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HomeMy WebLinkAbout14-7004 Supreme Co o �;P-ennsylvania For Prothonotary Use Only: Cour Yof-Com 10 Pleas Y C it Co erg h Docket No: . CUM RLAND� prr ✓ v1:t�13 w:�. �� County The information collected on this form is used solely for court administration purposes. This forin does not suppletnent or replace the filing and service ofpleadings or other papers as required by law or rules of court. Commencement of Action: S ix Complaint 0 Writ of Summons Petition 0 Transfer from Another Jurisdiction Declaration of Taking E C Lead Plaintiff's Name: Lead Defendant's Name: Jeffrey Whitmire David Wagar, M.D. T Dollar Amount Requested: Dwithin arbitration limits I Are money damages requested? S Yes 0 No (check one) Doutside arbitration limits O N Is this a Class Action Suit? 0 Yes X' No Is this an MDJAppeal? 0 Yes [R No A Name of Plaintiff/Appellant's Attorney: Daryl E. Christopher, Esquire 0 Check here if you have no attorney(are a Self-Represented jPro SeJ Litigant) Nature of the Case: Place an"X"to the left of the ONE case category that most accurately describes your PRIMARY CASE. If you are making more than one type of claim,check the one that you consider most important. TORT(do not include Mass Tort) CONTRACT(do not include Judgments) CIVIL APPEALS Intentional 0 Buyer Plaintiff Administrative Agencies Malicious Prosecution I_3 Debt Collection:Credit Card 0 Board of Assessment Motor Vehicle i Debt Collection:Other 0 Board of Elections 0 Nuisance Dept.of Transportation Premises Liability Statutory Appeal:Other S Product Liability (does not include ,Hass tort) � Employment Dispute: E � Slander/Libel/Defamation Discrimination C Other: 0 Employment Dispute:Other Zoning Board 0 Other: ,I, I 0 Other: O MASS TORT 0 Asbestos N 0 Tobacco Toxic Tort-DES Toxic Tort-Implant REAL PROPERTY MISCELLANEOUS 0 Toxic Waste 0 Ejectment 0 Common Law/Statutory Arbitration B 0 Other: 0 0 Declaratory Judgment Eminent Domain/Condemnation 0 Ground Rent 0 Mandamus 0 Landlord/Tenant Dispute 0 Non-Domestic Relations 0 Mortgage Foreclosure:Residential Restraining Order PROFESSIONAL LIABLITY 0 Mortgage Foreclosure:Commercial 0 Quo Warranto 0 Dental 0 Partition 0 Replevin 0 Legal 0 Quiet Title 0 Other: ®x Medical D Other: 0 Other Professional: Updated 1/1/2011 j`, `_!,,_r' •.`.'�.; ^lam f_i,_. F Mkt SCHMIDT KRAMER PC BY: Daryl E. Christopher, Esquire I.D.#91895 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorneys for Plaintiff dchristopher[a)schmidtkramer com JEFFREY WHITMIRE, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, Plaintiff, PENNSYLVANIA V. CIVIL ACTION— MEDICAL DAVID WAGAR, M.D., TRISTAN PROFESSIONAL LIABILITY CTION RADIOLOGY SPECIALISTS, P.C. and PINNACLE HEALTH IMAGING, INC. NO. Defendants JURY TRIAL DEMANDED NOTICE TO DEFEND You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. oa't LCI CIL 2/SOB IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 (717) 249-3166 AVISO USTED HA SIDO DEMANDADO/A EN CORTE. Si usted desea defenderse de las demandas que se persentan mas adelante en las siguientes pdginas, debe tomar acci6n dentro de los pr6ximos veinte (20) dias despues de la notificaci6n de esta Demanda y Aviso radicando personalmente o por medio de un abogado una comparecencia escrita y radicando en la Corte por escrito sus defensas de, y objecciones a , las demandas presentadas aqui en contra suya. Se le advierte de que si usted falla de tomar acci6n como se describe anteriormente, el caso puede proceder sin usted y un fallo por cualquier suma de dinero reclamada en la demanda o cualquier otra reclamaci6n o remedio solicitado por el demandante puede ser dictado en contra suya por la Corte sin mas aviso adicional. Used puede perder dinero o propiedad u otros derechos importantes para used. USTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USED NO TIENE UN ABOGADO, LLAME O VAYA A LA SIGUIENTE OFICINA. ESTA OFICINA PUEDE PROVEERLE INFORMACION A CERCA DE COMO CONSEGUIR UN ABOGADO. SI USED NO PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES POSIBLE QUE ESTA OFICINA LE PUEDA PROVEER INFORMACION SOBRE AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO O BAJO COSTO A PERSONAS QUE CUALIFICAN. Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 (717) 249-3166 SCHMIDT KRAMER PC BY: Daryl E. Christopher, Esquire I.D.