HomeMy WebLinkAbout01-06194
if
ARLENE B. WILLIAMS and
ROBERT A. WILLIAMS. SR..
Plaintiffs
IN THE COURT OF COMMON PLEAS
CUMBERLAND OUNTY, PENNSYLVANIA
NO. 01-6194 CIVIL TERM
v.
CIVIL ACTION - LAW
JASON E. MYERS.
Defendant
JURY TRIAL DEMANDED
PRE-TRIAL MEMORANDUM OF DEFENDANT
I. Statement of the Basic Facts as to Liabilitv
This litigation arises out of a motor vehicle accident occurring on November 1,
1999. Defendant admits negligence in causing the accident.
II. Summary of Facts as to Damaaes
Plaintiffs principal injury claim relates to an imbalance which she has that
developed several weeks after the accident. The defense neurologist has indicated that
Plaintiffs problems have nothing to do with the motor vehicle accident. A true and correct
copy of the report of Carl Ellenberger. M.D. is attached hereto
III. Principal Issues for the Jurv
a) Causation of the Plaintiffs injuries
b) Amount of damages
IV. Unusual Leaallssues
None.
V. Witnesses
a) Jason Myers
b) Carl Ellenberger, M.D.
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VI. Exhibits
a) Plaintiffs medical records
VII. Settlement Neaotiations
The Plaintiff has demanded the policy limits, and Defendant has made no offer of
settlement.
Respectfully submitted,
WIX, WENGER & WEIDNER
B~~- JL?,
Richard H. Wix, Esq., ID# 07274
Attomeys for Defendant
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-8455
Dated: 2/18/2003
2
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Neurology
Neuro-ophthalmology
Neuroimaging
Carl Ellenberger~ Jr, MD
GSH Imaging
Center
320 Oak Street
Lebanon, PA 17042
Telephone: 717 270 4580
American Board of Psychiatry
and Neurology
FAX: 717 270 4584
carl.ellenberger.med,65@aya,
yale.edu
December 3, 2002
Ms. Jackie Ravenel
Claim Specialist
State Farm Insurance Companies
PO Box 257
New Cumberland, PA 17070-0257
Re: Arlene Williams; Claim #38-J431-843
INDEPENDENT MEDICAL EXAMINATION
Dear Ms. Ravenel,
I reviewed the medical records that accompanied the letter from Richard Wix of November
20 2002 and interviewed and examined Ms. Williams today in my office in the presence of
her daughter.
Ms. Williams was a 71-year-old belted driver on November 3 1999.when another vehicle
drove through a red light across her path at an intersection. Ms. Williams applied her brakes
but her car struck the side of the other vehicle and then spun around so the other vehicle
again struck the left side of Ms. Williams' car. She was thrown forward and her chest struck
the steering wheel but she does not recall striking her head. After the other driver was able to
pry open the door of Ms. Williams' car she was able to "walk away" from the collision. She
refused an ambulance and her husband arrived to drive her home.
She recalled today that when she arrived home she became aware of pain, swelling, and
stiffness in her right leg and "dizziness." The first medical report is by her family physician,
Dr. Packman whom she visited almost three weeks later on 11/29/99 "for follow-up of her
complete evaluation on 9-24." Dr. Packman recorded the date of the accident and that "she
has been having right knee pain since that time" but did not mention dizziness. At the time of
the "Complete evaluation" on 9-24-99 (before the accident) Dr. Packman recorded
"occasional dizziness" as one of her 13 "active problems." Today Ms. Williams told me that
the "occasional dizziness" before the accident was similar to the post-accident dizziness but
"much milder." On 11/29/99 Dr. Packman advised Ms. Williams to return "in four weeks
regarding her accident and her knee injury." On 12-28-99 Dr. Packman recorded: "Comes in
for follow-up. She has been very dizzy for the last two weeks."
Dr. Packman referred Ms. Williams to a neurologist, Dr. Jon Vickery, who examined her
initially on March 27 2000. Although a report from that visit is not in the records, later reports
indicate that he felt she had vertigo caused by "canalith material" in the right labyrinthine
apparatus "jostled loose" by the accident. He felt that he removed the material from the left
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labyrinth by the "Epley canalith repositioning maneuver" but failed to do the same, despite
several attempts, from the right labyrinth. According to Ms. Williams today, Dr. Vickery told
her he had done all that was possible, that she should avoid movements and positions that
exacerbate the vertigo, and that the problem will probably continue indefinitely.
Ms. Williams told me today that after the accident the dizziness progressively increased over
several weeks or longer, but then-because, she believes, she has avoided motions and
positions that provoke the vertigo-the intensity of the vertigo greatly diminished. Avoiding
vertigo (as well as her advancing age and sciatica, she says) has caused her to limit her
daily activity. She avoids extending her neck to look into high cabinets and lies "in a fetal
position" on her left side at night trying not to move.
Ms. Williams' many other symptoms are detailed in Dr. Packman's records. She has had
intermittent pain in the low back since before 1998 and x-rays and MRI's of the cervical and
lumbar spine have shown age-related degenerative arthritis. Recent epidural steroid
injections have lessened the pain that radiates down the right leg. She has had nasal
congestion and drainage, but a CT of the paranasal sinuses has been normal. She has had
chest pain and exertional dyspnea. A cardiac consultant found mild mitral valve prolapse and
left ventricular hypertrophy but no signs of ischemia. She has complained of memory
impairment but MRI's of the brain in 1994 and again in 2000 have been interpreted to be
normal (according to a note by Dr. Vickery). No causes have been found for her chronic
fatigue that does not seem related to her chronic iron-deficiency anemia. She has stress
incontinence and a "fallen bladder," but a urologist has recently considered her "stable." She
also has "18S" (irritable bowel syndrome) and arterial hypertension.
EXAMINATION
Ms. Williams was well-dressed, forthcoming and polite. She moved slowly and often talked
with her eyes closed (because the overhead lights were too bright.) I did not think her
cognitive ability was abnormal for her age but did not test it formally. The sole pertinent
finding on examination was vertigo and oscillopsia (visual illusion of motion) when she lay
supine. On rightward gaze she had counterclockwise rotary nystagmus for 5-10 seconds.
After that, her vertigo, oscillopsia and nystagmus subsided completely. When she sat back
up again, she again felt dizzy for a few seconds and had only a few beats of nystagmus. The
remainder of the neurologic examination was unremarkable. I did not test hearing but both
she and her daughter denied any difficulty. Gait and balance were normal.
CONCLUSIONS
I agree with Dr. Vickery that Ms. Williams has true vertigo. That symptoms and the
accompanying nystagmus Oerking of the eyes I observed) reliably and specifically indicate a
disorder of function in the vestibular system. (The vestibular system senses acceleration and
position relative to gravity by transmitting information from sense organs in the inner ear
through the 8th [acoustic] nerves to the brain.) In this case the site of the lesion is almost
certainly "peripheral" - in the delicate mechanical sense organs, the semicircular canals
(labyrinth), in both inner ears. Any imbalance in input between the two sides will cause
vertigo. Vertigo is usually temporary (lasting weeks or months) because the brain has a
reparative mechanism in the cerebellum that is stimulated to action by the vertigo.
