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COHEN, DIPAUL, EVERY & HABER, P.C.
BY: JOHN J. DiPAUL, II
IDENTIFICATION NO, 14141
, 528 WALNUT STREET
51h FLOOR
PHILADELPHIA, PENNSYLVANIA '9102
12151985'15'5 Telecopler: (2151965-16'6
MAJOR CASE
ATTORNEY FOR PLAINTIFF
WASTE MANAGENENT OF PENNSYLVANIA-ELIZABETHTO
229 W. James Street
Lancaster, PA 17603
and
SCA SERVICES OF PENNSYLVANIA, INC.
a/k/a WASTE MANAGENENT DISPOSAL SERVICES OF
PENNSYLVANIA, INC. and
c/o CT Corporation Systems
117 S. 17th Street
Philadelphia, PA 19103
NANUEL RODRIQUEZ and
ELIZABETH RODRIQUEZ, h/w
2560 Brookwood Street, Apt. C-2
Harrisburg, PA 17104
vs.
COURT OF COMMON PLEAS
DIVISION
TERM,
No 1 J. ~
{Iii 'I
C,'vl/
DAVID E. KELL
R.D. I, BOX 27
ICKESBURG, PA 17037
"NOTICE
COMPLAINT IN CIVIL ACTION
"Va... holve Det" 'u.CI." co...tI_ 11'1101,1 .....,,, to O.II'"d '9.,nu
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tv ct,tmea ,n tn. (ompl,,", 0' for ,n... Olh" ".,m Of "h,1 nOllp\!.
ta Oy tne pl..nll". Vou mol.,. tost mun.., Of DU,O'lty Of Ofh., "'I""
U"DOfllnl to you.
"VOU SHOULD TAKE hot,S PAP[N TO YOUR LAWVER AT
ONCE. IF VOU DO NOT t"AVE A LAWVlR OR CANNOT Af.
FORD ONE.CO Tn OR T[,LCPHONC lHl OHICl Sotl FOR'H
BELOW TO FIND UUl WH(Rl YOU CAN nil U:GAL HlLP
, OFFICE OF THE COURT ADNINISTRATOR
CUMBERLAND COUNTY COURT HOUSE
4th FLOOR
ONE COURT HOUSE SQUARE
CARLISLE. PA 17013
(717) 240-6200
"AVISO
"Le ".n dern.nCl'ao. "uea en I' corle. S, u'teo QUll!fll!
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o lUI PJOO,tCl.del u 01101 de.teno' Impo'UnUI 0'" u'lea.
"l,l,EV[ [SlA OlMANQA A UN AUOGAOO
INMEDIAT AMENTE. 51 NO 11(NL AUOGAOO 0 51 NO
TIENE [L OIN[RO !,UnCI[Nl[ Ol PAG~A "'L srRVICIO.
VAVA [N p(nSaNA 0 LLAMt paR l"L['-OND A LA
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AUAJO PARA AVE AlGOA,., OONOI !of putOl: CONsrnUIU
A~I"'HNCIA lEGAL
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COUNT ONE: ELIZABETH RODRIQUEZ VS. WASTE MANAGEMENT OF PA. -
ELIZABETHTOWN AND DAVID E. KELL
1. Plaintiff is an adult individual who, at all times herein
concerned, and presently resides at 2560 Brookwood Street,
Harrisburg, Pa, and was the owner and operator of a certain 1987
Nova Chevrolet, bearing Pa, Registration Plate No. 470714 and
involved in the subject accident.
2.
Defendant,
WASTE MANAGElolENT OF PENNSYLVANIA
ELIZABETHTOWN is a Pennsylvania corporation, and/or fictitious
name, and/or partnership, and/or joint venture, registered to
conduct business in the Commonwealth of Pennsylvania and maintains
a place of business at 229 W. James Street, Lancaster, PA and/or
4300 Industrial Park Road, Camp Hill, PA, as well as numerous other
and various locations in and about all of the counties of the
Commonwealth of Pennsylvania,
at all times relevant hereto was
acting by and through its agent, servant, workman and/or employee,
acting within the course and scope of his employment and subject to
their control.
3. Defendant, DAVID E. KELL, is an adult individual who, at
all times herein concerned, resided at R.D. 1, Box 27, Ickesburg,
PA 17037. and was, at all times relevant hereto, was the agent,
servant, workman and/or employee of defendant, WASTE MANAGEMENT OF
PENNSYLVANIA - ELIZABETHTOWN, acting within the course and scope of
his employment and subject to their control, and was at all times
herein concerned, operating a certain 1988 Ford Truck bearing Pa,
Registration plate YH21874, which was involved in the subject
accident,
4. On or about Monday, July 6, 1992 at approximately 7:00 A.
M., plaintiff was operating her vehicle in a southerly direction on
Railroad Avenue, at or near its intersection with Trindle Road,
both public highways in the County of Cumberland, Commonwealth of
Pennsylvania, and did have her right turn signal on, intending to
turn into the True Temper Parking Lot, located at 465 Railroad
Avenue, Hampton Township, Cumberland County, Pa.
5. At the said time and place, defendant, WASTE MANAGEMENT OF
PENNSYVANIA - ELIZABETH, acting by and through its agent, servant,
workman and/or employee, defendant, DAVID E. KELL, was exiting from
the Rite Aid Parking Lot Driveway, located adjacent to the True
Temper Driveway, as aforesaid on Railroad Avenue, Hampton Township,
Cumberland County, Pa., and, in exiting therefrom, did cause and
permit his vehicle to strike the plaintiff's motor vehicle, causing
a violent collision to occur, resulting in the injuries and damages
to plaintiff of which she complains hereinafter.
6. The accident aforesaid was caused solely as a result of
the negligence of the defendant, DAVID E. KELL, and was due in no
manner whatsoever to any act or failure to act on the part of the
plaintiff.
7. The carelessness, recklessness and negligence of the
defendant, DAVID E. KELL, did consist of the following:
a. In failing to have his motor vehicle under proper
and adequate control;
b. Failing to maintain a proper lookout;
c. In operating his motor vehicle without due regard for
the rights, safety and position of the plaintiff;
.'
d. In failing to control his motor veicle so as to avoid
the collision with the plaintiff who was then and there lawfully on
the highway;
e. Failing to yield the right-of-way to plaintiff;
f. In failing to give any warning of his approach;
g. In having a clear view of the road ahead but in
nevertheless failing to take measure to prevent his vehicle from
coming into contact with plaintiff's vehicle.
h. In failing to bring his motor vehicle to a complete
and full stop and then and there observe the traffic conditions to
be certain that it was safe for him to proceed to exit from the
driveway;
i. In violating the various ordinances of Hampton
Township, County of Cumberland, and the statutes of the
Commonwealth of Pennsylvania pertaining to the operation of motor
vehicles upon streets, intersections and street crossings;
j . Being otherwise careless and negligent under the
circumstances.
8. As a result of the accident, the plaintiff sustained
serious and permanent injuries to her head, neck, back, body, right
and left arms and wrists, including, but not limited to, abrasion
of left knee at the patella; right and left ulnar neuropathy and
neuritis; tardy ulnar nerve palsy, compression of the ulnar and
median nerves with compression at the elbow level and carpal tunnel
syndrome including a right carpal tunnel release and ulnar nerve
transposition; strain and sprain of the cervical spine; strain and
sprain of the lumbosacral spine; injury to the muscles, nerves,
, .
tendons, and ligaments of the both arms, as well as damage to her
nerves and nervous system and emotional distress, any of which or
all of which may be permanent in nature.
9. As a result of the accident aforesaid, the plaintiff has
been in the past and will in the future be required to expend and
receive further medical attention and medical procedures and care
and to expend various sums of money or to incur various expenses
which have or may exceed the sums recoverable under the applicable
provisions of the Pennsylvania Motor Vehicle Financial
Responsibility Act and she may be obliged to continue to expend
such sums or incur such expenditures for an indefinite period of
time in the future.
10. As a further result of the accident aforesaid, the
plaintiff has suffered agonizing aches, pains, mental anguish and
disability and avers that such may continue for an indefinite
period of time in the future; she has been unable to attend to her
daily and usual duties, occupations and activities and avers that
such may continue for an indefinite period of time in the future.
11. As a further result of the accident aforesaid, the
plaintiff has suffered a severe loss of her earnings and/or
impairment of her earning capacity and power, which such loss of
income and/or impairment of her earning capacity and power has or
may exceed the sums recoverable under the applicable provisions of
the Pennsylvania Motor Vehicle Financial Responsibility Act.
12. As a direct and reasonable result of the aforesaid
accident, the laintiff has or may hereinafter incur other financial
expenses or losses which do or may exceed the amounts to which she
may otherwise be entitled to recover.
WHEREFORE, plaintiff demands judgment against the defendants,
jointly and/or severally, in a sum in excess of Fifty Thousand
($50,000) Dollars, plus costs, and brings this action to recover
the same.
COUNT TWO: MANUEL RODRIQUEZ V. WASTE MANAGEMENT OF PENNSYLVANIA -
ELIZABETHTOWN AND DAVID KELL
12. Plaintiff incorporates by reference Paragraphs I through
7, inclusive of this Complaint, just as though the same were fully
set forth herein at length.
13. Plaintiff is an adult individual residing at the above
captioned address and, at all times relevant hereto, was the
husband of wife-plaintiff, ELIZABETH RODRIQUEZ.
14. As a result of the accident aforesaid, the husband-
plaintiff has been deprived of the services, society, companionship
and consortium of the wife-plaintiff and may continue to be so
deprived for an indefinite period of time in the future.
WHEREFORE, plaintiff demands judgment against the defendants,
jointly and/or severally, in a sum in excess of Fifty Thousand
($50,000) Dollars, plus costs and brings this action to recover the
same.
COUNT THREE: ELIZABETH RODRIQUEZ AND MANUEL RODRIQUEZ VS. SCA
SERVICES OF PENNSYLVANIA, INC., a/k/a WASTE
MANAGEMENT DISPOSAL SERVICES OF PENNSYLVANIA, INC.
---------------------------_.~-----------------------------------
15. Plaintiffs incorporate by reference Paragraphs 1 through
14, inclusive, just as though the same were fully set forth herein
at length against SCA services of Pennsylvania, Inc., a/k/a WASTE
MANAGEMENT DISPOSAL SERVICES OF PENNSYLVANIA, INC.
16. At all times herein concerned, plaintiffs aver that the
defendant in this Count Three, SCA SERVICES OF PENNSYLVANIA, INC.,
a/k/a WASTE MANAGEMENT DISPOSAL SERVICES OF PENNSYLVANIA, INC.,
were and are corporations authorized to do business within the
Commonwealth of Pennsylvania and maintaining a registered agent in
c/o CT Corporation System, 1635 Market Street, Philadelphia, PA,
17. Plaintiffs believe and aver that at all times herein
concerned, the defendant, WASTE MANAGEMENT OF PENNSYLVANIA-
ELIZABETH was either a corporation or a fictitious name, as
hereinbefore indicated, owned by or under the control of
defendants, SCA SERVICES OF PENNSYLVANIA, INC., a/k/a WASTE
MANAGEMENT DISPOSAL SERVICES OF PENNSYLVANIA, INC.
18. plaintiff further avers that, at all relevant times
herein, defendant, DAVID E. KELL, was acting as the agent, servant,
workman and/or employee of the defendant, WASTE MANAGEMENT OF
PENNSYLVANIA-ELIZABETHTOWN of as an agent, servant, workman and/or
employee of SCA SERVICES OF PENNSYLVANIA, INC., a/k/a WASTE
MANAGEMENT DISPOSAL SERVICES OF PENNSYVANIA, INC. and was acting
within the course and scope of his employment and subject to their
control.
WHEREFORE, plaintiffs in this Count Three of the within
Complaint demands judgment against defendants, SCA SERVICES OF
PENNSYLVANIA, INC., a/k/a WASTE MANAGEMENT DISPOSAL SERVICES OF
PENNSYLVANIA, INC. in a sum in excess of Fifty Thousand ($50,000)
Dollars for the reasons stated herein and brings this action to
recover the same.
COHEN, iPAUL, EVE
, P.C.
BY
, ~ 1"
-
.
VERIFICATION
ELIZABETH RODRIQUEZ hereby states that she is a
plaintiff/lielfieaIaiBndx in this action and verifies that the statements
made in the foregoing pleading/document are true and correct to the
best of her information, belief and knowledge. The undersigned
understands that the statements therein are made subject to the
penalties of 18 Pa.C.S. Sec. 4904, relating to unsworn
falsification to authorities.
DATED:
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COHEN, DIPAUL, EVERY & HABER, P.C.
BY: JOHN J. DiPAUL, II
IDENTIFICATION NO, 14141
'528 WALNUT STREET
5.h FLOOR
PHILADELPHIA, PENNSYLVANIA '9'02
(2'5) 985-1515 Te_er: (2'51985,'6'6
ATTORNEY FOR
PLAINTIFFS
~1ANUEL RODRIQUEZ and
ELIZABETH RODRIQUEZ, h/w
CUMBERLAND COUNTY, PA,
COURT OF COMMON PLEAS
DIVISION
vs.
TERM,
WASTE'MANAGENENT OF PENNSYLVANIA-ELIZABETH-
TOWN ,-
and
SCA SERVICES OF PENNSYLVANIA, INC.
a/k/a WASTE NANAGEMENT DISPOSAL
SERVICES OF PENNSYLVANIA, INC.
and
DAVID E. KELL
No 926 Civil, 1994
PRAECIPE
TO THE PROTHONOTARY:
Kindly reinstate Complaint
the above captioned matter.
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APR~ 2 1 1981t I
MANUBL RODRIQUBZ and
BLIZABBTH RODRIQUEZ, h/w,
plaintiffs
IN THE COURT OF COHKON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 926 Civil 1994
WASTB MANAGBMENT OF
PENNSYLVANIA-BLIZABETHTOWN,
SCA SBRVICBS OF PENNSYLVANIA,
INC. a/k/a WASTB MANAGEMENT
DISPOSAL SBRVICES OF
PENNSYLVANIA, INC., and
DAVID B. ltBLL,
Defendants
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
ORDER
AND NOW, this _t '2. K J. day of April, 1994, upon considerat ton
of the stipulation of Counsel, it is hereby ordered that paragraphs
7(i) and (j) are amended and paragraph 7(k) is added to Plaintiffs'
Amended Complaint as provided in the stipulation of Counsel
attached hereto.
.
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HANUBL RODRZQUEZ and
BLIZABBTH RODRIQUEZ, b/w,
Plaintiffs
IN THB COURT OF COMMON PLBAS
CUHBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 926 Civil 1994
WASTB MANAGEMENT OF
PBNNSYLVANIA-BLIZABBTHTOWN,
SCA SBRVICBS OF PENNSYLVANIA,
INC. a/k/a WASTB MANAGBMENT
DISPOSAL SBRVICES OF
PBNNSYLVANIA, ZNC., and
DAVID B. ltELL,
Defendants
CIVIL ACTION - LAW
JURY TRIAL DBMANDED
STIPULATION OF COUNSBL
And now upon agreement and stipulation of counsel, Paragraph
7(i) and (j) are stricken from Plaintiffs' Complaint. Paragraph 7
of Plaintiffs' Complaint is amended as follows:
7. (i)
In violating the following provisions of the
Pennsylvania Motor Vehicle Code, 75 Pa.C.S.A.
Section 3101 - Application of part.
Section 3111 - Obedience to traffic control devices.
Section 3112 - Traffic Control Signals.
Section 3321 - Vehicle approaching or entering
intersection.
Section 3323 - stop Signs and Yield Signs.
Section 3324 - Vehicle entering or crossing roadway.
Section 3333 - Moving stopped or parked vehicle.
Section 3334 - Emerging from alley, driveway or building.
Section 3361 - Driving vehicle at safe speed.
Section 3714 - Reckless driving.
(j) Pulling his vehicle out onto the highway from the Rite
Aid Parking Lot when it was unsafe to do so.
(k) Violating the assured clear distance rule of the
Commonwealth of Pennsylvania.
COHEN, Di AUL, EVERY & HABER, P.C.
Date:
ipaul, II, Esquire
or Plaintiff
MARSHALL & FARRELL, P.C.
~~f\. r~
Date: 4//9/Qy
Michael A. Farrell,' Esquire
1. D. #41067
1323 North Front Street
Harrisburg, PA 17102
Attorney for Defendants
In the Court of Common Pleas of
Cumberland County, Pennsylvania
vs No. 926 Civil Term, 1994
Wastc Managcment of Pcnnsy1vania Complaint in Civil Action Reinstated
Elizabethtown and SCA Scrviccs of Pcnnsylvania Inc.
a/k/a Wastc Managcmcnt Disposal Scrviccs
of Pennsylvania Inc.
Manuel Rodriquez and Elizabeth
Rodriqucz
R. Thomas Kline Sheriff, who being duly sworn according to law, says
that he made diligent search and inquiry for one of the within named
defendants, to wit: Waste Management of Pennsylvania Elizabethtown but
was unable to locate thcm in his bailiwick. He therefore deputized the
Sheriff of Lancaster County, Pennsylvania to serve the within Complaint
in Civil Action according to law.
LANCASTER COUNTY RETURN HERETO ATTACHED.
R. Thomas Kline. Sheriff, who being duly sworn according to law,
says he made diligent search and inquiry for one of the within named
defendants, to wit: SCA Services of Pennsylvania Inc. a/k/a Waste
Management Disposal Service of Pennsylvania Inc. but was unable to
locate them in his bailiwick. He therefore deputized the Sheriff of
Philadelphia County, Pennsy1via to serve the within Complaint in Civil
Action according to law.
PHILADELPHIA COUNTY RETURN HERETO ATTACHED.
R. Thomas Kline. Sheriff, who being duly sworn according to law,
says he made diligent search and inquiry for one of the within named
defendants, to wit: David E. Kell. but was unable to locate them in his
bailiwick. He therefore deputized the Sheriff of Perry County.
Pennsylvania to serve the within Complaint in Civil Action according to
law.
PERRY COUNTY RETURN: Now April 13. 1994 at 6:25 o'clock P.M. served
the within Complaint upon David E. Kell at R. D. 1 Box 27 Ickesburg,
Saville Twp., Perry County, Pa. by handing to David E. Kel1 a true and
attested copy of the original Complaint and made known to him the
contents thereof. So answers: Steven P. Hill. Deputy Sheriff of Perry
County, Pennsylvania.
Perry County return hereto attached.
Sheriff's Costs:
Docketing
Surcharge
Out of County
Lancaster Co.
Phila Co.
Perry Co.
22.00
6.00
15.00
27.00
59.00
37.50
10'6"':'S0
So al)swers:
f' \..-' --'", .....:...0::-:. . . ,'('
R. Thomas Kline, Sheriff
Pd. by Atty.
4-29-94
Sworn and subscribed to before me
this j <d
day of J)ll...f
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Pr thonotary
1994 A.D.
SHERIFF'S OFFICE
50 NORTH DUKE STREET. LANCASTER. PENNSYLVANIA 17602 '17171 299,82DO
SHERIFF SERVICE
PROCESS RECEIPT. and AFFIDAVIT OF RETURN
liii].lNTirf's/-
~tANUEL & ELIZA8ETH RODRIQUEZ
;l
IN5TRUCTIONS FOR SERVICE OF PROCESS on !he ,...... 0/ \he IeollNo. ...
5) copy 01 IhlSIOfm. Plea.. typo or prlnllegibty, 00 nol detlch any copIn. ~
'} COURT UUMBER
926 CIVIl. 1994
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J DEFENDANT/SI
\~ASTE& MANAGENENT OF PENNSYLVANIA-ELIZA8ETHTOWN
SERVE {5 UAME OF INDIVIDUAL. COMPANY. CQRPonAllON ErG. TO OE SEnvEO
IIIIIIIll.. \~ASTE HANAGEHENT OF l'ENNSYLVANIA-ELIZA8ETHTOWN
... 6 ADDRESS IStrecl or RFD. Apar1menl No. CltV. 8otO. lwp, Stale and ZIP Codel
AT 229 W JA}IES ST.. LANCASTER, PA, 17603
INDICA TE UNUSUAL SERVICE. U COMMON OF PA (] OEPUflZE rJ OTHER
Now, 19 _ . I, SHERIFf OF LANCASTER COUNTY, PA,. do hereby deputize the Sherill of
County to execute this Writ and make return thereof according
to law, This deputation being made at the request and risk of the plalntill,
8, SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEOITING SERYICE:
4 tYPE OF WAif OR COMPLAINT
CmlPLAINT
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NOTE ONLY APPLICABLE ON WRIT OF EXECUTION: N,B. WAIVEA OF WATCHMAN - Any deputy shontt levymg upon or attaching Bl1y property undor
WIthin wnt may leave same wilhoul a watchman. In custody of whomever is found In possession, alter nOlllYlng porson ollovyor allachment, wilhoulliabtl.ty on
the part 01 such deputy or the shenll to any plamllll horeln lor any loss, deslrucllon or 'emovnl 01 any such property boloro sherlfl', sale thereof.
9, SIGNATURE 01 ATTORNEY or other ORIGINATOR 10. TELEPHONE NUMBER 11 DATE
cmIBERI.AND CO SHERIFF PAID ADVANCE COSTS
1-215-985-1515
2/28/94
12, SEND NOTICE OF SERVICE COPY TO NAME AND ADDRESS BELOW: CThl1 Ir.. mUlt be completed If nolle. I' to b. mined)
13 I acknowledge ,ecolpl o'thewJlll
or complalnl as Indicated above.
NAME 01 Aulhorlzed LCSD Depuly or Clerk
JUDY MORRIS 295 3609
1528 WALNUT ST..5TH FLR, PHILA,
DO NOT WRITE BELOW THIS LINE
14. Date Received 15. expirabonJHeanng dale
3/28/94 3/30/94
PA 19102
JOHN J DIPAUL.
II AT COHEN, DIPAUL, EVERY & HABER PC
SPACE BELOW FOR USE OF SHERIFF ONLY
16 I hereby CERTIFY and RETURN thatl tJ have personallv 5orved,;ihovo legal evidence at servIce ii' shown in -Remarks.. [J have executed as shown In
"Remarks.. Ihe wut or complaint descrlbod on the indiVidual. company. corporahon. ctc, allho addross shown above or on the indIvIdual, company. cor.
pornllon. efc _ .-llthe address mserted below by handing a TRUE and ArrESTED COPY 1I1efUoI
17 01 hereby cerhly and return a NOT FOUND because I am unable 10 locale the indIVIdual, company, corporation. etc named above ISee remarks below)
18 Name and 11110 01 indiVIdual served III nol shown above) (Rolatlonshlp 10 Dolend.lnl) 19 A person ohUllabluge and dlSClellon
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20 Address at where served (complele only II dlllerenl than shown abovellSlreel orRFD,Apar1menl No . City. 80ro. Twp 21. Dalo 01 SeJ\llce 22 Time
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on /../- (3 ,19 9'1 ,at /!.: O'CIDCk, / ~B.S.T.
at I t. ~ r- ~..)I.. , in the County of Philadelphia,
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o (1) the aforesaid defen~ant, personaK;
o (2) an adult member of the family of said defendant, with whDm said defendont resides, who stated that
o Defendant
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t;YfS) agent or person for the time being in charge of defendant's office or usual place of business.
o (6) the and officer of said defendant Company;
IWO~'.I TO AND SUS~r.!::;El)
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David E. Kell
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926 Civil Term 1994
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" 926 Civ..i1 Term 1994
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ROdriquez.Ans...Answer wi NM...pldgs...dem
MANUEL RODRIQUEZ and
ELIZABETH RODRIQUEZ, h/w,
Plaintiffs,
.
.
.
.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNT~, PENNSYLVANIA
.
.
.
.
vs.
.
.
: CIVIL ACTION - LAW
WASTE MANAGEMENT OF
PENNSYLVANIA-ELIZABETHTOWN,
SCA SERVICES OF PENNSYLVANIA,
INC. a/k/a WASTE MANAGEMENT
DISPOSAL SERVICES OF
PENNSYLVANIA, INC., and DAVID
E. KELL,
NO.
926
Civil
1994
.
.
Defendants.
.
.
JURY TRIAL DEMANDED
ANSWER INCLUDING NEW MATTER
OF DEFENDANTS TO PLAINTIFFS' COMPLAINT
1. Admitted.
2. Denied. Answering Defendants specifically deny the
averments contained in !2 of Plaintiffs' Complaint.
Answering
Defendants further answer by stating that at the time of the
subject accident, July 6, 1992, answering Defendant was known as
Waste Management of Pennsylvania-Elizabethtown, which was a
division of Waste Management of Pennsylvania, Inc, which has its
main office in Ben Salem, pennsylvania.
Waste Management of
Pennsylvania, Inc. was a subsidiary of Waste Management of North
America, Inc., which has its principal place of business in
Chicago, Illinois. Answering Defendants further respond by stating
that after the date of the subject accident, there has been a re-
organization of the corporate structure. At the present time,
10 f:\C\ ,,,-\ . ',:,':..:.