#91895 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorneys for Plaintiff dchristopher(aschmidtkramer com JEFFREY WHITMIRE, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, Plaintiff, PENNSYLVANIA V. CIVIL ACTION— MEDICAL DAVID WAGAR, M.D., TRISTAN PROFESSIONAL LIABILITY ACTION RADIOLOGY SPECIALISTS, P.C. and PINNACLE HEALTH IMAGING, INC. NO. Defendants JURY TRIAL DEMANDED COMPLAINT Parties 1. Plaintiff Jeffrey Whitmire is an adult individual and a citizen of the Commonwealth of Pennsylvania, who resides in Carlisle, Cumberland County Pennsylvania. 2. Defendant David Wagar, M.D., is a physician specializing in radiology who is licensed to practice medicine in Pennsylvania. Defendant Wagar maintains offices in and regularly conducts business in Cumberland County, Pennsylvania. Plaintiff is asserting a professional liability claim against Defendant Wagar. A Certificate of Merit is filed herewith as Exhibit A. 3. Defendant Tristan Radiology Specialists, P.C., is a professional corporation created under the laws of the Commonwealth of Pennsylvania which at all relevant times employed Defendant Wagar, who was acting within the course and scope of his employment for Defendant Tristan Radiology Specialists, P.C. Plaintiff is asserting a professional liability claim against Defendant Tristan Radiology Specialists, P.C. A Certificate of Merit is filed herewith as Exhibit B. 4. At all relevant times, Defendant Tristan Radiology Specialists, P.C., maintained offices in and regularly conducted business in Cumberland County, Pennsylvania. 5. Defendant Pinnacle Health Imaging, Inc. is a corporation created under the laws of the Commonwealth of Pennsylvania. This Defendant was formerly known as Tristan Radiology Associates. 6. At all relevant times, Defendant Pinnacle Health Imaging, Inc. or Tristan Radiology Associates employed Defendant Wagar, who was acting within the course and scope of his employment for Defendant Pinnacle Health Imaging, Inc. Plaintiff is asserting a professional liability claim against Defendant Pinnacle Health Imaging, Inc. A Certificate of Merit is filed herewith as Exhibit C. 7. At all relevant times, Defendant Pinnacle Health Imaging, Inc. maintained offices in and regularly conducted business in Cumberland County, Pennsylvania. Facts 8. According to the American Board of Radiology, "The mission of The American Board of Radiology is to serve patients, the public, and the medical profession by certifying that its diplomats have acquired, demonstrated, and maintained a requisite standard of knowledge, skill, and understanding essential to the practice of diagnostic radiology, radiation oncology, and radiologic physics." 9. The issues in the present case involve diagnostic radiology. 10. Diagnostic radiology is the branch of radiology concerned with the use of various imaging technologies to aid in the diagnosis of injuries and diseases. 11. Any abnormality that poses a risk to health must be noted in the radiology report. 12. When reading a scan, a radiologist must take sufficient time to ensure that he has looked at every part of the scan. 13. To increase the likelihood of finding a significant abnormality, a radiologist should compare a scan to prior scans of the same patient, if available. 14. On May 6, 2011, Mr. Whitmire was treated at the West Shore office of Tristan Associates. 15. Mr. Whitmire underwent a brain MRI with and without Gadolinium based contrast. 16. Mr. Whitmire's brain MRI was interpreted by Defendant Wagar. A copy of the MRI report is attached at Exhibit D. 17. Dr. Wagar was provided with a clinical history of right sided numbness and headaches. 18. Dr. Wagar's Impression was: "Nonspecific single focus of T2 prolongation in the right deep white matter. This most probably represents gliosis from remote ischemia or trauma. A sequelae of migraine headaches could also cause this appearance. A single focus of demyelinating disease or vasculitis is felt less likely. Otherwise negative study." 19. Dr. Wagar did not report comparing Mr. Whitmire's study to any prior study. 20. it is believed and therefore averred that Dr. Wagar did not compare Mr. Whitmire's MRI to prior studies even though they were available for comparison. 