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Home My WebLink About05-3273 II ANGINO & ROVNER, P.C. David L. Lutz, Esquire Attorney ID#: 35956 4503 North Front Street Harrisburg, P A 1711 0-1708 (717) 238-6791 FAX (717) 238-5610 Attorneys for Plaintifl(s) E-mail: dlutz@angino~rovner.com v. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA NO. 05 - ];).1.3 CIU~(-T~ WILMA LENTZ, Plaintiff GIANT FOOD STORES, INC., Defendant CIVIL ACTION - LAW 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. OR1G1NAL 301028 II IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAYBE 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 TELEPHONE 717-249-3166 A VISO USTED HA SIDO DEMANDADO/A EN CORTE. Si usted desea defenderse de las demandas que se persentan mas adelante en las siguientes paginas, debe tomar acci6n dentro de los pr6ximos veinte (20) dias despues de la notificaci6n de esta Demanda y Aviso radicando personalmente 0 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 Ie advierte de que si usted falla de tomar accion como se describe anteriormente, el caso puede proceder sin usted y un fallo por cualquier suma de dinero reclamada en la demanda 0 cualquier otra reclamacion 0 remedio solicitado por el demandante puede ser dictado en contra suya por la Corte sin mas aviso adicional. Used puede perder dinero 0 propiedad u otros derechos importantes para used. USTED DEBE LLEV AR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USED NO TIENE UN ABOGADO, LLAME 0 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 0 BAJO COSTO A PERSONAS QUE CUALIFICAN. Cumberland County Bar Association 32 South Bedford Street, Carlisle, P A 17013 TELEFONO 717-249-3166 301028 II II \ ANGINO & ROVNER, P.c. David L. Lutz, Esquire Attorney iD#: 35956 4503 North Front Street Harrisburg, P A 17110-1708 (717) 238-679] FAX (717) 238-5610 Attorneys for Plaintifl(s) E~majl: dlutz@angino-rovner.com WILMA LENTZ, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA v. NO. OS - 3~73 Co; l '---r ~ GIANT FOOD STORES, INC., Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED COMPLAINT I. Plaintiff Wilma Lentz is an adult individual, citizen of the Commonwealth of Pennsylvania, who resides in York Springs, Cumberland County, Pennsylvania. 2. Defendant Giant Food Stores, Inc., is a corporation that regularly conducts business in Cumberland County. Giant Food Stores, Inc., owns and operates numerous Giant supermarkets in Central Pennsylvania, and one of the supermarket stores is located at 255 Cumberland Parkway, Mechanicsburg, Cumberland County, Pennsylvania. 3. The facts and occurrences hereinafter related took place during the evening of February 27, 2004, at the Giant supermarket located at 255 Cumberland Parkway, Mechanicsburg, Cumberland County, Pennsylvania. 4. At that time, Ms. Lentz was at the aforesaid Giant supermarket to purchase groceries. 5. As such, Ms. Lentz was a business invitee of Giant. 6. Ms. Lentz was walking toward a young male stock clerk to ask for directions to locate a product to purchase. 7. At that time and place, the Giant clerk was pushing a cart. 301028 II I 8. As Ms. Lentz approached the young man, a piece of plexi-glass shelving came off the cart and struck Ms. Lentz in the forehead, knocking her backwards, causing personal injuries. 9. The aforesaid incident at the Giant supermarket and all of the injuries and damages set forth herein sustained by Ms. Lentz is the direct and proximate result of the negligent, careless, wanton, and reckless manner in which the aforesaid Giant employee acted during the evening of Febrnary 27, 2004: a. failing to properly secure a piece of plexi-glass shelving that was being transported in a cart in the aforesaid Giant supermarket; b. failing to prevent a piece of plexi-glass shelving to come off a cart and strike a customer that was asking for directions; c. failing to take other actions and precautions that a reasonably prudent employee of Giant would have taken to prevent a business invitee from sustained harm. 10. Ms. Lentz sustained painful and severe injuries which include, but are not limited to, a jagged forehead laceration resulting in permanent scarring, chronic headaches, chronic dizziness, and post-concussive syndrome. 11. Because of the aforesaid injuries, Ms. Lentz was forced to incur liability for medical treatment, medications, and similar miscellaneous expenses in an effort to restore herself to health, and claim is made therefor. 12. Because of the nature of her injuries, Ms. Lentz has been advised and therefore avers that she will be forced to incur similar expenses in the future, and claim is made therefor, 13. As a result of the aforesaid injuries, Ms. Lentz has undergone and in the future may undergo physical and mental suffering, inconvenience in carrying out her daily activities, loss oflife's pleasures and enjoyment, and claim is made therefor. 30t028 2 F:\FlLES\DATAFlLEIMAC9500ICurrent\358\ans1\mam Created: 9120/04 0:06PM Revised: 815105 6:00PM 9500,358 George B. Faller, Jr., Esquire MARTS ON DEARDORFF WILLIAMS & OTTO J.D. No. 49813 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant WILMA LENTZ, Plaintiff, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 05-3273 CIVIL ACTION - LAW GIANT FOOD STORES, INC., Defendant. JURY TRIAL DEMANDED DEFENDANT GIANT FOOD STORES. INC.'S ANSWER TO PLAINTIFF'S COMPLAINT COMES NOW the Defendant, Giant Food Stores, Inc., by and through their counsel, MAR TSON DEARDORFF WILLIAMS & OTTO, and hereby responds to Plaintiff s Complaint as follows: I. After reasonable investigation, the Answering Defendant is without knowledge or information sufficient to form a belief as to the truth or falsity of this averment. 2. Denied as stated. To the contrary, Giant Food Stores, LLC is a Delaware Limited Liability Company that is a successor in the interest to Giant Food Stores, Inc. It is denied that Giant Food Stores, LLC, owned the premises. To the contrary, the premises were leased from Caldwell Development, Inc. 3.-17. Denied pursuant to Pa. R.C.P. 1029(e). WHEREFORE, Defendant demands judgment in its favor and dismissal of Plaintiffs Complaint with prejudice. MARTSON DEARD--9RFF WILLIAMS & OTTO ,K' By i( I. Geo e . Faller, Jr., EsqUIre LD. No. 49813 Ten East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Defendant Dated: August 8, 2005 VERIFICATION I, LIZABETH CHRISTMAN, Director, Risk Management Department of Giant Food Stores, LLC, acknowledge that I have the authority to execute this Verification on behalf of Giant Food Stores, LLC and certify that the foregoing Answer is based upon information which has been gathered by my counsel in the preparation of this lawsuit. The language of this Answer is that of counsel and not my own. I have read the document and to the extent that this Answer is based upon information which I have given to my counsel, it is true and correct and to the best of my knowledge, information and belief. To the extent that the content of this Answer is that of counsel, I have relied upon counsel in making this Verification. This statement and Verification are made subject to the penalties of 18 Pa. C.S. S 4904 relating to unsworn falsification to authorities, which provides that if I knowingly make false averments, I may be subject to criminal penalties. Giant Food Stores, LLC ~f~ Director-Risk Management Dated: '(')...tf/o5 F: \FILES\DA T AFILElMAC9500\Current\358\ans] _ wpd CERTIFICATE OF SERVICE I, Melissa A. Mowery, an authorized agent for Martson Deardorff Williams & Otto, hereby certifY that a copy of the foregoing Defendant's Answer to Plaintiff s Complaint was served this date by depositing same in the Post Office at Carlisle, P A, first class mail, postage prepaid, addressed as follows: David L. Lutz, Esquire ANGINO & ROVNER, P.C. 4503 North Front Street Harrisburg, PA 17110-1708 MARTSON DEARDORFF WILLIAMS & OTTO By~ a'14a,~ Melissa A. Mowery Ten East High Street Carlisle, P A 17013 (717) 243-3341 Dated: August 8, 2005 2- .". ".. '"'O~~' -rrHi, 1.7 :"'C 7(.', U.)."~..,~ ::s',;.. \......\~' "'--, /" ('; z. ""~,,' .Y c,... ;z 2 ~ 'f}. ~ (;', I C1J ~ q Q, $.:Q hj ~~ -:t:..,\ .~~(") I,..-rn 9, c...> ~ rv II I 14. As a result of the aforementioned injuries, Ms. Lentz has been and in the future may be subject to humiliation and embarrassment, and claim is made therefor. 15. As a result of the aforementioned irUuries, Ms. Lentz has been and continues to be plagued by persistent pain and limitation and therefore avers that her injuries may be of a permanent nature, causing residual problems for the remainder of her lifetime, and claim is made therefor. 16. As a result of the aforementioned jagged forehead laceration, Ms. Lentz has sustained permanent disfigurement, and claim is made therefor. 17. As a result of the aforementioned injuries, Ms. Lentz has sustained work loss and a permanent diminution of her earning capacity, and claim is made therefor. WHEREFORE, Plaintiff Wilma Lentz demands judgment against Defendant Giant Food Stores, Inc., in an amount in excess of Thirty-five Thousand Dollars ($35,000.00), exclusive of interest and costs and in excess of any jurisdictional amount requiring compulsory arbitration. / Date: ~" j ~\ D ') ~:OV~~PC LD. No. 35956 4503 N. Front Street Harrisburg, PA 17110 (717) 238-6791 - phone (717) 238-5610 - fax dlutz@angino-rovner.com Attorney for Plaintiff 301028 3 II 'I I , VERIFICATION I, Wilma Lentz, Plaintiff, have read the foregoing COMPLAINT and do hereby swear or affirm that the facts set forth in the foregoing are true and correct to the best of my knowledge, information and belief. I understand that this Verification is made subject to the penalties of 18 Pa.C.S.A. Section 4904, relating to unsworn falsification to authorities. WITNESS: ~J~4-- s!2V/(/<5' ~ ~C:,"',,)_ I .. . .. Wilma Lentz Dated: 301028 "'<l. ~, C) (:) CJ c;:::> 8 r",", '-~~ -n N 0 ;':';', ~ .-\ ~;;Fl #- rn !'-, :::..-:-} V( -,J , 0 ....... 6"- () " -n 6' c:Q ') ~ ~'>i';1 j W C~) '-'-1 -!_~ f'- L- ::.J t> w -< ~ ~:t::. F:\FU..ES\DAiAFILE\MAC9500ICulTcnt\.351l\pral,wpd\mam Created: 9/20104 0:06PM R.cvised; 712010j 10:36AM 9500,358 . George B. Faller, Jr., Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. No. 49813 10 East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Defendant Plaintiff, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA WILMA LENTZ, v. NO. 05-3273 CNIL ACTION - LAW GIANT FOOD STORES, INC., Defendant. JURY TRIAL DEMANDED PRAECIPE TO THE PROTHONOTARY OF CUMBERLAND COUNTY: Enter the appearance of MARTSON DEARDORFF WILLIAMS & OTTO on behalf of Defendant in the above matter. Defendant hereby demands a twelve juror jury trial in the above captioned action. By G rge. ler, Jr., Esquire I.D. No. 49813 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant Dated: July 20, 2005 CERTIFICATE OF SERVICE , I, Melissa A. Mowery, an authorized agent for Martson Deardorff Williams & Otto, hereby certify that a copy of the foregoing Praecipe was served this date by depositing same in the Post Office at Carlisle, P A, first class mail, postage prepaid, addressed as follows: David 1. Lutz, Esquire ANGINO & ROVNER, P.C, 4503 North Front Street Harrisburg, PA 17110-1708 MARTSON DEARDORFF WILLIAMS & OTTO BY~~l/'crt aLmO..t;fl~d Melissa A. Mowery I Ten East High Street Carlisle, PA 17013 (717) 243-3341 Dated: July 20, 2005 .