YOU'\RE HEREBY NOTIFIED TO PLEAD
10 THE 1\0'-;.,':,-' :.l [\.\(u) In~'Ht',( !
,il!HIN cL) D.~YS FROM THE
~).\ I E OF SERVICE 011 4 OE F ~Ul. r
:t'~~\~t~i[rnl\i,\)' O~Et~T[R[D '\01" ~';S\.
li.JU'~I\. ~
!~ : i _ ~ '. ~l ; L', \J \ ~ I 'I' \1- \ \\
Rodriquez.Ans...Answer wi NM...pldgs...dem
Waste Management of pennsylvania-Elizabethtown is now known as
Waste Management of central Pennsylvania-Camp Hill, which is a
division of the Mid Atlantic Group of WMX Technology, Inc., which
is located in Ben Salem, pennsylvania. The Mid Atlantic Group of
WMX Technology, Inc. is a subsidiary of WMX Technologies, Inc.,
which is headquartered in Chicago, Illinois. Answering Defendants
further deny the remaining averments contained in !2 of Plaintiffs'
Complaint as conclusions of law to which no affirmative response is
required and strict proof is demanded at the time of the trial of
this case if deemed material.
3. Admitted.
4. Admitted in part and denied in part. Answering
Defendants admit that on or about Monday, July 6, 1992, at
approximately 7:00 a.m., plaintiff was operating her vehicle in a
southerly direction on Railroad Avenue near the intersection with
Trindle Road in Hampden Township, Cumberland County, Pennsylvania.
Answering Defendants further admit that Plaintiff had her right
turn signal on. However, after reasonable investigation, answering
Defendants are without knowledge or information sufficient to form
a belief as to whether or not the Plaintiff intended to turn into
the True Temper parking lot located at 465 Railroad Avenue, Hampden
Township, Cumberland County, Pennsylvania, and strict proof thereof
is demanded at the trial of this case.
2
Rodriquez.Ans...Answer wi NM...pldgs...dem
5. Admitted in part and denied in part. Answering
Defendants admit that at the time of the subject accident,
Defendant, David E. Kell, was operating a 1988 Ford truck owned by
Waste Management of Pennsylvania and caused the truck to exit from
the Rite Aid parking lot in order to head north on Railroad Avenue
in Hampden Township, Cumberland County, Pennsylvania. Answering
Defendants further admit that at that time, a collision occurred
between the vehicle being operated by Defendant Kell and the
vehicle being operated by the Plaintiff. Answering Defendants
specifically deny that a violent collision occurred and strict
proof is demanded thereof at the time of the trial of this case.
Answering Defendants further state that after reasonable
investigation, they are without knowledge or information sufficient
to form a belief as to whether or not the collision in question
resulted in the injuries and damages alleged by the Plaintiff, and
therefore, denies same and demands strict proof at the time of the
trial of this case if deemed material.
6. Denied. Answering Defendants specifically deny the
averments contained in !6 of Plaintiffs' Complaint as conclusions
of law to which no affirmative response is required, and strict
proof is demanded thereof at the time of the trial of this case if
deemed material.
3
r'" "',-
ROdriquez.Ans...Answer wi NM...pldgs...dem
7. Denied. Answering Defendants expressly and
unequivocally deny all allegations of carelessness, recklessness
and negligence on behalf of Defendant, David E. Kell, and demand
strict proof thereof at the time of the trial of this case if
deemed material. Answering Defendants more specifically respond to
the allegations contained in !7 of plaintiffs' Complaint as
follows:
(a) Denied. On the contrary, David E. Kell did
have the motor vehicle he was operating under proper and
adequate control;
(b) Denied. On the contrary, Defendant, David E.
Kell, did maintain a proper lookout for all vehicles on
the roadway, inclUding Plaintiff's vehicle;
(c) Denied. On the contrary, David E. Kell
operated his motor vehicle with regard to the rights,
safety and position of the Plaintiff and all other
vehicles on the roadway;
(d) Denied. On the contrary, Defendant, Kell,
maintained his vehicle under proper control at all times
material to this cause of action;
(e) Denied. Strict proof is demanded;
(f) Denied. Answering Defendants specifically deny
that Defendant, Ke1l, had a duty to give warning of his
4
approach to the Plaintiff, and strict proof is demanded
at the time of the trial of this case:
(g) Denied. Defendant, Kell, did have a clear view
of the roadway and took all appropriate measures for the
proper operation of his vehicle;
(h) Denied. On the contrary, Defendant, Kell, did
bring his motor vehicle to a complete and full stop,
observed the existing traffic conditions and proceeded in
a reasonable and prudent manner to exit from the Rite Aid
parking lot.
(i) Denied. Answering Defendants deny the
averments contained in this subparagraph as conclusions
of law to which no affirmative response is required and
strict proof is demanded at the time of the trial of this
case is deemed material.
(j) Denied. Answering Defendants deny the
averments contained in this subparagraph as conclusions
of law to which no affirmative response is required and
strict proof is demanded at the time of the trial of this
case is deemed material.
(k) Denied. Answering Defendants specifically
denies that the assured clear distance ahead rule applies
to this action and strict proof is demanded thereof at
Rodriquez.Ans...Answer wi NM...pldgs...dem
5
the time of the trial of this case as deemed material.
The averment contained in subparagraph 7 (k) of
Plaintiffs' Complaint is also denied as conclusion of law
to which no affirmative response is required.
8. Denied. After reasonable investigation, answering
Defendants are without knowledge or information sufficient to form
a belief as to the truth or falsity of the averments contained in
this paragraph; and, therefore, deny same and demand strict proof
thereof at the time of the trial of this matter if deemed material.
9. Denied. After reasonable investigation, answering
Defendants are without knowledge or information sufficient to form
a belief as to the truth or falsity of the averments contained in
this paragraph; and, therefore, deny same and demand strict proof
thereof at the time of the trial of this matter if deemed material.
10. Denied. After reasonable investigation, answering
Defendants are without knowledge or information sufficient to form
a belief as to the truth or falsity of the averments contained in
this paragraph; and, therefore, deny same and demand strict proof
thereof at the time of the trial of this matter if deemed material.
11. Denied. After reasonable investigation, answering
Defendants are without knowledge or information sufficient to form
a belief as to the truth or falsity of the averments contained in
Rodriquez.Ans...Answer wi NM...pldgs...dem
6
Rodriquez.Ans...Answer wI NM...pldgs...dem
this paragraph I and, therefore, deny same and demand strict proof
thereof at the time of the trial of this matter if deemed material.
12. Denied. After reasonable investigation, answering
Defendants are without knowledge or information sufficient to form
a belief as to the truth or falsity of the averments contained in
this paragraph I and, therefore, deny same and demand strict proof
thereof at the time of the trial of this matter if deemed material.
WHEREFORE, answering Defendants deny that Plaintiff is
entitled to the relief claimed or to any relief whatsoever and
demand judgment in their favor together with costs and attorneys
fees.
COUNT II
Answering Defendants incorporate by reference, their
answers to paragraphs 1-12 of plaintiffs' Complaint as if fully set
forth at length herein.
13. Denied. After reasonable investigation, answering
Defendants are without knowledge or information sufficient to form
a belief as to the truth or falsity of the averments contained in
this paragraph I and, therefore, deny same and demand strict proof
thereof at the time of the trial of this matter if deemed material.
14. Denied. After reasonable investigation, answering
Defendants are without knowledge or information sufficient to form
a belief as to the truth or falsity of the averments contained in
7
Rodriquez.Ans...Answer w/ NM...pldgs...dem
this paragraph; and, therefore, deny same and demand strict proof
thereof at the time of the trial of this matter if deemed material.
WHEREFORE, answering Defendants deny that Plaintiff is
entitled to the relief claimed or to any relief whatsoever and
demand judgment in their favor together with costs and attorneys
fees.
COUNT III
15. Answering Defendants incorporate by reference, their
answers to paragraphs 1-14 of plaintiffs' Complaint as if fully set
forth at length herein.
16. Denied. Answering Defendants specifically deny that
SCA Services of Pennsylvania, Inc. a/k/a Waste Management Disposal
Services of Pennsylvania, Inc. were an R corporation to do business
within the Commonwealth of Pennsylvania and maintained a registered
agent as indicated in !16 of Plaintiffs' Complaint and demands
strict proof thereof at the time of the trial of this case if
deemed material. On the contrary, the corporate structure of
Defendants is as previously indicated in Defendants' answer to !2
of Plaintiffs' Complaint.
17. Denied. The averments contained in !17 of
Plaintiffs' Complaint are specifically denied. strict proof
thereof is demanded at the time of the trial of this case if deemed
material.
8
Rodriquez.Ans...Answer w/ NM...pldgs...dem
18. Denied. The averments contained in !18 of
plaintiffs' Complaint are expressly denied and strict proof is
demanded at the time of the trial of this case if deemed material.
Answering Defendant further states that the allegations regarding
Defendant, Dave E. Kell, contained in !18 of plaintiffs' Complaint
are denied as conclusions of law to which no affirmative response
is required and strict proof thereof is demanded at the time of the
trial of this case if deemed material.
WHEREFORE, answering Defendants deny that Plaintiffs are
entitled to the relief claimed or to any relief whatsoever and
demand judgment in their favor together with costs and attorneys
fees.
NEW MATTER
19. Plaintiffs have failed to state a cause of action
upon which relief can be granted against answering Defendants.
20. The claims of Plaintiffs are barred and/or limited
by the Pennsylvania Motor Vehicle Financial Responsibility Law.
21. The claims of Plaintiffs for recovery of medical
expenses and/or income loss are barred and/or limited by li1722 of
the Pennsylvania Motor Vehicle Financial Responsibility Law.
22. In the alternative, Defendants are entitled to a
set-off for any monies paid or payable to Plaintiffs for medical
9
ROdriquez.Ans...Answer w/ NM...pldgs...dem
expenses and/or income loss by reason of the aforesaid Pennsylvania
Motor Vehicle Financial Responsibility Law.
23. Plaintiffs' claims for non-economic loss are barred
due to Plaintiffs' selection of the "limited tort option" under the
Pennsylvania Motor Vehicle Financial Responsibility Law.
24. Plaintiffs' own negligence was a substantial factor
in the happening of the accident as follows:
(a) In indicating an intention to turn her vehicle
prior to reaohing the vehicle being operated by
Defendant, David E. Kell, without doing sor
(b) In failing to maintain her vehicle under proper
control so as to avoid a collision with Defendant's
vehicler
(c) In operating her vehicle in a negligent and
careless manner without regard to the rights and safety
of other persons operating their vehicles upon the
roadwayr
25. Plaintiff's negligence as stated above was
comparatively higher than Defendants' negligence, if any is found
to exist.
26. Plaintiffs' claim for economic loss is barred by the
contributory negligence of the Plaintiff, as stated above.
10
ROdriquez.Ans...Answer wi NM...pldgs...dem
WHEREFORE, Defendants demand that Plaintiffs' Complaint
be dismissed.
Respectfully submitted,
MARSHALL & FARRELL, P.C.
L/ I
!:\ 't
\ ("
\\, ~\r..._
Michael A. Farrell, Esquire
I. D. 141067
1323 North Front street
Harrisburg, PA 17102
(717) 236-7300
Attorney for Defendants
Date:
11
VERIFICATION
I,
DAN WRIGHT
, hereby verify that the
facts set forth in the foregoing document entitled Answer Inc1udinll
New Matter Of Defendants To Plaintiffs I Complaint , are true
and correct to the best of my knowledge, information and belief.
I understand that false statements made herein are made
subject to the penalties of 18 Pa.C.S. !i4904, relating to unsworn
falsification to authorities.
Date: L/ la"OR~
Dan Wright
Division Safety & Claims Manager
Waste Management of Central Pa, Inc.
.
CBRTIFICATB OF SBRVICB
AND NOW, this
'\' , '
day of
. .,.
\ <.~
, 1994, I, Michael
A. Farrell, Esquire, hereby certify that I served a true and
correct copy of the foregoing Answer Including New Matter of
Defendants to Plaintiffs' Complaint, upon all counsel of record by
depositing a copy of same in the United states mail, regular
delivery, postage prepaid at Harrisburg, pennsylvania, addressed as
follows:
John J. Dipaul, II, Esquire
Cohen, Dipaul, Every & Haber, P.C.
5th Floor
1528 Walnut street
Philadelphia, PA 19102
\~, \. \. \} . " _ \'. \(~~ "'f..:'~~:.5.,~,
Michael A. Farrell
,
~
,
COHEN, DiPAUL, EVERY & HABER, P.C.
BYl JOHN J.DiPAUL, II
I.D.NO. 1414
1528 WALNUT STRBET, 5TH FLOOR
PHlLADBLPHIA, PA 19102
(215) 985-1515
ATTORNEY FOR PLAINTIFFS
------------------------------------
MANUEL RODRIQUEZ AND
ELIZABETH RODRIQUEZ
VS.
COURT OF COMMON PLEAS
CtlMBBRLAND COUNTY, PA
.
.
WASTE MANAGEMENT OF PENNSYLVANIA-
ELIZABETHTOWN, SCA SERVICBS OF
PENNSYLVANIA, INC., A/K/A WASTE
MANAGEMENT DISPOSAL SERVICES OF
PENNSYLVANIA, INC. AND
DAVID E.KELL
CIVIL ACTION - LAW
.
.
.
.
NO. 926.C.' l'lIlY
19. Denied.
PLAINTIFFS' REPLY TO NEW MATTER
The allegations contained in Paragraph 19 of
defendants' New Matter aver conclusions of law to which no response
is required. Strict proof of same, if deemed relevant, is demanded
at time of trial.
20. Denied. The allegations contained in Paragraph 20 of
defendants' New Matter aver conclusions of law to which no response
is required. Strict proof of same, if deemed relevant, is demanded
at time of trial.
21. Denied. The allegations contained in Paragraph 21 of
defendants' New Matter aver conclusions of law to which no response
is required. Strict proof of same, if deemed relevant, is demanded
at time of trial.
22. Denied. The allegations contained in Paragraph 22 of
defendants' New Matter aver conclusions of law to which no response
is required. Strict proof of same, if deemed relevant, is demanded
at time of trial.
"
~--
.'
.
,
23. It is denied that plaintiffs' claim for non-economic
losses are barred under the limited tort option, as averred,
because the plaintiff sustained a serious injury (a serious
impairment of a bodily function) and is therefore eligible to bring
this claim without limitation.
24. It is denied that the plaintiffs' negligence was a
substantial factor in the happening of the accident and strict
proof thereof, is demanded at time of trial.
(a). Denied as stated;
(b). It is denied that the plaintiff failed to maintain
her vehicle; it is averred that at all times herein plaintiff
maintained her vehicle under proper control;
(c) It is denied that the plaintiff operated her vehicle
in a negligent and careless manner as stated; it is averred that at
all times the plaintiff operated her vehicle in a proper and safe
manner.
25. Denied that the plaintiff's negligence was higher than
the defendants' negltgence; it is averred that plaintiff did not
contribute in any degree to the occurrence of the within accident.
26. Denied for the reasons set forth above.
WHEREFORE, plaintiffs demand judgment against the defendants
as set forth in their Complaint.
BYI
&: HABER, P.C.
Dated: June 7, 1994
.'
.
~
VERIFICATION
JOHN J.DiPAUL, II hereby states that he is counsel for
plaintiffs herein and verifies that the statements made in
the Reply to New Matter are true and correct to the best of
his information, belief and knowledge.
The undersigned understands that the statements therein
are made subject to the penalities of 18 Pa, C.S. Sec. 4904
~ j
DATED: JUNE 7, 1994
relating to unsworn falsificat
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COHEN, DiPAUL, EVERY & HABER, P.C.
BY: JOHN J. DiPAUL, II
I.D. NO. 14141
1528 WALNUT STREET, 5TH FLOOR
PHILADELPHIA, PA 19102
(215) 985-1515
ATTORNEY FOR PLAINTIFF
-----------------------------------
MANUEL RODRIQUEZ AND COURT OF COMMON PLEAS
ELIZABETH RODRIQUEZ, H/W OF CUMBERLAND COUNTY, PA
VS.
WASTE MANAGEMENT OF PENNSYLVANIA- .
ELIZABETHTOWN, A/K/A WASTE ;C/l-4oCIVIL TERM, 1994
MANAGEMENT CENTRAL PENNSYLVANIA-
CAMP HILL
229 W. JAMES STREET
LANCASTER, PA 17603
AND
SCA SERVICES OF PENNSYLVANIA, INC.
A/K/A WASTE MANAGEMENT DISPOSAL
SERVICES OF PENNSYLVANIA, INC.
C/O CT CORPORATION SYSTEMS
117 S. 17TH STREET
PHILADELPHIA, PA 19103
AND
WASTE MANAGEMENT OF PENNSYLVANIA,
INC., A/K/A MIDATLANTIC GROUP
OF WMX TECHNOLOGY, INC.
3 GREENWOOD SQUARE
BENSALEM, PA 19020,
A DIVISION OF NEW DEFENDANT,
WASTE MANAGEMENT OF NORTH AMERICA,
INC., A/K/A WMX TECHNOLOGIES, INC.
3003 BUTTERFIELD ROAD
OAK BROOK, IL 60521 :
AND
DAVID E. KELL
R.D.1, BOX 27
ICKESBURG, PA 17037
NO. 926
PRAECIPE TO RBINSTATE COMPLAINT IN CIVIL ACTION
TO THE PROTHONOTARY:
Kindly reinstate Complaint in civil Action in the above the
captioned matter and add as party defendants, Waste Management of
iPAUL, II
FOR PLAINTIFFS
,
pennsylvania-Elizabethtown, a/k/a Waste Management Central
pennsylvania-Camp Hill; Waste Management of Pennsylvania, Inc.,
a/k/a Midatlantic Group of WMX Technology, Inc., a division of new
defendant, Waste Management of North American, Inc., a/k/a WMX
Technologies, Inc., pursuant to Pa, R. C. P. No. 401 (b) (2).
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MAJOR CASE
COHEN, DIPAUL, EVERY & HABER, P.C.
BY: JOHN J. DiPAUL, II
IDENTIFICATION NO, 14141
1528 WALNUT STREET
5th FLOOR
PHILADELPHIA, PENNSYLVANIA 19102
(215) 985,'5'5 Tolecopler: (2'51985'1616
ATTORNEY FOR
PLAINTIFFS
MANUEL RODRIQUEZ and ELIZABETH RODRIQUEZ, h/w
COURT OF COMMON PLEAS
CUNBERLAND COUNTY, PA,
VS.
WASTE NANAGEMENT OF PENNSYLVANIA-ELIZABETHTOWN
a/kIn WASTE ~~NAGEMENT CENTRAL PENNSYLVANIA-
CAMP HILL
229 W. JAMES STREET, LANCASTER, PA 17603
and
CIVIL
TERM, 1994
SCA SERVICES OF PENNSYLVANIA, INC.,
n/k/n WASTE NANAGEMENT DISPOSAL SERVICES OF
PENNSYLVANIA, INC,
and
WASTE NANAGEMENT OF PENNSYVLANIA, INC.,
n/k/a NIDATLANTIC GROUP OF WNX TECHNOLOGY, INC.
3 GREENWOOD SQUARE, BENSALEM, PA 19020
A DIVISION OF NEW DEFENDANT,
WASTE MANAGEMENT OF NORTH A}IERICA.
n/k/n WNX TECHNOLOGIES, INC.
3003 BUTTERFIELD RD., OAK BROOK, IL 60521
"NOTICE PLAINTIFFS' REINSTATED AND AMENDED SWf~INT
.. You nohe on" lueCJ ,1" CQu.1 If YOu w.'" 10 aelen VIL CTIO "'.In t:Iem"nd.lClo" ,,\led en., cO.le. ~'u\leo Qu't'ff'
the ('.'",1 tel forln on Ine 'OIlOw'"9 p.qel. YUU mu\ll'''f 'Ulun '1elenCle'\f ae e\l" demjnCln e_p"e\l., en.n cr.Q,nu I.q,"e"I'\,
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'0 Ine (ue moly p'oceeo ...'Inoul yo", .na . ,,,aQment mol., b~ en. cnnlr. oe ,,, O."on.. Se. .""'''0.> Que" ulleO no u Qe"~nde. ..
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ey cI.,mea ,1'1 Int comOI.."' or lOf .ny olne, (.I..m Of ,elle' teQ".,I' 'uy. "1'1 Ore"".o .""'0 0 nOI'''c.t,~n. Alnm"&" '.I COf'e pueCle
to by ''''e p'.,nl.lf, Vou mol., 10't mllnt.,. Of O'UO..,., Of ot"tr f1q"h Ofl:'Olf. 1''''Of oel Otm'no.n'. \I '~qu'.'e Que u,ted ("mpl. (on
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o ,u, O'oellea,de,,, otro, atleCno\ .mpo'I.nte, Pol'. ,,'led,
No
926
AND
DAVID E. KELL
R.D. 1, BOX 27
ICKESBURG, PA
17037
INC. ,
"YOU SHOULD T.AtU THIS PAPER TO YOUR LAWY[R AT
ONCE. IF you 00 NOT HAVE A LAWVE R OR CANNOT Af.
F"ORQ ONE, GO TO OR TEL[PHON( hil OfflCt !ll T FOR hi
DELOW TO FINO UUT wuERl VOU CAN rot' LI:CAl HELl'
"LL[VE E50lA DlMANOA A UN AUOCAOQ
INMEOIAT AMENTE, 501 NO Tl[Nl AnOGAOO 0 51 NO
TlEN[ [L QIN[R05uflCI(NTl Dl PAG~n 'AL 5rRVICIO,
VAVA [N pcnSONA 0 Lt.AMI POR HL[J'I)NQ A LA
anCINA CUYA QIR[CClcfN sr [NeUlNT PA [5CRIT A
AUAJD PARA AVENIGUAA ()ONOl ~l pUfOl, CON5rGvW
A!.I\HNCIA LEGAL.
OFFICE OF THE COURT ADMINISTRATOR
C\JI'IBERJ.AND COUNTY COURT HOUSE
4TH FLOOR
ONE COURT HOUSE SQUARE
CARJ.JSJ.E, PA 17013
(717) 240-6200
COHEN, DiPAUL, EVERY & HABER, P.C.
BY: JOHN J. DiPAUL, II
I.D. NO. 14141
1528 WALNUT STREET, 5TH FLOOR
PHILADELPHIA, PA 19102
(215) 985-1515
ATTORNEY FOR PLAINTIFF
MANUEL RODRIQUEZ AND
ELIZABETH RODRIQUEZ, H/W
VS.
WASTE MANAGEMENT OF PENNSYLVANIA-
ELIZABETHTOWN, A/K/A WASTE
MANAGEMENT CENTRAL PENNSYLVANIA-
CAMP HILL
229 W. JAMES STREET
LANCASTER, PA 17603
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PA
CIVIL TERM, 1994
AND
SCA SERVICES OF PENNSYLVANIA, INC.
A/K/A WASTE MANAGEMENT DISPOSAL
SERVICES OF PENNSYLVANIA, INC.
C/O CT CORPORATION SYSTEMS
117 S. 17TH STREET
PHILADELPHIA, PA 19103
AND
WASTE MANAGEMENT OF PENNSYLVANIA,
INC., A/K/A MIDATLANTIC GROUP
OF WMX TECHNOLOGY, INC.
3 GREENWOOD SQUARE
BENSALEM, PA 19020,
A DIVISION OF NEW DEFENDANT,
WASTE MANAGEMENT OF NORTH AMERICA,
INC., A/K/A WMX TECHNOLOGIES, INC.
3003 BUTTERFIELD ROAD
OAK BROOK, IL 60521
AND
DAVID E. KELL
R.D.1, BOX 27
ICKESBURG, PA 17037
NO. 926
PLAINTIPFS' REINSTATED AND AMENDED COMPLAINT IN CIVIL ACTION
COUNT ONE: ELIZABETH RODRIQUEZ VS. WASTE MANAGEMENT OF
PENNSYLVANIA-ELIZABETHTOWN, NOW KNOWN AS WASTE
MANAGEMENT OF CENTRAL PENNSYLVANIA-CAMP HILL AND
DAVID E. KELL
1. Plaintiff is an adult individual who, at all times herein
concerned, and presently resides at 2560 Brookwood Street,
Harrisburg, Pa., was the owner and operator of a certain 1987 Nova
Chevrolet, bearing Pa. Registration Plate No. 470714 and involved
in the subject accident.
2. Defendant, WASTE MANAGEMENT OF PENNSYLVANIA-ELIZABETHTOWN,
NOW KNOWN AS WASTE MANAGEMENT OF CENTRAL PENNSYLVANIA-CAMP HILL, is
a Pennsylvania corporation, and/or fictitious name, and/or
partnership, and/or joint venture, registered to conduct business
in the Commonwealth of Pennsylvania and maintains a place of
business at 229 W. James Street, Lancaster, Pa., as well as
numerous other and various locations in and about all of the
counties of the Commonwealth of Pennsylvania, and, at all times
relevant hereto was acting by and through its agent, servant,
workman and/or employee, acting within the course and scope of his
employment and subject to their control.