21. Mr. Whitmire had previously undergone a brain MRI at Tristan Associates on March 8, 2007, for left-sided numbness and headaches. At that time, Tristan Associates also had in its possession for comparison the films of an even earlier MRI dated October 24, 2005. 22. Although it was read as an "otherwise negative study," Mr. Whitmire's May 6, 2011, brain MRI actually showed a large mass in his pharynx. 23. The mass was confined to Mr. Whitmire's the right nasopharynx. 24. The mass measured 12mm in anterior-posterior dimension, 12mm in the transverse direction, and 28mm in length. 25. The mass appeared to extend to the Fossa of Rosenmuller on the right but not beyond that. 26. The mass did not appear to extend beyond the mucosa at that time. 27. Mr. Whitmire continued to experience headaches and congestion. 28. He continued to treat with his primary care physician and an ENT for his ongoing problems. 29. On September 13, 2013, Mr. Whitmire suddenly began to experience double vision. 30. He was found to have a large, inoperable nasopharyngeal carcinoma. 31. An MRI on September 18, 2013, showed Impression: urge tumor at the skull base and Petrus portion of the temporal banes anterior to the clivus and inferior to the sphenoid sinus. This surrounds the internal carotid arteries. Prime considerations include nasopharyngeal carcinoma. metastatic disease, plasmacytoma, multiple myeloma or chandrosarcome. This is unlikely to represent a chordoma. 32. By this time, the tumor had grown to 4.7 cm by 3.4 cm by 5 cm. 33. This mass was affecting his right fifth, sixth, and twelfth cranial nerves. 34. He had double vision, right facial droop, right facial numbness, and tongue deviation secondary to the effects of the tumor on his cranial nerves. 35. Mr. Whitmire was diagnosed with at least T4 NO MX (stage 4a) moderately differentiated squamous cell carcinoma of the nasopharynx. 36. Mr. Whitmire underwent chemotherapy and radiation. 37. He developed bilateral deep vein thromboses and bilateral pulmonary emboli which caused him shortness of breath. 38. Mr. Whitmire developed chemotherapy-induced anemia. 39. He began to suffer from peripheral neuropathy secondary to his treatment with chemotherapy. This significantly affected his ability to perform his duties as a motorcycle mechanic. 40. He also developed hearing loss and ringing in his ears from his chemotherapy. 41. He developed dry mouth and difficulty swallowing and required placement of a PEG tube for nourishment. 42. He lost his beard and some of his hair due to radiation and chemotherapy. 43. He developed a rash with severe itching and burning from chemotherapy. 44. He developed cracked and sensitive fingertips. 45. He suffered from nausea, vomiting, and headaches. 46. Mr. Whitmire initially appeared to have a good response to treatment; however, in August 2014, he was found to have metastatic nasopharyngeal carcinoma in his lungs. 47. Mr. Whitmire now has numbness and pain in his hands. He frequently drops things. He also has numbness in his feet. 48. Mr. Whitmire was again treated with chemotherapy. 49. Mr. Whitmire now frequently gets cramps in his calves, feet, and ankles, especially at night. 50. Mr. Whitmire also now experiences cramps in the back of his neck into his head. 51. Mr. Whitmire now breaks out into sweats so bad that he sometimes has to change his clothes. 52. Mr. Whitmire cannot tolerate the cold like he used to. 53. Mr. Whitmire has very little energy making it hard for him to work like he used to. 54. The initial round of chemotherapy for metastatic disease did not shrink any of his tumors, and at least one tumor appeared to grow while he was taking his first-round chemotherapy. 55. Mr. Whitmire has a significantly worse prognosis than he would have had if his cancer had been diagnosed and treated in May of 2011. 56. In May of 2011, it is believed and therefore averred that Mr. Whitmire's cancer was only Stage 1. 57. Stage I and 11 nasopharyngeal carcinoma have a much better prognosis and a far higher cure rate than does Stage IV nasopharyngeal carcinoma. 58. In May of 2011, it is believed and therefore averred that Mr. Whitmire's nasopharyngeal carcinoma could have been effectively treated with radiation alone without the need for chemotherapy. 