HomeMy WebLinkAbout07-07-14 a
Rhoads&Sinon LLP
By: Scott Alan Mitchell
Attorney ID No. 76124
One. South Market Square, 12`h Floor
P.O. Box 1146
Harrisburg, PA 17108-1146
Phone: (717)231-6602
Facsimile (717)260-4402
E-mail: smitchell@rhoads-sinon.com
IN RE: : IN THE COURT OF COMMOI�EAS �
: CUMBERLAND COUNTY, PE�YLVAPd�A :�',� ,�=;'',
KEITH E. KLAIR : �-� ;-' � ' r�a
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: ORPHANS' COURT DIVISIO�J,� '� '�.=' � ��y
An Alleged Incapacitated Person : o �
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PETITION FOR APPOINTMENT OF PLENARY GUARDIANS �' ��" �
OF THE PERSON AND ESTATE OF KEITH E. KLAIR � � �
.
A
TO THE HONORABLE JUDGES OF THE SAID COURT:
The Petition of Kim E. Jumper by and through her counsel, Scott Alan Mitchell,
Esquire, of Rhoads & Sinon LLP, respectfully represents the following:
1. Petitioner is Kim E. Jumper, an adult individual residing at 207 East Coover
Street, Mechanicsburg, Pennsylvania 17055, who is the sister of Keith E. Klair, the alleged
incapacitated person.
2. The alleged incapacitated person is Keith E. Klair ("Keith"), who is an adult
individual residing at 23 White Oak Boulevard, Mechanicsburg, Pennsylvania 17050, and
who is the brother of Petitioner.
3. Keith is 51 years of age, having been born September 8, 1962.
4. Keith suffers from multiple sclerosis, with symptoms including memory loss,
cognitive impairment, balance problems, vision problems, mood swings, and fatigue.
1
Additionally, Keith suffers from lesions in his frontal lobe, which doctors have indicated may
be frontal lobe dementia.
5. Since Keith was diagnosed with multiple sclerosis in 2010, he has been under
the care and treatment of various health care professionals, including the following:
a. Vivian C. Faircloth, M.D., 110 Lowther Street, Lemoyne, PA 17043;
b. Christopher Royer, Psyd, 1150 Lancaster Boulevard, Mechanicsburg,
PA 17055;
c. Lawrence L. Altaker, M.D., 1013 Mumma Rd, Suite 203,
Wormleysburg, PA 17043;
d. Paul J. Eslinger, Ph.D., Hershey Medical Center Neurology, 30 Hope
Drive, Suite 1300, Hershey, PA 17033;
e. Alan J. Sweeney, M.D., 108 Lowther Street, Lemoyne, PA 17043; and
f. Gary Thomas, M.D., Hershey Medical Center Neurology, 30 Hope
Drive, Suite 1300, Hershey, PA 17033
6. On February 5, 2013, Dr. Eslinger performed a neuropsychological testing of
Keith, and a copy of Dr. Eslinger's report is attached hereto as Exhibit "A" and incorporated
herein by reference.
7. Additionally, attached hereto as Exhibit "B" and incorporated herein by reference
is a Deposition of Individual Qualified to Render Opinion as to Incapacitation, which has
been completed and verified by Dr. Eslinger. The deposition questionnaire is being
presented to the Court in lieu of a formal deposition transcript.
8. Because of Keith's mental and physical condition, as outlined further in Exhibits A
and B, it is believed and therefore averred by Petitioner that Keith is an incapacitated
person within the meaning of Chapter 55, Subchapter A, Section 5501 of the Probate,
Estates and Fiduciaries Code, in that his ability to receive and evaluate information
effectively and communicate decisions in any way is impaired to such a significant extent
that he is partially or totally unable to manage his financial resources or to meet essential
requirements for his physical health and safety.
9. Keith's income currently consists of approximately $1,230 per month from Social
Security Disability Insurance (SSDI) payments. Additionally, Keith receives an annual
check of$6,000 resulting from the sale of his business. This annual check will be received
for seven (7) additional years. Additionally, Keith is expected to eventually received
alimony/support payments in an amount yet to be determined.
10. Keith's assets currently consist of the following:
a. The residence at 23 White Oak Boulevard, Mechanicsburg, Pennsylvania
17050, which is jointly owned with his wife and which currently is scheduled to be sold at a
settlement on May 28, 2014, at which time Keith and his wife expect to receive
approximately $200,000 in net sale proceeds.
b. Commercial rental property which is jointly owned with his wife. The
property currently is for sale. An offer of$398,500 recently was received but not yet
accepted. There is a mortgage of approximately $128,000 on the property, and so
Petitioner believes that the equity in the property may be in the range of$240,000 to
$270,000.
c. Vacation home in Ocean City, Maryland, which is owned jointly with his
wife. Petitioner believes that the property is worth approximately $250,000, but it is subject
to a mortgage of$200,000.
d. Investment account owned individually by Keith with an approximate
balance of$20,000.
e. Individual retirement account owned individually by Keith with an
approximate balance of$39,000.
f. Joint bank accounts owned by Keith and his wife with approximate
combined balances of$30,000.
11. Keith and his wife, Debra Klair, currently are parties to a divorce proceeding that
was initiated by Keith approximately two (2) years ago. Both parties are represented by
counsel in their divorce, and the divorce proceeding has been amicable between the
parties. The divorce has not yet been finalized in that the parties are resolving equitable
property distribution and alimony issues.
12. Besides Keith's wife, Keith's next of kin consists of the Petitioner (Keith's only
sibling) and his parents, Ronald and Betty Klair, who reside at 82 Longwood Drive,
Mechanicsburg, PA 17050. Petitioner intends to provide Debra Klair and Ronald and Betty
Klair with at least twenty (20) days written notice of the hearing regarding this Petition, and
such parties already are aware of and have been cooperating with Petitioner in the filing of
this Petition.
13. Keith was a member of the armed services of the United States (United States
Coast Guard) from 1982-1986. He is not currently receiving any benefits from the United
States Veteran's Administration or its successor.
14. Keith previously has executed a Power of Attorney in favor of his father and the
Petitioner, but he has not executed any Health Care Directive. Petitioner desires that the
Power of Attorney remain in effect to facilitate executing any documents that need to be
signed as part of the divorce proceeding and sale of real estate and without the necessity of
seeking approval from this Court under the guardianship.
15. Due to the condition set forth above, Keith is totally unable to manage or even
appreciate the significance of his financial affairs, property and business and to make and
communicate any decisions relating thereto, including the ability to communicate his need
for assistance in these areas.
16. Due to the severity of the condition set forth above, Keith lacks the ability to
make or communicate any responsible decisions concerning his person and is unable to
attend to his personal safety or to keep himself properly nourished, hydrated and
medicated, or to communicate to others his need for assistance in these areas.
_ __
17. Due to the severity of the diagnosed condition set forth above, the assistance of
other persons or services would not enable Keith to participate in the making of any
decisions concerning his estate or person.
18. The severity of the diagnosed condition of Keith requires that a plenary guardian
be appointed to manage the estate of Keith. Said guardian should be appointed to manage
and handle all aspects of his estate, specifically including, but not limited to: all issues
relating to his cash, checks in any bank or savings account held in his name, his stocks and
bonds, his personal property, his real estate, his life and other insurance of which he is an
owner or a beneficiary; his entitlement to any government or non-government benefit plans,
federal, state and local taxes, trust accounts of which he is a beneficiary, claims made or to
be made on his behalf or against him, the execution of documents, the entry into contracts
affecting him and the payment of reasonable compensation or costs to provide services to
him.
19. Less restrictive alternatives, other than the appointment of a plenary guardian
of his estate, have been considered but determined not to be viable alternatives. Petitioners
therefore believe that the best interests of Keith and his estate are not being provided for at
this time and will not be provided for absent the appointment of a guardian of his estate.
20. In the alternative, Petitioner request the Court to appoint a limited guardian of
the estate for the following purposes:
a. To execute documents or enter into contracts affecting his physical and
neurological health care and treatment;
b. To pay reasonable compensation or costs to provide services to him; and
c. To receive and pursue any income or benefits to which he is entitled and
to use such funds for the payment of his bills.
21. The severity of Keith's mental condition, as stated above, mandates that a
plenary guardian of his person be appointed to handle all issues relating to the person of
Keith E. Klair, the alleged incapacitated person, specifically including, but not limited to: his
living arrangements, his medical and neurological care, the administration of inedication to
his and the employment and discharge of physicians, neurologists, dentists, nurses,
therapists and other professionals for his physical and neurological treatment and care.
22. Less restrictive alternatives, other than the appointment of a plenary guardian
of his person, have been attempted but determined not to be viable alternatives. Petitioner
therefore believe that the best interests of Keith and his person are not being provided for at
this time and will not be provided for absent the appointment of a guardian of his person.
23. In the alternative, Petitioner request the Court to appoint a limited guardian of
the person with powers that correspond to Keith's degree of incapacity and, at a minimum,
for the following purposes:
a. To make decisions regarding his living arrangements and level of care,
designating the place for him to live;
b. To make decisions regarding his medical and neurological care;
c. To handle all issues relating to the administration of inedication to him; and
d. To handle all issues relating to the employment and discharge of
physicians, neurologists, nurses, therapists, and other health care professionals for
his physical and neurological treatment and care.
24. The proposed guardian of the person of Keith is Kim E. Jumper, Keith's sister.
The proposed guardian of the person is a qualified individual pursuant to 20 Pa.C.S.A. §
5511(fl . The proposed guardian of the person does not have any adverse interest to Keith.
25. The proposed guardian of the estate is Lodge Life Services, Inc., qualified to act
under 20 Pa.C.S.A. §5511(fl as a Pennsylvania guardianship agency. Lodge Life Services,
Inc. does not have any adverse interest to Keith.
26. Kim E. Jumper agrees and consents to her appointment as guardian of the
person of Keith, and her original Consent to serve as guardian of the person is attached
hereto and incorporated herein by reference.
27. Lodge Life Services, Inc. agrees and consents to its appointment as guardian of
the estate of Keith, and its original Consent to serve as guardian of the estate is attached
hereto and incorporated herein by reference.
28. No other Court has ever assumed jurisdiction in any proceeding to determine
the capacity of the alleged incapacitated person nor has a guardian already been appointed
for Keith.
WHEREFORE, the Petitioner, Kim E. Jumper, prays that a Citation be issued and
directed to Keith E. Klair, the alleged incapacitated person, to show cause why he should
not be adjudged a totally incapacitated person and Kim E. Jumper appointed permanent
plenary guardian of his person and Lodge Life Services, Inc. appointed permanent plenary
guardian of his estate, with notice by personal service to the alleged incapacitated person.
Respectfully submitted,
Rhoads & Sinon LLP
Dated: � a Y�
By:
Scott Alan Mit ell
Atty. I.D. #76124
One South Market Sq., 12th Floor
P.O. Box 1146
Harrisburg, PA 17108-1146
(717) 231-6602
Attorneys for Petitioner
Exhibit "A"
�
�
PENN�TATE HERSH�Y Penn'State HersheyTel: (717) 531-8055
� 1.. Milton S. Hershey Medical Center
� �t�Xl S. H�PSlley Health Information Services, HU24
� Medical Cent�r 500 University Drive
P.O. Box 850
Hershey, PA 17033-0850
Patient Name: KLAIR, KEITH Visit Number: 18721225
MRN: 1896799
Date of Birth: 9/8/1962 Visit Type: Clinic
Patient Gender: Male Patient Location: HD07
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RESULT STATUS: Final
DOCUMENT SUBJECT: Outpatient Letter
ELECTRONICALLY SIGNED BY: Eslinger,Paul J (3/1/2013 15:21 EST); Wagner,Daymond S
(2/8/2013 14:04 EST)
February 6,2013
Name: KLAIR, KEITH
HMC Number: 9896799
DOB: 09/08/1962
Date of Service: 02/05/2013
Gary Thomas MD
Neurology 30 Hope Drive-Suite 1300
Hershey, PA 17033
Dear Dr.Thomas:
Keith Klair presented for initial interview and neuropsychological testing at the East Health Campus on Tuesday, February
5,2013.Thank you for his referral. He is a 50-year-old right-handed male with a 2-year history of multiple sclerosis (MS)
diagnosis with notable white matter changes on his most recent brain MR imaging. There have been some concerns
regarding Mr. Klair's memory and ather cognitive abilities and he presents at this time for evaluation of any progression in
his cognitive symptoms associated with MS.