3. Defendant, DAVID E. KELL, is an adult individual who, at
all times herein concerned, resided at R.D. 1, Box 27, Ickesburg,
Pa. 17037 and was, at all times relevant hereto, the agent,
servant, workman and/or employee of defendant, WASTE MANAGEMENT OF
PENNSYLVANIA-ELIZABETHTOWN, NOW KNOWN AS WASTE MANAGEMENT OF
CENTRAL
PENNSYLVANIA-CAMP
HILL,
or WASTE MANAGEMENT
PENNSYLVANIA, INC. NOW KNOWN AS MIDATLANTIC GROUP OF WMX
OF
TECHNOLOGY, INC., or of WASTE MANAGEMENT OF NORTH AMERICA, INC.,
NOW KNOWN AS WMX TECHNOLOGIES, INC., acting within the course and
scope of his employment and subject to their control, and was, at
all times herein concerned, operating a certain 1988 Ford Truck
bearing Pa. Registration plate YH21874, which was involved in the
subject accident.
4. On or about Monday, July 6, 1992, at approximately 7:00
A.M., plaintiff was operating her vehicle in a southerly direction
on Railroad Avenue, at or near its intersection with Trindle Road,
both public highways in the County of Cumberland, Commonwealth of
Pennsylvania, and did have her right turn signal on, intending to
turn into the True Temper Parking Lot, located at 465 Railroad
Avenue, Hampton Township, Cumberland County, Pa.
5. At the said time and place, the defendant, DAVID E. KELL,
was exiting from the Rite Aid Parking Lot Driveway, located
adjacent to the True Temper Driveway, as aforesaid on Railroad
Avenue, Hampton Township, Cumberland County, Pa. and, in exiting
therefrom, did cause and permit his vehicle to strike the
plaintiff's motor vehicle, causing a violent collision to occur,
resulting in the injuries and damages to plaintiff of which she
complains hereinafter.
6. The accident aforesaid was caused solely as a result of
the negligence of the defendant, DAVID E. KELL, and was due in no
manner whatsoever to any act or failure to act on the part of the
plaintiff.
7. The carelessness, recklessness and negligence of the
defendant, DAVID E. KELL, did consist of the following:
a. In failing to have his motor vehicle under proper and
adequate control;
b. Failing to maintain a proper lookout;
c. In operating his motor vehicle without due regard for
the rights, safety and position of the plaintiff;
d. In failing to control his motor vehicle so as to
avoid the collision with the plaintiff who was then and there
lawfully on the highway;
e. Failing to yield the right-of-way to plaintiff;
f. In failing to give any warning of his approach;
g. In having a clear view of the road ahead but
nevertheless failing to take measures to prevent his vehicle from
coming into contact with plaintiff's vehicle;
h. In failing to bring his motor vehicle to a complete
and full stop and then and there observe the traffic conditions to
be certain that it was safe for him to proceed to exit from the
driveway;
i. In violating the following provisions of the
Pennsylvania Motor Vehicle Code, 75. Pa, C.S. A.
section 3101 - Application of part.
Section 3111 - Obedience to traffic control devices.
Section 3112 - Traffic Control Signals.
Section 3321 - Vehicle approaching or entering
intersection;
Section 3323 - Stop Signs and Yield Signs.
Section 3324 - Vehicle entering or crossing roadway.
Section 3333- Moving stopped or parked vehicle.
Section 3:134 - Emerging from alley, driveway or
building.
Section 3361 - Driving vehicle at safe speed.
Section 3714 - Reckless driving.
j. pulling his vehicle out onto the highway from the
Rite Aid parking Lot when it was unsafe to do so.
k. Violating the assured clear distance rule of the
Commonwealth of Pennsylvania.
8. As a result of the accident, the plaintiff sustained
serious and permanent injuries to her head, neck, back, body, right
and left arms and wrists, including, but not limited to, abrasion
of left knee at the patella; right and left ulnar neuropathy and
neuritis; tardy ulnar nerve palsy, compression of the ulnar and
median nerves with compression at the elbow level and carpal tunnel
syndrome including a right carpal tunnel release and ulnar nerve
transportation; strain and sprain of the cervical spine; strain and
sprain of the lumbosacral spine; injury to the muscles, nerves,
tendons and ligaments of both arms, as well as damage to her nerves
and nervous system and emotional distress, any of which or all of
which may be permanent in nature.
9. As a result of the accident aforesaid, the plaintiff has
been in the past and will in the future be required to expend and
receive further medical attention and medical procedures and care
and to expend various sums of money or to incur various expenses
which have or may exceed the sums recoverable under the applicable
provisions of the Pennsylvania Motor Vehicle Financial
Responsibility Act and she may be obliged to continue to expend
such sums or incur such expenditures for an indefinite period of
time in the future.
10. As a further result of the accident aforesaid, the
plaintiff has suffered agonizing aches, pains, mental anguish and
disability and avers that such may continue for an indefinite
period of time in the future; she has been unable to attend to her
daily and usual duties, occupations and activities and avers that
such may continue for an indefinite period of time in the future.
11. As a further result of the accident aforesaid, the
plaintiff has suffered a severe loss of her earnings and/or
impairment of her earning capacity and power, which such loss of
income and/or impairment of her earning capacity and power has or
may exceed the sums recoverable under the applicable provisions of
the Pennsylvania Motor Vehicle Financial Responsibility Act.
12. As a direct and reasonable result of the aforesaid
accident, the plaintiff has or may hereinafter incur other
financial expenses or losses which do or may exceed the amounts to
which she may otherwise be entitled to recover.
WHEREFORE, plaintiff demands judgment against the defendants,
jointly and/or severally, in a sum in excess of Fifty Thousand
($50,000) dollars, plus costs, and brings this action to recover
the same.
COUNT TWO: MANUEL RODRIQUEZ VS. WASTE MANAGEMENT OF
PENNSYLVANIA-ELIZABETHTOWN, NOW KNOWN AS WASTE
MANAGEMENT OF CENTRAL PENNSYLVANIA-CAMP HILL AND
DAVID E. KELL
--------------------------------------------------------------
13. Plaintiff incorporates by reference Paragraphs 1 through
7, inclusive of this Complaint, just as though the same were fully
set forth herein at length.
14. Plaintiff is an adult individual residing at the above
captioned address and, at all times relevant hereto, was the
husband of wife-plaintiff, ELIZABETH RODRIQUEZ.
15. As a result of the accident aforesaid, the husband-
plaintiff has been deprived of the services, society, companionship
and consortium of the wife-plaintiff and may continue to be so
deprived for an indefinite period of time in the future.
WHEREFORE, plaintiff demands judgment against the defendants,
jointly and/or severally, in a sum in excess of Fifty Thousand
($50,000) Dollars, plus costs, and brings this action to recover
the same.
COUNT THREE: ELIZABETH RODRIQUEZ AND MANUEL RODRIQUEZ VS. SCA
SERVICES OF PENNSYLVANIA, INC., A/K/A WASTE MANAGE-
MENT DISPOSAL SERVICES OF PENNSYLVANIA, INC.
-------------------------------------------------------------------
16. Plaintiffs incorporate by reference Paragraphs 1 through
15, inclusive, of this Complaint, just as though the same were
fully set forth herein at length against SCA SERVICES OF
PENNSYLVANIA, INC., A/K/A WASTE MANAGEMENT DISPOSAL SERVICES OF
PENNSYLVANIA, INC.
17. At all times herein concerned, plaintiffs aver that the
defendant in Count Three, SCA SERVICES OF PENNSYLVANIA, INC., A/K/A
WASTE MANAGEMENT DISPOSAL SERVICES OF PENNSYLVANIA, INC., were and
are corporations authorized to do business within the Commonwealth
of Pennsylvania and maintaining a registered agent at CT
Corporation System, 1635 Market Street, Philadelphia, Pa,
18. Plaintiffs believe and aver that at all times herein
concerned, the defendant, WASTE MANAGEMENT OF PENNSYLVANIA-
ELI ZABETHTOWN , NOW KNOWN AS WASTE MANAGEMENT OF CENTRAL
PENNSYLVANIA-CAMP HILL, was either a corporation or a fictitious
name, as hereinbefore indicated, owned by or under the control of
defendants, SCA SERVICES OF PENNSYLVANIA, INC., a/k/a WASTE
MANAGEMENT DISPOSAL SERVICES OF PENNSYLVANIA, INC.
19. Plaintiffs further aver that, at all times relevant
herein, defendant, DAVID E. KELL, was acting as the agent, servant,
workman and/or employee of the defendant, WASTE MANAGEMENT OF
PENNSYLVANIA-ELIZABETHTOWN, NOW KNOWN AS WASTE MANAGEMENT OF
CENTRAL PENNSYLVANIA-CAMP HILL, or as an agent, servant, workman,
and/or employee of SCA SERVICES OF PENNSYLVANIA, INC., a/k/a WASTE
MANAGEMENT DISPOSAL SERVICES OF PENNSYLVANIA, INC. and was acting
within the course and scope of his employment and subject to their
control.
WHEREFORE, plaintiffs, in this Count Three of the within
Complaint, demand judgment against SCA SERVICES OF PENNSYLVANIA,
INC., a/k/a WASTE MANAGEMENT DISPOSAL SERVICES OF PENNSYLVANIA,
INC., in a sum in excess of Fifty Thousand ($50,000) Dollars, for
the reasons stated herein and brings this action to recover the
same.
COURT FOUR: MANUEL RODRIQUEZ AND ELIZABETH RODRIQUEZ VS. WASTE
MANAGEMENT OF PENNSYLVANIA, INC., NOW KNOWN AS
MIDATLANTIC GROUP OF WMX TECHNOLOGY, INC.
------------------------------------------------------
20. plaintiffs incorporate by reference Paragraphs 1 through
19 of the Complaint herein, just as though the same were fully set
forth herein at length.
21. At all times herein concerned, defendants, WASTE
MANAGEMENT OF PENNSYLVANIA, INC., NOW KNOWN AS MIDATLANTIC GROUP OF
WMX TECHNOLOGY, INC., were and are pennsyl vania corporations
authorized to and doing business at 3 Greenwood Square, Bensalem,
Pa. 19020, as well as other numerous and diverse locations in and
about the Commonwealth of Pennsylvania.
22. Plaintiffs believe and aver that in the alternative to
the foregoing allegations that at all times herein concerned,
defendant, DAVID E. KELL, was acting within the course and scope of
his employment and as an agent, servant, workman and/or employee of
defendants, WASTE MANAGEMENT OF PENNSYLVANIA, INC., NOW KNOWN AS
MIDATLANTIC GROUP OF WMX TECHNOLOGY, INC.
WHEREFORE, plaintiffs in this Count Four of this Complaint,
demands judgment against defendants,
WASTE MANAGEMENT OF
PENNSYLVANIA, INC., NOW KNOWN AS MIDATLANTIC GROUP OF WMX
TECHNOLOGY, INC. for a sum in excess of Fifty Thousand ($50,000)
Dollars, plus costs, and brings this action to recover the same.
.
COUNT FIVE: MANUEL RODRIQUEZ AND ELIZABETH RODRIQUEZ VS.
WASTE MANAGEMENT OF NORTH AMERICAN, INC., NOW
KNOWN AS WMX TECHNOLOGIES, IN:.
--------------------------------------------------------------
23. Plaintiffs incorporate by reference Paragraphs 1 through
22 of the Complaint, just as though the same were fully set forth
herein at length.
24. At all times herein concerned, defendants, WASTE
MANAGEMENT OF NORTH AMERICA, INC., NOW KNOWN AS WMX TECHNOLOGIES,
INC., 3003 Butterfield Road, Oak Brook, Illinois 60521 were and
are corporations authorized to do business in Pennsylvania and
maintains a place of business at 3 Greenwood Square, Bensalem, Pa,
19020, as well as other numerous and diverse locations in and about
the Commonwealth of Pennsylvania.
22. Plaintiffs believe and aver that in the alternative to
the foregoing allegations that at all times herein concerned,
defendant, DAVID E. KELL, was acting within the course and scope of
his employment and as an agent, servant, workman and/or employee of
defendants, WASTE MANAGEMENT OF NORTH AMERICA.INC., NOW KNOWN AS
WMX TECHNOLOGIES, INC.
WHEREFORE, plaintiffs in this Count Four of this Complaint,
demands judgment against defendants, WASTE MANAGEMENT OF NORTH
AMERICA, INC., NOW KNOWN AS WMX TECHNOLOGIES, INC. for a sum in
excess of Fifty Thousand ($50,000) Dollars, plus costs, and brings
this action to recover the same.
BY
, P.C.
COHEN,
VERIFICATION
JOHN J. DiPAUL, II hereby states that he is counsel for
plaintiff in this action and verifies that the statements made in
the foregoing Amended Complaint are true and correct to the best of
his information, belief and knowledge. The undersigned understands
that the statements therein are made subject to the penalties of
18 Pa, C.S. Sec.4904, relating to unsworn falsification to
authorities.
DATED: MAY 26, 1994
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MANUEL RODRIQUEZ and
ELIZABETH RODRIQUEZ, his wife,
Plaintiffs
: IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNA.
v.
WASTE MANAGEMENT OF PENNSYLVANIA -
ELIZABETHTOWN, SCA SERVICES OF
PENNSYLVANIA, INC., a/k/a WASTE
MANAGMENT DJSPOS~L SERVICES OF
PENNSYLVANIA, INC. and DAVID E.
KELL,
926 CIVIL 1994
.
.
:
Defendants
CIVIL ACTION -- LAW
and DAVID E. KELL,
Defendants
CIVIL ACTION -- LAW
JURY TRIAL DEMANDED
PRAECIPE TO DISCONTINUE
TO THE PROTHONOTARY:
Please mark the above-captioned matter discontinued.
Di aul, II, Esquire
Ev ry & Haber, P.C.
lnut Street, 5th Floor
lphia, PA 19102
DATED: I'l.-q ...'t '-t
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MANUEL RODRIQUEZ and
ELIZABETH RODRIQUEZ, h/w,
Plaintiffs,
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
.
.
:
.
.
.
.
VB.
.
.
CIVIL ACTION - LAW
WASTE MANAGEMENT OF
PENNSYLVANIA-ELIZABETHTOWN,
SCA SERVICES OF PENNSYLVANIA, :
INC. a/k/a WASTE MANAGEMENT
DISPOSAL SERVICES OF
PENNSYLVANIA, INC., and
DAVID E. KELL,
.
.
:
NO. 926 Civil 1994
.
.
:
JURY TRIAL DEMANDED
Defendants.
:
INTERROGATORIES OF DEFENDANTS ADDRESSED TO PLAINTIFFS
~PLAINTIFFS' ANSWERS TO INTERROGATORIES OF DEFENDANTS
Pursuant to the provisions of the Pennsylvania Rules of
Civil Procedure, as amended, you are required to forward a copy to
the undersigned and retain the original of your answers and
objections, if any, in writing and under oath, to the following
Interrogatories, within thirty (30) days of service hereof.
The Answers shall be inserted in the spaces provided following the
Interrogatories. If there is insufficient space to answer the
Interrogatory, the remainder of the answer shall follow on a
supplemental sheet.
These Interrogatories are deemed to be continuing in
nature, in accordance with the provisions of the Pennsylvania Rules
of Civil Procedure, as amended. If between the time of forwarding
your answers to these Interrogatories, and the time of trial of
this matter, you or anyone acting on your behalf learn the identity
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of persons expected to be called as an expert witness at trial not
disclosed in your Answers, or if you or an expert witness obtain
information upon the basis of which you or he knows that an Answer
was incorrect when made, or knows that an Answer, though correct
when made is no longer true, then you shall promptly supplemental
your original Answers under oath to include such information
thereafter acquired, and promptly furnish such supplemental Answer
on the undersigned.
The following Interrogatories shall be answered by you
separately and fully in writing and shall include all information
known or available to the Plaintiff(s) including, but not limited
to, information known or available to plaintiff's attorney,
consultants, agents, servants and officers.
If the information called for in any Interrogatory is in
whole or in part contained in documents, the information may be
supplied by attaching copies of the relevant documents to your
Answers to the Interrogatories to the extent that the documents
contain the information requested.
Respectfully submitted,
MARSHALL & FARRELL, P.C.
Date: S {0/9</
/11 ;;:41
Michael A. Farrell, Esquire
I. D. 1/41067
1323 North Front street
Harrisburg, PA 17102
(717) 236-7300
Attorney for Defendants
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DBFINITIONS
A. The term "document" as used herein shall mean any
written, printed, typed, or other graphic matter of any kind or
nature, however produced or reproduced, including photographs,
microfilms, phonographs, video and audio tapes, punch cards,
magnetic tapes, discs, data cells, drums, and other data
compilations from which information can be obtained.
B. "Person" or "Persons" shall mean any natural
individual or corporation, firm, partnership, proprietorship,
association, joint venture, governmental entity or any other
business or government organization.
C. "Meeting" shall mean any assembly, convocation,
encounter or coincidence of two or more persons for any purpose,
whether or not planned, arranged or scheduled in advance.
D. "Communication" shall mean any utterance made, human
speech heard, overheard, or intended to be heard by any person,
whether in person, by telephone, by means of sound recording, or
otherwise.
E. "Identify" means:
(a) When used in reference to a document, describe
with sufficient particularity to form the basis for a
request for production under Pennsylvania Rules of civil
Procedure, including but not limited to the date it was
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prepared or created, the identity of its author or
originator, the type of document (e.g., letter, telegram,
chart, photograph, sound recordings, etc.), the identity
of its addressee, its present location and the identity
of its present custodinn(s). If such document was, but
is not longer, in your possession or subject to your
control, state what disposition was made of it;
(b) When used in reference to a natural person or
business entity, means to state his, her or its full
name, present or last known home address, present or last
known business address, present or last known home
telephone number, present or last known business
telephone number, and present or last known position or
affiliation.
F. The term "Incident" or "Accident" which appears in
these discovery requests means the occurrence that forms the basis
of a cause of action or claim for relief set forth in the Complaint
or similar pleading.
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Personal %nformation
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INTBRROGATORIBS
1. Please state the following:
(a) Your full name; Elizabeth L. Rodriquez
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
Each other name, if any, which you have used
or by which you have been known;
The name of your spouse at the time of the
accident and the date and place of your
marriage to such spouse; Manuel A. Rodriquez
The address of your present residence and the
address of each other residence which you have
had during the past five (5) years;
2560 Brookwood St., Apt. C-2, Harrisburg, PA 17104, Sept., 1993.
Your present occupation and the name and
address of your employer; Administrative Supervisor with
True Temper, 465 Railroad Ave., Camp Hill, PA 17001
Date of your birth;
2/25/60
Your Social Security number;
167-54-2801
Your military service and positions held, if
any; and Not applicable.
The schools you have attended and the degrees
or certificates awarded, if any.
Harrisburg High School - graduated one year of college at
Harrisburg Area Community College - no certificates.
(d) Con't: 3300 Union Deposit Rd., Apt. G-106, Harrisburg, PA
Prior to September, 1993.
(e) On date of accident, plaintiff employed by same emp10yer-
position was shipping administrator
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Insurance
2. If you are covered by any type of insurance,
including any excess or umbrella insurance, that might be
applicable to the incident in this matter, state the following with
respect to each such policy:
(a) The name of the insurance carrier which issued
the policy;
(b) The named insured under each policy and the
policy number of each policy;
(c) The type(s) and effective date(s) of each
policy;
(d) The amount of coverage provided for injury to
each person, for each occurrence, and in the
aggregate for each policy;
(e)
or not you were covered
tort option under your
and
under the
insurance
Whether
limited
policy;
(f) Each exclusion, if any, in the policy which is
applicable to any claim thereunder and any
reasons, if any, why you or the carrier claim
the exclusion is applicable.
(a). AETNA Insurance Co.
(b). Policy 233 SY 31383874 PCS in name of Elizabeth Rodriquez.
(c). To be provided; PIP insurance.
(d). N/A
(e). Plaintiff believes she had limited tort.
(f). N/A.
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BxueDlle.
3. List and describe all expenses and losses that you
have incurred because of the incident.
Dr. Thomas M. Bryan - 7/6/92 through 9/10/92
Tristan Associates - x-rays 7/8/92
Blue Nountain Physical Therapy & SPorts Injury Center
Dr. Peter J. VsnGiesen
Vision World
Dr. Ba1ant Balog - 9/17/92 through 10/6/94
Dr. Si Van Do - 1/21/93
Penn Rehabilitation Assoc./Dr. Christopher Cannon
Poly Clinic Medical Center - 2 surgeries
$350.50
396.00
1261. 29
3940.00
754.25
Wage Loss - 7/6/92 through 8/9/92; 3/5/93 through 4/18/93; 7/8/94 through 8/21/94.
In addition, plaintiff anticipated receiving a larger salary and a favorable
change in position sooner than she actually attained these, due to the accident.
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Paotual Basis for Claims and Defenses
4. state with particularity the factual basis for each
claim or defense you are asserting in this case.
Refer to Plaintiff's Complaint.
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5. Identify each who:
(a) Was a witness to the incident through sight or
hearing and/or
(b) Has knowledge of facts concerning the
happening of the incident or conditions or
circumstances at the scene of the incident
prior to, at the time of, or after the
incident.
With respect to each person so identified, state that
person's exact location and activity at the time of the incident.
(a). Plaintiff, defendant, Jay R. Ni11er.
(b). Plaintiff, defendant, Jay R. Miller, plaintiff's treating physicians,
plaintiff's employer and Police Officer Shissler and other family
members of plaintiff. Co-workers of plaintiff who came out after accident.
Plaintiff was southbound on Railroad Avenue; defendant was in the driveway
of RiteAid facing eastbound.
Jay R. Ni11er - plaintiff believes he was traveling southbound on Railroad
Avenue.
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statementa
6. If you know of anyone that has given any statements
(as defined by the Rules of Civil Procedure) concerning this action
or its subject matter, state:
(a) The identity of such person;
(b) When, where, by whom, and to whom each
statement was made, and whether it was reduced
to writing or otherwise recorded; and
(c) The identity of any person who has custody of
any such statement that was reduced to writing
or otherwise recorded.
Not to plaintiff's present knowledge.
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R.Dar~. at ~DaideD~
7. Identify documents (except reports of experts
subject to Pa.R.C.P. 4003.5) which describe the incident or the
cause thereof.
Police Accident Report attached hereto.
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Licensure
8. If you were required by law or regulation to be
licensed for the activity in which you were engaged at the time of
the incident, state:
(a) The type of license required;
(b) The date you first obtained such a license;
(c) The dates of issuance and expiration of your
current licensees);
(d) The identity of the authority that issued your
licensees);
(e) The number of your licensees);
(f) The nature and duration of any revocation or
suspension of your licensees);
(g) The special restrictions, if any, imposed on
your license.
(a). Pennsylvania Driver's License.
(b). 1979.
(c). To be provided. Also, refer to Police Report.
(d). Pennsylvania.
(e). Refer to Police Report.
(f). Not applicable.
(g). Plaintiff requires glasses which she was wearing on the date of the
accident.
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Criminal Charaes Re1a~ed ~o Incident
9. If you have been charged with any criminal
violations as a result of the incident, describe the charges and
identify all documents filed or served in connection with those
charges.
Not applicable.
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Demonstrative EVidenoe
10. If you know of the existence of any photographs,
motion pictures, video records, maps, diagrams, or models relevant
to the incident, state:
(a) The nature or type of such item;
(b) The date when such item was made;
(c) The identity of the person that prepared or
made each item; and
(d) The sUbject that each item represents or
portrays.
P1sintiff has attached two photographs of herself, prior to right arm
surgery. In addition. plaintiff has five to six photographs of left arm,
several days after left arm surgery, and, also photographs of her right arm
taken at the same time.
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Trial PreDaratioD Material
11. If you, or someone not an expert subject to
Pa.R.C.P. 4003.5, conducted any investigations of the incident,
identify:
(a) Each person, and the employer of each person,
who conducted any investigation(s); and
(b) All notes, reports or other documents prepared
during or as a result of the investigation(s)
and the persons who have custody thereof.
Not applicable.
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Trial witnesses
12. Identify each person you intend to call as a non-
expert witness at the trial of this case, and for each person
identified stated your relationship with the witness and the
substance of the facts to which the witness is expected to testify.
Plaintiff-wife regarding occurrence of accident and her injuries;
plaintiff-husband regarding his loss of consortium; defendant regarding his
actions, as on cross-examination; witness, Jay R. Miller, as to the occurrence
of this incident; plaintiff's physicians regsrding their treatment of plaintiff
and prognosis for her; plaintiff's employer regarding wage loss.
Plaintiff reserves the right to amend this list up to and including the
time of trail. Plaintiff reserves the right to call any witnesses listed by
the defendants.
Co Workers of plaintiff who heard defendant's admission after the accident.
Police Officer Shissler.
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BXD.r~ .i~n.sBes
13. Identify each expert you intend to call as a witness
at the trial of this matter, and for each expert state:
(a) The subject matter about which the expert is
expected to testify; and
(b) The substance of the facts and opinions to
which the expert is expected to testify and a
summary of the grounds for each opinion. (You
may file as your answer to this interrogatory
the report of the expert or have the
interrogatory answered by your expert.)
