ... ..." .;.. ... ;.+""........ .'.' ,', ,:.".", :.';' , ,~ -A," :'_" ",,' , , ,-';.', : ., . "B" "'~~~-"~" " '-. Jll . L .--.- ~,~ '~~] ",,-...." - ,bl [EhY-ilisgarvie - D4E86440.DCX .~ = ==.== == .._~=.===~.~ ~.~..~ -,=..:,.~..,~=.._.. ~. Page 2] . ~ . ~ 10/14/2002 16:46 7176526290 WIX WENGER & WEIDNER PAGE 02 WOUfIleav ~tfrf'rM.N'I' D111'iofOM&.tc .u....... t4At1D .l.iMaw ~1"ftY /4.. QGL.IE, M.O. Ie. '--.... H.....,.. ,UtAD yOlltIC. II'..NIIYt-"....... ,,,... TIl~,","OM (,.'7)7.'...... 1"'" rP17) 7.'..... October 14, 2002 l\4t. Si>oIt Emoy C/olni.s....,;allat _,_............C.__ PO Box 2~7 NowClllllbllrIlOlld, PA 17070.027S RE: CI.bow,d>w Rhoads NO: 38-14S9-422 ~Mr. Emoy: 1 bawpolifil......cI. _III rm.w an tbo, .~nod)lllllelll willi specifie ~ Iou. IIIIltotwblclcllCCidentofOctobtt IS, 1999. It W88,"'(lOItt4tha1lho p8tkmt W88 iIlvolwd ill. Diotor'lllllildo lIiOilldeat lit that timo. It is llIY UIIdottilandIna that tbere _ lID obM:Md cIamqe 10 oithor oIdIo wldtlea ud thatlbm was 110 iDiIieatioll .fponoll8l illjury. n. ........ofDr. wuliam DeftlIItIl_ ~ ud 011 N<wembor 16. l\I!J!Itbo poIioIlI_ nalli8fed. 1_'" _~ _lho podjml W88 _ by any haJIlioioIIIllfllYldcrpriM 10 N...emIlilr 16. 1m. Dr. IliomiiIh "'J'Od8 _ tho podjml_ iDWlwd In .,mDtOr whlcIo _idiiIIOliOclObcr IS, ,199\lwbl;n" was. (lU!IOII8Or iIl.parirDd..... It isl'8\lOiU!llbIllbo plIlIeiit IIiIlesbil tWIIItd bIs biIad ud lIIlClk lit tI181 time. It _ aIIO ___lbaI the,,- had __:rtllil8illO his cei'YlcaI opiDO --.I yean 1IgO. n. time...1i!raai:e oflho 0_ of ~Iiid *"'Y)iriOr ~lls llOIlleIlbrth. In thai replrI, iho pQaioaJ _.....IOn_ ~ '~ofeqWJlriP ~ ~ deep loDdonraf\Wo, ud ... potbo........ ..aex,*, ...... ~ 'I"Ilele Is lID IDOIIliim of IlmitCld rllOI/Oilln lbo cei'YlcaIlIPlneor Ii>cII IIOIIrcijoall: ddoit. It ill ftIJlOrIocI, _ iho peliont was 181 up fbr 811 MRI bUcd on b1ablaloly. 11 is wa...4tiIlIlIiat tbere..- J\O plIy11Callllldlllp wJDgb would _ .. 8IIll1d1e1lllm .fiho OJdoilnJof$UCh .lclIt. TIoe_ ....... willi Dr. De,,",lIupp..' to be O1IDeoembot9. 1999. n. _1s..u.wIIoI diOjoiilhliL 11 b topUrtOd IbIllho !lli1ioDt'.llI8l1IchallAingel are wlth aumtme.. iIIl110rlibt bIulCl 1lIIII",'lIilblaltlll>liDil: ilIlili1 riaht...... It,_ replrIodllW he _1lIl1_ to be ill 0IIlleme paiD. DeOP:IOndb/l teftUo. ...~to .... briIIt iIllbo upj>or exIrCnlly 8IIll biapip 1lIqlIl- _.'"'" N.pIj;sleal~_db;,........""" No..,.....I....~.Aottbe~....of IIIliliQia wU ~ Tlrlo dImOtet ud di8ln'butkln ofiho rtpOrIcd IiIII>>lioea '" the plllioat', riahlll8llll_...t cIocumellIecI. k''''~.'' ~ .~=~ . ~ - ~ ". ...1_.._" . , :: "-~=~, '^':" lE.~:illis Garvie - D4E86440.DCX ~~-- -"'-~=~~~ Page 311 . I "' 03 10/14/2002 16:46 7176626290 WIX WENGER & WEIDNER PAGE "2 RboIIdI. O'loII..... 00ID'* 14, 20112 Tbnbllof.........-27, ImwulC>lowwd. lfislorielll~ailljiClfl d...Ulider1be ph)IoiHI_"'"'ion. It III rcpoI'1ed th&l1lio owalacr hu llOllb1lllllal1p/ftcaallo.. ot~ Oft hil(,..' It iI repodod tIat lIIDlioa otb bead, pIIlIou/arlf wlllt -...lo4 or lmniIII to tho ~....... dIooomlbrt doWalbe.;pl _ of.I'Olllc....._. A"",.. _ ""110 --,......., uilbiiotb. Is 1IDl......4Iid. Tho IoeatlDa otlbe npcnlCd NdicllilIr .,...ploirl61s ""t <10., '''<'_ tin ...m_lIon io iIlooIqIIOle. SIII'pI'Y _ ...0"......11II"" lit IIIIlt limo. It.... dill da pIIlloIIt ........_lNqCrJ on.l'ebr.-y 8, 2000 COIlibllD8 or.n.-lot ~dlIaiiiiltclltl' _lIIIloa Tho pnc>.....oti>. dlapooio on da v....oIi_ _II.... of hIIrnIitad idIU palpO,. cu... Tho hiJtot)' m1 pIIyIical examI..illon ot1IIiIt ..... date ..... ~ lIIIlI 00illJilM no .......H;,;". fiIIdInp. It Is l'OJlOttecI tbot da polimt had pda. ala,. wlllt ~.ibI Cl.6 demlitoiao. Tho spoclfIc. ofllla~ upoa wIIlch dill cliIpDIIoII biIod ill e-. Further _ olIlr. J)emutb In da,.. 2000 l'tIpOIl tho pationt'. -'nos .............. ar .obouldorpoiam1tfslttllllldlllll1llma.. III da,.. 2001, tbttbo:r wodt.up _ pmeaIed because ofhilllOl1lilllllDc gomplalml. TblI ~ofDr. Bel Violalo_tmewed. Tho patioJll _~ OlIMq Ill, 1m... hoiDglavllhcNl in _....mole ~ oa _ Ill. 1m. Cervlcol oympl<lmIIN ~.. _n..liDIUat _loft in bOtIl boacl.. M1Uottho ccmc.t Ipm. OlI _21, 1m, dinlotod to Ilr. Vlollso.....IIiI1..4IYo ~e,.1t a-6 wlthatf8ht ~ lIIlatior el<InIdunI dIllilot allhiJ.1tYe1, pobltiiy ~1IIeCl to a CCIIiIbInItIon or. ......111pU1' IIIll dlsc. MIld IIIIIt>WiDs orlbe CS-6 ibnmn. on tho debt ""'" ~ ., Tho "!ita olDr. Vio. on ~ 12, 1m fia1hor "","_d. hiI.,.......... of__ wlllellwu w.....dI_in -... uaI te-4oeIlmcat. b _ orarisJll ~od el<InIdunI ddotltCS-6. An ~ _ ..... COJlductlolUludy dIIed June 10, 1m. perll>llIIod 117 Dr. Bel VIo...., ..... hfi;,Ij~!l;4 usbOWk1& mild CS-6 radlculopatlly hibtterally. AD EMu lIIl>CIyofS""",,'- 14, 1911I.... pcrtb_ by Dr. Bel Vio...... npoIIs.~ olootro ",,-1lIc 1IIl>CIy. All MIl of tho left shoulder datod Novemllor 7. I m WIlI...-iowed. Tho ollPlcalldlloJy WIt .... of-u:.r paiD. ripl.-_ Wl.mco MVA In Marah. PopplDf ud c~.oltlle dIould.w _ oloo ~ Tho OOIlCMiotl WIIll a"" olibl ___ altondoidtis witIIout ,...... 0ilIf... bl!!;1mllli"''''''''.~~ '.....~ ,,,.~ ~~" .~ ~."--'-- " ~ , ..L ....... 1- ',", . _,u ~. -,~ I::EE~ Garvie - D4E86440.DCX - ~~ -- :: "-,-=::.=~- Page !] ~ l .L, .", 10/14/2002 16:46 7176526290 04 WIX WENGER & WEIDNER PAGE ..... 3 RbolldI, Q,jislOpb.. 0010_14.2002 The f!lC<ris afDr. ViI>..... aflul7 6, 199. ~ dIaItbopollem..... a~ paiD oyndlIlmo MIho riPl.ooapuIar -. The !lady "'lIHllcu.. reporIO prior risllt ohouldor "",WloIIII wIillblia""...~llyimplowd. Upcmtbat...........",tho~. .1' ...........Jalqof paiD ill tbo _bn1 bOrdor ofllHl riaht oeopuIo. A porIIIIIal_oftbo MIU 111IIII was "",/I>.""" OIllhb..... III """-1_ with tIIoI 1iDdlIip-.l0ll balhortllealb.......D1ioned reporIO of May 21, 1!l!I711ld Namallor 22,1999. 1'blri Ii... ~ of a clisc IIemIa1laa al the C5-6 .....nth a OOJlIbIaaIilIn ofpllilalar lIpOIid)'litll:~, 1bo Oadfi&uradaa aflhat 0,"- oppoara to haw.... _.d....... tilt dmo _ beIWeOIIlho two MlU'.. IIlIllllllllllr7.lhbJllllIeatIa In tbo,ost.......4I.. _afhaYiaallod. --.raoMcald'JCI -"1'1' aaIillllD>ll tbr a~ bomlated cIIoc: II 04-5. TIio pIllmI ~ a"'", blotor)- "'''''- wiIb die CInIiotd splD.e IS _n IS wllb IIoIh 1IIou1dors. H. bad a IoJIIIdIImy af~ wllbdl8 riahlbulder prior to billlIIlrpl'y. TIio p*pml!Ve ~ of Dr. DemllIh.. paady daoo~ 1DiJiRe1M, .. do lIIJl c:oD.tala obj1octIve mdeta OfiDjlDy ~ Iiom dIo_ ........ ~"'0Cllb1* 15.1999. 1he tblllldalla....II.Il....1br Dr. ~..Clpiiliaa.tbat thopjlllelll...j....._reIDI totbalaceidOa.l_ aol di>., . '''''iIldlomadiOillReordL In ad!fiIIOo, tIIoI MR1 findlIlao ill 11199 .... "'1lS~. wiIlIaJI'CISN""ion olllilprior jxVble1ll _by imllPii IIiUdlaIlIll!l91. Inothorwordl, -.. In.... dol. ....~'lid ~ lIiIdI1lp IiId _ In .... ~ MRI fIlidlaas wbioh waukllIG..... IS Iho fbuiIdIIloIla llr Dr. Dem!a'.oplalon. Ia.lllldiliila, iii: piIIIem'. fili1ul'e to _lIIildkaIcarelll dl8 ........u_ pili' _/4elIt paiiOd, Is nideiIce 1br tile IiIlld 1\lIl1ll8 of ;.vury. If indoe4ll1l)' did _. 8IocmdIly to tIlt......ofOdobor 1$. 1999. . It ~..... \la poIutod _tbIIlbo poIiont ""........ to ha... -* probloml oad""""lIl bill rlJht. . UJlll'It~. W'lIb all of_ ia.lbrmation llluIIId, It Is lIIfOpl....,ltllllllt_be IIalilI wllb aftllliOillble ....... ofmadlcallllltltilly tballbe IIIIllorwbicle....ulnl OfOCllbbor 15, I,"''''' ~"1he ~ oflbo lboiolUurP'Q'. IIllllay be orllly lbrtIler holp '" cllrlflcalicm iIllhb _, JlIoue do 110I......... '" oaII or write. ~? A MD. PAElId ""-"""""",_~.,b"'"o,~",,,,,,,",,".-"''''''''4'''''''''"'"''~'''''~'''"""""""",",-_'~,,"I~;:_i""""""""'_'" - ~'_.."-_......."'- ~ '~'i_'~~~___,""",;lll""""'';,,,,,,,,,,,,,",,",,,",,,,"~.,,,,,,",~,_,,,,~~,,,,_,,.,;,;-~.","""""'-~,,-,,,,,,,,:,,,,"i __;,,, ,',,,~, 'I ,~ EX\/ .8.... IB"" '.1.... '..T'" '.. - ,""'-. ",.,-,." " .. ....., ... ...... .. ., 'd'l .. .. . "C" ,\~.......~~..,.;,~,. - I~~ ' 1. ' ~;<,;, i i i Ii ~. 4.' , i j I I I , . . i ,".'..-':" " I' . " , .. .. .. .. .. .. .. . . EDWIN E. SCHILDT, SR. and KATHY L. SCHILDT, his wife, IN THE COURT OF COMMON PLEAS OF FRANKLIN COUNTY, PENNSYLVANIA Plaintiff vs. No. 2000-1525 STEVEN R. SCHWARTZ, JUNE L. SCHWARTZ, VIOLET SCHMID and ACTION REAL ESTATE, INC. , Defendants . . . .. ".o . Deposition of: PERRY A. EAGLE, M.D. Taken by Defendants Date May 11, 2001, 2:17 p.m. 11,' ...... '.~: ,~ -, ~~: Place 191 Leader Heights Road York, Pennsylvania By Susan L. Petrilla, Notary Public Registered Professional Reporter Douglas MacIntyre, Videographer APPEARANCES: SCHMIDT, RONCA & KRAMER, P.C. By: GERARD C. KRAMER, ESQ. For - Plaintiffs MARTSON, DEARDORFF, WILLIAMS & OTTO By: DANIEL K. DEARDORFF, ESQ. For - Defendants , ......."') (,;, . FIUUS & McLUCAS REPORTING SERVICE. INC. Hanisburg 717-231>-0623 York 717-845-6418 PA 1-800-233-9327 << " i I I i i I I I . I ~. ( . ". .' (J . ' 0' ~~;~ '" ~'. "" '~ '- -,,"-- ~~ - ~ .,,~~, I N D E X WITNESS PERRY EAGLE, M.D. Direct Cross Redirect Recross By Mr. Deardorff 4 (as to qualifications) 18 By Mr. Kramer (as to qualifications) 8 By Mr. Deardorff 19 By Mr. Kramer 36 EXHIBITS Dr. Eagle Marked Identified Exhibit Number 1 X-ray report dated 3 31 11-19-98 2 X-ray report dated 3 31 9-10-98 nuus & McLUCAS REPORTING SERVICE, INe. Harrisburg 717-236-0623 York '717..s4fi..M18 PA 1~233-9327 1m"'. - , i I I I i I I i I I I ',' "''};'1:\. ~;J;'''c', i!i~i; () L,j ......~ . ; -- . '__0". ~c. ,Iu...-.~ , ",i.~;, - ,~" ~""-"~-" '-' - 3 1 (Eagle Deposition Exhibit Nos. 1 and 2 2 produced and marked for identification.) 3 MR. MACINTYRE: My name is Douglas 4 MacIntyre, and I represent Video Images, 155 5 Wynshire Lane, Red Lion, Pennsylvania. Today's 6 date is May 11th, 2001. The time of day is 2:17 7 p.m. This deposition is being videotaped at 191 8 Leader Heights Road, York, Pennsylvania. 9 The caption of this case is Edwin E. 10 Schildt, Sr. and Kathy L. Schildt, his wife, 11 versus Steven R. Schwartz, June L. Schwartz, 12 Violet Schmid and Action Real Estate, 13 Incorporated. 14 The name of the witness is Perry A. Eagle, 15 M.D. This deposition is being videotaped on 16 behalf of defendant. 17 Counsel will now please introduce 18 themselves. 19 MR. DEARDORFF: Yes, I'm Dan Deardorff, 20 representing the defendants, Dr. Schwartz, his 21 wife, and Violet Schmid. 22 MR. KRAMER: This is Gerry Kramer, and I 23 represent the plaintiff, Edwin Schildt and Kathy 24 Schildt, his wife. MR. MACINTYRE: The court reporter will now 25 FIUUS & McLUCAS REPORTING SERVICE. INC. Harrisburg 7l7-23lHJ623 york n7-845-M18 PA 1-800-233-9327 ,,,.,,---,~ I I j I I , I I I I I I I I I I ~; , / , \ .,$..'......'.'..., .- . ,'; ~" 1 C) , , , J., 1 2 3 4 5 6 7 . I. '~ ~:'-~~", ~,,';"~"',,- ~ ~ """~. 4 please identify herself and swear in the witness. MS. PETRILLA: My name is Sue Petrilla of the firm of Filius & McLucas Reporting Service. PERRY A. EAGLE, M.D., called as a witness, having been duly sworn, testified as follows: 8 DIRECT EXAMINATION AS TO QUALIFICATIONS 9 BY MR. DEARDORF~: 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Q. A. Q. A. Q. A. Q. A. Dr. Eagle, you've been sworn in to testify in this case involving Edwin Schildt, and for the benefit of the jury, I'm going to ask you some questions about your background. First of all, can you give us your full name? Perry Alan Eagle, M.D. And, Dr. Eagle, what is your profession? I'm an orthopedic surgeon. Where do you practice orthopedic surgery? In York. And for the benefit of the jury, could you just explain what is involved in orthopedic surgery? Orthopedics is a subdiscipline, which deals with the diagnosis and treatment -- And by "treatment," I mean with and without surgery, and most orthopedic surgeons' practices deal FIUUS & McLUCAS REPORTING SERVICE,INC. Hturisburg717.236-0623 York n7-845-6418 PAl-8OtJ-2J3..9327 ,~'~-h,""1~, ", r: 10 11 12 ~~ '!t.'J:~~1' 'iJ:{;, 13 14 15 16 17 18 19 20 21 22 23 24 () \...... 25 " ~ ~ L"~ ""'-~"'""""~ " illlll;n>~~,,:< "- ,. 1 2 3 4 5 6 Q. 7 8 A. 9 Q. A. Q. A. Direct/Deardorff - Eagle 5 with treatment that is not surgical. In other words, surgery is a lesser part of the practice. Dealing with problems with bones and joints and their related structures and problems with the spine. Dr. Eagle, how long have you been practicing orthopedic surgery in this area? Since 1972. And where is your office located? In York at 191 Leader Heights Road. Can you tell us briefly what your educational background involves? I attended undergraduate school at the University of Maryland and then attended the University of Maryland School of Medicine, graduating with an M.D. degree in 1967. I then had one year of internship at York Hospital, followed by one year of general surgery residency, also at the York Hospital. I then had one year in fellowship of surgery of the hand in Detroit, Michigan at the Grace Hospital, and then I had my orthopedic residency training program at the Allegheny General Hospital in Pittsburgh, completing that program in 1972. FIUUS & McLUCAS RF.PORTING SERVICE,INC. Hnrrisburg 717~236-0623 Y01'k 717-84$-6418 PA 1-800-233-9327 . , <'k ,~ ~ 'i' r' 10 11 12 'I'''j;', ~~;:;'~- -~V 13 14 15 16 17 18 19 20 21 22 23 24 /.., '(,;, ; 25 1 Q. 2 3 A. 4 Q. 5 A. 6 Q. 7 8 A. 9 Q. " 1- ''''''..,1......".; '",""'~~"" -c- Direct/Deardorff - Eagle 6 Dr. Eagle, are you board certified in the field of orthopedic surgery? Yes, I am. What year did you become board certified? In 1973. And what is involved in becoming board certified? Well, the board, the American Board of Orthopedic Surgery, is an organization that oversees to the educational requirements of physicians who wish to practice that specialty. So in order to receive the certification or approval of the board, the physician must complete successfully complete a residency training program in orthopedic surgery that has been reviewed and approved by the board. Then the physician must be in the private practice of orthopedic surgery for a specified period of time. Then the physician takes both oral and written examinations given by the board, and upon successful completion of all those requirements, the physician is then said to be board certified. Dr. Eagle, do you have any hospital affiliations in this area? HUUS & McLUCAS REPORTING SERVICE, INC. Htlrrisburg 717-23(H)623 York 717-845-641.8 PA 1-800--233-9327 .