HomeMy WebLinkAbout11-21-11 (2)IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA,
ORPHANS' COURT DIVISION ,,,,
n
IN THE MATTER OF BARBARA BOLLINGER, also known as,
BARBARA A. BOLLINGER, AN -: z r
~ c
ALLEGED INCAPACITATED PERSON ~~~'
-. ~ ^'
a
? O
~i
~°
AFFIDAVIT OF DR. NAMRATA HALDIPUR, M.D. _
_
^J~
~ ~
n
iv
~~~
P,
I, DR NAMRATA HALDIPUR, being duly sworn, make this Affidavit and depose and
say as follows:
DOCTOR'S BACKGROUND AND DETAIL
1. I am Dr. Namrata Haldipur, a licensed physician in the Commonwealth of Pennsylvania,
Pennsylvania License No. MD421980. I am a physician with Hampden Physicians Associates,
located at 3456 Trindle Road in Camp Hill, PA, in Cumberland County, Pennsylvania.
2. My educational background, including the schools I have attended, my residencies, and
my academic and professional degrees and the dates thereof are as follows: I have my M.D.
from Kempegowda Institute of Medical Science (1986-1991). I did my three-year residency at
the Bronx-Lebanon Hospital from 1995 until 1998. I also did a one year chief residency there as
well from 1998 until 1999.
3. My current official position at Bethany Village is Medical Director. I have practiced my
profession for twelve years and have held my current position as Medical Director since 2006.
4. My above referenced Pennsylvania license is still current and is in good standing. I have
testified in court hearings in the past, both by deposition and in person in the courtroom.
n' ,~
F. i :~
(_~' 7
~_~;~,
;,5
-~.,
~o
T
Page 1
5. I am the treating physician of Ms. Bollinger, the alleged incapacitated person. I have had
ample opportunity to examine and evaluate her condition.
6. Bazbaza Ann Bollinger, the alleged incapacitated person was born on May 11, 1929. She
is currently 82 years of age.
7. My diagnosis of Ms. Bollinger is vascular dementia, which greatly affects her mental,
emotional, and physical condition.
8. These maladies and incapacities manifest themselves and affect Ms. Bollinger in the
following ways: she is unable to make her needs known and staff has to anticipate all of her
needs. She also exhibits severely impaired decision-making skills, judgment and reasoning
abilities.
9. In my opinion, which I offer with a reasonable degree of medical certainty, Ms. Bollinger
is clearly incapable of making any effective evaluations of information provided to her in writing
or verbally in order to make decisions regazding her own medical and personal care and
regazding the management of her financial affairs.
10. Her ability to comprehend any explanations from an attorney appointed for her or to
understand any notices served upon her would be so extremely limited as to render such efforts
futile. Additionally, her ability to communicate any rational desires would be extremely
impaired.
11. The above referenced maladies and impairments render Ms. Bollinger as a practical and
actual matter totally unable to manage her financial resources and to make essential decisions
regazding her physical health and safety.
Page 2
L\
12. It is my opinion, with a reasonable degree of medical certainty that Ms. Bollinger's
current capabilities are very unlikely to improve in the future. Rather they are likely to continue
to worsen.
13. It is also my opinion, to a reasonable degree of medical certainty, that the removal of Ms.
Bollinger from her current surroundings for her presence at any hearing on her alleged incapacity
would provide no benefit for her in that it would remove her from her now familiar surroundings
for no good or practical purpose and it would actually be harmful to her and disorient her.
14. I have provided counsel with additional very detailed medical records concerning Ms.
Bollinger's incapacities and her speech, occupational and physical therapies. These documents
also provide further details regarding Ms. Bollinger's mental and physical limitations. I
understand that Counsel will offer to make these available to the Court should it wish to study
them.
15. It is also my opinion to a reasonable medical certainty that a duly appointed guardian or
agent to act in Ms. Bollinger's place and stead would be in her best interests and for her ultimate
benefit with regard to making of decisions and carrying out the necessary action concerning her
personal, medical and financial affairs.
Deponent further sayeth not.
,, d
IN WITNESS WHEREOF, I hereby affix my hand and seal this ~ day of
fVB tr-~~-r~ rose A.D. 2011.
~~~„~~~-
(SEAL)
DR. NAMRATA HALDIPUR, M.D.
Page 3
w
IN WITNESS WHEREOF, the said Dr. Namrata Haldipur, M.D., has ap eared before
me, a notary public in and for the Commonwealth of Pennsylvania, on this ~ day of
/l,G~~.n~~ , A.D. 2011, has been duly sworn and has verified to me the above stated
contents of this Affidavit. Accordingly, I have signed as a Notary Public in and for said
Commonwealth of Pennsylvania and have affixed my seal hereto.
C./~~°-`
OTARY PUBLIC
COMINONWEALIN OF PENNSYLVANIA
NOTARIAL SEAL
John Re. Bowen, Notary public
Lower Allen Twp, Cumberland County
M commission ex ices March 25, 2014
Page 4