None, at the present time. If, and when, an expert is retained, defendants
will be provided with all information.
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Trial Bxhibits
14. Identify all exhibits that you intend to use at the
trial of this matter and state whether they will be used during the
liability or damages portions of the trial.
Diagrams and phtographs of the sccident scene; diagrams and photographs
of plaintiff's injuries. Copies of plaintiff's medical records, anatomical charts
and models regarding areas of injuries to plaintiff's body. Any and all
medics1 specials not covered by PIP insurance, as well as a listing of medical
providers and dstes of treatment. Plaintiff reserves the right to amend this
list up to and including the time of trial. Plaintiff reserves the right to use
any and all exhibits identified by defendants.
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Books. Maaazines. Eta.
15. If you intend to use any book, magazine, or other
such writing at trial, state:
(a) The name of the writing;
(b) The author of the writing;
(c) The publisher of the writing;
(d) The date of publication of the writing; and
(e) The identity of the custodian of the writing.
None, at the present time. If same is required. this information
will be provided,
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Admissions
16. If you intend to use any admission(s) of a party at
trial, identify such admission(s).
After accident, defendant stated to plaintiff "I thought you were
turning in where I was coming out."
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Iniuries and Diseases A11eaed
17. Identify all injuries or diseases that you allege
you suffered as a result of the incident.
Headaches, cervical strain and sprain, thoracic strain and sprain,
lum~ar ~train an~ sErain. risht ulnar/median nerve entrapment and right
~~fpaIa~&8~~~nrHqufP!RgiPi~h~0~br~6'Stunne1 release and right ulnar/median
nerve transposition; left ulnar/median nerve entrapment, left carpal tunnel
syndrome requiring left carpal tunnel release and left ulnar/median nerve
transposition; sternal sprain and strain, knee contusion, mental snd emotional
distress.
Plaintiff reserves the right to amend this list up to and including the
time of trial. Refer to plaintiff's complaint.
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Prior or Subseauent Iniuries or Diseases
18. If, either prior to or subsequent to the incident,
you suffered any injury or disease in those portions of the body
claimed by you to have been affected by the incident, state:
(a) The injury or disease you suffered:
(b) The date and place of any accident, if such
injury or disease was caused by an accident:
(c) The identity of hospitals, doctors, or
practitioners who rendered treatment or
examination because of such injury or disease:
and
(d) The identity of anyone against whom a claim
was made, and the tribunal and docket number
of any claim or lawsuit that was filed in
connection with such injury or disease.
Not applicable.
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Mediaal Treatment
19. If you received medical treatment or examination
(including x-rays) because of injury or disease you suffered as a
result of the incident, state:
(a) The identity of each hospital at which you
were treated or examined;
(b) The date on which each such treatment or
examination at a hospital was rendered, and
the charge by the hospital for each;
(c) The identity of each doctor or practitioner by
whom you were treated or examined;
(d) The date on which each such treatment or
examination by a doctor or practitioner was
rendered, and the charge for each; and
(e) The identity of any document(s) (except
reports of experts subject to Pa.R.C.P.
4003.5) regarding any medical treatment or
examination, setting forth the author and date
of such document(s).
Dr. Thomas N Bryan
Tristan Assoc.
Blue Nountain Physical Therapy & Sports Injury Center
Dr. Peter J. VanGeisen
Dr. J. Bryden, Vision World
Dr. Ba1ant Balog
Dr. Von Do
Dr. Christopher S. Cannon
Poly Clinic Medical Center
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Barninas Before ths Inoident
20. For the period of three (3) years immediately
preceding the date of the incident, state:
(a) The name and address of each of your employers
or, if you were self-employed during any
portion of that period, each of your business
addresses and the name of the business while
self-employed;
(b) The dates of commencement and termination of
each of your periods of employment or self-
employment;
(c) The nature of your occupation in each
employment or self-employment; and
(d) The wage, salary, or rate of earnings received
by you in each employment or self-employment,
and the amount of income from employment and
self-employment for each year.
True Temper Hardware, since 1987; shipping administrator; see attsched
wage records.
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Barninas After the Inoident
21. If you have engaged in one or more gainful
occupations subsequent to the date of the incident, state:
(a) The name and address of each of your employer
or, if you were self-employed at anytime
subsequent to the incident, each of your
business addresses and the name of the
business while self-employed;
(b) The dates of commencement and termination of
each of your periods of employment or self-
employment;
(c) The nature of your occupation in each
employment or self-employment;
(d) The wage, salary, or rate of earnings received
by you in each employment or self-employment,
and the amount of income from employment and
self-employment for each year; and
(e) The date(s) of any absence(s) from your
occupation resulting from any injury or
disease suffered in this incident and the
amount of any earnings or other benefits lost
by you because of such absence(s).
(a). True Temper Hardware.
(b). Not applicable.
(c). Administrative supervisor, since June, 1994.
(d). See attached wage records.
(e). 7/6/92 through 8/9/92; 3/5/93 to 4/18/93; 7/8/94 through 8/21/94.
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Limitation of Duties and Aotivities After the Inoident
22. If, as a result of this incident, you have been
unable to perform any of your customary occupational duties or
social or other activities in the same manner as prior to the
incident, state with particularity:
(8) The duties and/or activities you have been
unable to perform;
(b) The periods of time you have been unable to
perform; and
(c) The identity of all persons having knowledge
thereof.
Plaintiff cannot lift, pull or push any aubstantia1 amount of weight
which each arm alone, unassisted; plaintiff has difficulty working with
computer for beyond approximately one-half hour; plaintiff has a lump in
left ps1m which is irritating; plaintiff has aching in both hands with damp
weather; since surgery, plaintiff has experienced decreased sensation, range
of motion and grip strength in both hands. Refer to plaintiff's medical records.
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8ub8~ana. XmDairment
23. If you consumed any alcoholic beverage, sedative,
tranquilizer, marijuana, cocaine, hashish, or other drug, medicine
or pill during the eight (8) hours immediately preceding the
incident, state:
(a) The nature, amount, and type of item consumed;
(b) The amount of time over which consumed;
(c) The identity of any and all persons who have
any knowledge as to the consumption of those
items; and
(d) The identity of the physician or medical
practitioner or other person who gave,
purchased or prescribed any of said items, if
any.
Not applicable.
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physical or Mental Disabi1itv
24. If you were under any physical or mental disability
at the time of the incident, explain the disability.
Not applicable.
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Motor Vebiol. Information
25. with respect to all motor vehicles involved in the
incident, state:
(a) The identities of the owner(s) and operator(s)
of each vehicle:
(b) The identity of the passenger(s) in each
vehicle, if any:: and
(c) The make, model and year of each vehicle.
(a). Plaintiff -wife
(b). Not applicable.
(c). 1987 Chevrolet Nova.
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Motor Vehicle Damaa.
26. with respect to any vehicle you owned that was
involved in the incident, state:
(a) The nature of any damage existing prior to the
incident 1
(b) The identity of any person who performed
repairs to the vehicle following the incident1
(c) The total amount of the repair bill(s), or if
not yet repaired, the total estimated cost of
repairing the vehicle or the estimated value
of the damages to the vehicle (include the
identity of the person furnishing any such
estimate) 1
(d) The date and place of last state inspection
prior to the incident and identify the person
making said inspection1 and
(e) The nature of any defect in or problem with
the vehicle and the length of time such defect
or problem existed.
(a). Not applir:sb1e.
(b) . Not applicable, car was totaled.
(c) . Not applicable.
(d) . No prior problems with car.
(e) . See 26(d) above.
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Motor Vehicle OD.ra~ion
27. with respect to the vehicle you operated or in which
you were a passenger, state:
(a) The destination and the point and time of
departure of the vehicle;
(b) The purpose of the trip or journey in the
vehicle;
(c) The time and place of all stops and departures
between the commencement of the trip or
journey and the time of the incident;
(d)
Whether the operator of the
familiar with the surrounding
incident; and
vehicle was
area of the
(e)
The weather conditions at the
incident, including visibility
conditions.
time of the
and roadway
(a). Plaintiff left her home at approximately 6:30 A.M., intending to go to work.
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(c). No stops.
(d). Yes.
(e). Dry and sunny.
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Motor Vehio1e Aooident Causation
28. state in detail the manner in which you assert that
the incident occurred, specifying the speed, position, direction
and location of each vehicle involved during its approach to, at
the time of, and immediately after the collision.
Refer to plaintiff's Complaint.
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Most Reoent Treatment
29. When and by whom were you last examined or given
medical attention for the injuries received in this accident.
Dr. Balog - 10/6/94.
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Medioal Treatment
30. If you are still under a doctor's treatment for
injuries received in this accident, by whom and how frequently are
such treatments given to you at present.
Dr. Balog as needed.
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DesoriDtion of Aooident
3l. Please describe in detail how the subject accident
occurred.
See answer to Interrogatory No. 28 above.
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Aotivities Prior to Aooident
32. Describe in detail your activities for the 24 hour
period immediately preceding the subject accident.
Relaxing at home.
COHEN,
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CERTIFICATE OF SERVICE
AND NOW, this loth day of May, 1994, I, Michael A.
Farrell, Esquire, hereby certify that I served a true and correct
copy of the foregoing INTERROGATORIES OF DEFENDANTS ADDRESSED TO
PLAINTIFFS upon all counsel of record by depositing a copy of same
in the United States mail, regular delivery, postage prepaid at
Harrisburg, Pennsylvania, addressed as follows:
John J. DiPaul, II, Esquire
COHEN, DIPAUL, EVERY & HABER, P.C.
5th Floor
1528 Walnut Street
Philadelphia, PA 19102
.,c//
Farrell, Esquire
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VERIFICATION
F.I.T7.ARF.TH RODRTQIIF.7. hereby states that s he is plaintiff in this
action and verifies that the statements made in the foregoing document are true
and correct to the best of her knowledge. information and belief. The under-
signed understands that the statements therein are made subject to the penalties
of 18 Pat C.S. 14904 relating to unsworn falsification to authorities.
Dated;
/.;J '5-91
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VERIFICATION
MANUEL RODRIQUEZ
hereby states that he is plaintiff in this
action and verifies that the statements made in the foregoing document are true
and correct to the best of h is knowledge. information and belief. The under-
signed understands that the statements therein are made subject to the penalties
of 18 Pa. C.S. 14904 relating to unsworn falsification to authorities.
~~~'
UEL RODRIQUEZ
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Dated; I), - f1 - 1~
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COHEN, DIPAUL & HABER, P.C.
BY: JOHN J. DiPAUL, II
IDENTIFICATION NO. 14141
1528 WALNUT STREET
5th FLOOR
PHILADELPHIA, PENNSYLVANIA 19102
(215) 985.1515 Tolocoplor. (215) 985.1616
MANUEL RODRIQUEZ and
ELIZABETH RODRIQUEZ
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ATTORNEY FOR: PLAINTIFF
JURY TRIAL DEMANDED
CUMBERLAND COUNTY. PA.
COURT OF COMMON PLEAS
DIVISION
WASTE MANAGEMENT OF PENNSYLVANIA-
ELIZABETHTOWN, SCA SERVICES OF
PENNSYLVANIA, INC., a/k/a WASTE MANAG NT
DISPOSAL SERVICES OF PENNSYLVANIA, INC.
and DAVID E. KELL
Civil Action - Law
No. 926 Civil 1994
PLAINTIFFS' RESPONSE TO DEFENDANTS'
REQUEST FOR PRODUCTION OF DOCUMENTS
1. None at the present time.
2. None at the present time.
3. None at the present time.
Plaintiff has attached two photographs and will be forwarding additional
photographs, which will be provided to defendants, upon receipt by her counsel.
None at the present time.
Plaintif f has attached all discoverable materials presently in her possession.
Plaintiff has attached all discoverable materials presently in her possession.
4.
5.
6.
7.
8. See Answers to Interrogatories.
additional medical bills are
9. Plaintiff has attached all medical bills currently in her possession. As
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COMMONWEAL TH OF PENNSYL VANIA
POLICE ACCIDENT REPORT
REPORTAIlU! ~.IIEPOIUA8l.E D
ACCIDENT
LOCATION
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PENN REHABILITATION ASSOCIATES, P.C.
ED S. VIOLAGO, M.D., FAAPMR
STUART A. HARTMAN. D.O., FAAPMR
CHRISTOPHER S. CANNON, M,D.. FAAPMR
PHYSICAL MEDICINE
REHABILIT A nON
INDUSTRIAL MEDICINE
ELECTRODIAGNOSIS
PAIN MANAGEMENT
December 8, 1993
Balint Balog, M.D.
2800 Green street
Harrisburg, PA 17110
RE: Elizabeth Rodriquez
EMG/NCS LUE
Dear Dr. Balog:
Your patient was seen at the Harrisburg office today for
electrodiagnostic testing. The patient is a 32 year old female
involved in a motor vehicle accident 1992, complaining of left
upper extremity numbness especially at night starting a few
months ago. She also has alot of elbow pain mostly at night.
INTERPRETATION: 1.) Abnormal electrodiagnostic study of the
left median nerve compatible with moderate Carpal Tunnel
syndrome.
2.) Abnormal electrodiagnostic study of the
left ulnar nerve compatible with mild entrapment at the elbow.
Thank you for the referral. If you have any questions, please
feel fre~ to contact me.
Sincerely,
({:q.-y/..Io ~I.c ''-;/ ~
Christopher S. Cannon, M.D.
Attachment
CSC/cp
bb
.
POLYCLINIC MEDICAL CENTER
MEMORIAL BUILDING
2601 N. JRD STREET
HARRISBURG. PA 17110
717.762.2340 FAX 717.782-1228
MAIN TEL. 717.2J2019018
THE GOOD SAMARITAN HOSPITAL
4TH AND WALNUT STREETS
PO.BOX 270
LE6ANON. PA 17042.()270
717.272.1050 FAX:I7.2n.I7.tO
-. ,.. >.c'!MI: ..
~..'-,
PlmN REHAB:LITATION ASSOCIATES, P.C. , .
.
Part I-A
. ELECTRODIACNOSTIC TESTINC
NERVE CONDUCTION STUDIES
NAHE.t1..ih'\8.:i\-\ ~~~( COli.C"'Z, DAn:: /:)..673
:
HD"rOR. FIBER SECKENT LATENC~ SIC. AMPLITUDE SECMENT VELOCIU SIC.
CDHDUC'rIOK ImS..,,1 ImVI IM/SI
Uln..... R w..lat:_&nn 1..lhow_
L 2...., " / If' w...la~L-i) r:;{ " I
R across
L 7.'Z./,tJ.'I... "7/7 e tho.....n ~., " f
Median R wt'iat-APB . elbow-
~
L S-,/i'" If ;1 b,} ,." w..ist~ 4l<" ,11
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T. ankle
Peroneal R 3nkle-EDB knee-
T. 3.."'le
Ot:he". R
L
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SElfSDR.Y FIBER. SECKENT ~ LATENCY SIC. lIHPLITUDE SIC.
CON'DUC'rION ~lmSecl IUV\ 11....;i-
w..idt:-V' .
R
T. 'L.. I "I ':;.n hf
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Other R
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T. L
MI!dian R
T. .
Tibial II
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PENN REHABILITATION ASSOCIATES, P.C..
.
,.
Part II
HJIJlEI E' Li U'l!>t:IH
IUGIr.r
P08
ELECTROMYOGRAPHY
Rt::DKiQuez
DM:E:
LEn
i) j'f/3
Poa
Fibs Wave Fa8C HFD PolUB MtJp lIBC" FlbB Wave "aBC Bl.. "01UB "u" Reo:~
IlIhombold
SU"rllB"'''atuB CS
Tn1'..aB,,1 na~UB CS
Deltoid CS
BicenB C~-6
Brachloradi.'ln CS-6
"ronator Te"en C6
Flex Ca,.,,1 lIad C6
F' ex Ca-' U'" CS':;;;-
Extennor Dlaitol"tlm C7
'l'rlcenB C7
"'exo,. Pol Lon.. CS-'"
Abd "01 Brevin cs-n
1st Dorsal Int CB-Tl
a"aU"'''Il'B
nuadrLcenn T.2-4
"dduct:o..n T.~-4
'ribl al I n An~ T.S
1..- '10' T.onouB LS-Sl
"....oneuu Lt>na T.S-'"
GaBt"ocnem1uB " ~S-S
L LS-Sl
Biceps Pemoris
Sh;,.... Read T.l:_S'
Bicepn Pemori8
Lona Head LS-Sl
"ibia'ln Pont LS-S' .
Tensor Fas Lata L4-S
Cluteus Med L4-S
G1uteun Max LS-Sl
N - Normal I - Increa8e
o - None + - Minimum
D - Decrea8e ++ - Maximum
GMU - Giant Motor Unit8
Fibs - Fibrillation PotentialB
FaBc - Fa8ciculation8
LDP - Lonq Duration Polyphaaic Potential
SDP - Short Duration Polyphasic Potential
HFD - Hiqh Frequency Discharqes
IIA - Increased Insertional Activity
COIIKDr.r:
PHYSICIANS or REHABILITATION
MEDICINE. P.C. ,
175 LANCASTER BLV~.
'. P. O. SOX 2028
Hf:()lAN ICSBURG. PA 17055
.
05-06-93
TAX ID M:
PATIENT: 003183 RODRIQUE2 ,ELI2A8ETH
PAT BAL:
INS BAL:
OTH BAL:
.00
654.2~
.00
.
------------------------------------------------------------------------------
SERV C
DATE INV RP S DR PROC DESC
INS A
COMMENT CO CMA PL
LINE INVOICE RUNNING
AMOUNT BALANCE BALANCE
------------------------------------------------------------------------------
012193 1 1 1 3 99242 LEVEL 2 711 1Y 02 100.00 100. ~J'
021893 1 1 1 AUTD AUTD PAY 44009336 1 1 -67.45 32.5':
021893 1 1 1 AA AUTD ADJ 1 1 -32.55 .00 .0t\
012193 2 1 1 3 95860 EMG. 1 EXT 711 1Y 02 194.00 194.00 194.0"
012193 3 1 1 3 95900 NCV. MDTOR 711 1Y 02 75.00 75.00 269.0'
012193 4 1 1 3 95900 NCV. MDTOR 711 1Y 02 75.00 75.00 344.0\'
012193 5 1 1 3 95900 NCV. MDTOR 711 1Y 02 75.00 75.00 419.0\'
012193 6 1 1 3 95904 NCV. SENSO 711 1Y 02 75.00 75.00 494.0('
012193 7 1 1 3 95904 NCV. SENSO 711 1Y 02 75.00 75.00 569.0':'
012193 8 1 1 3 95904 NCV. SENSD 711 1Y 02 75.00 75.00 644.0','
012193 9 1 1 3 A4215 NEEDLES 711 1Y 02 10.25 10.25 654.2~
------------------------ END OF INSURANCE HISTORY ----------------------------
... TOTALS ... CHARGES: 754.25 PAYMENTS: -67.45 ADJ USTS: -32.55
. _aaa___a_aaD________.____________________________.__~____m____a______________=
.
,',
.
PHYSIC~NS OF
REHABILITATION
MEDICINE P.C.
.
,..,..._""..........-. 1- -....,lK..........""*'...
Michael F. Luplne..I, MD
Jem.. W. Wlllleml. MD
51 Vln Do, MD
January 25, 1993
Dr. Balint Balog
2BDD Green Street
Harrieburg, PA 17110
RE. Elizabeth Rodriquez
SS'I 167-54-2BDl
Dear Dr. Balogl
I had the pleasure of evaluating Hrs. Elizabeth Rodriquez on 1-21-93 on
referral from your office. She underwsnt electrodiaqnostio etudiee to evaluate
her right wrist nnd arm pain condition.
The patient ie a 32 year old Hiepanic female, who hae been having
difficulty with pain along the medial aspeot of her right wrist etemming from
an injury that she sustained in a motor vehiole acoident that ocourred on 7-6-
92. She reportedly wae a passenger in a vehiole that wae broadeided on the
driver's side. Her vehiole rolled over on an embarkment and she eventually landed
on her right arM hitting her right arm as she braced herself. Ever eince then
she has had persistent pain in her right wrist. Following the accident, ehe had
also developed a cervical neck pain but this hae improved considerably. She now
hae persistent decreaee sensation along the ulnar aspect of her hand around the
wriet area with decreased sensation distally in the fifth digits as well as more
proximally in the ulnar forearm. There is burning discomfort right in the wrist
area that tends to radiate proximally along the distal forearm. The rotation of
the pain does not progress proximally into the arm or shoulder. She has been
treated conservatively with a combination of physical therapy treatments, wrist
immobilization with a eplint and non-eteroidal anti-inflammatory medication but
without any significant improvement in the wrist pain discomfort. She apparently
has had an HRI study in the neck but the results.are not available. Her past
medical history is non-revealing and she denies having ever been in another motor
vehicle accident where she had injured herself or having austained fracture
injury to her right arm in the past.
PHYSICAL EXAM. The patient is a very obese Hispanic lady, who presented to our
clinic in some pain discomfort but in no obvious distress. The focal examination
of the patient's right upper extremity revealed the presence of normal muscle
strength in all the major muscle groups tested. The deep tendon reflexes were
difficult to elicit in either of her upper or lower limbs due to the enormous
size of her arms and legs making it difficult to isolate the tendons properly.
Passive range of motion of the right upper extremity did not reveal any focal
contractures of any joints. The right wrist range of motion was normal and non-
tender except for forceful flexion which resulted in focal pain along the ulnar
aspect of the wrist. On palpation there was tenderness present focally at
multiple sites along the fifth digits primarily over the HCP joints, the proximal
metacarpal bone at the base, and in the ligamentous aupport of the ulnar aspsct
of the wrist. There wae no obvious effusion present or swelling noted in the
right hand. Hore proximally some point tenderness was also present along.the
ulnar process at the elbow. No tenderness was present on palpation along the
dietal arm and forearm muscle bed. The esnsory examination wae noted to reveal
a decrease sensation to pinprick and light touch along the ulnar aspect of the
hand into the fifth digits both over the palmar and volar aspect of the hand.
There waa some decrease sensation more proximally aa well along the wrist area
on the same ulnar aspect.
175 Lencnsle, Boulevard
Posl Olleo Do, 2026
Mechonicsbu.o. Pennsylvania 17055
Telephone: (717) 691.3755
Fe" (717)691.3834
..
2614 GI.on SI,..I
Harrisburg. Pennsylvania' 7110
TOlephone (717)236.0411
Fa" (717) 236.0419
,e
.
.
,.
Palle 2
.11.~th Rodrlque.
~anuary 21, 1993
I. IIDW COlItIOC'l'IOIf 8TUDlC. The nerve conduction study ot the right ulnar nerve
r....led the presence at normal dietsl latenciee, amplitude reeponees tor
both the ~tor and s.nsory tibers. There was a normal distal conduction
98100itr below and above the elbow. The conduction velocity of the right
ulDar nerve IOOtor tibers acrOBB the elbow waB BillniU.cantly slowed. A
coeparati.e study at the median nerve incidently revealed the pre Bence at
pcolonved ~tDr and senlDry distal latencies acrols the wrist bilaterally
but witb no~i amplitude responseB and conduction velocities.
II. ~.~00RAPSr1 IHO evaluation ot the representative distal denervation
or-<<:se-rlgbt ..dian and ulnar nerves did not reveal any abnormal
&'8Cruit88at pattern or insertional activity.
III. !MPR&8.IOW. !bere ie electrophyeiologio evidence ot an entrapment
aeuropathy 0' tile right ulnar nerve occurring acrose the elbow. Thi. 18
olinically correlated to the paU.nt.. h18todcal tinding and phya1cal exam
DOted. AD entrapment neuropathy ot the ..dian nerve was also fcund to be
prelent bilaterally acr088 the wrist that 18 affecUng both lIIOl:or and
sensory f1ber. con.istent with a carpal tunnel syndrome. Thi. tinding
appears to be a incidentel .ubclinical tinding without any correlating
8ubjecti.e or physical finding..
Thank
If you have
office.
you very much for referring your. patient for our
.., ,...h.. ....,'",.. .,.... ~"'" ,.
evaluation.
contact our
81. Van Do, M.D.
Physical Medicine & Rehabilitation
SVO/jah
cc.
'.
..
,-",p..
.
.
.
,
Upper Extremity Nerve Conduction Study Data
Elizabeth Rodri.quez 1-21-93
Date
j'
Patient'. lIame
lI.r".
" Ulnar
..
. .~ . ..
,.
liar".
R Median
lIerve
L Median
lIerve
'.
.
'.
.
,
,
Electro.yography Study Data
Pat iant' a "De Elizabeth Rodriquez
Date
1-21-93
Plex Carp Uln Nt I.A. NtDur/Anp Full
Pronator Teres II II II
ABD Dig Quint II .
II II
First Oar Int II II II
,
,
.
.' .
'.
Huacle
Reet
Hinimal
Contraction
Haximal
Contraction
R
R
R
R
..
.