~ "'~,-"~"~~.,,.;- ,,' ..-. .' i '. if /~ ~~.. "" . . 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 ~" .~ "~-. ~'-. b...... .~ ','""i!!I....,.,',.W -. ..~ 1 A. 2 Q. 3 A. 4 5 6 7 8 9 Q. A. Q. A. Q. A. Q. A. Q. Direct/Deardorff - Eagle 7 Yes. And what are they? I have privileges at the York Hospital, HealthSouth, which is the rehabilitation hospital, and Apple Hill Surgical Center. I also have an appointment as an assistant clinical professor of orthopedic surgery at the Pennsylvania State College of Medicine in Hershey. And that's at the Hershey Medical Center? Yes, in conjunction with teaching activities. Dr. Eagle, you've testified about being an orthopedic surgeon since 1972. That brings us up to about almost 30 years. In those 30 years, have you treated patients who have back problems? Certainly, yes. And have you performed surgery on these patients who have back problems? Certainly, yes. Over the last 30 years, can you give us an estimate as to just approximately how many back surgeries you've performed? You mean low backs or spines? Just spines in general. FlUUS & McLUCAS REPORTING SERVICE, INC. Harrisbu.g 717-736-0623 York 717-845-6418 PA 1-800-233-9327 Is.1"w'..... ~~ J~> ,~, n'" ., . , . r -".. . ".- .',~".... w .- ci"r i~ \;" . , =-'""- I~ ,,~ '"~ ~--I;;;,: 6 Q. 1 A. Direct/Deardorff - Eagle 8 Spines in general, over 2000, well over 2000. MR. DEARDORFF: Okay, thank you, Doctor. 3 Cross-examine as to qualifications. 2 4 CROSS-EXAMINATION AS TO QUALIFICATIONS 5 BY MR. KRAMER: 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 7 8 A. 9 Q. A, Q. A. Q. A. Q. A. Q. A. Q. Doctor, do you currently perform surgery on the low back? I currently perform surgery. I have happily cut my practice back in all facets, and I do not perform as much surgery over the past several years as I did in the prior decades. And the question was directed at the low back. Yes, yes. The answer is yes. Okay, yes. I'm sorry. Doctor, do you agree that that's not a major part of your practice? Treating people with low back problems or operating -- Low back surgery. That is correct. And you perform these surgeries at York Hospital and Apple Hill Surgical? Not lumbar surgeries at Apple Hill. So lumbar surgeries would be strictly at York nuus & McLUCAS REPORTING SERVICE, INe. Hamsburg 717-236-0623 York n7-845-6418 'PA 1-8O(J..2IJ3.-9327 ,,11 ',' I i , i I i I I I I r ,"') ~"'." , . "- ~- 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 '" l...~ . )~ =~ "ilii'" 1 2 A. 3 Q. 4 A. 5 Q. 6 7 8 A. 9 Q. Cross/Kramer - Eagle 9 Hospital? That's correct. And that's part of the York Health Systems? Yes. And it's my understanding that from December '96 through January 15th, 2001, you performed two lumbar surgeries at the York Hospital? I disagree with that. Doctor, you're familiar with the York Health Systems procedure count by frequency? MR. DEARDORFF: Can we go off the record? MR. KRAMER: Sure. MR. MACINTYRE: Going off video, 2:23. (The following occurred off camera:) MR. DEARDORFF: I'm going to object to confronting Dr. Eagle with some printout that's been produced by some third person, York whatever, York -- MR. KRAMER: Hospital. MR. DEARDORFF: York Hospital procedure count. It's hearsay. That person has not been listed as a witness, so on and so forth. MR. KRAMER: Okay, it would be a rebuttal witness, and it's only if his testimony is inconsistent would it be necessary. I didn't FILIUS & McLUCAS REPORTING SERVICE, INC. Harrisburg 717-236-0623 York 717..s45-641B PA 1-800-233-9327 ".>i:iIf"'- ~. -'- ' "'" , . ~H(; ,,,.,..',, ~- ,~\%~ (~ -, . ~ . ' dl\iioot, - ~ ~ L,,,,L,;..'"'~ ~ ,","" '-U '~~,~, Cross/Kramer - Eagle 10 1 realize that he was going to testify 2 inconsistent with the documents, which have been 3 previously testified to. 4 MR. DEARDORFF: Well, the person who 5 testified in the other case that you've given me 6 transcripts for said that the document you're 7 going to present to Dr. Eagle, that procedure count at York Hospital, is not entirely 8 9 accurate. 10 MR. KRAMER: Right. Could be less. It 11 could be less than -- 12 MR. DEARDORFF: And it could be more. 13 MR. KRAMER: Or it. could be. But it's the 14 one that they use to bill and it's the one that 15 they use for audits, and I'll present testimony, 16 if necessary. 17 MR. DEARDORFF: Well, all I'm saying is 18 that person who testified, if you're going to 19 call the same person who testified in the other 20 case 21 MR. KRAMER: But it's by far the most 22 accurate count. It may not be 100 percent. 23 MR. DEARDORFF: It may be accurate -- or 24 the most accurate, but that witness agreed that 25 it was not 100 percent accurate. nuus & McLUCAS REPORTING SERVICE,INC. Hnrrisburg 7I7-231HJ623 York 717--845--6418 PA 1-800-233~9327 -,.;' r '. 4i;'-ii" --,~..", ~'" ,.-" , * ; I f""'" \,:" :'.' ~"' ..... " , ' 1-_, <" .- ~~~-~~-~"",~_r.' 5 Q. 1 2 3 Cross/Kramer - Eagle 11 MR. KRAMER: We can go back on. (The following occurred on camera:) MR. MACINTYRE: Back on video at 2:25. 4 BY MR. KRAMER: 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 6 7 8 A. 9 Q. A. Q. A. Q. A. Q. A. Q. A. Q. Doctor, do you have a specific recollection of the number of lumbar surgeries that you've performed in the last four years? No, I don't. Could you give me an estimate? No, but within the year, I have -- I know I've done about three or four. Three or four this year? This year. In 2001? Yes. They would all be at the York Hospital? That's correct. I'm reasonably sure about that. I've shown you a document, which is the York Hospital count by frequency of procedures. That document indicates that you've done two over the four-year period that would have ended January 15th, 2001. Have you seen this document before? No, I have not. I don't believe so. That document indicates that those two procedures were one on 6/15/99 and one on HUllS & McLUCAS REPORTING SERVICE,INe. Harrisburg 717-236-0623 York 717-845-6418 PA l..soD-23J-9327 ".,,"'~~~ "' " ' ".., l l"f .:;;<< "'>11:.., ,~- ,~ , \.::- -, ~~~ c ,~ __J~"~_ ~...~ _~ ~ -,>...-c~". ',~ ~", 5 Q. 1 2 3 Cross/Kramer - Eagle 12 2/8/2000. MR. DEARDORFF: Same objection. MR. KRAMER: I understand. 4 BY MR. KRAMER: 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 6 7 8 A. 9 Q. A. Q. A. Q. A. Q. A. Q. A. Q. Both were listed as exploratory. Have you done lumbar surgery beyond exploratory lumbar surgery in the last four years? I don't do exploratory lumbar surgeries. I don't know where those diagnoses come from. Well, the procedures that you've done on the lumbar spine in the last four years, what have they consisted of? Mostly discectomies. Any fusions? In the lumbar region? Probably not. And, Doctor, I assume that you have not implanted any instrumentation in anyone in the last four years? No, I implanted instrumentations. As part of lumbar surgeries? I have not implanted lumbar devices, that is correct. Has that never been a part of your practice? Fusions? Implantations, right. FIUUS & McLUCAS REPORTING SERVICE, INC. Harrisburg 717-236-0623 York 717-845-6418 PA 1-8fJO..233-9327 ~ ,- . . ,_. .-' ,~~ ,~ ~~......~~ '-- t,,_ ~ 1 . r 10 11 12 I)""" {r~!.~~ $~,~c4 13 14 15 16 17 18 19 20 21 22 23 24 ,..~ \"..' 25 , < , ~-" . I~ \",,_lil<.'f~; ~"_ "c 1 A. 2 3 Q. 4 A. 5 Q. 6 7 A. 8 Q. 9 A. Q. A. Q. A. Q. A. Q. A. Q. Cross/Kramer - Eagle 13 I generally do a posterolateral fusion without implantations. In the lumbar spine? In the lumbar spine. Have you ever done surgery in the lumbar spine that included hardware or instrumentation? Probably not. You've never inserted a BAK cage? That's correct. Do you have patients as part of your practice that have instrumentation in their lumbar spine? Yes, I do. Those who have continued pain after they are subjected to some of those procedures by others. But, in those cases, you're not the one that did the surgery that put the instrumentation in place? That is correct. You're not a neurosurgeon? That is correct. And you've never done a spinal fellowship? That is correct. If you have a patient -- And you've indicated a lot of your practice does not involve surgery, but if you have a patient that needs complicated FIUllS & McLUCAS REPORTING SERVIcr.lNe. Harrisburg 717-236-0623 York 717-845-6418 PA 1~800-233~9327 ~,-~~'~~~ ," r { ~~;." \","1.',::." '''fx" ~ , I ~ I' \:. J '"'- < 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 " ~ .iiliill.... -=m :a.;,,~~,~, - - ~ ,~ ..~. 1 2 A. 3 Q. 4 A. 5 6 Q. 7 A. 8 Q. 9 A. Q. A. Q. A. Q. A. Q. A. Q. A. Cross/Kramer - Eagle 14 lumbar surgery, do you refer that patient? Yes, I do. Who did you refer them to? Usually to one of the doctors here in York, who does that on a regular basis. Who would that be? Dr. Pandelidis, I refer patients to. The frequency count done from the York Hospital indicates that the most common procedure that you've performed over the last four years is a carpal tunnel release. Do you agree with that? Probably. Tell us what a carpal tunnel release is. It's a decompression of a pinched nerve. That's in the area of the wrist? Correct. Doctor, would you agree that you are a hand specialist? I have had hand training. Carpal tunnel surgery is probably the most common surgery performed by any orthopedic surgeon. How long does that procedure take? In my hands, in my hands? Yes, in your hands. Half hour or less. FIUUS lit McLUCAS REPORTING SERVICE,INC. Harrisburg 717-236-0623 York 717-845-6418 PA 1-800-233~9327 ;.0' '''''~''''';' " ~- . ',' I"'" 10 11 12 a t:/f,;",,;. ~"~~". ~P;:?i~ 13 14 15 16 17 18 19 20 21 22 23 24 I"" \ 25 ~"" ... ~.b ok"' "L~""",,_. ~.." ~~- "-"-' ~ """ ~,~ '" -"- 1 Q. 2 A. 3 Q. 4 5 6 A. 7 Q. 8 9 A. Q. A. Q. A. Q. A. Cross/Kramer - Eagle 15 It's done under general anesthesia or local? Mostly local. And on your letterhead, it indicates orthopedic surgery and then underneath that, does it say hand specialist or hand -- Surgery. Hand surgery. So you're promoting that your subspecialty is hand surgery? No, I'm promoting that I do hand surgery. As well as orthopedic surgery in general? Certainly, yes. And the frequency count, the next common surgery that you performed, I guess, would be knee. Indicates that you've done 35 of those over the last four years. Does that seem accurate? Again, I have no way of knowing. Doctor, you're not a spine specialist? I am an orthopedic surgeon who has been trained in surgery of the spine, and over the past 30 years, I have performed spinal operations with a great deal of regularity. My delineation of privileges in other words, what I'm allowed to do -- states I'm allowed to do spine surgery. I try and recommend spine surgery in a prudent way. I can tell you I've never had a FIUUS lit McLUCAS REPORTING SERVICE, INe. HtJrrislmrg 717-236-0623 York 717-845-6418 PA 1-8OlJ..233~9327 y~ "m'''''''''''"'''''''''''~" " . ~ ......:. .. ,~ ~.,'..'.', , . 10 11 12 - , .~. L.. ,~. -~ '#~'; ~.J Cross/Kramer - Eagle 16 1 patient of mine who has had three, four, five, 2 six spine surgeries. 3 I am qualified to render opinions. I have 4 been experts before the court, and your attempts 5 to belittle me are well noted. 6 MR. KRAMER: I will object to the last and 7 ask that it be stricken from the record where 8 he's talking about my attempts to belittle him. 9 MR. DEARDORFF: Off the record. MR. MACINTYRE: Going off video at 2:30. (Discussion held off the record.) MR. DEARDORFF: In the future, like put 13 your objection off the record. 14 MR. KRAMER: Okay. MR. DEARDORFF: Just tell Doug to go off 15 16 the record. Do you want to make -- 17 MR. KRAMER: I mean, I don't want it to be 18 an editorialization if it's not part of the 19 MR. DEARDORFF: Well, it's responsive. 20 MR. KRAMER: I don't believe it is 21 responsive to the question, that you're not a 22 spine specialist. 23 MR. DEARDORFF: Okay, well, put your 24 objection on the record. 25 MR. KRAMER: I would ask that the last part FIUllS lit McLUCAS REPORTING SERVICE, INe. Harrisburg717-2Jfi..0623 York 717a845-61J18 PA 1-860-233-9327 . Ilf ',-""',.",., .' I' EX" H' "IB"'" "'I"T'" ". ..~.";" ' . , ,'" ',', : . "'-' - ". - ,,'. ,', - ' ,', -' '-". ''''-'' :--.,-' ,- --' j'~'. '. -:' :..: : _:_.'.) . , "D" .~ :,1"<1-"""'~"'"''''''''" - - -' " :..~ I,,-~.... ~.