There are many causes of vertigo: trauma, stroke, tumors, infections, toxic drugs, and,
probably most commonly, degenerative mechanical changes in the sense organs, usually
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related to aging. In some cases when the vertigo occurs mainly in one position ("benign
paroxysmal positional vertigo" or. "BPPV"), we hypothesize that some kind of debris (like a
canalith, which means stone inside the canal, probably an "utricular otolith," the tiny stones
that roll around on the hairlike receptors to sense gravity) breaks off inside the labyrinth and
gets lodged in the posterior semicircular canal. The obstruction sends false signals to the
brain that cause vertigo. The characteristics of Ms. Williams' symptoms and nystagmus are
consistent with this hypothesis.
In this case, as in many others, the postulated cause of the vertigo in any particular
individual, a canalith in a semicircular canal, is conjectural, although not unreasonably so.
There is no way to prove or disprove that conjecture in a living person. Directly relating the
conjectured canalith to a specific cause or event, such as the particular trauma in question, is
a further conjecture, impossible to prove or disprove. I don't believe either conjecture meets
qualifies as a "reasonable degree of medical certainty." Idiopathic (unknown cause) vertigo
(including "BPPV") is a very common symptom in the absence of trauma. I could argue that
the process actually began before the accident when Ms. Williams first complained of
dizziness in September 1999 or even earlier. To reliably link the vertigo to the accident, I
would require it to be absent before the trauma and most intense immediately afterward. The
6-week delay before the vertigo became troublesome (suggested by Dr. Packman's records,
not by Ms. Williams' account today) further weakens the argument that the accident caused
the vertigo. Why would she not mention it to Dr. Packman a month after the accident if it was
a significant symptom?
Ms. Williams might have less distress from vertigo now if she had been advised early to
provoke it rather than to avoid it. Among the effective treatments for vertigo are exercises
that repetitively provoke the vertigo and eventually-over days or weeks-cause its intensity
to diminish as the cerebellum adapts. Authorities have written: "patients should be
encouraged to get up and increase their activities, since there is evidence that failure to do
so will limit their recovery." (Leigh & Zee, The Neurology of Eye Movements 2nd ed, p 419)
That may have been the case here. I also would want to be certain that a recent MRI done
with the lAC protocol (internal auditory canals) and contrast injection has excluded another
possible cause of vertigo, an acoustic neuroma (tumor on the 8'h nerve).
Sincerely,
\. L L l
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Carl Ellenberger, Jr, MD
~-
Cc: Richard H. Wix
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CERTIFICATE OF SERVICE
AND NOW, this 18th of February 2003, I, Gaye Crist, an employee of the firm
of Wix, Wenger & Weidner, attorneys for Defendant, hereby certify that I served the within
Pre-Trial Memorandum of Defendant this date by faxing a copy of same addressed as
follows:
Dale E. Anstine, Esquire
Law Offices of Dale E. Anstine
Two West Market Street
P.O. Box 952
York, PA 17405
(845-7431 )
WIX, WENGER & WEIDNER
,~~ .Cw+
Gaye rist
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02/19/2003 10:54 7178457431
DALE E ANSTINE PC
PAGE 02
FEB 1 9 Z003 \t
IN THE COURT OF COMMONPLEA~
OF CUMBERLAND COUNTY, PENNSYLVANIA
ARLENE B, WILLIAMS and
ROBERT A, WILLIAMS, SR.
Plaintiffs
No. 2001-06194
CIVIL ACTION - LAW
vs.
JASON E. MYERS
Defendant
PLAINTIFFS' MEMORANDUM FOR PRE-TRIAL CONFERENCE
1. FACTS: The wIThin cause arises from a motor vehicle collil:iiuJI, which
occurred on November 1,1999. in East Pennsboro Township, when the
Defendant drove his vehicle into as intersection, striking the vehicle driven by the
Plaintiff Arlene B, Williams. The Defendant has admitted liability for the collision.
2_ nAMAGES: The Plaintiff Arlene B. Williams sustained personal injuries as
a result of the collision. (some temp some permanent)
3. ISSUES:
Liahility ill admitted
Damages of the Plaintiffs are disputed, Defendant asserts that there were
no injuries.:
4. EVIDENTIARY ISSUES: None
5. WITNESSES:
Arlene Williams
Robert Williams
Jason E, Myers
Jon Livingstone Vickery, M.D.
The following persons to testify regarding the non-economic losses
sustaintlrJ by Arlene Williams;
Clarence Gay (son-in-law)
Jane G. Gay (dau9hter)
Jessica Bainbridge (friend)
Susanne Williams (daughter-in-law)
6. SETTLEMENT: Plaintiffs have demanded $50,000.00.
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FAX TRANSMISSION
CHAMBERS OF T8E HONORABLE SYLVIA H. RAMBo
PO Box eee
HARRIS8URG1 PA I 7 108
(717) ZZ 1-351eo
FA>(; <7\ 7) 22 1-3968
To:
Fax#:
Ruth Coulson
Date:
February 19, 2003
2, including this cover sheet.
717-240-6462
Pages:
From: Sylvia H. Rambo
Subject: recipe
COMMENTS:
100~
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02/19/2003 10:54
71 78457431
DALE E ANSTINE PC
PAGE 01
DALE ~. AN5T1N-'::
J::)A.VID M. POLUCK
JoHN M. 5oFIL.KA
c.;.t(~tloORY l:. MAATIN
L'EAH a. GRAFF
WAYNE c. PARSIL
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L..AW OFFICES o~
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TWO WEST MARKET sTRe.:~
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PAACT1CE I-.IMIT'6:D TO:
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ARLENE B. WilLIAMS and
ROBERT A. WilLIAMS, SR.,
Plaintiffs
IN THE COURT OF COMMON PLEAS
CUMBERLAND OUNTY, PENNSYLVANIA
NO. 01-6194 CIVil TERM
v.
CIVil ACTION - lAW
JASON E. MYERS,
Defendant
JURY TRIAL DEMANDED
PRE.TRIAL MEMORANDUM OF DEFENDANT
I. Statement of the Basic Facts as to Liabilitv
This litigation arises out of a motor vehicle accident occurring on November 1,
1999. Defendant admits negligence in causing the accident.
II. Summary of Facts as to DamaCles
Plaintiff's principal injury claim relates to an imbalance which she has that
developed several weeks after the accident. The defense neurologist has indicated that
Plaintiff's problems have nothing to do with the motor vehicle accident. A true and correct
copy of the report of Carl Ellenberger, M.D. is attached hereto
III. Principal Issues for the JUry
a) Causation of the Plaintiff's injuries
b) Amount of damages
IV. Unusual LeClallssues
None.
V. Witnesses
a) Jason Myers
b) Carl Ellenberger, M.D.
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VI. Exhibits
a) Plaintiffs medical records
VII. Settlement Neaotiations
The Plaintiff has demanded the policy limits, and Defendant has made no offer of
settlement.