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PHILADELPHIA PA 19103
HEALTH INSURANCE CLAIM fORM
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5 GATEWAY CENTER
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PITTSBURGH,PA 15222
01909900 232
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Elizabeth Rodriqu'ez - 167 54 2801
3~00 Union Deposit Road, Harrisburg, PA 17109
92 3148
9/17/92 (Balog) OFFICE ~XAMINATION: Wrist and neck pain.
HISTORY/EXAM
Elizabeth Rodriquez is a 31 year old being seen for right wrist
pain as a residual of a car accident that took place on 7/7/92.
She was apparently hit by another vehicle that essentially totaled
her car. She was restrained, but she did sustain neck sprain as
well as right wrist pain following the accident.
She has had x-rays which are here for review including neck x-rays
as well as right wrist x-rays which reveal no evidence of fracture
or dislocation.
She has been working of late and specifically finds some aches
along the ulnar border of the wrist and hand worse with movement
of the little finger during her work activities. Some neck
stiffness remains, but otherwise the neck have been subsiding.
On examination she is in no acute distress. Cervical spine ROKis
not significantly limited on today's exam. There is no deformity.
Exam of the right wrist reveals tenderness along the ulnar aspect
of the wrist, no crepitation, but pain with resisted. extension of
the little finger of the right hand. There is some tenderness along
the ulnar aspect of the wrist.
IMPRESSION
Right wrist sprain and some degree of extensor tendonitis right
wrist.
PLAN
After discussing options we agreed to give a trial of splinting of
the wrist with the use of a removable Royce wrist splint and she
will be continuing her Dolobid 500mg to be taken 2-3 times a day
with food. Suggest re-evaluation in six weeks. (Transcribed
9/23/92, mlc)
ID - 22.- 92. ~OLt:",-~,J (lCL.(.\'...!."C O-/...J!.. r~o-....~, ~'hn.~
chu .\:c "-L:a..U.A- f1~ r;..S . ~Lt. t..Lla...~
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1/12/93 IBafogl El~zab~th Rod~~guez ~~tu~n~ 60~ ~e-evaluat~on 06
~~ght uppu ut~~mH!I d~~com60~t. Sp~c.i6~ct:tlfy, ~h~ ha~ al.6o
develop~d numbn~~.6 ~n the ~~ght ulna~ bo~d~~ 06 th~ hand which ha~
b~~n ~t~ady 6M the la.6t ~~x. w~~k.6. 1 t .i.6 al ~o a.6~odated w~ th
d~.6com6Mt ~n th~ m~d~af a4p~ct 06 f.h~ elbow. Sh~ ha.6 complet~d
both th~ ~nH~t:tl p~uc~ipt.ion 06 th~ Dol.ob~d a.6 w~1.l t:t.6 ~ome
~~6Hl~ and ha.6 not 60und that .it made a ~.ign.i6icant diHuence ~n
h~~ .6ymptom.6. Sh~ .6tHe ha~ ma~k~d d~~com60Itt along the ufnalt
a.6p~ct 0 6 th~ dM~um 06 the hand. She ha.6 had no It~- ~njult~~~
~.inc~ he~ 7/7/92 calt acci.dent.
all ex.am.inat.ion .6he ~~ noted to have dec~ea.6ed ~eMaHon .in th~
ulna~ ne~ve d~~t~ibut~on 05 the Itight 60~u~m and hand di~tal. to
the elbow. Spec~6.icaay, th.i~ .i~ both on th~ douat and vola~
~uA6ace.6 06 the hand a.6 well a.6 .in the ulnalt n~~v~ d~.6t~.ibut.ion 06
th~ 60.tectJtm. Th.i~.i.6 plte.6ent to l.ight touch a.6 well ll..6 ~c~atch.
Thelte ,U. no v.i~~bte .intelto~~eou.6 mu.6cul.ctJt atltophy, but theJt~ .i~
mctJtked wealtne.6.6 both to lte~.i.6tance tut.ing 06 the ~ntuo.6~eou.6
mU.6eutatuAe 06 the .t.igh~ hand ll..6 wetl ll..6 wealtn~.6.6 06 gJt~p ~tJtength
mea.4lLJti'lrg IOkg 6 OJtce on the /t.ight non-dom.i:nant hand and 25kg gJtip
.6tJtength .in the dom.inent te6t upp~.t ex.tltem~ty. Thelte.i.6 mctJtkedly
po~.it~ve T.inel'.6" to pe~cu.6.6~on ov~1t the utnaJt neltve at the elbow.
IMPRESSION: utnaJt ne.tve neult~a.6 It.ight uppeJt utlt~m~ty. 1 .6U~p~ct
d~v~l.opm~nt 06 taJtdy utnaJt n~Jtve pat~y.
PLAN: Fultth~1t opt.ion.6 we~e d.i.6cu~~ed w~th pat.ient. A.6 med~ct:tt.ion
hll..6 not y.ielded any ~~gn.i6.icant ltel~e6, do .6ugg~.6t 6ultthe~
evaluat.ion wHh EMG/NCS to help con6~ltm th~~ d~agno~~~- She may
conHnue wo~lt.ing w~th M w~thout h~Jt ~pl..int a~ tot~lta.ted and 1
w~tl ~ee heJt baclt a6telt th~ EMG/NCS .6tudy. lTJtan.6c~~b~d 1/25/93,
mlcl
..
.
Elizabeth Rodriquez
Page 2
923148 (B)
1-28-93 (Balog) Elizabeth Rodriguez is back for re-evaluation for
her EMG and nerve conduction studies. The EMG and nerve conduction
studies showed besides the expected ulnar neuropathy that is tardy
ulnar nerve palsy developing from right ulnar nerve compression at
the elbow, also bilateral carpal tunnel syndrome. She specifically
questioned further about the possibility of carpal tunnel
syndromes. She denies any symptoms in her upper extremities prior
to her accident in July of 1992 since then, she's noted numbness.
While the ulnar nerve distribution numbness has been most
prominent, she actually has night awakening from numbness in the
hand including all digits. This has been present since this
accident. She has not sought any treatment for wrist or hand pains
prior to the accident and had not any testing prior to the
accident.
On exam today, she does have the positive Tinel's to percussion of
the ulnar nerve on the right, also Bhe's noted to have decreased
sensation in the median nerve distribution on the palmar surface
of the hand too. She has positive Tinel's as well as Phalen's
signs over the median nerves at the wrist.
IMPRESSION:
Right Ulnar Neuropathy that is Tardy Ulnar Nerve Palsy with
compression at the elbow level and Carpal Tunnel Syndrome. Both
of these appear to have originated from her accident of July of
1992.
PLAN:
Further options were discussed. Further conservative versus
operative treatment was discussed, specifically possibility of
ulnar nerve transposition plus carpal tunnel release or just ulnar
nerve transposition were offered to patient. Because of presence
of problems in both of these sites, she does wish to proceed with
both. We have tentatively scheduled this as an outpatient
procedure on March 5, 1993. History and physical was taken care
for this today. I do recommend trial of Ibuprofen 400 mg p.o.
t.Ld. with food. In the interim as an attempt for further
nonoperative management. (Transcribed 2-3-93/da)
...
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~EOPERA liVE
IA-GNQSIS
t1. ;~:tt C,lr~.l
S~/ncromc; :h;~lt :lr~1':, I n:H' :IHr'./t. o.1lsy.
OSlOPERA TlVE
IAGNOSIS
~aml!.
PER" TlON
ERFO~MEO
1(1.:;.,C Lo1qU Lunnu Hoe ~':]3e; Rl;;!1~ U ~.1r ~1~r'Jn .\nt~r~)r ':u':3'::Ut:I!lI'!":J3
~l.lqGEIJ!I: Dr. Ra to~. A~Sl~TAN1' SURGEO:I: ~r. Gr.:l f f.
~'Hf.F III~"'f)!lY S rID!r:.\TIOr!S: This 3~-year-ot.! has pe~siH~"t nU::1bncsa in the h""d,
"'~3!tnt!S9 of intri:1~ic muscul.,tIJt"P.. .10: clinic,:]l .15 'Jp.ll.1:1 C'\G cvidunc..: of c.lr'!:' ul:1i1t'
nerve pnlsy with Illoar nerve irrit~tion ~t t~~ lev~l o~ t~~ ?ost~ri~r aspect of t~c
risht elbo'" .1:1 ',lull as c.Jt"pAl tunnel ~yndror.1t!. aot~ of thtlst! diagnoses 'lere cli.ni.cally
..ii.1gnos~d .1nd ~1G and nerve con.)ucti'.)!l 5tlldy prolten, OU~ t~ l.3c!t 0: im?rovcr.u~!\::' '.rit~
conser~ative c~ru. opct".1tion was undcr:.1~en to relieve sy~pt~m3 !ro~ uln3t' n~rve
compression ~t t~'u el~o~ ~nd medi~n n~rve c~nprc9siun 3t t~e ~/rist.
OPERATIVE TECHnr.UE: Thl! pat il!nt 'Jas brou;ht to thl! Opl!ra t ine; ~oom, under'Jent
satisfactor1 ~eneral endotrach"3t nnest""sia, and had the ri~ht arm prepped 3nd draped
in a sterile fashion. ~xs~n&uin~ted with 3 ~artin bandane. and th~ tourniquet ~as
in :tat"d. C;.rpa t tunne t release was pe~ :or::led through 3 proxbl3 t p3 tm tongitl1dind
incision in tine with the radi3t ':>order of the ring finger ra1. This was extended down
through skin, subcutaneous fat as well 9S th~ough the transversI! c3rpal ligament. The
medi3n nerve W3S identified 3nd protected inctuding its recurrent motor branch while
completeness of the retease proximatty with subcutaneous extension and distally under
direct visualization was carried out. No abnormal tissue was noted to ':>e present in the
carpal tunnel. The median nerve had no intrinsic compression, only an extrinsic
compression on it. The median nerve W3S fully released by the transverse carpal
ligament tr3nsection. Closure of this wound was with 4-0 Nylon sutures. Next the
medial epicondyle area was approached, and through a longitudinal incision, the ekin ane
subcut3neous fat were incised. The deep utnar nerve was identified, and a prominent
findinG wss the marked absence of any direct perineurat fat in the region of the
posterior aspect of the etbow with tack of perineural fat padding. The marked fi':>rosis
fixing the ulnar nerve firmty in the utnsr groove was observed. The ulnar nerve was
carefutly dissected free of the ulnar groove area, proxim3tly the release extended to
the intermuscular septum, distatty i: proceeded into the proximal forearm 3nd before
br3nching of the nerve precluded further distal dissection. The ulnar nerve was gently
transposed anterior to the mediat I!picondyte, 3nd was secured in its bed of subcutaneous
fat with the uSI! of two 2-0 PDS sutures to permit stabte but noncsnstricting fixation 0:
the nerve just anterior to the mediat epicondyll!. From this point on, the etbow was
~aintained in a ftl!xed position. The subcutaneous tayer W3S ctosed with 2-0 Vicryl
suture, and the skin was closed using 4-0 Ny ton sutur"s. Sterile dressings were
3pptied, the tourniquet was rel"ssed with prompt r"turn of putses and capitl3ry refilt
wss observed upon release of the tourniquet. The sptints were apptied to the et':>ow as
'Jell a5 fOre3rl!'l~ usin;; fldeGuate p:hlc!in~. an..! the et~ow was in ')0 de!;t'(!es of flexion.
(Cont inued)
SK)HATURE OF SURGEON
DATE DICTATED
DATE TRANSCRIBED
DATE OF OPERATlOH
~ODR tCU~-:::. J:LI'!.\:'E1"H
l~ ';'-5/.-:~n 1
3/5/ '1J
POLYCLINIC MEDICAL CENTER
HARRISBURG. PA. 17110
REPORT OF OPERATION
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'REOPERA nve.
lIAGNOSIS
'OSTOPERA nVE
lIAGNOSIS
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lPERAnON
'ERFORMED
1'he~(t ~/ere s:!cut"p.d ""'~t~\ 1 100Sl:!1:/ Jt'llpped M'::. The: pllcienc 'h15 ";.I.:1~enl.!-1 :I""'~ l~:: t!..e
Oper.1tin3 Poom in s.1cisf.Jctot'j c..onuition. .10 tissue wa3 ~:tci.St.:d or ,ent tiJ :-:ll:~"t.)gy.
The pati.ent 'Jas ob$er',ed to have i.ntact sensation indudin;; :'30ial, ::Ie'lial, an~ ul,ar
nerve distributions 's well a. intact :>otor function "f the hanu indu.!in;; th~
incrintlics upon lJ\J:aktmin~.
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SQHATUREOFSUROEON
Salint Balog, :1. D./l
DATE DICTATED
DATE TRAHSCRIBED
OA'E OF OPERA noN
RODRICUEZ, ELIZAn~T~
~ACZ 't'm
3/6/~;
3/'l1,)3
3/5/93
..
POLYCLINIC MEDICAL CENTER
HARRISBURG. PA. 17110
REPORT OF OPERATION
....,-
"
HARRISBURG ORTHOPAEDIC ASSOCIATES, P,C.
2800 GREEN STREET
HARRISBURG, PENNSYLVANIA 17110
Phone 17171 234-5976
JOHN S. RYCHAK. M.D.
TED B. ESHBACH. M.D.
BAUNT BALOG. M.D.
BRNEST R. RUBBO. M.D.
FRANK L. HORNBR. P.A..C.
- Rltirrcl -
Champ< C. Pool. M.D.
1/95J.l9841
Willard H. Low. M.D.
1/966-/9831
Sam.,II. Amll.lO. M.D.
{/911./99/1
339 W. GOVERNOR ROAD
HERSHEY, PENNSYLVANIA 17033
Phone (717) 533.2348
Practlc;r Llmlled To Orthopaedic SurBery
April 8.1993
Attorney JDhn DiPaul. II
5th Fl. 1528 Walnut Street
Philadelphia. PA 19102
RE: Elizabeth Rodriquez
DOA: 7/6/92
Dear Attorney DiPaul:
Elizabeth Rodriquez has been under my care since 9/17/92 for
evaluation and treatment of residuals from a car accident that
took place on 7/7/92. At that time she was apparent 1 y hit by
another vehicle and EI izabeth I s car was apparently totaled in
this accident. She was restrained at the time of accident but she
did sustain a neck sprain as well as developed right wrist pain
following the accident.
Upon the initial evaluation she was felt to have some degree of
extensor tendonitis of the right wrist as well as a right wrist
sprain from the accident. She was treated with anti-inflammatory
medication in the form of Dolobid as well as a Royce wrist splint.
UnfDrtunately. hDwever. her symptoms did not resolve they actually
changed somewhat and got worse. She developed marked numbness in
the right hand ulnar border as well as in the palmar aspect of the
hand. Upon re-evaluation 1/12/93 she was felt to have ulnar
neuritis with suspected tardy ulnar nerve palsy.
She did have an EMG and nerve conduction study ordered which was
performed and revealed not only tardy ulnar nerve palsy. hut also
..
Page (2)
RE: Elizabeth Rodriquez
TO: Attorney DiPaul
carpal tunnel syndrome. Both the carpal tunnel syndrome which is
likely to be from direct: wrist and/or hand contusion frDm the
accident as well as the ulnar neuropathy developed as a result of
the accident in question.
Due to persistence of her symptoms and lack of relief with
conservative measures, she eventually required operative~
treatment. This was undertaken on 3/5/93 in the form Df a carpal
tunnel release as well as an ulnar nerve transposition. She was
last seen on 3/12/93 at which point she was having good evidence
Df recovery from the neural compression of bDth the ulnar nerve
site at the elbow as well as median nerve compression at the
wrist. It was anticipated that she would be out of employment for
an approximately six week period following this surgery.
I am enclosing copy Df her billing records to day. If YDU have
any further questions. please do not hesitate to call or write.
Sl"'KM bJ)
Balint Balog. M.D.
BB/mlc
Enclosure
..
,.... ......~,',.
!SJIB'ff;>, .
ELIZABETH L. ROD~IQUEZ
923148
'- ..
-. -
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3-5-93 OUTPATIENT SURGERY (Dr. Balog)
~'-; ~..
- '-
Elizabeth Rodriquez underwent operative treatment of her right
ulnar nerve palsy as well as her right carpal tunnel syndrome at
PMC. Basically, she underwent a right carpal tunnel release as
well as right ulnar nerve subcutaneous transposition at the elbow
level. There were no complications. (Transcribed 3-9-93/rah)
j/1Z/93 (Balog) Elizabeth Rodriquez is one week after her carpal
tunnel release and ulnar nerve transposition Df the right elbow.
The pain is fading. Sensation is back fully in her hand with the
exception of tingling and hyperesthesias in the little finger Df
the right hand. The wounds are heal ing wi th no ev idence of
infectiDn. Sutures were removed and the wound was steri-stripped
tDday. She has intact sensation of the hand with slight decreased
sensatiDn over the little finger. She does have intact
interosseous muscle function in the hand.
IMPRESSION: Satisfactory progress after ulnar nerve transposition
and carpal tunnel release right hand.
PLAN: Suggest use of sling to help avoid full extensiDn Df the
el bDW fDr at 1 east two more weeks. Ant ic ipate re-evaluat ion in
one month. For the time being she is nDt suitable for any
employment. Hopefully. shortly after the next visit we may
consider her for release. (Transcribed 3/23/93. mlc)
4/16/93 (Balog) Elizabeth Rodriquez is about six weeks after her
ulnar nerve release and carpal tunnel release Df the right wrist.
She is presently off all analgesics. Numbness is cDntinuing to
resolve.
On examination the elbow wound is healed with no evidence of
infection. There is a positive Tinel's approximately 5 inches
proximal to the distal most portion of the elbow wound alDng the
course of the ulnar nerve indicating that much neural recovery has
al ready taken place in the las t s Ix weeks. She has no areas of
anesthesia about the hand. but she still has decreased sensatiDn
in the ulnar nerve distribution relative to the median nerve
distribution and the median nerve distribution on the right is
still somewhat less than the left. There is no area of skin or
mU5cular atrophy. Elbow RON consists of flexion to at least 110
degrees and flexion to at least 5 degrees from full extension.
continued
"
. . .
-4-
Elizabeth Rodriquez
92 3148
12-10-93 (BALOG) Elizabeth Rodriquez returned following her
EMG/Nerve conduction studies which revealed evidence of tardy
ulnar nerve palsy or entrapment of the nerve at the elbow. as
well as carpal tunnel syndrome. Previous onset symptoms reveals
that this problem all started with her accident of 7-7-92.
Currently. she had some of the nerve testing done at the same
time as her right arm last year. that revealed some of the
problems. Clinically, it only became significant of a problem
now. She has numbness in the entire hand, elbow pain. some grip
strength weakness. and splinting, Use of anti-inflammatory
medication has not relieved it so far.
On examination. she has markedly positive Tinel's over the ulnar
tunnel at the elbow and positive Tinel's and Phalen's in the
wrist. She has decreased sensation in the left hand volar
surface primarily.
IMPRESSION: Ulnar nerve entrapment of the elbow and carpal
tunnel syndrome left hand.
PLAN: Diagnosis and further options were discussed with the
patient. It does appear that surgical release of the nerve at
the elbow and wrist will be required: however. because of the
patient's work schedule. she feels she can not take off at this
time and it may be several months before she is able to do so.
Meanwhile. she will continue with he splinting. also. I did give
her a prescription for Daypro 600 mg p.o. daily. I will check
her back in 3 months or sooner if symptoms dictate. (Transcribed
12-16-93. as)
3\II\q~ --=Pr rflS - ~ ~ c;J; rru~l 'Of""
4/8/94 (DR. ~ALOG) Elizabeth Rodriquez is back for re-evaluation
of her arm pa~ns. The left arm is still continually numb and has
actually awaken her sleep at night on a daily basis. Numbness is
worse in the little finger, but also present on the other fingers
and thumb on the palmar aspect of the hand. She has no persistent
numbness in the right hand at all, no weakness, but she does have
some swelling with any significant heavy use of the arms.
CONTINUED
..
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1;2-3/1.
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PREOPERATIVE
OIAGNOSIS'
POSTOPERATIVE
OIAGNOSIS
OPERATION
PERFORM~O
Left carpal tunnel syndro.e, and left tardy ulnar nerve syndro.e.
Sa.e.
Left carpal tunnel release and left ulnar nerve anterlor subcutan.ous
t.,..n"pnc.if:inna
SURGEON.
Dr. Balog.
ASSISTANT. Non..
BPIEF HISTORY & INDICATION. This 33 y.ar old fe.al. is suffering fro. carpal tunn.l
as w.ll tardy ulnar nerve palsy which has progressed in s.verity since an accident
of .ore than a year ago. This is clinically diagnosed, EMG proven, and has fail.d
to respond to cons.rvative care. Op.ration was undertak.n for relief of pain, as
w.ll as for .ini.izing n.urological deficit that had developed fro. th.~.
cond i ti on..
OPERATIUE TECHNIQUE. Th. patient was brought to the Operating Roo., und.rw.nt a
satisfactory g.n.ral .ndotracheal anesth.sia, had the left are prepp.d and draped in
a st.ril. fashion and .xsanguinated with a Martin bandage and tourniquet inflat.d to
38lII. First the carpal tunnel r.lea.. proc..d.d in routine fashion with a skin
incision in lint with the radial bord.r ring finger ray, carri.d on down to the
proxilal pal. down through subcutaneous fat, pal.aris brevis as w.ll as the
.transv.rs. carpal liga..nt. Th. ..dian n.rv. was id.ntifi.d and prot.ctld with the
. use. of Lup.....gnific.Uon. including its r.curr.nt _ br.nch. Th. InUre c.rpal.:
:~tunn.l wa. r.l....d.both proxi.ally und.r subcutaneous .xt.nsion a. w.ll .s dt.t.liy
und.r.. direct vhualiz.tion. Closur. was with 4-0 nylon .utures. N.xt. the ..dial . . .'
0.. . ... . ...,.
.spect of the .lbow w.s approach.d through a longitudinal incision ov.rlying th.' .-
ulnar n.rv.. as this was carried on down through subcutaneous fat down into the
cubital tunn.l. with the ulnar n.rv. b.ing id.ntified. prot.ct.d. r.l.as.d
proxbaUy.and dhtally. sufficiently for lid anterior subcut.nlous transposition
'and the sUbcutan.ously er.at.d tunn.l w.ll padd.d with subcutan.ous fat. Th. n.rv.
could b. position.d th.r. and held there without tension. s.cur.d th.r. with s.v.ral
o Uieryl sutur.s s.curing it in this tunn.l without actually touching the ulnar
n.rve or constricting it in any way. The cutaneous closure was with 2-0 Uieryl and
4-0 Nylon w.s utilized for skin.
(Continued)
SIGNATURE OF SURGEON
DATE DICTATED
DATI! TRAHSCRlBiQ
DATE OP OPERATION
RODRIGUEZ, ELIZABETH
1&7-54-2801
07/08/94
07/14/94
07/08/94
..
POLYCLINIC MEDICAL CENTER
HARRISBURG. PA. 17110
REPORT OF OPERATION
7111021~8e'
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.JSTOPERATIVE
DIAGNOSIS
OPERATION
I PERFORMED
Sterile dressings were applied. Release of the tourniquet resulted in pro.pt distal
capillary refill return, as well as distal pulse return and the elbow was .aintained
in a 90 degree position and a sling as well as a Robert Jones co.pression dressing
with the usual splint aver the carpal tunnel as well.
COMPLICATIONS/
There were no co.plications, and no tissue excised and sent to
pathology.
STATUS/ The patient tolerated the procedure well.
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SIGNATURE OP SURGEON
DOl 1M? aOln~. M n
cc/ Dr. Balog
RODRIGUEZ, ELIZABETH
PAGE TWO
QATE DICTATED
07/08/9~
OATE TRANSCRIBED
07/1~/94
DATE 011 QPERATlON
07/08/94
POLYCLINIC MEDICAL CENTER
HARRISBURG, PA. 17110
<I
REPORT OF OPERATION
1111.2140et'
----------- .-.--.----
--.----
-----
r'.
.~ -'.
ELIZABETH L. RODRIQUEZ
923148 B
4/8/94 (DR. BALOG)
CONTINUED
On examination on left side, she has positive Tinel's to percussion
along the ulnar nerve. She has decreased sensation in the ulnar
nerve distribution. She has decrease in intrinsic muscular
function in the left hand compared to the right and she has
positive Tinel's and Phalen's over the carpal tunnel. This also
correlates with the EMG evidence of tardy ulnar nerve palsy at
elbow in the left as well as carpal tunnel syndrome. Onset of the
symptoms still correlate back to her motor vehicle accident some
time ago.
IMPRESSION: Tardy ulnar nerve palsy, left elbow as well as carpal
tunnel syndrome, left hand.
PLAN: Patient does wish to proceed with scheduling of the surgery
in July, when the work schedule permits absence from employment for
a period of recovery. This will be scheduled as an outpatient
procedure under general anesthesia for 7/8/94. She will be back
somewhat closer to the time of procedure for purposes of completion
of her outpatient paperwork.
She understands risks, limitations and wishes to proceed.