-: ~ , -rl~IJ" :1 ., tQCEQURE SURGEON ~___...York Hospi1:;al , - I 01-17-2001 ~rodedti~e Count byprequency 15:~4 Page 1 00561 PERRY EAGLE December 1, 1996 to January 15, 2001 :ocedure Inpatient OPS/EOC Count Count Count ._--------------------------- ---------- ---------- ---------- , .43 CARPAL TUNNEL RELEASE 101 0 101 ).6 EXC KNEE SEMILUNAR CART 35 0 35 ~. 21 EXC LES TEND SHEATH HAND 30 0 3Q ..02 ANTERIOR CERV FUSION NEC 27 9 18 1.86 DESTR KNEE LESION NEC 25 1 24 ).26 KNEE ARTHROSCOPY 15 0 15 ..83 SHOULD ARTHROPLASTY'NEC 12 0 12 ~. 91 LYSIS OF HAND ADHESIONS 12 0 12 1.93 EXCISION WRIST JT NEC 10 0 10 ).51 IV DISC EXCISION 9 '. 9 0 . .52 PARTIAL HIP REPLACEMENT 8 8 0 1.35 ORIP FEMUR 7 7 0 ..91 ARTHROCENTESIS 7 2 5 : .91 ADHESIO MUSC/TEND/FASC 7 0 7 : .26 MANUAL RUPT JOINT ADHES 7 0 7 '.82 PARTIAL HUMERECTOMY NEe 6 0 5 1.67 RMVL IMPL DEV TIB & FIB 6 0 6 , .49 PERI PH NERV ADHESIO NEC 5 0 5 1.64 RMVL IMPL DEV MC/CARPALS 5 0 5 1.36 ORIF TIBIA & FIBULA 5 4 1 1.12 OTH ARTHROTOMY ELBOW 5 0 5 1.76 KNEE SYNOVECTOMY i 5 1 4 . ..51 TOTAL HIP REPLACEMENT 5 5 0 c<c72 MCP/IP ARTHROPLASTY. ' 5 0 5 ~') EXC LES SOFT TISSUE NEC .5 0 5 "-, ,.b3 ROTATOR CUFF REPAIR 5 0 5 . .37 TIBIA/FIBULA DIV NEC " 4 2 2 ;.63 RMVL IMPL DEV RAn/ULNA 4 0 4 '.34 ORIF FINGER 4 0 4 '.16 OTH ARTHROTOMY KNEE 4 , 1. 3 ,.47 OTHER REPAIR OF KNEE 4 0 4 .01 EXPLOR TEND SHEATH HAND 4 0 4 .33 HAND TENONECTOMY NEC 4 0 4 .64 OTHER SUTURE OF TENDON 4 0 4 .3 'OTH LOC EXC/DESTR SKIN 4 0 4 , . 83 PART OSTECTOMY RAD/ULNA 3 0 3 .:l3 APPL EXT FIX RAD/ULNA 3 1 2 .69 RMVL IMPL DEV SITE NEC 3 0 3 .32 ORIF RADIUS/ULNA 3 0 3 .33 ORIF CARPALS/METACARPALS 3 0 3 .92 EXCISION ELBOW JT NEC 3 0 3 .54 TOTAL KNEE REPLACEMENT 3 3 0 .92 INJECTION INTO JOINT 3 1 2 .29 EXC LES SFT TISS END NEC 3 0 3 .01 TENDON SHEATH EXPLOR 3 0 3 .5 BURSECTOMY 3 0 3 .68 OTHER PLASTIC OPS TENDON 3 0 3 _ ., ~ H ~..",,,.. ''1Ii'liIl" ~" -.. , "~~~,.- 1_- ' '- . " , "' -,'"--< vt-l?J.JtJnL:._~UL\.\:J.i:.VL'" .I,.V.Lh nviO!:'.Ll..Cl.L 01-17-2001 Procedure Count by Frequency 15:34 Page 2 ., ( 00561 PERRY EAGLE (' ..~ Decembl I, 1996 to January IS, 2U_L . , ocedure Inpatient OPS/EOC Count Count Count ---~----------------------- ---------- ---------- ---------- SPINAL CANAL EXPLOR NEe 2 2 0 _57 CLAW TOE REPAIR 2 0 2 .69 LOC EXC BONE LESION NEC 2 0 2 _81 OTH CHEST CAGE OSTECTOMY 2 0 2 _86 PARTIAL PATELLECTOMY . 2 0 2 .89 PARTIAL OSTECTOMY NEe 2 0 2 .55 !NT FIX W/O RED FEMUR 2 2 0 .02 CLSD RED FX RADIUS/ULNA 2 0 2 _12 CRIF RADIUS/ULNA 2 1 1 .75 CLSD RED DISLOC HIP 2 1 1 .82 DESTR ELBOW LESION NEC 2 0 2 .49 OTHER REPAIR OF ANKLE 2 0 2 .14 FASCIOTOMY .2 0 2 .49 OTHER SOFT TISSUE EXC 2 0 2 .05 !NC W RMVL FB SKIN/SUBCU 2 0 2 .69 FREE SKIN GRAFT NEC 2 0 2 .88 RMVL EXT IMMOBILIZATION 2 0 2 .03 RADIUS & ULNA SEQUEST 1 0 1 .07 TIBIA & FIBULA SEQUEST 1 1 0 .15 OTH FEMORAL INC W/O DIV 1 0 1 .56 HAMMER TOE REPAIR 1 0 1 .58 TOE EXC/fUSION/REP NEC 1 0 1 .59 BUNIONECTOMY NEC 1 0 1 .63 LOC EXC LES RADIUS/ULNA 1 0 1 .64 LOC EXC LES MC & CARPALS 1 0 1 .67 LOC EXCLES TIBIA/FIBULA 1 0 1 .77 EXC TIB/FIB FOR GRAFT ' ,1 () 1 '11''''l J;:XC BONE FOR GRAFT NEC 1 1 0 'if " 1 0 1 ">. ) BONE GRAFT NECX FACIAL .15 APPL EXT FIX DEV FEMUR 1 1 0 .33 LIMB LENGTH PX RAD/ULNA 1 1 0 .57 INT FIX W/O RED TIB/FIB 1 1 0 .59 INT FIX W/O FX RED NEC 1 0 1 .62 RMVL IMPL DEV HUMERUS 1 .' O. 1 .65 RMVL IMPL DEV FEMUR 1 0 1 .66 RMVL IMPL DEV PATELLA 1 0 1 .73 OSTEOCLASIS RADIUS/ULNA 1 0 1 .79 OSTEOCLASIS NEC 1 0 1 .13 CRIF MC/CARPALS 1 0 1 .14 CRIF FINGER 1 0 1 .15 CRIF FEMUR 1 1 0 .39 ORIF BONE NEC X FACIAL 1 0 1 .62 DEBRIDE OPEN FX RAD/ULNA 1 l' 0 .64 DEBRIDE OPEN FX FINGER 1 0 1 .65 DEBRIDE OPEN FX FEMUR 1 1 0 .84 OPEN RED DISLOC HAND 1 0 1 .13 OTH ARTHROTOMY WRIST 1 0 1 -~, .~~~~.~"""- l ~ ~ - 01-17-2001 ............l:'~........... ProGedure Count by Frequency , {00561 PERRY EAGLE r DecemE 1, 1996 to January 15, 2C L 15:34 page 3 , .~". e , -""'~'f'" ~~k ,,~ ~. ... r " '" " '- 0. I"- ... '" ... " ... " 0 .g 0 '" " " .. 0 .. '" .. '0 ... '" .. 0", t;- " " $..::1,11 .. r-IJJO:J CI f " ";5 c: "Q " .. . ~ ..< o.t:.. Q to"" ~ 0 0 0:" :::J.J{;&1 .).1 a. \0 " .><0 '" " H c.rot 0\ " 041\0 .... Q "0:'" 0 e "'0... '0 ... <( .. .. .. " " .Q Q e '" " " ... " cd c <( ..... .. u.., ..... 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I I I , , I J I 1.1 I I I. I III ~~"~.~~~~'ri~~~~~~~~~M~~.~~ N N.... rt',...,-........,...t rt N N,N 0'0 0...-.... rl N N N N 0 roC ~ II 1" 1.1 I 1 I I I I . 1 I I J I , I I r I 1 OOO~~........,...t~rt~rtN~NNNNNNNN"~rt ....rt....~............~........rtrt,...,~rt"rtrtrtrt~rtOOO , OOOOOO,OOOOOOOOOOOO~OOO~rtrt OO,OOOOOOOOOOOOOOOOOOOO~OO 000000'000000000,0000000000 NNNNNNNNNNNNNNNNNNNNNNN-NN I I I I I I I III' 1 , J J , I 1 , , I 1 I r I ~~~~~~~.Mrt~rt~~~N~.~""rtrt~.rtrt NNNO....................NNNOOO"........NNNNO"r-C , , tIt' , 1 I I I , , , , , , I , , '" , I OOOrt...."...."....rt........NNNNNNNNNN....~.... ............................................................................"........000 " ~ .0 e ~ " ~ o ~ .- ~ o e " <( ~I~~~~~~~~~~~X~ZZZ~XX%X~Z~Z ~ . "" "" :>~ ",,0 ~ " o ... 0000000000000000000000000 00000000000000,00000000000 NNNNNNNNNNNMNNNNNNNNNNNNN I I I I I I I I I I I 1'1 I I J I I 1 . I , I , .~~~..~~W~~"~~~N.~~NN~~""~ NNN~~~~"~NNNOOO"""NNNNO~M I I . .., 1 I t I I I I , I I U 1 , . I I , ,. It OOO~~_~~_M~~NNNNNNNNNM~~~ _______~__~_____~_____OO~ ^.~ri r ~ o \II ".. ,/ A'~ : -0 " U :< :.J O. f, a " ~ o r1 3 .2 jo (/ t --6 . ";/ -~ 5 v .n '..... c '," b"""","" ,"- ~~,',~,~~ ~ . ..' I' EX^' H'" I"B~' 'I"'T" ::< ,\;" ~ ,,' :, \ ' ,', "E" "-w~",,<~,,.~<~~J AMA Policy Finder . ~- L C'" ~-~",-,,~ .--"'.. Page I of1 :American Medical Association Physicians dedicated to the health of America ~OME1.JO,INIRelEW COIITACTUS SITEMAP AMA Home, > PQJjcvFin.Q~.I Results List .. ,$.9arch TiWi, .. About AMA PQlL~ .. Download Policv Finder .. PrinciDles of Medical Ethi~~ ~ Ar~t~_ S.tr~J~ic Plao. ~n,d Vision .. ~~~..lt.lli.Q1Y ~~l'~~!:!!~~ite ,J. prlv__ont -1I"1d...... H-70.951 Medical Necessity Coding (1 )The AMA (a) immediately seeks both legislative and judicial relief from ICD-9 coding requirements for reimbursement of medical and laboratory services; and (b) supports only medical record review for medical necessity determinations, and then only when inappropriate or illegal behavior is suspected. (2) That until full implementation of this policy is achieved, our AMA seeks regulatory relief that would give physicians flexibility in assigning ICD-9 codes. (3) Our AMA advocates to all those private payers who do require ICD-9 codes for diagnostic studies that physicians should have the flexibility to assign any clinically appropriate diagnosis code. (Res. 806, 1-97; Appended and Reaffirmed: Res. 816,1-98) 4 re';.fi: ~ I Bacltlll results liSt I 4 P~~::ber ~ Sl!<!IC.!:ITi"R,S,I .!\!l!W _S_e1!rch I Refine Search @Copyright 1995-2002 American Medical Association. All rights reserved. http://www.ama-assn.org/apps/pConline/pC online?C n=resultLink&doc=policyfiles/HOI... 10/18/2002 _~~lr ......'~-,.I,"....="-,- AMA Policy Finder A . - L " '~;-'~'i ,1, ' Page 1 0[2 JOIN I RENEW pdvocy_ wobguldell.... American Medical Association Physicians dedicated to the health of America IlOME AMA""H"Qme > Pp,!i,Gy.Fif1d~r Results List .. Search Tics .. Abo-Yt AMA Poll~ .. Download Policv Finder .. PrinclDles of Medical Ethics .. AMA Strateaic Plan ,~nd",Y:,!,~j,QJJ: lit- AMA Historv l~'!~1!"!:l~!IG. CONTACT US SlTEMAP H-265.994 Expert Witness Testimony (1) Regarding expert witnesses in clinical matters, as a matter of public interest the AMA encourages its members to serve as impartial expert witnesses. (2) Our AMA is on record that it will not tolerate false testimony by physicians and will assist state, county and specialty medical societies to discipline physicians who testify falsely by reporting its findings to the appropriate licensing authority. (3) Existing policy regarding the competency of expert witnesses and their fee arrangements (BOT Rep, SS, A-89) is reaffirmed, as follows: (a) The AMA believes that the minimum statutory requirements for qualification as an expert witness should reflect the following: (I) that the witness be required to have comparable education, training, and occupational experience in the same field as the defendant; (ii) that the occupational experience include active medical practice or teaching experience in the same field as the defendant; and (iii) that the active medical practice or teaching experience must have been within five years of the date of the occurrence giving rise to the claim. (b) The AMA believes that model state legislation should be developed making it illegal for medicolegal consulting firms to take a contingent fee in personal injury litigation. Such arrangements threaten the integrity and the compensation goals of the civil justice system. Like the individual expert witness, the role of the medicolegal consulting firm which locates and supplies experts should be one of limited service to the judicial process. Contingent fee arrangements are plainly inconsistent with the scope of this responsibility. Model legislation will be developed which would change state law where necessary to permit cross- examination in accordance with the "Trower" holding and to prohibit payment of contingent lees for all types of medicolegal consultations, including management services provided by firms engaged in locating physician consultants. (Reversing iong-standing precedent, the liIinois Supreme Court in the case of Trower v. Jones, 121111. 2nd 211 (1988) upheld a trial court's discretion to allow cross examination on the following issues: (i) the amount of compensation received for the expert's consultation and testimony; (ii) the frequency of the physician's expert witness activities; (iii) the proportion of the physician's professional time devoted to and income derived from such activities; and (iv) the frequency with which he or she testified for either plaintiffs or defendants.) (Sub. Res. 223, A-92; Appended: Sub. Res. 211, 1-97; Reaffirmation A-99) ~ r:Villi: ~ I Bacl<lO rIlsu1tslist I ~ PJ:;~::ber. Search_Tip,!! I New SQiltc.!:I1 B.!!fine Search http://www.ama-assn.org/apps/pC online/pC onIine?C n=resuItLink&doc=poIicyfiles/HOI... 10/18/2002 ;,"lli'~~ AMA Policy Finder I ~~ ~~ ~;i Page 2 of2 @ Copyright 1995~2002 American Medical Association. All rights reserved. http://www.ama-assn.org/apps/pConline/pC online?C n=resultLink&doc=policyfiles/HOI... 10/18/2002 61~~-.....","~ -"" ~1IIi .1 1. .'.; . ~ _L.. . .".'~.~ AMA Policy Finder Page I of I .. SlTEMAP ~,~~~c:~r~it!:.!. American. Medical Association. Physicians dedicated 10 the health of America HOME JOIN I RIiJNEW CONTACT US priv__ _guldoll.... AMA Home> PolicvFinder Results List .. ~earch TiDS ... About AMA Pollcv fit. g.9J!.V.!JJ.9"i!{t_P9Jj~}! Finder .,. Pr1D~iRWs ofJ'yl@.~J.<;.~J. Ethics .. ~Jl!'t.8,..s.![~t~..Qic Pia!! and Vision .. AMA Hi~Y>JY E-9.07 Medical Testimony. As a citizen and as a professional with special training and experience, the physician has an ethical obligation to assist in the administration of justice, If a patient who has a legal claim requests a physician's assistance, the physician should furnish medical evidence, with the patient's consent, in order to secure the patient's legal rights, Medical experts should have recent and substantive experience in the area in which they testify and should limit testimony to their sphere of medical expertise. Medical witnesses should be adequately prepared and should testify honestly and truthfully to the best of their medical knowledge. The medical witness must not become an advocate or a partisan in the legai proceeding. The medical witness should be adequately prepared and should testify honestly and truthfully. The attorney for the party who calls the physician as a witness should be informed of all favorable and unfavorable information developed by the physician's evaluation of the case. It is unethical for a physician to accept compensation that is contingent upon the outcome of litigation. (II, IV, V, VII) Issued June 1986; Updated June 1996 based on the report "Ethicai Guidelines for Medical Experts," adopted December 1995, . r:s'II'h:. I Bact<1Q resuitsli$t I AI .I!'lIVl_ lo. "II POlley Dl,mlber ... Search Tip'!! I N.!!,lIll"S,!!<!I.!<!!,1 RefiDJiLSea!:.C<.!l @Copyright 1995-2002 American Medical Association, All rights reserved, http://www.ama-assn.org/apps/pC online/pC online?C n=resultLink&doc=policyfiles/CEJN 10/18/2002 ;~,~~J . .~,~ , ~ " - " , ~ _ i , ~ t v CERTIFICATE OF SERVICE AND NOW, this ~Yfl---day of () cj-()~ ,2002, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Plaintiffs Motion in Limine by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. ~ erar C. Kramer Attorney at Law Attorney J.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff , , ' j~~l~~ii!&~im-~~~4~"'':e\<.,-i*;i;,;;V2t~J;~lli~M~~~ldiilitlll4& l ,.~' -,-.";",, Z',~,._ "h~,,~.;", ~ ,~~, ~ ~^ ,_,,,,,,,_",.. "__"""s ~,~'" '__"..-? _",..,> ~," ., --'~ --- ~ " " _".0, ""ll~"'F' r"'"'" ,!!1m """- (') c:-,'. [~1 C (~,:. <m C':) .' u:: C') " rn '\';-" -~, 7 ~ 1-' z S"i (.; , ~~ C) ~'''r'l \:) ~.i-', (') Z c) , ~ 5> c 1'0 c'~ :j "... 