Respectfully submitted,
WIX, WENGER & WEIDNER
B~~(f{- ~~
Richard H. Wix, Esq., ID# 07274
Attorneys for Defendant
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-8455
Dated: 2/18/2003
2
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Neurology
Neuro-ophthalmC)logy
Neuroimaging
Carl Ellenberger, Jr, MD
GSH Imaging
Center
320 Oak Street
Lebanon, PA 17042
Telephone: 7172io 4580
American Soard of Psychiatry
and Neurology
FAX: 717 270 4584
carl.eHenberger.med.65@aya.
yale.edu
December 3, 2002
Ms. Jackie Ravenel
Claim Specialist
State Farm Insurance Companies
PO Box 257
New Cumberland, PA 17070-0257
Re: Arlene Williams; Claim #38-J431-843
INDEPENDENT MEDICAL EXAMINATION
Dear Ms. Ravenel,
I reviewed the medical records that accompanied the letter from Richard Wix of November
20 2002 and interviewed and examined Ms. Williams today in my office in the presence of
her daughter.
Ms. Williams was a 71-year-old belted driver on November 3 1999.when another vehicle
drove through a red light across her path at an intersection. Ms. Williams applied her brakes
but her car struck the side of the other vehicle and then spun around so the other vehicle
again struck the left side of Ms. Williams' car. She was thrown forward and her chest struck
the steering Wheel but she does not recall striking her head. After the other driver was able to
pry open the door of Ms. Williams' car she was able to "walk away" from the collision. She
refused an ambulance and her husband arrived to drive her home.
She recalled today that when she arrived home she became aware of pain, swelling, and
stiffness in her right leg and "dizziness." The first medical report is by her family physician,
Dr. Packman whom she visited almost three weeks later on 11/29/99 "for follow-up of her
complete eValuation on 9-24." Dr. Packman recorded the date of the accident and that "she
has been having right knee pain since that time" but did not mention dizziness. At the time of
the "Complete evaluation" on 9-24-99 (before the accident) Dr. Packman recorded
"occasional dizziness" as one of her 13 "active problems." Today Ms. Williams told me that
the "occasional dizziness" before the accident was similar to the post-accident dizziness but
"much milder." On 11/29/99 Dr. Packman advised Ms. Williams to return "in four weeks
regarding her accident and her knee injury." On 12-28-99 Dr. Packman recorded: "Comes in
for follow-up. She has been very dizzy for the last two weeks."
Dr. Packman referred Ms. Williams to a neurologist, Dr. Jon Vickery, who examined her
initially on March 27 2000. Although a report from that visit is not in the records, later reports
indicate that he felt she had vertigo caused by "canalith material" in the right labyrinthine
apparatus "jostled loose" by the accident. He felt that he removed the material from the left
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labyrinth by the "Epley canalith repositioning maneuver" but failed to do the same, despite
several attempts, from the right labyrinth. According to Ms. Williams today, Dr. Vickery told
her he had done all that was possible, that she should avoid movements and positions that
exacerbate the vertigo, and that the problem will probably continue indefinitely.
Ms. Williams told me today that after the accident the dizziness progressively increased over
several weeks or longer, but then-because, she believes, she has avoided motions and
positions that provoke the vertigo-the intensity of the vertigo greatly diminished. Avoiding
vertigo (as well as her advancing age and sciatica, she says) has caused her to limit her
daily activity. She avoids extending her neck to look into high cabinets and lies "in a fetal
position" on her left side at night trying not to move.
Ms. Williams' many other symptoms are detailed in Dr. Packman's records. She has had
intermittent pain in the low back since before 1998 and x-rays and MRI's of the cervical and
lumbar spine have shown age-related degenerative arthritis. Recent epidural steroid
injections have lessened the pain that radiates down the right leg. She has had nasal
congestion and drainage, but a CT of the paranasal sinuses has been normal. She has had
chest pain and exertional dyspnea. A cardiac consultant found mild mitral valve prolapse and
left ventricular hypertrophy but no signs of ischemia. She has complained of memory
impairment but MRl's of the brain in 1994 and again in 2000 have been interpreted to be
normal (according to a note by Dr. Vickery). No causes have been found for her chronic
fatigue that does not seem related to her chronic iron-deficiency anemia. She has stress
incontinence and a "fallen bladder," but a urologist has recently considered her "stable." She
also has "18S" (irritable bowel syndrome) and arterial hypertension.
EXAMINATION
Ms. Williams was well-dressed, forthcoming and polite. She moved slowly and often talked
with her eyes closed (because the overhead lights were too bright.) I did not think her
cognitive ability was abnormal for her age but did not test it formally. The sole pertinent
finding on examination was vertigo and oscillopsia (visual illusion of motion) when she lay
supine. On rightward gaze she had counterclockwise rotary nystagmus for 5-10 seconds.
After that, her vertigo, oscillopsia and nystagmus subsided completely. When she sat back
up again, she again felt dizzy for a few seconds and had only a few beats of nystagmus. The
remainder of the neurologic examination was unremarkable. I did not test hearing but both
she and her daughter denied any difficulty. Gait and balance were normal.
CONCLUSIONS
I agree with Dr. Vickery that Ms_ Williams has true vertigo. That symptoms and the
accompanying nystagmus Oerking of the eyes I observed) reliably and specifically indicate a
disorder of function in the vestibular system. (The vestibular system senses acceleration and
position relative to gravity by transmitting information from sense organs in the inner ear
through the 8th [acoustic] nerves to the brain.) In this case the site of the lesion is almost
certainly "peripheral" - in the delicate mechanical sense organs, the semicircular canals
(labyrinth), in both inner ears. Any imbalance in input between the two sides will cause
vertigo. Vertigo is usually temporary (fasting weeks or months) because the brain has a
reparative mechanism in the cerebellum that is stimulated to action by the vertigo.
There are many causes of vertigo: trauma, stroke, tumors, infections, toxic drugs, and,
probably most commonly, degenerative mechanical changes in the sense organs, usually
---~~;UZ _._.__.
-, - ,,~
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.~
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related to aging. In some cases when the vertigo occurs mainly in one position ("benign
paroxysmal positional vertigo" or. "BPPV"), we hypothesize that some kind of debris (like a
canalith, which means stone inside the canal, probably an "utricular otolith," the tiny stones
that roll around on the hairlike receptors to sense gravity) breaks off inside the labyrinth and
gets lodged in the posterior semicircular canal. The obstruction sends false signals to the
brain that cause vertigo. The characteristics of Ms. Williams' symptoms and nystagmus are
consistent with this hypothesis.
In this case, as in many others, the postulated cause of the vertigo in any particular
individual, a canalith in a semicircular canal, is conjectural, although not unreasonably so.
There is no way to prove or disprove that conjecture in a living person. Directly relating the
conjectured canalith to a specific cause or event, such as the particular trauma in question, is
a further conjecture, impossible to prove or disprove. I don't believe either conjecture meets
qualifies as a "reasonable degree of medical certainty." Idiopathic (unknown cause) vertigo
(including "BPPV") is a very common symptom in the absence of trauma. I could argue that
the process actually began before the accident when Ms. Williams first complained of
dizziness in September 1999 or even earlier. To reliably link the vertigo to the accident, I
would require it to be absent before the trauma and most intense immediately afterward. The
6-week delay before the vertigo became troublesome (suggested by Dr. Packman's records,
not by Ms. Williams' account today) further weakens the argument that the accident caused
the vertigo. Why would she not mention it to Dr. Packman a month after the accident if it was
a significant symptom?
