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HomeMy WebLinkAbout01-1088 IN RE: TANYA M. KAUTZ, an alleged incapacitated person IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION : NO. ~I-f) 1- ICB" AND NOW, this PRELIMINARY DECREE 'If1-\.- day of Kil1'~~, 2001, upon consideration of the attached petition, it is ordered and decreed that a citation is awarded and directed to Tanya M. Kautz, to show cause why she should not be adjudged an incapacitated person and have a guardian of her estate and person appointed, the hearing thereon to be held in Court Room No. -' at the Cumberland County Courthouse in Carlisle, Pennsylvania, commencing atd;cVA~'clock .m. on ~__", the 7 ft.c-.-day of ~/., 20~. At least twen(y (20) days notlce of thJ1hearing ~all be given to the said Tanya M. Kautz, the alleged incapacitated person, by personal service of a copy of the petition and citation. BY THE COURT, . Vel ' .1 J r-: l.-" r~ ;JU8I.1aqult)#J ". )j.lal~ o L: V d fi-:31O LO. '~lS!f3atl Ci80.10:)fJt/ IN RE: TANYA M. KAUTZ, an alleged incapacitated person . . IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 4\-01- 10&\ . . . . PETITION FOR ADJUDICATION OF INCAPACITATED PERSON AND FOR APPOINTMENT OF PLENARY GUARDIAN OF THE ESTATE AND PERSON OF THE ALLEGED INCAPACITATED PERSON AND NOW, comes RONALD P. KAUTZ (hereinafter "Petitioner") by and through his attorneys, Gates & Associates, P.C., and represents and avers as follows: 1. petitioner is an adult individual who resides at 213 Allendale Way, Camp Hill, Cumberland County, Pennsylvania 17011, and he is the husband of Tanya M. Kautz, the alleged incapacitated person. 2. Tanya M. Kautz resides with Petitioner. 3. Tanya M. Kautz was born on March 7, 1944, and she is now 57 years old. 4. Tanya M. Kautz and petitioner have two children: a. Kristine Gibboney R.R. #4, Box 148B Newport, PA 17074 b. Karyl Clay 1 Kathryn Drive Duncannon, PA 17020 5. Tanya M. Kautz has no other children or presumptive heirs. 6. Tanya M. Kautz suffers from severe dementia, probably caused by advanced Alzheimer's disease. 7. Tanya M. Kautz requires assistance with all activities of daily living. 8. Tanya M. Kautz is unable to receive and evaluate information effectively and communicate meaningful decisions. 9. Tanya M. Kautz is unable to manage her financial resources. 10. Tanya M. Kautz is unable to meet essential requirements for her physical health and safety. 11. To the extent known by Petitioner, Tanya M. Kautz's assets are as follows: a. The residential real property located at 213 Allendale Way, Lower Allen Township, Cumberland County, Pennsylvania, which is identified as Tax Parcel Number 13-25-0010-076, which has an approximate fair market value of $150,070.00, and which is owned jointly by petitioner and Tanya M. Kautz as tenants by the entireties; b. A checking account at Commerce Bank, N.A. which has an approximate balance of $9,000.00, and which is owned jointly by Petitioner and Tanya M. Kautz; c. A 401 (k) account with Pennsylvania Blue Shield, which has an approximate value of $49,774.00; d. A term life insurance policy through Pennsylvania Blue Shield, which has an approximate death benefit of $20,000.00; and 2 e. Miscellaneous tangible personal property which 1S owned jointly by Petitioner and Tanya M. Kautz. 12. To the extent known by Petitioner, Tanya M. Kautz receives the following income: a. A Social Security disability benefit of $1,106.00 per month; and b. A distribution of $1,200.00 per month from the estate of her late father, James T. Johnson, Sr. 13. The foregoing statements of Tanya M. Kautz's assets and income are approximations. A formal Inventory will be filed with this Court within three months of the date of the appointment of a guardian, in accordance with 20 Pa.C.S. ~5142 and ~5521(b). 14. petitioner is the proposed plenary guardian of the estate and person of Tanya M. Kautz. Petitioner's consent to serve as guardian is attached hereto as Exhibit "A" and incorporated herein by reference. 15. petitioner is employed by Pennsylvania Blue Shield as a customer service representative. 16. Petitioner is a citizen of the united States, and he can speak, read and write the English language. 17. petitioner has no interests adverse to the interests of Tanya M. Kautz. 18. No other court has assumed jurisdiction in any proceeding to determine the incapacity of Tanya M. Kautz. 3 19. Tanya M. Kautz has not signed a durable power of attorney, and consequently, she does not have an attorney-in-fact with the legal authority to handle her financial resources or make personal decisions on her behalf. 