History of Present Illness: Mr. Klair presented on his own to this visit. We discussed his history of MS symptoms with
Mr. Klair reporting physical symptoms such as difficulty with balance, vision and increased fatigue. We also discussed
MS-related cognitive symptoms with Mr. Klair agreeing with many concerns pointed out by his wife in their last visit with
you, such as difficulties with planning, organizing, and memory. Mr. Klair gave the example of having had at one time
owned his own business, in addition to three rental apartments. He stated that he was able to track details of these
operations without relying on notes or records. With the onset of MS, he admitted to having difficulty organizing and
recalling information. Mr. Klair reported that even simple and routine tasks became more difficult, such as the operation of
the machines in his sign printing shop. These problems were only compounded by Mr. Klair's frustration.
Past Medical History: MS diagnosed 2-3 years ago, venous insufficiency and gait disturbance, optic neuritis and further
difficulties with vision. Mr. Klair reported no history of seizure disorder. When asked about past head injuries, he
reported a couple of concussions, although these are remote to his medical history, occurring before adolescence. There
is a family history of bipolar disorder in his paternal uncle, atcohol abuse and MS in his mother's line as well as diabetes
and heart disease.
Date/Time Printed: 1/20/2014 22:42 EST Page 1 of 8
Printed By: Klinger,Doris M
_ -
' ' �
PEN�I�TATE HE�SHCY
1�1 Milton S. Hershey
� Medical �ent�r
Patient Name: KLAIR, KEITH , MRN 1896799
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Studies: Mr. Klair underwent brain MRI on March 1, 2012. Radiologist's report details bilateral periventricular and
subcortical deep white matter changes which have appeared to have increased since previous imaging. Also noted were
multiple white matter lesions in the corpus callosum and septum-cailosal interFace. Mention of similar changes were also
noted in the posterior horns of the bilateral lateral ventricles.
Medications:
1. Copaxone injections 20 mg 1 time daily.
2. Aricept 10 mg 1 time daily at bedtime.
3. Ampyra 10 mg 2 times daily.
4. Divalproex 750 mg 1 time p.m.
5. Omega-3 Krill oil 1 time daily.
6. Vitamin D 5000 international units 1 time daily.
Behavioral Health: Mr. Klair reported that he is sleeping well. He will typically retire to bed somewhere between 10:00
p.m. and 1:00 a.m. arising the next morning somewhere between 9 and 11 a.m. Mr. Klair stated that he sleeps through
the night and feels overall rested the next day despite some mild fatigue. Mr. Klair wondered aloud if this may be
attributed more to MS symptoms or rather to his sense of boredom. He reported his appetite as good with no changes in
his eating habits and no changes in his sense of smell or taste. He has cut his caffeine intake to 1 cup of coffee a day.
Unfortunately, Mr. Klair continues to smoke, but has limited himself to one-half pack daily. There are repflrts of heavy
alcohol use in the past, however, Mr. Klair stated that he is now infrequently consumes alcohol maybe once or twice a
week.
Mr. Klair attained a high school education with no reports o#difficulty in school. He had been involved in the sign painting
trade since the age of 15 and eventually opened his own business as a sign painter. He sold this business shortly
following the MS diagnosis, as he was unable to keep up with the day to day demands of that profession and has been on
disability for the past 2 years. He did report some attempts at staying active including walking and some varied exercise.
He stated no changes in his ability to pertorm household tasks and chores that he has done in the past. He manages his
own medication. From his report it sounded as if his wife is more involved with managing money than she has been in the
past. Mr. Klair is currently not driving because of his impaired vision and this has somewhat hampered his social outlets.
Mr. Klair admitted that he does experience some depression and boredom in relationship to the MS diagnosis. Mr. Klair
further reported continuing marital difficulties that cause him some distress.
Examination: Mr. Klair was administered a battery of tests to determine neuropsychological status. Tests and respective
test scores are summarized below. Mr. Klair participated well with the neurocognitive testing and the results are thought
to provide reliable and valid estimates of his current capabilities.
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WASI:
Full Scale IQ (Standard scores) 96 99 Average
VerballQ 95 96 Average
PerformancelQ 96 101 Average
Vocabulary(T-scores) 46 46 Average
Block design 42 46 Average
Similarities 48 49 Average
Date/Time Printed: 1/20/2014 22:42 EST Page 2 of 8
Printed By: Klinger,Doris M
PENl��TATE HERSH tY � �
�1 Milton S, Hershey
� Medical Center
Patient Name: KLAIR, KEITH MRN 1896799
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Matrix Reasoning 54 56 Average
W MS-R:
Logical Memory Encoding (%iles) 32nd%ile 4th%ile Borderline
Logical Memory Retrieval 19th%ile 12th%ile Low Average
Visual Reproduction Encoding 15th%ile 6th°loile Borderline
Visual Reproduction Retrieval 1st%ile 1st%ile Extremely Low
Digit Span—Forward 28th%ile 17th%ile Low Average
Digit Span—Reverse 29th%ile 51st%ite Average
Rey Complex Figure:
Immediate Recall (%iles) 5th%ile 16th°loile Low Average
Delayed Recall 1 st%ile 2nd%ile Extremely Low
Recognition Recall 34th%ile 18th%ile Low Average
Copy(%ile) >16th%ile >16th%ile Average
Time to Copy(%ile) _ <1st%ile Extremely Low
HVLT R:
Total Recall (T-scores) 1st%ile <.1st%ile Extremely Low
Delayed Recall <1st%ile <1st%ile Extremely Low
Retention <1st%ile 21st%ile Low Average
Recognition (%ile) 31st%ile <.1%ile Extremely Low
Verbal Fluency:
Letter(%iles) 6th%ile 31st%ile Average
Category 1st%ile 54th%ile Average
Trail A(%iles) <.1st%ile <.1st%ile Extremely Low
Trail B <.1st%ile <.1st%ile Extremely Low
WCST 64:
Errors(%iles) — Bth%ile Borderline
Perseverative Responses 21 st%ile'` 25th%ile Average
Perseverative Errors -- 21st%ile Low Average
Nonperseverative Errors 21st%ile* 4th%ile Borderline
Categories >16th%ile* 6-10th%ile Borderline
Judgement of Line Orientation
�%��e) 56th%ile 74th%ile High Normal
Symbol Digit Modality Test
Written (%ile) <1st%ile 1st%ile Extremely Low
Date/Time Printed: 1/20/2014 22:42 EST Page 3 of 8
Printed By: Klinger,Doris M
PENI��TAT� HERS�--i�Y ' �
� Milton S. H�rshey
� Medical �enter
Patient Name: KLAIR, KEITH MRN 1896799
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CPT 11:
Confidence Interval with ADHD
Profils -- 61.60% Better Match to Clinical Sample
Confidence Interval with
Neurological Profile — 66.90% Better Match to Clinical Sample
Brown ADD Scale:
Activation (T-scores) — 68 Elevated
Attention — 50 Average
Effort — 5g Elevated
Affect — 50 Average
Memory — 65 Elevated
Total — 59 Elevated
Beck Inventories:
Depression (Raw scores) — 17 Mild
AnxietY — 4 Minimal
Hopelessness — 6 Mild
"Scores derived from administration of full WCST
As a measure of overall cognitive ability. Mr. Klair was administered, the Wechsler Abbreviated Scale of Intelligence
(WASI). Mr. Klair overall scored within the average range in relationship to others within the same age cohart. Overall
pertormance abilities were also assessed to be within the average range. These scores are fairly commensurate with his
previous performance some 2 years.ago. Scores on subtests that comprise the WASI are also fairly equivalent with his
past pertormance. �
Learning and retention abilities were assessed using subtests drawn from the Wechsler Memory Scale, Revised
(WMS-R), the Hopkins Verbal Learning Test Revised (HVLT-R) and the Rey Complex Figure. Declines are noted in the
recall of narrative passages and the series of replication of simple line drawings. Retention and recall of a list of words is
equavelant to prior perFormance in the impared range. Immediate recall of a complex design (Rey figure)demonstrated
impravement relatve to the 2011 testing, but subsequent recall shows no improvement. Recognition recall performance
for both verbal and non-verbal material show decline.
Executive functions were further assessed with a verbal fluency task comprising both letter and category fluency, Trails A
and B, and the 64 card edition of the Wisconsin Card Sorting Test (WCST 64). Mr. Klair demonstrated improvement in
comparison to his previous performance on the verbal fluency tasks producing a total of 34 exemplars over three trials of
letter fluency and production of 20 exemplars to a category fluency trial placing him within the average range in
comparison t�others within the same age and education level. Performance on Trails A and B continues to be fairly slow
and equivalent to his previous performance. Mr. Klair required very little in the way of coaching and only incurred one set
loss error towards the end of his pertormance on Trails B. Mr. Klair demonstrated difficulty with a task of nonverbal
conceptual ability incurring a number of errors throughout. He solved for a single category within the first quarter of the
trials that comprised the WCST-64 and found it difficult to solve for a second category despite additional coaching towards
the end of this task.
Date/Time Printed: 1/20/2014 22:42 EST Page 4 of 8
Printed By: Klinger,Doris M
PENN�TATE HERSH tY �
�1 Milt�on S. Hershey
� �Vleclical Genter
Patient Name: KLAIR, KEITH MRN 1896799
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= Outpatient Lefter t
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Measures of visual spatial ability including Mr. Klair's copy of the Rey figure and full administration of the Judgment of Line
Orientation are both within the average range. Mr. Klair required a little more than 6 minutes to complete his copy of the
Rey figure. His approach was very careful and perfectionistic with the use of sketched lines and numerous erasures.
Attention, concentration, and processing speed were assessed with the digit span subtest of the WMS-R, the Symbol Digit
Modality Test(SDMT)and Connors Continuous Performance Test, Second Edition (CPT II). Mr. Klair's performance on
the written version of the SDMT continues to fall within the extremely low range in comparison to previous testing. Mr.
Klair stated that not only did he feel slowed in his pertormance and added that diffculties with vision further hampered his
performance of this task. He recited spans of numbers of 5 units forwards and up to 4 units in reverse. His performance
on an automated test of attention and vigilance placed him as a somewhat better match to the 2 clinical samples used to
standardize this measure. Aspects of his perFormance indicated inattention given the variability in his response time over
the breadth of the test.
He was administered a series of setf report scales detailing the presence of attentional problems in the context of
everyday activity as well as scales assessing the levels of depression and anxiety symptoms. On the Brown ADD Scale,
Mr. Klair reported elevated scores in regards to items having to deal with activation and organization, the sustaining of
effort over a period of time and recalled information from rote memory. He reported levels of depression symptoms within
the mild range on the Beck Inventories, citing many vegetative symptoms including changes in sleep and appetite,
increased fatigue. He also included a number of cognitive symptoms too, mainly being irritatiorr and the sense of
worthlessness and difficulties with concentration.
Impression: Keith Klair is a 50-year-old right-handed gentleman with a 2-year history of MS associated with physical and
cognitive symptoms. His neuropsychalogical testing profile revealed scores that have declined in areas of learning and
short-term recall of new information, aspects of attention and sustained concentration as well as elevated symptoms of
depression. Most of the remainer af test scores remained stable,with some areas continuing to be in the impaired range
(e.g., memory, executive functions, processing speed)and other areas remaining within the normal range (e.g., general
intellect, visual perception). A couple of areas showed some improvement(e.g., verbal fluency, spatial judgment).
Plan of Care: Mr. Klair is scheduled to return to the clinic for discussion of findings. We will be back in touch with regards
to further thoughts and recommendations.