Ms. Williams might have less distress from vertigo now if she had been advised early to
provoke it rather than to avoid it. Among the effective treatments for vertigo are exercises
that repetitively provoke the vertigo and eventually-over days or weeks-cause its intensity
to diminish as the cerebellum adapts. Authorities have written: "patients should be
encouraged to get up and increase their activities, since there is evidence that failure to do
so will limit their recovery." (Leigh & Zee, The Neurology of Eye Movements 2nd ed, p 419)
That may have been the case here. I also would want to be certain that a recent MRI done
with the lAC protocol (internal auditory canals) and contrast injection has exciuded another
possible cause of vertigo, an acoustic neuroma (tumor on the 8th nerve).
Sincerely,
-... l l
Carl Ellenberger, Jr, MD
Cc: Richard H. Wix
l_/
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CERTIFICATE OF SERVICE
AND NOW, this 18th of February 2003, I, Gaye Crist, an employee of the firm
of Wix, Wenger & Weidner, attorneys for Defendant, hereby certify that I served the within
Pre-Trial Memorandum of Defendant this date by faxing a copy of same addressed as
follows:
Dale E. Anstine, Esquire
Law Offices of Dale E. Anstine
Two West Market Street
P.O. Box 952
York, PA 17405
(845-7431 )
WIX, WENGER & WEIDNER
_.)1{i.~~ C'?,~y+
Gaye Grist
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CAWOrrlc<sor
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;, DALE E. ANSTINE, II, C.
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
ARLENE B. WILLIAMS, and
ROBERT A. WILLIAMS, SR.
Plaintiffs
NO.: J..{)b 1- D ~ / q ~
CIVIL ACTION. LAW
v.
JASON E. MYERS
JURY TRIAL DEMANDED
NOTICE
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set
forth against you 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 default 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 THIS OFFICE SET FORTH BELOW TO
FIND OUT WHERE YOU CAN GET LEGAL HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
Lawyer Referral Service
Two Liberty Street
Carlisle, Pennsylvania 17013
(717) 249 - 3166
1-800-990-9108
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
ARLENE B. WILLIAMS, and
ROBERT A. WILLIAMS, SR.
Plaintiffs
NO.:
CIVIL ACTION - LAW
v.
JASON E. MYERS
JURY TRIAL DEMANDED
AVISO
USTED HA 5100 DEMANDADO EN LA CORTE. Si usted desea defenderse de
las quejas expuestas en las paginas siguientes, debe tomar acci6n dentro de veinte (20)
dias a partir de la fecha en que recibi6 la demanda y el aviso. Usted debe presentar
comparecencia escrita en persona 0 por abogado y presentar en la Corte por escrito sus
defensas 0 sus objeciones alas demand as en su contra.
Se Ie avisa que si no se defiende, el caso puede proceder sin usted y la Corte
puede decidir en su contra sin mas aviso 0 notificaci6n por cualquier dinero reclamado en
la demanda 0 por cualquier otra queja 0 compensaci6n reclamados por el Demandante.
USTED PUEDE PERDER DINERO, 0 PROPRIEDADES U OTROS DERECHOS
IMPORTANTES PARA USTED.
LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE.
SI USTED NO TIENE 0 NO CONOCE UN ABOGADO, VAYA 0 LLAME A LA
OFICINA EN LA DIRECCION ESCRITA ABAJO PARA AVERIGUAR DONDE
PUEDE OBTENER ASISTENCIA LEGAL.
CUMBERLAND COUNTY BAR ASSOCIATION
Lawyer Referral Service
Two Liberty Street
Carlisle, Pennsylvania 17013
(717) 249 - 3166
1-800-990-9108
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
ARLENE B. WILLIAMS, and
ROBERT A. WILLIAMS, SR.
Plaintiffs
NO.:
CIVIL ACTION - LAW
v.
JASON E. MYERS
JURY TRIAL DEMANDED
COMPI AINT
1. The Plaintiffs, Arlene B. Williams and Robert A. Williams, Sr., wife and husband,
are adult individuals residing at 518 Hummel Avenue, Lemoyne, PA 17043.
2. The Defendant is an adult individual residing at 22 Fourth Avenue, Wormleysburg,
PA 17043.
3. On November 1, 1999, Plaintiff Arlene B. Williams was the operator of a 1997
Mercury Sable bearing PA registration plate XGB057 which she co-owned with Plaintiff
Robert A. Williams, Sr.
4. On November 1, 1999, Defendant was the owner and operator of a 1994 Ford
Ranger bearing PA registration plate YS15879.
5. On November 1, 1999, at approximately 8:30 p.m., Plaintiff Arlene B. Williams was
operating her vehicle southbound on Erford Road approaching its intersection with State
Route 11 (11 & 15) in East Pennsboro Township facing a steady green traffic signal and
was intending to proceed straight through the intersection.
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6. At that same time and place the Defendant was operating his vehicle eastbound
on State Route 11 (11 & 15) when he failed to stop for a steady red traffic signal at its
intersection with Erford Road, and entered the intersection causing a collision with
Plaintiff's vehicle which resulted in injuries and damages to the Plaintiffs.
7. This accident occurred as a result of the negligence of the Defendant and was due
in no manner to any act, or failure to act, on the part of the Plaintiff.
8. This matter is alleged to exceed the applicable limits of arbitration, and a jury trial
is hereby demanded.
COUNT I
ARLENE B. WILLIAMS
v.
JASON E. MYERS
9. The allegations contained in paragraphs 1 through 8, inclusive, are incorporated
herein as fully as though set forth at length.
10. The negligence of Defendant Myers consisted of the following;
a. Failing to properly operate and control his motor vehicle;
b. Failing to keep alert and maintain a proper lookout for the presence of other
motor vehicles on the streets and highways;
c. Operating his vehicle in careless disregard fore the safety of others and the
Plaintiff in particular in violation of 75 Pa.C.S. 93714;
d. Failing to stop for a steady red traffic control signal in violation of 75 Pa.C.S.
93112 (a)(3)(i);
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e. Failing to observe the steady red traffic control signal at the intersection
when the Defendant knew or should have known that he was facing a
steady red traffic control signal;
f. Failing to observe the presence of Plaintiffs' vehicle when the Defendant
knew or should have known of the presence of Plaintiffs' vehicle; and
g. Operating his vehicle too fast for the conditions then and there existing in
violation of 75 Pa.C.S. 93361.
11. As a result of the negligence of the Defendant, the Plaintiff suffered serious and
permanent injuries including but not limited to vertigo, right knee injury, headaches, right
leg pain, cervical injury, dizziness, post traumatic bilateral canalithiasis, and a severe
shock to her nerves and nervous system.
12. As a result of the negligence of the Defendant, the Plaintiff was forced to incur
medical bills and expenses for the injuries she has suffered, the cost or reasonable value
of which is, or may be, in excess of the sum recoverable under the Pennsylvania Motor
Vehicle Financial Responsibility law, and she will continue to incur medical expenses in
the future.
13. As a result of the negligence of the Defendant, the Plaintiff has undergone, and
in the future may undergo, great mental and physical pain and suffering, mental anguish
and humiliation, loss of life's pleasures, and a severe limitation in her pursuit of daily
activities, all to her great loss and detriment.