20. Tanya M. Kautz has not signed or implemented any trust arrangements for the management of her resources, and consequently, no trustee has the legal authority to manage her financial resources. 21. Tanya M. Kautz 1 s children are sui juris, and their consents to Petitioner's appointment as guardian are attached hereto as Exhibit "B" and incorporated herein by reference. WHEREFORE, petitioner respectfully requests that the Court award a citation directed to Tanya M. Kautz, the alleged incapacitated person, with notice thereof to be given to such other persons as the Court may direct, to show cause why she should not be adjudged an incapacitated person and why petitioner should not be appointed plenary guardian of her estate and person. GATES & ASSOCIATES, P.C. BY: mJ!..~~ Mark E. Halbruner, Esquire Supreme Court I.D. No. 66737 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 (717) 731-9600 (Attorneys for Petitioner) Date: J\?xfe____hrr 27 ,2001 4 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND RONALD P. KAUTZ, being duly sworn according to law, deposes and says that the facts set forth in the foregoing petition are true and correct to the best of his knowledge, information and belief. o1^)A P RONALD P. KAUTZ Sworn to and subscr~bed befo"A} me this )(J'f1l day of 'OrJtm/JPl, 2001. . --UU{,A"/ #IV~'0 Notary Pllbrlc Notarial Seal Traci L. Sepkovic, Notary Public Lemoyne Bo.ro, Cumberland County My Commission Expires July 7, 2003 Member, Pennsylvania Association 01 Notaries ~tt~(~'rt!;1(,' EXHIBIT "A" EXHIBIT "B" IN RE: TANYA M. KAUTZ, an alleged incapacitated person IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. CONSENT TO APPOINTMENT OF PLENARY GUARDIAN OF THE ESTATE AND PERSON OF AN ALLEGED INCAPACITATED PERSON I, KRISTINE GIBBONEY, being the daughter of Tanya M. Kautz, and having been notified of the petition to adjudicate her an incapacitated person and to appoint a plenary guardian of her estate and person, hereby consent to the appointment of Ronald P. Kautz as plenary guardian of the estate and person of Tanya M. Kautz, to serve without bond. ~iJ~ ~Mif KRISTINE GIBBONEY --U COMMONWEALTH OF PENNSYLVANIA COUNTY OF & f/1 U/f 10 /J vL On this, the ~day of AJcJVcfn~ , 2001, before me, a Notary Public, the undersigned officer, personally appeared KRISTINE GIBBONEY, known to me (or satisfactorily proven) to be the person whose name is subscribed to the wi thin documE'nt, and acknowledged that she executed the same for the purposes therein contained. SS: "~.' ....''''''''.''''-...~ set my hand and official Seal. /1 tf r/1 < ,:t A-<-p /urVU ~~. Notary Public My Commission Expires: IN WITNESS WHEREOF, I hereunto Notarial Seal Trac L. Sepkovic, Notary Public LElmoyne Bora, Cumberland County \.:1. Commission ~pires July ?.: 2003 . !_.' ,:?r 'n~~ \, ,~\ ,,-' ;~, ;~_-. /1. '~-:0'"'1 ;lti f~,:1 f.' ~ ";," t:_. '-r (' . IN RE: TANYA M. KAUTZ, an alleqed incapacitated person IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. CONSENT TO APPOINTMENT OF PLENARY GUARDIAN OF THE ESTATE AND PERSON OF AN ALLEGED INCAPACITATED PERSON I, KARYL CLAY, being the daughter of Tanya M. Kautz, and having been notified of the petition to adjudicate her an incapacitated person and to appoint a plenary guardian of her estate and person, hereby consent to the appointment of Ronald P. Kautz as plenary guardian of the estate and person of Tanya M. Kautz, to serve without bond. ~~ W TNESS 1J~ CfhtJ YL LAY COMMONWEALTH OF PENNSYLVANIA ~ SS: COUNTY OF (lAmlw1lt1rlL On this, the J(;~day of v;(/or/-tmOk1 , 2001, before me, a Notary Public, the undersigned officer, personally appeared KARYL CLAY, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within document, and acknowledqed that she executed the same for the purposes therein contained. \ 1.,.) set my hand and official tf t1 u ,j, ArIz-t/'lA 'c Notary Public My Commission Expires: Seal. IN WITNESS WHEREOF, I hereunto " Notarial Seal Traci L. Sepkovic, Notary Public Lemoyne Bora, Cumberland County My Commission Expires July 7, 2003 M'en Ibcr, ~'''nnS'ilvaniaAssociation of 1'J0tarie~; LAW OFFICES OF GATES &- ASSOCIATES, P.C. 1013 MUMMA ROAD' SUITE 100' LEMOYNE. PENNSYLVANIA 17043 (717) 731-9600' FAX: (717) 731-9627 BRANCH OFFICE: 3 WEST MONUMENT SQUARE, SUITE 304 LEWISTOWN, PA 17044 (717) 248-6909 WEB SITE: www.GatesLawFirm.com LOWELL R. GATES Also Admitted to Massachusetts Bar MARK E. HALBRUNER Also Admitted to New Jersey Bar CRAIG A. HATCH CORY J. SNOOK ALBERT N. PETERLlN Also Admitted to Maryland Bar December 28, 2001 nO ".. ..- -co 3~ 0"' c.) d - ::o$' roO ((}.Q (/~ C) I':.