HomeMy WebLinkAbout94-02520
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ZEDNA POLILLO, . IN THE COURT OF COMMON PLEAS
.
plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
v. . NO. 94-2520
.
:
STATE FARM INSURANCE COMPANY, . CIVIL ACTION - LAW
.
Defendant
AMENDED NOTICE OF ARBITRATION HEARING
TO: Rolf E. Kroll, Esquire
REYNOLDS AND HAVAS
10l Pine Street
Harrisburg, PA 17108
Richard F. Maffet, Jr., Esquire
2201 North 2nd Street
Harrisburg, PA 17110
PLEASE TAKE NOTICE that the Arbitration Hearing in the above-
captioned matter has been rescheduled for Thursday, December 21,
1995, at l2:30 p.m. in the Law Offices of COSTOPOULOS, FOSTER &
FIELDS, 831 Market Street, Lemoyne, Cumberland County, Pennsylvania
17043.
'-
v Thomas M. Devlin, Esquire
1802 Market Street
Camp Hill, PA l70ll
Andrew C. Sheely, Esquire
5 West Main Street
Shiremanstown, PA l701l
Date: ~..,). 7. /990'
ZEDN~ POLILLO,
plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIa
v.
NO. 94-2520
ST~TE FARM INSURANCE COMPANY,
Defendant
CIVIL ~CTION - LAW
AMENDED NOTICE OF ARBITRATION HEARING
TOl Rolf E. Kroll, Esquire
REYNOLDS AND HAVAS
10l Pine Street
Harrisburg, PA 17108
Richard F. Maffet, Jr., Esquire
2201 North 2nd Street
Harrisburg, PA 17110
PLEASE TAKE NOTICE that the Arbitration Hearing in the above-
captioned matter has been rescheduled for Thursday, January 18,
1996, at 12130 p.m. in the Law Offices of COSTOPOULOS, FOSTER &
FIELDS, 831 Market Street, Lemoyne, Cumberland County, Pennsylvania
l7043.
Thomas M. Devlin, Esquire
1802 Market Street
Camp Hill, PA 17011
Andrew C. Sheely, Esquire
5 West Main Street
Shiremanstown, PA 17011
Datel A~. .;lq, ICjClS
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ZIDIA POLILLO,
Plaintiff
v
, IN THI COURT OF COMMON PLIAS
I CUMBERLAND COUNTY, PIHHSILVAlIA
I
I NO. Ill. (~.5J(' (", I 7U(Y1
I
I CIVIL ACTION - LA"
I
STATI FARM INSURANCE COMPANI,
Def.ndant
NOTICE
YOU RAVE BEEN SUED IN COURT. If you wish to defend against
the claims set forth in the following pages, you must take action
within twenty (20) days after this Complaint and Notice are
served, by entering a written appearance personally or by
attorney and filing in writing with the Court your defenses or
objections to the claims set forth against you. You are warned
that, if you fail to do so, the case may proceed without you and
a judgment may be entered against you by the Court without
further notice for any money claimed in the Complaint or for any
other claim or relief requested by the Plaintiff(s). You may
lose money or property or other rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LA~ER AT ONCI. IF IOU
DOII'T RAVE A LA~IR OR CAlfHOT AFFORD ONI, GO TO OR TILEPHOIII THI
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAR OIT LEGAL HILP.
COURT ADMINISTRATOR
Fourth Floor
Cuaberland County Court Hou..
One Courthou.. Square
Carli.le, PA 17013-3387
717-260-6200
NOTICIA
LE HAl DBMAHDADO A USTED EN LA CORTE. Si usted quiere
defenderse de eatas demandaa expueatas en laa paginaa aiguientes,
uated tiene veinte (20) dias de plazo al partir de la fecha de la
demanda y la notificacion. Usted debe presentar una apariencia
escrita 0 en persona 0 por abogado y archivar en la corte en
forma escrita HUS defensas 0 sus objeciones alas demandaa en
contra de su persona. Sea aviaado que ai uatad no se defiende,
la corte tomaro medidas y puede entrar una orden contra uated ain
previo aviso 0 notificacion y por cualquier queja 0 alivio que ea
pedido en la peticion do demanda. Usted puede perder dinero 0
sus propiedadea 0 otros derechoa importantea para uated.
IIDRA POLILLO,
Plaintiff
I IN THE COURT OF CONNOR PLIAS
I CUMBIRLAlD COUNTY, PEHHSILVAlIA
I
I NO. 1/1. ,^.').) r
I
I CIVIL ACTION - LAW
I
y
STATE FARM INSURANCE CONPAlY,
Defendant
fl'1. 'f
I
, 1994, comes the
Plaintiff, ZEDNA POLILLO, by her attorney, Richard F. Maffett,
Jr., Esquire, and avers the following:
1. Plaintiff is ZEONA POLILLO, an adult individual who
resides at 226 Birch Lane, Carlisle, Cumberland County,
Pennsylvania.
2. Defendant is an Illinois Corporation licensed to write
insurance policies in the Commonwealth of Pennsylvania pursuant
to the Pennsylvania Motor Vehicle Financial Responsibility Law,
75 Pa, C.B.A. 51701, et ~ Defendant has its principal place
of business at 115 Limekiln Road, P.O. Box 257, New CUmberland,
Cumberland County, Pennsylvania, and regularly conducts business
in Cumberland County.
3. On or about August 9, 1992, Defendant issued to
Plaintiff an automobile insurance policy, which, by its terms,
provided payment for reasonable expenses incurred for necessary
medical services because of bodily injury sustained by Plaintiff
as a result of a motor vehicle accident involving the Plaintiff.
4. Said policy of automobile insurance was in full force
and effect on September 25, 1992.
5. On September 25, 1992, Plaintiff, while operating the
insured motor vehicle, was involved in an accident when the
insured vehicle was struck by an automobile operated by Mark E.
Skilton.
6. As a result of said collision, Plaintiff suffered injury
to her neck and back which has been diagnosed as cervical
hyperextension-hyperflexion sprain-strain, cervical-brachial
syndrome of the right upper extremity, torsion injury of the
lumbar spine and a neuropathy of the right lower extremity.
7. As a result of her injuries sustained in said accident,
Plaintiff has been obliged to receive and undergo medical
attention and care by Robert C. Zabinski, D.C., and to incur
medical bills therefore, and she will be obliged to continue to
incur such bills for treatment for an indefinite period of time
in the future.
B. Despite repeated demands by Plaintiff, on or about
March 28, 1993, and continuing thereafter, Defendant has
unilaterally, unreasonably, wantonly, without just cause, and
unlawfully, refused payment of medical bills incurred by
2
Plaintiff for medical treatment rendered by Robert C. Zabinski,
D.C. for treatment of her injuries suffered in the aforesaid
automobile accident.
9. The aforesaid medical bills incurred by Plaintiff for
treatment by Robert C. Zabineki, D.C. since March 28, 1993 total
Two Thousand Four Hundred Eighty-Five ($2,485.00) Dollars as of
March 23, 1994.
10. The aforesaid treatment and care of Plaintiff by
Robert C. Zabinski, D.C. conforms to professional standards of
performance and was medically reasonable and necesBary treatment
rendered for the bodily injury sustained by Plaintiff as a result
of the aforesaid accident.
11. The charges and expenses incurred by Plaintiff as a
result of the aforesaid treatment and care by Robert C. Zabinski,
D.C. are customary and usual and lawful.
12. Immediately following the aforesaid accident, Plaintiff
gave notice thereof to Defendant, and haB submitted to Defendant,
reasonable proof of the fact of her injuries and the amount of
bills and expenses on the appropriate forms. Plaintiff has, from
time to time thereafter, submitted to Defendant in writing the
amounts of additional bills and expenses sustained and incurred
3
for reasonable and necessary medical treatment received from
Robert C. Zabinski, D.C.
13. Defendant filed a challenge with a Peer Review
organization (PRO), Consolidated Rehabilitation Company, 2616
North Broad street, P.O. Box 1719, Lansdale, PA 19446 for the
purpose of evaluating the treatment and services provided to
Plaintiff by Robert C. Zabinski, D.C.
14. The initial determination of the PRO which was rendered
on August 19, 1993, was unreasonable, without just cause and
unlawful in that it concluded no further chiropractic care should
be rendered to Plaintiff after March 28, 1993. Defendant did not
provide Plaintiff with notice of the PRO results until August 27,
1993.
15. The initial determination of the PRO rendered on
August 19, 1993, is incompetent, invalid and unlawful because it
was rendered by a reviewing individual, Kevin W. Emmons, D.C.,
who is not of the same specialty as Robert C. Zabinski, D.C.,
CCRP, a Board-Certified Chiropractic Rehabilitation Physician,
the individual subject to review, in violation of 75 Pa, C.S.A.
51795(b) (2).
16. The PRO's initial determination is based solely upon
spsculation.
4
17. Dr. Bmmons, the initial PRO reviewing individual, did
not provide Dr. Zabinski with adequate opportunity to discuss
Plaintiff's case with the reviewer, and did not have the
Plaintiff's complete medical records, ae required by Section
6.952(c) of the Insurance Department Regulations.
18. Plaintiff filed a request for reconsideration of the
PRO's initial determination within thirty (30) days of receipt of
the PRO's initial determination, on September 16, 1993.
19. On September 17, 1994, the Defendant commissioned a
reconsideration by the PRO, Consolidated Rehabilitation Company,
of the PRO's initial determination.
20. The reconsideration determination of the PRO, rendered
on October 19, 1993, is unreasonable, in error, without just
cause and unlawful in that it concluded that no further
chiropractic care should be rendered to Plaintiff after March 28,
1993.
21. The reconsideration determination of the PRO, rendered
on October 19, 1993 is incompetent, invalid and unlawful because
it was rendered by a reviewing individual, Mark Cavallo, D.C.,
CCSP, Diplomate American Academy of Pain Managemsnt, Certified
Independent Chiropractic Examiner, who is not of the Bame
5
specialty as Robert C. Zabinski, D.C., CCRP, a Board-Certified
Chiropractic Rehabilitation Physician, the individual subject to
review, in violation of 75 Pa, C.S.A. 51795(b)(2).
22. Defendant's denial of Plaintiff's benefits is not baeed
on proper evidence or due consideration of Plaintiff's personal
condition, her medical records, and the opinions of her treating
chiropractic phyeician.
23. Defendant has acted unreasonably, without just cause,
and unlawfully by refusing payment of the aforementioned
chiropractic bills.
24. As a result of Plaintiff's aforesaid refusal to pay
reasonable and necessary chiropractic bills incurred for
treatment of Plaintiff's injuries suffered in the aforesaid motor
vehicle accident, Plaintiff is entitled to interest on the amount
of the claim from the date the claim was made by Plaintiff in an
amount equal to twelve (12%) percent per year.
25. Because of Defendant's failure to pay Plaintiff's
chiropractic bills without reasonable foundation, and because the
Defendant acted in an outrageous and unreasonable manner,
6
5. Admitted.
6. Admitted in part and denied in part. It is admitted
that Plaintiff was diagnosed with a hypereKtension-hyperflexion
sprain-strain injury. It is specifically denied that any of the
bills at issue for said injury are reasonable, necessary or
related to the motor vehicle accident in question and strict
proof to the contrary is demanded at trial.
7. Admitted in part and denied in part. It is admitted
that Plaintiff sought care from Robert C. Zabinski, D.C. It is
specifically denied that the care at issue and any bills in
association therewith are reasonable, necessary or related to the
motor vehicle accident in question or that same are compensable
under the terms of state Farm's policy and Pennsylvania Law and
strict proof to the contrary is demanded at trial.
8. Admitted in part and denied in part. It is admitted
that Plaintiff made demands for payment. However, state Farm
paid all of Plaintiff's bills up through June 15, 1993.
Accordingly, Plaintiff's reference to March 28, 1993, is
inappropriate.
9. Admitted in part and denied in part. It is admitted
that Robert c. Zabinski, D.C. has submitted bills for
chiropractic treatment since March 28, 1993 which total in the
aggregate Two Thousand Four Hundred Eighty-Five ($2,485.00)
Dollars. It is specifically denied that under any circumstance,
- 2 -
that Dr. Zabinski is entitled to Two Thousand Four Hundred
Eighty-Five ($2,485.00) Dollars as his bills are subject to the
cost containment provisions of 75 Pa. C.S.A. 11797(a). By way of
further answer, Dr. Zabinski was paid for his services rendered
up through June 15, 1994, and accordingly, Plaintiff's reliance
upon the date of March 28, 1993, is misplaced.
10. Denied. The allegations contained in this paragraph of
plaintiff's Complaint constitute conclusions of law to which no
further pleading is required and they are therefore, denied. By
way of further answer, it is specifically denied that the
treatment at issue was medically reasonable, necessary or related
to the motor vehicle accident in question and strict proof to the
contrary is demanded at trial.
11. Denied. The allegations contained in this paragraph of
Plaintiff's Complaint constitute conclusions of law to which no
further pleading is required and they are therefore, denied. By
way of further answer, it is specifically denied that the
treatment at issue was medically reasonable, necessary or related
to the motor vehicle accident in question and strict proof to the
contrary is demanded at trial.
12. Denied as stated. It is specifically denied that any
of the care and treatment at issue and any of the bills submitted
in association therewith were reasonable, necessary, or related
- 3 -
to the motor vehicle accident at issue and this allegation is
therefore denied.