5] , ,::'" -< lIIliWJ'l ., , " ;;-'{"", ~-,,,"".,t,,~,.,,,,,,,,-,,",_ '" _ ~~_J_. , ' . ',~ " L Iid.h.. '"' "" l'i<l;lJ.Bl!L:iJ0, " , . OCT 2 5 ZODZ ~ CHRISTOPHER RHOADS, Plaintiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED PLAINTIFF'S BRIEF IN SUPPORT OF MOTION IN LIMINE I. FACTUAL BACKGROUND: This is a case that involves an automobile accident which took place on October 15, 1999. This case has been in litigation since June 12,2001. The case is listed for Trial and the Pre-Trial was scheduled for October 16, 2002. On October 14, 2002, at 4:45 p.m., the Plaintiff received a fax which contained a report dated October 14,2002 from Perry Eagle, an orthopedic surgeon. Dr. Eagle did a records review on the Plaintiff in which he renders an opinion on causation. The Plaintiff has filed a Motion in Limine to exclude Dr. Eagle's testimony and this Brief is filed in support of the Motion in Limine. ),""-- '~; ~, _J, J ....= .~" ~ -. -=~~ ~ =~ ," - ~ ..l...b..- ..l. ~<.'~.ii-: . , II. QUESTIONS PRESENTED: A. May Perry Eagle, M.D. be allowed to testify as an expert witness concerning anterior cervical fusions because he is not qualified to testify on this procedure. Suggested Answer: No. B. May Perry Eagle, M.D. be allowed to testify as an expert witness because a records review should not be used to determine causation and/ or conclusions reached in a records review not based upon generally accepted standards. Suggested Answer: No. III. LEGAL ARGUMENT: A. PERRY EAGLE, M.D. SHOULD NOT BE ALLOWED TO TESTIFY AS AN EXPERT WITNESS CONCERNING ANTERIOR CERVICAL FUSIONS BECAUSE HE IS NOT QUALIFIED TO TEsTIFY ON THIS PROCEDURE. The standard for admission of expert testimony is liberal in Pennsylvania. However, an expert must still have a "reasonable pretension to specialized knowledge on the subject under investigation" before he or she can testify. Miller v. Brass Rail Tavern. Inc., 541 Pa. 474, 664 A.2d 525 (1995). If a witness does not have experience or education in the subject matter, he or she is not allowed to testify. Yacoub v. Lehigh Valley Medical Associates. P.C., 2002 WL 1767213, --- A.2d m (Pa. Super. Aug. 1,2002) (attached as Exhibit "D'); Dierolfv. Slade, 581 A.2d 649 (Pa. Super. 1990). Further, the new MCARE law's general rule concerning medical experts in malpractice cases prohibits experts to testify unless he or she processes sufficient education, training, knowledge, and experience to provide credible and competent evidence. Dr. Eagle has testified in recent depositions that he has not done cervical 2 ,"' ~- ~. ~,~" , J,.. ~.J c "~ "..~~ ~ ;1<i,;II1 ."'.~ . ...:, {4'" ,. , discectomies in many years, he does not do fusion, and refers complicated back surgeries to other physicians. (See deposition transcript and records from York Health System attached as Exhibit "A.") In Yacoub, the Superior Court recently affirmed the trial court ruling in the Court of Common Pleas of Lehigh County which ruled that a board certified neurosurgeon was not qualified to testifY as to the applicable standard of care relating to internists and nurses. In Yacoub, the proposed expert was board certified, but not in the specialty important to the case. One of the policies of The American Medical Association specifically states that an expert can only testifY if he or she has recent and substantive experience in the area in which [he or she testifies] and should limit testimony to the sphere of medical expertise. Dr. Eagle does not have such experience. B. PE~Y EAGLE SHOULD NOT BE ALLOWED TO TESTIFY AS AN EXPERT WITNESS BECAUSE A RECORDS REVIEW SHOULD NOT BE USED TO DETERMINE CAUSATION AND/OR CONCLUSIONS REACHED WHEN THE RECORD REVIEW IS NOT BASED UPON GENERALLY ACCEPTED STANDARDS. . In the present case, the Defendant's counsel has hired Perry Eagle, M.D. to conduct a medical records review. The Defendant's counsel provided Dr. Eagle with some of the Plaintiffs records and, after reviewing the records, Dr. Eagle reached a conclusion on causation. Dr. Eagle did not (1) exam the Plaintiff; (2) interview the Plaintiff; (3) review the depositions; or (4) discuss the Plaintiffs care and treatment with any of the physicians. The AMA supports the use of medical records review only in billing situations for medical necessity determinations (only when inappropriate or illegal behavior is 3 s>=~~ """"j_ - ~~ ".,. - ~_I '~;,\~j'0i"'-. ~ suspected), not causation. See AMA policy attached. Records review is not subject to peer review. Therefore, Dr. Eagle's report is not read by any of his peers to determine that the conclusions are valid. No methodology exists to confirm Dr. Eagle's conclusions are valid. III. CONCLUSION For the above reasons, the Plaintiff requests that Dr. Eagle's testimony be precluded. Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. ~/ erard C. Kramer Attorney at Law Attorney LD. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff 4 .. \ EXHIBIT " A" i.""''''''" '~~j , '. . f(;f;.,'".......'.,' " 1.,. '. ~ .., ,~" , (; ".') t.. ,.,~ ~! 'O'U ....~IIil~ -. ~,'~'it"-" - ~'- , . . . . . . . . . EDWIN E. SCHILDT, SR. and KATHY L. SCHILDT, his wife, IN THE COURT OF COMMON PLEAS OF FRANKLIN COUNTY, PENNSYLVANIA Plaintiff vs. No. 2000-1525 STEVEN R. SCHWARTZ, JUNE L. SCHWARTZ, VIOLET SCHMID and ACTION REAL ESTATE, INC. , Defendants " Deposition of: PERRY A. EAGLE, M.D. Taken by Defendants Date May 11, 2001, 2:17 p.m. Place 191 Leader Heights Road York, Pennsylvania By Susan L. Petrilla, Notary Public Registered Professional Reporter Douglas MacIntyre, ,Videographer APPEARANCES: SCHMIDT, RONCA & KRAMER, P.C. By:u GERARD C. KRAMER, ESQ. For - Plaintiffs MARTSON, DEARDORFF, WILLIAMS & OTTO By: DANIEL K. DEARDORFF, ESQ. For - Defendants FIUUS lit McLUCAS REPORTING SERVICE, INC. Hllrrislmrg7I7-236--0623 York 717-845-6418 PA :l..soo-233-9327 ;"'<-.- -" .J, ,-~-, . , (, I N D E X WITNESS PERRY EAGLE, M.D. Direct Cross Redirect Recross By Mr. Deardorff 4 (as to qualifications) 18 By Mr. Kramer (as to qualifications) 8 By Mr. Deardorff 19 By Mr. Kramer 36 ".}~ '\~(\f<-..-,'lI! ''''4~ EXHIBITS Dr. Eagle Marked Identified Exhibit Number 1 X-ray report dated 3 31 11-19-98 2 X-ray report dated 3 31 9-10-98 I' (:) FIUUS lit McLUCAS REPORTING SERVIcr.INC. Harrisburg 717.236-0623 York 717-845-6418 PA I..sOO-23.U1327 j"..,........ ,'.;,~ ;' , i , i i I ! i i 1 , .,,..,, ~~},~J ~~~. !) " ~~, . . ~- "..1-.....,... , ~":~~,!(.; 3 1 (Eagle Deposition Exhibit Nos. 1 and 2 2 produced and marked for identification.) 3 MR. MACINTYRE: My name is Douglas 4 MacIntyre, and I represent Video Images, 155 5 Wynshire Lane, Red Lion, Pennsylvania. Today's 6 date is May 11th, 2001. The time of day is 2:17 7 p.m. This deposition is being videotaped at 191 8 Leader Heights Road, York, Pennsylvania. 9 The caption of this case is Edwin E. 10 Schildt, Sr. and Kathy L. Schildt, his wife, 11 versus Steven R. Schwartz, June L. Schwartz, 12 Violet Schmid and Action Real Estate, 13 Incorporated. 14 The name of the witness is Perry A. Eagle", 15 M.D. This deposition is being videotaped on 16 behalf of defendant. 17 Counsel will now please introduce 18 themselves. 19 MR. DEARDORFF: Yes, I'm Dan Deardorff, 20 representing the defendants, Dr. Schwartz, his 21 wife, and Violet Schmid. 22 MR. KRAMER: This is Gerry Kramer, and I 23 represent the plaintiff, Edwin Schildt and Kathy 24 Schildt, his wife. 25 MR. MACINTYRE: The court reporter will now FIUllS lit McLUCAS REPORTING SERVIcr.INe. Harrisburg 717-23lH1Q3 York 717-845-6418 PA 1-800-233-9327 1- , I, ~ -~ . . --~.. ~ '" %;:il1i';~~~: -c- 4 1 please identify herself and swear in the ( \ 2 witness. 3 MS. PETRILLA: My name is Sue Petrilla of 4 the firm of Filius & McLucas Reporting Service. 5 6 PERRY A. EAGLE, M.D., called asa witness, 7 having been duly sworn, testified as follows: 8 DIRECT EXAMINATION AS TO QUALIFICATIONS 9 BY MR. DEARDORF~: 10 Dr. Eagle, you've been sworn in to testify in Q. 11 this case involving Edwin Schildt, and for the 12 benefit of the jury, I'm going to ask you some ~~ ~p 13 questions about your background. First of all, 14 can you give us your full name? 15 Perry Alan Eagle, M.D. A. 16 And, Dr. Eagle, what is your profession? Q. 17 I'm an orthopedic surgeon. A. 18 Where do you practice orthopedic surgery? Q. 1 ~ 19 In York. A. And for 'the benefit of the jury, could you just 20 Q. , explain what is involved in orthopedic surgery? 21 Orthopedics is a subdiscipline, which deals with 22 l\.. the diagnosis and treatment -- And by 23 "treatment," I mean with and without surgery, 24 C) and most orthopedic surgeons' practices deal 25 .t. FIUllS lit McLUCAS REPORTING SERVIcr.INC. Harrisb"'8717-236-0623 York 717-845..fif18 PA t-SOfJ..2J3.9327 ~, ~; -:~"~lll l" fj,~ ~""" ~~~N," '~\r~' (') (" . 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 J_~,. _..;... ..'. ll'!!;;~ -',lliJ!M:."''''~~fj'._ 1 2 3 4 5 6 Q. Direct/Deardorff - Eagle 5 with treatment that is not surgical. In other 7 8 A. words, surgery is a lesser part of the practice. Dealing with problems with bones and joints and their related structures and problems with the spine. Dr. Eagle, how long have you been practicing orthopedic surgery in this area? , 9 Q. Since 1972. And where is your office located? In York at 191 Leader Heights Road. Can you tell us briefly what your educational background involves? I attended undergraduate school at the University of Maryland and then attended the University of Maryland School of Medicine, graduating with an M.D. degree in 1967. I then had one year of internship at York Hospital, followed by one year of general surgery residency, also at the York Hospital. I then had one year in fellowship of surgery of the hand in Detroit, Michigan at the Grace Hospital, and then I had my orthopedic residency training program at the Allegheny General Hospital in Pittsburgh, completing that program in 1972. A. Q. A. FIUUS lit McLUCAS REPORTING SERVIcr. INC. Harr/sbutg 717-236-0623 Yolk 717-845-6418 PA 1-8110-233-93.27 ~~ j .~, , , r:' fI,,,,, ,~~'t '-~t<-'!' '''':'~,Z<' (,~ L' ,:';..Y \-::',,' ,~ 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 "~ '~~, ,"' ~~'.Hh J..._ _ _ r ~~ ~""',_'W~< 1 Q. 2 3 A. 4 Q. 5 A. 6 Q. 7 8 A. 9 Q. Direct/Deardorff - Eagle 6 Dr. Eagle, are you board certified in the field of orthopedic surgery? Yes, I am. What year did you become board certified? In 1973. And what is involved in becoming board certified? Well, the board, the American Board of Orthopedic Surgery, is an organization that oversees to the educational requirements of physicians who wish to prqctice that specialty. So in order to receive the certification or approval of the board, the physician must complete successfully complete a residency training program in orthopedic surgery that has been reviewed and approved by the board. Then the physician must be in the private practice of orthopedic surgery for a specified period of time. Then the phYsician takes both oral and written examinations given by the board, and upon successful completion of all those requirements, the physician is then said to be board certified. Dr. Eagle, do you have any hospital affiliations in this area? nUllS lit McLUCAS REPORTING SERVIcr.INC. HMrisbu'1t7.l7-231HJ623 York 7.17-845-64'8 PA '-800-233-9327 '~IJ /'!""l,.. i f)''",., . _,T ~'. :i:'i!' ~ , , . ~ 'f r", k. '-;;.N~. .... - 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 ,,__ n.', J,_ .'~ -~, ,~~,~ ,- 1 A. 2 Q. 3 A. 4 5 6 7 8 9 Q. A. Q. A. Q. A. Q. A. Q. , Direct/Deardorff - Eagle 7 Yes. And what are they? I have privileges at the York Hospital, HealthSouth, which is the rehabilitation hospital, and Apple Hill Surgical Center. I also have an appointment as an assistant clinical professor of orthopedic surgery at the Pennsylvania State College of Medicine in Hershey. And that's at the Hershey Medical Center? Yes, in conjunction with teaching activities. Dr. Eagle, you've testified about being an orthopedic surgeon since 1972. That brings us up to about almost 30 years. In those 30 years, have you treated patients who have back problems? Certainly, yes. And have you performed surgery on these patients who have back problems? Certainly, yes. Over the last 30 years, can you give us an estimate as to just approximately how many' back surgeries you've performed? You mean low backs or spines? Just spines in general. FIUUS lit McLUCAS REPORTING SERVICE,INC. Harrisburg 717-236-0623 York 717_18 PA I-800-233-9327 ~ ....,- r ( . ~ .....t;; I.. .tL~""-; '.,. r- 6 Q. 1 A. Direct/Deardorff - Eagle 8 Spines in general, over 2000, well over 2000. MR. DEARDORFF: Okay, thank you, Doctor. 3 Cross-examine as to qualifications. 2 4 CROSS-EXAMINATION AS TO. QUALIFICATIONS 5 BY MR. KRAMER: 10 11 12 .'