~'" I ~ Hon. George E. Hoffer, President Judge Cumberland County Court of Common Pleas One Courthouse Square Carlisle, P A 17013 \.1.: "'\ o - c;":) \,.r.) - - I". i.,' ."n[. "'f'.'" ~"."",. -0 N .b: ~ RE: Tanya M. Kautz, an alleged incapacitated person; Cumberland County Orphans' Court Division #21-01-1088 Dear Judge Hoffer: My office represents Ronald P. Kautz, who has filed a petition in the above-referenced matter to declare his wife, Tanya M. Kautz, an incapacitated person and to have himself appointed plenary guardian of her estate and person. The hearing on this petition is scheduled for January 7,2002. In anticipation of the hearing, I am enclosing for your review a copy of the transcript from the deposition of Charles S. Yanofsky, M.D., a board certified neurologist who examined Mrs. Kautz four times in 2001. In lieu of Dr. Yanofsky's live testimony, I intend to introduce the original deposition transcript at the hearing as permitted by 20 Pa.C.S. ~5518. Also enclosed is a copy of Dr. Yanofsky's curriculum vitae. Respectfully, iatft1 ~:=J-' r't/ '/ /.-) f { I'. ~.-_~~:::~_. Mark E. Halbruner Enclosures cc: Ronald P. Kautz (wi encl.) . . . 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 2 TABLE OF CONTENTS WITNESS FOR PETITIONER Charles S. Yanofsky, M.D. DIRECT 3 GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 . . . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 3 CHARLES S. YANOFSKY, M.D., called as a witness, being sworn, testified as follows: DIRECT EXAMINATION BY MR. HALBRUNER: Q Would you please state your name and spell it. A Charles S. Yanofsky, that's Y-a-n-o-f-s-k-y. Q And your business address? A 108 Lowther, L-o-w-t-h-e-r, Street in Lemoyne, Pennsylvania, 17043. Q And what is your occupation? A I'm a neurologist. Q An M.D.? A An M.D., uh-huh. Q Dr. Yanofsky, my name is Mark Halbruner. And as you know, we've spoken already, but for the record I represent Ronald Kautz who has filed a petition to have his wife Tanya Kautz declared incapacitated and to have himself appointed guardian for her. You understand that this deposition is being taken for use in that hearing? A Yes. Q Do you have any objection to the admission of this deposition transcript in that hearing? A No, I don't. GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 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 4 Q Would you please describe your education. A My education, I have a CV that we can give you, but if you want -- Q Just basically your undergrad and your graduate training. A I went to the State University of New York at Stony Brook from 1970 to 1974. I have a BS in psychology and biology. And New York Medical College from 1974 to 1977 where I obtained an M.D. From 1977 to '81 I did a neurology residency at Albany Medical Center in New York and thereafter I became board certified in neurology in 1981, I believe. And you've been practicing continuously since Q then? A Yes, I have. Q And you said your practice focuses on neurology; is that right? A Yes, I only -- I see adult neurology patients. Q And in that practice have you become familiar with a Tanya Kautz? A Yes. Q And do you recall when you first met with Tanya? A 2001. I first met her -- the date was April 10th, GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 . 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 . . 5 And when was the last time that you saw Tanya? I last saw her on October the 16th, 2001. And roughly how many times have you met with Q A Q her total? A I believe four. I believe she was in the office -- she was in on May 2nd and then June 28th and then October 16th. Four altogether, I guess. Q And what was the purpose of those consultations? A This was to follow her for her neurological problem which was dementia. Q How old is Tanya? A She is 56, I believe, right now, either 56 or 57. She may have turned 57. Q Were there any particular exams that you performed on Tanya? A Yes. Oh, sure, I did a thorough neurological exam the first time and then in follow-up we do pretty much a focused exam. And based on those exams what was your Q conclusion? A Well, she had a pretty severe dementing illness, more than that of having motor difficulties, but she had explicitly very decreased verbal output to almost mutism. She had a decreased verbal repertoire. She had GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 . . . 