(transcribed 4/l3/94 rah)
'),I,<1Lf th..p C~ ~(PA~ 35'-1.6,35'-/,2-
7/8/94 OUTPATIENT SURGERY (DR. BALOG) "lf7~/-Lr ~nig -'S'/-L-;'
Elizabeth Rodriquez underwent left ulnar nerve subcutaneous
anteriDr transposition as well as left carpal tunnel release
under general anesthesia as an outpatient. There were no
cDmplications. (transcribed 7/13/94 rah)
7-19-94 (Balog) Elizabeth Rodriquez is now a week in a half
after her ulnar nerve transposition and carpal tunnel release of
the left hand. After she had some early pain. her pain
medication was switched to Vicodin. She has only taken about 10
of those so far. primarily using them at night.
On examination today. she is noted to have good sensation of the
hand including ulnar. medial. and the radial distributions. She
does have a pDsitive Tinel's sign approximately 3 inches distal
to the distal most part of the scar of the ulnar nerve
transposition. She has no intrinsic paralysis of the hand.
being able to show good abduction and adduction of the digits.
Wounds are healing with no evidence of infection. Sutures were
removed.
.
Page (3)
Eli2abeth RDdriquez
92 3148
4/16/93 (Balog - continued)
IMPRESSION: Satisfactory prDgress after ulnar nerve transposition
and release at elbow and carpal tunnel release at wrist.
PLAN: She may return tD work without restrictions as of 4/19/93
and I will check her back in six weeks to check extent Df
recovery. (Transcribed 4/19/93. mlc)
&.4.q3 PrLf:cuCt a~ ~jo; ~/de-/
f.1.<{.!t3 nlk.,,-. J'-~~ "",~ ~1'-U-=j"? ~t......
:.a.....;. ^~. G ~ \to~M.~
9/i}93 (Balog) Elizabeth Rodriquez is back for follDW-UP
regarding her right carpal tunnel and ulnar nerve release. She
reports she had essentially full resolution of numbness of the
right hand. but she still gets and ache along the distal aspect
of the forearm and hand with weather changes or exposure to
sudden cold temperatures. SHe also noted that for awhile she had
no ability. to actively flex th~ DIP joint of her right little
finger and although this ability is starting to return she still
feels some weakness in the right hand. She is on no medications
for.her hands. She does report that the left hand is actually
more bothersome than the right now with numbness that awakens her
from sleep periodically.
She did have bilateral testing of her median nerves in January of
1993 and by EMG criteria bilateral carpal tunnel syndromes were
noted to be present. She did not have much trouble with the left
hand in the past. but now she is having more difficulty. This is
present despite the change in her work routine that invDlves very
little if any typibng with the left hand. She has been doing key
punching largely with her right hand.
On examination today she is noted to have full and intact
sensation throughout the right hand and forarm. She has somewhat
decreased sensation over the median nerve distribution of the
left hand in the palmar surface. She has negative Tinel's and
.Phalen's over the carpal tunnel on the right. It is positive on
the left. There is palpatory tenderness over the ulnar nerve
medial to the epicondyle indicating that it is still in its
transpos~d position. She dDes have active interosseous muscle
function with no interosseous atrophy in either hand and full and
active DIP joint flexion is present in all digits.
co~tinued
Elizabeth Rodriquez
92 3148
9/2/93 (Balog - continued)
IMPRESSION: Recovering right ulnar neuropathy fDllowing ulnar
nerve transposition and recovered right carpal tunnel syndrDme.
2. Symptomatic left carpal tunnel syndrome.
PLAN: I do expect resDlution of the right upper extremity
symptoms and anticipate no need for active treatment. After
discussion regarding the left carpal tunnel syndrDme, we agreed
on further trial of cDnservative management with a splint as well
as use of Ibuprofen. If this fails to satisfactorily control
symptDms she will return for re-evaluation. (Transribed 9/7/93.
mlc)
//_I<"--?)~~~"""~ ~j~~ AJt:..-v.e ~"r"''-'y
~ 'if.--;.,VA-J. ^,-lr-1r-c,,3l Ar~--a r ,- ( ,.
~(; '" (f
ll/18/93 (Balog) Elizabeth Rodriquez is back for re-evaluation.
She continues tD have resolution Df right arm pain. NDW the
maximum tenderness appears to be at the mid tD distal third
forearm level on the right along the ulnar border. There are no
areas of complete sensory deficit anywhere about the right arm.
She has intact interDsseous muscle functiDn in the hand. She has
healed carpal tunnel and ulnar nerve transposition wounds. The
ulnar nerve by Tinel's is still anterior to the medial
epicondyle. She has decreased sensation in the left ulnar nerve
distribution of the hand and also has positive Tinel's at the
carpal tunnel on the left. She has positive Tinel's to
percussion along the ulnar nerve on the left side.
At this point she has more
than the right arm. She
trouble with either elbow
7/7/92.
complaints referable to
still states that she
or hand prior to her
the left arm
has had not
accident of
IMPRESSION: Probable tardy ulnar nerve palsy left arm as well as
carpal tunnel syndrome left arm.
PLAN: She has had an EMG study that did CDver the right elbow
and carpal tunnel, but she has not had any evaluation of the left
ulnar nerve at the elbow level. I do suggest evaluation with EMG
and nerve conduction studies including studying her ulnar nerve
at the left elbow as well as for carpal tunnel syndrome. She may
continue working. She has tried Ibuprofen but without any
significant relief. I will check her back after these studies.
(Transcribed 11/24/93. mle)
.
'.
-5-
Elizabeth Rodriquez
7-19-94 (Balog - continued)
IMPRESSION: SatisfactDry progress after ulnar nerve
transposition and carpal tunnel release. left upper extremity.
92 3148
PLAN: The patient was advised. She will start with some hand
and wrist exercises. but avoid full elbow extension for at least
another week in a half and use a sling to help immobilize it. I
have anticipated that she will be out of work until 8-22-94 and
she will be seen back in 1 month for re-evaluation. (Transcribed
7-19-94. as)
8/16/94 (DR. BALOG) Elizabeth RDdriquez is abDut five weeks
after her carpal tunnel release and ulnar nerve transposition on
the left arm. She no longer has any night awakening; numbness is
largely resolved.
On examination. she is noted to have healed wounds about the
carpal tunnel and left medial epicondylar area. She has gDod
intrinsic muscular function Df the hand. She has no sensDry
deficits in the hand. She does have positive Tinel's sign to
percussiDn of the CDurse Df the ulnar nerve to the hand inches
distal to the distal most part of the wound.
IMPRESSION: Satisfactory recovery following ulnar
transpositiDn and carpal tunnel release. left arm.
PLAN: She may return to work as of 8/22/94 without restrictions
and I suggest clinical re-check in six weeks. She is currently
off medications for her arm and the likely expected further
course Df recovery was discussed with her. (transcribed
8/17/94/rah)
nerve
~;,JiJ..~_.. '_.,.,_
\
\
10/6/94 (DR BALOG) ELIZABETH RODRIQUEZ - 923148 1
. h ths after her carpal tunne
Elizabeth is now about t ree mo~ of the left arm She has
release and ulnar nerve tr~n~p~sitlo~he has some scar'tenderness
been, backlt~ fcUthlelrW~~~na~~a~ ts~~'has nD significant complaints.
1n tne pll m. ,
h full range of motion of the elbow. She
On examination, she as scar. She has positive Tinel's sign tD
has healed elbow medial medial epicondyle. indicating that the
percussion anterior tD the transposed positiDn. She has no
ulnar nerve is still in
CONTINUED
....,.....----~
I
HARRISBURG ORTHOPAEDIC ASSOCIATES. P.C. Harrisburg. PA
:_ ,1~/6/94 (DR. BALOG) ELIZABETH RODRIQUEZ - 923l4B
CONTINUED
Spe has no focal sensory deficits Dn the hand including checking
the ulnar medial and radial nerve distributions. She
specifically has no numbness and all parts of the median nerve.
including the palmar cutaneous branch. appears to be functioning
satisfactorily. She has minimal scar tenderness to direct
pressure. She has no evidence of infectiDn anywhere. She has no
atrDphy.
IMPRESSION: RecDvering ulnar as well as median nerves following
ulnar nerve transposition and carpal tunnel release.
PLAN: She was advised abDut further likely improvement. She may
continue wor.king without restrictions and I will see her back as
needed_ (Transcribed 10/12/94 rah)
..
2627. W. Cumberland SI.
Lebanon, PA 17042
\ 272-3068
\
.
Camp Hili Shopping Mall
Camp Hili, PA 17011
\731-7200
\
Colonial Park Mall
~arriSbUrg, PA 17109
657-7777
\
March 23. 1993
Cohen. DiPaul.
Every & Haber. P.C.
5th Floor
1528 Walnut Street
Philadelphia. PA 19102
Re: Elizabeth Rodriquez
Dear Sirs:
I had the pleasure of seeing Elizabeth Rodriquez for a
visual examination on August 8. 1992. At that time Ms. Rodriquez
informed me that it had been approximately one and one half years
since her last examination. She had been complaining of
headaches: distance vision was some what blurred. she had been
involved in an automobile accident. and she reported seeing
flashing light~ in her left eye. All other medical and ocular
histories were unremarkable for dlsease or pathology. and she was
not taking any medications.
With her current glasses. at the time. Ms. Rodriquez had a
visual acuity of 20/30. With a slight increase made in her
correction her acuity was improved to 20/20 in each eye. Due to
the auto accident and complaint of flashing lights Ms. Rodriquez
was also seen for a dilated fundus (retinal) examination to rule
out the possibility of retinal tears. This was performed on
August 18. 1992 and. each eye was evaluated at that time. No
signs or evidence of retinal tears. holes. or breaks were
observed in either the right or left eye. Glaucoma testing was
also performed and in each eye the lntraocular pressures were
within normal limits.
It has been a pleasure particlpatlng ln the care of this
pleasant patient. If I can be of any further assistance. feel
free to contact me.
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COMwuHr1'Y MIClICAL AIIOeJATU
THOMAS M, BRVAN, M.D.
>>M Nomt PJlOOIII AVIHUI
H......r'l"'O. PA ""0
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PA LIC. NO. wo.o,3.)DI
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SUBSTTTUTION PERMISSIBLE (fYVY (17"" M.D.
IN ORDER FOR A BRAND NAME PRODUCT TO BE DISPENSED,
THE PRESCRIBER MUST HANDWRITE 'BRAND NECESSARY' OR
'BRAND MEDiCAllY NECESSARY' IN THE SPACE BELOW.
.......,
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~ WIDlCAI. AIIOQATII
THOMAS M. BRVAN, M.D,
3544 NO<<IM PRoouI AVIHUI
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SUBSTITUTION PERMISSIBLE M.D.
IN ORDER FOR A BRAND NAME PRODUCT TO BE DISPENSED.
THE PRESCRIBER MUST HANDWRITE 'BRAND NECESSARY' OR
'BRAND MEDICALLY NECESSARY' IN THE SPACE BELOW.
Relil__ tIrM. PRN NR
DOCTORS KRUPER DANVO VANGIESEN ORTHOPAEDICS
ORTHOPAEDIC SURGERY
HAND SURO!""
MICROSUROERY HAND . BACK
ABIUlY ASSESSMENT
FOOT SURGeRY
TCTAl. JOINT REPLACEMENT
SPORTS MEDlaNe
SPINe: SUROERY
JOH. S. KAUPEA. M.D.. F.A.A.O.S. J. JOSEPH DAN'IO. M.D.. F.A.C.S.
PETEA J. VANGIE.E.. M.D., F.A.C.S.
'.:,cmEL J. SICUAANZA. M.D. SfE'lE. J. TAIANTAFYUOU. M.D.
IMEMBERS AW.. .. PMS)
July 31, 1992
q ~ 7:)
Community Hedical Asscciates
Attn: Dr. Bryan
3544 North Progress Avenue
Harrisburg, PA 17110
Re: Elizabeth L. Rodriguez
Dear Dr. Bryan:
The above patient was seen in orthopaedic ccnsultation on 7-30-92.
CHIEP COHPLAIHT: Neck and back pain.
~~..j
~
HISTORY: This 31 year old lady was involved in a motor vehicle accident
on 7-6-92. Elizabeth was a seat-belted driver of a 1987 Chevy Nova traveling
on Railroad Avenue in Camp Hill when a truck pulled out in front of her vehicle
striking the passenger I s side of the vehicle. Upon impact, she was thrown
forward. There was neck, back, and right wrist discomfort. Subsequently, she
reported to you. X-rays were obtained. Physical therapy was instituted
consisting of electrical stimulation, ultrasound, and heat to wrist and back with
some relief. Also, she takes Dolobid and Anaprox currently.
In addition, Slizabeth is complaining of discomfort to the left side of her
neck especially with turning to the right. Daily headaches are a factor. There
is no radiation of pain to the right arm. In addition, she does describe pain
in the radial aspect of the right wrist. There is numbness associated to the
fingers. Gripping objects is difficult. Also, there is low back pain which
radiates into both buttocks. There is no leg pain. Hight time pain is related.
Prolonged sitting and standing aggravates her symptoms. There is no bladder or
bowel dysfunction. Allergies - none. Hedications - Dolobid and Anaprox.
PAST MEDICAL AND SURGICAL HISTORY: Noncontributory.
PHYSICAL SXAHINATION: There is tenderness along the trapezius and levator
scapula bilaterally.
While sitting, deep tendon reflexes at the patella and Achilles are plus
one bilaterally. SHL plus one bilaterally. There is negative sitting root test
bilaterally.
Upon ambulation, this lady has a normal gait. She can bend at the waist
with finger tips to her mid thigh only before she complains of lumbar discomfort.
..
101 SOUTH GEORGE STREET YORK. PA 17403 PHONE (7\7) ......00 FAX (717) ....2431
The mos! experienced and comprehensive onhopaedlc care for Central Pennsylvanle. Es1abUshod 1965.
.........,
;
....
community Hedical Associates
Re: Elizabeth Rod':i9U8lI
JulY 30, 1992
oaqe 2
She does have full pronation and supination of the right arm and hand with
.tenderness along the distal right ulna with no pain in the right elbow. There
is no evidence of motor or sensory defioit in the right hand. No open wounds
are noted. There is no discoloration, swelling, or edema.
X-rays have been obtained but are not present.
IHPRESSION: Cervical neck strain.
LUlllbar strain.
Contusion, right distal ulna.
RECOMHENDATION: Conservative measures.
Cervical collar.
Nonsteroidal anti-inflammatory agent.
Muscle relaxant.
Exeroise program.
Walking.
Tub baths.
Diet.
Continue physical therapy.
Return to work as a trial on 8-3-92. This problem will take several weeks
to subside and if symptoms continue to persist in three weeks, return at that
time for recheck. In addition, she is requested to return with her x-rays.
Thank you for allowing me to see this patient. Please do not hesitate to
call or write if you have any questions, or if our staff can be of further
assistance. .
~i erely, ,
~. fA .UJ.--.
/LM I
Peter J. VanGiese , M.D.
PJVG!llIjg
D: 7-30-92
T: 7-31-92
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M V A STATEMeNT 0 I B :
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BLUE MOUNTAIN PHYSICAL THERAPY
& SPORTS INJURY CENTER, INC.
COLONIAL PROFESSIONAL CENTER
olaoll L1NGLESTOWN ROAD, SUITE 102
HARRISeURG. PA 17112.D517
PHONE: 1717) 852-8511
12-25-60
167-54-2801
540-8532
730-2591
DR. BRYAN
,
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RODRIQUEZ, ELIZABETH L.
3300 UNION DEPOSIT RD. APT.
HARRISBURG, PAt 17109
CHAROU OR
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APTER LAST DATI:
WILL APPIAII
QN YOUR NIXT
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BLUE MOUNTAIN PHYSICAL THERAPY
& SPORTS INJURY CENTER, INC.
CDLDNIAL PROFESSIONAL CENTER
4800 LINGLESTDWN ROAD, SUITE 102
HARRISBURG, PA 17112.VS17
PHONE: (71716S2-8511
12-25 -6'0
167-54-2801'
540-8532
730-2591
OR. BRYAN
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RODRIQUEZ, ELIZABETH L.
3300 UNION DEPOSIT RD. ,Apt.
HARRISBURG, PAt 17109
CHAROU OR
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UtlJE MOUNTAIN PHYSICAL THERAPY ,
SPORTS INIURY tENTER _800 L"'o'ellown RD . s.,,"102 . He",sbu,o, PA 17112.9517 . 717-652.8511
July 22, 1992
.
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.JUL 24'
Dr. Thomas M. Bryan, M.D.
CDmmunity Medical Associates
3544 N. PrDgress Avenue .
Harrisburg, Pat 17110
Re: Elizabeth Rodriquez
~ \,,4l'1V
Dear Dr. Bryan:
Thank you for the referral of your patient. Elizabeth RDdriquez,
evaluated July 10, 1992 for the complaint of constant low back pain
secondary to a motor vehicle accident (7-6-92). Ms. Rodriquez
denies any previous histDry of IDW back pain. She is also complaining
of right radial wrist pain, which is increased with pronation and
supination. She repDrts that she first began to experience low back
pain in the afternoon following her motor vehicle accident. She has
a constant bilateral ache which is increased without support Df the
lumbar spine. Her pain is increased with activity and prolonged postures.
She alsD complains of anterior thigh and knee pain which began the day
after her motor vehicle accident. She denies any neurological symptDms
in the lower extremities but does complain of numbness and tingling in
her right hand and fingers.
PDsturaly, Ms. Rodriquez has a decreased lumbar lordosis with bilateral
gluteal muscle atrophy. Otherwise her pDsture is symmetrical and there
was no evidence of a leg length difference. Active lower extremity range
of mDtion was within normal limits but right hip flexion caused low back
pain. Trunk active range of mDtion was decreased secondary tD pain,
particularly during flexion, right side bending and right rotatiDn.
Lower extremity muscle strength was graded Good (+) and symmetrical.
Trunk muscle strength was graded Fair. Hamstring flexibility was also
graded Fair. Lumbar, hip and sacroiliac jDint provocation tests were
negative except that a straight leg raise done with either leg caused
low back pain but did not provDke radiating pain. Palpation revealed
tenderness of the sacrum, L3 thrDugh S1 supraspinous ligaments and
sacrDiliac joints.
Ms. RDdriquez was evaluated for the cDmplaint of constant low back pain
secondary to a motDr vehicle accident. She wili be treated three times
per week. My gDals fDr her treatment are to decrease her pain, increase
pain-free active range of motion and increase muscle strength. I have
initiated a treatment program including moist heat, electrical stimulation,
ultrasound and massage. I will progress Ms. Rodriquez to an exercise
program and reduce the use of modalities as tolerated.
..
-----------.------ -.-- -- -----------_._-------_._~ --------
JCC:gp
sW!{,~
Jeff C. Conforti. P.T.
-2-
Again, thank YDU fDr the referral of this patient. I will keep you
advised of this patient's progress.
BLUE ftlomTAIN PIIYSICAL 'fm:RApy Ii
SPORTS t~JUR1:' (;1M'EIl 4800 lIngllltown RD' Suit. 102 . Harrisburg, PA 17112.G517' 7170652-8511
PaUenlNamo h:11l.cl-i.:t4 n..JO{..o?:
Diagnosis 'l .B f
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PLAN OF CARE
GOALS
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TRI~TAN ASSOCIATES
..~ 18 UNION DEPOSit nOAD
PHONE UAHRlSDunG, PENNSYLV.ANIA 11' 11 Yu s .
tTIT) 6~1.$B"O . ....
PRACTICE LIMITED TO RADIOLOGY
31
HERSHEY OFFICE
431 E: CHOCOLATE AVENUE
HERSHEY. PA 17033
11171 533.1736
L1NGLESTOWN OFFICE
2151 UNGLESTOWN ROAO
SUITE 140
HARRISBURG. PA 17110
11171 540.5170
,o,..J.ltJ.n.5.fl- 2 801
PATIENT NAME
. Rodriquez Elizabeth
AGE
ADDRESS
REFERRING CODE
PHYSICIAN NO.
DATE OF Dr. Thomas Bryan TYPE OF
EXAMINATION EXAM
659298
8 July 1992
PAGE TWO
COMMENT. C7 is not well seen on the lateral view despite
repeat attempt. Otherwise I see no recent fracture in the
remaining vertebral bodies. The visualized intervertebral disc
spaces appear normal. The foramina are also normal. Prevertebral
soft tissues are normal. Atlanta-axial alignment is also normal.
The study was performed with difficulty because of the patient's
body habitus.
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J. O. Bahia, M.D.
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TRI~ "AN A~~Ul,;IAII:.~
4~ 18 UNION DEPOSIT ROAD
ttAftRISOURO, PENNSYLVANIA I ~ 111
PHONf.
(7 111 6.12.5804Q
Yes
167-54-2801
HERSHEY OFFICE
431 Eo CHOCOLATE AVENUE
HERSHEY, PA 17033
\7171533.1736
L1NGLESTOWN OFFICE
2151 L1NGLESTOWN ROAD
SUITE 140
HARRISBURG. PA 17110
(717) 540.5170
"'ot,,~ U CU'''1_ ","0
.
PRACTICE LIMITED TO RADIOLOGY
AGE
31
PATIENTNAM~ Rodriquez Elizabeth
ADDRESS
REFERRING
PHYSICIAN
DATE OF
EXAMINATION
...
3300 Union Deposit Rd,
Apt G106,
CODE
NO.
Harrisburg PA
17109
Dr. Thomas Bryan
659298
8 July 1992
TYPE OF
EXAM
RIGHT WRIST, LEFT KNEE, CHEST
AND CERVICAL SPINE
CHEST
DIAGNOSIS.
Minor basilar subsegmental atelectasis.
COMMENT. The lungs are hypoaerated. Minor linear
sUbsegmental atelectatic changes or possibly scarring at the lung
base is most marked in the lingula. There is slight elevation of
the ri9ht hemidiaphragm anteriorly which is of uncertain
etiology, however, it could be related to eventration. No active
pulmonary infiltrate is seen. There are no pleural effusions. I
see no pneumothorax or subcutaneous emphysema.
...... LEFT KNEE
No abnormality seen.
DIAGNOSIS.
COMMENT.
are intact
disease.
effusion.
knee joint
The bones and joint Btructures of the left knee
without evidence of fracture, dislocation or bony
There is no radiographic evidence of knee joint
There is the possibility of slight narrowing of~, _,the
space medially. ii.
~ RIGHT WRIST
.......
No recent fracture seen.
DIAGNOSIS.
COMMENT. The bones and joint structures of the right wrist
are intact without evidence of recent fracture or dislocation.
There is minimal irregularity of the ulnar styloid medially. This
does not appear to be acute. It could be related to an old
injury or developmental.
CERVICAL SPINE
DIAGNOSIS.
No definite abnormality seen, although ~7 is not
well visualized.
CONTINUED
..
FILM JACI(ET COPY
ROENTGEN REPORT
S TAT E MEN T
Pase No.004
Asre~ment Nbr: 232
Number : Q.9P,Q.~$..3. . ... Pa bent Resp: 33.00
Name : nf:.iH.~ItItEJ.I:!VllLr-:.~l:lrJl~f<:lU~t";~;' Not i ce Number:
Addr~5S: '"'2560 BROOKWOOD"STREET~'." Bi 11 ins Date :
APT C-2 Account Bal :
HARRISBURG PA 17104 Fin Class :
Social Security: 167-54-2801 Loc of Serv : 3
Note: Ref:
DATE PROC/QUAL DESCRIPTION' CD S WHO A DIAG DOCTOR T F CHARGES PAYMENT
03/20/92 99211 OV. EST 01 1 001 Y 6264 123456 6 19.00
03/20/92 HAA 10 2 002 Y 6264 123456 6
05/15/92 99211 OV. EST 01 1 002 Y 6264 147968 6 22.00
9.5/ . ~1..9.A.....__...,.....,..H.~e.-._.._.<....~ _ _.19. _ ~ ...09.2 "..Y_6.~6!t.,J':r.'.1.!} ?968 6
b.. "., ~2.?~~..1,~:;';;"i:~9.~:.;.E~!.~.~;.:: '.7.?~.~"r:.~! ~.'~~J.?.:;~.~~~lft~Z~!2R5;'
2. ~'l~E~,~Efei~.cd:~JQ:t:i;!~.fl~~?Jlf117~19l'S~;r.y.1l~~'
~!~~9~".II?~l)P'..i\~~o.t;ffi~!iU~$~~m'G~6~~~1
Account
Patient
Patient
09
06/30/93
33.00
19. (I,.
22, (~'
[NAJ=Nxt Act [RAJ=Re-Disp Act [BPJ=Back Ps [TXJ=Trans [EXJ=Exit [PRJ=Print
'!~1t r1fl'''f'rm.
S TAT E MEN T
P'i!.ge No.005
Account Number :
Patient Name I
Patient Address:
232
33.00
09
06/30/93
33.00
"RODRIQUEZ: :.:'
. ~60 BROOKWOOD STREET
APT C-2
HARRISBURG PA 17104
167-54-2801
:
I
:
3
Security:
08/04/92 99213
08/04/92
av, EST
HAM
01 1 001 Y V709 147968 6
10 2 001 Y V709 147968 6
33.00
33. c}
CNAJ=Nxt Act CRAJ=Re-Disp Act CSPl=Baclc P9 CTXl=Trans [EXl=Exit CPRl=Print
..