59. Because his cancer was not diagnosed and treated in 2011, Mr. Whitmire now has poor prognosis, a greater need for toxic chemotherapy, a greater exposure to the side effects of chemotherapy, a much greater risk of future recurrence, and a much greater risk of dying from nasopharyngeal carcinoma. COUNT Jeffrey Whitmire v. David Wagar, M.D. 60. All of the allegations made in the preceding paragraphs of this Complaint are incorporated herein by reference. 61. All of Mr. Whitmire's damages were the result of the negligent, careless, and substandard care provided to him by Defendant David Wagar, M.D., which caused or increased the risk that Mr. Whitmire would suffer from Stage IV nasopharyngeal carcinoma, metastatic nasopharyngeal carcinoma, and from complications related to cancer and cancer treatment, in that he: a. Failed to properly review Jeffrey Whitmire's May 6, 2011, brain MRI; b. Failed to properly compare Mr. Whitmire's May 6, 2011, brain MRI to prior scans; c. Failed to develop a high index of suspicion for nasophyngeal carcinoma in a 54-year-old man with right-sided facial numbness and headaches; d. Failed to thoroughly and properly review all portions of Mr. Whitmire's May 6, 2011, MRI; e. Failed to detect the mass in Mr. Whitmire's right nasopharynx; f. Failed to detect that mass had formed in Mr. Whitmire's right nasopharynx since his last brain MRI; g. Failed to report to Mr. Whitmire or his ordering physician that Mr. Whitmire had a mass in his right nasopharynx; and h. Failed to advise Mr. Whtimire or his ordering physician that Mr. Whitmire needed further testing of the mass in his right nasopharynx; 62. As a result of the injuries suffered by Mr Whitmire, he has incurred and in the future will incur expenses for medical and surgical treatment, medications, therapy, and assistance with his activities of daily living, in an attempt to restore himself to health and independence, and claims are made therefor. 63. As a result of the injuries suffered by Mr. Whitmire, he has been forced to endure and will in the future endure pain, suffering, humiliation, embarrassment, and loss of the ability to enjoy life's pleasures, and claims are made therefor. 64. As a result of the injuries suffered by Mr. Whitmire, he has suffered from disfigurement, and a claim is made therefor. 65. As a result of the injuries suffered by Mr. Whitmrie, he has suffered from a loss of earnings and a permanent diminution of his future earning capacity and claims are made therefor. WHEREFORE, Plaintiff, Jeffrey Whitmire, demands judgment against Defendant Wagar in an amount in excess of Fifty Thousand Dollars ($50,000),exclusive of interest and costs, and in excess of any jurisdictional amount requiring compulsory arbitration. COUNT II Jeffrey Whitmire v. Tristan Radiology Specialists,P.C. 66. All of the allegations made in the preceding paragraphs of this Complaint are incorporated herein by reference. 67. All of Mr. Whitmire's damages were the result of the negligent, careless, and substandard care provided to him by Defendant Wagar, as stated above, which caused or increased the risk that Mr. Whitmire would suffer from Stage IV nasopharyngeal carcinoma, metastatic nasopharyngeal carcinoma, and from complications related to cancer and cancer treatment. 68. At the time that he treated Mr. Whitmire, Dr. Wagar was acting as the agent, servant, ostensible agent, apparent agent, or inherent agent of Defendant Tristan Radiology Specialists, P.C. and was acting within the scope of his agency and employment. 69. Defendant Tristan Radiology Specialists, P.C. is vicariously liable and responsible for the negligence of Dr. Wagar as stated above. 70. As a result of the injuries suffered by Mr Whitmire, he has incurred and in the future will incur expenses for medical and surgical treatment, medications, therapy, and assistance with his activities of daily living, inan attempt to restore himself to. health and independence, and claims are made therefor. 71. As a result of the injuries suffered by Mr. Whitmire, he has been forced to endure and will in the future endure pain, suffering, humiliation, embarrassment, and loss of the ability, to enjoy life's pleasures, and claims are made therefor. 72. As a result of the injuries suffered by Mr. Whitmire, he has suffered from disfigurement, and a claim is made therefor. 