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 6 backed out of most of her former interests and had become actually completely dependent on her husband over this period of time. The first time that we had met her, though, was about six months prior. Dr. Heck of our practice had seen her and she was admitted to the psychiatry ward, having had no psychiatric history, certainly no hospital admission history for psychiatric disease. And at that time she displayed really some fairly mild changes. So she's progressed over a pretty short period of time. Q And when you say progressed, do you mean worsened? A Worsened, yes, uh-huh. Q Is Tanya currently taking any medications for her condition? A She is using -- well, she was using Aricept which is a medicine that we usually use for Alzheimer's disease, but it looks like that was discontinued. Q Do you have any opinion as to what the cause of her dementia is? A Yes, I think it's most likely a form of Alzheimer's disease. Q But that's something you can't determine while the patient is alive; is that right? A Well, our approach is really excluding other GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 . . . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 7 what we consider to be treatable forms of dementia. There is also some evidence of a family history so that is an issue because she's so young. Of course, Alzheimer's disease is something that usually affects people who are much older than her and not in their fifties. Q Is this unusual for someone her age? A Yes, very much so. It's not unusual for familial Alzheimer's disease. That's the difference between familial Alzheimer's disease and non-familial Alzheimer's disease, but apparently there was some history that we had gotten about her mother and some other family members that may be relevant to her case. Q In your opinion are there any medications that would arrest the development of this disease? A Unfortunately we don't have any medicines that arrest it. We have medicines that sort of slow the progression down. Aricept is one of them. We have now a choice of a couple of different medicines that we use for this, but there's no medicine that is -- it's really considered -- Alzheimer's is considered to be a nontreatable form of dementia. Q So Tanya's dementia will not get better? A Would only expect to be worsened, yes. Q Physically what is Tanya's condition? Is she ambulatory? GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 . . . 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 8 A She was the last time I saw her, though not you know, having difficulty -- certainly not following commands. Her husband seems to be a very caring person and, you know, even as far as doing normal activities such as getting into and out of a car, she kind of can't even figure out how to do that, what to do with her legs. And she had become sort of for him really a total care situation. She had trouble swallowing, even handling food with her mouth, you know, which is a sort of -- what we call apraxia. You know, the person basically just can't figure out anYmore how to actually do motor acts, motor things. And even getting her in and out of a car, he had to not even tell her what to do anYmore because she really couldn't process verbal information but would have to actually lift her legs to get her in and out of places and things like that. Q In your opinion what is Tanya's ability to receive information and evaluate it? A Well, as part of this usually there's a problem handling language, receiving language and making language. At this point -- that's what I was referring to, the mutism. She has very little ability to say anything. She usually repeats certain stock phrases and now she's -- I understand she's not even doing that. She's virtually mute GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 . . . 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 9 at this point. Receiving language, that's understanding verbal language, it doesn't appear that she even follows commands anymore. Q Would you suspect that would be the same with reading, that she would have difficulty reading and understanding? A Yes, reading would certainly -- reading is almost always worse than like aural communication, a-u-r-a-l type communication. Q I think you've already answered this, but is Tanya able to communicate decisions in any kind of rational or meaningful way? A It doesn't appear so, no. Q Again, it may seem obvious, but is Tanya able to manage her money or other assets such as real estate, vehicles? A No. Q And is she able to take care of her own activities of daily living? A No, she's not. Q She can't cook or clean or - - A No, certainly not, no. Q In your opinion is she requiring assistance in making decisions and providing for her personal health? A Yes, she is. GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 . 