WHEREFORE, Plaintiff respectfully requests this Honorable Court to enter judgment
against the Defendant in an amount in excess of the mandatory arbitration limits.
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COUNT II
ROBERT A. WILLIAMS, SR.
v.
JASON MYERS
14. The allegations contained in paragraphs 1 through13, inclusive, are incorporated
herein as fully as though set forth at length.
15. Soley as a result of the negligence of the Defendant, and the resulting injuries to
his spouse, the Plaintiff, Robert A. Williams, Sr., has been deprived of the assistance,
companionship and consortium of his wife, all of which has been to his great loss and
detriment. Said losses will continue for an unknown time into the future.
WHEREFORE, Plaintiff respectfully requests this Honorable Court to enter judgment
against the Defendant in an amount in excess of the mandatory arbitration limits.
RESPECTFULLY SUBMITTED:
LAW OFFICES OF DALE E. ANSTI
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VFRIFICATION
I HEREBY VERIFY that the information set forth in the foregoing Complaint is
true and correct to the best of my knowledge, information and belief. I understand that
any false statements contained herein are subject to the penalties of 18 Pa.C.S. ~4904,
relating to unsworn falsification to authorities.
Date:
Date:
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Arlene B. Williams
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ARLENE B. WilLIAMS, and
ROBERT A. WilLIAMS, SR.
NO. 2001-06194
v.
CIVIL ACTION - LAW
JASON E. MYERS
JURY TRIAL DEMANDED
AND NOW, this 7-fh day of March, 2001, I, Dale E. Anstine, Esquire, a member
of the law Offices of Dale E. Anstine, P,G., hereby certify that I have, this date, served a
copy of the within and foregoing document by first class United States Mail, postage pre-
paid, addressed to the party or attorney of record as follows:
TO:
Jason E. Myers
22 Fourth Avenue
Wormleysburg, PA 17043
,Anstin ,
Attorney 10 No, 22487
Two West Market Street
Post Office Box 952
York, PA 17405
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ARLENE B. WILLIAMS and
ROBERT A. WILLIAMS. SR..
518 Hummel Avenue
Lemoyne, Pennsylvania
Plaintiff
vs.
No. 0/- (, /o,<f ~ I ~
JASON E. MYERS
22 Fourth Avenue
Wormleysburg, Pennsylvania
Defendant
JURY TRIAL DEMANDED
PRAECIPE FOR SUMMONS
TO THE PROTHONOTARY/CLERK OF SAID COURT:
Issue summons in Trespass
in the above case.
ed to Attorney/Sheriff.
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Writ of S
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2 W. Market St., P.O. Box 952
York, PA 17405
Phone: (717) 846-0606
Supreme Court 10 Number 22487
Dated: October 25. 2001
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
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ARLENE B. WILLIAMS and
ROBERT A. WILLIAMS, SR.,
518 Hummel Avenue
Lemoyne, Pennsylvania
Plaintiff
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JURY TRIAL DEMANDED
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JASON E. MYERS
22 Fourth Avenue
Wormleysburg, Pennsylvania
Defendant
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SUMMONS IN CIVIL ACTION
TO: Jason E. Myers
22 FourfflAvenue
Wormleysburg, PA 17043
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YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFFS HAVE
COMMENCED AN ACTION AGAINST YOU.
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by
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SHERIFF'S RETURN - REGULAR
CASE NO: 2001-06194 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
WILLIAMS ARLENE B ET AL
VS
MYERS JASON E
SHANNON SUNDAY
, Sheriff or Deputy Sheriff of
Cumberland County,Pennsylvania, who being duly sworn according to law,
says, the within WRIT OF SUMMONS
was served upon
MYERS JASON E
the
DEFENDANT
, at 1450:00 HOURS, on the 1st day of November, 2001
at 22 FOURTH AVENUE
WORMLEYSBURG, PA 17043
by handing to
JASON MYERS
a true and attested copy of WRIT OF SUMMONS
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
9.75
.00
10.00
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37.75
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R. Thomas Kline
11/02/2001
DALE E ANSTINE
day of
By: rf{~:?:;. s~~1Clj
Sworn and Subscribed to before
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ARLENE B. WILLIAMS and
ROBERT A. WILLIAMS, SR.,
Plaintiffs
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 01-6194 CIVIL TERM
v.
CIVIL ACTION - LAW
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JASON E. MYERS,
Defendant
JURY TRIAL DEMANDED
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TO: Prothonotary
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Please enter the appearance of Richard H. Wix, Esquire, of the
firm of Wix, Wenger & weidner, on behalf of Defendant Jason E.
Myers in the above-captioned matter.
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Richard H. wix, Esq., I.D. #07274
Attorneys for Defendant
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-8455
Dated: March 12, 2002
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IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
ARLENE B. WILLIAMS and
ROBERT A. WILLIAMS, SR. ,
Plaintiffs :
v. File No. 01-6194 Civil Term
:
JASON E. MYERS,
Defendant PRAECIPE AND RULE TO FILE
: X A COMPLAINT
: A BILL OF PARTICULARS
TO THE PROTHONOTARY/CLERK OF SAID COURT:
Issue rule on Plaintiffs to file a Complaint
in the above case within twenty days after service of the rule or
suffer a judgement of non pros.
DATE: 3/12/2002 Signature:~;'~ g. W-i
Print Name: Richard H. wix. Esa.
Attorney for: Defendant
Address: 4705 Duke Street
Harrisburq. PA 17109-3099
Telephone No: 717-652-8455
Supreme Court ID No.: 07274
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ROBERT A. WILLIAMS, SR.,
Plaintiffs
IN,THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 01-6194 CIVIL TERM
v.
CIVIL ACTION - LAW
JASON E. MYERS,
Defendant
JURY TRIAL DEMANDED
NOTICE TO PLEAD
To: Arlene B. Williams and Robert A. Williams; and
Dale E. Anstine, Esquire, Attorney for Plaintiffs
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 ~~ Ii. LJ-x
Richard H. Wix, Esq., I.D. #07274
Attorneys for Defendant
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-8455
Dated: April 3, 2002
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ROBERT A. WILLIAMS, SR.,
Plaintiffs
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 01-6194 CIVIL TERM
v.
CIVIL ACTION - LAW
JASON E. MYERS,
Defendant
:
JURY TRIAL DEMANDED
DEFENDANT'S ANSWER WITH NEW MATTER
TO PLAINTIFFS' COMPLAINT
AND NOW comes the Defendant, by his attorneys, wix, Wenger &
Weidner and sets forth the following Answer with New Matter to
Plaintiffs' Complaint.
;;. L Admitted.
2. Admitted.
3. Admitted.
4. Admitted.
5. Admitted.
6. It is admitted
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It is denied that the accident resulted in
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7. Admitted.
8.
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9.
Defendant incorporates herein by reference his answers to
paragraphs 1 through 8 of Plaintiffs' Complaint.
10. It is admitted that Defendant was negligent in failing to
stop for the red traffic signal.
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11. Denied.
12. Denied.
13. Denied.
14. Defendant incorporates herein by reference his answers to
paragraphs 1 through 13 of Plaintiffs' Complaint.
15. Denied.
NEW MATTER
16. Plaintiffs' claim is barred in whole or in part by the
provisions
Pennsylvania
Vehicle
Financial
of
the
Motor
Responsibility Law.