73. As a result of the injuries suffered by Mr. Whitmrie, he has suffered from a loss of earnings and a permanent diminution of his future earning capacity and claims are made therefor. WHEREFORE, Plaintiff, Jeffrey Whitmire, demands judgment against Defendant Tristan Radiology Specialists, P.C., in an amount in excess of Fifty Thousand Dollars($50,000), exclusive of interest and costs, and in excess of any jurisdictional amount requiring compulsory arbitration. COUNT III Jeffrey Whitmire v. Pinnacle Health Imaging, Inc. 74. All of the allegations made in the preceding paragraphs of this Complaint are incorporated herein by reference. 75. All of Mr. Whitmire's damages were the result of the negligent, careless, and substandard care provided to him by Defendant Wagar, as stated above, which caused or increased the risk that Mr. Whitmire would suffer from Stage IV nasopharyngeal carcinoma, metastatic nasopharyngeal carcinoma, and from complications related to cancer and cancer treatment. 76. At the time that he treated Mr. Whitmire, Dr. Wagar was acting as the agent, servant, ostensible agent, apparent agent, or inherent agent of Defendant Pinnacle Health Imaging, Inc., or Tristan Radiology Associates and was acting within the scope of his agency and employment. 77. Tristan Radiology Associates became Pinnacle Health Imaging, Inc. 78. Pinnacle Health Imaging, Inc. is a corporate successor to and is responsible for any vicarious liability claims made as a result of the negligence of the employees or agents of Tristan Radiology Associates. 79. Defendant Pinnacle Health Imaging, Inc. is vicariously liable and responsible for the negligence of Dr. Wagar as stated above. 80. As a result of the injuries suffered by Mr Whitmire, he has incurred and in the future will incur expenses for medical and surgical treatment, medications, therapy, and assistance with his activities of daily living, in an attempt to restore himself to health and independence, and claims are made therefor. 81. As a result of the injuries suffered by Mr. Whitmire, he has been forced to endure and will in the future endure pain, suffering, humiliation, embarrassment, and loss of the ability to enjoy life's pleasures, and claims are made therefor. 82. As a result of the injuries suffered by Mr. Whitmire, he has suffered from disfigurement, and a claim is made therefor. 83. As a result of the injuries suffered by Mr. Whitmrie, he has suffered from a loss of earnings and a permanent diminution of his future earning capacity and claims are made therefor. WHEREFORE, Plaintiff, Jeffrey Whitmire, demands judgment against Defendant Pinnacle Health Imaging, Inc., in an amount in excess of Fifty Thousand Dollars($50,000), exclusive of interest and costs,and in excess of any jurisdictional amount requiring compulsory arbitration. Respectfully submitted, SCHMIDT KRAMER Daryl E. Christopher, Esquire Attorney ID# : 91895 209 State Street Harrisburg, PA 1.7101 P. (717) 232-6300 F. (717) 232-6467 Attorneys for Plaintiff dchristopher@schmidtkramer.com Date: VERIFICATION I Jeffrey Whitmire, Plaintiff, hereby verify that the facts set forth in the foregoing COMPLAINT are true and correct to the best of our knowledge, information and belief. We understand that any false statements therein are made subject to the penalties of 18 Pa.C.S.A. §4904,relating to unsworn falsification to authorities. WITNESS: i re Date: j� f SCHMIDT KRAMER PC BY: Daryl E. Christopher, Esquire I.D.#91895 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorneys for Plaintiff dchristopher(a schmidtkramer.com JEFFREY WHITMIRE, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, Plaintiff, PENNSYLVANIA V. CIVIL ACTION— MEDICAL DAVID WAGAR, M.D., TRISTAN PROFESSIONAL LIABILITY ACTION RADIOLOGY SPECIALISTS, P.C. and PINNACLE HEALTH IMAGING, INC. NO. Defendants JURY TRIAL DEMANDED CERTIFICATE OF MERIT AS TO DAVID WAGAR, M.D. I, Daryl E. Christopher, certify that: (x) an appropriate licensed professional has supplied a written statement to the undersigned that there is a basis to conclude that the care, skill or knowledge exercised or exhibited by this defendant in the treatment, practice or work that is the subject of the complaint, fell outside acceptable professional standards and that such conduct was a cause in bringing about the harm; AND/OR ( )the claim that this defendant deviated from an acceptable professional standard is based solely on allegations that other licensed professionals for whom this defendant is responsible deviated