~,' "'"' ~~ , "', 13 14 15 16 17 18 , I I . ~, 19 20 21 22 23 24 ,"'" C,..J 25 7 8 A. 9 Q. A. Q. A. Q. A. Q. , A. (2. A. Q. Doctor, do you currently perform surgery on the low back? I currently perform surgery. I have happily cut my practice back in all facets, and I do not perform as much surgery over the past several years as I did in the prior decades. And the question was directed at the low back. Yes, yes. The answer is yes. Okay, yes. I'm sorry. Doctor, do you agree that that's not a major part of your practice? Treating people with low back problems or operating -- Low back" surgery. That is correct. And you perform these surgeries at York Hospital and Apple Hill Surgical? Not lumbar surgeries at Apple Hill. So lumbar surgeries would be strictly at York FIUUS lit M4UCAS REPORTING SERVIcr.INC. Hartlsbullf717-236-0623 York 717-845-64lBPA 1-8011-233-9327 ,"il.' I Ie I i j j j I I ! i ! :~4\ '~~~1J; "~ ['"'," (" , \( ~- - ~" I~ "~ -'~ ,~~ ~",' 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 A. Q. A. Q. A. Q. Cross/Kramer - Eagle 9 Hospital? That's correct. And that's part of the York Health Systems? Yes. And it's my understanding that from December '96 through January 15th, 2001, you performed two lumbar surgeries at the York Hospital? I disagree with that. Doctor, you're familiar with the York Health Systems procedure count by frequency? MR. DEARDORFF: Can we go off the record? MR. KRAMER: Sure. MR. MACINTYRE: Going off video, 2:23. (ThEl following occurred off camera:) MR. DEARDORFF: I'm going to object to confronting Dr. Eagle with some printout that's been produced by some third person, York whatever, York -- MR. KRAMER: Hospital. MR. DEARDORFF: York Hospital procedure count. It's hearsay. That person has not been listed as a witness, so on and so forth. MR. KRAMER: Okay, it would be a rebuttal witness, and it's only if his testimony is inconsistent would it be necessary. I didn't FIUUS lit McLUCAS REPORTING SERVICE, INe. HmTisburg 7I7-2J6..0623 York 717-845-6418 PA 1-8DfJ.-233-9327 'c " /"">. ~~ j<"?-;j0 ,''''~, t" " Y \:..,:"'_. '" L. ~= ~ ..J___ 'li:,*'"'~"" , Cross/Kramer - Eagle 10 1 realize that he was going to testify 2 inconsistent with the documents, which have been 3 previously testified to. 4 MR. DEARDORFF: Well, the person who 5 testified in the other case that you've given me 6 transcripts for said that the document you're 7 going to present to Dr. Eagle, that procedure 8 count at York Hospital, is not entirely 9 accurate. 10 MR. KRAMER: Right. Could be less. It 11 could be less than -- 12 MR. DEARDORFF: And it could be more. 13 MR. KRAMER: Or it, could be. But it's the one that they' use to bill and it 's the one that 14 15 they use for audits, and I'll present testimony, 16 17 if necessary. MR. DEARDORFF: Well, all I'm saying is 18 that person who testified, if you're going to 19 call the same person who testified in the other 20 case 21 MR. KRAMER: But it's by far the ,most 22 accurate count. It may not be 100 percent. 23 MR. DEARDORFF: It may be accurate -- or 24 the most accurate, but that witness agreed that 25 it was not 100 percent accurate. FIUUS lit McLUCAS REPORTING SERVICE, INe. Hamslturg 717-236-0623 y",* 717-845-6418 PA 1-801l-233-9327 0,_ " ~., " ~~".~~ r ...........~-. ~~.....I- ~Illldi ""....' ~ ." ~".~'"": - , 1 2 3 - Cross/Kramer - Eagle 11 MR. KRAMER: We can go back on. (The following occurred on camera:) MR. MACINTYRE: Back on video at 2:25. 4 BY MR. KRAMER: 10 11 12 , , , 14) ~ ~~~ ~ 13 14 , . ~ ~ 15 16 ~ 17 18 , ;; , ~ 19 20 21 22 23 24 l""'" \:,." 25 5 Q. 6 7 8 A. 9 Q. A. Q. A. Q. A. Q. A. Q. A. Q. Doctor, do you have a specific recollection of the number of lumbar surgeries that you've performed in the last four years? No, I don't. Could you give me an estimate? No, but within the year, I have -- I know I've done about three or four. Three or four this year? This year. In 2001? Yes. They would all be at the York Hospital? That's correct. I'm reasonably sure about that. I've shown you a document, which is the York Hospital count by frequency of procedures. That document indicates that you've done two over the four-year period that would have ended January 15th, 2001. Have you seen this document before? No, I have not. I don't believe so. That document indicates that those two procedures were one on 6/15/99 and one on FIUUS lit McLUCAS REPORTING SERVIcr.INC. Horrisburg 717-236-0623 York 7J7.tJ4S..6418 PA l...sDO-23J..9327 , ~"~'".^~. f" t ~ 'l!~ (' J'~~~ 1 t" ,~"' ~- -, ...J._ ~ --~~ 'i,:.li,y,'-" ~"Hltil~ill;,j,-i>:' 5 Q. 1 2 3 , Cross/Kramer - Eagle 12 2/8/2000. MR. DEARDORFF: Same objection. MR. KRAMER: I understand. 4 BY MR. KRAMER: 10 11 12 13 14 15 16 17 18 19 20 21 22 6 7 8 A. 9 Q. A. Q. A. Q. A. Q. A. 23 I Q. 24 A. 25 Q. Both were listed as exploratory. Have you done lumbar surgery beyond exploratory lumbar surgery in the last four years? I don't do exploratory lumbar surgeries. I don't know where those diagnoses come from. Wel~. the procedures that you've done on the lumbar spine in the last four years, what have they consisted of? Mostly discectomies. Any fusions? In the lumbar region? Probably not. And, Doctor, I assume that you have not implanted any instrumentation in anyone in the last four years? No, I implanted instrumentations. As part of lumbar surgeries? I have not implanted lumbar devices, that is correct. Has that never been a part of your practice? Fusions? Implantations, right. nUllS lit McLUCAS REPORTING SERVICE,INC. Hanisburg 717-236-0623 YDtk 717-845-6418 PA 1_233-9327 - ,~.. " ~,~ .'_ ,e ,,-"~"~,..~,"'~_ _', ,,-,~ J-T-'--- .. ~~.... r , ' 10 11 12 -' '"" ;'" ~ .,~~ ".,",- 13 14 15 16 17 18 19 20 21 22 23 24 ,.~ \' ...:;".. 25 ~.- ".L '1 ~ ~-"',~fu< ~............ = , 1 A. 2 3 Q. 4 A. 5 Q. 6 7 A. 8 Q. 9 A. Q. A. Q. A. Q. A. Q. A. Q. Cross/Kramer - Eagle 13 I generally do a posterolateral fusion without implantations. In the lumbar spine? In the lumbar spine. Have you ever done surgery in the lumbar spine that included hardware or instrumentation? Probably not. You've never inserted a BAK cage? That's correct. Do you have patients as part of your practice that have instrumentation in their lumbar spine? Yes, I do. Those who have continued pain after they are subjected to some of those procedures by others. But, in those cases, you're not the one that did the surgery that put the instrumentation in place? That is correct. You're not a neurosurgeon? That is correct. And you've never done a spinal fellowship? That is correct. If you have a patient -- And you've indicated a lot of your practice does not involve surgery, but if you have a patient that needs complicated " FIUllS lit McLUCAS REPORTING SERVIcr.INe. Harrisburg 717.236-0Q3 York 717-845-6418 PA 1-800-233.9327 ^ ~ ,_. 2>I....'iil:rliJ "..,., ( 10 11 12 ~-~t,'~:l , .e.<", ; .;..~~ l i , , ! . ~ , ; 13 14 15 16 , , J . ~ 17 18 ~ I 1: 19 20 21 22 23 24 I' ~t' 25 .. 1 2 A. 3 Q. 4 A. 5 6 Q. 7 A. 8 Q. 9 A. Q. A. Q. A. Q. A. Q. A. Q. A. .:..."'=~ ,~~.._~ ' ..t.!fu"~.~1>;~ ~......., ..,- Cross/Kramer - Eagle 14 lumbar surgery, do you refer that patient? Yes, I do. Who did you refer them to? Usually to one of the doctors here in York, who does that on a regular basis. Who would that be? Dr. Pandelidis, I refer patients to. , The frequency count done from the York Hospital indicates that the most common procedure that you've performed over the last four years is a carpal tunnel release. Do you agree with that? Probably. Tell us what a carpal tunnel release is. It's a decompression of a pinched nerve. That's in the area of the wrist? Correct. Doctor, would you agree that you are a hand specialist? I have had hand training. Carpal tunnel surgery is probably the most common surgery performed by any orthopedic surgeon. How long does that procedure take? In my hands, in my hands? Yes, in your hands. Half hour or less. FIUUS iii McLUCAS REPORTING SERVIcr.INC. Harrisln<1lf717-:/31HJ623 York 717-845-6418 PA 1-800-233-9327 A~~,,-, I"'" "Q f~"',~,',"'. ~.:j~\;".; ,<.,if /,"" \, ' ~ ~~ . 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 1 Q. 2 A. 3 Q. 4 5 6 A. 7 Q. 8 9 A. Q. A. Q. A. Q. A. ""~ ,~~~,~" "'"""""~~'iKt,-- -"~~~" '14 Cross/Kramer - Eagle 15 It's done under general anesthesia or local? Mostly local. And on your letterhead, it indicates orthopedic surgery and then underneath that, does it say hand specialist or hand -- Surgery. Hand surgery. So you're promoting that your subspecialty is hand surgery? No, I'm promoting that I do hand surgery. As well as orthopedic surgery in general? Certainly, yes. And the frequency count, the next common surgery that you performed, I guess, would be knee. Indicates that you've done 35 of those over the last four years. Does that seem accurate? Again, I have no way of knowing. Doctor, you're not a spine specialist? I am an orthopedic surgeon who has been trained in surgery of the spine, and over the past 30 years, I' have performed spinal operations with a great deal of regularity. My delineation of privileges in other words, what I'm allowed to do -- states I'm allowed to do spine surgery. I try and recommend spine surgery in a prudent way. I can tell you I've never had a FIUUS lit McLUCAS REPORTING SERVICE, INC. Harrisburg 717.236-0623 York 717..s45-6fI8 PA 1~233-9327 ,imjitt~~' ~~ - r 10 11 12 , 13 14 15 16 17 18 19 20 21 22 23 24 }~ \.,',..', 25 -"" "" _1,_,.-,-- """"""'" ~,~,I'"~-, '_.~,,' ,.......,,"' ~.~ ....J,~ ~~ Cross/Kramer - Eagle 16 1 patient of mine who has had three, four, five, 2 six spine surgeries. 3 I am qualified to render opinions. I have 4 been experts before the court, and your attempts to belittle me are well noted. 5 6 7 MR. KRAMER: I will object to the last and ask that it be stricken from the record where 8 he's talking about my attempts to belittle him. 9 MR. DEARDORFF: Off the record. MR. MACINTYRE: Going off video at 2:30. (Discussion held off the record.) MR. DEARDORFF: In'the future, like put your objection off the record. MR. KRAMER: Okay. MR. DEARDORFF: Just tell Doug to go off the record. Do you want to make -- MR. KRAMER: I mean, I don't want it to be an editotialization if it's not part of the MR. DEARDORFF: Well, it's responsive. MR.' KRAMER: I don't believe it is , responsive to the question, that you're not a spine specialist. MR. DEARDORFF: Okay, well, put your objection on the record. MR. KRAMER: I would ask that the last part FIUUS lit McLUCAS REPORTING SERVIcr.INC. Homisl""1l n7-236'0623 Yo'" n7-l145-6118 PA 1-800-233-9327 ~:;;__;;;::::;:,...~,~ J<~ ~, ",~ ;<,.....;.,1 .- ~~~~< , ' ~f tQCEDcrRE SURGEON .,..~..,,,;<,,,",York Hospital I - 01-17-2001 ~rocedu~e Count by Frequency " 00561 PERRY EAGLE December 1, 1996 to January 15, 2001 Inpatient OPS/EOC Count Count Count :ocedure .---------------------------- ---------- ---------- ---------- ,.43 CARPAL TUNNEL RELEASE 1.6 EXC KNEE SEMILUNAR CART l.21 EXC LES TEND SHEATH HAND ..02 ANTERIOR CERVFUSION NEC 1.86 DESTR KNEE LESION NEC ).26 KNEE ARTHROSCOPY ..83 SHOULD ARTHROPLASTY 'NEC ~ . 91 LYSIS OF HAND ADHESIONS 1.93 EXCISION WRIST JT NEC 1.51 IV DISC EXCISION ..52 PARTIAL HIP REPLACEMENT 1.35 ORIP PEMUR ..91 ARTHROCENTESIS : . 91 ADHESIO MUSC/T:wD/FASC : .26 MANUAL RUPT JOINT ADHES' '.82 PARTIAL HUMERECTOMY NEC 1.67 RMVL IMPL DEV TIB & FIB ,.49 PERIPH NERV ADHESIO NEe 1.64 RMVL IMPL DEV MC/CARPALS 1.36 ORIP TIBIA & FIBULA 1 . 12 OTH ARTHROTOMY ELBOW 1.76 KNEE SYNOVECTOMY' i , ..51 TOTAL HIP' REPLACEMENT 0:72 MCP/IP ARTHROPLASTY I ,) EXC LES SOPT TISSUE NEC . : b3 ROTATOR CUFF REPAIR , . 37 TIBIA/FIBULA DIV NEC ' , ; . 63 RMVL IMPL OEV RAD/ULNA '.34 ORIP FINGER '.16 OTH ARTHROTOMY KNEE ..47 OTHER REPAIR OF KNEE' .01 EXPLOR TEND SHEATH HAND .33 HAND TENONECTOMY NEC .64 OTHER SUTURE OF TENDON .3 'OTH LOC EXC/OESTR SKIN '.83 PART OSTECTOMYRAD/ULNA .13 APPL EXT PIX RAD/ULNA .69 RMVL IMPL DEV SITE NEC .32 ORIF RADIUS/ULNA .33 ORIF CARPALS/METACARPALS .92 EXCISION ELBOW JT NEC .54, TOTAL KNEE REPLACEMENT .92' INJECTION INTO JOINT .29 EXC LES SFT TISS HND NEC .01 TENDON SHEATH EXPLOR .5 BURSECTOMY I .88 OTHER PLASTIC OPS TENDON 101 35 30 27 25 15 12 12 10 9., 8 7 7 7 7 6 6 5 5 5 5 5 5 5 ,5 .s 4 4 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 3 o o o 9 1 o ,0 o o 9 8 7, 2 o o o o o o 4 o 1 5 o o o 2 o o , 1, o o o o o o 1 o o o o 3 1 o o o o 101 35 30- 18 24 15 12 12 10 o o o 5 7 7 6" 6 5 5 1 5 4 o 5 5 5 2 4 4 3 4 4 4 4 4 3 2 3 3 3 3 o 2 3 3 3 3 M--' -- ~ ~ i -~r'.i:;; ;~ 15 :3'4 Page 1 \.;,_..:.......v~.x:;--- OV-r\.-..:rt:.\..".~ ,Z,.V.l...r... nvoJ:l.L'-a...t. , - O~-~7-200~ Procedure Count by Frequency ,- ~5:34 Page '2 :4 r 0056~ PERRY EAGLE i ~ Decemb'~ J., J.9% to January 15, 2CJ..L Inpatient OPS/EOC ocedure Count Count Count --------------------------- ---------- ---------- ---------- . SPINAL CANAL EXPLOR NEC 2 2 0 .57 CLAW TOE REPAIR ;1 0 2 .69 LOC EXC BONE LESION NEC 2 0 2 .81 OTH CHEST CAGE OSTECTOMY 2 0 2 .86 PARTIAL PATELLECTOMY . 2 0 2 .89 PARTIAL OSTECTOMY NEC 2 0,.. 2 .55 INT FIX W/O RED FEMUR 2 -2 0 .02 CLSD RED FX RADIUS/ULNA 2 0 2 .U CRIF RADIUS/ULNA 2 1 1 .75 CLSD RED DISLOC HIP 2 ~ ~ .82 DESTR ELBOW LESION NEC 2 0 2 .49 OTHER REPAIR OF ANKLE 2 0 2 .1.4 FASCIOTOMY ,2 0 2 .49 OTHER SOFT TISSUE EXC 2 0 2 .05 INC W RMVL FB SKIN/SUBCU 2 0 2 .69 FREE SKIN GRAFT NEC 2 0 2 .88 RMVL EXT IMMOBILIZATION 2 0 2 .03 RADIUS & ULNA SEQUEST 1 0 1 .07 TIBIA & FIBULA SEQUEST 1 ~ 0 .15 OTH FEMORAL INC W/O DIV 1 0 1 .56 HAMMER TOE REPAIR 1 ,0 1 .58 TOE EXC/FUSION/REP NEC 1 0 1 .59 BUNIONECTOMY NEC 1 0, 1 .63 LOC EXC LES RADIUS/ULNA 1 0 1 . .64 LOC EXC LES MC & CARPALS 1 0 1 . .67 LOC EXC .LES TIBIA/FIBULA 1 0 1 '.77 EXC TIB/FIB FOR:GRAFT ' ,1 0- 1 ~"'q EXC BONE FOR GRAFT NEC 1 1 0 " 1 0" 1 "i., ) BONE GRAFT NgC X FACIAL .15 APPL EXT FIX DEV FEMUR '1 1 0 .33 LIMB LENGTH PX RAD/ULNA 1 1 0 .57 INT FIX W/O RED TIB/FIB '1 ' 1 0 .59 INT FIX w/O FX RED NEC 1 0 1 .62 RMVL IMPL DEV HUMERUS 1 .: O. 1 .65 RMVL IMPL DEV FEMUR 1 O' 1 .66 RMVL IMpL DEV PATELLA 1 '0 1 .73 OSTEOCLASIS RADIUS/ULNA 1 0 1 .79 OSTEOCLASIS NEC 1 0 1 .13 CRIF MC/CARPALS 1 0 1 .14 CRIF FINGER 1 0 1 .15 CRIF FEMUR 1 1 0 .39 ORIF BONE NEC X FACIAL 1 0 1 .62 DEBRIDE OPEN FX RAD/ULNA 1 1. 