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 . . 10 Q You've mentioned before that you've had occasion to meet her husband Ronald. Yes. You've seen the interaction between Tanya and A Q Ronald? A Yes. Q Do you have any comments or concerns about his ability or his motives in filing this guardianship for her? A No. As far as I have ever seen, he seems to be a very caring person. I have never seen any evidence to the contrary. I think he has her interests at heart, as far as I can see, the way he behaves with her. Q What course of treatment would you recommend for Tanya? A Well, she's going to need more and more supervision. She will eventually need to be placed, I think, and not unless he plans to spend like 24 hours with her. Even in that situation, he probably would not be able to do that. One of the biggest issues when she was here in October was feeding and I actually suggested that he consider a feeding tube to be put in because she really she has some problems with even managing a normal swallow and she had been like coughing after she swallows. So he was going to really think about that. GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 . . . 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 11 She also has urine incontinence, you know, and I suggested some medicine for that to -- especially at night so that she wouldn't have to constantly get up, to decrease her urinary frequency at night. And I don't know whether that -- he actually started to use that or not. There's a drug called DDAVP. So that was the last -- my last contact. Q What is the usual progression with a disease like this? How does it -- A At her age it often progresses very rapidly. It's different than Alzheimer's disease at 85, you know. When you're -- when you have it in your sixties, it's actually a much wore disease. It's more aggressive at her age. Q A And it is a terminal disease? Yes, it is. MR. HALBRUNER: Thank you, that's all. (The deposition was concluded at 2:31 p.m.) GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 . 1 2 , .. . 3 ~ 4 5 6 7 8 9 10 11 12 13 . 14 15 16 17 18 19 20 21 22 23 24 25 . 12 COUNTY OF DAUPHIN SS COMMONWEALTH OF PENNSYLVANIA I, Teresa K. Bear, Reporter-Notary Public, authorized to administer oaths within and for the Commonwealth of Pennsylvania and take depositions in the trial of causes, do hereby certify that the foregoing is the testimony of CHARLES S. YANOFSKY, M.D. I further certify that before the taking of said deposition, the witness was duly sworn; that the questions and answers were taken down stenographically by the said Teresa K. Bear, a Reporter-Notary Public, approved and agreed to, and afterwards reduced to typewriting under the direction of the said Reporter. I further certify that the proceedings and evidence are contained fully and accurately to the best of my ability in the notes taken by me on the within deposition, and that this copy is a correct transcript of the same. In testimony whereof, I have hereunto subscribed my hand this 27th day of December, 2001. ~k,~ Teresa K. Bear, Reporter Notary Public My commission expires on April 13, 2003 GEIGER & LORIA REPORTING SERVICE - 1-800-222-4577 LAW OFFICES OF Pv GATES &- ASSOCIATES, P.C. 1013 MUMMA ROAD. SUITE 100. LEMOYNE. PENNSYLVANIA 17043 (717) 731-9600. FAX: (717) 731-9627 LOWELL R. GATES Also Admitted to Massachusetts Bar MARK E. HALBRUNER Also Admitted to New Jersey Bar CRAIG A. HATCH CORY J. SNOOK ALBERT N. PETERUN Also Admitted to Maryland Bar BRANCH OFFICE: 3 WEST MONUMENT SQUARE, SUITE 304 LEWISTOWN, PA 17044 (717) 248-6909 WEB SITE: www.GatesLawFirrn.com December 26, 2001 Hon. George E. Hoffer, President Judge Cumberland County Court of Common Pleas One Courthouse Square Carlisle, P A 17013 RE: Tanya M. Kautz, an alleged incapacitated person; Cumberland County Orphans' Court Division #21-01-1088 Dear Judge Hoffer: My office represents Ronald P. Kautz, who has filed a petition in the above-referenced matter to declare his wife, Tanya M. Kautz, an incapacitated person and to have himself appointed plenary guardian of her estate and person. The written consents of Mrs. Kautz's two children are attached to the petition. The Court has issued a citation setting the hearing for January 7, 2002. Mrs. Kautz has been served with the petition and citation, and an affidavit has been filed to that effect. I do not believe it is necessary to appoint counsel for Mrs. Kautz. However, 20 Pa.C.S. ~5511(a) requires me to