from an acceptable professional standard and an appropriate licensed professional has supplied a written statement to the undersigned that there is a basis to conclude that the care, skill or knowledge exercised or exhibited by the other licensed professionals in the treatment, practice or work that is the subject of the complaint, fell outside acceptable professional standards and that such conduct was a cause in bringing about the harm; OR () expert testimony of an appropriate licensed professional is unnecessary for prosecution of the claim against this defendant. Date: %-)-/- 1M Daryl L Christopher, Esquire EXHIBIT A SCHMIDT KRAMER PC BY: Daryl E. Christopher, Esquire I.D.#91895 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorneys for Plaintiff dchristophera schmidtkramer.com JEFFREY WHITMIRE, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, Plaintiff, PENNSYLVANIA V. CIVIL ACTION— MEDICAL DAVID WAGAR, M.D., TRISTAN PROFESSIONAL LIABILITY ACTION RADIOLOGY SPECIALISTS, P.C. and PINNACLE HEALTH IMAGING, INC. NO. Defendants JURY TRIAL DEMANDED CERTIFICATE OF MERIT AS TRISTAN RADIOLOGY SPECIALISTS,P.C. I, Daryl E. Christopher, certify that: () an appropriate licensed professional has supplied a written statement to the undersigned that there is a basis to conclude that the care, skill or knowledge exercised or exhibited by this defendant in the treatment,practice or work that is the subject of the complaint, fell outside acceptable professional standards and that such conduct was a cause in bringing about the harm; AND/OR (x) the claim that this defendant deviated from an acceptable professional standard is based solely on allegations that other licensed professionals for whom this defendant is responsible deviated from an acceptable professional standard and an appropriate licensed professional has supplied a written statement to the undersigned that there is a basis to conclude that the care, skill or knowledge exercised or exhibited by the other licensed professionals in the treatment, practice or work that is the subject of the complaint, fell outside acceptable professional standards and that such conduct was a cause in bringing about the harm; OR () expert testimony of an appropriate licensed professional is unnecessary for prosecution of the claim against this defendant. Date: _---_----- Daryl E. Christopher, Esquire EXHIBIT B SCHMIDT KRAMER PC BY: Daryl E. Christopher, Esquire I.D.#91895 209 State Street Harrisburg, PA 17101 (717) 232-6300 Attorneys for Plaintiff dchristopher{cschmidtkramer.com JEFFREY WHITMIRE, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, Plaintiff, PENNSYLVANIA V. CIVIL ACTION— MEDICAL DAVID WAGAR, M.D., TRISTAN PROFESSIONAL LIABILITY ACTION RADIOLOGY SPECIALISTS, P.C. and PINNACLE HEALTH IMAGING, INC. NO. Defendants JURY TRIAL DEMANDED CERTIFICATE OF MERIT AS TO PINNACLE HEALTH IMAGING, INC. I, Daryl E. Christopher, certify that: () an appropriate licensed professional has supplied a written statement to the undersigned that there is a basis to conclude that the care, skill or knowledge exercised or exhibited by this defendant in the treatment,practice or work that is the subject of the complaint, fell outside acceptable professional standards and that such conduct was a cause in bringing about the harm; AND/OR (x) the claim that this defendant deviated from an acceptable professional standard is based solely on allegations that other licensed professionals for whom this defendant is responsible deviated from an acceptable professional standard and an appropriate licensed professional has supplied a written statement to the undersigned that there is a basis to conclude that the care, skill or knowledge exercised or exhibited by the other licensed professionals in the treatment, practice or work that is the subject of the complaint, fell outside acceptable professional standards and that such conduct was a cause in bringing about the harm; OR () expert testimony of an appropriate licensed professional is unnecessary for prosecution of the claim against this defendant. L Date: Dary`E. Christopher, Esquire EXHIBIT C Assod���� High Field MRI Bone Densitometry Open MRI Digital Mammography X Ray/Fluoroscopy Com uteri Tomography R2 Imaging Checker DIAGNOSTIC IMAGING p �p y(� Ultrasound Minimally Invasive Biopsy PET Imaging Nuclear Medicine