13. Admitted.
14. Admitted in part and denied in part. It is admitted
that the initial determination of the PRO was contained in a
report dated August 19, 1993. It is further admitted that the
report concluded that Plaintiff's reasonable and necessary
medical treatment should have concluded on or before March 28,
1993. The remaining allegations of this paragraph of Plaintiff's
Complaint constitute conclusions of law to which no responsive
pleading is required and they are therefore, denied.
15. Denied. The allegations contained in this paragraph of
Plaintiff's Complaint constitute conclusions of law to which no
further pleading is required and they are therefore, denied.
16. Denied. The allegations contained in this paragraph of
Plaintiff's Complaint constitute conclusions of law to which no
further pleading is required and they are therefore, denied.
17. Denied. It is specifically denied that Dr. Zabinski
did not have adequate opportunity to discuss Plaintiff's case
with the reviewer. By way of further answer, it is specifically
denied that the PRO had insufficient documentation necessary to
undertake its review. To the contrary, at all times relevant
hereto, the PRO had the necessary documents to undertake its
review and strict proof to the contrary is demanded at trial.
- 4 -
lB. Admitted.
19. Admitted.
20. Admitted in part and denied in part. It is admitted
that a report of reconsideration was issued on or about October
19, 1993. The remaining allegations of this paragraph of
Plaintiff's Complaint refer to a writing which speaks for itself
and is the best evidence of all it contains and accordingly, no
responsive pleading thereto is required and same is denied.
21. Denied. The allegations contained in this paragraph of
Plaintiff's Complaint constitute conclusions of law to which no
further pleading is required and they are therefore, denied. By
way of further answer, it is specifically denied that Dr. Cavallo
is not of the same specialty of Dr. Zabinski and strict proof to
the contrary is demanded at trial.
22. Denied. It is specifically denied that state Farm's
denial of benefits lacked a proper factual basis. To the
contrary, state Farm's denial was rendered in accordance with the
terms and conditions of A1797(b) and included all the appropriate
considerations in association therewith.
23. Denied. The allegations contained in this paragraph of
Plaintiff's Complaint constitute conclusions of law to which no
further pleading is required and they are therefore, denied.
- 5 -
24. Denied. The allegations contained in this paragraph of
Plaintiff's Complaint constitute conclusions of law to which no
further pleading is required and they are therefore, denied.
25. Denied. The allegations contained in this paragraph of
Plaintiff's complaint constitute conclusions of law to which no
further pleading is required and they are therefore, denied.
WHEREFORE, Defendant, state Farm Insurance Company demands
judgment in its favor and against Plaintiff, Zedna Polillo with
costs of suit assessed to Plaintiff.
NEW MATTER
1. This case arises from a rearend accident that occurred
on September 25, 1992 involving damage to Plaintiff's vehicle.
2. Thereafter, Plaintiff engaged in extensive therapy with
Robert C. Zabinski, D.C.
3. In accordance with the terms and conditions under 75
Pa, Cons. stat. state Farm issued payments under the policy
issued to Plaintiff from the date of the accident through June
15, 1993, amounting to six Thousand Three Hundred Seventy Three
and 37/100 ($6,373.37) Dollars.
4. A true and correct copy of state Farm's payout sheet
reflecting its payments to Plaintiff up through and including
June 15, 1993 is attached hereto and included herein by reference
as Exhibit "A".
- 6 -
5. On July 6, 1993, state Farm received a statement for
services rendered by Dr. Zabinski for dates of treatment
beginning on June 22, 1993, through the date of the statement. A
true and correct copy of this statement for services rendered is
attached hereto as Exhibit "B".
6. Thereafter, state Farm timely referred the matter to
Consolidated Rehabilitation company, a Commonwealth approved Peer
Review Organization, ("PRO") to assess the propriety of
Plaintiff's continuing care and treatment. Notice of this
referral was sent to Dr. Zabinski on July 21, 1993. A true and
correct copy of this notice is attached hereto as Exhibit "C".
7. By report dated August 19, 1993, the PRO issued a
report concluding that chiropractic care was no longer necessary
after March 28, 1993. A true and correct copy of this report is
attached hereto as Exhibit "D".
8. Plaintiff's requested reconsideration of the PRO's
initial determination. state Farm requested reconsideration on
September 17, 1994. A true and correct copy of State Farm's
timely request for reconsideration is attached hereto as Exhibit
"E".
9. The results of the reconsideration are contained in a
report dated October 19, 1994. This reconsideration report
affirmed the conclusions rendered in the initial Peer Review. A
- 7 -
true and correct copy of the report of reconsideration is
attached hereto as Exhibit "F".
10. The claims of Plaintiff are limited by the terms of the
MVFRL, 75 Pa. C.S.A. 01701 ~~. as amended by Act 6, April 15,
1990 ("Act 6").
11. The bills in dispute were incurred after the effective
date of Act 6.
12. Thereafter, based upon the totality of the
circumstances, state Farm sought professional assistance in
assessing the reasonableness, necessity and relatedness of Zedna
Polillo's injuries.
13. The charges at issue in this case and for which
insurance coverage is claimed from state Farm are unreasonable
and unnecessary and/or are for injuries and/or conditions
unrelated to the accident in question. The nature and extent of
injuries, damages and other losses alleged by Plaintiffs are
denied.
14. Plaintiff's claims for insurance benefits are barred by
lack of consideration.
15. Any application of a legal rule so as to broaden
defendant's liability under the insurance policy in question is
barred as a matter of equity.
16. Plaintiff's are not entitled to recover attorney's fees
incurred in obtaining any insurance benefits which may ultimately
- 8 -
exhibit A
Exhibit B
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ROBERT c. ZABlNSKl. D,C.
3020 MAAKfT STRm
CAMP HIli. PENNSYLVANIA 17011
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NF: Stat. Farm Insul:anc.
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AUG 2 7 1993
~f::,~;:D{"~P
CO~TIDENTIAL REPORT
ATT: BECKY PASTOR. R.N.
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C)rnmoo\\~uhh IIr P~nl\~>'I\'aJ1i3
0/19/93
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RE: ZEDNA POLILLO
CL: 38-6536-422
D/A: 9/25/92
AUG 2 3 1993
Dear Ms. Pastor:
For the purpose of this review, I have ut111z~d the following
records:
C'1C
1. DR. ZABINSKI'S NARRATIVES ONLY (NO NOTES OR DtAGNOSTICS)
A. 8/5/93, 9/29/92. 10/19/92. 11/9/92, 12/22/92, 1/15/93,
2/18/93, 3/5/93, 4/19/93, 5/21/93, 6/9/93, 7/15/93, 7/5/93,
B. BILLING STATEMENT, 6/22/93-7/5/93
2. msc.
A. ER RECORDS, HOLY SPIRIT HOSPITAL, 9/25/92
B. APPLICATION FOR BENEFITS, 9/28/92
According to the records, this at the t1~e 30 year old restrained
female driver was at a stop sign when her vehicle was struck in
the rear _ She was tranflported to an ER and released with muscle
relazors. Two days later, she repot'ted to Dr. Zabinski with
complaints of head, neck, shoulder, and low back pain, and also
paresthesias in her mid-back. She ~as examined there and found to
have positive findings indicative cf a cervical strain/sprain and
torsion injury to the lumbar spine. Treatment cOlllDlenced on that
day and has continued to this time. Presently, she is on a
frequency of once per week.
','. ,- - - ..
As per your request, I did cull Dr. Zabinski to discuss t;.Ws case
on Tuesday, 8/17/93, at 11:45 AM. Ee was quite adamant about his
form of documentation being su.fficlent. Namely, the regular
narratives that he has supplled during the course of care. I
disagree with that, as daily notes would be more helpfUl in
determining tWI> patient I 5 illlprOVp.J1lellt. He also statel> that his
treatment is documented ill jou.rnaIE: as being appropriate I'or the
injury. He had treated I:ho pat1ent in the pnst, somer.ime 1U 1906
for a WOJ:'k related low back i"~"r;'. "'1" mnrp recently for
U1igratne hnaaacoes. n!~"_olll hack lnjury was a cloBnd IIlr, :...
.;tot~~, ~!!'l thn n~'~"!""~~.~,,,? t'rnFltlll(lnt- h;..(} "oth1n~ ~:ilatsoever ro {,'"'
with her current cOIl.littun. She doe,s suffer suboccipital
headaches. but theHG are different from her former problems. The
problem here is that tho patient hr.s two past condit:lons that
r:!r.....=?rf. .
o. "'. L ,~...
, : . '; I,' .1 r ';" ~ .r'
.'j 9,':
;'. !....
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.::': '.t.' ."J.
. ,\
-.
"'"
AU6 2 71993
RECEIVED
ZEnNA POLILLO, CONTINUED.
PAGE TWO.
might be applicable to ber currentiltntus. Dr. Zabinski told be
that both of thosa conditions are s'~parate, cloued fHea, and J[
I desired information from tham, I '",ould have to call him back 1n
the afternoon. In my opinion, a pat.lent I s file is a complete
record. It should not consist of indiv1dUAl closed files. That is
not proper record' keeplng. Accordin!~ to the law, these rev1ewfr
are to be done on the basis of writ~en documentation. I could
not, becaUBe of time reatraints, wa:lt for copies of the past
history. They should have beeu included in the fUe. Dr. Zabinski
had nothing to add other then the fact that the patient is still
improving, she does well at once pe= week, and that he is
'shooting for MMI in 60 days.. He also stated that there were no
disc lesions and therefore, no MIU' is or EMG I S were necessary.
After review. of these records, it ilS my opinion that treatment
was initially ~easonable and necessnry for injuries sustained in
the 9/25/92 MVA. It does appear that the patient sustained a
moderate cervical and lumbar strain/sprain. The documentation
format, although adequate for such an injury, does not
substantiate this ertensiva I: rea tment . I did not mention
prev10usly that Dr. Zabinski felt q1bez measurements were
adequate documentation. I disagree lath that in this case as
there is no baseline to go on. This patient has a h:1story of
musculoskeletal problems, and as su(11. might have already had
pe=l;lne'Jt impairment:. It so, there lire already scar tissue
deposits that will prevp.nt he~ from ~eaching optimal measuremenl:s
(ROM,atc.). Considering that, detonLtcing MMI from this (Cybex)
method would be impossible without previous tesl:ing (prior to the
accident.) .
It is stated that the patient is cUJ:renUy under rehabilitative
care at once por week. [1I my opinioll, that is maintauance. 1
can't really deternune when she went on that schedule, an there
are references to increased frequou(~ due 1:0 cephalgia. Again,
because of tile formal: (nanatives only), it is difficult to
ascertain this patlent's improvement: lIr the cause of her
complaints. .Ul per: your qu.'lst;lons, lhe l":lJITl1nt I:rl..!al-ment doe!,\ not
seem reasonable or necessary, based on the document~t'c!l. T~ ~
opiniuu, LWl,.i dcc=::.'t C.ll-'I::'Uci..J. UJui.~ ~~lt:l! C1 ~U\.lll~rate inJury to the
cerrrtcnl and lumbar ~pinlL PilAf;!lIl' trAl1tml'nt fnr rmr.h inj'lr:es
lIoed not e.xceed ninet}. days. Active re.habil i tat ion is
appropriate, and that appears to hao,;'e been started hO~e. A ninoty
Exhibit E
.uJII'IUt...,',_.,."....''''''\III...IU.'. '.......'FlllM"......'"P,..
,)
un'
Exhibit F
'w
w
. ...~;?
I'. ..t",'~r:U~f)
1 i\l \, \'...~
:e~ir;,; :'~~::.':C
NOV 0 S ,~~3
rU:Ct.i\, '::'.J
S":.:\tlnQ th.r.t thlB c:l...imant 8i1,JE,"1IOn':,IC ~.n~. los!! 01' ccr:~C:~'::Jl''!lnl'!~ll!,
nor euata:ned any trac:tur~5 and O~ dl!loC~t~gna.
I: rL.::: '.U I:
:.;::;. ~ :..:,~:'~
SubBequantly, this claimant p~e~enten t~ th~ o"flce of Dr. Reb.rt
!....binsLi, Chirer-r.c:tCl'", on 9/':1.9/9':., ."I'.lIrll lot was netec th...t uper
endmination ::Jr. Z.bin/H,i cu-rl...ed at '~he tol ,c\"~I",CJ c~'.';nr:!!l!l!!l
hy;]ere:ltension/hyp.rfle::tion lnjlJt-y, 1;.11U-'''l;:~1 t:1-...c~i..l s,'naromu,
tortior. injury lumbllt' splnli ..nd -6.dlcli,~pClr.t1'''' 10;01 ooc:l, !'-I'..tf
upon the above di~gn06~!! Dr. :.bin~I." impl.~lInt~d ~ t-~~tment
r.\Iimen conslstinQ ef ultrasOlnc, nardO'.. ,n...nlp,_,latlcn CT ..,..
!!pine and r.h...bi!ltativli trIt4tmen~.
F,-om t'. reView 01 th. m..cical ,"gc;oros. It is nct~;l ..n...t thle
claim.ant .:.ni~i~tl'!c car~ under tne ~uidance or Dr, Zablni~.~ on
9/29/92 and continued through 8'93. Acccrdir~ tD the rQ~Qrd.
t:his claimant c:ontlrlL;ed tc recei','E can? 'lMder ':he r.:.Ji:lar.ce cf Or.