Thank you for allowing us to participate in his care.
Five (5) hours of neuropsychological technician testing were provided this day. Suggested ICD-9 coding could include
multiple sclerosis, memory loss, and mild cognitive impairment.
Date/Time Printed: 1/20/2014 22:42 EST Page 5 of 8
Printed By: Klinger,Doris M
PENN�TATE HER�HtY �
�-1 Milton S. Hershey
� Medical Center
Patient Narne: KLAIR, KEITH MRN 1896799
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Elecfronic Signature on File
CC: Gary A Thomas, MD
Neurology
30 Hope Drive
Suite 1300
Hershey PA 17033
Sincerely, , ,
Daymond S Wagner Author Signafure Dt/Tm: 02/08/2013 02:04 PM
Elecfronically Reviewed/Signed by.- Pau!J Eslinger, PhDCosigner Signature Df/Tm: 03/01/2013 03:21 PM
Professor and Clinical Neuropsychologist
Depfs of Neurology, Neural&Behaviora!Sciences, &Pediatrics
Penn State Milton S.Hershey Medical Center
H037,PO Box 850, Hershey, PA 17033
DSW/DMO DD: 02/06/13 DT.� 02/06/13 13:30
Date/Time Printed: 1/2012014 22:42 EST Page 6 of 8
Printed By: Klinger,Daris M
PENI�I�TATE HER�HCY
�1 Nlilton S. Hershey
� Medical Center
Patient Name: KLAIR, KEITH MRN 1896799
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:Last Updated: 4/28/2011 10:08 EDT; Bruggemeier,Jean M :Classification. Medical; Confrmation: Confirmed; Code:
1223980016; Course: ; Onset Date: ; Prognosis: ;
?Persistence:
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;Recorder: Bruggemeier,Jean M; Responsible Provider: ;
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:Life Cycle Date: 4/28/2011 . .... . . . . . Life Cycle Status: Active
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Last Updated: 4/28/2011 10:09 EDT; Bruggemeier,Jean M Classification. Medical; Confirmation: Confirmed; Code
' 31960011; Course: ; Onset Date: ; Prognosis: ;
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:Recorder: Bruggemeier,Jean M; Responsibie Provider: :
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;Life Cycle Date: 4/28/2�11 :Life C cle Status: Active
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:Last Updated:�5/31%2013 13:30 EDT; Eslinger,Paul J ��� � Classification.��Medical;�Confirmation: Confrmed; Code �
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:Recorder: Eslinger,Paui J; Responsible Provider: .
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�Last Updated: 4%28%2011 10:09�EDT; Bruggeme'ier,Jean M Classification. Medicel;�Confirmation:�Confrmed;�Code ���
139690015; Course: ; Onset Date: ; Prognosis: ;
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:Life Cycle Date: 4/28/2011 :Life Cycle Status: Active
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Date/Time Printed: 1/20/2014 22:42 EST Page 7 of 8
Printed By: Klinger,Doris M
PENNSTATE HERSHcY
� Milton S. �-Iershey
� Med.ic� Center
Patient Name: KLAIR, KEITH MRN 1896799
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:4/28/2011 10:06 EDT :Bruggerneier,Jean M Reaction Status Active; Allergy Type Allergy; Reviewed By
:McCormick,Aileen T; Reviewed Date/Time 6/14/2013 15:51 EDT;
: : ;Recorded On Behalf Of Bruggemeier,Jean M
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Date/Time Printed: 1/20/2014 22:42 EST Page 8 of 8
Printed By: Klinger,Doris M
Exhibit "B"
IN RE: KEITH E. KLAIR
DEPOSITION BY INDIVIDUAL QUALIFIED IN EVALUATION OF
INCAPACITATED PERSON
�
The deposition of Paul J. Eslinger, Ph.D., a witness in this matter, made on the�day
of�l, 2014, at Hershey, Pennsylvania.
�� What is your name and professional address?
a. My name is Paul J. Eslinger, Ph.D., ar�d my prcfessianal address is:
Penn State Hershey Neurology
30 Hope Drive, Building B, Suite 1300
Hershey, PA 17033
2. Please describe your education, training, and background with particular emphasis
on your expertise in evaluating individuals with incapacities. If you prefer to do
so, please attach curriculum vitae to those interrogatories that detail this
information.
a. (Cross out that Answer that does not apply.)
i.✓My curriculum vitae detailing this information is attached.
Or
II. �" "_ _� ____ __��.. �YartNPP i]l �"�+
at
�,,,� r �,.,.,o �,.�;,.ed
.--{�;g.
' •), , , ,
si.��--
b. My special qualifications and training with respect to evaluating persons with
incapacities consists of:
1'e,�'f�x(��rc�,r.�'t ih�- � l,-�(�zu,a�c,vu' i:�. e,�a.��c6c'�r� n�P���.t�i.u�
-�ii,u.c�uui�s � �a�►�e c'.� ,�c -�� �a-��a w�-� ►�v�.�rc�—
C9u�i�vts . ,�w,�. �- n�t,�e �.��u,�v�� mE;vn�v re�,4c � �e.
c�u:��..A-�, ��i'�'"c�f� vn �C�'L�+�1,c� YI P�GI/��S�C��� GLr� G�P�tit+ r GQ�
� �SG�c�- 1v(�caQ �e�r .��r�ce 1�1�10.
942358.2
3. In what states are you licensed to practice f����'�e-'me'?�
a. I am licensed to practice ����n the following states:
�'�c,t vtfiv�(ivqivU�:�
4. In your capacity (e.g. physiciar�psychologis�ocial worker, etc.) have you had
the opportunity to meet wrth, �� nim e,�speak with and otherwise become
acquainted with Keith E. Klair and if so, upon what occasions and in what
fashion have you been able to do so?
a. I first become acquainted with Keith E. Klair the month of
!3 , when he was brought to my attention by means of
�sf- `bY. .�� I have since that time
(v sited spoken wit examined/treated) him on _� other occasions
with an average frequency of ceQQw� 11�a,�c(� aol� times per ---
(day/week/month/year).
5. To a reasonable degree of inedical certainty, do you have an opinion as to whether
the ability of Keith E. Klair to receive and evaluate information effectively and to
communicate decisions is in any way impaired to such significant extent that he
is:
a. Partially unable to manage his financial resources,
or
b. Totally unable to manage his financial resources.
Yes, my opinion is � b.ecBCC� � �, �1P,l,tn.�c0�� i.v�ati'�� �In.
�Q�wc �ca. ��- cv�� �-�',,,�,� fii��aQr.ea�.�'e�
6. To a reasonable degree of inedical certainty, do you have an opinion as to whether
the ability of Keith E. Klair to :eceive ar�d evaluate information effectively and to
communicate decisions is in any way impaired to such significant extent that he
is:
a. Partially unable to meet essential requirements for his physical health and
safety,
or
b. Totally unable to meet essential requirements for his physical health and
safety.
Yes, my opinion is � )'1M�� �,q, ��Z�QQ�,�-��1Z�i4 7YleC���„�'��
�4��� ��. �X�rr`t�.�1��2�cRa� CLf,� �,�e,�.
_
7. Please describe the type and severity of any impairments of Keith E. Klair ?
a. The impairments of Keith E. Klair are as follows:
Impairment (Circle one)
a) �-Cb`"� none mild moderate severe
b) ��- �^"� W`�"'�"�'�' none mild moderate severe
c) �e�-�� ���°"�S none mild moderat severe
d) �"u5��c�- t`+'�+�'-� none mild oderate \ severe
e) ��u� ��a��'Q� � none mild moderate severe �
fl �,�,�,o-�.a..� ��''"'��''�� �" � 11 none mild moderate � severe
.—,,
g) .����� S�-G.cc��cyeu�aiL none mild modera severe
h) none mild moderate severe
8. To a reasonable degree of inedical certainty, can you express an opinion as to
whether Keith E. Klair is partially or totally unable to manage his financial
resources?
a. The ability of Keith E. Klair to manager his financial resources is impaired
(not at all, partially, totally) as follows:
Yes, my opinion is�'j�� j�P,�$� {(�a,,,�,��,�. �� i� C„�
w�Qiwz��,�-a( --�'ka,�.v�uctco� v�oovre.Q� .
�—v�
9. To a reasonable degree of inedical certainty, can you express an opinion as to
whether Keith E. Klair is able to meet essential requirements for his physical
health and safety?
a. The ability of Keith E. Klair to meet essential requirements for his physical
health and safety is impaired (not at all, partially, totally) as follows:
Yes, my opinion is � � ��- d�,���P .�4 ru,e2�
,��� �������� �� �� �� � �
° U
10. Can you please evaluate the present condition of Keith E. Klair with respect to
incapacities of the type alleged in the Petition. In particular, could you please
comment on the nature and extent of the alleged incapacities and disability and
also, insofar as you are able, the mental, emotional, and physical condition of
Keith E. Klair , his adaptive behavior, and his social skills?
a. Based upon my education, training and experience, as well as my
acquaintance with Keith E. Klair, as stated above, it is my opinion that his
incapacities and disabilities are:
Sev��Qia- ��- �i.�c-�-d�:��h�at.�R%�v►�i � G1�� YY��4 Sc�-W�'�.
�d`e -1�.c .�u;�. ,���'.�u�.P�- -�.�u�c�+� Gc-t�;��ea a� �,�.�►�eG�ae�.��a .
—�
b. His mental condition:
La�.�= t iw�v % a,� orr�w - ��� �►cc� a��-�.,�
_�,ryna.�-. .e.�ea�:�,Me �'�:�s �u-�o,n . �P�-�n.��.n... 4� ��'.e��-
c. His emotional and physical conditions are:
�� Q�ce�a- � � ,Qi� �t�2 �P��r.�- ¢� l r�,Ce.cca,��r c ���
�2�:�- �e�e�s� . P����. ��P ,�P ��e,G��r.�.p.
11. Is the condition of Keith E. Klair such as would make him susceptible to be taken
advantage of by unscrupulous or designing persons?
a. His adaptive behavior is:
a,����-�n n�c���. S U�?.�A- G�B!y�Rk �0 7�.P �� o � !�'ZSu�x.P
� ��:�.�i.Q�G �r�+Z � � `�- t��
(,tn� �,� 2G�s� Co- �k,� � � ��s.
b. His s ial skills are:
��� � �-�e �c�.e�-}� `�e eavt�-�a� c+�.a�r,����.+.dl�n
�� �.G4 ,�-I��Ub�t� ��t.t�t �6CCiGQ �� W�' ��tt��C ��+��5 .
12. What recommendations would you make concerning services necessary to meet
the essential requirements for the physical health and safety of Keith E. Klair ?
a. I would recommend that his physical health and safety be protected by
� -�� � � �� �.� ��� �j� �
� � ��� � � ��.� �- ����- .
13. What r�r�ndations would you e concerning m a�fft of the fi a ial
resources of Keith E. Klair ?
a. I would recommend the following:
��,,�e c� �'.� c��P � ' ti.. � �
�/'.boowv ,
14. What recommendations would you make concerning the development or
regaining of physical or mental abilities of Keith E. Klair ?
a. I would recommend the following:
�� f¢�e 7�' win, y -r. '�G✓ Go�'��� ,]��k
� `
15. Wh t types o ssistan�I��o you think are required by Keith E. Klair?
a. I believe he needs assistance with the following:
f�.� i3���u4�i,e�, C'�C ��C¢�
� � � � � �.����
16. Why is it n less restf�I ve alternatives � d be ap ro ate?
��tck:�c�-
(,-
a. Less restrictive alternatives would not be appropriate because
� �- ��. ���, �-�� �`���
,.�
17. What is the probability that the extent of incapacities of Keith E. Klair may
significantly change?
a. In my judgment, and based upon my experience, training and acquaintance
with Keith E. Klair, I believe the probability that his incapacities may
significantly lessen or change is:
G� ,�e w�`� �{`�.ue �`�e r ���;��Cx.a ��
;r� ��� �e w��. � {�., ���c ��.