-> ~ ;;J" <e: c I"~ o ~~. -- .- .- .' ~ -'..,., -'(~...-.::; ff\~"n ~-.q ~ --~~" l~? i ~? ,~\, ;:',~" '<, 'ziS '.:L. co e,;> SHERIFF'S RETURN - REGULAR CASE NO: 2005-03273 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND LENTZ WILMA VS GIANT FOOD STORES INC KENNETH GOSSERT Sheriff or Deputy Sheriff of Cumberland County,Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon GIANT FOOD STORES INC the DEFENDANT , at 1518:00 HOURS, on the 8th day of July 2005 at 1149 HARRISBURG PIKE CARLISLE, PA 17013 by handing to BARBARA DAVIS, ADMIN LEGAL, ADULT IN CHARGE a true and attested copy of COMPLAINT & NOTICE together with and at the same time directing Her attention to the contents thereof. Sheriff's Costs: Docketing Service Postage Surcharge So Answers: 18.00 4.00 .37 10.00 .00 32.37 r~~.-<<-;~ R. Thomas Kline 07/11/2005 ANGINO & ROVNER Sworn and Subscribed to before By: ~ me this I~~ day of q PI ,l"D~ A.D. (h' () ~;jJh'~ rothonotary , Wilma Lentz, IN THE COURT OF CmlMON PL;;AS OF CUMBERLAND COUNTY, PENNSYLVM,IA Plaintiff: vs. NO. 05-3273 CIVIL u Giant Food stores, Inc., Defendant Rm.E 1312-1. The Petition for Appointment of Arbitrators shall be substant::'ally in the following form; P~TI7!ON FOR APPOINTI1ENT OF ARBITRATORS TO THE HONORABLE, tHE JUDGES OF SA!D COURt: nt=!.virl r. Tn~'7r ~("'ij'. , counsel for the plaintiff/defendant in the above 1. 2. action (or actions), respectfully represents that: The above-taptioned action (or acticms) is (arei at issue. The tlaim of the plaintiff in the action is $unliquidated The counterclaim of the defendant in the action is dama.ges The following attorneys are interested in wise disqualified to sit as arbitrators: and George Faller, Jr., Esquire the case(s) as counselor are other- David L. Lutz, Esquire WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be submitted. cc George Faller, Jr., Esquire l~l1Y submitted, David L. Lutz, Esq. ORDER OF COURT AND NOW, , 19______, in tonsideration of the foregoing petition, Esq., Esq., and ,Esq., are appointed arbitrators in the above-captioned action (or actions) as prayed for'. By the Court, P. J. G:> ~ 7'l, ~ ~ V'\ ..:-t Vl -...:t -- s ~ ....0 (,.; ~ Q, ~ ~ ~ ~ t"~ ~ -;?,Q ~<~(;!, c,.,..) -:r--:!,J -o.;~.~ $ ~ I..i> "'; .' ~ ~ -ts. --.. li(, ~ -J F- E --L... :];\:~, ~':. .^ ~'j) - ;':-;';:,\. ~;~~-'- ')7 r,.. ~( Wilma Lentz, vs. Plaintiff: IN THE COURT OF CO~WON PL~AS OF Cw~IBERLAND COUNTY, PENNSYLVM{IA Giant Food Stores, Inc., Defendant NO. 05-3273 CIVIL n RULE 1312-1. The Petition for Appointment of Arbitrators shall be substant~ally in the following form; PETI7!ON FOR APPOINTMENT OF ARBITRATORS TO THE HONORABLE, THE JUDGES OF SAID COURT: D;:avirl T. T11....." 'i~~. the above l. 2. action (or actions), respectfully represents that: The above-captioned action (or actions) is (arei at issue. The claim of the plaintiff in the action is $unliquidated damages The counterclaim of the defendant in the action is , counsel for the plaintiff/defendant in The following attorneys are ~nterested in the case(s) as Counselor are other- "'ise disqualified to sit as arbitrators: David L. Lutz, Esquire and George Faller, Jr., Esquire WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be submitted. cc George Faller, Jr., Esquire AND NOW, A;..~ ~:J , ~.;2.1" 5; in consideration of the foregoing petition, 'w~,J)/h:lD<L../ Esq., ~j.{-",..I.{',by!Ld.<<~; Esq., and ~A't~~ ,Esq., are appointed arbitrators in ,the above-captioned action (or actions) as prayed for. ORDER OF COURT ~llY submitted, David L. Lutz, Esq. By the Court, P. J. ..0 y. c> ~6. 2P ''f'. ~~") <..,.) ~.,". (~'-S~ '.).-- . ::J.\.~ 0--")..- Y '6 )::.J 0 ~ l -...... It CI( D -- Il'- () (l- V( -:t -cJ r-' ~ C? cO' 0 ~ = -n lI'1. F- e.._ <J' -0 .. -I 7-!l'" ::r::n 6.,; ~ c:: rn.--: :e (l-) :,s:8 ;'-.) W (:~) (L) ..f..--... - 1=+<;, ---f.... ')-'" -"- ,..0 .<.\'1'1 ~? 0 -l '" ~ "" ::< c:: '-__7 '>, en t" Cl -;? ,.;:... ""-' ~ C-' :? u {~ gJ F\FILES\OA T AFlLE\MAC9500\Currem\358\celt I\ffiam Created 1017/05 lL07AM Revised: 1017105 11:41AM 9500,358 George B. Faller, JT., Esquire MARTS ON DEARDORFF WILLIAMS & OTTO LD. No. 49813 10 East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Defendant WILMA LENTZ, Plaintiff, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 05-3273 CIVIL ACTION - LAW GIANT FOOD STORES, INC., Defendant. JURY TRIAL DEMANDED CERTIFICATE PREREOUlSITE TO SERVICE OF A SUBPOENA PURSUANT TO RULE 4009.22 As a prerequisite to service of a subpoena for documents and things pursuant to Rule 4009.22, Defendant certifies that: (I) Plaintiffs counsel has waived the 20,day notice of intent to serve the subpoena, a copy of the letter is attached hereto; (2) a copy of the proposed subpoena is attached to this certificate; and, (3) the subpoena which will be served is identical to the subpoena which is attached hereto. Dated: October 7, 2005 eorge B. Faller, JT., Esquir LD. No. 49813 Ten East High Street Carlisle, P A 17013 (717) 243,3341 Attorneys for Defendant N DEARDORFF WILLIAMS & OTTO , By: OCT. 7.2005 11:19RM RNGINO p, ROVI.JER HBG, PR. NO.975 P.2 ANGINa & ROVNER, P.C. 717/231%791 FAX717In8-5610 RlCftA:aD C. ANGINO lWLJ. ROVNlOi )OSHPH M. MEl.I1LCJ DAVlDLLtm MICHAEL Il.l<OSlK RICHARD A. s.o= JOAN L. SIw.'UL\K LISA M.:s. WOOT>1MlN DAIl."Yl. E. CliroSroPHm 4503 NORTH FRONT 5nlEET HAluUsBlJRG, PA 1711Q.170B WWW......GlN().ROVNER.COM ~ DLutZ<ilANGIN()'Il.OVNliR.COM October 7,2005 BY FAX - 243.1807 George Faller, Jr., Esquire Martson, Deardorff, et al. 10 East High Street Carlisle, P A 17013 Re: Lentz v. Giant Food Stores, Inc. Your File No.: 9500.358 Dear George: Per Melissa's request, please be advised that I waive the 20 days so you can Subpoena Dr. Larry Espenshade's medical records pemrining to Wilma Lentz. Please send me copies of any and all records you receive in response to your Subpoena, Thank you. Very truly yours, ~Lutz /mtg 310921 C'(Mo{)NWEIillrH OF PmNSYLVANIA COUNl'Y OF aJMBERU\ND WILMA LENTZ, Plaintiff, v. GIANT FOOD STORES, INC. Defendant. Fi Ie No. 05-3273 SUBPOENA TO PROOUCE [)()(;U>ENTS OR l1i I NGS FOR 0 I SCOVERY PURSUANT TO RUlE 4009. 22 TO: Larry M. Espenshade, D.O., 40 Second Street, Highspire, PA 17034 (NIme of Person or Entity) Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following documents or things: Your complete records of all services pertaining to Wilma Lentz, DOB 1/12/47, SSN 202-36-5008, and the billing for same, including but not Llm~ted to, all office notes, correspondence, memoranda, reporcs, fOLrn~, L~bulL~ vI t~~L3 aT studiQg (_llT not c:\ctuctl filnl5), con.smltatioRG, referrals 3.RQ tJ-.~ 1i k"" at Martson Deardorff Williams & Otto, 10 East High Street, Carlisle, PA 17013 (Address) You may deliver or mail legible copies of the docunents or produce things requested by this subpoena, together with the certificate of carpliance, to the party making this request at the address I isted above. You have the right to seek in advance the reasonable cost of preparing the copies or producing the things sought. I f you fail (20) days after ~ell;ng you to to produce the docunents or things required by this subpoerv3. within twenty its service, the party serving this subpoena rray seek a court order carply with it. THIS SUBPOENA WAS ISSUED AT THE REaJEST OF THE FOLLClNING PERSON: 'lA/"E : George B. Faller, Jr., Esquire ~ESS: 10 East High Street Carlisle, PA 17013 rELEPHONE: 717-243-3341 :;U:>REr"E ro.JRT \0 # 49813 \TTORNEY FOR: Defendant BY THE COURT: 'I ivil Division )ATE:_~~~ober 7, 2005 Seal of the Court Deputy (Eff. II'}!) CERTIFICATE OF SERVICE I, Melissa A. Mowery, an authorized agent for Martson Deardorff Williams & Otto, hereby certify that a copy ofthe foregoing Certificate Prerequisite to Serve a Subpoena was served this date by depositing same in the Post Office at Carlisle, P A, first class mail, postage prepaid, addressed as follows: David L. Lutz, Esquire ANGINa & ROVNER, P.c. 4503 North Front Street Harrisburg, PA 17110-1708 MARTSON DEARDORFF WILLIAMS & OTTO By: l \ Melissa A. Mowery Ten East High Street Carlisle, P A 17013 (717) 243-3341 C10--Q C l Dated: October 7, 2005 C) c- ~~~ <.~ -..:.'~ .c:f' Ci ('") ___I , -' -0, '. -1-1 _:,: f~'") ~:~-'))-n ':-:::, .-.-,~ ~ r;? (Ji C0 "'- \ \ w-.o... lA.",,\-~ '...J Plaintiff <C --':'~,^~~Jo~oNiO I 'Ie.. "- Defendant In The Court of Common Pleas of Cumberland County, Pennsylvania No.os..- ~ '3 Civil Action - Law. Oath We do solemnly swear (or affirm) that we will support, obey and defend the Constitution of the United States an~ the Constitution oftbis Co 0 .weil1th and tharwe ill discharge the duties of our office with Idehty. 'oO, ,7 ~ ' /. ?, t ~ ~ <<---- Signature / "hl'tl 1'-;;11 /cr. /70// lefty, / 'Zip /I / OW,5- Award We, the undersigned arbitrators, having been duly appointed and sworn (or affirmed), make the following award: ote: If d ages for delay are awarded, they shall be separately sta ed.) . W\'-L\~ ~ ~~~ Name (Chainnan) "fruGfj\.<:'LC\~ ~lrF Law Firnl :;)') 'N. \'\)(.,..t\ -9" . Address ~~q~ City, fu\l~ Zip 11 i O'{J.() '" ~ .s;..\,)", """,,,,> : ~ '-5 Date of Hearing: \ \ _.Q.O. - 0:::' Date of Award: ) 1- 0l.Q. _ ~ lit ck&!;fL1?xd474 .. Name 14'U\y)'<:' bJ,{;i~ Law Firm ~S-/{) h./~dk ij Address ~erJkn L. 73/=,.., Name ~-srx~-^ L 0,--,or'-1 LawF 'd/OO Lo"<iS (;0.,;, f~=.J Address .-' I t::..'''A..,(,s Ie I/~~ 170('3 City, / Zip ;I JO;)& ? J ~tt \D'S;; ~4<:"'J::) - o.v...<& . V'\()I'""\_ dissents (Insert name if applicable.) , (Chairman) Notice of Entry of Award Now,the J.9rJdaYOf /UJv{",1tr200;" ,at I :07 ,.1b.~.,theaboveawardwas entered upon the docket and notice thereof given by mail to the parties or their attorneys. Arbitrators' compensation to be paid upon appeal: $ 9. 'It), \.10:., By: Deputy ------- .:: :-:, c ~ --< "3 ~ --<: p ::-- ""- ;i!- -- Q -::I' , ~~ ? < ~\ " <'-, - r'- (}J -.--- " h ':;5\ rY' ~ '" C V' r~ ::) +- ....- () .~' '. .J ~ \' <; rl.l <-~ (,()' .~r" ,.~ """:. r.,) c:..-.' Wilma Lentz, Plaintiff VB. IN THE COURT OF COMMON PLEAS Giant Food Stores, Ine., Defendant CUMBERLAND COUNTY, PENNSYLVANIA NO. 05-3273 Civil Term NOTICE OF APPEAL FROM AWARD OF BOARD OF ARBITRATORS TO THE PROTHONOTARY: Notice is given that Plaintiff Wilma Lentz appeals from the award of the board of arbitrators entered in this case on November 22, 2005 A jury trial is demanded ~ (Check box if ajury trial is demanded. Otherwise jury trial is waived.) I hereby certify that (I) 1.