4.b~n.k1 oeyond 8/93.
In answer to yeur correspcndwnc:e d~teo 10/1:/93, th~ ~ol:cwirg ii
~y prote5sional opinion ~cnC~rni"g yc~r ~~'etlon~l
1. DC '(OU CONCUR THAT F'AT!ENT ;:;:EACHE!l !:ErJEFIT c;r- C:'IIRCJFfi,~CTlC
CARE BY ZABINSKI CHIROPRACTIC ON O~ 8'0' :/20!9! AND THAT
NO FURTHER CARE WOULD ~E NEEDED~
If thia claimant's compllllnt6, m.~hanlsm ot tn.:.Jri~9 6nd n~i~ory
of the accident ~i pre!!ented ~re correct. thi~ =leimant inltl~:.t
care undilr the ,"uldanc:. of Dr. Z.tHn..~.~. en '/1'19/92. ~e'" 111-
juril!l~ alleQ~dly .uetaingd in a ~va a~ 9/2~f9:. l~ ~pp.'re by
th~ tile av.ail.ble tor my reV1E~ tn~t chlrepr~~t~c: care renderil~
to thi~ claim~nt by Dr. Zaoine~i was appr~pr!ate. rO~i=n~bl. one
neCeS6C1ry in the init1.1 month. cf C4r~,
It =.t".Quto bs nwt~d that t.he Lise r:": ;;o.ll:.~t:"d, ~.1lAri,D:'.. ~".eL.!d~;;I;
Ir.a.nip~il...ticn ~or- ,:hii tr-eat.'T'ler.,; of '!~,,;': ~i~~'_!~ lr'1j'.I"'ie~ li'~I~t., !I.!J
th:.!! ~lalmar.t ~lleCjedly '5iJStil:.:"'\~d ,~r. ';-/:'!'I.'C?:-: :.~ ';!;udl:', ~;_'~+-.i.:..ilt'"
for up to a thr~1! month ~.r~od ct t~~~. Tr~."~~n: 'or ~~tt ~L~!!UE
lnJurll!S which eac:w.dl! thio: l."qth H' ':,....~tl1."~ t.Uel'! Is L'I'~01iiil.l.v"
it not do~ume,..ted by peliitlve o,";,f1c:p:rc,;,;:;.'nlt~\:-"..!'1g1~~1 COi16L\!t;",-
tionl!, CT/MR tJ.ndi.l1g~1 0"- :nrJl!! ~.':'.'~I'C~'~ I_l~r;,n':'-'!t.~': G'.cli.,l.t:.!.dr,~
!!LICh a& f1"ltoll! E~IG, SSEf"/NC:V, ..t;. No ;:C';-.;It~lf I':',' "''!Iip-'-r.d"
.fInd or any diGlgnoatlc t'eCj.': r~liutt~ .;:::~.!:': r~t- n-y ~~"!..~l...; ::':>n~~t"11ng
~llis :;&\5ri.
L:p'Jn ~':-!"'J.G'w~I!Y '.~.l: ~,,_....I'. .,... ..~~r w''':':.. :;.;\J ;..., ....,. ..~"rt'..:j.~
~~nc..:"''''''''; ..~:.; ",~~.1i;l ... ;,: ~'I5'~,.~'ht'~....,..,rl ~~, ~)..., ~:-"T\'.:J:15 .....,~ th1.e
cl~1mant Ill',d re..ched c! po.t.nt lJ~ mA't1tf~l,''T\ Ql!ne..~.... .;1' ':'d~tnl!r .:11ir',,:-
;Jr...c:t~c: c!!rt!! by :':/26/93, " IOont,\.. ~I" ,~':<:1j t:cn ~ t ......Ii r,~.1I1'l t "
!Cl'". Emmons that ti',/! c:ybl<1I t;,,~~:n~ !Ji'rhr;T1ac 0" tt1~lj o;;lll1.1101rr. l",'
~
'W
.,,,,,'I\!":}G
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......1\......
:JCr.E. ='cl;. ::;..
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... :'''C~itJ'~~
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Dr. Zabim.f.i Wilii not ..pprop..:.ate, ~,or- "'~~!!cr,..b~:e. ..1;:0::1 ~i"ls"in,"
thm do~umentation pre5ented ~rc~ tha t~eat!n~ ~hi"cp"'~:l~C ~hY~!-
~ian. Dr. Z~bin~ki. Alon~ ~ith ~i6cusslng thi. .~:~ ft~t~ ~h~
treatinQ chirapr~ctic ~hy!ici~n, 3m in ~~rwemant wtt1 t~Q
ini~ial peer review performed by Cr. E~mona ~n tnac t~is ~la~mant
had riiilchao II point. of ma;:lm"m ::in."i'~ tJt ft',rtr,e,r ,:h~rop"'!cUc
treatment by 3/28/93. Ther!! !::1.!t5 n: 1'u,',:h~r Cb2ljc,:i'.'e eli-ni-
cal documentation for my re\lEI. 6~~pg...tln," ~he neces5ity cr ~eed
of continued cniropractlc ~..r'" b~yoncJ il '" ,n:;Jr,tt. pe;-ic1 of dr.e
con earn ing thl!! ca!!e. I t ill 'W pr"o1'!!!!!!lOnoil I :.pin:an thil \: :;;:ryonc
3/26/93, ~ home rehabilitatlVQ type pragr~m ~Dn~iEtlnQ ~f th~r.-
p"~lti::: st.retches and e':a;-~lees ':OCl ~e h~vll billlln l.11plai11lfrtl!d ':c
increase strenQ1:ti. fla,:ibility "nd end:'H"e.I1C:e. ,!!.!5 L<el:' ~:!l to !~el;,
prllvlfnt against any a\lllrllva"::ion/el:ac:erbetion of thO! !llle';led
injuries sU5~e.ined due to t~e ~ve. in qU~Etion cf 91~5/92. Addi-
tione.ll y, it is my professions 1 cpirllan tl"a t c,ny and aU cyoe:'
testlnQ performed on this clalmant by Dr. Z"bins~l Has not appr~-
priate, nor rel.onable at eithsr ~Qnitorln~ the ~rc~ress th~t
thIS clAimant was making ~ith t~e ~a;-e ~elng pr=Yl~ed ~y Dr.
Zabinski and or altere.ting a treat.men1: regimen. ~t is my ~rcf~~-
sional opinion thet the initial e;;i\minaticn fol~c;..;ed by :-,c:;r,ar-Ou..
re-G1:;a.mil1at:10ns which were perforned en this c leim.?n t b', Dr.
Zabinski. ccn5iating of activa/paaeiv~ r~ngeE of motion, orthope-
dic m.neuvers, neurological testin~. at;., wClIld have bEqr. ~~?r~-
pr!ate in and of iteelf at both objHctivaly mcn~tor~n; ~~~
prc~r&.. thi~ ~laimant W~K makin~ witn the care beinQ pr~vld~d by
Dr. Zabin~~i alonQ with a!tar~tin~ a tre~tment reg~m~n if nece~-
sary. Theretare, it is my pro1esslonal 0~i~1on that Inl "nd ~l:
~ybe" testinQ par formed on thia cl!limant by Dr, !~bin2ki Aa~ net
~pproprillte nor reasonilble ~cncarnin; thi6 case.
Additionally, Cr. ZabinE~i request~d ~he ~~p~rtuni~~ ~a aisc~$s
thlS case ~Iith me prior to my renderi~g a deci~ion. On ~C!!9/93,
I di.cus~ed this ca~a with Dr. Za~~'16..i. It ~as statea ty 0-.
~abin5~1 ~h~t thi~ cla~m~nt ~aa b9i~g t-~~t~d through ~c !~e
pres~nt, Th~re w~s ~o f~r~h~r daCl~ne~t~ticn for I~~' ~~view ~~n-
cerninQ thia cese.
rheretore~ upor reviewing the ert:re dccumEntatio~ ~re52ntea fo~
~)' re"/iew concerning t;,~! case fro~ the tre~ting chircpr~ctic
phywi~ian. Dr. Zabinski, Blcn; ~~tn =iecu~~~n~ ~hi~ file h:tn tha
trebtlnQ chircpr~c1:i~ phy~i~~~n. ! ~m:r &gr~~m~nt ".t~ t~a
~n~tial peer review D~rtormeo by ~r. ~m~c~s ~~ t~at .~~~ ~~~~~e~~
~IC\~ I WU.~~'ltC s. po1n t:. of m.:~ lmu:n med lea 1 imr.; rove.mer-. tel- ,-,~.: r.'.~,7
ben~flt 01 chircprcH:.tic care 0:1 ~,.'''':8:'-:'3'1 n':'.~ 1l~r.tl'1.. ~~ :-~ Jt.','
~~=f~~~ion^l LpLnion that t~i~ ~:~;t~ ~~ t-~~t:~~~~ ~:~~..~e ~rr~
than ~uffici.,=nt to nii,,::h .!\ p011"'t ct r""'i'iio~I.'.t1cn, tCj- ~~.~.. ::!e.:'ln-
~nt6' !njuriae ~ust~ined d~e to the MVA in quee~ion.
.
VERIFICATION
I, JOHN WILKOWSKI, hereby acknowledge that I am the
Claim Supervisor of STATE FARM INSURANCE COMPANY, one of the
Defendants in this action; that I have read the foregoing
pleading; and that the facts stated therein are true and
correct to the best of my knowledge, information and belief.
I understand that any false statements herein are
made subject to penalties of 18 Pa.e.S.A. Section 4904,
relating to unsworn falsification to authorities.
DATE I
BYI
';i.4J.~II.IJL .
OHl[ ILKOWSKI
,llA/iIl Sb/ltl!6lJQr.:.
(Title)
accurately reflects the Defendant's payments for medical bills
through June 15, 1993. It is denied said payments were made
to Plaintiff. Said payments were made to multiple health care
providers on behalf of Plaintiff as required by Plaintiff"s
auto insurance policy with the Defendant.
S. Admitted.
6. Admitted.
7. Admitted. However, said report was unreasonable, in
error, without just cause, and unlawful. Said report was based
upon hearsay and speculation and was rendered without physical
examination of Plaintiff. Said report was issued without providing
Dr. Zabinski an adequate opportunity to discuss his treatment
of Plaintiff with the reviewar and without Plaintiff's complete
medical records, as required by Section 6.9s2(c) of the Insurance
Department Regulations. Said initial PRO report was issued
by a reviewing individual, Kevin W. Emmons, D.C., who is not
the same specialty as Robert C. Zabinski, D.C., CCRP, who is
a Board-Certified Chiropractic Rehabilitation Physician, in
violation of 75 Pa, C.S.A. SI79s(b)(2l.
B. Admitted.
9. Admitted. Nevertheless, said reconsideration determination
was unreasonable, in error, without just cause, and unlawful.
Said reconsideration determination was based upon hearsay and
speculation and was also rendered without physical examination
of Plaintiff. Said reconsideration determination was rendered
by a reviewing individual, Mark Cavallo, D.C., CCRP, Diplomate
American Academy of Pain Management, Certified Independant Chiropractic
Examiner, who is not of the same speciality as Robert C. Zabinski,
D.C., CCRP, a Board-Certified Chiropractic Rehabilitation Physician,
in violation of 75 Pa, C.S.A. SI795(b)(2).
10. Denied. The allegations contained in this paragraph
constitute conclusions of law to which no further pleading is
required and they are denied.
11. Admitted.
12. Admitted in part, denied in part. It is denied the
Defendant sought adequate professional assistance as is more
fully set forth in Paragraphs 7 and 9 above.
13. Denied. The charges at issue are reasonable in amount
and are the result of reasonable and necessary care rendered
by Dr. Zabinski to Plaintiff for injuries related to the accident
in question. The nature and extent of Plaintiff's injuries,
damages and other losses are accurately set forth in Plaintiff's
Complaint.
14. Denied. The allegations contained in this Paragraph
constitute conclusions of law to which no further pleading is
required and they are denied.
15. Denied. The allegations contained in this Paragraph
constitute conclusions of law to which no further pleading is
I
~ -"'
ZABINSKI CHIROPRACTIC OFFICE
Robert C. Zabinsk~ D.C., C.C.R.P.
3028 Market Stn,'
Camp HiI~ PA 17011
(717) 737.6279
FAX (717) 737-1389
.
September 29. 1992
HARRISBURG
OCT 0 1.
RECEIVED
Ms. Nadine Alvianl
State Farm Insurance
P.O. Box 257
New Cumberland, PA
17070
Re: Zedna Polillo
DOA: 9-25-92
Claim": 38-6536-422
Policyll: 685-77iOB0938
Dear Ms. Alviani:
On Monday, September 28, 1992, at the approximate time of 3145 p.m.,
Mrs. Zedna Polillo, a 30 year old caucasian, female, did Willingly present
herself to this office for her injuries as a sole and direct result of
her motor vehicle collision. It was established In private consultation
that on Friday, September 25, 1992, at the approximate time of 4130 p.m.,
Mrs. Polil10 was driving her 1974 green Chevrolet Malibu Sedan, on
Williams Grove Road. She was in the Intersection, stationary, making a
left hand turn. Seat belt, lap belt and shoulder harness were engaged.