18. Would the physical or mental condition of Keith E. Klair be harmed by his
presence in open court?*
a. I believe that the presence of Keith E. Klair in open C rt would ( tno �e
harmful to him because
.� �i�,c�c t;�.e..c� � .�G�.d.�,u..`� ;c� n,ce.�e�
*NOTE: Pennsylvania law (20 Pa. C.S. §5511(a)(1) requires that the alleged incapacitated
person must be present at the hearing unless a physician or licensed psychologist provides by
testimony or statements, an opinion that his/her physical or mental condition would be harmed
by his/her presence.
VERIFICATION
I, Paul J. Eslinger, Ph.D., verify that the statements made in the foregoing Deposition are
true and correct to the best of my knowledge, information, and belie£ I understand that the
statements herein are subject to the penalties of 18 Pa. C.S. §4904 relating to unsworn
falsification to authorities.
w
Paul slinge Ph.D.
Dated: �u� ��, 0��
-��
ESLINGER, PAUL J CURRICULUM VITAE
Updated March 2014
Biographical Information
Name: Paul J. Eslinger, Ph.D.
Address: Department of Neurology, EC037
Director, Programs in Clinical Neuropsychology and Cognitive Neuroscience
Penn State Hershey Medical Center and Clinical Neuroscience Institute
500 University Drive/PO Box 859
Hershey, PA 17033-0859
Telephone: (717) 531-1804 (Secretary: Evelyn Vanasdalan)
Fax: (717) 531-4694
E-mail: peslinger(�psu.edu
Universitv Web Links
http://www.pennstatehershey.org/findaprovider/provider/849
http:i/prafiles.psu.ec�u/profiles/PrafileDets�ils.aspx?From=SE&.Person=l.1 S6
Academic Background
1974 Fordham University(Major: Psychology; Minor: Philosophy) B.S.
1978 Texas Christian University(Experimental Psychology-Neuroscience) M.S.
1980 Texas Christian University(Experimental Psychology-Neuroscience) Ph.D.
Professional and Academic Positions
1976-1979 Chemistry of Behavior Fellow, University Fellow and Lecturer, Department of
Psychology,Texas Christian University
1979-1981 Post Doctoral Fellow in Behavioral Neurology and Neuropsychology, Department
of Neurology, University of Iowa College of Medicine/UI Hospitals and Clinics
1981-1983 NINCDS Post Doctoral Fellowship in Clinical Neuropsychology, Department of
Neurology, University of Iowa College of Medicine/UI Hospitals and Clinics
1983-1986 Chief Neuropsychologist,Assistant Professor(Adj) and Associate Research
Scientist, Division of Behavioral Neurology(Neurobehavior Clinic, Benton
Laboratory of Neuropsychology and Alzheimer's Disease Research Center&
Clinic) Department of Neurology, University of Iowa College of Medicine/UI
Hospitals and Clinics
1986-1990 Assistant Professor, Dept of Psychiatry&Human Behavior, Brown University
Program in Medicine; Director, Neurobehavior Diagnostic&Research
Laboratory, Rhode Island Hospital
1987-1990 Consulting Neuropsychologist,Virks Rehabilitation Unit, Rhode Island Medical
Center
1990- Associate Professor, Departments of Medicine (Division of Neurology) and
Behavioral Science, Penn State College of Medicine/Hershey Medical Center
Director, Clinical Neuropsychology and Cognitive Neuroscience Program, Penn
State University College of Medicine/Hershey Medical Center
1990- Consulting and Rehabilitation Neuropsychologist,Surgical Epilepsy Program and
University Hospital Neurorehabilitation Unit, Hershey Medical Center
1990- Graduate Faculty, Interdisciplinary Program in Neuroscience, Penn State
University College of Medicine
1996- Professor with tenure, Departments of Medicine (Division of Neurology) and
Behavioral Science, Penn State University College of Medicine
1
ESLINGER, PAUL j CURRICULUM VITAE
2000- Professor, Department of Pediatrics (Division of Developmental Pediatrics and
Learning), Penn State University College of Medicine; Medical Staff, Hershey
Medical Center
Professor, Departments of Neurology, Neural&Behavioral Sciences,and
Radiology(Center for NMR Research), Memory and Aging Program in the
George M. Leader Alzheimer's Research Laboratory, Penn State College of
Medicine/Hershey Medical Center
2011- Professor, Departments of Public Health Sciences, Penn State College of
Medicine/Hershey Medical Center
Membership in Professional Societies
American Psychological Association (Division 40: Clinical Neuropsychology)
International Neuropsychological Society
World Federation of Neurology Research Group on Aphasia and Cognitive Disorders
Universitv and Administrative Service
2011- Medical Student Research Committee (Dept. of Neurology Representative)
2010- Department of Neurosurgery Promotion and Tenure Committee
2008- CUMED I&II Committee, Penn State University College of Medicine
[Chair, 2011-]
2006-8 College of Medicine Promotion and Tenure Committee
2006-8 Pediatrics Peer Review of Teaching Committee
2005- Promotion and Tenure Committee, Dept. of Neurology, PSU College of
Medicine
2001-05 University Faculty Senate
Committee on Research (Chair- 2003-5;Vice Chair-2002-3)
Library Advisory Committee (Member 2001-2)
University Search Committee for Department Chair(Psychiatry)
University Search Committee for Department Chair(Neural and Behavioral
Sciences)
2000-2 Geriatric Health Working Group, Hershey Medical Center
1997-99 Advisory Committee,Gerontology Center, PSU College of Health and Human
Development
1996-2004 Promotion and Tenure Committee, Dept.of Medicine, PSU College of Medicine
1993- Thesis, Doctoral Qualifying Exam and Dissertation Committees, Departments of
Psychology,Speech Communications, Nursing,and Instructional Systems; PSU
Graduate and Medical Colleges, Catholic University; The Union Institute
George T. Harrell Library Advisory Committee, Penn State College of Medicine
1990- Supervision and mentoring of research assistant,psychology technician, clinical and
research practicum students,graduate students,fellows and junior faculty
1990- Teaching(formal lectures,seminars,problem-based learning program, clinical
rotations,cognitive neuroimaging lab) in graduate Neuroscience Ph.D. Program;
graduate Medical School (MD/MD, PhD) Program,and post graduate Resident
Seminar Series (Neurology, Medicine, Neurosurgery); Supervisor for
Undergraduate and Post-graduate Clinical Psychology students in Clinical
Neuropsychology
1988-90 Internship Admissions Committee, Brown University Clinical Psychology Internship
Program
1976-79 Psychology Chairman Search Committee (1977-1978),and Chemistry of Behavior
Program Steering Committee (1976-1979),Texas Christian University
2
ESLINGER, PAUL J CURRICULUM VITAE
ClinicalServices
Specialty Clinics in Memory Disorders, Concussion and Neuropsychology: diagnostic and treatment
services
University Hospital Rehabilitation Center: inpatient diagnostic and treatment services
Inpatient Consultation Service for Intensive Care, Neurology, Cardiology&Psychiatry Units
Teachin�
Graduate Currriculum:
Neural and Behavioral Sciences 521: Systems Neuroscience
Neural and Behavioral Sciences 522: Seminar in Systems Neuroscience
Public Health Sciences 500: Responsible Conduct of Research
Public Health Science 519: Patient Oriented Research
Medical Curriculum:
Neural and Behavioral Sciences 725: Cortical Syndromes; Subcortical Syndromes
Problem Based Learning(Neural and Behavioral Sciences Block)
Post Graduate Medical Curriculum
Neurology Residents/Fellows Seminar Series
Neurosurgery Residents/Fellows Seminar Series
Child Psychiatry Fellows Seminar Series
Rehabilitation Unit Inservice: Management of behavioral problems after traumatic brain injury
Other Professional Activities
Licensed Psychologist
Commonwealth of Pennsylvania (1990-present)
Rhode Island (1986-90)
Iowa (1981-86)
Diplomat,American Board of Forensic Examiners (DABFE) and Psychological Specialties (DABPS)
Consultant/Collaborator,Stanford Research Institute Intl. (Health Sciences) (1988-2003) (Dr.Gary
Swan)
Consultant/Collaborator,University of Pennsylvania Center for the Study of Neurodegenerative
Diseases Department of Neurology(2002-present) (Dr. Murray Grossman)
Consultant/Collaborator,State University of New York-Syracuse, Department of Psychiatry and
Behavioral Sciences (Dr.Usha Satish)
Consultant and Lecturer, Education Commission of the States (1998-1999)
Data Safety Monitoring Board, University of Iowa Program on Obstructive Sleep Apnea and Driving
Safety(Rizzo M, PI) December 14, 2011 Phone Conference and ongoing monitoring
External Advisory Committee for the Faculty of Human Sciences,University of Cologne,in the
selection of a Professorship in Biological Psychology and Cognitive Neuroscience (October-
December 2011)
Co-sponsor, Mentored Clinical Scientist Development Award (K08-NS02085: Dr.Anna Barrett)
NIH Consensus Conferences- Invited Participant, NICHD 1/94,9/94,4/95; Office of Alternative
Medicine 3/94
3
ESLINGER, PAUL J CURRICULUM VITAE
NIH/NINDS Expert Advisory Panel: Cognitive Rehabilitation Interventions: Moving from Bench to
Bedside (2004-5)
Editorial Board: Developmenta!Neuropsychology, Cognitive and Behavioral Neurology
Editor:Social Neuroscience
Ad hoc Reviewer:Neuropsychology,Archives of Neurology,Neurology,Neuropsychologia,Neurobiology of
Aging,Brain and Cognition,Journal of Nervous&Mental Disease,Psychological Assessment,Neurocase,
Social Neuroscience, Developmental Neuropsychology, Cortex,Brain,Physiology and Behavior,Magnetic
Resonance Medicine,Human Brain Mapping
Grant and site visit reviewer: National Science Foundation, Department of Veterans Affairs,
American Federation for Aging Research,National Institute of Aging, National Institute of Child
Health and Human Development, NINDS Scientific Review Branch (1988, 1990, 1993-1999, 2000,
2003, 2005), Hong Kong Institute of education (2013-4)
National Scientific Advisory Council,American Federation for Aging Research (1994-2004; 2011-)
Technical Expert Advising Group-Agency for Health Care Research and Quality, UNC-RTI
Evidence-Based Practice Center. Project on Social Security Criteria for Speech and Language
Disorders in Adults and Children (2000-2001)
Merit Review Committee,U.S. Department of Veterans Affairs (5 review cycles)
Program Committee/Session Chair,Annual Meeting of the International Neuropsychological Society
(1990, 1996, 1997, 1998)
Faculty,American Academy of Neurology Annual Meeting, 1986
Editor/Co-Editor: Special issues of Developmental Neuropsychology(1991; 2000); Neurocase
(1999); Cognitive and Behavioral Neurology(2005)
Mini-Residency for Health Professionals in Alzheimer's Disease: University of Pittsburgh
Alzheimer's Disease Research Center, Pittsburgh PA, March 2008.
Dissertation Committees
Graduate Comprehensive Examination and Dissertation Prospectus Committee: Glenda Shoop (Major Field:
Instructional Systems), Penn State University November 1, 2011.
Graduate Comprehensive Examination and Dissertation Prospectus Committee: Megha Patel (Major Field:
Cognitive Neuroscience), Penn State University September 5, 2011.
Graduate Comprehensive Examination and Dissertation Prospectus Committee (December 12, 2011) for
Lauren Massimo, University of Pennsylvania School of Nursing
Dissertation Committee with Defense and for Christopher Lieu, Dept.of Neurology(Graduate Neuroscience
Program),October 5, 2011
Dissertation Committee with Defense for Robert G. Franklin, PSU Department of Psychology(Major Field:
Social Psychology) "Mentalizing and Its Influence on Face Memory:A Social Cognitive and Neural
Investigation"July 25, 2011.