0 .64 DEBRIDE OPEN FX FINGER 1 0 1 .65 DEBRIDE OPEN FX FEMUR 1 ~ 0 .84,OPEN RED DISLOC HAND 1 0 1 .13, OTH ARTHROTOMY WRIST ~ 0 1 ~. 1 ,. "'~ c..,~""", < ,_1._., 15:34 ~-~~~ "," ----. ----r---- 01-17-2001 ProG~dure Count by Frequency 00561 PERRY EAGLE f' Decemt 1, 1996 to January 15, 2L 4 ;ocedure Inpatient OPS/EOC Count Count Count --------------------------- ---------- ---------- ---------- \ OTH ARTHROTOMY HAND 1 0 1 l.~3 WRIST STRUCTURE DIVISION 1 0 1 l.46 KNEE STRUCTURE DIVISION 1 0 1 l.81 DESTR SHOULDER LES NEC 1 0 1 l.84 DESTR HAND JOINT LES NEC 1 0 1 ).99 EXCISION OF JOINT NEC 1 0 1 l.03 POST CERVICAL FUSION NEC 1 1 0 l.40 REPAIR OF HIP NEC 1 1 0 l.82 REP RECUR SHOULD DISLOC 1 0, 1 l.94 SUTURE CAPS/LIG ANKLE/FT 1 1 0 l.96 OTHER REPAIR OF JOINT 1 0 1 L 09 INC SOFT TISSUE HAND NEC 1 0 1 ~ . 11 TENOTOMY OF HAND 1 0 1 L 12 FASCIOTOMY OF HAND 1 0 1 ~ . 35 HAND FASCIECTOMY NEC 1 0 1 ~. 44 SUT FLEXOR TEND HAND NEC 1 0 1 !. 45 SUTURE HAND TENDON NEC 1 0 1 ~. B5 OTHER TENODESIS OF HAND 1 0 1 ! . 86 OTHER TENOPLASTY OF HAND 1 0 1 l.09 SOFT TISSUE INCISION NEC 1 0 1 l.31 EXCIS LES TENDON SHEATH 1 0 1 l.42 OTHER TENONECTOMY. 1 0 1 l.44 OTHER FASCIECTOMY 1 0 1 l.75 TENDON TRANSF/TRANSPL 1 0 1 l.76 OTHER' TENDON TRANSPOS 1 0 1 l.99 CONN TISS OP NEC' 1, 0 1 1.11 TOE AMPUTATION, 1, ,0 1 ~~4 OTHER SKIN~ SUBCU I&D 1 0 l' ',L.) SKIN/SUBCUINCISION NEC ,1 0 1 ;:23 NAIL REMOVAL 1 0 1, ;.27 DEBRIDEMENT OF NAIL 1 0 1 ;.59 SKIN CLOSURE NEC 1 0 1 ; . 61 FTHICK HAND SKIN,GRAFT ' 1 0 1 ;;89 SKIN REP & RECONST NEC 1 .,0, 1 1.53 OTHER CAST, APPLICATION 1 1 0 1.23 INJECT STEROID 1 1 0 1.29 INJECT/INFUSE NEC 1 1 0 ------...--- .---------- ---------- 542 ' 74 46B , 1;'':; Page 3 .~ ... r '" '" " '. '" ; , i .-- , .. I on I ... I I I I I I \ .. " 'tl .. o >. "''' "''''''' .....,,,,, (;' ~1'Ca:t: "',." rJQW ru ~. . -t. ":) ~.:' 0. =)-1 ta....O::: 0 .0 ~.u :::.urd ,'S-l 0. \D ... 0 '" ~ 0.... 0'\ o GHDI"'f ,.."'''' o _ '-<0'-< ... 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"B" ''-''''",'';-.",-~d'~;>;j,?""",,',~,",''J,''~,': ""-_"',,g_,,,.~, -"" ,-~ j,__" __I AMA Policy Finder , , ~, ~ c" , _.....I.~-< i ,- .'~ ~-".j, ~" , ....~~fllli Page 1 of1 Ii I American Medical Association Physicians dedicated to the health of America ' HOME [ JOINI REi'lEW <- CONTACT us StfEMAP ~M~, ttQme, > .E'QIi~fj.o..dgr Results List .. search Till$. .. About AMA Policv ,.. Download Pollcv Finder ... PrinclDles of Medical 1;~,~iCS" tI--- AtYlA S:tr<!,te.9i~_P!~JI ~nd VisIon ~. ~I\IIA}1 i.?19JY H-70.951 Medical Necessity Coding (1 )The AMA (a) immediately seeks both legislative and judicial relief from ICD-9 coding requirements for reimbursement of medical and laboratory services; and (b) supports only medical record review for medical necessity determinations, and then oniy when inappropriate or illegal behavior is suspected. (2) That until full implementation of this policy is achieved, our AMA seeks regulatory relief that would give physicians flexibility in assigning ICD-9 codes. (3) Our AMA advocates to all those private payers who do require ICD-9 codes for diagnostic studies that physicians should have the flexibility to assign any clinically appropriate diagnosis code. (Res< 806, 1-97; Appended and Reaffirmed: Res. 816, 1-98) .II pIPI-.. I "'I Reswlts ~ BacklO I" R,ovlnaxt .. resllils list "'I POlICy number ~ Search Tips I New Search I Refine Search @Copyright1995-2002American Medical Association. All rights reserved. http://www.arna-assn.org/apps/pConline/pf_online?f _ n=resultLink&doc=policyfilesIHOI... 10/18/2002 ~l ~~,~._~, ~~1illiii'~~ ''''=''-'''l""~ AMA Policy Finder . ~', ....."-- - ,1....,-- , '~_~.~< . ~ "'".P~~f"N ""] Page 1 of2 American Medica} Association Physicians dedicated to the health of America HOME "I. "J?IN I RENEW. CONTACT US SITElIlAP AM6.,tl9m~ > eOli,y.~F.in9,~.r Results List .. ~~ar~i'LJj~, .. About AMA Poli~l' .. Download POlicv .finder .. Princloles of Medical Ethics .. AMA Strateaic Pian ~!lQ.....Vj~QD. .. AM.8J::li!;ttQlY @~~~.l!uL~i~.J. prlvacy_ _guldoll_ H-265.994 Expert Witness Testimony (1) Regarding expert witnesses in clinical matters, as a matter of public interest the AMA encourages its members to serve as impartial expert witnesses. (2) Our AMA is on record that it will not tolerate false testimony by physicians and will assist state, county and specialty medical societies to discipline physicians who testify falsely by reporting Its findings to the appropriate licensing authority. (3) Existing policy regarding the competency of expert witnesses and their fee arrangements (BOT Rep. 55, A-89) is reaffirmed, as follows: (a) The AMA believes that the minimum statutory requirements for qualification as an expert witness should reflect the following: (i) that the witness be required to have comparable education, training, and occupational experience in the same field as the defendant; (Ii) that the occupational experience include active medical practice or teaching experience in the same field as the defendant; and (iii) that the active medical practice or teaching experience must have been within five years of the date of the occurrence giving rise to the claim. (b) The AMA believes that model state legislation should be developed making it illegal for medicolegal consulting firms to take a contingent fee in personal injury litigation. Such arrangements threaten the integrity and the compensation goals of the civil justice system. Like the individual expert witness, the role of the medicolegal consulting firm which locates and supplies experts should be one of limited service to the jUdicial process. Contingent fee arrangements are plainly inconsistent with the scope of this responsibility. Model legislation will be developed which would change state law where necessary to permit cross- examination in accordance with the "Trower" holding and to prohibit payment of contingent fees for all types of medicolegal consultations, including management services provided by firms engaged in locating physician consultants. (Reversing long-standing precedent, the Illinois Supreme Court in the case of Trower v. Jones, 121 III. 2nd 211 (1988) upheld a trial court's discretion to allow cross examination on the fOllowing issues: (i) the amount of compensation received for the expert's consultation and testimony; (ii) the frequency of the physician's expert witness activities; (iii) the proportion of the physician's professional time devoted to and income derived from such activities; and (iv) the frequency with which he or she testified for eitherplaintiffs or defendants.) (Sub. Res. 223, A-92; Appended: Sub. Res. 211, 1-97; Reaffirmation A-99) ~ r:iuit: ~ r:~Wat I ~PJ;~::ber. Search TiW; I New Search I Refine $.!HIrch http://www.ama-assn.org/apps/pConline/pC online?C n=resultLink&doc=policyflles/HO:c... 10/18/2002 '" _....,he I. ~.~,='- AMA Policy Finder . "~.. ~.l....I~ ~L ~~ ',ill .ili..'<i'K'- Page 2 of2 @ Copyright 1995~2002 American Medical Association. All rights reserved. http://www.ama-assn.org/apps/pConline/pC onIine?C n=resultLink&doc=policyfilesf.HOL. 10/18/2002 <~'~"" ~l'-~~"~t' 'i~". L ""...~" """",,"'" - ~ ~ , - ~,. :lJEMti""...~....,;~" AMA Policy Finder Page 1 of 1 . SlTEMAP I .'. ~~~hOU.~~I~,..J ' American Medical Association Physicians dedicated to the health of America HOME JOIN r RENEW CONTACT US privacy_l _UU\dell... AMA Home> PoJicvFinder Results List .. ~rch'(iM .. About AMA Policy ... RQwnloa!tnPo1!9'. Finder ... erlru;jpJ~~.Qf..M~i.J;;~l Ethics ... ~.A_~trateoic P!3.,.ll and Vision .. AM~.lfistQry. E-9.07 Medical Testimony. As a citizen and as a professional with special training and experience, the physician has an ethical obligation to assist in the administration of justice. If a patient who has a legal claim requests a physician's assistance, the physician should furnish medical evidence, with the patient's consent, in order to secure the patient's legal rights. Medical experts should have recent and substantive experience in the area in which they testify and should limit testimony to their sphere of medical expertise. Medical witnesses should be adequately prepared and should testify honestly and truthfully to the best of their medical knowledge. The medical witness must not become an advocate or a partisan in the legal proceeding. The medical witness should be adequately prepared and should testify honestly and truthfully. The attorney for the party who calls the physician as a witness should be informed of all favorable and unfavorable information developed by the physician's evaluation of the case. It is unethical for a physician to accept compensation that is contingent upon the outcome of litigation. (II, IV, V, VII) Issued June 1986; Updated June 1996 based on the report "Ethical Guidelines for Medical Experts," adopted December 1995. ~ [:;1.': . I re~~it I . P~~=ber. Search Tips I New Search I Refine $.earch @Copyright1995-2002Ameripan Medical Association, All rights reserved. h1tp://www.ama-assn.org/apps/pConline/pC online?C n=resultLink&doc=policyfiles/CEJA/ 10/18/2002 "" .'~~...-."..",..,,,-..'-, ,-.~'",-.~-IIO_ "' ,~ J ___, ...'" ~ '~'!iilI1;;j",,~~" . CERTIFICATE OF SERVICE AND NOW, this jJllfl--day of ()cl-u~ ,2002, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Plaintiff's Brief in Support of Motion in Limine by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. ~ By erard C. amer Attorney at Law Attorney I.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff ",<."",,-_,~_...._,~.J =~ " I~ -,-,,-^ "~;k:;::j CHRISTOPHER RHOADS, Plaintiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED ORDER AND NOW, this day of , 2002, upon consideration of the Plaintiffs Motion in Limine, IT IS HEREBY ORDERED AND DECREED that the Defendant is p:recluded from asking questions concerning whether: 1. The Plaintiff has filed prior suits; and 2. The Plaintiff has filed prior workers' compensation claims. BY THE COURT: J. , ~~~~ ~- ;~ " ' 0 --" _..;....,L- -, " "' "li-. ~ -"il~,: CHRISTOPHER RHOADS, Plain tiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED PLAINTIFF'S MOTION IN LIMINE The Plaiptiff, Christopher Rhoads, by and through his attorney, Schmidt, Ronca, & Kramer, P.C., respectfully moves this Honorable Court to prohibit certain testimony at trial and respectfully avers as follows: 1. The above-captioned matter involves an automobile accident which occurred on q~tober 15, 1999. 2. Plaintiff, Christopher Rhoads, had previously been involved in an automobile accident in March of 1997. 3. That accident occurred on the Harvey Taylor Bridge, when the Plaintiff was rear ended. 4. That accident resulted in a workers' compensation claim as well as a third party liability action. 5. Plaintiff, Christopher Rhoads, subsequently injured a knee on February 11, 1998, while working for Pizza Hut. 6. That incident resulted in a workers' compensation claim. -r""""''''"-'--'' -', '.'1Ilii I... "l.!:'l.UI.:.i!lIt.:fr ""'.~i!/ill11r-.li1t;',. 7. The Plaintiff requests an Order from the Court precluding questioning concerning whether claims were made or litigation resulted from these prior accidents. 8. The admission of this information is prejudicial and misleading. Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. BY/~ ~ ~erard C. Kramer Attorney at Law / Attorney J.D. No. 44715 209 State Street Harrisburg, P A 1710 1 (717) 232-6300 Attorney for Plaintiff ~~"~~iWwfi!!illii'l;;r~!~@~Sl~AS;~~h'if,~"'-'~~..t,~g~J.!j~ji~rj(:C~i.m~ii!I}" "'n".\--'''''''rtrnr_{m!l''i...."--~ --i;-~~--iiiili!.w........,,,WJJ ," ~"'""'~" ..:. ,~.:. ~" ~1 0 0 0 C "" " ~, :s: z .-.,/ dl 0-, CJ L_ ~{ , _~ ,I Z ' 'F ~ ;',rn <- CJ (/) }:': .~ -< .,:" , , (-.::) r:: c.::; ;l.:e- .,.,,~ :;~ ~::--- .-'7> ("", -7 (~5 -"'" ?~~~ ~ )> c= LJ :3 .-1 55 " -< !!!Wv,"'-_~ "._ ~"""",~"" ,.,,-, ,- .'.~='"'" '="'>. -~, ""--._~-~ = ,~. -..".-" .,. . ~" - " - Il-' 1;'- .~J IL-H"~'"" ''(j-IUIl" '.~,_.~~~~~ ~," .. - .- . ~~. ..-...1_........ . "",'. '~',,,c, CHRISTOPHER RHOADS, Plaintiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED PLAINTIFF'S MEMORANDUM OF LAW IN SUPPORT OF PLAINTIF'F"S MOTION IN LIMINE In March of 1997, Christopher Rhoads was involved in an automobile accident on the Harvey Taylor Bridge, when he was rear-ended. Christopher Rhoads brought a workman's compensation claim and a third party liability action against the other driver involved. Christopher Rhoads was also injured in February of 1998 when he hurt his knee during his employment with Pizza Hut. Mr. Rhoads filed a workman's compensation claim against his then employer, Pizza Hut. None of these prior lawsuits are relevant or related to the current claim and thus should be inadmissible. Pennsylvania law provides that ordinarily, other unrelated claims by or against a litigant are irrelevant and are thus inadmissible. Levant v. Leonard Wasseman Co., 445 Pa. 380, 382-383, 284 A.2d 794, 796 (1971). Courts have ruled that evidence brought to show that the litigant is especially litigious and to undermine his credibility is unfairly prejudicial and the probative value of such .....,..,~illoI....,"""~" < "" ".- '_M" l.... -, evidence is not outweighed by the prejudicial impact. DiFrancesco v. Excam, Inc., 434 Pa. Super. 