She did have her daughter sitting beside her as well as her son in the
left rear portion of the car In a car seat. Road surfaces at time of
collision were wet. Visibility was good. Mrs. Pollllo had both hands
on the steering wheel. She was not forewarned that this accident was
about to occur. Positioning of the head. neck and upper torso was of
straight, forward flexion. Mrs. Polillo states that an individual, namely
~ark Skilton, was driving a late model Ford Taurus Sedan. rear ended
her at the approximate speed of 40 m.p.h., This created an exceptional
jolt which forced her forward and backward with the skull hitting her
head rest. She, as well as both children, were obviously shaken but
were not rendered unconscious. Mrs, Pollllo believes that ~r, Skilton's
car was totaled as well as multiple .lamage .lone to her car which may very
well be totaled also,
~rs, Pollllo developed_~EU1'.ed!a~e..pa!.!l after the!lJ!i!0!'.. the .1oweE back,
neck and across the s rs. Police officers did arrive to the scene
of ent shortly afterwards, She was placed In their squad car
untll the ambulance arrived when they were taken to Holy Spirit Hospital
for examination and x-ravs, This patient .lid see an Emergenc'l Room physician.
'Iultlple x-rays '.'HI! uken d the chest, cervic.ll spine and lumbar splne.
'p..-L.-
"
,
I
Ms. Nadine Alviani
State Farm Insurance
Septumber 29, 1992
Page two
HARRISBUI
OCT 0 1 &
RECEIVE
She was informed that there were no fractures, given a prescription for muscle
relaxants as well as a collar and released.
Within 48 hours her symptomatology progressively got worse where upon she
developed a top of the skull cephalgia, difficulties turning her head and
neck, experiencing severe right upper cervical-brachial problems with difficulty
raising the arm, mid back burning and paresthesia sensation, lower back
pain with referral pain pattern descending the right lower extremity, stopping
at the popliteal fossa.
After speaking with her insurance carrier, Mrs. Po1illo then called our
office to be seen for professional care. She is having difficulty ambulating,
trouble sleeping, extreme sensitivity to the anterior throat muscles and
the feeling of light headiness in conjunction with her top of the skull
cephalgias. Her symptomatology continues to progress as mentioned above.
Our orthopedic examination does reveal the following tests to be positive:
Jackson Compression test, Spurling's test on the right, Maximum Cervical
Rotary Compression test, Foramina Compression test bilaterally, Shoulder
Depression test on the right and Soto Hall test. Specific spinal percussion
and palpation to the cervical spine reveals cervical spine facet joints to
be positive from the C2 through C7 vertebral levels inclusively. The
Dynamometer Grip Strength test does have an average reading of 20 points
per upper extremity on the right and 40 points per upper extremity on
the left. This patient is right handed. Circumferential Mensuration of
the cervical spine was performed with a measurement being documented at
14 inches. This was taken at the landmark of the C7 spinous process.
The lumbar spine examination revealed the following orthopedic test positive:
Sitting Bechterew test, Kemp's test, Body Lateral Bending on the right,
Bilateral Straight Leg Raising test at 30., Lasegue's test bilaterally at
approximately 30. and the Farfan's Compression test. Descending the spinal
column revealed sensitivity to the T2,T9,L4,L5 and right sacro-iliac joint
levels.
The neurological examination was performed to the cervical, thoracic and
lumbar spinal dermatome patterns indicating no levels of hyperesthesia or
hypoesthesia. However, the Cl2B tuning fork did reveal a hypoesthesia to
the right brachial region. Testing of the upper and lower extremity deep
tendon reflexes, namely the biceps, triceps, pronators, wrist, scapulohumeral,
achilles and patella, were all recorded at a Grade II level, No signs of
wrist or ankle clonus was present on neurological examination. The pupils
were round and reactive to light. ~o nystagmus was found on ocular examination.
The tympanic membranes were intact. No signs of injection were found bilaterally.
The CYBLX examinations were performed to the cervical and lumbar spine regions
to document this patient's specific flexibility, range of motion in conjunction
with musclo testing. Tho f"llowing results have boen recorded ,lnd documented.
..
"
'.
~
ZABINSKI CHIROPRACTIC OFFICEHARRISBUR
Robert C. Zablnsk~ D.C, CCR.P. APR 2 0 .
3028 Marbt Str""rO.IVEJ
Camp H11~ PA 17011" ~
(717) 737-6279
FAX (717) 737-1389
"
April 19, 1993
Hs, Jackie Ravenel
State Farm Insurance
P.O. Box 257
New Cumberland, EA- ~070
ReI Zedna Polillo
DOl.: 9-25-92
Claim": 38-6536-422
Policy": 685-7770B0938
Dear Hs. Ravenell
On Honday, April 19, 1993, at the approximate time of 7100 a.m., Hrs. Zedna
Polil1o did present herself to this office for her next scheduled comprehen-
sive comparative re-evaluation and re-testing. My last medical report to
you was dated Harch 5, 1993.
As I have outlined to you through my previous medical reports, this individual
continues to have difficulties with her accident related suboccipital cephalgias.
She continues to have discomfort involving the cervical spine, moderate
tension in the thoracic spinel however, is having lumbar spine dysfunction
involving the lower vertebral levels and the right sacro-iliac joint. I
am pleased to report with the frequency of care that we provided this patient
we have been able to decompress the associated neurological irritation that
was involving the right cervical-brachial region. The lower extremity'
discomfort has been minimized with no true paresthesias into either lower
extremity. It is my understanding that Hrs. Polillo continues to work her
full time job responsibilities by working for a business in Harrisburg.
Upon specific questioning, Hrs. Polillo states that her cephalgias are now
at one time per week with an occasional two time per week episodes. She
has discomfort upon turning her head and neck, especially while performing
activities of daily living. There is no involvement neurologically of
either upper extremity as previously noted. The mid back pain is more of
a deep, dull ache sensation with no radiation into the rib cage or anterior
chest wall region. The lumbar spine discomfort continues to give Mrs. Polillo
most of her subjective complaints and does complain of difficulties while
sitting, turning or even bending forward at times. Activities, such as putting
Hs. Jackie Ravenel
Stata Farm Insurance
April 19, 1993
page two
HARRISBURG
APR 2 0 1993
RECEIVED
on ny10~s or a pair of shoes, can cause her to wince due to sharp pain
involving the right sacro-iliac joint. DeJerine's Triad, which does
consist of coughing, sneezing or having a bowel movement, is negative to
all spinal regions. The burning sensation that was part of her subjective
complaints which we identified in our last medical report to you, at this
time, seems to have resolved through conservative chiropractic care.
"
The orthopedic examination does reveal the Cervical Spine Hyperextension
test to be positive with the Foramina Compression test being positive on
the right and negative on the left. The Soto Hall test and Cervical
--- -
Distraction test are essentially negative. The Dynamometer Grip Strength
test was recorded at 30 points per upper extremity on the right and 20
points per upper extremity on the left. Circumferential Mensuration
was performed and documented at 14 inches with the landmark being the C7
spinous process vertebral level.
.'
The lumbar spine examination was performed with the following tests to De
positive involving the lower lumbar spine region and right sacro-i1iac jointl
Sitting Bechterew test, Lasegue's test, Kemp's test and Bilateral Straight
Leg Raising test. Upon performing these tests there was no involvement
of the left lumbar spine region or sacro-iliac joint. While performing all
these orthopedic testings, there was no noticeable reproduction of paresthesias
into either .10wer extremity.
The neurological examination was performed with special testing to the spinal
dermatome pattems. There were no indications of hyperesthesia or hypoesthesia.
Testing of the upper and lower extremity deep tendon reflexes, namely the
biceps, triceps, pronators, wrist, scapulohumeral, patella, were all recorded
at a Grade II level. There were no signs of any wrist or ankle clonus on
neurological examination.
The CYBEX examinations were performed to the cervical and lumbar spine
regions to specifically document this patient's spinal flexibility, range
of motion in conjunction with paravertebral muscle strength testing. The
following results were recorded and documented. Cervical spine forward
flexion 57., extension 38., lateral bending left 22., lateral bending right
30.. While performing the tests in the lateral flexion mode, this patient
was complaining of involvement of the left cervical spine and upper trapezius
musculo-skeleta1 fibers. The lumbar spine CYBEX reveals forward flexion
restricted.and painful at 48., extension reproducing discomfort at 9.,
lateral bending left 22. and lateral bending right 26.. This does show
restriction in the forward flexion and extension mode. However, there has
been improvement in the lateral flexion mode bilaterally. Due to the
weakness and irritated lumbar spine facet joints, this correlates with
this patient's subjective complaints of her lumbar spine dysfunction.
Paravertebral muscle strength testing to these two specific regions remain
adequate in strength and tonicity.
. . .. I
H.. Jackie Ravenel
Stat. Farm Insurance
April 19, 1993
Page three
HARRISBURG
APR 2 0 f993
"ICIIVIC
Hrs. Poli110 has a blood pressure of 100/72 of the left upper extremity
and a total body weight of 205 pounds. Since last evaluation, Hrs. Polillo
has lost a total of nine pounds.
"
" .
As I apprised you through my Harch 5, 1993 report. our goal continues to
be corrective and rehabilitational in nature. Hrs. Polillo, in her own words,
shares with me that she feels steady improvement from month to month with
reduction of her symptomatology. As anticipated due to a motor vehicle
accident, tissue healing .time can be slower than a simple musculo-skeletal
sprain due to the fact of the traumatic forces occurring due to two auto.
--
mobiles colliding. These traumatic forces are absorbed within the spine
which creates a sharing force to the ligamentous structures, damaging them
as in this case. There has been a multitude of times when Hrs. Polillo
has requested to be seen for additional care because of her pain and discomfort
and fear of inability to perform her work related duties. Therefore, to keep
her gainfully employed and not result in any lost time from work, additional
care was medically necessary. Our office will continue to provide rehabilita-
tional services to Hrs. Polillo. We will gradually be working towards the
level of maximum medical improvement in the next several months ahead.
Upon receipt of our medical report and itemized statement, your continued
prompt payment to this office within 30 days or less is graciously appreciated.
If you have any questions concerning the rehabilitational process of
Hrs. Polillo, please feel freA to contact this office and I will be more
than happy to answer any of your questions. Thank you for working with me
on the health and welfare of Zedna Poli11o.
Encl. Statement for services rendered 3-19-93 through 4-19-93 $853.00.
.
.
I
I
..
"
,
Mr. Bucher
State Farm Insurance
AU8ust 25, 1993
Pa8e Two
HARRISBURG
AUG 2 6 1993
RECEIVED
an unrelentin8 suboccipital cephals.i!l..with..no knol4nreferr!l!i pain into
either extremity. Iher~ lS crep1tAtion-of .h~ cervical with lnt~rmlttent
neck patn durin8- thlr~Ourse of her activities of daily l!vin8. The mid-back
tensiOi1r!-generlll-ly-woFllened--b- 'ec1ficactili t- .such as sittin for
an ex ten e per 0 0 time. The lower back pain apparently ocuses on
the ri8ht port10n of the lower lumbar spine re8ion with no true lower extrem-
ity neuropathy. Dejerine's Triad which does consist of COU8hin8, sneezing,
and having a bowel movement remains essentially ne8ative.
The orthopedic examination does reveal the Cervical Spine Hyperextension test
to be positive. The Foramina Compression test reproduces discomfort to
the mid-portion of the cervical spine facet joints bilaterally. The
Cervical Distraction test and Soto-Hall's test are essentially ne8ative.
The Dynamometer Grip Stren8th test was performed and recorded at 40
points per upper extremity on the ri8ht and 20 points per upper extremity
on the left.
The lumbar spine examination was performed with Minor Si8n, Sitting Bech-
terew's test, Le8 Drop Test, and Patrick-Fabere's test bein8 essentially
ne8ative. Bilateral Le8 Raising, Kemp's test are both positive for repro-
duction of pain into the lumbo-sacral junction. Specific spinal percussion
and palpation reveals tenderness to the L5 and ri8ht sacral-iliac joint.
Deep pressure does not reproduce any neurol08ical ramifications.
The neurol08ical examination was performed via the Wartenbur8 Pinwheel
instrument and there were no levels of hyperesthesia or hypoesthesia.
Testing of the upper and lower extremity deep tendon reflexes remain
completely intact.
7;,,, ;:',uUi examinations were performed to the ce~vical and lumbar spine
re8ions to specifically document this patient's spinal ran8e of motion,
joint flexibility and in conjunction with paravertebral muscle stren8th
testin8. The cervical CYBEX reveals the followin8/ forward flexion 60.,
extension 27., lateral bendin8 left 21. and ri8ht 25.. The lumbar CYBEX
reveals the followin8/ forward flexion 56., extension 13., lateral bendin8
left 34. and ri8ht 29.. Mrs. Polillo's paravertebral muscle stren8th
testin8 remains adequate in stren8th and tonicity.
Mrs. Polillo does have a blood pressure of 90/60 of the left upper extremity.
Her total body wei8ht is reccrded at 173 pounds. Since onset of motor
vehicle accident care Mrs. Polillo should be applauded for her hard work
for 10sin8 40 pounds. At this time due to the positive remaining test
results continued medical care is warranted and this shall be provided to
Mrs. Polillo. rmmediately upon receipt of your Peer Review report please
forward a copy of this report to our office for our medical records. Your
com e and total cooperation is deeply appreciated.
'..-'
J
-c....,~
C. Z~binskl..D.C., C.C.R,P,
Cert~fled Chlrupractlc Rehabilitation
-
ZABINSKI
!ft,
R E C .E IV .E D t'AR 2 4
CHIROPRACTIC OFFICE 199~
,
Robert C. Zabinski, D.C.. C.C.R.P.