Master's Thesis Committee,Susan Costantino PSU (Harrisburg) "Testing of the Dual Visual Pathway Theory
using a Clinical Sample"Ongoing
4
ESLINGER, PAUL J CURRICULUM VITAE
Lauren Massimo (University of Pennsylvania School of Nursing) "The cognitive and neural basis for apathy
in frontotemporal degeneration". Defense completed February 17, 2014.
Glenda Shoop, PSU (Major Field: Instructional Systems) "The effects of using concept mapping as an artifact
to engender metacognitive thinking in first-year medical students'problem-based learning discussions:A
mixed-methods investigation." Defense completed May 22, 2012.
Robert Franklin, PSU (Major Field: Social Psychology) "Mentalizing and Its Influence on Face Memory:A
Social Cognitive, Neural,and Applied Investigation" Defense completed July 25, 2011.
Kylie Celeste Brownfield (Monash University, Research Graduate School) "Empathy in Adolescents with
early Brain Injury". Defense completed April 14, 2011.
Arielle Taylor(University of New South Wales,School of Psychology) "Why don't you feel and understand
how I feel? Insight into the absence of empathy after severe Traumatic Brain Injury" Defense completed
March 15, 2011.
Byeong-Yeul Lee, PSU (Major Field: MRI/Bioengineering) "In Vivo Neuroimaging Studies of Restless Legs
Syndrome Using MRI and MRS: Consequence of Iron Deficiency on Cerebral Morphology and Metabolism".
Defense completed September 29, 2010.
Melissa Robinson-Long(Penn State College of Medicine) "Investigation of the neural substrate of human
sociality in children and adolescents:A developmental fMRI study. Defense completed May 13, 2009.
Research Interests and Activities
Cognitive and neuroimaging investigation of:
� Social cognition and behavior
� Cognitive Aging, Memory Loss and Alzheimer's disease
• Frontotemporal dementias
• Development and maturation of executive functions and decision-making capabilities
• Traumatic brain injury from sports and other injuries
Development of cognitive rehabilitation modalities and outcome-based measures for brain
alterations in children,middle age and older adults.
Formulation of neurodevelopmental models of cognitive and social maturation.
Publications
1. Lee E-Y, Eslinger PJ, Du G, Kong L, Lewis MM, Huang X. Olfactory-related cortical atrophy is
associated with olfactory dysfunction in Parkinson's disease.Movement Disorders, 2014,
published online.
2. William Reginold, Sarah Duff-Canning,Christopher Meaney, Melissa J.Armstrong,Susan Fox,
Brandon Rothberg, HBAI,Cindy Zadikoff,Nancy Kennedy, David Gill,Paul Eslinger. Impact of
mild cognitive impairment on health-related quality of life in Parkinson's disease.Dementia and
Geriatric Cognitive Disorders 2013: 3; 36:67-75 (DOI: 10.1159/000350032).
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ESLINGER, PAUL J CURRICULUM VITAE
3. C. Marras, MD, PhDI•z M.J.Armstrong, MD1-z,C.A. Meaney, MSc3,S. Fox, MRCP(UK), PhDl�z B.
Rothberg, HBAl-z,W. Reginold BSc,l D. F.Tang-Wai, MD,12 D.Gill, MD4, Eslinger PJ et al.
Measuring Mild Cognitive Impairment in Patients with Parkinson's disease.Movement
Disorders, 2013: 28; 626-633.
4. Sterling N, Du G, Lewis MM, Dimaio C, Kong L,Eslinger PJ, Huang X.Striatal shape in
Parkinson's disease.Neurobiology ofAging 34:2510-6; 2013 (Nov)
5. Eun-Young Lee,Suman Sen,Paul J.Eslinger, Daymond Wagner, Michele L.Shaffer, Lan Kong,
Mechelle M. Lewis, Guangwei Du,Xuemei Huang. Early cortical gray matter loss and cognitive
correlates in non-demented Parkinson's patients. Parkinsonism and Related Disorders 2013;
19:1088-93.
6. RJ Naik,JB Wagner, D Chowdhury, ML Barnes, DS Wagner, KC Burson,PJ Eslinger and JB Clark.
The impact of cerebral embolization during infant cardiac surgery on neurodevelopmental
outcomes at intermediate follow-up.Perfusion. Published online 17 February 2014.
7. Eun-Young Lee, Eslinger PJ, Du G, Kong L, Lewis MM, Huang X.Cortical atrophy and its
association with olfactory dysfunction in Parkinson's disease.Movement Disorders Published
online in Wiley Online Library February 2014,DOI: 10.1002/mds.25829.
8. Karunanayaka P, Eslinger PJ,Wang J-L,Weitekamp CW, Molitoris S,Gates KM,Molenaar PCM,
Yang QX. Networks Involved in Olfaction and Their Dynamics Using Independent Component
Analysis and Unified Structural Equation Modeling.Human Brain Mapping,published online
2013.
9. Lloyd T,Shaffer ML,Stetter C,Widome MD, Repke J,Weitekamp MR, Eslinger PJ, Bargainnier SS,
Paul IM. Health knowledge among the millennial generation.Journal of Public Health Research
2013; 2: 38-41.
10. Eslinger PJ, Zappala G, Chakara F, Barrett AM: Cognitive impairments. In Zasler ND, Katz DI,
Zafonte RD (Eds.) Brain Injury Medicine, Principles and Practice. Second Edition. Demos
Publishing: New York,2013.
11. Eslinger PJ, Flaherty-Craig CV, Chakara FM. Rehabilitation and management of executive
function disorders. In Barnes M, Good D (Eds.) Handbook of Clinical Neurology. Neuro-
rehabilitation, 2013.
12. Armstrong MJ, Naglie G, Duff-Canning S, Meaney C, Gill D, Eslinger PJ, Zadikoff C, Mapstone M,
Chou KL, Persad C, Litvan I, Mast BT, Fox S,Tang-Wai DF,&Marras C. Roles of Education and IQ
in Cognitive Reserve in Parkinson's Disease-Mild Cognitive Impairment. Dement Geriatr Cogn
Disord Extra 2012;2:343-352 (DOI: 10.1159/000341782)
13. Galletta E, Lequerica AH, Pekrul SR, Eslinger Pj, Barrett AM: Visual distraction: An
altered aiming spatial response in dementia. Dement Geriatr Cogn Disord Extra 2012; 2:
229-237 (DOI: 10.1159/000338571)
14. Eslinger PJ, Moore P, Antani S, Anderson C, Grossman M. Apathy in frontotemporal
dementia: behavioral and neuroimaging correlates. Behavioural Neurology 2012; 25:
127-136.
15. Wang J, Shaffer ML, Eslinger PJ, Sun X, Weitekamp CW, Patel MM, Dossick D, Gill DJ,
Connor JR,Yang QX. Maturational and aging effects on human brain apparent transverse
relaxation. PLoS One. 2012;7(2):e31907.
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ESLINGER, PAllL J CURRICULUM VITAE
16. Baker DP, Salinas D & Eslinger PJ. An envisioned bridge: Schooling as a neurocognitive
developmental institution.Developmental Cognitive Neuroscience 2012; 2S: S6-S17.
17. Royer M, Ballentine N, Eslinger PJ, Houser K, Mistrick R, Behr R, Rakos K. Light therapy for
seniors in long-term care.Journal of the American Medical Directors Association 13: 100-2, 2012.
18. Zappala G, Thiebaut de Shotten M, Eslinger PJ. Traumatic brain injury and the frontal lobes:
What can we gain with diffusion tensor imaging?Cortex 2012; 48: 156-165.
19. Eslinger PJ, Moore P, Anderson C, Grossman M. Social cognition, executive functioning, and
neuroimaging correlates of empathic deficits in frontotemporal dementia. Journal of
Neuropsychiatry and Clinical Neurosciences 23:74-82,2011.
20. Eslinger PJ. Functional neuroanatomy of the limbic system. In Davis AS (Ed.) Handbook of
Pediatric Neuropsychology[pp. 137-146].Springer Publishing: New York,January 2011.
21. Grossman M, Eslinger PJ,Troiani V,Anderson C•Avants B, Gee JC, McMillan C, Massimo L, Khan A,
Antani S. The role of ventral medial prefrontal cortex in social decisions: Converging evidence
from fMRI and frontotemporal lobar degeneration.Neuropsychologia,48: 3505-12, 2010.
22. Wang J. Eslinger PJ. Doty RL. Zimmerman EK. Grunfeld R. Sun X. Meadowcroft MD. Connor JR.
Price JL. Smith MB. Yang QX. Olfactory deficit detected by fMRI in early Alzheimer's disease.
Brain Research, 1357: 184-94, 2010.
23. Eslinger PJ, Robinson-Long M. Crucial developmental role of prefrontal cortical systems in
social cognition and moral maturation: Evidence from early prefrontal lesions and fMRI. In
Zelazo P, Chandler M, Crone E (Eds.) Developmental Social Cognitive Neuroscience [pp. 251-267].
Psychology Press: New York, 2010.
24. Robinson-Long M,Wang J, QX Yang, M Meadowcroft, P J Eslinger. fMRI evidence for binding and
consolidation pathways for face-name associations: Implications for associative memory
disorders. Topics in Magnetic Resonance Imaging (Special Issue on Cognitive Disorders)
2010;20: 271-278, 2010.
25. Eslinger PJ, Robinson-Long M, Realmuto J, Moll J, Oliveira-Souza R de, Moll F, Wang J, Yang QX.
Developmental frontal lobe imaging and moral judgment: Arthur Benton's enduring influence
60 years later. Iournal of Clinical and Experimental Neuro�sychology 31: 158-169, 2009.
26. Thompson K, Biddle KR, Robinson-Long M, Poger J, Wang J, Yang QX, Eslinger PJ. Cerebral
plasticity and recovery of function after childhood prefrontal cortex damage. Develo mental
Neurorehabilitation 12: 298-312, 2009.
27. Flaherty-Craig C, Brothers A, Dearman B, Eslinger P, Simmons Z. Penn State screen exam for the
detection of frontal and temporal dysfunction syndromes: Application to ALS. Amyotro_ph
Lateral Scler 10:107-112, 2009
28. Eslinger PJ, Blair C, Wang J, Lipovsky B, Realmuto J, Baker D, Thorne S, Gamson D, Zimmerman E,
Rohrer L, Yang QX. Developmental shifts in fMRI activations during visuospatial relational
reasoning.Brain and Cognition 69: 1-10,2009.
29. Garza JP, Eslinger PJ, Barrett AM. Perceptual-attentional and motor-intentional bias in near and
far space. Brain and Cognition 68:9-14, 2008.
30. Eslinger PJ, Biddle KR. Prefrontal cortex and the maturation of executive functions, cognitive
expertise, and social adaptation. In Anderson V, Jacobs R, Anderson PJ (Eds.) Executive
Functions and the Frontal Lobe• A Lifesnan Perspective [pp.299-316]. Taylor & Francis: New
York, 2008.
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ESLINGER, PAUL J CURRICULUM VITAE
31. Satish, U, Streufert S, Eslinger PJ. Simulation-based executive cognitive assessment and
rehabilitation after traumatic frontal lobe injury: A case report. Disability and Rehabilitation
Research. 30:468-78, 2008.
32. Eslinger PJ. The frontal lobe: Executive, emotional, and neurological functions. In Marien P &
Abutalebi J (Eds.) Neuronsychological Research. A Review [pp.379-408] Psychology Press:
Hove and New York 2008.
33. Eslinger PJ, Zappala G, Chakara F, Barrett AM: Cognitive impairments after TBI. In Zasler ND,
Katz DI, Zafonte RD (Eds.) Brain Injurv Medicine Principles and Practice. [pp. 770-790]. Demos
Publishing: New York, 2007.
34. Blair C, Knipe H, Cummings E, Baker DP, Gamson D, Eslinger P, Thorne SL. A developmental
neuroscience approach to the study of school readiness. In Pianta RC, Cox MJ, &Snow KL (Eds.)
School Readiness and the Transition to Kindergarten in the Era of Accountabilit� [pp. 149-
174].Paul H. Brookes: Baltimore, 2007.