173, 190, 642 A.2d 529 (1994). Mr. Rhoads' previous claims are not only irrelevant to the current action, but the admittance of such evidence would be extremely prejudicial. Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. ~ BY Gerard C. Kramer Attorney at Law Attorney J.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff ~~,. '"" I ~_ - '" L -~ CHRISTOPHER RHOADS, Plaintiff THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED : PLAINTIFF'S PROPOSED POINTS FOR CHARGE! AND NOW, comes the Plaintiff, CHRISTOPHER RHOADS, by and through his attorneys, SCHMIDT, RONCA & KRAMER, P.C., and respectfully submits the following proposed Points for Charge: .1 -~ '" "" ~. , ~" 1...- . ~" _..~ T ~~ - """""" 1 Under the law in all evidence, you are directed to find a verdict in favor of the Plaintiff, Christopher Rhoads, and against the Defendant, Kathleen Newcomer. .1 ! " ~-- - ~"' - ~ ;\; '-- 2 In a civil case such as this one, the Plaintiff has the burden of proving that the Defendant was negligent. Defendant has the burden of proving any defense she asserts. When a party has the burden of proof on a particular issue, the issue must be established by a fair preponderance of the evidence. Neither party is required to prove his or her case beyond a reasonable doubt. The evidence establishes a contention by the fair preponderance of the evidence if you are persuaded that it is more probably true than not. To put it another way, if you would imagine an ordinary balance scale with a pan on each side. With respect to any issue the Plaintiff must prove, place on one side of this scale all evidence favorable to the Plaintiff, and on the other side, place all evidence favorable to the Defendant. If, in considering the comparable weight of the evidence, you feel the scales tip ever so slightly in favor of the Plaintiff, then your verdict must for the Plaintiff. If the scales tip in favor of the Defendant or are equally balanced, then your verdict must be for the Defendant. The same is true with respect to issues which the Defendant must prove. If the Defendant has the burden of proving a contention, then the scale must tilt slightly in her favor. If the scale tips in favor of the Plaintiff, or is evenly balanced, then you should find in favor of the Plaintiff on that issue. Pa. SSJI (Civ.l 5.50. modified ~ ,..-"""~~ ~~ " ' oL ~ -- 'Il;'!lft~" ~ A driver has a duty to be continuously alert to perceive any warning or danger. Wilson Freight Forwarding Co. v. Seal, 367 Pa. 18,79 A.2d 648 (1951). The duty to look must be complied with under all circumstances which confront the operator. Kmetz v. Lochiatto, 421 Pa. 363, 219 A.2d 588 (1966). ~ J <;~""'''''_'''''='I\'rr." " "~~~ "~ 1.......-.-.. - "~'_iIIlI\__,o; 4 A driver has the duty to keep a constant lookout for other vehicles on the road. In considering this duty and the liability of the Defendant, remember that an individual may not claim that he looked but did not see, when, in fact, if he had looked, he would have seen what was plainly visible. Smith v. U.S. News Co., 413 Pa. 243, 196 A.2d 302 (1964). v~ .--'" ~_I<o - < - I .. "'!<I'&.J :~ ~0' 5 It is negligent for an operator to back a vehicle without being absolutely certain that there is no person or vehicle in their path if they are unable to see to the rear. Shoup v. Mannino, 188 Pa. Super. 457, 149 A.2d 678 (1959). ~, ,: ~!>..<i",,- ._, L"~.L- ,~""""-~ I, .c' 'wi~; 6 I instruct you that there is no evidence in the record as to any contributory negligence on the part of the Plaintiff, Christopher Rhoads. You will, therefore, direct as a matter of law to find that there was no comparative negligence on his part. Thomas v. Tomav, 413 Pa. 270, 196 A.2d 740 (1964). ~ ~~~"._~,,'.J~=~ "~~ - -, . - I&I~ liIIllIi " J~~._' '1 Pennsylvania law clearly provides that one who negligently inflicts injury upon another must accept any preexisting condition, disease, disability, or susceptibility of the injured party which increases the likelihood, the extent, or the seriousness of the injury to the injured party. A person causing the harm must take the injured party as she finds him and bear responsibility for all injuries caused by her negligence regardless of whether the preexisting condition was discoverable prior to the wrongdoing. Pavorskv v. Engels, 410 Pa. 100, 188 A.2d 731 (1963); Cingota v. Milliken, 286 Pa. Super. 117,428 A.2d 600 (1981); Boushell v. J. H. Beers. Inc., 215 Pa. Super. 439, 258 A.2d 682 (1969). The Defendant is liable for the aggravation of any preexisting conditions. Consider, for example, a plaintiff as having an "eggshell" thin skull, and the defendant struck the plaintiff negligently, causing a severe injury even though the same trauma would cause much less of an injury on a person with a skull of normal thickness. The Defendant is still responsible for the full extent of plaintiffs injuries. W. Page Keeton et aI., Prosser and Keeton on the Law of Torts sec. 43, at 292 & n.97 (5th ed. 1984). ~ ...'. - - -. L - , , ."~'<,~~,",""''-V''- 8 You will recall that you heard expert testimony today from two medical professionals. There was testimony as to their qualifications as experts in their particular fields. A witness with a 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 or she is skilled. In determining the weight to be given to that expert opinion, you should consider the qualifications and reliability of the expert and the reason given for his or her opinion. You are not bound by any of the expert opinions merely because it is given by an expert; you may accept it or reject it. As in the case of other witnesses, give it the weight, if any, to which you deem it is entitled. Pa. SSJI (Civ.l 5.30. ~ ,~~--"~--~-~<- ~"~ ~ ~ ~ ""J ,,",~ - .J.... .. ^"",4!._,*r 9 You will recall that you heard the testimony of two treating physicians by either video tape or oral deposition. The rules of procedure recognize that the presence of medical experts at trial can create a hardship and an inconvenience to both the medical expert and his patients. In order to relieve this hardship, the rules allow their testimony to be taken by video tape deposition. The weight and affect afforded their testimony should be the same as if they were actually here to testify. No inference should be drawn from the fact that their testimony was by deposition rather than in person. Pa. R.C.P. 4002. 4017.l(g). 4020(5). - 12"~r.v_J"_.~"~" .~ - , .~, "' - -~ '- ""","""""",,s/l__,,' 10 You may find inconsistencies in the evidence. There may even have been actual contradictions in the testimony of certain witnesses. This does not mean that any witness has been willfully false. Poor memory is not uncommon. Sometimes a witness forgets, sometimes he or she remembers incorrectly. It is also true that two persons witnessing an incident may see or hear it differently. If different parts of the testimony or any witness or witnesses appear to be inconsistent, you should try to reconcile the conflicting statements whether of the same or different witnesses and you should do so if it can be done fairly and satisfactorily. If, however, you decide that there is a genuine and irreconcilable conflict of testimony, it is your function and duty to determine which, if any, of the contradictory statements you believe. Pa. SSJI (Civ.l 5.04. ~ " ,~_.."J ""'~ - , .b., ~ ~<-~~.." "" -"",._".-", 11 If you decide that a witness has deliberately falsified his or her testimony on a significant point, you should take this into consideration in deciding whether or not to believe the rest of his or her testimony . You may refuse to believe the rest of his or her testimony, but you are not required to do so. Pa. SSJI (Civ.) 5.05. ~ 'J;..""...,..._.........._~_"",_~ _ , , L ~~"_~..m'\ 12 If you find that the Defendant is liable to the Plaintiff, then you must find an amount of money damages which you believe will fairly and adequately compensate the Plaintiff for all physical and financial injuries that she has sustained as a result of the accident. The award should compensate the Plaintiff for damage which she has sustained in the past, as well as that which she will sustain in the future. Pa. SSJI (Civ.) 6.00. ~ ^<'-~ ~.." "~~"' ~"'"->- _I u' >'.I",$>tiUiiisl'U'd_ 13 In Pennsylvania, the Plaintiff must only provide reasonable proof of damages. The law does not require that proof in support of claims for damages must conform to the standard of mathematical exactness. All that the law requires is that a claim for damages must be supported by a reasonable basis for calculation. Kaczkowski v. Bolubasz, 491 Pa. 461, 421 A.2d 1027 (1980); Stephenson v. Economv Bank of Ambridge, 413 Pa. 442, 197 A.2d 721 (1964). ~, ~ ,",~""'"",,-,,__-,ilP>~" - M~'" ~" ~ " , ~'" I.... "~ 0"'" rIl '",,_.000'; '.. , 14 Uncertainty as to the amount of damages will not preclude recovery where it is certain that damages have, in fact, resulted. Pugh v. Holmes, 46 Pa. 272, 405 A.2d 897 (1979). t/ '''''"",,,,-~-- - . Ug---. 'J-,,~,t 15 The Plaintiff is entitled to be compensated for medical expenses that she has incurred as a result of the accident. There is a stipulation that the medical expenses recoverable are $19,598.16. ~ \)0 _"'~,",""""~....J ,"- _,l - ~__.,.I._- ~"""'~"' -~,< . 16 The Plaintiff is entitled to be compensated for the amount of earnings that he lost as a result of his injuries. The Plaintiff presented testimony that this amounted to $836.87. Pa. SSJI rCiv.) 6.01C. ~~ ,~~~"~ "~Ii.lllliln ~!- ~,~,~ - " '" "",I '=. 'j,f,tIJi,,,_,,,,,,;. 17 The Plaintiff, Christopher Rhoads, is entitled to be fairly and adequately compensated for such physical pain, mental anguish, discomfort, inconvenience, and distress that you find he has endured from the time of his accident until today. Pa. SSJI (Civ.) 6.01E. ~ ~~". ~-,~ ~ " - .~"" -, . ~ ''''OI!'___,' 18 The Plaintiff, Christopher Rhoads, is entitled to be fairly and adequately compensated for all physical pain, mental anguish, discomfort, inconvenience, and distress that you believe he will endure in the future. Pa. SSJI (Civ.) 6.01F. ~\ :" ~~,~tw","""",oQ; " I.~,~--"," .~- ~ J. ~L ~~~- ' I~,(, . 19 The Plaintiff, Christopher Rhoads, is entitled to be fairly and adequately compensated for embarrassment and humiliation as you believe he has endured, and will continue to endure in the future as a result of his injuries. Pa. SSJI (Civ.) 6.0lG. ~ <<.:"""'" . '~_l""""'~'~ . y=~~= _..~>. "" ~~ J ... -~- -'"- -w,*-~, . 20 The Plaintiff, Christopher Rhoads, is entitled to be fairly and adequately compensated for past, present, and future loss of his ability to enjoy the pleasures of life as a result of his injuries. Pa. SSJI (Civ.l 6.011. ~. -,j"";~_'''~.Id,.;".......~~_...~, "~. .'W~~O ~-'~".~_c . . . , . 21 This is the Plaintiffs only day in Court; whatever damage you award based upon the evidence, you must award in the verdict today. Whatever award you find must include within it full and adequate compensation for all injuries of the Plaintiff's damages, whether past, present, or future suffered as a result of this accident. Gamison v. Denardo. Inc., 302 F.2d 27 (3d. Cir. 1962). ~ Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. (----- erard C. Kramer Attorney at Law Attorney I.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff ,,~d __~~ ~ ~ I.... - ."",~~,,~~ ni. ""~ ~ - '",_"....;;.",-"M.>'.;_ '. CHRISTOPHER...RHOADS, .;.. Plaintiff THE COURT OF COMMotl P,J.EAS CUMBERLAND COUNTY,.. PENNSYLVANIA v. CIVIL ACTION - LAW NO. 01-3632 KATHLEEN NEWCOMER, Defendant JURY TRIAL DEMANDED PLAINTIFF'S PRE-TRIAL MEMORANDUM I. STATEMENT OF FACTS The above-captioned matter is a personal injury action involving a motor vehicle accident. On October 15, 1999, at approximately 6:00 p.m., Christopher Rhoads pulled into the Mechanicsburg Papa John's parking lot. Christopher pulled his car into a parking space that was across the driving aisle from a series of other spaces. The Defendant, Kathleen Newcomer, was leaving the shopping center and was parked directly across the driving area from Mr. Rhoads' car. When Ms. Newcomer went to leave, she backed her automobile out of the parking space without looking directly behind her, hitting the front of Christopher's car. Initially, Christopher did not believe that he had been injured. By the end of the evening, Christopher's neck was bothering him and he noticed damage to his car. r,J ;:J"~ ",.J '-' "-~ -" ~ ~ ~.. "._d, .". O~ I",,~=,-. L~'~".'~t~~""',,,,,,,,,~,,,;:_ .' ,- II. ITEMIZED LIST OF DAMAGES The day after the accident, Mr. Rhoads went to the Holy Spirit Hospital to be examined, and the physician put Christopher in a soft cervical collar, prescribed Flexeril, and instructed him not to work for three days. Mr. Rhoads continued to suffer from neck pain, shoulder pain, and numbness in his right hand, and went to see Dr. DeMuth, an orthopedist, who ordered an MRI. Mr. Rhoads' MRI showed a rather large herniated nucleus pulpous at the C5-6 on the right side. Dr. DeMuth found this to be consistent with the numbness in Christopher's right hand and the aching feeling in his right arm. In Dr. DeMuth's notes, he clearly states that the October 15, 1999 accident was the cause of Mr. Rhoads' current medical problems. On February 8, 2000, Dr. DeMuth performed surgery on Mr. Rhoads at Pinnacle Health Hospital in Harrisburg. Mr. Rhoads remained in Pinnacle Health Hospital for two days to recover from his surgery. Mr. Rhoads underwent physical therapy three times a week for six weeks in August 2001 and again in October 2001 for relief of neck pain, shoulder pain, upper back pain, he~daches, right hand weakness, and pain radiation resulting from the accident and subsequently required surgery. The goals of his therapy were to manage pain, increase range of motion and flexibility, and maintain proper posture. Mr. Rhoads also developed neck and throat problems and reported to Dr. DeMuth in November 2000 that he had difficulty swallowing certain foods. , ~~",'<O'_ _~.,",.J," .