advise you that to the best of my knowledge, counsel has not been retained by or on behalf of Ms. Kautz. Respectfully, 111Mtt. ~... Mark E. Halbruner cc: Ronald P. Kautz 4 CH~ES S. YANOFSKY, M.D. F eI I 0',,; - American Acad.eiil)' of Ne '-lro logy CURRICULUM ,VITAE: . . PRESENTLY ~ President Pennsylvania Neurological Associates, L TO with Jon Vickery, MO, Albert W. Heck, MO, Francis Janton, MD. 108 Lowther Street, Lemoyne, PA 17043, Chief, Section of Neurology, Harrisburg -Polyclinic Medical Center (Pinnacle'Health System) Practice Web Address: www.oneuro.com e-mail: oaneuro@usa.net EDUCATION: 1970-1974: State University of New York at Stony Brook. Bachelor of Science, Magna Cum Laude, Majors in Biology and Psychology 1974-1977: New York Medical College. M.D. Jewett Award for Excellence in' Psychiatry 1977-1978: Internship - Albany Medical College, Albany, New York Internal Medicine, 1978-1981: Resident in Neurology Albany Medical College 1980-1981: Chief Resident in Neurology Albany Medical College Licensure: New York 1978, Pennsylvania 1981 BOARD CERTIFICATION: American Board of Psychiatry and Neurology, 1983. National Board of Medical Examiners, 1978 ::' . ~:i '_I " Charles S. Yanofsky, M.D - Curriculum MEMBeRSHiPS American Medical Association D::lUphin County Medical Society American Academy of Neurology - Fellow Pennsylvania Medical Society Prosper-Meniere Society PROFESSIONAL INTERESTS: Areas of experience: Practice manage"ment, Physician-Hospital Relations, t0ultiple sclerosis and immune-mediated neurological disease, cognitive neuroscience and neuro-psychiatry, Medical Ethics and termination of Care Decisions and Advance Directives, Philosophical Issues Connected with Clinical Neuroscience, Legal Cases and Workman's Compensation. : Intra-Operative Evoked Response Monitoring, EEG, 24-hour EEG monitoring, Carotid and Transcranial Dopplers, EMG-NCV and electro- neurophysiology, eaching residents from Departments of Medicine, Family Practice, and Psychiatry, medical students, nurses and patients. Administr,ative expertise in practice management, Physician Organizations, Medical Staff Leadership, patient grievances and physician-patient relations. Computers in medicine. CONTINUING EDUCATION: Certified for A.M.A. Physician Recognition Awards 1981-2002 APPOINTMENTS: Chief Section of Neurology and Attending Neurologist Harrisburg-Polyclinic Medical Center (Pinnacle Heath System) Head, EEG, Evoked Potential Laboratory, Harrisburg Hospital Attending Neurologist Holy Spirit Hospital Camp Hill, Pennsylvania 17011 Consulting Neurologist Polyclinic Medical Center Harrisburg, Pennsylvania Neurologist: Healthsouth Rehab Hospital and Renova Center Mechanicsburg I Pennsylvania 2 -', ", j.f .. . .' rt,,,.'~. S ~ ",.- "~-k-' '\ r D C..~~,,~.. "'- ...-......::..~ ~ 1: ..:.....~_.L-=>..", ~';._ - ~.....4\""Lo.~.....r:1 Clinical Associate Professor, Department of Medicine, Hershey Medical Center Clinical Associate Professor, Department of Medicine .. Allegheny University SAMPLE LECTURES:: "Brain Attack - New Therapies for Stroke" Pinnacle Health System Grand Rounds - 1996 ,,"),., ~ ~ , If' . " d . \" C 1996 .l ,~',v 1re~~ments .lor .'tJ.1gr.:lll:.e presente a, ,yoman are " "New Treatment of Demyelinating Disease" Presentation for Medical Residents 1996,97,98 "Unsheathing The Sword": Medical Ethics Presentation Harrisburg Area Estate Planning Council September 1994 "Neurology 2001: Finding The Ghost in the Machine" presented for Harrisburg Hospital's Physician-Nurse Collaboration Teaching Day . Healthcare 2001 "Pain Management" for Nurses Education Day, Harrisburg Hospital "Non-Cardiogenic Chest Pain" lecture for physicians "Migraine" lectureship for Family Practice. Internal Medicine physicians. Sponsored by Cerenex "Parkinson Disease" lecture for Family Practice. Internal Medicine physicians Sponsored by Sandoz Presentations on Termination of Medical Care. Medical Ethics for Combined Meeting of Dauphin County Bar-Dauphin Medical Society. 1991 Harrisburg Hospital. Corporate Sponsors and Other Groups Program: Who Lives, Who Dies. Who Decides? The Persistent Vegetative State and the Anatomy of Awareness: A Modular Approach Clinical Lectures and Grand Rounds on such topics as Migraine, Diabetic Neuropathy, Lupus Encephalopathy, Guillian- Barre Syndrome, EEG, Evoked Responses, Strokes and Cerebrovascular Disease, Seizures, Parkinson Disease 3 .