3028 Market Street
Camp HiI~ PA 17011
(717) 737-6279
FAX (717) 737-1389
Mat"ch 23, 1994
Richard F. Maffett, Jr., Esquire
2201 North Second Street
Hat"risburg PA 17110
Re. Zedna Polillo
DOI. Septembet" 25, 1992
Dear Attorney Maffett.
Please be advised that on Tuesday, Mat"ch 22, 1994, at the
approximate time of 7.00 a.m., Mrs. Zedna Pol1llo pt"esented herself
to this office for out" final compt"ehensive comparative t"e-
evaluation fot" injuries solely related to het" motot" vehicle
accident collision of September 25, 1992.
This office has continued to treat this individual for spinal
difficulties as a result of this motor vehicle accident collision.
Presently, this patient's primary subjective complaints consist of
restricted range of motion within the cet"vical spine, ft"equency
suboccipi tal cephalgias, occasional right at"m paresthesias
descending the t"ight bt"achial region, mid back stiffness and
sot"eness and lower lumbat" spine dysfunction wi thout any
radiculopathy. This patient has remained on a constant schedule of
cat"e, genet"ally at the frequency of evet"Y two weeks. Occasionally,
due to an acute exacerbation and difficulties, additional
appointments may have been scheduled due to the associated nerve
root irt"itation that has incurred. This patient has t"eceived
physical the~apy modalities consisting of ultt"asound to stimulate
healing, inct"ease the blood flow supply to the surt"ounding tissue
and penett"ate deeply to relax damaged tissues and associated
pat"avertebt"al muscle spasms.
OUt" ot"thopedic examination was perfot"med and t"evealed the following
cet"vical spine tests to bs t"ecorded as positive. Cet"vical Spine
Hypet"extension test, Foramina Compt"ession test, and So to Hall test
reproducing discomfort to the tt"ansitional t"egion of the cervical
spine. The Cervical Distt"action test and Jackson Compression test
were essentially negative. The Circumferential Mensut"ation of the
cet"vical spine was pet"fot"med with a measut"ement being t"ecot"ded at
14 inches with the landmat"k being the C7 spinous process vet"tebral
level. The Dynamometer Gt"ip Stt"ength test was performed with an
-
Richard F. Maffett, Jr., Esquire
March 23, 1994
Page two
average reading of 30 points per upper extremity on the right and
20 points per upper extremity on the left. Palpable findings of
the paravsrtebral musculature indicated taught and tender fibers
involving the right upper trapezius musculo-skeletal fibers.
The lumbar spine examination was performed with the following tests
being recorded as negative. Sitting Bechterew, B1latera1 Leg
Raising, Leg Drop, and Lasegue's test. Patrick Fabere's test and
Kemp's test were positive on the right. DeJerine's Triad, which
consists of coughing, sneezing or having a bowel movement, is
essentially negative.
The neurological examination was performed via usage of the
Wartsnburg Pinwheel instrument. Testing to the cervical, thoracic
and lumbar spinal patterns indicated no specific levels of
hyperesthesia or hypoesthesia. Testing of the upper and lower
extremity deep tendon reflexes, namely the biceps, triceps,
pronator, wrist, scapu10humeral, patella and ach1l1es, were all
recorded at a Grade II level. There were no signs or indications
of wrist Jr ankle clonus on neurological examination.
The CYBEX examinations were performed to the cervical and lumbar
spine regions to specifically monitor and document this patient's
spinal flexibility, range of motion and in conjunction with
paravertebral muscle strength testing. The cervical CYBEX reveals
forward flexion 68 degrees, extension 34 degrees, lateral bending
left 24 degrees and lateral bending right 29 degrees. The lumbar
CYBEX reveals forward flexion 53 degrees, extension 16 degrees,
lateral bending left 34 degrees and lateral bending right 34
degrees. Paravertebral muscle strength testing to these two
specific geographic regions remain adequate at time of examination.
While stressing these musculature groups, this patient complained
of right cervical spine pain and right lower back pain.
Mrs. Polillo at time of examination has a blood pressure of 100/60
of the left upper extremity and a total body weight of 201 pounds.
I have reviewed my physical examination findings with this patient
and shared my clinical impressions. It is my professional opinion,
having examined this patient and followed the course of her care,
with a reasonable degree of chiropractic certainty, this patient
suffers with a partial impairment syndrome involving the cervical
and lumbar spine regions. Unfortunately, this will be life, long
lasting and will result in acute exacerbations from time to time in
the remaining portion of this patient's life. Mrs. Polillo never
had these subjective complaints prior to her motor vehicle
accident. Therefore, I am confident that these remaining residuals
are solely related to her MVA of September 25, 1992.
v
I IN THE COURT OF COMMON PLEAS
I CUMBERLAND COUNTY, PENNSYLVANIA
I
I NO. 94-2450 CIVIL TERM
I
ZEDNA POLILLO
STATE FARM INSURANCE COMPANY
PLAINTIFF'S EXIIIBITI CYBEX
EXAMINATIONS BY ROBERT C. ZABINSKI. D.C.
Cuv lcaL Lluabar
Ldt: Right Ldt Right
rorvard Latenl t..hnL Forward Lahul LahuL
rl..10n !.tenlion Oendlnq 8endlnq rledon !'lthndon Bend 1n9 Oendlnq
Normal 650 450 350 350 900 250 350 350
9/29/92 380 360 210 270 320 170 150 250
4/19/93 570 380 220 300 480 90 220 260
Change
from +190 +20 +10 +30 +160 _80 +70 +10
9/29/92
8/25/93 600 270 210 250 560 130 340 290
Change
from +220 -90 00 -20 +240 -40 +190 +40
9/29/92
Change
from +30 -11 0 _10 -50 +Ro +40 +120 +30
4/19/93
3/23/94 680 340 240 290 530 160 340 340
Change
from +300 -20 +30 +20 +21" -10 +190 +90
9/29/92
Change
from +110 _40 +20 _10 +50 +70 +120 +80
4/19/93
. "
6TATEMENT
ROBERT C. ZABINSKI, D,C,
3028 MARKET STREET
CAMP HI~~, PENNSYLVANIA 17011
TE~, 17171 73706279
c....au a.
'."".""'1 MADI
A,n_ !.A" 0"'.
''''0'''" WIL.L. .H(~U
ON "'OUI "'IllT
,TATI"C"'
~EDNA POLILLO
226 Birch Lane
Carlisle, PA 17013
NFl State Farm
'A~.NC'
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STATEMENT
ROBERT C. ZABINSKI, D.C.
3028 MARKET STREET
CAMP HILL. PENNSYLVANIA 17011
TAX 10 '232248610
r
ZEDNA POLILLO
226 Birch Lane
Carlisle PA 17013
TEL: 17171737.8278
CHAItOII Oil
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JAN 17 '96 14:17 ROBERT C ZABINSKI DC CCRP
,;~ ~
ALL CHARGES/PAYMENTS
I T E M I ZED
S TAT E " ! N T
DATE I 12/29/95
IRSI. 23-2249619
PATIENT I ZtDNA POLILLO 199362
226 BIRCH LANE
CARLILSC fin 17013
5S8171-02-5&86 POLl
DATE/INJr 99/26/92 ~npo
EMPLOYERr
TOI
RODERT C. ZADINSKI, O.C.
3920 MARKET STRUUT
CAMP HILL PA 17911
717/737-G279 PaKI717/737-1309
DIAONOSIS:
B47.9 SPRAIN AND STRAIN - NECK "
723.3 ceRVICAL OI~ORO!RS. OT~ER - CERVICOBnAC~I^L ~YNDnOMU (DIFFUSe)
FCr CASH
DATC Of' LAST BILL: / / PRt ZA052775 IDD 952775
......................................................n.~.......~.~np.~r.~~Dr~."'
DATE CPT DESCRIPTION .. POS TOS It AMOUNT
...............................................................................
12/lli/lI11 1I11:!13 OV..EST LO-MOD 11i MIN 11 1 1 21i.00
8Z/l6/lIS 97835 UL TIIASOUNO 11 1 1 5.U8
13/16/9& 99213 OVo.I!S, LCl-MOD 15 MIN 11 1 1 2!.eO
13/1G/96 97036 ULTRASOUND U 1 1 5.ee
94/21/95 99213 OV"EST LO-MOD 15. M I N 11 1 1 :!U. e0
14/21/95 97835 ULTRASOUND 11 1 1 50 ee
15/17/95 99213 DV-EST LO-i'\OD 15 IUN 11 1 1 2& I \)(I
1Ii/17/9S 97836 ULTIlASOUND 11 1 1 5.00
16/26/95 99213 OV-EST LO-MOD 15 MIN 11 1 1 25. eo
ts/Z6/U 9703& ULTRA30UND 11 1 1 5.00
t7/17/95 99213 OV-EST LO-MOD 15 MIN 11 1 1 21i. ee
87/17/90 97D3S ULTRASOUND 11 1 1 Lee
87/19/95 95/213 OV-E5T LO-MOD 15 MIN 11 1 1 20. ee
17/1D/g5 971135 ULTRASOUNO 11 1. 1 L00
87/24/9'" 99213 OV-EST LO-I1DD 15 MIN 11 1 1 20.00
97/24/95 97113l> UL nlASOUNU 11 1 1 S.1I11
t7f31/9S 9!l213 OV-l!ST LO-I'tOD 16 I'tIN 11 1 1 25.00
17/31/95 97035 ULTRASOUND 11 1 1 :'.110
eO/e9/95 99213 QV-EST LD-MOO 1!l I1IN 11 1 1 20. 90
os/n/;!i 97035 UL "RASOUND 11 1 1 ~,0V.
10/24/95 99213 OVo-EST LO-MOO 15 1'11/1 11 1 1 2:'.00
10/.4/95 91035 ULTRASOUND 11 1 1 G.llt
19/13/9& 911213 OV-EST LO-I'tOD lS MIN U 1 1 ~0.0e
19/13/l/6 97835 ULTRASOUND 11 1 1 li.00
19/27/96 99213 OV-EST lO-MOD 15 I'\I N 11 1 1 :!c.ac.
09/27/96 9713& ULTRASOUND 11 1 1 G, 0 ~
18/11/95 99213 OV-EST LO-I'tOD 16 I'tIN 11 1 1 2!ioa~
10/11/95 97835 ULTRASOUND 11 1 1 50 9 ~
CONTINUED
..........--...................................................................
SUBTOTAL I 3~0.9t
J/lli 1T'" 1<' Ie ~"IE~' , E/lUli$~1 D': CC~~
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.:..
^LL CH^RGCs/P^VnCNT3
I T E " I ZED S TAT E MEN T .
PATIENT I ZEDNA POLILLO 18.302
"" RIRCH LANG
tARLILtt PA 17813
GS'171~G~~GGDO POLl
DATE/INJI eD/~5/g2 Gnp.
DATtl 12/20/9G
lK~'1 lJ~~~~Ubl~
F.MPI,OVER I
TO I
RODeRT t. lAIlINSKl, D. c.
3Q39 HARKET STRE~T
CAMP HILL PA 17011
717/737-0~7' 'a~1717/737-13a9
DIAONU~lSI
0~7.' 3PAAIN AND 'TRAIH - HeCK
1~3.~ tEKVICAL DISORDERS. OTlIeK - CERVICDsnACHIAL SYNDROME (DIP'USE)
FC, CA~H
DATt or LAST IlILL:
.__M.______.__.__..__._.__..__.._._ft.."."."~~~~~"W~"~~~".-_...~."~"".~...~~"~.~
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PRt IR80Z770 IOU .02770
DATE
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11/23/06 00213 OV~EST La-MOO 16 MIN 11 1 1 2..00
11/23/95 918n ULIKRSUUNO 11 1 1 ~.\l\l
18/25/11~ t921~ DV-CST LO-MOO IG MIN 11 1 1 ~G.OO
lt/2~/D~ 97tH ULTRASOUND II , , n.""
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ll/U/9G 9703G ULTnAODUND 11 1 1 ~.6e
U/17/Q6 00213 OV-EST La-MOD 16 MIN 11 1 1 2..18
11/17/90 97830 ULTRASOUND 11 1 I 0.110
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CAMP HILL, PA
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NOV , 3 9J2
RECEIVEO
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ZABINSKI CHIROPRACTIC OFFICE
!ft- . Robert C. Zablnsk~ D.C., C.C.R.P.
3028 Mark,t Stml
Camp HII~ PA 17011
(717) 737.6279
FAX (717) 737.1389
November 9, 1992
Ms. Jackie Ravenel
State Farm Insurance
P.O. Box 257
New Cumberland, PA 17070
HARRISBURG
NOY 1 0 !92
RECEIVED
Rei Zedna Polillo
DOAI 9-25-92
Cl~im"1 38-6536-422
PolicY"1 685-7770B0938
Dear Ms. Ravenell
On Friday, November 6. 1992, Mrs. Zedna Polil10 did present herself to this
office for her first comparative re-evaluation and re-testing. My two ~
medical reports to you were of September 29. 1992 and October 19, 1992 have~~'
kept you completely apprised of the health and welfare of Zedna Polil10.