S TAT E MEN T
Pase No.006
Account
Patient
Patient
Agr-eement Nbr-:
Pat:ient Resp I
Notice Number-I
Billing Date I
AccQunt Bal I
Fin Class I
Loc of Ser-v I
Ref:
DOCTOR
147968
147968
123456
232
33.00
09
06/30/93
33.0e)
PA 17104
3
Social Secur-ityl
Notel
DATE PROC/QUAL
08/11/92 99211
08/11/92
07/06/92
7/6 7/8 SERVICE
07/06/92 INS W/O_. ~,02-.f.: ~aT..,.L62~f\~~3.~.~6 ....,. ..........,...,
~o . Ql 2 .2t3,,~lJ3E'OV;'~$T ,~~.;;:_;I9~~.2!P.AT' y 95991.iI479~E!'E61E:~i'3~'OO J
... _. ~~16i:m.a!"~.&.-''-'',;"",,, L...t. -",-- ~__I.io'.-"".-,> _.,-...1 - -........ ~ -......
,
. ~1/92 99215 OV. EST 01 1 001 V 9599 122876 6 125.00
10/21/92 HAA Ie) 2 001 V 9599 122876 6
07/15/92 MVA W/O 09 2 PAT V 9599 123456
DESCRIPTION'
OV. EST
HA
AETNA CK
CD S WHO A DIAG
01 1 001 V 6264
10 2 001 V 6264
05 2 PAT V 6264
T F CHARGES PAVMENT
6 22.00
6
22.("
100. l'
32,::::
125. (h
36.4,;
[NAJ=Nxt Act [RAJ=Re-Disp Act [BPJ=Back pg [TXJ=Tr-ans [EXJ=Exit [PRJ=Pr-int
..
S TAT E MEN T
Paee No.007
Account
Patient
Patient
Asreement Nbr: 232
Patient Resp: 33.00
Notice Number:
Billins Date I
Account Ba 1 :
Fin Class :
Loc of Serv I 3
Ref:
DESCRIPTION, CD S WHO A DIAG DOCTOR T F CHARGES PAVMENT
AETNA CK 05 2 PAT V 9599 123456 148.5
OV. EST 01 1 001 V 9599 122876 6
HAA 10 2 001 V 9599 122876 6
HaS-INITIAL 01 1 001 V 38635 172399 6
HOS INTERMEDIAOl 1 001 V 38635 122876 6
Has DISCHARGE 01 1 001 V 38635 122876 6
HAA 10 2 001 V 38635 122876 6
OV. EST 01 1 001 V V709 022047 6
HA 10 2 001 V V709 022047 6
av. EST 01 1 001 V 9599 147968 6
09
06/30/93
33.00
PA 17104
Social Security:
Note:
DATE PROC/QUAL
07/15/92
'10/26/92- 99213
10/26/92
_10/21/92 99223
10/22/92 99232
10/2~/92-.99238
10/23/92
.01/12/93.99213
01/12/93
03/25/9-3 99212
33.00
33.("
145.00
65.00
85.00
295.0'
33.00
33.0\
26.00
CNAJ=Nxt Act CRAJ=Re-Disp Act CBPJ=Back Ps CTXJ=Trans CEXJ=Exit CPRJ=Print
..
S TAT E MEN T
PaSle No.ooa
Social Secu~ity:
Note:
DATE PROC/QUAL
03/25/93 55555
DESCRIPTION' CD S WHO A DIAG
HA 10 2 001 Y 6264
Ag~eement Nb~: 232
Patient Resp: 33.00
Notice Numbe~:
Billing Date :
Account Bal
Fin Class
Loc of Se~v : 3
Ref:
DOCTOR T F CHARGES PAYMENT
147968 26. C
09
06/30/93
33.00
Account Numbe~ :
Patient Name I
Patient Add~ess:
00009373
ELIZABETH L RODRIQUEZ
2560 BROOKWOOD STREET
APT C-2
HARRISBURG PA 17104
167-54-2801
.
.
[NAJaNxt Act [RAJ=Re-Disp Act [BPJaBaclc PSI [TXJ=T~ans [EXJ=Exit [PRJ=P~int
..
..
III
"'... TELEPHONE (717) 652.7266
usoe.' 3544 NORTH PROGRESS AVENUE. HARRISBURG, PENNSYLVANIA 17110
June 15. 1~93
TO: Cohen, Dloaul. ~very a Haber P.C.
Attorneys at Law
Fifth Floor
1528 Walnut Stres~
Philadelohia. FA ljl02
RE:
DOA:
ATTN:
Ellzabeth
7-6-92
John J.
ROdrique:
01 oau I. ! I
Oear Mr. Oloaul:
I am resoonding to your request regarding a narra~lve reoort and a cep,
of my bill for serVlces rendered to tne above referencea patient of mine anc
client of yours.
The patient was seen by me on July 6th, 1992 at which time her ,"eight
was 272 pounas. blood pressure was 136/78. My nurse notes the oat i e!'1:
complained of being in a motor venicle accldent thls morning at 6:0: A~. Shs
further notes that the passenger sice was h1t. The patient was cr1vlng. Sr=
complained of d1::::1nes5, right wrlS: c::llr:. 1'3-r: kr:se pa'1 ana che$: pa;.,.
;"'ccor~'lng tc .."..., h:st.-:,ry :!"le :;:.:~';:"'': ~...a3 q.-;.~S :.:) 'Nerl. ar1C 'iac .....:..
seatbelt: or.. She c-;::: .:cmc':u:, :;-:-- '.';.':~;r. 2":e ,"';;.:: m":.,1tnal com:':3.':1:''s :-
headache. Sra oen~e: ~~~~:~;rg i..~r ,~~=. ~he""e was 110 ;CSS of c=rsc.=usr~3a.
Sr...: did admit t~ wr'c~,:\:." It~~:t'r:-, 'I~ :".; f.-c'~t. arc o:J.c:..::J": t~;:? nee:-.. ,;f"i-33;,.':
~~a~ ~3r r1g1.t wr,s: ~a3 acre fM:m :'-~"ng ~o s~ea~ ~ne C3r. Sre a1sc :~c:~:
~ha~ sh~ ~u~c~~ h~r 1~~: !~~~~, ~'.:~'~:'e~ :~~ ~a:~s~t a!s~ :~mp~~~r~~ of ~~:
ste""~:l ches:. :Ja~r. ':':Ie s:a"'4~: _' _., :::~ ::ai!~< \'/aS ag.;-rav~t.ca :J~ ce5::
orsa~;~i~s. T~~ ~a~i~:"~ r:~~~~ ~~~: 3-~ n~c t1~r sea: ~e:~ {)r wh~n scruc;.,
~OC~-:'C"::::.: :::'L.:r' -:c ;:,1: ~.::j<:::;'~: :....:; ~at~=~-:. has ::een seei",; r.,.:.1.3c,'
l:'?t,--;. '., 1'" ~')!"" ::()S3~::-:j,= ~;r.e:r.,3.r.c~" '.t. r1.-:t.es lr",C~c.9.:-= ::~a~ sr,e \'/3.S = '_
:"-':-"'~!-s Cu: "j~ no c~rH:C. \ti :1c,:es .'10:::~:.e tn.3t. ! woulc refer ~ne O:-::'1a,"~
ca~k t~ Dr', C3~~ for =03S1bl~ DrE~nanc.' ~~a~~3~lcn. ~er ~regna~cy tss~ ~-:'.
5-'e wa:: necat~Ye. :_lr~ .:Oj~C1:1''t.: 7~'-la''''cs ~'.n:;an~= mer.l=-anes \ole:"": :"';5.:'.
p~Joi is w.;re" e"~ua 1, rown.;. r-3act..,." e i; -?ht. J.r1C ~.:comrrccat 1 en. e:.:r.js.-C'G~: J: .
muscles \'1ere 1ritac":'. fi.H~~Ll.sCOD1C a.(ai.'~r"a':~cn \"32 wnremarl.;aole. The I'.e~r-:
demonstrated a recular ra-;:.e ::\",\.'j r"~'''':"'';rn. t.he 1'"lr1'::5 ~'/e,"e clea:"'". Tr.:re ',-;3.:
tendern€ss ovr;:,' the ('1Qr: iateraj ',.,r-~:. :u:. r.ner9"~o;a~ f',j': range c- :i.=~::"'.
The patient 3'S~ c~~p'a':~ed of t~r(:er1~3S at tn~ b3se ~~ tha o~e3S: =~,"e,
~t,..~..= ':~:: ,., l-"~:.2":"n .. :'''e .'.::.....~ .....:-;~.. ~'..~ ~.:-l~.:::' ~ '=lr:'-r~,;,~.,~~-=l:: ....~.:.'? .
~. -0:,
- . - - .
..
RE:
PAGE
ElIzabeth Rodriquez
2.
The impression was a motor vehicle accident. My treatment plan includee
a referral to Dr. Carp. x-rays of the rIght wrist. left knee and cerviea:
soine. a chest x-ray with ShIeldIng of tne abdomen. a Quantitative HCG t=
rule out ~regnancy. Aeeltlonally the wcunds were cleansed ana the patient
was adVIsee to refraIn from worhlng. She was to be checked on Wednesoay c-
Thurscay ana was acv~sed cniY TiIG'1C' fer palf'.
Radiograonic studies were cbtalnee on July ~th. 1332 ano the cnest fl1m5
showed mInor baSIlar sucsegmental atel~c:as13.ThlS is unrelatec to the motcr
vehicle accident. AdditIonally x-rays of the left knee showed no abnormallt)
and x-rays of the r1ght wrIst shcwee ne recent fracture. The cervical spine
showed no definite abncrmallties (a copy cf thIS report is included for your
perusal). My office notes ine1cate that on 7-j-92 the patient had a positive
pregnancy test. This. however, \~as later diseovereo to be a laborator:-
error.
On 7-7-92 the patient was seen 1n follow-up exam1nation. As notee
earl ier the pregnancy test was negative and a laboratory error. On the
examination of July 8th the patient complaIned that her left shoulder was
sore; she complaIned of di==iness. neck pain. low back pain and continuatio~
of her right wrist pain.
Objective findings en thIS date revealec that her fcrward cendlng at t~!
waist was to scme ':0 c.;,;r:-3s. T~'a'-~ \'1:;;: iJ.t.aia1 movement anc ~t1e p,'i":1e::
~"'.'l:.= ab1.: tc fl,;', he:'" .ieac 7'~['...:\~~. .:.id~ :nc/e~er.t cr the !"'le3C \'ias 2:) :.:; .:.:
fjagrees c~~~:,.;,"'~i~.'. T:ler~ 'tl:~1.2 ....:1; r:1~q€ ..;,~ lrl;',ement. c~ ttie aim OI.J~ :,....;:
catien~ ~~ma11~1ed of 3ut:e:~:'/e a~~~"'~r. s',=uice~ Q31n. ~aa'~~=~ai1y. s~e
:QmOi3~~e~ ci ,:Litj.;C~:'Ir: 1';.1: j.:i:=r~l '."1-4-3:' ,:~\~n. Tr.e assessrr:er.: ton,:: t.~;.;-=
was ~ult'ple ~~~uma.
N~ tr~a~~ant C~S~ 3~ :~i3 t'~e ~as :~ oc~ain ~-r3YS WhlCh ~3d not :~
~~~., re:=r:ec. :;:3r: :ne ~a:~e:'~ cr~ ~nysl~31 the~ac:i ana aca'~'cna11y crc"'c~
~e~'C3~~cn .~ :~9 ~:~:n of CO'~b1~. ~80 m;, cw~ce a cay wl~tl facie, ~aKer Ci~
a ~a,'-d3; ~e~t~c. F~~~r~r~c-~. ~~e ':3:'~~: was q~~ on =le~e~~', 10 re~. thre~
t'mes ~ da:, ~~r ~~r ;3;;. :~:e:E~~ '3 ~ m~;~~is r~ a~an~ and Dc1oc:~ 13 ~.,
~t":t.~-ilitl:1;,;";j;3.:';::--:', I
I,:'n )...01/ 1.5. "}'J2 ~he oat~ent W,3.3 :;eoar1 ag~~;~ 1~1 foilc\\'-'.1o. Me~ '../91gr~::
was 276 oc~nds. tile oi~cc cressure was !2~.~~. The catlent st3tec ~;~a~ s:,~
was not fe~~'"~ w~ll. She hac gC,le tc OhjSl:31 therapy ior scme ~nrse :ime~,
She tool.; t,c: cairo :ned':;a:;Ot~.3 C'Jt 0"-;: nc.: get c;,:;,oc r-elief. She n~~€-c :....-:
prob1elns bec3m~ worse 1~ :na e'/~n'r1~a. 3he s~,~l ~cmol~~nec of ~e3aa~~'~.;
D'::'~e:=~ 1..'3:' a: :;.') ~ l;r;,Jiem. The r.,.l~1'=~: st.a~-a-'J tha-:. sr~~ was S1eeC1Y1C: .:
lo.~..= \."'\Ij"'~" ""'""d ''''"L:''? _.. ~~._':'" ..., .., r?d: S~? -,::-:;::~. ~.., f'''I'1I1:'. ei.::........
rn1:1'n\,~1 :Jal~ ~r, ~:-,"i: r"t:~>., Tt'le:"e '''''.\B '.;,-:c'::'~lcn::'-ll murnln9 ca,,,. Tho?!r-a was "10'.,
1()~1 bile;', r:':l1I' \~i1',Cl was new. ',:::i)eC~h-!' Tlnc1ngs revE>::!.led i_Ill range _,
m\1:io" of tne rlght wrlst. Tne ~rl~: W35 no~ swc!len ncr eCChvmotlc.There
was tenderne~$ of ~ne 'umbcS3cr~1 sp1re and the fcrwarc benclng'was !lm'~~=
~o ab'~ut ,20 degrees. ih..;: a~~L)e$:~rr.e"t wa3 SDra~n/str31;". ,.\t, this t1me t:'1E
0;\ t ~ -=" t. h';)~ l"ef ~... ;7;"j fc l-.V- ~r:7 r..:--f = r"':~ :~'t;:: :;"d ~~ r-. ':.J h€ r C 1:: - ne~ 3 a'1'-;
r'-=;.\l:,-:~~l'?3. F:';"'-~'-':i:I"'t'.:.~:. l:'. :"\';:'C=;l::',~ '~,;..--::--:1 \'l,".l.; .:Jr:C1.~~.:-j. T."'e oat~c1~-.
RE: ~ll~abeth Rodriaua:
PAG'= :.
was given Toradol, 60 mg, 1:1tramuscularly and ~.enalog,
lntramuscularly. Finally, the patlent was given Anacro~ D. S. to
'3'/ery 12 hours. The Dolobld and Fle:<eril were dlscontlnued. The
therapy was ccntlnued ana the patient was to be seen in ene weeK.
x-raYJ of :he lumbosacral splne were oot3'rec.
40 mg.
be taker
physlca'
Finall/.
~he ca~ient. was ne:...t se~r. ::r. Jul:. 2'::. 1'.?'J:2. Sr.e ncteo ~r.a"C sne '1fa:=
5e41"9 tne ENT phys~c~an nelt wGel~. She nad a~ crt~cpeCl~ aooo~ntme~~ :~ 7-
30-9~. She st i 1 1 cern::; 1 a ~ r:ec of even i !1g :;a ~1. Some r:ecp, oa in rerr:a ~ nee.
There was a decreasing frecuency of headaches. Tne headacnes were primari!,
frontal and above eyes. There was nc assoc.'ated nausea or vomitlng. The
patient also still complalned of her di::iness. She stateo that the Anapro.
was giving her better relief than the DoloblC. The patlent lnformed me that
she was to get her lumbosacral selne films toeay. She was in physlca
theraey. She had oeen started on (lcme e;<ercises and may st:art on elcyc....
e~ercises on 7-Z3.
Objective findings on July 22 revealed tenderness at the base cf the
neck and across the shoulders. There was good range of motion of the eac'
and seasms of the lower back were noted. The assessment this time was
sprain/strain. The elan was to cileck x-rays, continue physical theraoy.
continue Anaerox, obtain the ear nose and throat evaluation and obtain ar
orthooedic evaluatIon. The patlent: was to be fo'lcwea-uc in seme two we'3-a.
~ ~h~S~~3: ~l'eracy r~a=r: waJ cc~al~~= fr:r~ t,~~ ~~:~s vc~~t~1n Phy~':~
-:~~~a~~ & 5:::ro:,z In.;w~~. :ent~r ~a:e= .L;
~ =:;0 I ':'7 :':1;': ree.:--:
-- ,
.....
. ~ '""... ,
"S ir;:1...Jc~~ fo'- Y:,l.ll- i03';;-a....J.
~3. Rcdr"1Cue: was a13c seen ov :~$ )rt:)~oed~c ;r:uo cy ~:c~ars ~r~=~r.
Da:1yl, 3. Vai1g1esen. ). c=::)>, cf t.:1';3 re:::,crt. S lt1c:l.JCec Tel"" yc~r per'...sa-
Th,=ira 1mo'"eSSicn was ,:er';~Gal nee,; S":.t-3.'r.. iumca!'"' s:.ra'"n, :lr.c car.'ti..:S1:r,
r~gh~ c,s:31 ulna.
~ ,;
~;....e le-:.t.er'
ncp:;:.erc 0 da',
\'10. 1 ~, 1 r". ~. 7.U 0
:~e~ ~~c:m~9r'~ec :='1ser~3~:'/e me3JU~e~:
'>rl~ ,.tJ.'~"d,,":.:r'i ..-1se'''\::.:, mus.:,;'e r-:'Ia:.:anr_-=.
=a:11::1 ~-.;t :lnd t;ris'~al ct'lcr3::,'.
::to
~.;;.r:.:~;:
('C ~ec '" .~
..': : ;;J.r.
Q("~'Jram .
.,,:.::r'".i;::,:;,;
Thi: ca-:oent ',,':-5 ~.e.;: seen )n :~---,}::: c;:;moi~in'r:g or 'iea\'~, i';'Iens--:.-....G.
ble~ding. This was unre13taa t~ trle 3~c'~ent anc ~urther ~icta~10~ en ~;~'3
ma~te~ 15 !uper~luou5.
en AU~I.IS~ ~. 19~2. t~e pa.1ar~ ~~; 3g~'n S~~1 for r~ch~c:~ =7 ~h~ mo::
'/~hic:.a )::r;~den7;. i"Y ,~~:a:3 ~~;;lca~e ':.-,a: sra :13S "'07- ~~~!" In :nJs-:;:-"
t:h~"~o'-l fOr" ,:\...~ '=3.~~ "'it: -.",r~3 3';-:':0{"~'.1:"." ~.:; t':.:a'" ("!e~'rf' v::t.'l,!~::i O:-:1o?r::......;. '.:.~-.
o'::'oc<S r..;~:\:. s!",o? rlac Sf:e~' ~\r'. :':'..1r"k ;;:;1C 1""3;3 f":C ::::i::lness r1C\oJ. '':'..1r.sL.i-:.a:j:':~
~~r..t.e'" 1$ n-3nl~'ng. f"n"le E.nT sva1uat:~cr~ ShC\'lea '3. ~atl"!cl.~,:;y of the s'n~3~.~
unr'elated to tn~ macer 'el~'cle aCC1(~ent;.
Fur-r.her", regar-d1t1g tr,e o-:-fl~e
~:at~d ~ha: she ~lC see t,~~ :-tn~:pec
:;O:'r.t' ':.~~!" -?-= '~~I~I=: 'N.;''':':'' ':. S;)-~ ..J,:~:~
.
',"S':' of AllgUSt. 5, l'3'J~t thE- patier.-:
'5:, Sne :~3a a ~~11(:\~-uc e'3ml~at:cn ~~
.; ....:\~. ':"-3 ,"1;,'" ,'l;"";".~'.\.:'" 3.i~":: !i.. \.;:::~ :
RE: ~lizabeth RodrlQue:
PAGE .;.
ta~,a time.
The patient still complai~ed cf
shoulaer pain had subSlaee. The
secondary to mens~ruul cram~s or
lolY cack paln ana right
patlent was net sure If
~usculoskeletal.
wnst paIn. 1:-,0:
her bacK paIn lYaE
Objec~lve flnelngs ro:/eaeu tte catlent was )~le :c cene forwara SC~E
~O to 45 degrees. Latar3 an~ cac:~wa-c mC'/emen~ W9r~ ~u1 i. Thara was ~.. _
muscle soasm cresen~ ,n t~~ oa~a';er~aor31 regie" 3~ L2 ~c ~5. The a$sessmer~
was sorain. The p"an at :nlS tIme Nas to cor:l~ue physlca; th.ra~y. co trE
orthooedlc follow-up In some :nree wee~s, :antl~ue the Anaorax anc fallaw-uc
after 8-24.
AS an addendum, it was noted that :ne patlen: works In a warenouse. Her
jOb was mostly sittIng. She will return to IYcrk on 9-10. The patient was
to reschedule with physical theraoy.
On e-11-92 tne patIent returnee for another serum pregnancy test.
On September 17, 1992, the patIent was evaluated by the l1arrlsbur=
Orthopedlc Associates. The Imoression at that time was right wrist sorSlr
with some degree of .xtensor tendonitIS of the rIght wrlst. A full copy c~
their report is included as an acdendum.
On Sentemoer I", 1992, <::-,e :J3tienl: 'I/as a3ain seen for a ~ol;ow-uc of ,.:
motor vehicle aCC1can~. Sn~ s:~~es ~~a~ ~~e r~gl': wr1S: was S~~~~ oa~~~_.
and burnIng.
S~cject've1y. tha ~at'en~ cernc .a~n~c o~ :'0 crcc~ems w1:h ~ar o~cx '~~~j.
She no:ec that she nae seen :~e (or. cr:~Qc.dlC ;rowc ano they :ncugr: sn~
mal have hac a "tone chIC' but the .-rajS snc~ec ena: thIS was an :lc l~J~r!
The oa:lant !~CW comcla~nec cf ~ai~ 1n ~e: r13r~ wr~3t 3~C rigr"~ ~cre3rm. _
nc:ed 3tcv~, t~e oat~~nt Naa S6~n ~ubs~~L;antl! c~ :~~ Ha~~13bur; Jr~1C=~C~-
grOL::D.
:-:.t~'3ct~'Jt;> T1r.d nq3-:'i)t3:.-:: 8a~ 7:a;":-':I.'eS~ .;.e: ~r-a dcr-3~m c~ :':":-E: ..~;:~:
~
w...,s:, tl'l-:iS ~I~\S a .....=;.:1:.1..: t ~~.!':.: ~'~r,. 7~er'; ../~3 ~c oaGema fjc:a~. ,'-;
assessmen: w~s \~rist ~a~n. ! ~~c~ac ::~a~ : ~'S1~C t~ ~efer the ~at'er:. to :...,
e~log =; :n~ ~arr'sol~r3 :r:r~ce~'= ;~=uC 3!~C a130 ~~;:lca:ec ~nat :ne pa:"e~~
may ne~c a~ =~'G ,:ir ar. ~.1R! ~.;ce!"c~ 'l<; ';:,";:)i"'~r:,::O&-j,~. ,:CH~~cn. The ~at1en~ ;'13::
to be see~ -n fcllcw-uo In $~me f~ur ~&e~'3.
~n 1J-~1-3.2. ~he 03~~an~ ~.lme ,~ :C~C.Jln':": ;:t :~::1~ess. 3~e ,~as c:~,-
b~1 my aS$.::.:~a~a Ct"'. Saci.. Tl"-=J~:.lgt1c.:~s \'1):; ;lc;..r,,~= 'aC:-'jnt;1'~1.: ~r.;:: ~r.re ..:~:e::
'-''I':'.
~.''le 'H~:: se.an fo- a fc ~ 1 ,,:\<J-'...O 6-ar.ll ~~at :cn :;n':'.:t..';;Jer 2jt.n. 1 J9':.
The patient was seen f~r nmenorrhe) en '-12-92.
seen by mv associate Or. Lahscn. 7hls 1S unrelated to
At tr.~s t1me she
the t~VA.
~Ias
RE: E1i:abeth Rodr,oue:
PAGE ~.
en .January 12. 1'3'3::1. tne oa:'len:. 'Has 3ga':1 seen C:' the Har!"'sbu~;
QrthoCeC'c AssocIates. At that tIme :.he lffioreS31cn wa3 u'~ar nerve neurItIS
of the right e:<tremlty. The treatment clan lnc~';cea clscussing furtner
actions w1th the eat,ent. The patIent was a=v,sec sne coulo cantlnUe 'HcrKlng
with or w1thout her so11nt as :.:::"r:\:e,:. A :opy of t:'IS "eport IS ,nc1l.:ceo
fer your examInatIon.