WHEREFORE, Defendant demands judgment against the Plaintiff.
Respectfully submitted,
WIX, WENGER & WEIDNER
By ~ ~ ft- l.h;
Richard H. Wix, Esq., ID# 07274
Attorneys for Defendant
4705 Duke street
Harrisburg, PA 17109-3099
(717) 652-8455
Dated: April 3, 2002
2
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VERIFICATION
I, Jason Myers, have read the foregoing Defendant's Answer
with New Matter to Plaintiffs' Complaint which has been drafted by
d
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my counsel.
The factual statements and/or denials contained
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therein are true and correct to the best of my knowledge,
information and belief. I am authorized to make this verification.
,
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This verification is made only as to the factual averments
C',
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: '-1/ d./OJ..
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CERTIFICATE OF SERVICE
AND NOW, this 3rd day of April, 2002, 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 Plaintiffs' Complaint this date by
depositing a copy of same in the United states mail, postage
prepaid, in Harrisburg, Pennsylvania, addressed as follows:
Dale E. Anstine, Esquire
LAW OFFICES OF DALE E. ANSTINE, P.C.
Two West Market Street
P. O. Box 952
York, PA 17405
WIX, WENGER & WEIDNER
By rt\A'~ If. W??
Richard H. wix, Esq., I.D. #07274
Attorneys for Defendant
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-8455
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PRAECIPE FOR LISTING CASE FOR TRIAL
(Must be typewritten and submitted in duplicate)
TO THE PROTHONJTARY OF CUMBERLAND COUNTY
Please list
the following case:
( v(" for JURY trial at
tile next term of civil court.
(Check one)
for trial without a jury.
------------------------------
CAPTION OF CASE
(entire caption must be stated in full)
(check one)
(~iVil Action
~ Law
ARLENE B. WILLIAMS AND
ROBERT A. WILLIAMS, SR.,
Appeal from Arbitration
(other)
(Plaintiff)
vs.
( Defendant)
The trial list will be called on 2.11--D3
and
Trials corrmence on ..MAtch \6,2063
Pretrials will be held on Fe. b 19, ;UO~
(Briefs are due 5 days before pretrials.)
JASON E. MYERS
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. 01~61~4 Civil
actIlon - law
19
Indicate the attorney who will try case for the party who files this praecipe:
Dale E. Anstine
Indicate trial counsel for other parties if known:
Richard H. Wix, Esquire
This case is ready for trial.
Signed:
Date:
//-tJt/- tJ::l
Print Name:
Attorney for: Plaintiff
Dale E. Anstine
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10.
Arlene B. Williams and Robert A. Williams, Sr.
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
V
Jason E. Myers
: NO. 01-6194 CIVIL TERM
ORDER OF COURT
AND NOW, December 31, 2002, counsel having failed to call the above case for
trial, the case is stricken from the February 3, 2003 trial term. Counsel is directed to relist the case
when ready.
By the Court,
Dale E. Anstine, Esquire
For the Plaintiff
Court Administrator
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Richard H. Wix, Esquire
For the Defendant
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PRAECIPE FOR LISTING CASE FOR TRIAL
(Must be typewritten and sul:rnitted in duplicate)
TO THE POOTHONJTARY OF CUMBERLAND COUNTY
Please list the following case:
(Check one)
x
for JURY trial at the next tenn of civil court.
for trial without a jury.
-----------------------------------------
CAPTION OF CASE
(entire caption must be stated in full)
(check one)
( x)
Civil Action - Law
ARLENE B. WILLIAMS AND
ROBERT A. WILLIAMS, SR.
Appeal from Arbitration
(other)
(Plaintiff)
vs,
JASON E. MYERS
The trial list will be called on 2-11-03
and
Trials comnence on March 10, 2003
( Defendant)
Pretrials will be held on Feb. 19, 2003
(Briefs are due 5 days before pretrials. )
(The party listing this case for trial shall
provide forthwith a copy of the praecipe to
all counsel, pursuant to local Rule 214.1.)
vs.
No. 01-6194 CivilAction - Law 19
Indicate the attorney who will try case for the party who files this praecipe:
Dale E. Anstine
;;'1
Indicate trial counsel for other parties if known:
This case is ready for trial.
Signed:
Richard H. Wix
Print Nama: Dale E. Anstine
Date:
~^~~
Attorney for: Plaintiff
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ARLENE B. WILLIAMS and
ROBERT A. WILLIAMS, SR.,
Plaintiffs
#13 OLER
IN THE COURT OF COMMON PLEAS Of
CUMBERLAND COUNTY, PENNSYLVANIA
v.
CIVIL ACTION - LAW
JASON E. MYERS,
Defendant
No. 01-6194 CIVIL TERM
ORDER OF COURT
AND NOW, this 19th day of February, 2003, a
pretrial conference having been scheduled for this time in
the chambers of the undersigned judge, and Plaintiffs
having been represented, by telephone, at the conference by
Dale E. Anstine, Esquire, and Defendant having been
represented by Richard H. Wix, Esquire, and Plaintiffs'
counsel having indicated that he had listed the case for
trial improvidently, and having moved for a continuance of
trial in the matter, and Defendant's counsel having
objected for the record to the oral motion for a
continuance of trial, the Plaintiffs' motion for a
continuance of trial is granted, and Plaintiffs are
directed through counsel to relist this case for trial at
the next trial term after the March 2003 trial term.
It is noted that for purposes of any delay
damages, this continuance is chargeable entirely to
I?laintiffs.
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Richard H. Wix, Esquire
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PRAECIPE FOR LISTING CASE FOR TRIAL
(Must be typewritten and submitted in duplicate)
TO THE POOTHOJlDTARY OF CUMBERLAND COUNI'Y
Please list the following case:
(Check one) v-( for JURY trial q,t the next term of civil court.
for trial without q, jury.
---~-----------------------------
~TION OF CASE
(entire caption lIRlst be stated in full)
(check one)
ARLENE B. WILLIAMS AND
ROBERT A. WILLIAMS, SR.
(X) Civil Action - Law
Appeal from Arbitration
(other)
(Plaintiff)
vs.
JASON E. MYERS
The trial list will be called on4-1-03
and
Trials commence on 4-28-03
(Defendant)
Pretrials will be held on 4-9-03
(Briefs are due 5 days before pretrials.)
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. 01-6194 Civil Action-LaW 19
Indicate the attorney who will try case for the party who files this praecipe:
Dale E. Anstine
Indicate trial counsel for other parties if known:
Richard H. Wix
This case is ready for trial.
Si
Print Name: Dale E. Anstine
Date: ~ -I i..43
Attorney for: Plaintiff
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7.
Arlene B. Williams and Robert A. Williams, Sr.
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v
Jason E. Myers
: NO. 01-6194 CNIL TERM
ORDER OF COURT
AND NOW, April 1, 2003, counsel having failed to call the above case for trial,
the case is stricken from the April 28, 2003 trial term, Counsel is directed to relist the case when
ready,
By the Court,
Dale E. Anstine, Esquire
For the Plaintiff
Richard H. Wix, Esquire
For the Defendant
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Court Administrator
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PRAECIPE FOR LISTING CASE FOR TRIAL
(Must be typewritten and submitted in duplicate)
TO THE ProrHOJlDTARY OF CUMBERLAND COUNI'Y
Please list the following case:
(Check one)
X) for JURY trial at the next term of civil court.
for trial without a jury.