35. Eslinger PJ, Moore P, Troiani V, Antani S, Cross K, Kwok S, Grossman M. OOPS! Resolving social
dilemmas in frontotemporal dementia. Iournal of Neurology. Neurosurgery and PsychiatrX 78:
457-60, 2007.
36. Zimmerman EK, Eslinger PJ, Simmons A. Barrett AM. Emotional perceptual deficits in persons
with amyotrophic lateral sclerosis. Cognitive and Behavioral Neurolo,gy 20(2): 79-82, 2007.
37. Barrett AM, Eslinger PJ. Amantadine for adynamic speech: Possible benefit for aphasia.
American Journal of Physical Medicine and Rehabilitation 86(8): 605-12, 2007.
38. Flaherty-Craig C, Eslinger PJ, Stephens B & Simmons Z. A rapid screening battery to identify
frontal dysfunction in patients with ALS. Neuroloev 67: 2070-72, 2006.
39. Satish U, Streufert S, Eslinger PJ. Measuring executive function deficits following head injury:An
application of SMS simulation technology.The Ps.ycholo�ical Record 56: 181-190, 2006.
40. Yu F, Koslowski A, Eslinger PJ. Improving cognition and function through exercise intervention
in Alzheimer's disease.Journal of Nursing Scholarship 38: 358-365, 2006.
41. Eslinger PJ, Dennis K, Moore P, Antani S, Hauck R, Grossman M. Metacognitive deficits in
frontotemporal dementia.Journal of Neurology. Neurosurgery and Ps, cy hiatrX 76: 1630-5, 2005.
42. Wang J, Eslinger PJ, Smith MB, Yang QX: Functional MRI study of human olfaction and normal
aging. Journal of Gerontology (Series A - Biological Sciences & Medical Sciences) 60: 510-4,
2005.
43. Barrett AM, Eslinger PJ, Ballentine NH, Heilamn KM. Unawareness of cognitive de�cit (cognitive
anosognosia) in probable AD and control subjects. Neurolo�v 64: 693-699, 2005.
44. Moll J, Oliveira-Souza R, Moll FT, Ignacio FA, Bramati IE, Caparelli-Daquer EM, Eslinger PJ: The
moral affiliations of disgust: A functional MRI Study. Cognitive and Behavioral Neurolo�y, 18:
68-78, 2005
45. Eslinger PJ, Tranel D. Integrative study of cognitive, social, and emotional processes in clinical
neuroscience. Cognitive and Behavioral Neurology 18: 1-4, 2005.
46. Eslinger PJ, Flaherty-Craig CV, Benton AL: Developmental outcomes after early prefrontal
cortex damage. Brain and Cognition. 55: 84-103, 2004
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ESLINGER, PAUL J CURRICULUM VITAE
47. Yang Q,Wang,JL, Smith MD, Meadowcroft M,Sun,X, Eslinger PJ, Golay X. Reduction of magnetic
field inhomogeneity artifacts in EPI with SENSE and GESEPI at high field. Magnetic Resonance
Medicine. 52(6):1418-23, 2004.
48. Rizzo M, Eslinger PJ (Eds.): Princinles and Practice of Behavioral Neurolo�,y and
Neuro�sychology. Elsevier: Philadelphia, 2004.
49. Rizzo M & Eslinger PJ: Overview and Introduction. In Rizzo M, Eslinger PJ (Eds.): Principles and
Practice of Behavioral Neurology and Neuro�sycholo,g,y(pp. 3-24). Elsevier: Philadelphia, 2004.
50. Oliveira-Souza de R, Moll J & Eslinger PJ: Neuropsychological Assessment. In Rizzo M, Eslinger
PJ (Eds.): Princivles and Practice of Behavioral Neurology and Neuro�sycholo�. (pp. 47-64).
Elsevier: Philadelphia, 2004.
51. DeLuca J, Lengenfelder J & Eslinger PJ: Memory and Learning, In Rizzo M, Eslinger PJ (Eds.):
Princinles and Practice of Behavioral Neurolo�v and Neuropsychology (pp. 247-266). Elsevier:
Philadelphia, 2004.
52. Pritchard TC, Eslinger PJ, Wang J & Yang Q: Smell and Taste Disorders. In Rizzo M, Eslinger PJ
(Eds.): Princinles and Practice of Behavioral Neurology and Neuro�sycholo,g,y_(pp. 335-360).
Elsevier: Philadelphia, 2004.
53. Eslinger PJ & Chakara F: Frontal Lobe and Executive Function. In Rizzo M, Eslinger PJ (Eds.):
Princinles and Practice of Behavioral Neurolo�,y and Neuropsycholo�v (pp. 435-456). Elsevier:
Philadelphia, 2004 (pp.435-456)
54. Eslinger PJ, Swan GE, Carmelli D: Changes in mini-mental state exam in community dwelling
older persons over 6 years: Relationship to health and neuropsychological measures.
Neuroenidemiolog,y 22: 23-30, 2003.
55. Moll J, Oliveira-Souza R de, Eslinger PJ: Morals and the human brain: A working model.
NeuroReport 14:299-305, 2003.
56. Moll J, Oliveira-Souza R de, Eslinger PJ, Bramati IE, Mourao-Miranda J,Andreivolo PA, Pessoa L:
The neural correlates of moral sensitivity: A functional MRI investigation of basic and moral
emotions. ournal of Neuroscience. 22: 2730-6, 2002.
57. Eslinger PJ, Moll J,Oliveira-Souza R de: Emotional and cognitive processing in empathy and
moral behavior. Behavioral and Brain Sciences. 25: 34-35, 2002.
58. Eslinger PJ (Editor):Neuro�sychological Interventions: Clinical Research and Practice. Guilford
Press: New York, 2002.
59. Eslinger PJ&Oliveri M:Approaching Interventions Clinically and Scientifically. In Eslinger PJ
(Editor): Neuropsychological Interventions: Clinical Research and Practice (pp. 3-15). Guilford
Press: New York, 2002.
60. Flaherty-Craig CV, Barrett AM, Eslinger PJ: Emotion-related Processing Impairments. In Eslinger
PJ (Editor): Neuro�sychological Interventions: Clinical Research and Practice (pp.294-228).
Guilford Press: New York, 2002.
61. Eslinger PJ: Summary and Analysis of Emerging Interventions Models. In Eslinger PJ (Editor):
Neuropsychological Interventions: Clinical Research and Practice (pp. 294-228). Guilford Press:
New York, 2002.
62. Eslinger PJ, Parkinson K,Shamay SG: Empathy and social-emotional factors in recovery from
stroke. Current 0 inion in Neurolo�v. 15 108-114, 2002.
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63. Moll J, Eslinger PJ,Oliveira-Souza R de: Frontopolar and anterior temporal cortex activation in a
moral judgment task. Arquivos de Neuro Psiquiatria. 59 657-664, 2001.
64. Eslinger P], Reichwein RK: Frontal lobe stroke syndromes. In Bogousslavsky J & Caplan L
(Eds.) Stroke Svndromes. Second Edition, (pp. 232-241). Cambridge University Press:
Cambridge, 2001.
65. Hanser S, Codding P, Eslinger P: Music therapy. In Weintraub MI (Ed.). Alternative and
Complementarv Treatment in Neurolo�ic Disease, (pp. 255-265). Churchill Livingston: New
York, 2001.
66. Tranel D, Eslinger PJ (Eds.): Effects of early onset brain injury on the development of cognitive
and behavior. Introduction to special issue: Early frontal lobe damage and development.
Developmental Neuropsvcholoev.8 273-280, 2000.
67. Eslinger PJ, Biddle KR: Adolescent neuropsychological development after early right prefrontal
cortex damage. Developmental Neuropsycholo�v. 18 297-329, 2000.
68. McCabe PH, Eslinger PJ: Abnormal Wada and neuropsychological testing results due to
topiramate therapy. �ilepsia.41 906-908, 2000.
69. Eslinger PJ, Geder L: Behavioral and emotional changes after focal frontal lobe damage. In
Bogousslavsky J and Cummings JL (Eds.) Behavior and Mood Disorders in Focal Brain Lesions,
(pp. 217-260). Cambridge University Press: Cambridge, 2000.
70. Ng VWK, Eslinger PJ,Williams SCR, et al: Hemispheric preference in visuospatial processing: A
complimentary approach with fMRI and lesion studies. Human Brain Mapping, 10(2):80-86,
2000.
71. Pritchard TC, Macaluso D, Eslinger PJ: Taste perception in patients with insula cortex lesions.
Behavioral Neuroscience, 113. 663-71, 1999.
72. Satish U, Streufert S, Eslinger PJ: Complex decision making after orbitofrontal damage:
Neuropsychological and strategic management simulation assessment. Neurocase. 5 355-64,
1999.
73. Eslinger PJ: Orbital frontal cortex: Historical and contemporary views about its behavioral and
physiological significance-Part I. Neurocase.5 225-9, 1999.
74. Eslinger PJ: Orbital frontal cortex: Behavioral and physiological significance - Part II.
Neurocase,5 299-300, 1999.
75. Eslinger PJ, Biddle K, Pennington B, Page R: Cognitive and behavioral development up to 4
years after early right frontal lobe lesion. Develo.pmental Neuropsvcholo�v. 15 157-191, 1999.
76. Malecki EA, Devenyi AG, Barron TF, Mosher TJ, Eslinger P, Flaherty-Craig, CV, Rossaro L: Iron
and manganese homeostasis in chronic liver disease: Relationships to pallidal T1-weighted
magnetic resonance signal hyperintensity. Neurotoxicolo�v. 20 647-52, 1999.
77. Eslinger PJ: Autobiographical memory after temporal lobe lesions. Neurocase. 4 481-495,
1998.
78. Eslinger PJ: A vital need for consensus. Book review of A Guide to Adult Neuropsychological
Diagnosis." Journal of the International Neuropsychological Societv.4 202-3, 1998
79. Eslinger PJ: Neurological and neuropsychological bases of empathy. European Neurolo�v. 39
193-199, 1998.
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ESLINGER, PAUL J CURRICULUM VITAE
80. Eslinger PJ: Update on cerebral plasticity. Book review of"Plasticity in the Central Nervous
System-Learning and Memor�' and"Brain Plasticity and Behavior." Journal of the International
Neuro�svchological Societv.4 527-8, 1998.
81. Carmelli D, Swan GE, LaRue A, Eslinger PJ: Correlates of change in cognitive function in
survivors from the Western Collaborative Group Study. Neuroe�idemiolo�v.6 285-295, 1997.
82. Eslinger PJ, Biddle K, Grattan LM: Cognitive and social development in children with prefrontal
cortex lesions. In Krasnegor NA, Lyon R and Goldman-Rakic PS (Eds.) Develonment of the
Prefrontal Cortex• Evolution Neurobiology and Behavior. (pp. 295-335). Paul H. Brookes
Publishing Co.: Baltimore, 1997.
83. Eslinger PJ: Brain development and learning. Basic Education,41 6-8, 1997.
84. Glenn J, Eslinger P, Chinchilli V, et al.: Validation of a questionnaire to screen university
students for learning disabilities. Advances in Health Sciences Education 2, 213-220, 1997.
85. Yang QX, Dardzinski BJ, Li S, Eslinger PJ, Smith MB: Multi-gradient echo with susceptibility
inhomogeneity compensation (MGESIC): Demonstration of fMRI in the olfactory cortex at 3.0 T.
Magnetic Resonance Medicine, 37 331-335, 1997.
86. Eslinger PJ, Easton AE, Grattan LM, VanHoesen GW: Distinctive forms of partial retrograde
amnesia after asymmetric temporal lobe lesions: Possible role of the occipitotemporal gyri in
memory. Cerebral Cortex,6 530-539, 1996.
87. Eslinger PJ, Grattan LM, Geder L: Neurologic and neuropsychologic aspects of frontal lobe
impairments in post-concussive syndrome. In Rizzo M and Tranel D (Eds.) Head In�urY.and
Post Concussive Syndrome (pp.415-440). Churchill Livingstone: New York, 1996.