- the compensation of the arbitrators has been paid, or (2) application has been made for permission to proceed in forma pauperis. (strike out the inapplicable clause.) ~ . H elltmt 51 Attorney for Appellant David L. Lutz, Esquire NOTE: The demand for jury trial on appeal from compulsory arbitration is governed by Rule 1007.1 (b). (b) No affidavit or verification is required. ee George Faller, Jr., Esquire D -{g. ):J " "-> #- :\1- we () ..,.-- :.~.:! 1-, 6"- -- -- () 1-,." ~ ~ ().- C::J ......... ~ ~ "---;-', - -.t -<l .. ~ ~ ~'" ) """-0 -::c:. -". +- -:z:- - ANGINO & ROVNER, P.C. David L. Lutz, Esquire Attorney ID#: 35956 4503 North Front Street Harrisburg, P A 17110-1708 (717) 238-6791 FAX (717) 238-5610 Attorneys for Plaintifl(s) E-mail: dlutz@angino-rovner.com WILMA LENTZ, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA V. NO. 05-3273 CIVIL TERM GIANT FOOD STORES, INC., Defendant CIVIL ACTION - LA W JURY TRIAL DEMANDED STIPULATION TO LIMITATION OF MONETARY RECOVERY PURSUANT TO RULE 1311.1 To: Giant Food Stores, Inc., by and through counsel George Faller, Esquire Plaintiff, by and through counsel, Angino & Rovner, P.C., stipulates to $15,000.00 as the maximum amount of damages recoverable upon the trial of the appeal from the award of arbitrators in the above-captioned action. ORIGINAL 315356 IIT -. Wilma Lentz Name of Plaintiff ANGINO & ROVNER, P.c. '1'( Date: \ j / \ J v ~ David 1. Lutz I.D. No. 35956 4503 N. Front Street Harrisburg, PA 17110 (717) 238-6791 - phone (717) 238-5610 - fax dlutz@angino-rovner.com Attorney for Plaintiff 315356 r 1\ CERTIFICATE OF SERVICE I, Mary T. Geraets, an employee of the law firm of Angino & Rovner, P.C., do hereby certify that I am this day serving a true and correct copy of the STIPULA nON TO LIMITATION OF MONETARY RECOVERY PURSUANT TO RULE 1311.1 upon all counsel of record via postage prepaid first class United States mail addressed as follows: George Faller, Jr., Esquire Martson, Deardorff, et al. 10 East High Street Carlisle,PA 17013 Attorney for Defendant r" Dated: \ j / \ )- , \) ....., 315356 f'--'" \.-..:.., , >\1 ,- ANGINO & ROVNER, P.C. David L. Lutz, Esquire Attorney ID# : 35956 4503 North Front Street Harrisburg, P A 17110-1708 (717) 238-6791 FAX (717) 238-5610 Attorneys for Plaintifl(s) E-mail: dlutz@angino-rovner.com WILMA LENTZ, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA v. NO. 05-3273 CIVIL TERM GIANT FOOD STORES, INC., Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED NOTICE OF INTENT TO OFFER DOCUMENTARY EVIDENCE PURSUANT TO RULE 13 11.1 To: Giant Food Stores, Inc., by and through counsel George Faller, Esquire Plaintiff, by and through counsel, Angino & Rovner, P.c., intends to offer the documents attached hereto at the trial of the appeal from the award of arbitrators, in the manner provided by Pennsylvania Rule of Civil Procedure 1311.1. The following documents are attached: I. Holy Spirit Hospital records (Exhibit A) 2. Dr. Larry Espenshade's medical report of April 22, 2004, and records (Exhibit B) 3. Dr. Mamta Verma's medical report of April 22, 2004, and Hershey Medical Center records (Exhibit C) 315357 OR\G\NAl 4. Medical Bill Sunrmary (Exhibit D) 5. Karen Bruner's March 17,2004, employer letter (Exhibit E) Wilma Lentz Name of Plaintiff /' Date: I d' I.) ,G\ 315357 ANGINO & ROVNER, P.C. ~t LuU LD. No. 35956 4503 N. Front Street Harrisburg,PA 17110 (717) 238-6791 - phone (717) 238-5610 - fax dlutz@angino-rovner.com Attorney for Plaintiff ~)dd If A - ~ ,- .-- H8H ER FORM REG OATE: 02/27/04 NAME: LENTZ ,WILMA L ADDRESS: 170 STRAYER RD SlRTHDATE: 01/12/1947 AGE: EMPLOYER: KEYSTONE SERVICES ADDRESS: eft URCH : COM~lENT : 22727796 MR.: 45510B SS .: 202-36-500B iYORK SPRI NGS iPA/17372 PH.: 717 528 -8760 57 SEX: F MS: M RACE: 1 6EO: OCCUPATION: ASSISTANT nlECHAH \ CSBURG IPAI PH. LUTHERAN AMB: YORKS SPRIt,GS 11A,1E: ADDRESS: i,AME: ADDRESS: ADMIT DR: AHNO DR: REFER DR: ADMIT ox: COMPLAIHT: AMB SRT IN COMMENT: LUTHERAN ST PETERS 21:55 PH: EMERGENCY CONTACT INFORMATION LENTZ ,WALTER REL TO PT: H WK PH 170 STRAYER RO iYORK SPRINGS IPA/17372 PH 717 - 528-8760 LENTZ ,WILt1A 170 STRAYER RD KEYSTONE SERV1CES I NSURANCE CO SUBSCRIBER INSUR.ADDRESS: 2 809 BLUE CROSS LEfIT2 ,W1LMA lNSUR.ADDRESS: 3 IBOOIB 1800IB ED GRO~ ED GRijUP LAC TO FOREHEAD BY: I REL ro PT: / I WK PH PH CASE INFORMATION \ 'I " REG SOURCE: EO PATIENT TYPE: E n 1 , II, ( I HOSP SERVo ER3 FINANCIAL CLS: B VISIT CLINIC CODE: ER3 ICO-9 ox: 8RT IN BY: HUSBAND ACCIDENT INFORMATION DATE/TIME: 02/27/04 20:00 ACC IND: 0 JOB RELATED: N LOCAT!Ot~: DESCRIPT10N: HIT IN THE HEAD WITH PLEXIGLA 55 AT GIANT FOOD STORE I~At1E : ADDRESS: EMPLOYER: ADDRESS: PLAN INSUR.ADDRESS: 4 I NSUR.AODRESS: COMMENTS: FMOI ESPENSHADE PATIENT NAME: LENTZ ,WILMA L ~EG !STEREO 8Y: AJENUS ED !tEO BY: -- --'~-'-I PR I VACY NOT! CE: 02/27/04 ER3 01 AJJ GUARANTOR INFORMATION PT PEL TO GIJAR: S IYORK SPRIIJGS /PH/17372 CONTACT NAME: /HECHANICS8URG IPAI I NSURANCE I NFOP:1AT JON COB POll CY # PEL PC VF~ CARD PRECERT/AUTH SS .: 202-36-5008 PH 717 - 528-8760 PH GROUP . . PRECERT PHONE . I S YWG20236500 Y Y 800 005000690000 - c;o., ~t>\ \ (I ~~'1~ ---- ;, 1..\ ). ~ ~(lCl t"o e, ~ <{'le{ . 22727796 HRI: 45510B END OF DOCUMENT PTI: CATE: 21 :55 02/27/04 FROM 5YHX,ERREGSFl ---' ~ t~h 1& ,1-jzt .J .-. Date: Name: Age: I fY\..tL Mode of Arrival: BLS 0 ALS 0 Other'. Triage Chief Complaint Ell'll..! ,. CV~.()Vv-....1A. ~() . PrtHio$pital 0,1'8: ' MI'C.D, . vital" . BP . .:~ :': "F' ., RhyjMl: Airway DNasaldO~. Oxygen ONICON IV T\Wlrapy: Oewosticl<: '.. Medlcat1on2: ii:.' --".,:.,:. ""''',__:_ . :'" : .. _ " -:- ': .'...' ',;..,...."....:".,.:....., :'-':: ;. ~ i ".\':'1; :,,:}.j if'::l,~i:'jt~i;ii~ (i~; .,~.'~~~,;ji::;: t Medications: Meds Info obtained by: Dose Mads Unknown 0 Holy Spirit Hospital Camp Hill, PA 17011 John R. Dietz ECU Nursing Assessment 201-ECI.; 1102 11Jtt1 Rail. LS CHART COpy in Color: WNL 0 Mottled ::J Cyanotic D Skin Temp: Warm D Cool [' Distal Pulses: Yes 0 No D Edema: Yes 0 No 0 Deformity: Yes 0 No 0 Ecchymosis: Yes Ci No [J Triage to Radioiogy at ,~~ -. 5l- FMD~'# J h-9..0~ BP, ,t:> O,SAT 9.~ Tm P ~0 R \<6 ~ao (OL dD .~An~~ @ r1< _ r;,.~ ,.,.A* PMH Checklist: None 0 MID HTN [J CAO 0 CHF ~ ASTHMA 0 CANCER r::: STROKE [J NIDDM [J 100M 0 Surgeries L:: Other::J ~ S()c::> r""l-^- Q IBJ Allergies f)o. n)o'\oo.-.-l Latex Allergy Yes D No 0 Immunizations: UTO [j Not UTOD Tetanus LMP NoD HOH 0 Soeaks Enolish: Treatment @ Triage EMT D MediC C Meds List D Bottles 0 Patien Dose Meds Home 0 Work c: Other .... 1,': (" ..: ~_ l >--' ; ,'':; h :i R Ltdl-..ll.(A l I 7.. ::; r ';', : l R RD ~ ... ' ~ j 1-' ,', , ~ ,~ S (,; l/ I ,-' / j, 47 ~..;':-3Q-:,....:';8 OU/7/04 Log In: f) I 33 Triage: d1 S-C"") Room: oZq..5--U Advanced Directives YesO NoC Yes' 00 f sure to measles, chxn pox, TB? YesLJ NoD PAIN A~Sf8SME1I'.I Locatlon~ Intensity Scale I~ /10 Adul~ Wong Baker C Character: Ache C Dull 0 Sharp 0 Pressure D Burning [J Throbbing 0 Radiating l.I Duration Frequency What relieves Pain? Triage Notes: Oose 4",;,loe E ER3 PA J 7372 ~26-e7tO LO ~RCUP j I ,~ ~, Initial lab & X-FlaY Ordera: l.JJb. [ ] Acetaminophen I l Acetooe (SAC E) { 1 Alcohol (ALCO) [ I Amylasellip13se [ ) APTT I ] BBH r 1 Blood Cultur&s { 1 BMP [ I CBCP { I CMP [ ] CAP' [ ] Digoxin [ ] Dilan1in RadlolollV ( ] AJxlIObstr. Series f ]Ankle A L I ] Clavicle A L [ ] Cel'\', Spine Rt I Lal [ ] Chest Rtn, I Port / TPA [ ]Elbow R L [ I Facial [ jFemur R L [ ]Finger_R l [ ] Fool R L r ] Foreann R l [ ] I-tand R L [ ] Hip A l { J Humerus R l []Knae Al [ ] Other REASON: I DOAS I ESA 1 Glucose I HOGS J KIV j Liver Profile- ] Lytes ] Pnenobertl 1 PTP ] Salicylate ] Th.eo I Thromoolytic labS' ] Tox SCrHn [ ] Urine Tox SCI&9n I TSHR ] Type&Cross _ , 01 units (BORl ] Type & ScrENIIl ) UA, [ J DIP ( ] OIAG. JUrineC&S I Urine HCG , we Breath AJco Test ] we Drug Screen ] Other: , KUB I US Spine ] Mandible J Nasal ) Orbll A L J Pelvis ] Pyelogram IVP ] Ribs: A l ] Shoulder R L ] Skull ] Slernum ) T/Splne ] Tiblfib A L )706_ R L ! ]Wrisl R L Time/CAT Ilnl Soaclal P,ocadureo: Ultrasound: CT: (W=WIth contrast; WO=Wlthout) [IAbdome' [J,-- w ~r )VQScon [ I Duplel( Doppler [\("BralnIHead W we [ l Echo- [ ) Gallbladder I 1 Chesl W CB.fdlogram ( ] PeMcI [ 1 Spiral chest lor PE Transvaginal {] DIMr: REASON: ~O(>fIl Tlme/CRTl\nt i ",' J (1M J I ~ Soac/man&lCultures [ ] Beta Strep AG Rapid [ ] Cervical/Genital [ ; Clllamydia [ I GC Culture [ J Mor.ospot irapld) [ ]SputumC&S lSloolCIliS lSIOOIO&P I Stool C. Difllclle ] TrichOmonas )WoundC&S JOlher Billing Class III cation: PHYSICIAN CHARGE FACILITY CHARGE J Levell ] Levell I Level II ) Leve! 11 J Level III 1 Level III ) Lev",1 IV ] Level IV ] Levej V l Level V ) Accident ] Medical ] Case 1 ] Ex1ended Hrs, Holy Spirit Hospital Camp Hili, PA John R. Dietz Emergency Center Physician Order Sheet 200-ECU REV. 10100 WtMc CHART COPY ~ Cardiac [ IMonitor I IEKG [ ]02_UMln, [ ] 02 SatlKation Re."ln1Iorv [ JAeG's [ J Peak Flows 8eforaJAfter R&sp, Tx. [ 1 Respiratory Tx, Medication. IIV's I Addltlona' Orders Oal8fT1me Dat&ff1me11nt. IV: NSSI D5WI LFII 05l.45NSI OS.9NS WOIKVOlln/use st mlslhr ] Obtain old records ] Td Protocol Initiated for: Inllls's: RNIIIIA Inltlela: ~ Slgnature~ RNlMA Dlctatsd: H.tt [ J Completed [] CRITICAL CARE: _ hrs, Dlsgnootlc Imp,ss.lon: fij rt" 11 rM" / {'.fr7 /tJrnHl hi/1. Con.ulllnglAdmltllng phYllcl.n: ... MD~' .<K.300 Time: '::: ~ ;_ I l I, <l L>"" ."'IL,;A L ~., ;, " t. tt. RL ~ ., ,'<( ~,' I '; ~ S L J I ; ~ I j ~ I ", i ~ "L - Sb-:..~,D8 (R3 fA 173i2 ':iC8-dlbO LO GhI)U~ uul7/0lt ,~ - -, Ffir. .nc~: ~ Gen I: C : NL NL arm C1frail C1pale Ocool Oloud !:JObesEt ~f1ushed OneV' QSI~ Clemaciated ::leyan-otlc Odi). I3fBlkall\l6 :Jjaundiced Ocliaphoreuc :JmumbHn-g Gail. __ //,Jmottled Orash :J.~tly ::JNiA U"'nonnal C1abnormal ~ ra!lve Oletherglc a batlvlt' ~n Bed CJamciOUs On d to: ClhV8t~cel ~p RelS~~~StlmlJli O\SI~ Oi(pP;opriate Q e Odel8)'9d restraintfsecluslon-f1ow!:lhlffll Olnl..llnal IJNIA en-lea pain/symptoms Onau8(le QdialThee ::Jvom~t1ng C1constip8tlon :lHematemesis La!:llBM OAbdcmen lender Odllllended Ofi~ Osoft ::JweaKOOSS :.J.uffithral dischafge :Jvaginal diseMrge Oveginal bleeding Ofoley presenl_# OChee( pain are.e' Severity __/10 Oeon-stant Osharp Qinlermitlenl Odull Oburning Dheavy OS08 Opleurilic Onon-radilJting Oradiating _ Dn01l,lsea EENT Q den{ea ..I. OWJA Eye.v- Ears Nose Throat ~urredYi8ionL/R AI;.vily:l_l_ DPainUR Dcon~estion Osore Ddoob\e v\&ion II R R_I_ Qdlscnarge Odr;:linage Qdroollng DPho1opMbla II R Owlih lenses DepistaxilC L i R Doyspha:gla Cardlovqcular: -~ Trauma, (J N/~ I Location j.JO' gz:o --Ii Oecchymosis O'.fD,m,ty ~ ~.w..,-fn,11. q Oedema De hElrna Q Monitoted rhythrr, See rllJrsir.gA.ste-tsmeI'11 Opacer Oedema ~___ I o call tenderness R! L I :Jwarmlh Dredness Ocapillaryreflll ~ C)rapld Udelayed '. - . \I~ON}A l!n1eadache Ostiffneck Dneck pai~ Olaclal droO~ :JnulTlbness oa IJ Cl IJCl GYN enless/s ;::lfrequency OurOency ODysuria OHema\ur\a Dretention GOther NIA o nsnk palrl LI R ORad1a11ng: 56varily __/10 PATIENT CaSE Complete ProjpDet"lnitiated: ere-a\\ be" w\th\n reach O~ocedure ex ll!linecl 0:- ~ NURSING ASSESSMENT: ,---.J f-- IV Ther8py {torIdltiOll codu. O""Q Inn"mmaliOllIi:::orrplcOIlIQn l:edfJlN 2"erylhlll'l'llll ~..cc:hY!T'()a<s 4=palll 5"hardnen 6"WSrl'1'1lh ?"llalo:ln Dalei Ami SolutiO!1 Sl~e Site Rate AUllm;ll$ Cond 11l1~1l1 T,~ RN Slgnalur.: I /!II, in'. Medications (,./i..i)J/, Tim Delat Dru!;j Route Time S'le 1r.I~al Re~pcnse /f '~ -$, -",,' (/ ~, ( '-- ,---- , Date.i I' Notes Time '( /7) II - 1 ~ <V77fi,- -:;;- ~L# I..",.. ~-7T i.1~OO /')1 /);. L .x '711 . A h. !;;l.u--.