-----------------------------------------
CAPTION OF CASE
(entire caption lIRlst be stated in full)
(check one)
ARLENE B. WILLIAMS and
ROBERT A. WILLIAMS, SR.
(X) Civil Action - Law
Appeal from Arbitration
(other)
( Plaintiff)
vs.
JASON E. MYERS
I The trial list will be called on 6-10-03
and
Trials comnence on
7-7/03
( Defendant)
Pretrials will be held on 6-18-03
(Briefs are due 5 days before pretrialS. )
vs.
(The party listing this case for trial shall
provide forthwith a copy of the praecipe to
all counsel, pursuant to local Rule 214.l.)
No. 01-6194 Civil Action-Law 19
Indicate the attorney who will try case for the party who files this praecipe:
Richard H. Wix, Esquire
Indicate trial counsel for other parties if known:
Dale E. Anstine, Esquire
This case is ready for trial.
Signed:
~~ I.t W
Print Narre:
Richard H. Wix, Esq.
Defendant
Date:
4/7/03
Attorney for:
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MAR 2 7 Z003 ~
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ARLENE B. WILLIAMS and
ROBERT A. WILLIAMS, SR.
Plaintiffs
No. 2001-06194
CIVIL ACTION - LAW
VS.
JASON E. MYERS
Defendant
PLAINTIFFS' MEMORANDUM FOR PRE-TRIAL CONFERENCE
,
1. FACTS: The within cause arises from a motor vehicle collision, which
occurred on November 1,19913, in East Pennsboro Township, when the
Defendant drove his vehicle into as intersection, striking the vehicle driven by the
Plaintiff Arlene B. Williams. The Defendant has admitted liability for the collision.
2. DAMAGES: The Plaintiff Arlene B. Williams sustained personal injuries as
a result of the collision. (some temp some permanent)
3. ISSUES:
Liability is admitted
Damages of the Plaintiffs are disputed. Defendant asserts that there were
no injuries.:
4. EVIDENTIARY ISSUES: None
5.
Wt-U- 4ftu)lt
d lJutJ ILtlXO
6/) ulti.d
WITNESSES:
Arlene Williams
Robert Williams
Jason E. Myers
Jon Livingstone Vickery, MD,
The following persons to testify regarding the non-economic losses
sustained by Arlene Williams:
Clarence Gay (son-in-law)
Jane G, Gay (daughter)
Jessica Bainbridge (friend)
Susanne Williams (daughter-in-law)
6. SETTLEMENT: Plaintiffs have demanded $50,000.00.
-
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LAW OFFICES OF
DALE E. ANSTILNE. P.C.
DALE E. ANSTINE
DAYID M. POLUCK
JOHN M. SOFILKA
GREGORY E. MARTIN
LEAH ~. GRAFF
WAYNE C. PARSIL
THOMAS P. LANG
TWO WEST MARKET STREET
POST OFFICE BOX 9S2
YORK, PENNSYLVANIA 17405
(717) 846-0606
FAX (717) 845-7431
March 24, 2003
Office of the Prothonotary
CUMBERLAND COUNTY COURT HOUSE
One Courthouse Square
Carlisle PA 17013
RE: Williams v. Myers
Docket No.: 2001-6194
Dear Sir:
Enclosed is the Plaintiff's memorandum for pre-trial conference.
MAR 2 7 Z003~
PRACTICE LIMITED TO:
PERSONAL INJURY
WRONGFUL DEATH
I am, by copy of this letter, forwarding a copy of same to opposing counsel.
DEAlm
Enclosure
CC: Richard H. Wix, Esquire, w/enc.
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ARLENE B. WILLIAMS and
ROBERT A. WILLIAMS, SR,
Plaintiffs
IN THE COURT OF COMMON PLEAS
CUMBERLAND OUNTY, PENNSYLVANIA
NO. 01-6194 CIVIL TERM
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CIVIL ACTION - LAW
JASON E. MYERS,
Defendant
JURY TRIAL DEMANDED
PRE-TRIAL MEMORANDUM OF DEFENDANT
I. Statement of the Basic Facts as to Liabilitv
This litigation arises out of a motor vehicle accident occurring on November 1,
1999. Defendant admits negligence in causing the accident.
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II.
Summary of Facts as to Damaqes
Plaintiff's principal injury claim relates to an imbalance which she has that
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developed several weeks after the accident. The defense neurologist has indicated that
Plaintiff's problems have nothing to do with the motor vehicle accident. A true and correct
copy of the report of Carl Ellenberger, M.D. is attached hereto
III.
Principal Issues for the Jurv
a) Causation of the Plaintiff's injuries
b) Amount of damages
IV.
Unusual Leaallssues
None.
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Witnesses
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b)
Jason Myers
Carl Ellenberger, M.D.
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VI.
Exhibits
a) Plaintiffs medical records
VII.
Settlement Neaotiations
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The Plaintiff has demanded the policy limits, and Defendant has made an offer of
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$4,500.00.
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Respectfully submitted,
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WIX, WENGER & WEIDNER
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Richard H. Wix, Esq., ID# 07274
Attomeys for Defendant
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-8455
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Dated: 6/12/03
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Neurology
Neuro-ophthalmology
Neuro'imaging
Carl Ellenberger, Jr, MD
GSH Imaging
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320 Oak Street
Lebanon, PA 17042
Telephone: 7172704580
AmE!rican Board of Psychiatry
and Neurology
FAX: 717 270 4584
carl,ellenberger,med,65@aya,
yale.edu
December 3, 2002
Ms, Jackie Ravenel
Claim Specialist
State Farm Insurance Companies
PO Box 257
New Cumberland, PA 17070-0257
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Re: Arlene Williams; Claim #38-J431-843
INDEPENDENT MEDICAL EXAMINATION
Dear Ms, Ravenel,
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I reviewed the medical records that accompanied the letter from Richard Wix of November
20 2002 and interviewed and examined Ms. Williams today in my office in the presence of
her daughter.