PATIENT NAME AGFJSEX PERFORMED AT OUR: WHITMIRE, JEFFREY(DOB 02/17/1957) 54/Male west shore Office DATE OF SERVICE Patient ID r Accession a 240 Grandview Avenue 05/06/2011Camp Hili,PA 17011 00128778/01149517,01155708 Fax(717)214-3330 214-3350 Dictated by: DBW Date of Service: 05/06/2011 70553,A9579 MRI BRAIN WO W CON,GADOLINIUM BASED CON Clinical data: Right-sided numbness and headaches. FINDINGS: There are no extraaxial fluid collections,masses or mass effect seen. There is a single punctate focus of T2 prolongation in the right centrum semiovale deep white matter on FLAIR axial images 17 and 18. Otherwise no abnormal intra-axial signal is seen. No restricted diffusion is seen. The visualized orbits,paranasal sinuses, mastoid regions and posterior fossa are unremarkable. No restricted diffusion or abnormal enhancement is seen. IMPRESSION: Nonspecific single focus of T2 prolongation in the right deep white matter. This most probably represents gliosis from remote ischemia or trauma. A sequelae of migraine headaches could also cause this appearance. A single focus of demyelinating disease or vasculitis is felt less likely. Otherwise negative study. I I ELECTRONICALLY SIGNED DAVID B. WAGAR MD/DBW I AT THE REQUEST OF LIANA I LAZA, MD Our other offices: Union Deposit Road Hershey 110 LOWTHER ST Linglestown Road LEMOYNE PA 17043 www.tristans.com Tristbn Associates is proud to be accredited by the American College of Radiology in CT,MR, US,Mammography,Stereotactic and Ultrasound- Guided Breast Biopsy,and by The Intersocietal Commission for Accreditation in NM,PET and Echocardiography. EXHIBIT D Ronny R Anderson Sheriff Jody S Smith Chief Deputy Richard W Stewart Solicitor SHERIFF'S OFFICE OF CUMBERLAND COUNTY oFFIC VtERIFF r 1 "I E PROTHONL 2014 DEC 12 PM 3:21 CUMBERLAND COUNTY PENNSYLVANIA. Jeffrey Whitmire vs. David Wagar, M.D. (et al.) Case Number 2014-7004 SHERIFF'S RETURN OF SERVICE 12/09/2014 02:32 PM - Deputy Brian Barrick, being duly sworn according to law, served the requested Complaint & Notice by handing a true copy to a person representing themselves to be Amy Benner, Medical Receptionist, who accepted as "Adult Person in Charge" for David Wagar, M.D. at 240 Gragdview Avenue, East Pennsboro, Camp Hill, PA 17011. BRIAN BARRICK, DEPUTY 12/09/2014 02:32 PM - Deputy Brian Barrick, being duly sworn according to law, served the requested Complaint & Notice by handing a true copy to a person representing themselves to be Amy Benner, Medical Receptionist, who accepted as "Adult Person in Charge" for Tristan Radiology Specialists, P.C. at 240 Grandview Avenue, East Pennsboro, Camp Hill, PA 17011. B IAN BAR ICK, DEPUTY 12/09/2014 02:32 PM - Deputy Brian Barrick, being duly sworn according to law, served the requested Complaint & Notice by handing a true copy to a person representing themselves to be Amy Benner, Medical Receptionist, who accepted as "Adult Person in Charge" for Pinnacle Health Imaging, Inc. at 240 Grandview Avenue, East Pennsboro, Camp Hill, PA 17011. BRIAN BARRICK, DEPUTY SHERIFF COST: $77.44 SO ANSWERS, -' December 10, 2014 RONNS' R ANDERSON, SHERIFF (c) CountySuite Shorif(, Teieoscft 1 THOMAS, THOMAS & HAFER, LLP By: Daniel L. Grill, Esquire Attorney LD. 65339 305 North Front Street P. O. Box 999 Harrisburg, PA 17108 (717) 237-7115 JEFFREY WHITMIRE, Plaintiff v. DAVID WAGAR, M.D., TRISTAN RADIOLOGY SPECIALISTS, P.C. and PINNACLE HEALTH IMAGING, INC., Defendants `! DEC EN J_e C OUP, V,A.I ;'t Attorneys for Defendants David Wagar, M.D. and Radiology Specialists, P.C. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION — MEDICAL PROFESSIONAL LIABILITY ACTION NO. 14-7004 CIVIL JURY TRIAL DEMANDED ENTRY OF APPEARANCE TO THE PROTHONOTARY: Please enter the appearance of the Wagar, M.D. and Tristan Radiology Specialists Date: 17/7-11) igned as attorneys for Defendavid in the above matter. R. spect lly submitted, T O • '. , THOMAS I- H�AFER, By: Daniel L. Grill, Esquire Attorney I.D. 65339 305 North Front Street, P.O. Box 999 Harrisburg, PA 17108 (717) 237-7115 CERTIFICATE OF SERVICE The undersigned hereby certifies that on this 1i day of. December,. 2014, a copy of this document was served upon the parties listed below, via First Class Mail: Daryl E. Christopher, Esquire Schmidt Kramer PC 209 State Street Harrisburg, PA 17101 THOMAS, THOMAS & HAFER, LLP 1630737.1