- l ) /fA _t:'lL /I_-:7f7- ~ cI t.' _ d~. A . ..;lZ f7 ..;, .rJ,-ph/,( A_ IOYY\"YIJ ['\('\A (l . i'..L, 5/s ... , Dale.! TimE! Notes ? ,,.,, _, ,~,. oZ.- /~), ,J 1fr7~ T/.-o- , . A. <44l 7z:b (l ~ rid .:7_.J-ro ,- SIGNATURES: u r/T":::' -I' ;:--.A^ _ ADMIT I DISCHARGE I TRANSFER ~ Is.charged ~panied by -c::J8mbulatory ::Jwlc :Jambulance to:..at'1'l:5m"e tJnursing home :JAMA:JOR Oothe(: ,..., -- rge instructions given to ~t Otamlly OparElnt r.:1other: Otrins1erred to Oeansenl signed Ocld records sent to floor Oclothlng sheet done Slgnalur.: @_ ~ rge OAdmission Q23hr ObsRoom# ....,Reportca\\ed@_lo RN!LPN Condition: .~aciory OCritJcal Olmproved; pain scale ~ ,;:: ': ,R~~~nat~r~: Lcil. ,.ll'1A l , (',; :J I' A I l;\ RL ! " ~ ~ ) p;" I ,i (, S li : / j ..: / t ':14- ; .. u~'-..\o-)\;~d ~ ~"..A DDeceased 10 morgue 110 @06~ 0 Holy Spirit Hospital Camp Hill, PA 17011 John R. Dietz ECU Patient Oba.rvallo n I "'.......m.nll Nol.s 1205-ECUBlOO l[}~fltl'V, LLW I ER3 PA 17372 ~lE-~H() ED GROUP V:I27104 I 1".0: CHART COPY Holy Spirit Hospital Department of Radiology and Diagnostic Imaging Camp Hill, Pennsylvania 17011 (717) 763.2600 PATIENT: MRti: SOC SEC: ORD DR: PT TYPE: DOB: LOCATION: LENTZ, WILMA L 455108 202-36-5008 MILLER SUSAN M.D, E 01112/1947 ER3- DICTATION DATE; Feb 28 2004 12:06A TRANSCRIPTION DATE; Feb 29 2004 10:48A ADM DATE; 02/27/2004 ARRIVAl DATE: 02/27/2004 HOSP SERVICE; ER3 <<<Final Report<<< EXAMINATION: CT SCAN OF THE BRAIN 70450 .02/27/2004 COMMENTS: Indication; Trauma, Unenhanced study was pertormed, The findings are normal. No abnormal intracranial blood, edema, 0 mass effect. No encephalomalacia or midline shift. CONCLUSION: Normal. DICTATED BY; DAVID AUERBACH M.D./ WSW DATE OF EXAM: 02127/2004 SIGNED BY; DAVID AUERBACH M.D. DATErTlME; Mar 12004 12:10P MAR 0 3 ID04 Date (, ___-<: M.D./D.O. Results reviewed by x'---.- - ' DisposjliOi)'. Jnormal. File d - I Nurse cheCK or ers _~~~~~:~I'. Retur~ to designated physician for FlU, -abnormal but no actiOr1 indicated, File. Imaging Services Consultation Page 1 ADM DATE: 02/27/2004 CHIEF COMPLAINT: Head laceration, HISTORY OF PRESENT IllNESS: This is a very pleasant 57-year.old who presents today by car with her husband. She states that around 8:30 this evening she was at Giant and she was shopping and she was in one of the aisles and she turned around and one of the employees from Giant had a big cart full of things and there was some plex:y gJass on the top of it that came falUng down and hit the patient on the forehead. She stated she did not lose any consciousness. She stated that he had no nausea, no vomiting, no confusion, and no dizziness. She just complains of a lot of pain In that area where the laceration is. She states she is up to date on her tetanus. She denies any neck pain. She denies any other injuries at this time. Someone at Giant put some kind of liquid on the laceration and the patient has no idea what it was, PAST MEDICAL HISTORY: Decreased blood sugar, MEDICATIONS: None, ALLERGIES: Darvon. REVIEW OF SYSTEMS: As above in history 01 present illness, PHYSICAL EXAMINATION: VITAL SIGNS: As per nurse's sheel. CONSTITUTIONAL: In general, this is a well-developed and very pleasant and alert and well-nourished 57-year-old who is in no acute distress, HEAD: The patient In her middle lorehead had a very small Y, centimeter slightly jagged laceration that was approximated and I did cleanse it with normal saline and I could not pull the laceration apart. She had extreme tenderness to palpation of this laceration, but there was no soft tissue swelling. There was no ecchymosis. There was no erythema noted around this laceration. EYES: Pupils were 3 millImeters and equal and reactive to light. She did not have any nystagmus, Her extraocular movements were intact. ENT: Ears: Tympanic membranes without perforation, injection, or bulging, Throat: Oropharynx without lesions or exudate. Airway patent. Nose: Nasal mucosa normal. NECK: Supple, symmetrical, non-tender, no lymphadenopathy. Trachea midline. Thyroid non-palpable. LUNGS: Normal respiratory effort. Breath sounds equal. No rales, rhonchi, or wheezes, CARDIAC: Regular rate and rhythm without murmurs, ectopy, rubs, or gallops. No pedal edema. NEUROLOGICAL: Alert and oriented to person, place, and time. Cranial nerves ,ntact. Sensory and motor function hormal. Reflexes symmetrical MEDICAL DECISION MAKING: I am going to Dermabond this area because I think that liqUid stitches were usad and I don't want the patient to go home and have this laceration reopen. At this point, there is no way I could suture this so we will Just reinforce this with some Dermabond. The patient was sent for a CAT scan of her head because- of the extreme tenderness on palpation of this laceration and her being extremely tearful. She was given 600 milligrams of Tylenol. At this time, the patient will be signed out to Pam Darden, I did write discharge instructions should her CT scan of her had come back normal. CLINICAL IMPRESSION: A lorehead 1 centimeter laceration, HOl Y SPIRIT HOSPITAL Camp Hill. PA 17011 Page1012 NAME: lentz, Wilma l MR#: 455108 ROOM# ER3 EMERGENCY ROOM REPORT ORIGINAL NAME: lentz, Wilma l MR#: 455108 PLAN: She will be given Dermabond instruction sheet to go and a head injury instruction sheet to go also, She is to foHow up as needed and take Advil or Tylenol as needed for pain. Should her exam come back negative then the plan will change, Signed SUSAN MillER, CRNP 03/10/200415:42 SUSAN MILLER, CRNP SM/ls DOC #: 431063 D: 0212712004 T: 03/06/2004 9:26 A 000001728 HOLY SPIRIT HOSPITAL Camp Hill, PA 17011 Paqe 2 of 2 NAME: Lentz, Wilma L MR#: 455108 EMERGENCY ROOM REPORT ORIGINAL ffk,\?I+ 1) LARRY M. ESPENSHADE, D.O. FAMILY PRACTICE 40 SECOND STREET HIGHSPIRE, PENNSYLVANIA 17034 TELEPHONE (717) 939-4975 April 22,2004 David L. Lutz, Esq. Angino & Rovner,P.C. 4503 N. Front street Harrisburg, Pa. 17110-1708 Dear Mr. Lutz: In response to your letter of March 15,2004, regarding Wilma Lentz, I am happy to answer your queries. Please remember that the answers will pertain strictly to the accident of 2/27/04, even though Wilma has been a patient for over 25 years, Wilma was first seen for her injury on 3/3/04. History related that she had been struck in the forehead by a shelf while shopping at a Giant store on 2/25/04. She immediately went to Holy Spirit E.R. for treatment. There was no loss of consciousness per my under standing. The patient had a C.T. of the brain which showed no pathology. Her forehead laceration which was stellate in appearance and about 1cm was covered with what appeared to be a topically applied barrier. She called me on 2/29 stating she still had cephalgia and dizz.iness. Since I was unaware to that point of her injury and treatment, I told her to make an appointment to be evaluated. When seen on 3/3/04, the patient still complained of dizz~ness and cephalgia. A complete exam failed to reveal any focal neurologic deficits. ROM of c-spine was normal. The stellate lesion on her forehead was healing well with no signs of infection. The diagnosis was cerebral concussion. The patient was given a prescription for Tylenol #3 and told to remain off work till 3/8/04. The patient called the following week complaining of continuing cephalgia and requesting an MRI. This was performed on 3/19 without contrast (copy enclosed). There were no focal lesions noted to indicate cerebral contusion. The patient next was seen on 3/23/04 with complaint of left calf pain for one week. She stated she was dizzy and had a headache all the time and felt that she was in a fog. Exam of her left leg was negative for any focal findings, I again performed a neurological exam which was normal; the only abnormality was a blood pressure of 168/96, high for this patient. E 'fh1h.1fj 2 She was told to use Advil for her leg pain, started on Toprol XL 25mg for her b.p., ASA 81mg for her leg and referred, at her request, to a neurologist of her choice. Unfortunately, her neurologist of choice was unable to see her and we are currently waiting for a neurological evaluation from Hershey Medical center. The patient was last seen on 4/7/04 for an unrelated visit, i.e. yearly gyn exam. Her b.p. was 140/90 - she stated she still had cephalgia but did not seem significantly compromised as she freely moved her head and body and was laughing at times during the visit. She was given an additional prescription for Tylenol #3 to use as needed for cephalgia. At this date, we are still awaiting contact from HMC for evaluation and further treatment. I should feel that the patient's prognosis should be good for complete resolution of her symptoms over time. I would not anticipate significant additional expenses for this problem. If I can be of further assistance, please contact me. 'i;~'~ Larry M.Espenshade,D.O. LME/pas 'ITRISTAN_ Diagnostic Centerl Women's Imaging Center 4518 Union Deposit Road Hanisburg,PA 17111 (717) 652-5840 (888) 452-5840 Fax (7] 7) 652-8152 Hershey Office 32 Northeast Drive Suite 10] Hershey, PA 17033 (717) 533-17J6 Fax (717) 534-] 307 Linglestown Office 2808 Old Post Road Suite 100 Harrisburg, PA ]7[ JO (717)901-6800 Fax (7] 7) 901-6699 Middleburg Diagnostic Center 7 Dock Hill Road Middleburg, P A 17842 (570) 837-6617 Fax (570) 837-6417 Susquehanna Valley Imaging Silver Moon Business Center 28 Silver Moon Lane Lewisburg, P A 17837 (570) 522-9300 (888) 522-5540 Fax (888) 522-5541 West Shore Office 4349 Carlisle Pike Camp Hill, PA 1701\ (717) 731-1166 Fa< (717) 731-1396 Services High Field MRI Open MRI Computed Tomography (CT) PET Imaging Nuclear Medicine Ultrasound Mammography R2 Image Checker Bone Densitometry X Ray I Fluoroscopy Minimally Invasive Biopsy PATIENT NAME WILMA L LENTZ ACCOUNT NO 514496 55N 202-36-5008 AT THE REQUEST OF LARRY ESPENSHADE DO 40 2ND ST HIGHSPIRE PA 17034 DATE OF BIRTH 01/12/1947 AGE/SEX 57/F DATE OF SERVICE 03/19/2004 03/19/2004: 070551 MRI BRAIN WO CONT HISTORY: Patient complains of vertigo and headache. Patient refused Gadolinium, therefore an lAC protocol was not performed. TECHNIQUE: Sagittal - TSE- T1 Transverse - GRASE SPIR; SE-T1; TSE-T2; 3D~CISS; DIFFUSION DIAGNOSIS: I. Scattered foci ofT2 prolongation predominantly involving the right deep white matter is nonspecific and may represent small vessel ischemia. Other ,etiologies include vasculitis" demyelinating disease, or foci of gliosis from prior ischemia or trauma. If there is continued clinical concern at the level of the internal auditory canals, then a dedicated lAC study with enhancement is suggested. 