At this time, her rimar subjective co consist 0 t
the fre uency of three times per week, neck pain, paresthes~volving
the ri on m ac ower back ai nd
nurn ness and tin 11n d w g..at
the poplitDol feees ,GAien. Ms. Polillo, upon specific questioning, clearly
states that she does feel weakness with usage of the right upper extremity
and having difficulty raising it from time to time. The lower extremity
neuropathy has not developed into any weakness of the extremity. However,
she continues to be plagued with these discomforts on a daily basis. She
shares with me, her cephalgias are not of the severity or intensity nor
is the pain that she is experiencing involving these spinal regions. She
does feel improvement with these accident related spinal conditions. However,
she is still concerned with the paresthesias of the right upper and lower
extremity.
The orthopedic examination does reveal a positive Cervical Spine Hyperextension
test and Foramina Compression test bilaterally with special emphasis reproducing
discomfort on the right. The Cervical Distraction test and Soto Hall test
are essentially negative. The Dynamometer Grip Strength test was performed
on three separate occasions with an average reading of 35 points per upper
extremity on the right and 20 points per upper extremity on the left. This
does show a 15 point improvement of the right upper extremity, showing us
strength is returning to the injured extremity. The lumbar spine examination
\D-L-
-
,
'\
Hs. Jackie Ravenel
State Farm Insurance
November 9, 1992
Page two
HARRISBURG
"O~ \ \l -
RECEl'JED
does reveal a positive Sitting Bechterew test on the left, Farfan's Compression
test, Bilateral Leg Raising test reproducing discomfort at approximately 70.
and Kemp's test positive on the right and negative on the left. DeJerine's
Triad is essentially negative to the cervical, thoracic and lumbar spine
region. Specific spinal percussion and palpation does reproduce sensitivity
to the C3,C4,C7,T4,L4,L5, and right sacro-iliac joint.
The neurological examination was performed to the various spinal dermatome
patterns. There were no levels of hyperesthesia or hypoesthesia. Deep tendon
reflexes of the upper and lower extremity remain intact. There were no
signs of any wrist or ankle clonus on neurological examination.
The CYBEX examinations were performed to the cervical and lumbar spine regions
to document this patient's specific spinal flexibility, range of motion and
muscle testing of the specific geographic paravertebral structures. The
cervical CYBEX revealed forward flexion has improved to 590, extension 34.,
lateral bending left 290 and lateral bending right 310. The cervical CYBEX
revealed a lS. improvement in the forward flexion mode. The lumbar CYBEX
reveals forward flexion greatly restricted at 370, extension painful at
100, lateral bending left 290 and lateral bending right 27.. Hs. Polillo
shares with me during the course of the examination that her lower lumbar
spine region is giving her considerable discomfort todaYl therefore, the
forward flexion CYBEX does reveal considerable restriction. Testing to the
paravertebral musculo-skeleta1 tissues indicated no signs of severe muscle
spasms nor muscular deterioration upon testing. Due to the injury to the
ligamentous system, this is resulting in a weaken area causing Hs. Polillo
considerable discomfort, pain and instability while performing her activities
of daily living.
Hs, Polillo does have a blood pressure of 110/62 of the right upper extremity
and a total body weight of 210 pounds.
I have reviewed my physical examination findings with Hs. Polillo and have
shared with her that I will be reducing the frequency of care for the next
30 days. She is aware of her home rehabilitational procedures which she
is to be doing between scheduled office visits. If any acute idiopathic
exacerbations do develop, she is to call this office for guidance. This
patient is progressing as anticipated. Our therapy will continue to be
corrective and rehabilitational in nature to strengthen the ligamentous and
musculo-skeletal system as well as reduce the neurological insult that has
been sustained as a direct result of the motor vehicle collision. Hs. Polillo
is completely attentive, prompt and courteous at all schedule appointments
and maintains a very serious attitude in regaining her health.
...
')
Hs. Jackie Ravenol
State Farm Insurance
November 9. 1992
Page three
H~"R'SBURG
tlO~ , 0 .
, '-l~'ED
R~""r.. v
Upon receipt of my medical report and itemized statement. your prompt payment
to be received by this office within 30 days or less is deeply appreciated.
If any questions or concerns with the pr08ress of this case to date, please
feel free to contact this office at your earliest convenience. Thank you
for working with me on the health and welfare of Zedna Polillo.
<?o:-
I
Encl. Statement for services rendered 10-19-92 through 11-6-92 $593.00.
"
ZABINSKI CHIROPRACTIC OFFICE
December 22, 1992
Robert C. Zabinsk~ D.C., C.C.R.P.
3028 Market Street
Camp Hil' PA 17011
(717) 737-6279
FAX (717) 737-1389
HARRISBURG
DEe 23 1992
R~CE'VED
Hs. Jackie Ravenel
State Farm Insurance
P.O. Box 25i
New Cumberland, Pa,
17070
RE: Zedna Poli11o
DOA: 9-25-92
Claim": 38-6536-422
Po1icyd: 685-7770B0938
Dear Hs. Ravenel:
On Honday December 21, 1992, HI's. Zedna Poli11o did present herself to this
office for a comprehensive comparative re-evaluation and re-testing.
Hy last complQte medical report to you identifying this patient's status
as she proceeds thru her program of rehabilitation was on November 9, 1992.
I am pleased to report to you at this time, this patient has had a reduction
of her primary symptomatology which does consist of cephalgias, cervical-
brachial paraesthesia's, right lower extremity paraesthesia's in conjunction
with lumbar spine dysfunction.
At this time, her 1 ias are at the fre uenc of 0 two ti
week. They are no longer dai y an not at the frequency of three times per
week. The neck pain is improving however this patient still experiences this
on an intermittent bavs. The mid-back p'iR is tp.".p "". .1-1. t. mere-of a
secondary ~nm~t ~Rd IL dues not refrain this individual from-performing
her physical activities nf daffy living.
Her primary dilemma at this time is the lumbar spine dysfunction which does
have the tendency to shift from joint to joint and this patient is having more of
a discomfort involving the left sacral-iliac joint. The biggest positive step
has been the reduction of the right lower extremity neuropathy descending
the posterior aspect of the leg stopping at the popiteal fossa. At this point
and time, this condition has healeu thru con~ervative chiropractic care. She
best describes her lower back pain as a deep dull nag8in9 ache shifting in
nature from the lett sacral-iliac joint to the right sacral-iliac joint.
The orthopedic ex~mination does reveal a positive Cervical Hyperextension test
o -'3
,.
,
Ms. Ravenel
State .arm Insurance
December 22. 1992
Page Two
HA~~/SBURG
DEe 23 1992
kt;:CE/VED
as well as Foramina Compression test on the right and negative on the left.
The Cervical Distraction test and Soto-Hall's test are essentially negative.
The Dynsmometer Grip Strength test does reveal 30 points per upper extremity
on the right and 25 points per upper extremity on the left.
The thoracic spine examination indicated flexion. extension, and lateral
bending with compression to be negative. Palpation to the T4-T5 vertebral
levels did indicate tenderness.
The lumbar spine examination was performed with the following tests being
recorded as positive: Sitting Bechterew's, Bilateral Leg Raising at BO.,
Lasegue's, and Kemp's. All these tests reproduced discomfort as well as
tension in the muscular fibers on the left. Oejerine's Triad which consists
of coughing, sneezing. and having a bowel movement does not reproduce any
cervical or lumbar spine pain. Specific spinal percussion to the spine indicated
the following levels to be sensitive; C2-C5-C6, T4-T5, L4-L5 and left sacral-
iliac joint.
The neurological examination was performed via the Wartenburg Pinwheel instrument
and testing of the upper and lower extremity deep tendon reflexes were found
to be intact. There are no levels of neurological implication of any patterns
of hyperesthesia or hypoesthesia.
The CYBEX examinations were performed to the cervical and lumbar spine regions
to document this patient's specific spinal flexibility, range of motion and
in conjunction with muscle strength testing. The cervical CYBEX reveals
the following: forward flexion 53., extension 36., lateral bending left 30.
and right 2B.. The lumbar CYB~X reveals the following: forward flexion 39.,
extension 11., lateral bending left 22. and right 34.. This does show con-
siderable restriction in the forward flexion mode. This patient's restricted
range of motion to the left portion of the lumbar spine region does correlate
with her subjective complaint's of pain and discomfort involVing the left
sacral-iliac joint. Muscle testing to the cervical and lumbar spine paravertebral
structures remain adequate in strength and tonicity. Mrs. Polill~ does have a
blood pressure of 108/60 of the left upper extremity. Her total body weight is
recordLu at 212 pounds.
Due to this patient's continued positive improvement and reduction of neuro-
logical implications we will be reducing this patient's frequency of care within
the next two weeks to one visit per week. We will continue t~ apprize her with
her interim and comprehensive re-testing to note her gainful improvement.
To date, r am happy w;th-her results, [do believe she has a good to excellent
prognosis for a complete and full recove~. ~s we continue on With her rehabili-
tational care I "Ul asse.. her condition in- the near future.
(
'"
'\
H ~,.r:....... .. "
".\................1
'ZAl!INSKI CHIROPRACTIC OFFICE JA:ll 9 CJ
.
Robert C. Zabinsk~ D.C., C.CR.Po R E C E J V EO
3028 Marui Sm,1
Camp Hil4 PA 17011
(717) 737.6279
FAX (717) 737.1389
.' ~~
:)". ~.~'
~~.JooII. g~i~~!i ~',. ~.~
.. 1.,
January 15, 1993
Hs. Jackie Ravenel
State Farm Insurance
P.O. Box 257
New Cumberland, PA 17070
REI Zedna Polillo
DOAI 9-25-92
Claim"1 38-6536-422
PolicY"1 685-7770B0938
Dear Hs. Ravenell
On Thursday, January 14, 1993, Mrs. Zedna Polillo did present herself to this
office for a follow-up interim comparative re-evaluation and re-testins. My
last complete medical report to you, brinsing up to date this patient's
current status concerning her spinal injuries directly related to her motor
vehicle collision, was mailed on December 22, 1992.
At this time, as I have previously apprised you, we have reduced this
patient's current rehabi1itational program of care due t~ the improvements
subjectively and objectively. However, this patient called our office
on Wednesday, January 13, 1993, to be seen prior to her next scheduled
appointment due to the fact that she was experiencing increased lower
back pain and neck discomfort.
Examination did reveal tenderness to the spinal process levels as well
as paravertebral muscular tension. This patient denied of any slips,
falls or re-aggr~vations to her present condition.
At this time, this patient is experiencing continued difficulties with
her cephalgias for the last seven days. This patient's neck pain is in
the mid portion of the cervical spine involving the cervical spine facet
joints, Hrs. polillo is not experiencing any paresthesias to either upper
extremity nor into the distal digits. She is not complaining of any weakness
with usage of either upper extremity. The mid back pain at times, depending
on how she moves, is creating twinges of discomfort with occasional cramping
sensation involving the paravertebral musculature. Ker lower back pain
continues to give her difficulties with flexibility and range of motion but
is of the deep, dull ache variety in description of pain. She is not
experiencing any numbness and tingling as she was in the past involving
the anterior or posterior aspect of the lower extremit~, She is not
~ -~
.\
l."'. - '11',
. ,t'..t.........
.....
Ms. Jackie Ravenel
State Farm Insurance
January 15, 1993
Page two
J .1'/ 1 :1 ".'J
11. ;) ......
RECEIVED
experiencing any weakness with either extremity nor difficulties with
ambu1ation. DeJerine's Triad, which consists of coughing, sneezing or
having a bowel movement, is negative for reproducing any increasing
spinal duress. 1his patient continu~: ': h: :~~: :~ ~~p~npm mngt_of
her physical activities of dail 1 v g n i e basis but is
continualfy mindful 0 proper bendina and lifting.
,..-
,~
The orthopedic examination does reveal a positive Cervical Spine Hyperextension
test to the mid portion of the facet joints. The Foramina Compression
test is positive on the left and negative on the right. The Cervical
Distraction test is essentially nogative. The Soto Hall test did produce
the subjective complaint of a pulling and drawing sensation involving
the left upper trapezius muscle. The Dynamometer Grip Strength test
did record 40 points per upper extremity on the right and 25 points
per upper extremity on the left. Circumferential mensuration of the
cervical spine was documented at 14 1/2 inches with the landmark being
the C7 spinous process vertebral level,
The 1wnbar spine examination revealed involvement of the right sacro-iliac
joint which reproduced pain and discomfort while performing the Sitting
Bechterew test, Bilateral Leg Raising test and Kemp's test. Palpation to
the lumbar spine region revealed sensitivity to the L4,L5 and right sacro.
iliac joint, Mild paravertebral muscular tension was found on examination.
The neurological examination remains intact.
The CYB~X examinations were performed to the cervical and lumbar spine
regions to specifically document this patient's spillal flexlbility, range
of motion in conjunction with paravertebral muscle strength testing.
Cervical CYBEX revealed forward flexion 52., extension 35., lateral bending
left 23. and lateral bending right 31.. The restricted measurement of
the left does correlate with this patient's subjective complaints of left
cervical spine pain in conjunction with cephalgias. Lumbar CYB~X revealed
forward flexion 57., extension 14. and painful, lateral bending left 28.
and lateral bending right 32., Muscle strength testing seems adequate
for this patient's current health statu~.
At this time, due to this patient's increased suboccipital cephalgias
and lumbar spine discomfort, we have added additional appointments to
rehabilitate the area and decompress any associated neurological irritation.