The oat1ent was agaln s~ei' O~ ~~~ ~~rr's=ur~ jr:~cCe]lC A$scc,ates ~n
January za~ht ~9U3. A: tna~ ~'me :ne :mc~3s3'cn rlas a r'gn~ ~~nar n~uroca~n~'
that is taroy 1J11iar n<3,.-ve :Jai1}' '/'4~~,:1 :'.:rn:;r,=s~~'=r ~\~.. ti1e .a!cow le'.:ei anc ~
carp31 tunnel s:mcrome. Both of these aapear to have oriqinated from her
accident of Julv of 1992. Tne 0;3n 15 a;: oescricec in tn.: attaC:1ec
correspondence from tne orthOpedists.
Correspondence receiveo fram tne harrlsburg Crtnooetlc Assoc,ates datec
March 12. 1993. ino1cates tnat the cat~ent unoerwent operative treatment of
the right ulnar nerve ealsy. The lmerssSlon was satisfactory progress after
ulnar nerve transCcsltlon and caroal tun"el release of the right haha. Tre
plan is as noted 1n the enc10sec :orresocnoence.
The eatient was again seen 1:1 my offIce on 3-2e-93 regarding her bircn
control. This is not relevant to her motor veh1cle accident.
On April 16, 1993 :orrespondence was mailec to me again by the
Harrisburg 0rthcoec'c Associa:es. -~e! raa :cne 3 rechec:, on Ms. Rcdric~e:
fC~"l~w'!ng her ul"a~ ~s:"'v.; ~;"'~:1.3;::c.:,!-"4::r'l -:.nc .:arc:l; t.un:~ei re1e::.se. T":a.
.,cr:.ec sa~isf3.c-:'o("/ c:-C'';("-:2.3 3.~-:::"" ...;~.,:~. ,~~:"i':: -:.....1:---3~OS':~.=~ lnd rel-:3se .:.:
t:"e .;~ccw a~c car-;'l :;J'-n~; "S -=:'2-: ?": :a.; '.'I"~:::'.
In $umma~~ i: '~:~1,: 5a~n~ ~.~:3 :~:.~.: 3~3~1~~ec $:g~:f':ai'~ aamass -::
~h~ ~1~5~ ne~v~ a~c ~~cu'rec 3~ ~'1~~ ;'6:" ,a :....ansO=31:10n 3nc a ca~pal ~unre
('~~ea~.: fo11o,.nng :"':el'" ~l.,;:.~:n~::,1': lc~'-::enJ:. :;. J:.J~l .:. ")'J~. 7r.1S is \"6:
occumantea In :ne ~:"'tncc~~~: "c~~~ ~ra: : n3.e :;~cjucea for ycur cerUS3 .
=IJr~h.;r. tr1e Ijatl';(",~ S~.:S:'~~-"~I: =~'3"",~:"'~-:.:\:1: :::3.= ~,.:m~ \oJor-.' t\~C cr:,.~'i~~
.. ToO&' ": rmel1t.
::':~'-:s cf ,11/
... ,- .." ,...:1,... .~.. .." " ...
.l.,.. . ...l..._'''. ~I 4'" '..
.:.f - 1.:e
~ -.'
~e:':. :.;':
~:1~ -: r;n~~:.' cr."3V~
...... ....~ .
.......-:.:
:'~~a~ ~Cr.':. ~e~'~~:=
,:C~ r~C~~-9 3.~=.:-:r.~
. .~. ~ ,...~;.:: : ", :.r,
':0 co,,:..;\c't rr1P..
"i~18/cec
.!.~. ,
:'
Ji~;;;~! ih. c'
~ ';"'~= /' ~-(1;.
. ....,. . ..--
.,.
!l()
~t'iC ~ ,:sl.res:
~jf.;: ~ :.-3 not.::::;;. ) t)ag~fj,
Reoorts. ana Cc:nsl..A j :3:' ,;n$. . 7 ::)a'~6.!
. 1 1 '-:t":'lrt l:(~n'.'
~ ~ 3; i 1: ..,': Ct"::\"q~;;::
.
COMMUNITY MEDICAL ASSOCIATES
3544 North Prog,e.. Avenue
H."llburg. P.. 17110
Ell ~fh R~ ~:r>"
..Jt:= q:1 '17
PROGRESS NOTES
~IZ.
11'b
~ 0101+ -4-h.l,[)
CLIi) C
- ,,:600..
- Rt~Il~
~
L
\~Iq~
...-'-
~ ?, u.. ~Ic
,,5,\.cl.t. We=. W - \u
c>-Uv lL\O Q.U~T J..~'f'-
. t-"""L.. . 1,1- ,.r
tJ,<~1 . Au,., )0,;-; )1<1 lOc;
h-t\. ~ ,....~. 0 ~~ /JM-
~; tY'M'rJ,' /JizL,...L ()lv.1- t.J'f\-st t:: J>>. /t.,t. .
tWk W ,~.l t,;)~'. 'J. .~ M. 1ft : ""In ~ /frt.1JlW- 4
d {1W..1}..... I tfJ).Lt j.J /Jv {"rA- -t. l). c,.. f) - (J"m-W- f)Utr~,)
-lh~1 .k ~ I'K e J.f bV .,..u,.... I { I U-
: ,fh" tU,..; r:~fl.LLJf:1J {. Jp.....t.:c8: /Lt,.t.it:rV-
'R ~~1u.l ~~ ~~ ~ .f') .. .t Ir-
lfiAN-~ -;1 (l) ~.-It ./ 'i+-t:w... ".~
A " f(\J It ,- II
_p. ,vu..-i)" C~r
dA~_~ ~~
..~~
" l!. -Il~
~~
~ W^~
/" rJ./JJ.- I ~.
., J Qw..R- fd~ .
.:
Cv.t 1-
J ~I- A~J.
ft)~",~. ACh
@)
.
.
'l-'7-'1J. p~ f1'~r'IAA.fO' 1u/. ff:- IM~O-j,
~ ~ -6, Q~tg t.~. ~k1 '11.uu..Q fiJU
i ~. ~ f1JJ\lt Q ~ ~.. Cf).'r ({bJ
-, .~
.
, Wlu-- .t jJ/uv.~ ~ Q
-.-G ;J,~ jJr:...-; ~ Z' CU. jIIJ..4- ()~; Jw ~
. . , I
--:f~; ~~~ Gr>-,; "
_~~~e W~r i~';. il'1:iuL~~
___ ~ G"l;u. i~ ~,I- JIf'>W'I-; jJJ.J;.. .".,..~\- ;lO ~J,o,;'
_ IJ,.tJ; 0I;;.t1 /-11(\ 01 ~ b-vr ~-yl .~ {-'
C0 J. ~ (,lJ'Wo~ " ,.,; .
A! M ...ti;" f tr;:;. --'
P', ~ .
I ,T' /h r . 3 II ). ""j.., .
0~./rt'L $~l )([oJ.
AMl,o
D./ Il#ll'
iJ
..j I"~I! '''''':'''''''ThJ''' .
n c...t '-10<;._. . -'-l..._IO... ........
If!~ .' Jj.'a.h_llbJ &IJl(jrnF5
I J f~ - - - -- {J tY!lL (~
JJ -I - - -----~a2.3,- r --~ -
. ~ h _~:.' _- -- -'-~LJ_C:
!u c_,;';;~ - ---j C..:_.. A.
...
",c:,.a"No.
'E
.-., 0
-_.. ~
~7'1.:"=- II:
g~. 'j f---
'7 r;j!j~ LeJceS-. g
. 'Bi..~W(.q .. i J
~-~. .!!,
- QI
_. -- -- '-'-- ,..
~. ~iiCl;-1 CfI1rt...'t I ~.,.---...-..-;;;. - tel
'0 No v.. No . --- Iftll....
C 0 C .:: -
..
__fRISTAN ASSOCIATES
4S1e UNION DEPOSIT ROAD
. HARRISBURG, PENNSVLVANIA 17111
Yes
167-54-2801
ADDRESS
REFERRING
PHYSICIAN
DATE OF
EXAMINATION
3300 Union Deposit Rd,
Apt G106,
CODE
NO.
Harrisburg PA
17109
HERSHEY OFFICE
431 E. CHOCOLATE AVENUE
HERSHEY, PA 17033
(7171533-1736
UNGLESTOWN OFFICE
2151 UNGLESTOWN ROAD
SUITE 140
HARRISBURG. PA 17110
(7171 540-5170
PHONE ,
1717Ie~2.aa40 .
PRACTICE LIMITED TO RADIOLOGY
~ ..eUlItllY NO
PATIENT NAME Rodriquez Elizabeth
~0;^'?
AGE
31
Dr. Thomas Bryan
659298
8 July 1992
TYPE OF
EXAM
RIGHT WRIST, LEFT KNEE, CHEST
AND CERVICAL SPINE
CHEST
DIAGNOSIS.
Minor basilar sub segmental atelectasis.
COMMENT. The lungs are hypoaerated. Minor linear
subsegmental atelectatic changes or possibly scarring at the lung
base is most marked in the lingula. There is slight elevation of
the right hemidiaphragm anteriorly which is of uncertain
etiology, however, it could be related to eventration. No active
pulmonary infiltrate is seen. There are no pleural effusions. I
see no pneumothorax or subcutaneous emphysema.
LEFT KNEE
DIAGNOSIS.
No abnormality seen.
COMMENT.
are intact
diseaBe.
effusion.
knee joint
The bones and joint structures of the left knee
without evidence of fracture, dislocation or bony
There is no radiographic evidence of knee joint
There is the possibility of slight narrowing of the
space medially.
RIGHT WRIST
DIAGNOSIS.
No recent fracture seen.
COMMENT. The bones and joint structures of the right wrist
are intact without evidence" of recent fracture or dislocation.
There is minimal irregularity of the ulnar styloid medially. This
does not appear to be acute. It could be related to an old
injury or developmental.
CERVICAL SPINE
DIAGNOSIS.
No definite abnormality seen, although C7 is not
well visualized.
CONTINUED
~
11 ~l ~'V .
...
. rilSTAN ASSOCIATES
45.e UNION DEPOSIT ROAD
JNE' 'HARRISSURQ,PENNSYLVANIA 11\\.
.f\1I8~2.5540 .
PRACTICE LIMITED TO RADIOLOGY
Yes
-...1.i:1mA4 - 2801
HERSHEY OffiCE
431 E. CHOCOLATE AVENUE
HERSHEY, PA 17033
17171533-1738
UNGLESTDWN OFFICE
2151 UNGLESTOWN ROAO
SUITE 140
HARRISBURG, PA 17110
17171 540-5170
PATIENT NAME
AGE
Rodriquez Elizabeth
31
ADDRESS
REFERRING
PHYSICIAN
DATE OF
EXAMINATION
CODE
NO.
Dr. Thoma s Bryan TYPE OF
EXAM .
659298
8 July 1992
PAGE TWO
COMMENT. C7 iB not well seen on the lateral view despite
repeat attempt. Otherwise I see no recent fracture in the
remaining vertebral bodies. The visualized intervertebral disc
spaces appear normal. The foramina are also normal. Prevertebral
soft tissues are normal. Atlanta-axial alignment is also normal.
The study was performed with difficulty because of the patient's
body habitus.
(~,~~
J. O. Bahia, M.D.
JOB heb
@
1/'1 1 ~ V
..
'COMMUNITY MEDICAL ASSOCIATES
3544 North Progress A venue
Harrisburg, Pa. 17110
PROGRESS NOTES
I~
..4' d'
t ,,).. )..J.tv.
. ~ . .....-cL. C;-V"'{...., .;.",.bJ..'t u.w ~A:
o1i- .1~i;. /lV."u.,.,..i. J~ ~ ,....f.,.: ~l'C ".1\-. i-' jHJ/-r,I-jl,....' .~,..)
(;9 (.C'Vl'f. iJ/ /J"'~ ~ )'... ".4..' ' ,
l- \ () .OW''',).. tol~J-- III ') I .
t;-- .
u.JL ;J.~ '
tr. I J 6 0 ''''1r .J ,y" .
-r- ~#
lu...J'.~'r ~"'1' r fr.
~"'r~ ~. \ . ~") ~ .' ~I J.,.; 1- I
'DIe. J~'/,u.). I flJ.t-el.t.J'
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\
II. A-
A I ~M.. I 4t;:;;..
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t~ ~l", (
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r~ ~""T.). I.,t /
" lJ\o tJ,:. ionL'
. 01~/
g
s. II~ Ifkct.j _ 'I- 2 wILd. ldlfJ
~. /lk""-' ct~~ lH4'/' "i'
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to: W Od' . u.1Jw.. 'J.. ,;
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6 p ~i$~
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3544 North Proaress Avenue
Harrlsbura. Pa. 17110
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o 3544 North Progress Avenue
Harrisburg, PA 17110
o 36 South River Road
Halilox, PA 17032
Name~ ~~)_
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Wage And Salary Vortfk::atlon
File N_ Z3:!3.5<
1~:13S''/'-c,t. .
( ~C.&/
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GenLi.men:
The above named perlon has appHed lor blInelita undar the PEFlSONAL INJURV PROTECTION LAW as a rasult or
Injurtas sustained In an lWUlInobilll accident on the date 1ndical8d. We understand this person Is your ImplDyee or
former 'employee. To assist us In determining ben8Ilts \hat may be due Ihelppllcanl. please provide us with the
answer. to the 'allowing qulllltlons. . ". .: '.': "'.~" ~~ ..."... .J'e rei.. ....1,)
. '.. '. u~ :~:;j" 'O:J~rrl
Tnank you tor your cooperation.
.1r-~/S:f5"t/-r; :i"~
D=\)MIon
:J + J
w.... uolDalIaI.-- ::c 0 PtrHt.
a.- Cl NlIl.__.1J2.'1." Cp--
CI Gross EatOOg$ During 52 W.. Period Prior to Accident
o Please com ele schedule on rever".
G?tJ.-,?ut;~ 19~ 11d4A.J
~/~f!il/- /}ft.tj Clalm Oeper1menl
o-.aI~
SlIIIIDalI'lo.61 Eftl_. e
tr_ AIMInl FQllQwvlg AccIcle .
DalI1 . 2. EndDalI 8.10. 2-
,~':5.9.3 i)(~\-
fQ\C1 ICC/, ')4\ ,3'5.Q3 -~31 .'1.:
~lCl' :) P"y 0'1-'
)5. Yas CI No If .Vas", amount paid S ~'fSif'; o.j
Was employee paid during absence?
Is employ.. onlitl8cllO benefits under . wage
or salouy continuation plan?
Has employee IiIed claim lor benefIU uncIIf fII'I/
wonull's compensation law as . result of lI'Iit
accident?
Has employee received. is he receiving or II he
enlitIed to receN9 benefits under any wor4tets
salion law as of
laVes 0 No
It "yes". amount palu or
available: S : of ~>' J'1
CI Per Week CI Per Month
o Vas ~No
-
o Yas lia" No
D~
leA~ "';e~L ctCl.fe~ ClbS<r1t" 1('\ ,1 /3)
~_~L / P,{L~cL l,1;hl:~ OtJtj . {)(f." bi!le-hls .ft.t}L~.1I5tibl1-
J-f tJ,/J...(-I1~ /CI,~t ft.1.t~I7o/U? f,(ltu{.., {J tn7?L7f //f,v
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Wage And Salary Ve,mcatlon
ID"1:,1/-9~ 1000P'*<:'t/~ahe.M.. ftJcbujt~
~uL lfnp.v .
~&6 /(tul'/Uacj,. attf...,l
rJaat1!uLL fj;. /'lC' / /
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ID"~o/f.2 ~i;;JJ~;;J I
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SocIII Secumy Numller (,1-.5<1-2 cW/
Gentlemen:
The above named person has applied lor benefits under the PERSONAL INJURV PROTECTION LAW as a result 01
injuries sustained in an automobile accident on the dale Indicated. We undarstand this person is your employee or
lonner 'employee. To assist us in detennining benefits that may be due the applicant, please provide us with the
answers to thlIlollowing questlons.
Thank you lor your cooperatlon.
~)td~~k~
Clalm Department
Was employee paid during absence?
J
r
II 01 0.. 01 112
o NeI.__s.
o Gross Earnings During '52 Week Period Prior to Accident
o Please complete schedule on reverse.
}'(ves 0 No
Is employee enlllled to benefits under a wage
or salary continuation plan?
Has employee filed claim for benefits under any
worllers compensation law u . result 01 this
accident?
Has employee received, is he receiving or is he
entitled to rsceive benefits under any worllers
com salion law es . result 01 this lICCidenl?
;rves 0 No
II "Ves". amount parr.
II .Ves.. amount paid or
available: $
o Per Week 0 Per Month
o Ves ~No
o Ves bt'No
o Undet8nrtined
~t::f
C.3285 112.911 ~
~A~+
l/'U''18
10-4.2.8 0
'"
"05 Ralltoad A~'
RO Bo"'SSI .
C~ HiI, PA ,100,.,.5{,.
/'IJoIM: 1'1.131-1500 .
Fa.: 1,1.131..o5D2
"RU''''MP'R.
lIo4""",o4lf, AHuff'tC~
May 4, 1993
Cohen, Oipaul, Every & Haber, P.C.
5th Floor
1528 Walnut Street
philadelphia, PA 19102
RE: Elizabeth Rodriquez
Social Security #167-54-2801
Date of Accident: July 6, 1992
To Whan It May Concern:
Attached you will find all pertinent information relating to above mentioned accident.
Included in this information is all information that has been camunicated to all
insurance catpanies and absentee records.
If you have any questions, please feel free to call me at (717) 730-2513.
Sincerely,
E~~~~OLt
Human Resources Assistant
cc: file
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13 Birthday
14 MlIl1ery
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17 Recognition
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1992
ABSENTEE
f". CALENDAR'
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MARCH
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ABSENTEE
CALENDARa
No, R_
1 'U1ck 01 Wor1c
2 61ck (Employee)
3 F.mlly.lckn...
4 Accldanl' Sa/lor
I,mlly ,oul 01 pl.nl
PI.nllnjury
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11 OaalIIln Ilmlly
12 Jury duty I Caur1
13 BIr1hd<ly
14 Military
15 Waalhar
18 Madlcal AppL
17 RICOllnltlon
18
19
20
21
Black number denote. an Allro!l.8d Absence. RMI dMe denotes mator holiday.
FEBRUARY
JANUARY
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2
3 4 8 9
10 11 '5 '8
17 18 22 ZI
24 ZS 29 30
31
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PENNSYLVANIA MOTOR VEHICLE RESPONSIBILITY ACT
WAGE AND SALARY VERIFICATION
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SOCIAL aclHn"I NO. I
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ThI aboYW NrMd Deraon. his .ppUed tor bmlfitI undIt tM PENNSYLVANIA MOTOR VEHICLE RESPOHSIB1UTY ACT II . relUlc 0' Injuries lu,,-.n.d in .n
...,....... aocidInI Dn the dI1e incPcIDd, W. ......... "'iii .-1On _ your emplOyee or tonnw tmCMOYM. To ....., u. .. d.lfl:,nilMltg bent"'. In.. mey be
due rbi, PI,.,....... provide UI wfth Iht 1M""'" to 0. 'olowing queftiOn,. You.re rwQUnd ED ~ thit in'onnMion .. KCOt'dlt'lC8 wfth1hl PENNSYlVANIA
MOTOR VEHICLE RESPONSIBILITY ACT,
n... you lot 'tOUt COOP'rwGOn.
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CJ.A1trII DIPT.
I. OCCUPATION,
2, DAlliS ell' EMI'LllYMENT:
FROM: q.. "g- X '1
3. WAGE OR SALAIIY AS Dl' OATE OF ACCIDENT:
PlR
HOUlI 0 .
I'UI
WEEK 0 .
~ 1y.5
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NO, OF HOUlt5 WORI(ED:
I'Ul DAY
I'llIWEEK
1HROUGH: "ftrl('..J;n; k.
.. DArES AIISENT FOLLOWING ACCIDENT:
NO. Dl' DAYS WOllKED:
FROM: :J) 1~ 10
,
S. HAS EMPlOYEE FILED CLAIM FOlI BENEFITS UNDDI ANY WORItER'S COMI'ENSATION 0lI SlMlLAlI LJ"W AS A RESULT OF 1HIS ACCIDENT1
o YES Jil'NO
6. HAS EMPlOYEE RECEIVED, IS HE REctlYlNG OR IS HE EN1ITLED TO RECEIVE GENlFITS UNOER ANY WDIlIlBl'. COMPlNSAnON 011 SIMILAR LAW AS A
RESULT DF '!HIS ACCIDENT1 0 YES;a'NO 0 UNllETEAMlNED
7. NAME OF WOIII<BI'S COMPENSATION CARRIER:
I'OUCY NO.:
I. IS EMl'LOYEE ENTITLED TO lIINEFITS UNllEIl A WAGE OR SAIJoAY CONTIHUAHCE 1'LAH1 0 YE~O
8. IS EMPlOYEE ENnnED TO aENEl'ITS UNDER ANY HEAL1H AND/Oll ACClOENT INSlJIIANa PROGRAM1 0 YES ~
IF SO. TH( NAME OF 1HE INSURER: / 2J 4 h Ju;
WHATWEEKLYDlSA81UlYINCOMEBENERTS.IFANY,AREPllOYlOED1 ~'wl~ 22.. \ (.36~ ~e. ~
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DATE: 71!J ;;q 19~ SIGNED:,,6 I'~ ~ 17.. (
nnE: _..A - . f" /.I ~~ fU/---:.. .
.. CH29>>C (FWS) SEE WARNING NonCE ON REVERSE SlOE. ~t~i:~ 2~
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S~DMsi""
5001lou.sa DrM!
PO 1lo121126
Med1anlCSllurg. PA 17055
117.691-5150
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IIIIr':&:: Co;, n _ P4.c::. . 7 a., .~ NMCt.) 2h\.l\t-
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EI'lf!.OYEE:f~Rcd..~
OATE OF ACClDEN':" rz -lD.q~
~ aboye named person has i1pplled for be~9flts un~er
bI First Farty 9eneflts La.. .... a rel",l~ of II';Urll!S
_taln"" In an auto",oOlie ..ecld..nt on tn. date
__Ieated. w. under..tand t~IS Fersor :s Yj~~
.ployv.. To aSsist uS In d.~.rm~nln~ ~.r.fi~. CU.
~s p.rson, plaase provide us ~;tr t~~ anSNvrs t:
~ foiio-.ng qU.6~lons. Th~r~ y~u f~ y~ur
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~ Date absent .nticipate~ returr ~Q ~cr.:~
a. "ctua: return ta work d~t.:
8. \Q;,,9 2.
~ HAS ..ploye. flied claim for beneflt.s ul'der
&~y Narkers Compen..atlon or similar la~ as
a ~lISUlt of thIS ae=id.n~? YIK_Nc> X
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receIve bllnel1U ..nder ..nl :"::der.. CO"lle"s..tlon
0' ,,:..11'" :.... 's . ,.,,..,,It of tn'" "ccldofnt~
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9. N...... cf wo... "r" Comp..n....t'on c..,.""r: .:vA }{) ,~h6 o..c.CJ.den~
_ Pol,cy Num~".:
ve palsy with
;.). Is em~loyee "ntltled to cenef.ts und.., .. ""'." '),
"",l"-Y continuance pl..n~ 'J.. v... No
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l~. ~')Yl-e er.tltll.d tc c.......f,ts "nde' ..ry
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"'/... VII'S ""0.
c Medical Center
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,Ile"ef~t~, if any A'. p"O"ld~"~
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HarnlDurg unnOpaedlC Aasoclatel, P.t:'
~ JOHN S, RYCHAK, M.D.
~ TEO B. ES!iBACH. M.D.
BAUNT BAlOG. M.D.
ERNEST R. RUBBO. M.D.
FRANK L. HORNER. P.A..c.
JOHN S. RYCHAK. M.D.
TED B. ESHBACH,I4.D.
BALINT BALOG, M.D.
ERNEST R. RUBBO. M.D.
FRANK L. HORNER, P A.c.
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H."IIIlurg.P" 17110
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DISABILiTY CERTIFICJlTE
Date .If ' /!:
'0 whom it may concern:
bis is to certify that .
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15 been under my proCessional ClU'e, and was:
i Totally incapacitated
] Partially incapacitated
DISABILiTY CERTIFICATE
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Date
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To whom it may concern:
This is to ce~ that
" .
"I;~" /.I"JJ..
~n """"I~i!::
,I
has been under my proCessional ClU'e. and was:
Er'Totally incapacitated
o Partially incapacitated
from LI, f ,((9'1 to
Remarks: (/
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Signed
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Signed
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Harrisburg Orthopaedic Associates, P .C'.
~ JOHN S. RYCHAK. M.D.
',#'It TED B. ESHBACH. M.D.
,~:~ -. BALINT BALOG, M.D.
, . ERNEST R. RUBBO. M,D.
I
5 Willow 1.411I Park Rd.
Mochonlcsburv. PA 1705S
234-5976
RECORDS RELEASE
Date Ie- :1...)''71
To /r/ tJ //- /1'/ /V:~
2600 Green SliM'
Hllrisburg, PA 17110
234-5976
339 W. Governor Rd.
Helllhoy, PA 17033
533-2348
I hereby authorize you to release to
;a. ~.,~.
.
any information including the diagnosis and records oC any treatment or ex.
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. Witness