2. COMMENT: There are four to five scattered foci ofT2 prolongation in the right centrum semiovale and periventricular deep white matter. A focus of T2 prolongation is seen in the left parietal lobe subcortical white matter above the lateral ventricles. Mild periventricular T2 prolongation are seen adjacent to the-Occipital and frontal horns of the lateral ventricles. , There are no extraaxial fluid collections, masses or mass effect. The visualized paranasal sinuses, orbits, and mastoid regions are unremarkable. No restricted diffusion is seen on this study. No gross masses are seen in the level of the cerebellopontine angle cisterns or internal auditory canals. ELECTRONICALLY SIGNED David B. Wagar, M.D. DBW/sm 3)):; / 03/03/2004 03:2"M PAGE 001 OF 001 Holy Spirit Hospital Department of Radiology and Diagnostic Imaging Camp Hill, Pennsylvania 17011 (717) 763-2600 'ATIENT: ~R#: ,OC SEC: )RD DR: 'T TYPE: )OB: _OCATION: LENTZ, WILMA L 455108 202,36,5008 MILLER SUSAN M.D E 01/12/1947 ER3, DICTATION DATE: Feb 28 2004 1206A TRANSCRIPTION DATE: Feb 29 2004 1048A ADM DATE: m/27/2004 ARRIVAL DATE: 021NI2004 HOSP SERVICE: ER3 ***Final Report*** :XAMINATION: CT SCAN OF THE BRAIN 70450 - 02127/2004 COMMEIHS Indication Trauma Unenhanced study was performed, The findings are normal. No abnormal Intracranial blood, edema or mass effect No encephalomalacia or midline shift CONCLUSION: Normal DICTATED BY: DAVID AUERBACH M.D 1 WSW DATE OF EXAM: 02/27/2004 SIGNED BY: DAVID AUERBACH M D DATEITIME: Mar 12004 1210P ~~, ~. PHYSICAL EXAMINATION :'..T I 2" A" --~:..;' PUl.SE ? ~'-:;J "ESP i31.r::':':::' '.'ESSELS ,-~,------ ~~~E--, 5-'.... SCALP C E" ES EARS NOSE '" C' \~ T \-< TEE" 'H "'''';:;0'''''- "<EC ;<; 8PEAST5 --- 5-/1 e- >-!(ART - L LJ~'G5 ,-' :=>185 'l,l'i SPIN E [......10'" ES- ..[FI_f'ES "- ~ ...,..... -_ODES PES:< ... [UM -'-~'- -'-, CYSTOCELE --. -~- -'- -, E....:T AL: A VULVA RECTOCELE VAGI"';AL VAULT PROLAPSE :::::5 _::;~ AD,," EX....E -'--..-,~.- '''II "'AL[ '" EC ~.:.: , -~r jJ cC-/ ( ;PECIAt.. EXAMINATION MPRESSI~NiJ /~ - / I . 4f REATMENT LABORATORY UR~NE BLOOD COLOR HeG SP GR Ree MICRO . ::c . SED --~~--t--- -.- ALe SUGAR ( I coo_ " '0 """MC __~,~ ~ '" PDF:/E5S ,illi\!;.qICAL RECORD r"'''.. PH(lNE DATE s .... 0 w '1--1. O_L 'G' '" S?D"iSO'" ADDRESS CHIEF COMPLAINT Mi~ , I.pe..., ~j fiEF BV / I (7 ?5~-;;? ACKN C,CCl-'"'ATlO"i 0/0' , PRESE;:NT ILLNESS -,--- FAMILY HISTORY URINARY TRACT i -- -.-.- , "'OTI-I[R FATHER NOC,-WRIJ>. FREQUENCY 0-- I -,'~'" _~ e__ - I aROrHERS PAIN aURNING .- ---_._-,--- SISTERS BLEEDING INFEcnON ~ --,--- (+ ) -, QIAB 104...L1G "~-t+ INCONTINENCE .-.._- '/~J I r;I"'r- (j" ,,?----' I'.' ck' . -- =>'5 N[PH [PILIP GENITAL TRACT .j!TYPE /~ ./ 0" .' '0' " MENST PERIOD ( n' 0.-/' ---.-- PAST HISTORY - GENL HEALTH INTERMEN BLEEDING .---- --. ....MENORRHt... ~ OYSMENORIHiE... .. ,-- , .. 'LOHOOD DISEASES .'0 DISCK---- 'R""A"'O.. . , .---- " / ~~ q, RHEUM ". ALLERGY P"INfUL P[R'OD u. .., , . " , ,,- ,. ~ L M P ~---_.._--- _._~-- ---. _._-_._~---_..- - --' n .- , -' 5,~. .. ....".:;...\ CH\\...OREN - L D S . I Y' 0- n ACCIOENiS " MAAPIED '" '" YOUNGEST CHILD " --.- .J ( " J ( , - c"'al~/H ' ,L; HABITS TOB"CCC ALCO DL N EU RO- MUSCUL.AR --, - REVIEW OF SYSTEMS 5TltENGTH NERVOUSNESS 0- _. , C , , , EVES SLEEP WOF'lAY ------ - - - '~'-----'- EARS ""USCULAR PAIN .-.. . ----- ""OSE JOINT PAIN _..~ TH~OAT ABNORMAL SENS",TI,ONS .oo ....,-- ... "<Ee..; DEFORMITIES ar<.~I.S'T-S ~~F/ )' (JE A/ .r. / ../' , (/ 1/ ---- -._, , -~-_._,----- , "EA ~T LUNGS OPERATIONS _Om' .. .. COLlGH , ----- -,-,_.._- .- --, " " " ,~ QY$PNE" ._-,- ._, ~ ~ E: ~ EDEMA , G A ST..O - INTESTINAl TREATMENTS ---- -- ---- . .""<T " '\ DIET '- -- \ --, n ., --, "c;,CESl ,::>" P,,'N ! ,- - / . ----- , i .... '-, 5 E ~ \ VO...ITING i ---- " //1 ------- -... - .~...,:> " BLEEDING COMMENT .. n ? ,-...'~ -~._- so...,. _.S;TS -,....O"=-OrC)s /'...... , -~-- =-" .. ^ -.. STOOL / / ITCHtNG ..-/ , ( 'J --,- , , I ,,- ..-- , I I .- ~'B < ~ ,. .0 C...~ ..p.,~" '" , -- . I . . '.tV Patle DaleO CC = ^SS0S I, : C R H -.;~'--=~-~I:/;1j ______:22:::. (___..___ DP: S ~~ :: ,/.~_,__ 'pIs: . ___L~ ~ h_____ Res: . Tmp: ~- Cull SIII)jeCI (II,! - - 11./.D , e::~~,' ' -- ,_. ---.."-'-'-..---,---..---- .u ___.,..___..n___.'..___~___.u__..___.___ --- RlO.- Nrs Doc, C,C, SlIl'le I /I/,~ ~n_ d / 07- -(n97-0~ <PEN"SYIV~lt\ Ii'11 BIUf SIIIEll) "'I Alw:'..........,;fll.'nL(N'ln..,-r.'" [xh1IoJ+ ( PENN STATE !S Milton S. Hershey Medical Center ., College of Medicine Penn State Milton S, Hershey Medical Center Penn State Colle~;e of Medicine Health Information Services, HU24 500 University Drive P,O. Box 850 Hershey, PA 17033-0850 Tel: (717)531-6257 Fax: (717)531-7048 RE: LENTZ, WILMA L OUTPATIENT LETTER April 22, 2005 Name: LENTZ, WILMA L HMC Number: 9203 DOB: 01/12/1947 Date of Service: 02/17/2005 David Lutz 450 North Front Street Harrisburg PA 17110 Dear Mr. Lutz: This is in response to your question for me sent to you by a letter on 04/14/05 regarding Ms. Wilma Lentz (Date of Birth 01/12/47). Her signed release of medical information is noted. I had seen her for the first time on 12/16/04 in regard to a variety of neurologic symptoms. Her diagnosis was post-concussive syndrome, iikely related to her trauma on 02/27/04. This above statement is with a reasonable degree of medial certainty. This document has been electronically signed. Patient Name: LENTZ, WILMA L Patient Number: 0009203 Page 1 of2 For information about our physicians and services, contact the MD Network. J-800-233-4082 www.pennstatehershey.com E:~ h; b} (~ 87299 Sincerely, Mamta Verma, MD Review/Sign: Stephen CRoss, MD MV /LLD DO: 04/22/05 DT: 04/26/05 14:41 CC: David Lutz 450 North Front Steet Harrisburg, PA 17110 This document has been electronically signed. Patient Name: LENTZ, WILMA L Patient Number: 0009203 Page 2 of2 For infannation about our physicians and services, contact the MD Network. 1~800-233-4082 www.pennstatehershey.com PENN STATE !$I Milton S. Hershey Medical Center .. College of Medicine Penn State Milton S, Hershey Medica1 Center Penn State College of Medicine Health Information Services, HU24 500 University Drive P.O. Box 850 Hershey, PA 17033-0850 Tet (7\7) 53\,8055 Patient Name: Patient Sex: Patient Location: Visit Type: LENTZ, WILMA L Female MED" Clinic PSUHMC MRN; Date of Birth: Visit Number: 0OO9:?03 1/12/1947 5193455 I Outpat e n t Letter Document I Modified Document Electronically Signed by: Good, David C 2/22/2005 8:44:48 PM OUTPATIENT LETTER February 17,2005 Name: LENTZ, WILMA L HMC Number: 9203 DOB: 01/12/1947 Kathleen Semples, MD 122 South Filbert Street Mechanicsburg, PA 17055 Dear Dr. Semples: It was a pleasure seeing Wilma Lentz in our Neurology Clinic today. As you know she is a 57-year-old female who presented with complaints of dizziness, forgetfulness, and pain in her leg when we had seen her last on December 16, 2004. Last time we thought this was postconcussion syndrome and we had recommended that she get an MRI and a repeat nerve conduction study. Today when we see her she thinks she has been feeling better. Her pain in the legs has gone and as per her thinking, has been more clear. We reviewed the results of her tests including an MRI and the EMG, which were normal with the attending and the patient. The MRI did show white matter small white spots, which could be consistent witl1 chronic vessel changes. PHYSICAL EXAMINATION TODAY: Biood pressure is 120/80. Heart rate is 7Ei. Weight 128 pounds. General: Not in acute distress. Respiratory system: Clear to auscultation bilaterally. Abdomen: Soft, nontender. Cardiovascular: S1, S2 regular rate and rhythm. The patient is alert, awake, oriented x3, Her speech is fluent with intact with repetition and Date Printed: 3/17/2005 Time Printed: 4:16 PM PENNSTATE !eSl Milton S. Hershey Medical Center ., College of Medicine Patient Name: LENTZ, WILMA L PSUHMC MRN: 0009203 Outpat e n t Letter Document I Modified Document Electronically Signed by: Good, David C 2/22/2005 8:44:48 PM comprehension. She had 3/3 over 3 minute recall, and she could spell the word, world, backwards. Cranial nerves II to XII are intact. Motor 5/5 symmetrical. DTRs 2+ symmetrical. Sensation is intact. Coordination is intact. Gait is steady. ASSESSMENT AND PLAN: This is 57,year-old female with probably a postconcussion syndrome. At this point, we did not recommend any more testing, and since the patient has improved, we do not recommend any more medications except that she should be started empirically on aspirin 81 mg for primary prevl~ntion of stroke. This was discussed with the patient and all her questions answered. The patient was seen in conjunction with Dr. David Good. Thank you for letting us participate in her care. If you have any questions, please do not hesitate to call us. At this point, we refer her back to your care. 284121 Sincerely, Mamta Verma, MD Review/Sign: David C Good, MD MV /MSH DD: 02/21/05 DT: 02/21/05 00:32 CC: Kathleen L Sempeles, MD Dale Printed: 3/17/2005 Time Printed: 4:16 PM PENNSTATE 5 Milton s. Hershey Medical Center ., College of Medicine Penn State Milton S. Hershey Medical Center Penn State College of Medicine Health Infonnation Services, HU24 500 University Drive P.Q, Box 850 Hershey, PA J7033~0850 Tel, (717)531-8055 Patient Name: Patient Sex: Patient Location: Visit Type: LENTZ, WILMA L Female NEUR, , Clinic PSUHMC MRR Date of Birth: Visit Number: 0009203 1/12/1947 5113379 E M G Study Document I Final Document Electronically Signed by: Kothari, Milind J 1/28/20054:08:46 PM EMG STUDY Name: LENTZ, WILMA L HMC Number: 9203 DOB: 01/12/1947 Date of Service: 01/26/2005 Name: Wilma Lentz Gender: Female PI. ID 9203 Date of Birth: 01/12/1947 OOS# 5113379 A<:1e: 58 Technician: ME Heicltt: 5'3" Examining Physician Dr. Milind Kothari Ternn 34 deg C Referring Physician: Dr Stephen Ross Weight: 1261bs Cc: Phvsicians Date of Studv 1/26/05 Patient Historv: 58 year old female with balance problems. This study is being performed to eXGlude a generalized polyneuropathy. Motor Nerve Conduction: Nerve and Site Latency Amplitud Segment Latency Distance Conductio e Differenc n e Velocity Dale Printed: 3/17/2005 Time Printed: 4:16 PM PENNSTATE ~ Milton S. Hershey Medical Center ., College of Medicine Patient Name: LENTZ, WILMA L PSUHMC MRN: 0009203 Median.R Wrist 3.5 ms 8.14 mV ms mm Elbow 7.3 ms 7.50 mV Wrist-Elbow 3.8 ms 210mm Ulnar.R Wrist 2.7 ms 12.07 mV ms mm Below elbow 6.8 