88. Eslinger PJ: Conceptualizing, describing and measuring components of executive functions: A
summary. In Lyon GR and Krasnegor NA(Eds.) Attention Memory and Executive Function (pp.
367-395). Paul H. Brookes Publishing Co.: Baltimore, 1996.
89. Eslinger PJ, Grattan LM,Geder LM: Impact of frontal lobe lesions on rehabilitation and recovery
from acute brain injury. NeuroRehabilitation.5 161-182, 1995.
90. Eslinger PJ, Grattan LM: Frontal lobe function and dysfunction. Neuronsvcholoeia. 32 1029-30,
1994.
91. Grattan LM, Bloomer RH, Archambault FX, Eslinger PJ: Cognitive flexibility and empathy after
frontal lobe lesion. Neuropsvchiatry Neur�svchology and Behavioral Neurolo�v.7 251-259,
1994.
92. Butters M, Kaszniak AW, Glisky EL, Eslinger PJ, Schacter DL: Recency discrimination deficits in
frontal lobe patients. Neuro.psvcholo�v.8 343-353, 1994.
93. Eslinger PJ, Grattan LM: Altered serial position learning after frontal lobe lesion.
Neuropsvcholo�ia, 32 729-739, 1994.
94. Eslinger PJ, Stouffer JW: Music therapy: A symphony for the soul. TBI Challen�e!. 2(2), 12-14,
1994.
95. Eslinger PJ, Damasio H, Damasio AR, Butters N: Nonverbal amnesia and asymmetric cerebral
lesions following encephalitis. Brain and Cognition.21 140-152, 1993.
96. Eslinger PJ, Grattan LM: Frontal lobe and frontal-striatal substrates for different forms of
human cognitive flexibility. Neur�svcholo�ia. 31, 17-28, 1993.
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97. Eslinger PJ, Grattan LM, Damasio H, Damasio A: Developmental consequences of childhood
frontal lobe damage. Archives of Neurolo�v.49 764-769, 1992.
98. Eslinger PJ: Reaping dividends in health and brain function from cerebral vascular illnesses.
Contem�ora�Psycholo�v. 37 1285-1286, 1992.
99. Eslinger PJ: The amygdala: Neurobiological aspects of emotion, memory and mental
dysfunction. Trends in Neurosciences 5 514-515, 1992.
100. Grattan LM, Eslinger PJ: Long term psychological consequences of childhood frontal lobe
lesion in patient DT. Brain and Cognition.0 185-195, 1992.
101. Damasio AR,Tranel D, Eslinger PJ: The agnosias. In Asbury AK, McKhann GM, McDonald WI
(Eds.) Diseases of the Nervous System. Second Edition (pp. 741-750). WB Saunders Co.:
Philadelphia, 1992.
102. 0'Connor M, Butters N, Miliotis P, Eslinger PJ, Cermak LS: The dissociation of anterograde
and retrograde amnesia in a patient with herpes encephalitis. �.ournal of Clinical and
Ex�erimental Neuropsycholo�v. 14, 159-178, 1992.
103. Eslinger PJ, Grattan LM: Perspectives on the developmental consequences of early frontal
lobe damage: Introduction. Develo.pmental Neuropsvcholo�v.7 257-260, 1991.
104. Grattan LM, Eslinger PJ: Frontal lobe damage in children and adults: A comparative review.
Developmental Neuropsycholo�v.7 283-326, 1991.
105. Eslinger PJ, Warner GC, Grattan LM, Easton JD: "Frontal lobe" utilization behavior
associated with paramedian thalamic infarction. Neurolo�v.41 450-452, 1991.
106. Fogel BS, Eslinger PJ: Diagnosis and management of patients with frontal lobe syndromes.
In Stoudemire A and Fogel BS (Eds.) Medical P�chiatric Practice (pp. 349-392). Amer Assn
Psych Press:Washington D.C., 1991.
107. Swan GE, Morrison E, Eslinger PJ: Inter rater agreement on the Benton Visual Retention
Test. The Clinical Neuropsycholo�ist,4 37-44, 1990.
108. Swan GE,Carmelli D, Reed T,Harshfield GA, Fabsity RR, Eslinger PJ: Heritability of cognitive
performance in aging twins. The National Heart, Lung and Blood Institute Twin Study. Archives
of Neuroloev.47 259-262, 1990.
109. Graff-Radford NR, Godersky JC, Travel D, Eslinger PJ,Jones MP: Neuropsychological testing
in normal pressure hydrocephalus. In: Hoff JT and Betz AL (Eds.) Intracranial Pressure VII.
Springer-Verlag: Berlin and Heidelberg,422-424, 1989.
110. Grattan LM, Eslinger PJ: Higher cognition and social behavior: Changes in cognitive
flexibility and empathy after cerebral lesions. Neuro�psvcholo�v.3 175-185, 1989.
111. Pepin EP, Eslinger PJ: Verbal memory decline in Alzheimer's disease: A multiple processes
deficit. Neurolo�v. 39, 1477-1482, 1989.
112. Teng EL, Wimer C, Roberts E, Damasio AR, Eslinger PJ et al.: Alzheimer's dementia:
Performance on parallel forms of the Dementia Assessment Battery. Journal of Clinical and
Exnerimental Neuropsycholo�v. 11 899-912, 1989.
113 Rizzo M, Eslinger PJ: Colored hearing synesthesia: An investigation of neural factors.
Neurolo�v. 39 781-784, 1989.
114. Henderson VW, Roberts E, Wimer C, Bardolph EL, Chui HC, Damasio AR, Eslinger PJ et al.:
Multicenter trial of naloxone in Alzheimer's disease. Annals of Neurolo�v.25 404-406, 1989.
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115. Grattan LM, Eslinger PJ: Empirical study of empathy. American�ournal of Psychiatry.
146:11, 1521-1522, 1989.
116. Grattan L, Eslinger PJ, Faust D: Case report: Reversible neuropsychological impairment
after severe carbon monoxide poisoning in a child. Developmental Neuropsycholo�v.4 37-46,
1988.
117. Eslinger PJ, Damasio H: Anatomical correlates of paradoxic ear extinction. In: Hugdahl K
(Ed.) Handbook of Dichotic Listening• Theory Methods and Research (pp. 139-60). John Wiley
&Son: Sussex, 1988.
118. Travis MN, Ludvigson HW, Eslinger PJ: A reexamination of the effects of motivational sate
on utilization of cnspcific odors in the rat.Animal Learnin�and Behavior, 16, 318-23, 1988.
119. Damasio AR, Eslinger PJ: Agnosia. In: Asbury A, McKhan G & McDonald I (Eds.) Diseases
of the Nervous System (pp.839-47). Saunders&Heinemann: Phila.and New York, 1987.
120. Graff-Radford NR, Rezai K, Godersky JC, Eslinger PJ, Damasio H, Kirchner P: Regional
cerebral blood flow in normal pressure hydrocephalus. Journal of Neurology, Neurosurgery
and Ps.ychiatrv, 50 1589-96, 1987.
121. Eslinger PJ, Damasio AR: Preserved motor learning in Alzheimer's disease: Implications for
anatomy and behavior.I_ournal of Neuroscience,.�(10),3006-9, 1986.
122. Hyman B, Eslinger PJ, Damasio AR: Effect of naltrexone on senile dementia of the Alzheimer
type. Journal of Neurology Neurosurgery and Psvchiatrv.48 1169-71, 1985.
123. Corbett JJ, Phelps CD, Eslinger PJ, Montague PR: The neurologic evaluation of patients with
low-tension glaucoma. Invest�ative�hthalmolo�!and Visual Science. 26 1101-4, 1985.
124. Eslinger PJ, Damasio AR: Severe disturbance of higher cognition after bilateral frontal lobe
ablation: Patient EVR. Neurolo�v, 35 1731-41, 1985.
125. Graff-Radford NR, Damasio H, Yamada T, Eslinger PJ, Damasio AR: Non-hemorrhagic
thalamic infarction: Clinical, neuropsychological and electrophysiological findings in four
anatomic groups defined by CT. Brain, lQ8,485-516, 1985.
126. Damasio AR, Graff-Radford NR, Eslinger PJ, Damasio H, Kassell N: Amnesia following basal
forebrain lesions. Archives of Neurolo�v.42 263-71, 1985.
127. Damasio AR, Eslinger PJ, Van Hoesen GW, Cornell S: Multi-modal amnesic syndrome
following bilateral temporal and basal forebrain damage. Archives of Neurolo�v. 42 252-59,
1985.
128. Eslinger PJ, Damasio AR, Benton AL,Van Allen M: Neuropsychologic detection of abnormal
mental decline. journal of the American Medical Association. 253 (5), 670-4, 1985.
129. Eslinger PJ, Damasio H, Graff-Radford NR, Damasio AR: Examining the relationship between
CT measures and neuropsychologic performance in normal and demented elderly. Journal of
Neurology Neurosurgery and Psychiatrv.47 1319-25, 1985.
130. Eslinger PJ: Differentiating normal from dementia: Reply to Branconnier. The Journal of
the American Medical Association. 2 4 2407-8, 1985.
131. Eslinger PJ: Evidence of brain damage. Expert Testimonv 11 5-7, 1987.
132. Eslinger PJ, Damasio AR, Benton AL: The Iowa Screening Battery for Mental Decline:
Manual. Department of Neurology, University of Iowa College of Medicine, 1985.
13
ESLINGER, PAUL J CURRICULUM VITAE
133. Eslinger PJ: Geriatric research in behavioral neurology. The Iowa Psychologist, 30 33-4,
1985.
134. Eslinger PJ, Damasio AR: Behavioral disturbances associated with rupture of anterior
communicating artery aneurysms. Seminars in Neurolo�v.4 (3), 385-9, 1984.
135. Damasio H, Eslinger PJ, Adams H: Aphasia following subcortical lesions: New evidence.
Seminars in Neurolo�v.4 (3), 151-61, 1984.
136. Graff-Radford NR, Eslinger PJ, Damasio AR, Yamada T: Nonhemorrhagic infarctions of the
thalamus: behavioral, anatomical and electrophysiological correlates. Neurolo�v. 34 14-23,
1984.
137. Eslinger PJ, Benton AL: Visuoperceptual performances in aging and dementia: Clinical and
theoretical implications. Journal of Clinical Neuropsycholo�v 5 213-20, 1983.
138. Damasio H, Eslinger PJ, Rizzo M, Huang HK, Demeter S: Quantitative computerized
tomography analysis in the diagnosis of dementia. Archives of Neurolo�v.40 715-9, 1983.
139. Eslinger PJ, Damasio AR, Van Hoesen GW: Olfactory dysfunction in man: Anatomical and
behavior aspects. Brain and Cognition,l 259-85, 1982.
140. Benton AL, Eslinger PJ, Damasio AR: Normative observations on neuropsychological test
performances in old age. Journal of Clinical Neuropsycholo�v.3 33-42, 1981.
141. Eslinger P], Damasio AR: Age and type of aphasia in patients with stroke. Journal of
Neurolo�v.Neurosu�erv and Psvchiatrv.44 377-81, 1981.
142. Eslinger PJ, Ludvigson HW, Reinecke MG: Gas chromatographic analysis of"frustration" and
"reward" odors: Initial results. In: van der Starre H (Ed.) Olfaction and Taste. 7 IRL Press:
London, 1980.
143. Eslinger PJ, Ludvigson, HW: Commonality among rats introduction of reward and non-
reward odors. Bulletin of the Psychonomic Societv. l6 191-3, 1980.
144. Eslinger PJ, Ludvigson HW: Are there constraints on learned responses to odors from
rewarded and non-rewarded rats? Animal Learning and Behavior,8 452-6, 1980.
PaQers Presented at Professional Meetin�s/Published Abstracts
1. Prasanna Karunanayaka, Megha Vasavada, Robert Mchugh, Michael Tobia,Jianli Wang, Paul
Eslinger,and Qing X Yang.Modulations of the Default Mode Network(DMN) during active
and passive olfactory processing.Organization for Human Brain Mapping 2014.