I do believe that with additional intensity ~f treatment scheduled for
the next one to two weeks, we will be able to go back to the reduced
frequency of care to one time per week and work towards a level of a
full and complete recovery.
"\
Robert C. Zabinski, D.C., C.C.R.P.
3028 Market Street
Camp Hill, PA 17011
(717) 737-6279
FAX (717) 737-1389
HARRISBUR(
FER 19 19:
RICEWE
..... .
,
ZABINSKI CHIROPRACTIC OFFICE
.
.
February 18. 1993
Ms. Jackie Ravenel
State Farm Insurance
P.O. Box 257
New Cumberland, PA 17070
ReI Zedna Polillo
DOAI 9-25-92
Claim": 38-6536-422
Po1icY"1 685-7770B0938
Dear Ms. Ravenell
On Thursday, February 18, 1993, Mrs. Zedna Polillo did present herself
to this office for her comprehensive comparative re-evaluation. My last
complete medical report to you identifying this patient's current
subjective complaints and physical examination findings was January l5, 1993.
Presently, this patient is responding to care as anticipated. She is
now at the reduced freQuencv with her CPphAlgi~Q a~ne to two times per
week. Neck pain is intermitt~nt. She is experiencing intermittent
cerVical-brachial symptomatology. Mrs. Polillo denies of any coldness
or loss of strength of the right upper extremity. However, she is
experiencing paresthesias into the second and third digits. The mid
back dlscomfort is best described as a mild, deep, dull ache sensation
with no anterior chest wall pain. The lower back 1ii:;~~:~~~':'';. ..~..":;';':',." - ;t' -..-. --..
in nature with no right lower extremity neuropathy as previously noted.
At this time. we have been able to successfully decompress the associated
neurological insult. to this patient working on a daily basis as a
secretary. we have prescribed an es ned to
e ut ze ng In an automo i Q-itt-llomll nr s itUng
eig . am confident that this will help enchance
lumbar spine support and minimize some of the soft tissue residuals that
continue to plague her.
According to my records, this patient called for additional care on
January 20, February 12 and February 13. 1993. this was due to a severe
cephalgia,
\j--(
.' ,.-"'.
'''I
'\
,
,
Ms. Jackie Ravenel
State Farm Insurance
February 18, 1993
Pase two
. "'c;eURG
FfB I 9 1993
RECEIVED
The orthopedic examination does reveal a positive Cervical Spine Hyperextension
test with a Foramina Compression test reproducins discomfort to the mid to
lower portion of the cervical spine facet joints bilaterally. The So to Hall
test does reproduce discomfort to the C7,Tt vertebral levels. The Dynamometer
Grip Strensth test was recorded at 30 points per upper extremity on the
right and 20 points per upper extremity on the left. Thoracic spine
examination revealed palpation to the C4,Ts,T6 vertebral levels. Thoracic
Lateral Bending, Extension and Flexion reproduce modest discomfort. The
lumbar spine examination did reproduce discomfort across the 1umbo-sacra1
junction while performing the following orthopedic testsl Sittins Bechterew
test, Lasesue's test and Kemp'& test. Palpation revealed sensitivity to
L4,LS vertebral level. No true sacro-iliac joint involvement was noted on
examination.
The neurological examination was performed via the Wartenburg Pinwheel
instrument and this was intact. Upper and lower extremity deep tendon
reflexes were all recorded at a Grade II level.
The CYBEX examinations were performed to the cervical and lumbar spine
regions to specifically document this patient's spinal flexibility, range
of motion in conjunction with paravertebral muscle strength testing.
Cervical spine forward flexion has improved to 620, extension 42., lateral
bending left 24" and lateral bending right 360. This does show improvement
in all areas of CYBEX testing. The lumbar CYBEX reveals forward flexion 600,
extension painful and restricted at 16", lateral bending left 230 and
lateral bending right 2S". This once again shows modest improvement in
areas that have been tested. Muscle strength testins seems adequate to
the cervical and lumbar spine paravertebral musculature.
Mrs. Po1i11~ does have a blood pressure of 100/72 of the left upper extremity
and a total body weight of 211 1/2 pounds. .... .. .., -. --.. --, ..---- _.. _. ----
Taking into consideration this patient's current objective findings and
subjective complaints involving the cervical and lumbar spine region, I
am making the recommendation that this patient shall be at the reduced
frequency of care of one time ewe for tH~ nex_ severa! we I wl11
ke you e e y appr sed of this patient's improvement through our
interim and comprehensive evaluations. At this time, Mrq Polilto has not
reached the level of maximum medical improvement. However do rem in
co en a we w e a e to s a ze d any
type of chronic imp a rment ifficul~ies.
Upon receipt of my medical report and itemized statement, your continued
prompt payment to this office within )0 days or less is graciously appreciated.
~ ~.
~ 'P<-
/
Robert . Zabi ski. D.C.. C.C.R.P.
BOard/Certifi Chiropractic Rehabilitatl~n Physician
Jl En<\l. S.Ji'3tement for services l-ls-9) through !-lll-9) 51002.ll0
'--"
F"Io~qL' !
llJldna 1"01 ~Ilo
FILE NO.: '8~5364::
... ~,.. ~ I 1'''''"\
ht,~\. .,..;::1;:"",......
NOV 0 5 l;.~::l
~ t: c;:: i 1,' _ ..J
s~<lting th<lt tr,is cl.aimant e:q,el"v3nc:ad .:In'/ loa'i nl
nor sustalned any tracturas and or dlBlocilt10n~.
I:,:~n':i":: li:)U~jneS5 ~
5ubs~quently. t~is claimant present~d t~ the offlce ot O~. Robert
Z.blns~l, Chiropractor, on ?129/9:. wher~ Lt w.s n0~OC th2t upon
e:llIlII.inat.lon Dr. Zi\bins~'i l\rr.1Vt~d ,.t thl~ roll',)"'lnl) ,j.~aLJ"C1StlS:
hypere:i temilon/hyperT 1 e:: til'l1 Hlll.WY. cer', lI:.:I J. bracr Ii' \ "YI1LJrtJme,
tor'tlon lnJ ur'l lumbar '3p1ne rind ,-.rd 1'='.1 l.,p." 1:1\,/ 1 O.i eJ:\='" E'l1sad
Llpon th.? above d HlgnO'l'lS Dr., ,: .lllln,; I. l J.,np 1 e.'me"\ h!d ,'. t ""'Ii. tmen t
r.egllOen I.:onslstint] of Lllt".r.'-:\'-'iOlhl~~ 11I.\rll.\d.: :n~.nJ.pl\ldt:on :JT tl'"'13
'3p.i.ne and r'l!habi.\:t<ltive trl?atllwn~.
Ff'lJIO il reVJ.8W of the IIIl'!dlCd! ,'(!I:f.lrI1!;. .t.!.s nClc~'~ th.lt tlu,,"
claimant initlated care under the guidance of Dr. Zabinski on
Q/:9/9: arld continued ttlrOLtgtl ei9~. ,'ccording tel the records
thi~ claimant cont1nued to r~C~lve ,=~re under ~he GUidance of Dr.
Zablnski beyond 8/93.
ln answer to your correspondence ~3ted It:I/13,~93. th,] ~cl~o\~i~g is
,ny profession...l opinion concenH~g YC'.'.r qL\9stlon5:
1. PO YOU CONCUR THA T F'AT! ENT F:::;'\\~HED t;,ENEF I T '::F CH [RIJPF ,~CT I C
CARE BY ZABINSKI CHIROPRACTIC 8N rul B~ 3::8;9: ~ND THAT
NO FURTHER CARE WOULD BE NLZEDL:O"
If this c:laimc1nt'c; complaints, lIlec:h~ni~m (If In];Jr.!..~'.=i :one: Il.:1f:.:r.~.
llf tile accident as presented i\re corn?I:t. I:ili~; .clall1l,r:t lIuti"':l1!c
=ar~ under the gUldance af Dr. l.bLns~i, or q/:9/0~, for in-
jUl'ies allegedly sustained i..1 :I ,(,va r;l~' '1/'2:5.'9:. 1 ': .lppeZlrs hy
the flle aV.lilabl: for my n!VH'!W 1:11,.\t chlrrJprac:tcc c~"''! l"endered
ta thiS claimant by Dr. .!lHJin=~ i. VI;\1Z ,.-\npropr13-:1::, :'"'(Jz.~scndbL:; dl1l~
ne':EHi!'idr'.' in tt,e 1,'Ltl.Jlnorlth~: ;:IT: l:-dl'"I?
[: sriot..\lj be notzd that tr:8 l.lse cf:~,"1.l1.:.~\:.:.'/.= t"'i~l-,;;.pi=:i .":'~~:I::'Jdl.:'q
--., ' -t' ..-.. +-C' t '':1'' I""~'--";'" '-~-:-=-r:-:-:--;-'-;.-:~;'.~-:~-;- '~"-l:'~--"-',,~
IT,~r!.'":.2:L\..:. _on ,,-,I __:.:.!,~_~!.:.=:.,?:._L.__:.'~~.' _ l. ;_. ~__ ,. __:.-:~_~r:...~.-_.,..-:,.\ ~I_. 1.:-
'"h's C:;''''"'A'" .'.llQ""~.d"J '~u"t-,Tn-;'-~ "n ':I':"'i,i:,c,> 1" ,1",,'l"'L.........l.e~
'. _ .~~ "= _, ':J-- J.. _ ...-.::\_ \;;;'..J....., .......' ,.... ;J ....\...., .. .:.2'__, ....
. far' up to _1 thr=" month per:ad GT j;~;llr.;. rr-e_\tnm.,~_ ..:::. '.,JI r. tl'3sL\~,
-nJLtr'.leS wh.lch e::c:eecJs thL'3 lenrJth :.11 ~:f.lh\t,nt.:.'n... t:Il:~ 1.';: (::::~e:'3i"e
r :la~ ,jCJC'LtmentEd b)o' .JO;,;lt.:.V>;;o ,.Jr-~;H.:I:lF.;ci,:"no?L~r=~.~lJ;' -:1.: =";l1l"iLtl La'
:i.cnr:i. C-;'!'f'lf': f;.ndLrlgs, u',.. 'lIur.(.~ ,:\'.1',_\l--;C81.1 J....:.iq;hJ.:.::.. ~ ~"-:\ll...~~..i-.icn:s
'Jl:h r.'.~ !'\.ae1jle E~!G, SSEF..:'ICl,':, ~="'.'= 1':0 ~!I.\,:'" ~:FI;-::.,;, t'~.'" ~'~,;p.'".r?,t~~
'lnll ,Jr. ~.\rl'" d i..MJnos tlC te'."i t: r.l"5U l t.'."'; .:: ~.~; I. r'J:. m'l .~. .I.,?...: ': :Hl\:at"'\ 111'1
:111.-'; l:,:\<;e. I
I..'pr:'rl ;"F.I\i.'..r=~wLrg I:,~c? 11l,:.t1.:l1 ,!etcrn'.:',.:\t,:"1!1 ;:l'?r~.::'"',lll~: '~:., :1. ~~'II-H~'l .':
'.:~n.-=-:(':j;"l~,'j t!1':'s .:.ase, :.:. ;,,0:; r.J'.:amlll~l-rl,::(j !:l'/ n~.. _.II:.:I:li~ .l-,:~' ':~~.
,;1.u,ndnt had r.'l!ached :I pOlnt IJr ~"\".;lILi'1I bel\L':.~':=. .'.'~:""~'- t:1~~I--:'
'Ji'.3C~:'C I:are b'/ :/~~/9:, = morlt:,~. ~... .:\t:,j1.~:.,:r', !,'.: I'H:~,3 I",..J+:'~.J t..
~;r. Emlllons tl1,at the o.:yLJe:: +:::'::'-:.'..nl] r:)F~rt 'rni!~l on :-1-,1.:.. . l.~ '.,!\." t IJ"
........1'...'...
I'. ..1"" ....,.:.,\..1
"1,'.,,\, ,.-'" ..
1:'~\CJI~ :-
:li1dl'.' :"Ull', l:l
1711..E: l'lD.: ':8655642:
tlO~ 05 ;::3
,,:," ,:;~.t ~ _.J
. -
Dr. Zabinski was nut appropriat~. nor rua$cna~I~. 'Jpon r~\i?W1ng
':he uocL\mentation presented trom tho tn.at.l.l1lJ ch1rapr,1l:t',c ph'/Sl-
.:h\n. Dr. Zi\bins~.l. along wlth disc\l\Jslrlg this fi:8 ,.,<,:h '.h'~
truat1ng ehlropr3ctic phYSlci3n, ! 4m ln agreement w_t~ the
inLti.1 poer review performed by Dr. Emmons Ln tha~ :hj~ c'd:m~nt
had reached a point of ma:llmv,m bene'fl": of fLlrt.her' ,:h",'opri\cl:ic
tn:atment IJY 3/28/93. There i:!::i':it; no rUl":tll"r 'JIJJe-:':i',oe! ellni"
,:;\1 dOClunenti.\tion trJr my re\ Lt!\. 'illppu,-tlrl'j t11(. r:<~::c',,<,i l~ I'" nr~c~d
III ,;:ontinL\ed chiraprac:t~c .:,1<'(1 IlL",'Jn" .\ .., Inl.lI',r.I" pE.,'""j ni lime
concer'ning thl~ case. 1 t l'= lI,y pr'of(,(i~l .,'11 'JJln_t" I ....,yon.:
3/28/93 a hom 8 ram consis:lng ~r thera-
peu.J.c c:tt""';':)t"{"'hes and e:-:er-c:.ses ,:oul.d ~)8'v'e been i:t' ~:..~ent..e t:c
lnc.m!le strength, tle:dlJibly ~no c? ,ncPo i.\S \~"Il as to. hel;)
pre'l~n t against any aggrava :i,1n; e::,~cerbi.\ tion of the alleged
i.n..1u("'iF1S ~,L\5t.ained due to thellvi\ in qUl~stl[jn cr 9/'25/Q2. Addi-
tionally, it. 1S my profession~l cpin'.lll1 ttli\t o?n,! ~nd ~,: 1 cybe:',
tt:stlng pel-formed on thlS ;:1.111110,111: li'! 1),-, ~,lbLnsk L ";\'~ n'Jt ,]ppro"
prlate, nor rei.\~oni.\ble at eith~r monltorlng the ~rograss that
thlS claimant was making with the caru bD:ng pr~Ylded by Dr.
l~blnski and or alterating i.\ treatment regimen. !t 1S 111'1 prof.s
.lonal opinion that the lnitial e;.all1indticrl icl!=~2d ~y ~~mar~u~
n;,-e:.am1nations which were perfcJr'med nn ~11J.S \: l:1.lkUlt hV Dr'.