-..., ' ~ :.:) Charles S. Yanofsky, M.D - Curriculum various other topics given for Physicians, Residents, Nurses and Lay Groups. , . ' Sponsor Cind Presenter or ma:-iY conferences en Mult1ple Scierosis 1998-2000 Sponsor and Presenter Pinnacle Health Stroke Practicums 1999,2000 . PUBLICATIONS AND PROJECTS: "Parainfecfous ,t.ct.:ts Obstructive Hydrocephalus." Annals of Nsur.Jlo2j', July 1981 (with P.A. Hanson, and M. Lepow) Statistical Analysis of MS Patients treated with Cyclophosphamide and Plasmapheresis - presented at Harrisburg Doctor's Day ~ "Acute Fulminant MS with a Favorable Clinical Course" - Presentation, at Doctor's Day Intra-operative Evoked Response Monitoring of Spinal Cord Surgery-Harrisburg Hospital Experience Doctor's Day Presentation MIGRAINE HEADACHES: A Patient Guide,1993 UNDERSTANDING MULTIPLE SCLEROSIS: a Guide for Patients and Families: 1993, @1996, 1999 DIZZINESS (and Balance Disorders) EXPLAINED! 1993, @ 1997,1999 BEYOND BIOLOGY: Metaphysical Brain Science, @ 1999 Practice Web and Publication Site: www.pheuro.com PROFESSIONAL ACTIVITIES: -Medical Staff President, Harrisburg Hospital 1993-94 -Medical Staff Ass't Secretary Treasurer. Treasurer. and Vice President (1990-92) -Harrisburg Hospital Medical Staff Executive Committee 1988. 1990-1996 -Chief. section of Neurology Harrisburg Hospital 1990-1996 -Chief, section of Neurology Harrisburg-Polyclinic Medical Center (Pinnacle Health System) 1996- -Chief Neurophysiology Lab. Harrisburg Hospital 4 "I>"\ Charles S. Yanofsky, M.D - Curriculum -C:~2:;r-:-1-3ill [): f:;. :-:1;-. C~ :.~ ,-:/ :.~ :::: ::~~ S:c:.:::.... l:-- .-; ~ ..J: -..: __ .:.;.: :";"' -;-.. .. -: 2" --: ~ :: r >.. ~ ~~ -. , '. . .. ,..., 8 E' ~ - "? H,'.-r',-""'rg 'j'"'-'--' '1".-" ..,...~.- .~..~ _ ,;;:",.'::"';-:.' ~,:....l;'......:;;.. ..;.:::.;"'.;,;_ "..,~.'-: i___- -~te2~i,-,g Committee forming Physician's Organization and Hospital Medical Staff PI asident's group -Harrisburg Hospital Board of Directors -Harrisburg Hospital Joint Conference Committee -Harrisburg Hospital Business Planning Committee " ; -Physician Representative: Nurse-Physician Collaboration Committee (responsible for yearly Education Days) -Chair, Harrisburg Hospital Medical Ethics Committee and member -Physician Advisor: Organ Donation core Team -Harrisburg Hospital Centers for Excellence Task Force -KePRO reviewer in Neurology . I -Chair, Harrisburg Hospital Committee on Rehabilitation Medicine -Vice Chair, Cumberland and Perry County Mental Health-Mental Retardation Board -Chair, Cumberland-Perry County Mental Health Committee -Tourette Syndrome Society (PATSA) Board of Directors -Committee on Criteria for Withdrawal of Care, Harrisburg Hospital -Harrisburg Hospital Medical Care Utilization Committee 1981-84:' -Board of Directors- National Multiple Sclerosis Society Central Pennsylvania Chapter -Chair: Pinnacle Hospital Stroke Team, Developer of Stroke Units -Chair Pinnacle Hospitals Stroke Practicum Conferences 1999, 2000 5 . ';f~' ,y -' IN RE: TANYA M. KAUTZ, an alleged incapacitated person IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-1088 AFFIDAVIT OF SERVICE COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Be it known, that on the 12th day of December, 2001, before me, the subscriber, a Notary Public, personally appeared CRAIG A. HATCH, who, being duly sworn according to law, did depose and state as follows: 1. I am an adult individual now residing at 28 South 28th Street, Harrisburg, Dauphin County, Pennsylvania. 2. On December 12, 2001, I personally served Tanya M. Kautz with true and correct copies of a petition for Adjudication of Incapacitated Person and for Appointment of plenary Guardian of the Estate and Person of the Alleged Incapacitated Person, and Citation with Notice scheduling a hearing on said petition for January 7, 2002. 3. I served said documents by hand deli very to Tanya M. Kautz at the law offices of Gates & Associates, P.C., 1013 Mumma Road, Suite 100, Wormleysburg, Cumberland County, Pennsylvania. 4. To the maximum extent possible, I explained the contents and terms of said documents to Tanya M. Kautz.