2, P Karunanayaka, Megha Vasavada, Michael Tobia,Jianli Wang1, Paul Eslinger,and Qing X
Yang. Default Mode Network(DMN)Activity during Olfactory Processing.ISMRM 2014
3. Wagner D,Eslinger PJ, Lee E, Lewis MM, Huang X.Age of acquisition effects during verbal
fluency task performance in Parkinson's disease.World Parkinson's Congress, Montreal CA,
October 2013.
4. Karunanayaka P, Patel M,Wang J, Molitoris S,Eslinger PJ,Yang QX.Olfactory neural
network disruption in Alzheimer's disease:A functional magnetic resonance imaging study.
International Society for Magnetic Resonance in Medicine Annual Meeting,April 26, 2013,
Salt Lake City.
5. Yang QX,Wang J, KarunanayakaP, Lokhandwala P, McHugh R,Eslinger P, Miller D,Crozier
S.A neuroimaging study on the cognitive effects of three contrasting cocoa based beverages.
Organization for Human Brain Mapping Annual Meeting,June 19, 2013,Seattle.
14
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ESLINGER, PAUL J CURRICULUM VITAE
6. Vasavada M,Wang L,Sun X,Eslinger P, Karunanayaka P,Yang QX.FMRI of the primary
olfactory cortex in Alzheimer's disease and mild cognitively impaired patients.Organization
for Human Brain Mapping Annual Meeting,June 19, 2013,Seattle.
7. Sun X,Wang J,Vasavada M,Eslinger P,Yang QX. Primary olfactory cortex atrophy in
Alzheimer's disease.Organization for Human Brain Mapping Annual Meeting,June 19,2013,
Seattle.
8. Sen S, Eslinger PJ, Wagner D et al. Side of Parkinson's disease onset predicts gray matter
loss and cognitive impairments. Loss of cortical gray matter in Parkinson's disease.
American Neurological Association,October 9,2012, Boston.
9. Li Y,Eslinger PJ,Yang QX, Sica CT,Li P.An fMRI study of the role of the hippocampal
formation during face-name recognition: Successful vs.failed face-name associations. RSNA,
November 26, 2012,Chicago.
10. Royer M, Houser K, Ballentine N, Eslinger PJ, Mistrick R, Rakos K, Behr R, Bonneau R.
Wilkerson A. Therapeutic optical radiation for seniors in long-term care. Illuminating
Engineering Society, 2012.
11. Yang QX,Zhang H,Wang J, Karunanayaka P, Patel M,Eslinger PJ. Mapping of olfactory
networks in the human brain using resting state fMRI. Organization for Human Brain
Mapping, 2012.
12. Karunanayaka P, Weitekamp CW, Wang J, Eslinger PJ &. Yang QX. Non-Linear Habituation
Effects of the Olfactory System: An Independent Component Analysis. Organization for
Human Brain Mapping, 2011.
13. Karunanayakal P, Hughes M, Weitekamp CW, Blair C, Wang J, Yang QX, & Eslinger PJ.
Mathematical Processing in Adolescents: A Functional Magnetic Resonance Study of
Addition and Subtraction.Organization for Human Brain Mapping, 2011.
14. Das A, Hershberger L, Eslinger PJ,Barrett AM.Changes with Aging in Perceptual-Attentional
versus Motor-Intentional Spatial Bias. Society for Neuroscience Meeting, November 2011.
15. Li, Eslinger PJ. Evaluation of Memory Lateralization in Healthy Human Brain: A New Mix-
block fMRI Approach. Radiological Society of North America Meeting Chicago IL, November
30, 2011
16. Eslinger PJ: Neural Systems Mediating Mathematical Achievement. International Mind,
Brain and Education Society, San Diego June 4, 2011.
17. Armstrong MJ, Duff-Canning S, Tang-Wai D, Fox S, Rothberg B, Zadikoff C, Johnson N, Gill D,
Eslinger P, Marshall F, Mapstone M,Arenovich T, Chou K, Persad C, Litvan I, Mast B, Marras
C. Validating the Montreal Cognitive Assessment for the Diagnosis of Mild Cognitive
Impairment in Parkinson's Disease. Neurology 2011; 76(9) Supp14:A586.
18. Suman Sen MD, Paul J.Eslinger, PhD,Daymond Wagner MA, Guangwei Du MD PhD,Mechelle
M. Lewis PhD, Michele L.Shaffer PhD,Xuemei Huang MD PhD. Loss of cortical gray matter in
Parkinson's disease.American Neurological Association, 2011.
19. Eslinger, Paul J. PhD, Daymond Wagner, Suman Sen MD, Mechelle M. Lewis PhD, Guangwei
Du MD PhD, Michele L. Shaffer PhD, Xuemei Huang MD PhD. Distinctive Neurocognitive
Profiles Associated with Right and Left Motor Symptom Onset in Parkinson's Disease.
American Neurological Association, 2011.
20. Armstrong MJ, Duff-Canning S, Tang-Wai D, Fox S, Rothberg B, Zadikoff C, Johnson N, Gill D,
Eslinger P, Mapstone, Chou MK, Persad C, Litvan I, Mast B, Marras C. What's in a hippo?The
meaning of a hippo response on the Montreal cognitive assessment in Parkinson's disease.
15th International Congress of Parkinson's Disease and Movement Disorders. Toronto CA
June 5-9, 2011.
15
ESLINGER, PAUL J CURRICULUM VITAE
21. Eslinger PJ. Symposium Oranizer: Historical, Cognitive and Neural Dimensions of
Mathematics Learning. International Mind, Brain and Education Society. San Diego CA, June
3-5, 2011.
22. Wang J, Patel MM, Dossick D, Shaffer ML,Weitekamp CW, Sun X,Vesek J, Eslinger PJ, Gill DJ,
Connor JR, Yang QX. Aging effect on human brain transverse relaxation since
preadolescence. International Society for Magnetic Resonance Medicine (ISMRM), April
2011.
23. Karunanayaka P, Weitekamp CW, Wang J, Patel M, Vesek J, Sun X, Eslinger PJ, Connor JR,
Yang QX. Neural Networks of the Olfactory System: A Functional Magnetic Resonance
Imaging Study.ISMRM,Apri12011.
24. Morgan B, Gross RG, Eslinger PJ, Boller A, Grossman M. Theory of mind deficits in patients
with frontal and parietal lobe syndrome. Annual Meeting of the American Academy of
Neurology,Apri12010.
25. Matakas JD, Mastrangelo JP, Richards JL, Eslinger PJ, Thompson KJ, Lemley CE. Using
Functional MRI to Study Cross-Talk in Synesthetes.Pennsylvania Academy of Sciences,April
2010.
26. Flaherty-Craig C, Brothers A, Dearman B, Eslinger P, Simmons Z. Rapid screen exam for the
detection of frontal and temporal dysfunction syndromes: application to ALS. Amyotroph
Lateral Scler 2008;9(suppll):35.
27. Robinson M, Wang J, Yang QX, Eslinger PJ, Meadowcroft M, Golay X. The BOLD signal
response differences between encoding and recognition memory of face-name associations.
Annual Meeting of the Cognitive Neuroscience Society, New York, May 2007.
28. Eslinger PJ, Moore P, Antani S, Anderson C & Grossman M. Social cognition in
frontotemporal dementia: Converging knowledge, executive, empathy, and motivational
deficits. Annual Meeting of the Cognitive Neuroscience Society Meeting, New York , May
2007.
29. Realmuto J, Eslinger PJ, Blair C,Wang J, Baker D,Thorne S, Gamson D,Zimmerman E,Yang Q
& Rohrer L Maturational changes in prefrontal and cingulate regions during an inhibitory-
working memory task in children and adolescents. Annual Meeting of the Cognitive
Neuroscience Society, New York, May 2007.
30. Knipe H, Blair C, Eslinger PJ,Wang J, Realmuto J, Baker D,Thorne S, Gamson D, Zimmerman
E, Yang QX, Rohrer L. Maturation of neural systems underlying calculation in typically
developing children and adolescents. Annual Meeting of the Cognitive Neuroscience Society,
New York, May 2007.
31. Zimmerman E, Eslinger PJ, Grunfeld R, Vesek ], Meadowcroft M, Wang J, Connor JR, Smith
MB & Yang Q. fMRI investigation of central olfactory deficits in early Alzheimer's disease.
Annual Meeting of the American Academy of Neurology, Boston, May 2007.
32. Eslinger PJ, Blair C, Wang J, Realmuto J, Baker D, Thorne S, Gamson D, Yang QX, Rohrer L.
Developmental fMRI patterns associated with visuospatial working memory and response
inhibition. Annual Meeting of the International Society for Magnetic Resonance in Medicine.
Munich,Germany, May 2007.
33. Yang QX, Zimmerman E,Wang J, Eslinger PJ, Grunfeld R, Vesek J, Meadowcroft M, Connor]R,
Smith MB. Reduction of magnetic susceptibility artifacts in olfactory fMRI with SENSE-
GESEPI-EPI method. Annual Meeting of the International Society for Magnetic Resonance in
Medicine. Munich,Germany, May 2007.
34. Flaherty-Craig CV, Pinelli S, Eslinger P, Simmons Z. Deficient lexical access in ALS is
associated with poor divergent production and social intelligence. Amyotrophic Lateral
Sclerosis 7 (Supplement 1): 94, 2007 [17th International Symposium on ALS/MND,
Yokohama,JP]
16
Exhibit "C"
IN RE: : IN THE COURT OF COMMON PEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
KEITH E. KLAIR �
: ORPHANS' COURT DIVISION
An Alleged Incapacitated Person :
: No. - 14 -
CONSENT OF PROPOSED PLENARY GUARDIAN
OF THE PERSON OF KEITH E. KLAIR
I, Kim E. Jumper, proposed Guardian of the Person of Keith E. Klair, the alleged
incapacitated person, agree to accept the appointment as permanent Guardian of the
Person and aver that:
1. I am the sister of Keith E. Klair, the alleged incapacitated person.
2. I reside at 207 East Coover Street, Mechanicsburg, PA 17055.
3. I certify that I speak, read and write the English language.
4. I have no interest adverse to the alleged incapacitated person.
5. I am not a fiduciary, or an o�cer or employee of a corporate fiduciary, of an
estate in which the alleged incapacitated person has an interest, and I am not
the surety, or an officer or employee of the corporate surety, of such fiduciary.
` � l-
Date: �
'`�/�Q/°Z��y Kim E. Jumper
FIRST PAGE ONLY00 16 1 1942463.1
IN RE: : IN THE COURT OF COMMON PEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
KEITH E. KLAIR �
: ORPHANS' COURT DIVISION
An Alleged Incapacitated Person :
: No. - 14 -
CONSENT OF PROPOSED PLENARY GUARDIAN
OF THE ESTATE OF KEITH E. KLAIR
Lodge Life Services, Inc. , proposed Guardian of the Estate of Keith E. Klair, the
alleged incapacitated person, agrees to accept the appointment as permanent Guardian of
the Estate and avers that:
1. Lodge�Life Services, Inc. is a Pennsylvania guardianship agency with an office at
315 West James Street, Suite 106, Lancaster, PA 17603.
2. Lodge Life Services, Inc. has no interest adverse to Keith E. Klair.
3. Lodge Life Services, Inc. is not a fiduciary, or an officer or employee of a
corporate fiduciary, of an estate in which the alleged incapacitated person has an
interest, and I am not the surety, or an officer or employee of the corporate
surety, of such fiduciary.
Lodge Life Services, Inc.
Dated: �'��'��� BY� �
Helen D. Stoudt, President
VERIFICATION
The Undersigned hereby verifies that the statements made in the foregoing
document are true and correct to the best of my knowledge, information and belief. I
understand that false statements herein are made subject to penalties of 18 Pa.C.S.
Section 4904, relating to unsworn falsification to authorities.
. � `T`_
Dated: a �
y/°29l'Z �y Kim E. Jumper
FIRST PAGE ONLY00l511942463.1