ms 11.21 mV Wrist-Below elbow 4.1 ms 190mm Above elbow 8.6 ms 10.65 mV Below elbow-Above elbow 1.8 ms 90mm Peroneal.R Ankle 4.0 ms 8.18mV ms mm Fibula head 10.2 ms 7.67 mV Ankle-Fibula head 6.2 ms 290 mm Poplitaal fossa 11.8 ms 7.36 mV Fibula (head)-Popliteal 1.6 ms 80mm fossa Tibial.R Ankle 9.83 mV ms mm Po Iiteal fossa 7.63 mV Ankle-Po liteal fossa 7.2 ms 405 mm F-Wave Studies Nerve M-Latency F-Latencv Median.R 3.4 26.5 Ulnar.R 3.1 27.1 Peroneal.R 4.0 45.8 Tibial.R 4.2 49.0 Sensorv Nerve Conduction: Nerve and Site Peak Amplitud Segment Latency Dlstanc Latency e Dlfferenc e e Median.R I Wrist 3.5 ms 24.3 ~v I Digit II (index finger)-Wrist [ 2.7 ms 140mm Ulnar.R I Wrist 3.6 ms 35.7 ~v I Digit V (little finger)-Wrist [ 2.6 ms 140mm Sural. R I Mid calf 3.2 ms 34.2 ~v I Ankle-Mid calf [ 2.5 ms 140mm Needle EMG Examination: Spontaneous andlor Volitional Activity I +wsave I Fasc's I Other I Amp ~J Maximum Volitional A Recruit I pOI:hasi I Muscle Fibs Date Printed: 3/17/2005 Time Printed: 4:16 PM mls I .2 mls mls .7 mls .9 mls mls .7m/s .0 mls mls I .2m/s duction loclty .8 mls I .8 mls I .0 mls I ctivity Effort I 55 46 48 46 50 56 Con Ve 51 53 56 PENN STATE I!S Milton S. Hershey Medical Center .. College of Medicine Patient Narne: LENTZ, WILMA L PSUHMC MRN: 0009203 Tibialis anterior.R Normal Gastrocnemius (Medial Normal head).R Vastus lateralis.R Normal Vastus medialis.R Normal Biceps femoris (long Normal head).R Summary: Right median, ulnar and sural sensory studies were normal. Right median, ulnar, peroneal and tibial motor studies and F responses were normal. Needle exam was performed with a disposable concentric electrode. Exam of selected muscles of the right lower extremity was normal. Interpretation: Normal study. There was no electrodiagnostic evidence of a generalized polyneuropathy. Review/Sign: Milind J Kothari, DO Professor of Neurology MJK DD: 01/26/05 DT: 01/27/05 22:49 CC: Stephen CRoss, MD PSMSHMC Medicine Date Printed: 3/17/2005 Time Printed: 4: 16 PM PENNSTATE !Sl Milton S. Hershey ~dedical Center . College of Medicine CONSULTATION REPORT NAME; Il, WILMA L MD: G0u~ DAVID C MA~:: 9203 008: 01/12/1947 INS: KEYSTONE HEALTHPLA LOC: MEO 008#: 5193455 MON: 76050 SEX: F 01 COPAY 10-361 VISIT DATE: 02/17/2005 r , , TO: DR. DEPARTMENT: t\J WJvO REQUESTING PHYSICIAN'S NAME: V R.lvtM.A MEDICAL REASON FOR T);lE CONSULTATION: f" 0 c..u.QWIe.' PROVISIONAL DIAGNOSIS: DATE!TIME OF REQUEST: ~<&~/ '0 UR ENT ~ ROUTINE CONSULTATION REPORT BY TEACHING PHYSICIAN: (FELLOWS, RESIDENTS, STUDENTS, ANCILLARY STAFF USE REVERSE SIDE) The ~ ohysic:ian must 1) Document Ge, 2) either document HPI, PMFSH and ROS or indicate review of those documented on reverse side by filling in the circh~ (0) below, 3) personally perform and document key portions of the PE, 4) state the clinical impression or diagnosis(es), and indicate the Plan of Care, ( " o PMFSH, ROS and HPI on reverse side !,ave been reviewed by Teachin9 Physician, CONSULTANT: (TEACHING PHYSICIAN) Signature Time Name (print) Date MR 11 Rev, 12/98 CONSULTATION REPORT PENN STATE !!Sl Milton S. Hershey 1\ . College of Medicine .cal Center The Milton S. Hershey Medical Center MNA"~' LENTZ, WILMA L 00 DAVID C Mt .J2D3 DOB; 01/12/1947 INS: KEYSTONE HEAlTHPLA LOC: MED oos#: 5193455 MOl: 76050 SEX: F 01 COPAY 10-361 VISIT DATE: 02/17/2005 NEUROLOGY PROGRESS NOTE *'2%\'\\~ 7n 1<-Alff1 ~----V~) ~~?/~z:5 Alleraies: PLEASE LIST ALL ~Uj4-L- iff j_/3!?r::(~ 4t. or /;::; / Medications: PLEASE LIST YOUR MEDICATIONS Name: Dosage: When/How/Many Taken: 1f'A10 fpAJ Immunizations: PLEASE LIST YOUR MOST RECENT IMMUNIZATIONS 1.~T~7f=; C 2. 3. Review of svstems: PLEASE CIRCLE IF YOU ARE CURRENTLY HAVING A NEW PHOBLEM: Weight loss/gain Double vision , \ Nurse will complete. t ). 01 P Blood pressure: i7 f U Heart rate: Pain Assessment: 7/7 --ff)/1 0 Patient please complete. Primary care physician (family doctor): ( 1 1'1.\J;\I /I ~ 2. 3. 4. 5. 6. 7. 8. " j " 1. General: 2. Eyes: 3. Ears/NoselThroat: 4. Cardiac: Chest pain Faint/black out Shortness of breath Stomach pain Heart burn 7. GU: Incontinence 8. GYN: Menstrual irregularity 9. Musculoskeletal/Rheumatologic: 10. Endocrine: Excessive sweating 11. Skin: Rash 12. Neurologic: Headache Balance loss Depression Impotence 5. Pulmonary: 6. GI: 13. Psychologic: 14. Sexual: 15. Other: Social Historv: Employment: Tobacco: Type Alcohol: Type ~iJ/. /-/--' Petlent Signature/Date: (J' ~~' Reviewad: 0 Lab rasults 0 CT 0 MRI 0 EMG/NCV Complexity: 0 Low 0 Moderate 0 High Doctor Signature/Data: 7C, Weight:~lbS' ,biY'-i?Un ':'1 1- .::.-:;UI.,~ (7)/fr'h""- When started: Who prescribes: OVEk C-e!v.-WT~ , ----... Appetite change Fevers/Chills/Night sweats Other Loss of vision Blurred vision Other Hearing change Drainage/Pain Other Chest fluttering Irregular/rapid heart rate Other Wheezing Cough Other Blood in stool Trouble swallowing Change In bowel habits Belly pain Other Blood in urine Painful urination Other Vaginal discharge Breast tenderness Other Joint pain/swelling Neck/back pain Other Other Bruises Molesllumps Other Weakness Tingling/numbness Tremor/shaking Memory loss Other Anxiety/Panic Eating disorder Other Painful intercourse Other ff<(.sr:~ Si:pl/I~ 5~ ow much How much MR 858 3/02 How often How often DoctorSignature/Date: o CSF 0 X-rays 0 Old records o Medical chart NEUROLOGY PROGRESS NOTE PENNSTATE, !S,1 Milton S. Herstley Medical Center . College of Medicine 'CHRONIC MEDICATION LIST NAME: LENTZ, WILMA L MD: ROSS STEPHEN C MAlt: 9203 DOS: 01/12/1947 INS: CAPITAL BLUE CROSS LOC: MED 008#: 5023485 MD#: 76175 SEX: F 000 cee COPAY 10 VISIT DATE: 12/16/2004 - *Medication on for at least 3 months Acute or Intermittent medications at provider discretion PATIENT NAME: MEDICATION DOSE/FREQUENCY DATE 12--j~- e'j (,.-Uu:;" ""'-......-:-Y Freq r"'''~O. I\-;>ko _&: ~RAL Dose 1] \tIt e. 1000 "'1 Freq r -J;;:E \iI t- G {OOOhAr Dose T' J ~jJ 6' -V Freq r --:I~ 7f\. o:..ili C..- rAJelt\'1.u:<> P~n;6.J2.... Dose .,:-daJ I New Ptca.s.e. ~e>i. Freq teL,.,: D U Dose l Freq Dose Freq Dose Freq Dose Freq Dose Freq Dose Freq Dose Freq Dose , Freq Dose Freq Dose Freq Dose , Freq Dose NURSING INTlAL PHARMACY NAME & PHONE NUMBER: PATIENT PHONE (WORK): MR 830 (11100) (HOME): 9 The Penn State . Vascular Institute b.\ted Vas r;"t-~e .......c........... ('~~ '\"~ ~\.... ~ ..EAVL /; .~......S<d"'~...o'l -laboralot"i The Hershey Vascular Diagnostic Lab. The Milton S. Hershey Medical Center 500 University Drive Hershey, PA 17033 717 !5318883 Accredited in Extracranial Cerebrovascular, Intracranial Cerebrovascular, Arterial, Venous and Visceral Vascular Testing LOWER EXTREMITY VENOUS DUPLEX Name Phone # PIN Sex Age Date of Exam Wilma L Lentz 00009203 Female 57 12/16/2004 Referring Physician Phone # Tape # Date of Birth Previous Exam Stephen Ross, MD (717) 531-8692 1/12/1947 None Indications Pain in limb Prior to this study, the Laboratory confirmed the patient's identity and anatomic site to be examined. ( Common iliac Right Results Common femoral 1-5-8 KEY 1 = Phasic 2 = Continuous 3 = Occluded 4 = Nonocclusive thrombus 5 = Compressible 6 = Partially compressible 7 = Noncompressible 8 = Augmentation satisfactory 9 = Augmentation diminished 0= Superlicial thrombophlebitis X = Unable to visualize Left Common iliac ---------------- ~ ' , , , " "" '1-5~8 ~::::Inii;::oral ~t ,__", "'" ~-? Greater saphenous ~' , " '" ~ ~5:~ SFV (proximal) 1-5-8 SFV (mid) -'---- -------- . 1-5-8 SFV (distal) ----- -------- 1-5.8 Poplitaal (ak) ------ -------- 1-5-8 Popiiteal fossa ---------- 1-5-8 Popliteal (bk) Extarnal iliac Greater saphenous 1-5 -------- SFV (proximal) 1-5-8 -------- SFV (mid) 1-5-8 -------- SFV (distal) 1,5-8 -------- ------ Popliteal (ak) 1-5-8 --------- ----- Popliteal fossa 1-5-8 ---------- Popliteal (bk) 1-5-8 ---------- Peroneal 5-8 Lesser saphenous 5-8 Posterior tibial 5-8 Peroneal Anterior tibial Lesser saphenous Posterior tibial 5-8 Anterior tibial Interpretation 1. Normai venous duplex study of both iegs, no evidence of deep vein thrombosis. lja"" # 4/..)",,..,, BS. ,}.r Electronic signature ~'~MD Electronic ~ signature Ryan H. Wilson, BS, RVT Technologist: 12/16/2004 Interpreting physician: 12/17/2004 PROGRESS REPORT Date/Time PROGRESS NOTES: (Include Name, Title) , " j MR 6 Rev. 6101 ~5tJr-r~ y~d ~ I , \ ". ,~~d, '- '--!~ , "- d~) ---- .- -~ 76(i2( f! , c PENNSTATE !5l Milton S. Her,,__.;y Medical Center .. College of Medicine PROGRESS REPORT NAJ~E: L!:NTZ, WILMA L MD: ROSS STEPHEN C MR:I: 9203 DOll: 01/12/1947 INS: CAPITAL BLUE CROSS LOG: MED 008#: 5023485 MD#: 76175 SEX: F 000 CBC COPAY 10 VISIT DATE: 12/16/2004 _ Date/Time PROGRESS NOTES: (Include Name, Title) ! iMlr- tt- ~f./~.I'- . ( " , ~br; hi- /~ - A.v~~v-I' .Jo.-, ^ ~tfJ) ( te;7 k, "~'~ ^,~~~ cA-fl~' ~ ,/' ~~i, ~~~" , ~ MR 6 Rev, 6/01 PROGRESS REPORT PENN STATE ~ Milton S. Hershey Medical Center ., College of Medicine Penn State Milton $, H~:rshey Medical Center Penn State College of Medicine Health Information Services, HU24 500 University Drive P.O. Box 850 Hershey, PA 17033-08.50 Tel, (717) 531-8055 Patient Name: Patient Sex: Patient Location: Visit Type: LENTZ, WILMA L Female RAD., Clinic PSUHMC MRN: Date of Birth: Visit Number: 0009203 1112(1947 5119311 H e a d I Nee k Study , Final MRI BRAIN WITHOUT CONTRAST PATIENT NAME: LENTZ, WILMA L PATIENT MRN:00009203 PATIENT DOB: 01/12/1947 EXAM DATE OF SERVICE: 12/22/2004 EXAM NUMBER: 593185 ORDERING PHYSICIAN: ROSS, STEPHEN MRI and MRA of the brain History: 57 year old female with headache. Technique: Non enhanced sagittal n, axial n, T2 and FLAIR images, as well as GRE, DWI and ADC images and gadolinium enhanced axial and coronal images of the brain were obtained. 3D- TOF images of the brain were performed and MIP projections of the circle of Willis were performed. In addition, 2D,TOF images through the neck were obtained and MIP projections of the neck were performed. Findings: There is no evidence of mass or midline shift. The brain parenchyma is of normal signal intensity, with no abnormal enhancement. There is no evidence of decreased diffusion to suggest acute ischemia. There are scattered non,enhancing small foci within the white matter, which are non,specific, but most likely due to chronic small vessel disease in a patient of this age. There is normal grey,white matter differentiation. There is no evidence of mass or midline shift. The ventricles and sulci are of normal size and configuration. The posterior fossa and its contents are unremarkable. Intracranial MRA: there is dominance of the left vertebral artery. The visualized vessels of the circle of Willis are normal in appearance with no evidence of stenosis, abnormal dilatation or irregularity. Neck MRA: The visualized portions of the carotid arteries are unremarkable with no evidence of flow,limiting stenosis, abnormal dilation or irregularity. Impression: Scattered non-specific non-enhancing small foci within the white matter, most likely due to chronic small vessel disease. Otherwise, unremarkable MRI of the brain. Unremarkable MRA of the head and neck. Date Printed: 3/17/2005 Time Printed: 4:17 PM PENNSTATE !S Milton S. Hershey Medical Center . College of Medicine Patient Name: LENTZ, WILMA L PSUHMC MRN: 0009203 H e a d I Nee k Study Final DICTATED: IYRIBOZ, TUNC REVIEWED AND SIGNED: IYRIBOZ, TUNC / Matlyuk, Zinaida DATE DRAFTED: 12/22/200404:26 PM DATE OF FINAL SIGNA TORE: 12/22/2004 07:30 PM Date Printed: 3/17/2005 TimePrinted: 4:17 PM I PENNSTATE I!5l Milton S. Hershe', edicaI Center . College of Medicine II The Milton S. H M dl I C t NAME: LENTZ, WILMA L e ca en er MD: ROSS STEPHEN C MRN: 9203 DOS: 01/12/1947 INS: CAPITAL BLUE CROSS LOC: ME[I oos#: 5023485 r c J NEUROLOGY NEW PATIENT INTAKE Please complete Referred by: 6/f' ~ ba Past Medical Hlstorv: PLEASE LIST YOUR MEDICAr., CONDITIONS/ILLN.ESSES ~ 1. 