Ms, Williams was a 71-year-old belted driver on November 3 1999.when another vehicle
drove through a red light across her path at an intersection, Ms, Williams applied her brakes
but her car struck the side of the other vehicle and then spun around so the other vehicle
again struck the left side of Ms. Williams' car. She was thrown forward and her chest struck
the steering wheel but she does not recall striking her head, After the other driver was able to
pry open the door of Ms. Williams' car she was able to "walk away" from the collision, She
refused an ambulance and her husband arrived to drive her home,
She recalled today that when she arrived home she became aware of pain, swelling, and
stiffness in her right leg and "dizziness," The first medical report is by her family physician,
Dr, Packman whom she visited almost three weeks later on 11/29/99 "for follow-up of her
complete evaluation on 9-24," Dr. Packman recorded the date of the accident and that "she
has been having right knee pain since that time" but did not mention dizziness, At the time of
the "Complete evaluation" on 9-24-99 (before the accident) Dr. Packman recorded
"occasional dizziness" as one of her 13 "active problems," Today Ms. Williams told me that
the "occasional dizziness" before the accident was similar to the post-accident dizziness but
"much milder." On 11/29/99 Dr. Packman advised Ms, Williams to return "in four weeks
regarding her accident and her knee injury." On 12-28-99 Dr. Packman recorded: "Comes in
for follow-up, She has been very dizzy for the last two weeks,"
Dr. Packman referred Ms, Williams to a neurologist, Dr. Jon Vickery, who examined her
initially on March 27 2000, Although a report from that visit is not in the records, later reports
indicate that he felt she had vertigo caused by "canalith material" in the right labyrinthine
apparatus "jostled loose" by the accident He felt that he removed the material from the left
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labyrinth by the "Epley canalith repositioning maneuver" but failed to do the same, despite
several attempts, from the right labyrinth, According to Ms. Williams today, Dr. Vickery told
her he had done all that was possible, that she should avoid movements and positions that
exacerbate the vertigo, and that the problem will probably continue indefinitely,
Ms, Williams told me today that after the accident the dizziness progressively increased over
several weeks or longer, but then-because, she believes, she has avoided motions and
positions that provoke the vertigo-the intensity of the vertigo greatly diminished, Avoiding
vertigo (as well as her advancing age and sciatica, .she says) has caused her to limit her
daily activity, She avoids extending her neck to look into high cabinets and lies "in a fetal
position" on her left side at night trying not to move,
Ms. Williams' many other symptoms are detailed in Dr. Packman's records. She has had
intermittent pain in the low back since before 1998 and x-rays and MRI's of the cervical and
lumbar spine have shown age-related degenerative arthritis. Recent epidural steroid
injections have lessened the pain that radiates down the right leg, She has had nasal
congestion and drainage, but a CT of the paranasal sinuses has been normal. She has had
chest pain and exertional dyspnea, A cardiac consultant found mild mitral valve prolapse and
left ventricular hypertrophy but no signs of ischemia, She has complained.of memory
impairment but MRI's of the brain in 1994 and again in 2000 have been interpreted to be
normal (according to a note by Dr. Vickery), No causes have been found for her chronic
fatigue that does not seem related to her chronic iron-deficiency anemia, She has stress
incontinence and a "fallen bladder," but a urologist has recently considered her "stable." She
-Blso has "IBS" (irritable bowel syndrome) and arterial hypertension,
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EXAMINATION
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MS, Williams was well-dressed, forthcoming and polite. She moved slowly and often talked
with her eyes closed (because the overhead lights were too bright) I did not think her
cognitive ability was abnormal for her age but did not test it formally. The sole pertinent
finding on examination was vertigo and oscillopsia (visual illusion of motion) when she lay
supine. On rightward gaze she had counterclockwise rotary nystagmus for 5-10 seconds.
After that, her vertigo, oscillopsia and nystagmus subsided completely, When she sat back
up again, she again felt dizzy for a few seconds and had only a few beats of nystagmus, The
remainder of the neurologic examination was unremarkable. I did not test hearing but both
she and her daughter denied any difficulty, Gait and balance were normal.
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CONCLUSIONS
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I agree with Dr. Vickery that Ms, Williams has true vertigo, That symptoms and the
accompanying nystagmus Oerking of the eyes I observed) reliably and specifically indicate a
disorder of function in the vestibular system, (The vestibular system senses acceleration and
position relative to gravity by transmitting information from sense organs in the inner ear
through the 8th [acoustic] nerves to the brain,) In this case the site of the lesion is almost
certainly "peripheral" - in the delicate mechanical sense organs, the semicircular canals
(labyrinth), in both inner ears, Any imbalance in input between the two sides will cause
vertigo, Vertigo is usually temporary (lasting weeks or months) because the brain has a
reparative mechanism in the cerebellum that is stimulated to action by the vertigo,
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There are many causes of vertigo: trauma, stroke, tumors, infections, toxic drugs, and,
probably most commonly, degenerative mechanical changes in the sense organs, usually
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related to aging. In some cases when the vertigo occurs mainly in one position ("benign
paroxysmal positional vertigo" or "8PPV"), we hypothesize that some kind of debris (like a
canalith, which means stone inside the canal, probably an "utricular otolith," the tiny stones
that roll around on the hairlike receptors to sense gravity) breaks off inside the labyrinth and
gets lodged in the posterior semicircular canal. The obstruction sends false signals to the
brain that cause vertigo. The characteristics of Ms, Williams' symptoms and nystagmus are
consistent with this hypothesis.
In this case, as in many others, the postulated cause of the vertigo in any particular
individual, a canalith in a semicircular canal, is conjectural, although not unreasonably so.
There is no way to prove or disprove that conjecture in a living person, Directly relating the
conjectured canalith to a specific cause or event, such as the particular trauma in question, is
a further conjecture, impossible to prove or disprove. I don't believe either conjecture meets
qualifies as a "reasonable degree of medical certainty." Idiopathic (unknown cause) vertigo
(including "8PPV') is a very common symptom in the absence of trauma. I could argue that
the process actually began before the accident when Ms, Williams first complained of
dizziness in September 1999 or even earlier. To reliably link the vertigo to the accident, I
would require it to be absent before the trauma and most intense immediately afterward. The
6-week delay before the vertigo became troublesome (suggested by Dr. Packman's records,
not by Ms, Williams' account today) further weakens the argument that the accident caused
the vertigo, Why would she not mention it to Dr. Packman a month after the accident if it was
a significant symptom?
Ms, Williams might have less distress from vertigo now if she had been advised early to
provoke it rather than to avoid it Among the effective treatments for vertigo are exercises
that repetitively provoke the vertigo and eventually-over days or weeks-cause its intensity
to diminish as the cerebellum adapts, Authorities have written: "patients should be
encouraged to get up and increase their activities, since there is evidence that failure to do
so will limit their recovery," (Leigh & Zee, The Neurology of Eye Movements 2nd ed, p 419)
That may have been the case here, I also would want to be certain that a recent MRI done
with the lAC protocol (internal auditory canals) and contrast injection has excluded another
possible cause of vertigo, an acoustic neuroma (tumor on the 8th nerve),
Sincerely,
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Carl Ellenberger, Jr, MD
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CERTIFICATE OF SERVICE
AND NOW, this 1ih day of June, 2003, I, Gaye Crist, an employee of the firm
of Wix, Wenger & Weidner, attorneys for Defendant, hereby certify that 1 served the within
Pre-Trial Memorandum of Defendant this date by depositing a copy of same in the United
States mail, postage prepaid, in Harrisburg, Pennsylvania, addressed as follows:
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Dale E. Anstine, Esquire
Law Offices of Dale E. Anstine
Two West Market Street
P.O, Box 952
York,PA 17405
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WIX, WENGER & WEIDNER
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THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ARLENE B. WILLIAMS and
ROBERT A WILLIAMS, SR.
NO. 01-6194
v.
CIVIL ACTION - LAW
JASON E. MYERS
JURY TRIAL DEMANDED
PRAECIPE TO REMOVE
To the Prothonotary:
( X ) Please mark the above captioned action SETTLED AND SATISFIED
OR
( ) Please mark the above captioned judgment or lien settled and satisfied.
Dated: 8;~1-a3
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cc: Richard Wix, Esquire
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