~" I~ f "r.I~ ~ --,. "" ~-<ll - L,-_""'~~' ~-'-"""",,~~'i; Mr. Rhoads saw Dr. Won, an otolaryngologist, in January 2002 who believes these symptoms may be the result of scar tissue that has developed in his neck after the surgery, which interferes with Christopher's swallowing. As a result of the October 15, 1999 automobile accident, Christopher Rhoads has accumulated the following medical bills: Dr. William DeMuth Harrisburg Hospitals Holy Spirit Hospital Pennsylvania Neurological Association Quantum Imaging Riverside Anesthesia Association Tristan Associates Spirit Physicians Kelly Assisted Living Prescriptions Dr. Kwan Wan $19,831.97 $ 7,533.60 $ 4,194.49 $ 1,250.00 $ 1,128.00 $ 1,045.00 $ 356.00 $ 306.00 $ 264.00 $ 64.14 $ 60.00 TOT AL-------$36,033.20 The bills were paid under the Workers' Compensation Act and there is a lien in the amount of $6,842.16. ";~...."-~~ .,. ..~'.- ,. ...~~, L.,., .u;,_'1"'~:;"'.~:liN" III. EXHIBITS 1. Medical Lien Exhibit 2. Anatomical Drawing 3. Medical Records 4. MRI films 5. 5 Photos of Neck Scar IV. WITNESSES Plaintiff may call as an expert witness: 1. William W. DeMuth, M.D. 875 Poplar Church Road Camp Hill, PA 17011 Plaintiff may call: 1. Christopher Rhoads 106 Center Street, Apartment 5 Enola, Pennsylvania, 17025 2. Lorraine Wagner 2145 Lamps Gap Road Mechanicsburg, PA 17055 Home - 732-5487 Work - 783-1566 Mother of Plaintiff 3. Kathleen Newcomer 217 Beaver Drive Mechanicsburg, Pennsylvania, 17055 V. ESTIMATED TIME OF TRIAL 2 Days _. . , ~ _ '~__. _~_".. "H....h.. ;0 ~ " 1 '"~ _I. '__...., ~~--~""""'=.."....-"~ "'l~;,~'~ . , VI. STIPULATIONS 1. The amount of the lien 2. Plaintiff has full tort. VII. . STATE OF LEGAL THEORY ACCORDING TO PENNSYLVANIA RULES OF EVIDENCE, A LAY WITNESS CAN ONLY TESTIFY TO AN OPINION THAT IS RATIONALLY BASED ON THE PERCEPTION OF THE WITNESS, HELPFUL TO THE CLEAR UNDERSTANDING OF THE WITNESS' TESTIMONY OR THE DETERMINATION OF A FACT IN ISSUE AND NOT BASED ON SCIENTIFIC, TECHNICAL, OR OTHERWISE SPECIALIZED KNOWLEDGE. Pa.R.E., 701. The Defendant, Kathleen Newcomer has no expertise to determine that the motor vehicle accident on October 15, 1999 was minimal and therefore could not cause substantial injury to the Plaintiff, Christopher Rhoads. The Defendant does not possess an identified specialized skill, knowledge, experience, education or training in the area of injuries caused by automobile accidents. A lay witness may testify to certain matters involving health, the apparent physical condition of a person, and as to obvious symptoms but lay witnesses are barred from testifying to existence or nonexistence of disease or disorder, the discovery of which requires the training and experience of medical expert. Travelers Ins. Co. v Heppenstall Co., 360 Pa. 433,440, 61 A.2d 809 (1948); Baum v. Metropolitan Life Ins. Co., 144 Pa.Super. 37,41, 19 A.2d 486 (1941). The Defendant has no expert witness who will testify on this area such as a biomechanist. Because the Defendant does not have the . .-'.......... "<"" '-~".'~""'"'^",~ ..~..~ d.~ 0_ _L_. .-"",,0It~~- '-~-. ~""'-" ~- ~'__,.;;r,"'~rr",~",,1~ requisite knowledge to testify to Mr. Rhoads' condition, she should be prohibited from speculating to the causation of Mr. Rhoads' injuries. This is a straight-forward motor vehicle accident case claiming negligence on the part of Kathleen Newcomer. Pennsylvania law clearly provides that one who inflicts injury to another due to negligence must accept any preexisting condition, disease or disability of the injury to the injured party. The person causing the harm must take the injured party as he is found, and bear all responsibility for all injuries caused due to negligence. Pavaruskv v. Ingalls, 410 Pa. Super. 439, 188 A.2d 731 (1963); See also, Bushell v. Beers, 215 Pa. Super. 439, 258 A.2d 682 (1969). VIII. HISTORY OF NEGOTIATIONS The Plaintiff has made a demand of $100,000. There has been no offer of settlement. Respectfully submitted, SCHMIDT, RONCA AND KRAMER P.C. DATED: /O)ID/O:L ByAJ1~v/ Gerard C. Kramer Attorney at Law Attorney I.D. No. 44715 209 State Street Harrisburg, PA 17101 Attorney for Plaintiff (717) 232-6300 ~..~ ,_oJ J. .. .......~~ - ~"~ . ,- - ""' ~ ~, I b ~ " .......,...........,I-'~~_...~,.kl~_,__~ CERTIFICATE OF SERVICE AND NOW, this JOb day of 0 G+::Ji>e/" , 2002, I, GERARD C. KRAMER, ESQUIRE, hereby certify that I have, this day, served a copy of the Plaintiffs Pre-Trial Memorandum by serving a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania, addressed to: Richard H. Wix, Esquire WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 Attorney for Defendant Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. 8yoll ~fd I ) Attorney at Law Attorney I.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorney for Plaintiff ,"'_. ~ . L .....,.'".._~."~ >- ".... , .~ - : ---: '~\.J.i.L-MIW'If'~O ,', Ilii ,.--,-" :';;-.' , '_~';;,~ 10/14/2002 17:07 7176526290 .. ,! - \ WIX WENGER & WEIDNER PAGE 03 CHRISTOPHER RHOADS, Plaintiff v. IN THE COURT OF COMMON PLEAS CUMBERlAND COUNTY, PENNSYLVANIA NO. 01-3632 KATHLEEN NEWCOMER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED ~ENDANT'S PRE.TRIAL U.EMORANDUM I. This "accidenf' occurred on October 15, 1999, on the parking lot adjacent to the Mechanicsburg's Papa John's. The Defendant was backing her vehicle from a parking space, and the rear of her vehicle made slight contact with the front of the Plaintiffs parked vehicle. Immediately following the accident, both parties looked at the vehicles and observed no damage. Both parties also indicated that they were not Injured. Plaintiff now claims that he has undergone cervical surgery as a result of this "accident" _ II. WITNESSES 1. Kathleen Newcomer 2. Daniel Newcomer 3. Perry Eagle, M.D. Defendant reserves the right to call any of Plaintiffs treating physicians. III. DAMAGES See P1aintifl's Pre-Trial Memorandum. ,"' ,~~,"""'" ,=".i ~ , ~ . I "-",,,-"'---lr'T. ...."..r..;.i.""i ,~~~ -. .. ,..-~ . - ,-- "~. "",.'~ .~." 1 10/14/2002 17:07 7176526290 -"-- - . " WIX WENGER & WEIDNER IV. EXHIBITS 1. Photos of vehicle and accident scene. 2. Plaintiff's medical records V. ESTIMATED TIME OF T~IAL 2 Days. VI. STIPl"fJ,ATlONS Defendant requests a stipulation as to the authenticity of Plaintiff's medical records. VII. SETtLEMENT NEGOTIATI.QNI Plaintlffhas demanded $100,000.00. and Dofendant has made no offer. Respectfully submitted, WIX, WENGER & WEIDNER By Dated: iO/N/O:L Richard H. WIx, E _, 10# 07274 Attorneys for Defendant 4705 Duke Stlll8t Harrisburg, PA 17109-3099 (717) 652-8455 2 ~ ,,'~ 'k.r'.'~;3\i PAGE 04 d'M .~ .-" , ~ I"'-e'- ~-' -"'~'Mib1Iiil.i-R;,<' 10/14/2002 17:07 7176526290 .... .. ... " WIX WENGER & WEIDNER PAGE 05 ~~FICATE OF SERVICE AND NOW, this 14th day of October, 2002, " Gaye Crist. an employee of the firm of Wix, Wenger & Weidner, attomeys fur Defendant, hereby certify that I served the within Defendanfs Pre-Trial Memorandum by faxing a copy of same addressed aa follows: The Honorable Edgar B. Bayley Cumberland County Courthouse One Courthouse Square Carlisle, PA (Fax: 240-6462) Gel\'lrd C. Kramer Schmidt, Ronca & Kramer 209 State Street Hanisburg, PA 17101 (Fax: 232-6467) WIX, WENGER & WEIDNER A ~ Gaye ~st """*'~ I =~ = ..I -0" <I'" 1'ilf'>I'~ .. .'" ( CHRISTOPHER RHOADS, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. KATHLEEN NEWCOMER : NO. 2001-3632 CNIL Defendant : CNIL JURY TRIAL VERDICT QUESTION 1: DO YOU FIND THAT DEFENDANT WAS NEGLIGENT? YES v'" NO IF YOU ANSWER QUESTION 1 "NO," PLAINTIFF CANNOT RECOVER AND YOU SHOULD NOT ANSWER ANY FURTHER QUESTIONS AND SHOULD RETURN TO THE COURTROOM. 9UESTION 2: WAS DEFENDANT'S NEGLIGENCE A SUBSTANTIAL FACTOR IN BRINGING ABOUT PLAINTIFF'S HARM? YES NO ~ IF YOU ANSWER QUESTION 2 "NO," PLAINTIFF CANNOT RECOVER AND YOU SHOULD NOT ANSWER ANY FURTHER QUESTIONS AND SHOULD RETURN TO THE COURTROOM. 9UESTION 3: WAS PLAINTIFF CONTRlBUTORlL Y NEGLIGENT? YES NO IF YOU ANSWER QUESTION 3 "NO," PROCEED TO QUESTION 6. IF YOU ANSWER QUESTION 3 "YES," PROCEED TO QUESTION 4. I,-J - '=,~ .L _,,-'i;_o;.i';.~";',_,,~_. W;jjfjM~:) i" ... ,. 9UESTION 4: WAS PLAINTIFF'S CONTRIBUTORY NEGLIGENCE A SUBSTANTIAL FACTOR IN BRINGING ABOUT HIS HARM? YES NO IF YOU ANSWER QUESTION 4 "NO," PROCEED TO QUESTION 6. IF YOU ANSWER QUESTION 4 "YES," PROCEED TO QUESTION 5. 9UESTION 5: IF YOU HA VB ANSWERED "YES," TO QUESTIONS 1,2,3, AND 4, THEN ANSWER THE FOLLOWING: TAKING THE COMBINED NEGLIGENCE THAT WAS A SUBSTANTIAL FACTOR IN BRINGING ABOUT THE PLAINTIFF'S HARM AS 100 PERCENT, WHAT PERCENT AGE OF THAT CAUSAL NEGLIGENCE WAS ATTRIBUTABLE TO THE DEFENDANT AND WHAT PERCENTAGE WAS ATTRIBUTABLE TO PLAINTIFF? PERCENTAGE OF CAUSAL NEGLIGENCE ATTRIBUTABLE TO DEFENDANT. % PERCENTAGE OF CAUSAL NEGLIGENCE ATTRIBUTABLE TO PLAINTIFF % TOTAL 100% IF YOU HAVE FOUND PLAINTIFF'S PERCENTAGE OF NEGLIGENCE TO BE GREATER THAN 50 PERCENT, PLAINTIFF CANNOT RECOVER AND YOU SHOULD RETURN TO THE COURTROOM. OTHERWISE PROCEED TO QUESTION 6. gUESTION 6: STATE THE TOTAL AMOUNT OF DAMAGES YOU FIND PLAINTIFF SUSTAINED, OR WILL SUSTAIN, WITHOUT REDUCTION FOR THE PERCENTAGE OF CAUSAL NEGLIGENCE, IF ANY, THAT YOU HAVE ATTRIBUTED TO PLAINTIFF. TOTAL $ ,""~._-, ., .. j ~~~ ~ . I ^ '''~ ,0:';,,;- ~.:;,-_ ,__:... _. ikl;4, PLEASE DETAIL WHICH PORTION, IF ANY, OF THE ABOVE FIGURE REPRESENTS: (a.) LOST WAGES $ (b.) MEDICAL EXPENSES $ 1f. NOVEMBER S ,2002 FO ~~ IJUdge_N~~ Itt.:~ COURTROOM NO.: ,'ib YS J(/1 +U_.../II' /lfe..,,,,rnlV\~'r DATE: 11- 4-=.1- ~""l'\i.,."",;;;,,,,l#lbr-'~-> ~.i~. -'- J I .~ ~L. _, "I . ~"....L_,~ '., oJ. "...'"""""" .. , CASE NO.: I q eh~;.<I_(lL4.1' ,To R lOG-oIe.$ DOCKET NO.: 01- _~(p-? A. Juror # Name ~-.. -'lll:Il:M31, _moo 13.5 Shatto, Donna R ) 118 Rively, Janel M . ., il9 Pluwe~, 1 ~omas E <-} 1~2 Keene, Brian M ~ II:! ~,.(:"a.h.i3M 6 108 West, Eileen M 102 He~lley, Donald C S % Ba..-bl;,un, 1,ftltiaUl (; l) 99 l\.~iII,:,,_ Ca. ill L 10 "6 .y 4~ d, .JaHet 111 1 I ,.31 Rehm~ .Jeyee "=+ 12 91 Winslow, Toni M 13 l41 IllBik, B;c...~ It- 14 149 Miller, Lonann M l ~\ 86 Gossert, Michael H I () 120 Foster,Cohy 17 110 Zip!, Frank F n 1~ 116..- . ~.emA~ VIVIan M l{) 107 Losch, Denise M ~:O 117 Brown, Craig S '~ 1 152 . uS!l!wi~_EricW ......') 138 Deppen, Stephen M ,0 n Wolf, James W Jr ~O 2-t 89 Dukes, Michael W "25 142 Dettinger, Raymond A '1(:' 133 Grimes, Mal'laret A ~v 17 124 Graver, Robert A 28 136 MllIer, Barbara Ann 29 137 Grier, Robert 30 123 Warren, Doris S . Random No, _~)iilJ;m_,~ "'.~, .1960966885 -1577996061 ...:?UJ..\2~4 .1415929258 U!lU8!'ilili8 -1129235522 -1055523056 .10031~1''''' -91I1ku'lu:> ' _fWl,?~lMn 49M~4.t3 -297882507 1IJ1111fi1 389153501 464044070 535834057 542389351 638053UJ 671495633 679580586 681381594 864637934 lUJI><U:l601 1154214575 1175164119 1189827522 1508436084 1822238656 2035711169 2139606303 '-.0 """--'-Ii OLj- P...4-. . P d.... DJ PC;: .03 p~ D';;1. ,~'". 1 __'" "'" i -, '^ ',~,<~ -';- ,<-'-"~ ,.. '. ." , #19 CHRISTOPHER J. RHOADS, Plaintiff V. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW KATHLEEN NEWCOMER, Defendant NO. 01-3632 CIVIL TERM PRETRIAL CONFERENCE AND NOW, this 16th day of October, 2002, before Edgar B. Bayley, Judge, present for the plaintiff was Gerard C. Kramer, Esquire, and for the defendant, Richard H. Wix, Esquire. This negligence action arises out of an automobile accident on October 15, 1999. plaintiff maintains that after he parked in the parking lot of a shopping center, defendant backed her automobile out of a parking space, hitting the front of his car. Plaintiff seeks damages on the basis that the accident caused an aggravation to a preexisting back injury. Defendant denies liability and causation. It was determined that the accident occurred while plaintiff was in the course of his employment. A little over $36,000.00 in medical bills were paid under the Workman's Compensation Act for which there is a lien, as maintained by plaintiff, in the amount of $6,842.16. To the extent that there is an amount of medical expenses recoverable against defendant herein in this tort action if the jury finds liability and causation, the parties agree they will stipulate to that amount. Estimated time of trial, one and a half to two days. ^~ # . . .' . Gerard C. Kramer, Esquire For Plaintiff Richard H. Wix, Esquire For Defendant prs I ''''-~I't By / i4~~;;"--<-hci)r .cL"1f~I~' ~~"l:d'Jh~jK~-'t~J:~~~~.~~'~~~~ '~-~,-':-.,_j' ".t' .~..,,~,," o r,;: ~ ~m t<5 ~..." r" :.,::::- ~~f {~~} '-''-'' :~i , f,,-, c,:,) 1'0 a ('") -I C -Tr {Y', I~~ :~7>~ =52 .-~ "'''''-';;:,i il II 'i! [I " " 'i )1 , I . i... "'" .