#~~ L~~ ~r{ A~ ~TCH SWORN TO AND SUBSCRIBED before me, a Notary Public, this 12th day of December, 2001. ~~) Notary Public My Commission Expires: Notarial Seal l Teril. Walker, Notary Public M emoyne BOlO, Cumberland County Y Commission Expires Jan. 20, 2003 Member, Pennsylvania Association of Notaries IN RE: TANYA M. KAUTZ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION AN ALLEGED INCAP ACIATED PERSON NO. 21-01-1088 IMPORT ANT NOTICE CITATION WITH NOTICE A petition has been filed with the Court to have you declared an Incapacitated Person. If the Court finds you to be an Incapacitated Person, your rights will be affected, including our right to manage money and property and to make decisions. A copy of the petition which has been filed by MARK E. HALBRUNER. ESOUIRE is attached. You are hereby ordered to appear at a hearing to be held in Court Room No. J, Cumberland County Courthouse, Carlisle, Pennsylvania, on MONDAY, JANUARY 7th , 2002, at 2:00 r.M. to tell the Court why is should not find you to be an incapacitated Person and appoint a Guardian to act on your behalf. To be an incapacitated Person means that you are not able to receive and effectively evaluate information and communicate decisions and that you are unable to manage your money and/or other property, or to make necessary decisions about where you will live, what medical care you will get, or how your money will be spent. At the hearing, you have the right to appear, to be represented by an attorney, and to request a jury trial. If you do not have an attorney, you have the right to request the Court to appoint an attorney to represent you and to have the attorney's fees paid for you if you cannot afford to pay them yourself. You also have the right to request that the Court order that an independent evaluation as to your alleged incapacity. If the Court decides that you are an Incapacitated person, the Court may appoint a Guardian for you, based on the nature of any condition or disability and your capacity to make and communicate decisions. The Guardian will be of your person and/or your money and other property and will have either limited of full powers to act for you. If the court finds you are totally incapacitated, your legal rights will be affected and you will not be able to make a contract or gift of your money to other property. If the court finds that you are partially incapacitated, your legal rights will also be limited as directed by the Court. If you do not appear at the hearing (either in person or by an attorney representing you) the court will still hold the hearing in your absence and may appoint the Guardian requested. By:7?'?~ f.? /~ fU, (1, a ..;xJ::'J;i.~/ D/('~ Clerk, Orphans' Court Division Cumberland County, Carlisle, P A My Commission Expires I st Monday, January, 2002 OJ IN RE: TANYA M. KAUTZ, an alleged incapacitated person IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-1088 AND NOW, 1.. ~ ORDER ~ day of 2002, upon this consideration of a petition to Kautz an incapacitated person and appoint a guardian for her estate and person, and following a hearing thereon with due notice, it is hereby ordered that Tanya M. Kautz is adjudged a totally incapacitated person and that the petitioner, Ronald P. Kautz, is appointed plenary guardian of the estate and person of Tanya M. Kautz, to serve without bond. within thirty (30) days, said guardian shall file an inventory of all real and personal property coming into his possession as guardian. Distribution: ~",. . o l: Z d L - NlIf ZOo Mark E. Halbruner, Esquire Gates, Halbruner & Hatch, P.C. 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 (Attorneys for Petitioner) ,ri![3BH --::'lO~atf '--";"-_:-~--.-~::) IN RE: TANYA M. KAUTZ, an alleged incapacitated person IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-1088 FINAL REPORT OF RONALD P. KAUTZ, PLENARY GUARDIAN OF THE ESTATE AND PERSON OF TANYA M. KAUTZ, AN INCAPACITATED PERSON GRANT OF GUARDIANSHIP: JANUARY 7, 2002 AND NOW, comes Ronald P. Kautz, plenary guardian of the estate and person of Tanya M. Kautz, an incapaci ta ted person, by and through his attorneys, Gates, Halbruner & Hatch, P.C., to render the following Final Report pursuant to 20 Pa.C.S. ~5521(c) (2): 1. By Order of this Court dated January 7, 2002, Ronald P. Kautz was appointed plenary guardian of the estate and person of his wife, Tanya M. Kautz, an incapacitated person. 2. Tanya M. Kautz died at Holy Spirit Hospital, East Pennsboro Township, Cumberland County, Pennsylvania, on January 26, 2002. 3. Ronald P. Kautz did not have the opportunity to file with this Court an Initial Inventory listing all property received by him as plenary guardian of the estate of Tanya M. Kautz. GATES, HALBRUNER & HATCH, P.C. 1.(", .;'~ ('''''I 0._ '~;) " I OJ l..w LL. BY: 111#1l ~ :;j~---- Mark E. Halbruner, Esquire 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 (717) 731-9600 (Attorneys for the Guardian) :'~ :cD a: p '10,.... ".- (i.'; :":.-: '- -' ",..... ......,I.~ Date: \ l-s, 102- , ~~Jt~>I;J~'i.:li,!i:.i~l~~~~;~~&.4:i;;;t~lire~;~~;~[;E~~-~~~~f1~~~~'Iit~tif~~'W~"t~~fi'~~;~~~i~1~~!{Fi~,!~'''~o~~ ~*;7wA~~j[~,at~':~'f~-t;it~t~Y~~4"i~~if~~.~~~2G~~;~~!~:h.~Z~~~~~~~~i.~~~YS.f!'~~~.; .>ir~~~!if~~~~~}t~~a~~it~~~~