2. Reason: 3. 4. 5. f \ Past Suralcal Hlstorv: ':~~~::q:::OO~ 3. 4. 5. MON: 76175 SEX: F 000 cae COPAY 10 - VISIT DATE: 12/16/2004 c I:tn//{!A;J'-u f//0/f/~~ ) Past Trauma/HosDltallzatlon Hlstorv: PLEASE LIST YOUR HISTORY OF TRAUMA/HOSPITAliZATIONS WITH DATES 1. J 1- ...JJ~ - :;:::Loj-,,(/ ~ -Vy -:y- / 2. 3. Famllv Hlstorv: PLEASE COMPLETE Member Alive Deceased Age Grandmother (mom's) A (fj) ~ ' Grandfather (mom's) A ~ 4(A=t&ol!) Grandmother (dad's) A -'ft.. ? Grandfather (dad's) A W -Sfj's ? Father A iiz '~ Mother @ D Sister/~er A @ -SO ~r/Brother ~ D i{ Sister/Brother ~. D Oiiier fl..-.~ "" Patient Signatur~/D;tLJ fJ. , LJlJJ~l' ~ ' Health status or cause of death '" ~ '~rr; ~ c:. -/--L{.vJ G' _) c&N~"'- c',tc~ -Ltm r:;. ,~~!fESf;f;?J;~ ~~q/~ Doctor Signature/Date: MR 857 3102 NEUROLOGY NEW PATIENT INTAKE DatejTime PROGRESS NOTES: (Include Name, Title) ~ 7 _ (pkcw.J. ut o -4 MR 856 3/02 (YIw ~kJ~ Vi ,.' "-"" ~ ~'e.-.; ;;- 'o.1.?zy - SM <S, - ----. \ ^~ CWs D f~ ... ~~ Sit . CSA ~ ~ ~ pmH.< ...> ~S ~c:- r. 5 ~ 'f~- "" ?>. I~ ..:......-.-.r- 3 J~/ - ? of l 0( ~'6Gb 4" i I r ~~~ . J I>'HA I ~ g-{.I ~ ..... I 'H~' ' ~'~J.~' 4-s~ =- ~ - hllr ~ , M~ - 5"--rh~ ( r::+fli!;- ('.kf>- ~ 8v.-Qc, J)<<1- ~t"ae:J. ~--. \ k'Cl'J -' fqn'\.-~ , ~WO-t..... ..-c,;" J / . . . ~Uo\& -~. ~ut-. - , Co#, , . ,- f?r:. ~~~~ _ IC- : ff"uo;p~'~ - ~M~-Or~C(j f'rt'f' ,~ - ~ .1 ~~ROLOGY PROGRESS N~ 4/ ( M~ ? ~wWl. ~ (i;') !f~YGd 7 C2ji) . , f''l \ i ,. ! '\ { '1 PENN STATE !5l Milton S. Hershey lVledical Center . College of Medicine I The Milton S. Her NNlE: LEN1Z, WILMA L Medical Center MD: AOSS STEPHEN C MAN: 9203 DOO: 0111211947 INS: CAPITAL BLUE CAOS9 LDC: MED 005#: 50'23485 NEUROLOGY PROGRESS NOTE Nurse will complete. Blood pressure: 13~/ '}() Heart rale: Pain Assessment: fUd'U "07-<J ~ Patient please complete. Primary care physician (family doctor): OK C:;LM P e' e 'S Allergies: PLEASE LIST ALL ih4\" V(8) ft,(. v e.. MOil: 76175 SEX: F 000 cae COPAY 10 VIS!1 DATE: 12116/2004 Weight: I;;J, 'S' Ibs. I\J ~w P +- ~--Io '€\JoJL ~ ~tn Q..c.ef cl e \ov t ;z, { b 'i . D.~OYclSI f'vv Medications: PLEASE LIST YOUR MEDICATIONS Name: Dosage: When/How/Many Taken: When started: Who prescribes: 1. 2. 3. 4. 5. 6. 7. 8. Immunizations: PLEASE LIST YOUR MOST RECENT IMMUNIZATIONS v'( }VVJ-~ s 1. 2. 3. Review of systems: PLEASE CIRCLE IF YOU ARE CURRENTLY HAVING A NEW PROBLEM: 1. General: Weight loss/gain Appetite change Fevers/Chills/Night sweats 2. Eyes: Double vision Loss of vision Blurred vision 3. Ears/NoselThroat: Hearing change Drainage/Pain 4. Cardiac: Chest pain Chest fluttering Irregular/rapid heart rate Faintlblack out Shortness of breath Stomach pain Heart bum 7. GU: Incontinence 8. GYN: Menstrual Irregularity 9. MusculoskeletallRheumatologic: 10. Endocrine: Excessive sweating 11. Skin: Rash 12. Neurologic: Headache Balance loss Depression Impotence 5. Pulmonary: 6.GI: Wheezing Blood in stool Change in bowel habits Blood in urine Vaginal discharge Joint pain/swelling 13. Psychologic: 14. Sexual: 15. Other: Bruises Weakness Tremor/shaking Anxiety/Panic Painful intercourse Social Historv: Employment: Tobacco: Type Alcohol: Type Other Other Other Cough Trouble swallowing Belly pain Painful urination Breast tenderness Necklback pain Other Other Other Other Other Other Other Other Moies/lumps Tingling/numbness Memory loss Eating disorder Olher Other Other rj> How much ;J.. '3 rl/l;~ ie; / I.("~ How much How otten How otten Patient Signature/Date: Reviewed: DLab results Compiexity: 0 Low Doclor Signature/Date: DoctorSignature/Date: EMG/NCV D CSF D X-rays 'D Old records 'D High D Medical chart MR B56 3/02 c:::-- NEUROLOGY PROGRESS NOTE PENN STATE !S Milton S, Hershey Medical Center ., College of Medicine Penn State Milton S, H<~fshey Med1~al Center Penn State College of Medicine Health Information Services, HU24 500 University Drive P,O, Box 850 Hershey, PA 17033-0850 Tel: (717)531-8055 Patient Name: Patient Sex: Patient Location: Visit Type: LENTZ, WILMA L Female VASC" Clinic PSUHMC MRN: Date of Birth: Visit Number: 0IJ0n03 11121\947 5102206 I Outpat e n t Letter Document I Final Document Electronically Signed by: Ross, Stephen C 12/28/2004 9:33:58 AM OUTPATIENT LETTER December 16, 2004 Kathleen Semples, MD 122 South Filbert Street Mechanicsburg, PA 17055 Name: LENTZ, WILMA L HMC Number: 9203 DaB: 01/12/1947 Dear Dr. Semples: It was a pleasure seeing Ms. Wilma Lentz today in our clinic. As you know, she is a 57-year-old female who presented here with multiple complaints. Most of these complaints started after she had an accident trauma to her head in February 2004. Her complaints include dizziness, forgetfulness, and pain in her legs. Regarding her pain In her legs initially after the trauma, she had pain in the left leg, which was most of the time especially walking around but this resolved and now the pain is in her right leg, it is usually while she is sleeping. It does not help when she moves around on her leg. It usually gets better with position. She has no pain during the daytime. The pain she says is deep in her iegs. As regards to her dizziness, it usually comes and goes. It is worse when she gets up in the morning, it gets better during the day. It seems like lightheadedness. She does not feel as the room is spinning around her. It does not get better on lying down. She did not have any falls but she does feel that she sometimes sways to her right side. She also complains of forgetfulness. She had an episode of chest pain in around July, which radiated to her left hand, The patient was not evaluated for that. Her past medical history includes: 1. surgery for her ruptured disk. 2. Hysterectomy, 3. Arthritis. Date Printed: 3/] 7/2005 Time Printed: 4:17PM PENNSTATE es Milton S. Hershey Medical Center . College of Medicine Patient Name: LENTZ, WILMA L PSUHMC MRN: 0009203 I Outpat e n t Letter Document , Final Document Electronically Signed by: Ross, Stephen C 12/28/20049:33:58 AM Social History: She is office manager at Keystone. She quit smoking 7 to 8 years ago, and she had been smoking for 10 to 14 years. Family History: Positive for coronary artery disease, hypertension, diabetes. and ovarian and lung CA. Her allergies include Darvon and Aleve. Review of Systems: The questionnaire for 13 review of systems was done on the patient, and it was positive as in her HPI. On physical examination, her vital signs: Blood pressure 138/90, heart rate 80, weight 128 pounds. Generai: The patient is not in any acute distress. Respiratory system: Clear to auscultation bilaterally. Cardiovascular: S1 and S2 audible. Abdomen: Nontender. Neurological examination: Mental status: The patient is alert, awake, oriented x3. Her speech is fluent with intact comprehension and repeatition. Her immediate recall was 3/3. Her 5-minute recall was 0/3. She could speil the word "world" backwards. Cranial nerves II through XII was intact. No nystagmus. On her motor examination, upper extremities are 5/5 and symmetrical and her lower extremities and her right leg and her hip flexors were 4/5, otherwise they are ail symmetrical, 5/5. Her DTRs: They were 3+ and symmetrical all over. Bilateral toes are downgoing. No Hoffmann's is seen. On her sensory exam, there was mild vibration loss in both her lower extremities, otherwise touch and temperature was intact. On her coordination, finger-to-nose was intact. Gait was steady. Romberg was negative. Assessment and Plan: This is a 57-year-old female who had a trauma to her head in February of 2004. Diagnosticaily, she had a CT of head and MRI done, which we only have the reports not the pictures which were reportedly normal on her MRI. She had hyperintense lesions on T2 which could reperesent smail-vessel changes. As regards to her forgetfulness, this could be related to her trauma related to postconcussive syndrome. We suggested that she get neuropsychological testing done for counseling. As regards to leg pain, she was tender on palpation, left more than right. We are doubting the diagnosis of deep venous thrombosis. We suggested that she get a venous duplex done to rule out DVT. We do not think leg pain is neurological in origin, it could be musculoskeletal or vascular, so we do request you to work it up. As regards to her dizziness, it t is unlikely that it is neurological in origin but we cannot rule out a sensory neuropathy as a cause of this, so we did recommend that she get an EMG and nerve conduction studies to rule out neuropathy as a cause of her dizziness. This dizziness could also be a part of any stroke, which we do not know. We have not got an MRI pictures done since it was done more than 8 months old. We will advise to repeat an MRI. The patient was given a referral for that. Meanwhile ,for a secondary stroke prevention,we would like that she get lipids, hemoglobin A1c, and homocysteine done, and a prescription was given to that effect. It was discussed with the patient that she needs to be on aspirin, but last time she was started on this, she got bruising ail over her body. so this time we have put it on hold. After we check her MRI, we will discuss that again with her. Date P/"inted: 31} 7/2005 Time Printed: 4:} 7 PM PENNSTATE I!S Milton S. Hershey Medical Center ., College of Medicine Patient Name: LENTZ, WILMA L PSUHMC MRN: 0009203 I Outpat e n t Letter Document , Final Document Electronically Signed by: Ross, Stephen C 12/28/20049:33:58 AM We will see her back in 6 to 8 weeks once all these tests are done. If you have any questions, please do not hesitate to call us. 198866 Sincerely, Marnta Verma, MD Review/Sign: Stephen CRoss, MD MV /BAA DD: 12/16104 DT: 12/22104 09:26 CC: KatWeen Semples, MD 122 South Filbert Street Mechanicsburg, PA 17055,0000 * Date Printed: 3/17/2005 Time Printed: 4:17 PM ---- txt1 )b/+ D WILMA LENTZ MEDICAL BILL SUMMARY DATE OF ACCIDENT - 2/2j1/04 DATE OF SUMMARY - OCTOBER 18, 2005 HOLY SPIRIT 02/27/04 HOSPITAL $2,170.00 $1,071.70 $0.00 $35,00 Larry Espenshade, 03/03/04 D.O. $95.00 $20.00 $0.00 03/11/04 CVS PHARMACY $5.25 $2.60 $2.65 $0.00 03/23/04 CVS PHARMACY $22.18 $11.45 $10.73 $0.00 Larry Espenshade, 03/23/04 D.O. $95,00 $20.00 $0.00 04/23/04 CVS PHARMACY $9.39 $4.09, $5.30 $0.00 Hershey Medical 12/16/04 Center $420.00 $260.40 $0.00 $0.00 Hershey Medical 12/16/04 Center (physicians) $219.00 $41.53 $0.00 $0.00 Hershey Medical 12/22/04 Center $3,481.00 $2,158.22 $0.00 $0.00 Hershey Medical 12/22/04 Center (physicians) $1,024.00 $224.00 $0.00 $0.00 Hershey Medical 12/28/04 Center (physicians) $67.00 $43.04 $10.00 $0.00 Hershey Medical 01/26/05 Center $911.00 $564,82 $0.00 $0.00 Hershey Medical 01/26/05 Center (physicians) $1,616.00 $279.00 $0.00 $0.00 Hershey Medical 02/17/05 Center (physicians) $67.00 $10.00 Hershey Medical 03/08/05 Center (physicians) $67.00 $10.00 $10,268.82 $4,660.85 $88.68 $35.00 278271_1XLSDdated [Datel "- ~'f--tll bi )b &h)bJ f KEYSTONE RESIDENCE An Agency of KEYSTONE HUMAN SERVICES March 17, 2004 Angino & Rovner, P.C. 4503 North Front Street Harrisburg, P A 17110-1708 SUBJECT: Wilma Lentz Accidem Date: 2/27/04 Dear Mr. Lutz: I am in receipt of your letter dated March 15, 2004 regarding the above. Ms. Lentz has been employed by Keystone Residence from August 12,2002 to the present. She is a full,time employee with guaranteed hours of 40 per week at an hourly rate of$IO. When available, overtime for Ms. Lentz would be at a rate of $15 hour. Our full,time employees accrue paid leave which includes Sick, Vacation, Holiday, and Personal time. From the date of the accident, Ms. Lentz has taken a total of 40 hours of accrued Sick Leave on the following dates: March], 2, 4, 5, and 7, 2004. This leave time is paid; therefore, Ms. Lentz did not lose any income. Gross earnings for the pay period were $800 and her net was $631.57. Other than using her paid leave time, Ms. Lentz's absence did not impact on her benefits. Rate increases are subject to the availability of funds on a fiscal year basis. Rate increases are not available for the fiscal year July I, 2003 through June 30, 2004. I believe I have provided you with all the information you requested. If you have any further questions or need additional inforn1atioIi~ please contact iue at (717)541-8322 cxt. 126. Sincerely, ~,,)).~~ Karen D. Bruner Human Resources cf: Personnel File E}h~b J ~ 940 East Park Drive, Suite 100. Harrisburg, PA 17111 . 717,541,8322 . Fax 717,541-4354 . www,keystonehumanservices,org A copy of the official registration and financial information for Keystone Residence may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999, Registration does not imply endorsement. . CERTIFICATE OF SERVICE I, Mary T. Geraets, an employee of the law firm of Angino & Rovner, P.C., do hereby certify that I am this day serving a true and correct copy of the NOTICE OF INTENT TO OFFER DOCUMENTARY EVIDENCE PURSUANT TO RULE 13ll.l upon all counsel of record via postage prepaid first class United States mail addressed as follows: George Faller, Jr., Esquire Martson, Deardorff, et aI. 10 East High Street Carlisle, PA 17013 Attorney for Defendant /' Dated: I (1 ~ 1.1 /GS I td---, 315357 . "". \.--' PRAECIPE FOR LISTING CASE FOR TRIAL (Must be typewritten and submitted in duplicate) TO THE PROTHONOTARY OF CUMBERLAND COUNTY Please list the following case: (Check one) (X) for JURY trial at the next term of civil court ( ) for trial without a jury CAPTION OF CASE (entire caption must be stated in full) (checlk one) .~. ( ) ( ) Assumpsit Trespass Trespass (Motor Vehicle) Other Wilma Lentz, Plaintiff The trial list will be called on February 14, 2006. v. Trials commence on March 13, 2006. Giant Food Stores, Inc. Defendant Pre-trials will beheld on February 22, 2006 (Briefs are due 5 days before pre-trials.) (The party listing this case for trial shall provide forthwith a copy of the praecipe to all counsel, pursuant to local Rule 314-1.) No. 05-3273 Civil Term Indicate the attorney who will try case for the party who files this praecipe: Esquire, 4503 N. Front Street, Harrisburg, PA 17110 David L. Lutz, Indicate trial counsel for other parties if known: George Faller, Jr., Esquire, 10 East High Street, Carlisle, P A 17013 This case is ready for trial. Sign~r Print Name: David L. Lutz, Esquire Date: I';). - \ ~ -C;5 Attorney for Plaintiff(s) . . WILMA LENTZ, PLAINTIFF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 05-3273 CIVIL LAW V. GIANT FOOD STORES, INC., DEFENDANT JURY TRIAL DEMANDED IN RE: PRE-TRIAL CONFERENCE ORDER OF COURT AND NOW, this 22nd day of February, 2006, after pre-trial conference in the above referenced case, IT IS HEREBY ORDERED AND DIRECTED: 1. Trial counsel in this case shall be David Lutz for the Plaintiff and George Faller, Jr. for the Defendant. 2. Counsel have indicated that trial will take approximately Y, day and will proceed pursuant to Pa.R.Crim. 1311.1. 3. Each party will be granted four peremptory challenges. 4. Given the brief nature of the case, the Court has determined that the jurors will not be allowed to take notes. 5. Both parties have been directed to prepare an exhibit list pursuant to the example attached. Two copies of this exhibit list shall be provided to the Court prior to the commencement of trial. All visual aids used in the case shall be disclosed to the opposing party. In this case, it has been agreed that none of the plaintiff's medical records will be sent out during jury deliberation. 6. Counsel for each party is directed to file with the Court on or before 12:00 noon on March 10,2006, a list of the numbered standard jury instructions the party is requesting. If a party is proposing a unique jury instruction or requesting significant modification of a standard instruction it shall provide the full text of the proposed instruction to the Court. . 7. On or before 12:00 noon on March 10,2006, the parties will provide a proposed verdict slip to the Court for review. 8. It is anticipated that this case will be tried on March 13, 2006. Accordingly, counsel are attached for trial in this matter as of 9:00 a.m. March 13, 2006. By the Court, M~~J'U4 r David L. Lutz, Esquire Attorney for Plaintiff George B. Faller, Jr., Esquire Attorney for Defendant , ffV'A'~ :2. ~ 'i_()L> ~ (f.-. :::rt Adminis~~)~ f',!. , ,I '. ("'^) ~,I (. ") " , ~; . . (p~ COMMONWEALTH OF PENNSYLVANIA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 96-1183 CRIMINAL CHARGE: (1) CRIMINAL HOMICIDE - MURDER OF THE FIRST DEGREE V. (2 ) CRIMINAL ATTEMPT TO MURDER (3 ) AGGRAVATED ASSAULT (4 ) CRIMES COMMITTED WITH FIREARMS (6 ) FIREARMS NOT TO BE CARRIED WITHOUT A LICENSE ANTYANE ROBINSON. AFFIANT: DETECTIVE RONALD EGOLF COMMONWEALTH'S EXHIBIT LIST EXHIBIT NUMBER DESCRIPTION 1 Photograph of lnjury to Tara Hodge's head 2 Used envelope bearing handwriting of Tara Hodge 3 Photograph of the front of building at 117-119 West Louther Street 4 Exterior side view of Tara Hodge's apartment 5 Photograph of body of Rashawn Bass in shower 6 Closeup photograph of Rashawn Bass with bullet casing on shoulder 7 Diagram of Tara Hodge's apartment 8 Plastic shower enclosure from Tara Hodge's apartment 9 Address book of Tara Hodge 10 Date book of Tara Hodge 3. Wilma Lentz IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V Giant Food Stores, Inc. : NO_ 05-3273 CIVIL TERM ORDER OF COURT AND NOW, March 13, 2006, upon relation of the Court Administrator that this case cannot be reached this trial term due to the number of cases on the trial list, IT IS HEREBY ORDERED AND DIRECTED that this case be continued until the June 12, 2006 trial term. The Prothonotary is directed to relist this case for the June 12, 2006 trial term. Counsel are notified that they need not attend the Call of the List and no additional Pretrial Conference will be scheduled unless requested by either party, This case will be given preference and placed at the / I head of the list. David L. Lutz, Esquire For the Plaintiff George B. Faller, Jr., Esquire For the Defendant ~,~ 3 J7. n Court Administrator lkd , ~'v~Y'l1J7)..S;VNjd AlA! 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() In 19 - I ~ 05- 3~ 7...3 COURTROOM NO.: VS yj~ \:!r~ ~ DATE: NORRIS, VICTOR -2081743951 STOUGH (WHITLEY), ANNETTE -2063925575 WINTERS, JASON R. -2063659705 YEAKLE, TIMOTHY -2017831851 WALKER, THOMASP -1973106801 NICHOLL, DEBORAH A. -1904143424 ':INGI:R, LISA A. 1815541648 BROWN, JASON A. -1799591941 HOCKENBERRY, KEITH -1693051821 SNYDER, MARY ANN -1569397730 WILDER, TIMOTHY C. -1304888186 GREINER, RUTII ~. -1249697924 KbLLJ:.K, GAIL -1129693475 KECK, TODD L -938401509 HEFFLEFINGER, WAYNE -823909224 HEIKEL, KATHLEEN A. -769456501 f'tSII, (:-tTFFBRB-E-:-g~.5CII' .J?t".L.-~HJ:rS_---"--~"'''''__''59IH:~~- -170065972 -71240635 138268773 346091042 373235694 '~"-"""""""""',t--"~'._"''''''''''''''_''''''''''-''-''t~''.....__.......__~,,.,.__.....,,......~~"".,~,;,-"_~" 509947817 561585992 693498061 853727171 879687873 935431716 1151834842 1378886143 1823703562 1875194098 1967681751 1975587796 23 67 STARR, JAMES E __~L__. .___'........'."..._".....~'_~,.....,',"..,'...._"._,.,,_,~~_....- ,'.... _,..... , -- J4 100 MATEJA, STANLEY 99 HAY, ELWOODT. 94 CRAWLEY, MARGARET 98 HALL, RKIA A. 66 DEVENNEY, MARGARET A. 79 BARRICK, KEITH 73 GRASLEY, SHELDON 102 PAETZOLD, HILARY 97 HOFFMAN, PEGGY 84 REESE, DWIGHT C. 68 GILBERT, PAULINE K. 103 MCDERMOTT, CHRISTOPHER :?h ) "- 2~ 2() ,;0 1 ") 34 3 Monday, June 12, 2006 \." - {(~tt1ed if Page 1 of 1 ~ .. . ANGINO & ROVNER, P.C. David L. Lutz, Esquire Attorney ID#: 35956 4503 North Front Street Harrisburg, P A 1711 0-1708 (717) 238-679\ FAX (717) 238-5610 Attorneys for Plaintifl(s) E.mail: dlutz@angino-rovner.com WILMA LENTZ, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA v. NO. 05-3273 CIVIL TERM GIANT FOOD STORES, INC., Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED PRAECIPE To the Prothonotary of Cumberland County: Please mark the above-captioned action settled, satisfied, and discontinued. Date: ~~\~/0e ANGINO & ROVNER, P.C. ~L~ J.D. No. 35956 4503 N. Front Street Harrisburg, P A 1711 0 (717) 238-6791 - phone (717) 238-5610 - fax dlutz@angino-rovner.com Attorney for Plaintiff 303757 ~ ~ CERTIFICATE OF SERVICE 1, TriciaD. Eckenroad, an authorized agent for Martson Deardorff Williams & Otto, herebycertify that a copy of the foregoing Praecipe was served this date by depositing same in the Post Office at Carlisle, P A, first class mail, postage prepaid, addressed as follows: David L. Lutz, Esquire ANGINO & ROVNER, P.C. 4503 North Front Street Harrisburg, P A 1711 0-1708 MARTS ON DEARDORFF WILLIAMS & OTTO B~r2~ ricia D. Eckenroad Ten East HIgh Street Carlisle, P A 17013 (717) 243-3341 Dated: June 21, 2006 () ~,::. ,..., c::l C:J <;..,;"' c---:: (..:.... N :;...... ,...<: . . C) ~-r1 .-', -= -;\ l"'1"if;l '~ -- I'~~ -C' . ;.~~; " ''I ::::.-\ r;~ ''--'" ':';:::