Zabinski, consisting of actlvul pC\~j'2iv~ r ,;\i"H..jt!S 01' Ina':..LUn. ,:h" t.t\.:lpe!'
d IC maneL\vers, neuro 10," ica I test.:.n';), etc., wCltld Mave b2-1r, apprc"
~rlate in ~nd of itself at both cbjectl~ely monlt.~rll1g the
pr"ogres..:; thi'E cl",irnant ~li\(; m~1k~n~ \i1J.t:l t~~,~l .:\;\:"""2 ~)t~l;"\'J ;.1r-':"/id,;;'j by
Iii.... ?:'\b.ll1~~~.l alurlq with .1ttl~l-at.in'1 ,;,' t.r"~~t".mf.il1t r.:~CJ'ilh?n 1'= nel:C~j
",dr y. Ttl..!re:ture.. It 1.~ lily prTJ'ful:;;,,:,.t,~JI1.:\.J '.Jr,L'l!.L!'\ L!'.d',"~,I\ .\Iltj .)'.'
::ybe:: testing fjt1rtorrned on this \:Ia~l"ant. ~J,I llr. :~.'\bl.'l'l~: riOtS ,"O~
BPpropri3te nor reascnabla \:oncurn:ng this case..
Addi~ianally. Dr. !Bbins~~ requustej ~h~ n~pcrcJn:~~ -. diseu~s
tll~5 C:1..\5\3 \',itr me pl~l()r to :ny ,..,=r,derin~ ~'-:~I~Cl.S.l.':)I', On ,!.(J/19:'9:',
j~scus~2d th~s case WIth Dr", !~bLnskl. It ~~s ~t~t~d ty D'.
..~~oJ:"il'~;~.l ':.hl\t Uai!S cl.;.im~r;t ~Ia=: beinrJ t"'E.ated':.~:r'Ql,\i;r. t~ t:l,",'!
~/'L"=~nt. rhet~E:- \~as nc fl'.r~ht:.I'- jtJCL'.ln~nt:.ti~tlh'1r In', .',:p1i=~J :011-
::,~rl~:"~~ thi3 case.
:1.:r",:f\.1r:=. al;JQr~ r-.,:',':?\^Jlnq l:r.':1 =,':.~:,.,:: jl:'..I~;t,,-ll-':~\':.:._:n ::r-a<::.;I;ec far
n': r-S'/:EW ~cn':'=f-'1inlJ t11:"S cane f....CHll t:-d~ ~r-t?..:.t:a:'G::t",l:-;.:ptaJC tic
pt),.;;...c.:.:....-'\t1~ ~:r-, :::t..~L1Ln..jl,.l, ;;.\'.cnq "';.'..:;1 ,;.:.'.;C'-:;:...." '":..: "'.~,:.~ '-, t~ I:h..
1:"-;:-l.\l:lIHJ l:tlJ...'.O!:Jr'\o.\\:;t..J.t" p;.lyl.i1.L:....:..;..'.. :\li~ ~r' -.;.,]t':":!lI.H'; 1,~t:t"'1 t',t>:o
~11;''':1.~1 !JGHH'" rt~'/i.ew pertr.JrrrHJd ", l'r'.. ~~,lllr.i:J:1~ LI! '::',11. .lo~'.:-:': ::._'~,fI-":~-'~:
ld.ll 1"~~h:t1l::t: .3 pOLnt: or m...~:,1.I1lI.\.t1 ,nt~dl.l:,.\L t.nr;-".':)iE-,nE.'.-: ':I!.':ll1\'lll'
::~r~I1\:Jtlt. 'IT f:hlr.cpr',:\ct.ic ;:.l\"";~ rJr' :....~'g..-I;'.~:,' -,: n~I~r:'.~ .... .. if','
rl".t.l"'~~Sl."'lll.d CJpl.nl.Oll ~.h,1t t-'l'.: ~.~;\.;t:!.. :"'1 t_:!~:,rj'It:'!r~' .iI. '.':4 .flI'r~_~
':tl.:irt .:i1.\rr..CL.JIlt: t= t-e;:\c:, -:\ j.II~~1.lit tJr r'--~I~IJ:~.~I'.1...:I~_ -:: ..~~. '::1.:\':'0\1
d~~:::' ~IlJU:"l:!':i ':ust~.1..lerj '::L\c': ~';: l:l-r: :'1'/" ;"1' 1'.'== ":.a,:r .
.'"
~
Consolidated Rehabilitation Conlpany
')
HARRISBURG
AUG 2 7 1993
fi g,~A~,~P
.,
,
CO:--;FIJ)E:"ITL\L REPORT
ATT: BECKY PASTOR, R.N.
I'~~r 1{~l'i~w Organilulillll
.:~nili~d by lh~
C'\I11\1I"Il\\~allh of P~llns\'I\.lI\ia
8/19/q3 .
."":.....
I' ~ . .' ..
RE:
CL:
D/A:
ZEDNA POLILLO
38-6536-422
9/25/92
ilUG 2 ,.' IC~'
. "I}
_:i',~'
Dear Ms. Pastor:
For the purpose of this review, I have utilized the following
records:
1. DR. ZABINSKI'S N~~~\TIVES ONLY (NO NOTES OR DIAGNOSTICS)
A. 8/5/93, 9/29/92, 10/19/92, 11/9/92, 12/22/92, 1/15/93,
2/18/93, 3/5/93, 4/19/93, 5/21/93. 6/9/93, 7/15/93, 7/5/93,
B. BILLING STATEMENT, 6/22/93-7/5/93
2. MISC.
A. ER RECORDS, HOLY SPIRIT HOSPITAL, 9/25/92
B. APPLICATION FOR BENEFITS, 9/28/92
According to the records, this at the time 30 year old restrained
female driver was at a stop sign when her vehicle was struck in
the rear. She was transported to an ER and released with muscle
relaxors. Two days later, she reported to Dr. Zabinski with
complaints of head, neck, shoulder, and low back pain, and alBo
parestheBias in her mid-back. She was examined there and found to
have positive findings indicative of a cervical strain/sprain and
torsion injury to the lumbar spine. Treatment commenced on that
day and has continued to this time. Presently, she is on a
frequency of once per week.
As per your request, I did call Dr. Zabinski to discuss this case
on Tuesday, 8/17/93, at 11:45 AM. He was quite adamant about his
form of documentation being sufficient. Namely, the regular
narratives that he has supplied during the course of care. I
disagree with that, as daily notes would be more helpful in
determining this patient's improvement. He also states that his
treatment is documented in journals as being appropriate for the
injury. He had treated the patient in the past, sometime in 1986
for a work related low back injury, and more recently for
migraine headaches. The low back injury was a closed file he
states, and the migraine treatment had nothing whatsoever to do
with her current condition. She does suffer suboccipital
headaches, but these are different from her former problems. The
problem here is that the patient has two past conditions that
'11"', .lh-.hl \l
, ':1.., "'.
.\ 1111>
}; '11 \L.ri. . ,.:n..'
.1...1.;,..\ ,I~'l ~:11,
. -..~ !l.ll'l.tl\,:lr.. ill\\1.
'ull\! :II
\ ,'l ," ~ll ' .
"ot.,'IU !It. l\ ',': \-:"
., ,
'. "",,"'.
," .
'.
~
"
HARFuSeURG
AUG 2 7 1993
RECEIVED
ZEDNA POLILLO, CONTINUED.
PAGE TWO.
might be applicable to her current status. Dr. Zabinski told be
that both of those conditions are separate, closed files, and if
I desired information from them, I would have to call him back in
the afternoon. In my opinion, a patient's file is a complete
record. It should not consist of individual closed files. That is
not proper record keeping. According to the law, these reviews
are to be done on the basis of written documentation. I could
not, because of time restraints, wait for copies of the past
history. They should have been included in the file. Dr. Zabinski
had nothing to add other then the fact that the patient is still
improving, she does well at once per week. and that he is
"shooting for MHI in 60 days". He also stated that there were no
disc lesions and therefore, no MRI's or EMG's were necessary.
After review of these records, it is my opinion that treatment
was initially reasonable and necessary for injuries sustained in
the 9/25/92 MVA. It does appear that the patient sustained a
moderate cervical and lumbar strain/sprain. The documentation
format, although adequate for such an injury, does not
substantiate this extensive treatment. I did not mention
previously that Dr. Zabinski felt Cybex measurements were
adequate documentation. I disagree with that in this case as
there is no baseline to go on. This patient has a history of
musculoskeletal problems, and as such, might have already had
permanent impairment. If so, there are already scar tissue
deposits that will prevent her from reaching optimal measurements
(ROM,etc.). Considering that, determining MHI from this (Cybex)
method would be impossible without previous testing (prior to the
accident) .
It is stated that the patient is currently under rehabilitative
care at once per week. In my opinion, that is maintenance. I
can't really determine when she went on that schedule, as there
are references to increased frequency due to cephalgia. Again,
because of the format (narratives only), it is difficult to
ascertain this patient's improvement or the cause of her
complaints. As per your questions, the current treatment does not
seem reasonable or necessary, based on the documentation. In my
opinion, this doesn't appear more then a moderate injury to the
cervical and lumbar spine, Passive treatment for such injuries
need not exceed ninety days. Active rehabilitation is
appropriate. and that appears to have been started here. A ninety
rEe 01 '% m:~{'ffol P.3'4
polillo v. statu Farm
February 1, 1996
Palla 2
----------------------
pllychuloqical, social, and vocational
functioning of a viotim. Such services may
includl.!, but are not limited to, lIedical
oare, dIu9no~Llc and evaluation procedures,
physical and occupational therapy, other
ncolls&lIry therapies, upeo(;h patho loqy and
audiology, optometric lIorvioo&, nursing care
under the supervi.ion of a reqiutorod nurse,
lIedioal social ..rv.l.ceu, vucatiullal
rehabilitation and traIning aervicos,
ocoupational license. IInd toulu, ,UIl)
transportation where noceuu4ry tu secure
medical and vocational rehabilitation
services.
Baud upon tho aforomentioned de!inition, tho Pennsylvania
Superior Court thon held that a no- fault inourar wal not
required to pay ror custodial or maintenance treatments, In
other words, "oervioos which do not reduce t.ho disability of the
victim or restore funotioning, being custodial in nature, would
not be recoverllble undor the No- f'Bul tAct. ,. " 1Jl. 555 A. 2d
at 209.
It is lIc)mowlodged that the f1tllg CilSO 10'411
subsequently overruled in Drake v. PennJvlvania National Mut.ual
lhAUranca ComDany, 529 Pa, 44, 60 A.2d 797 (1992). However, it
wa. overrule~ on a tactual, not legal, basis. Specifically, in
Drake, th. PenngYlvania suprame Court overruled the lower court
by holding that Hr. Fertig needed continuing care in ord.r to
prevent his condition from worsening. Therefore, the medical
tre.tlllontB rllndered wIre "necenary" and as such, were to be paid
for by the insurer. The principal or law, however, remains
intact, that is, an insurer is not requirld to pay for custodial
or maintenance medical carl thatl (1) would not improve the
pereon'B condition lind/or (2) would not prevent the person's
condition frcm wor.lning. QI& American Motorists_Ins. CO. V.
amen Bank and Tl':I,IBt Co. of IlllnovlJr, Pa, super. , 644
A.3d 1332, 1234 (1994) (" ('1')her8 is no ;iI-it excluB10n tor-
expln.e. related to medioal and nursing oarl which i. cu.todial
. . so long eB it was neol.lar~ due to accident related
injuries.") (BlIIphafllll added).
Under Section 1'/12 of the I'Rllnsylvllllia Motor Vehiole
Financial Re.ponlibUity Law, 7~ I'a. Cons. Stat. 51701, J.tt. url.
("MVFRL"), a. undlr the NO-!'ault A~'t, an insurer is only liable
RICHARD F. MAFFElT, JR.
Attornev at Law
2201 North Secona SlrI.t
Hamsburg, P.nnsylvanla 17110
T .I.phon.
(117) 233..180
Fill
(7171 23H342
February 9, 1996
vi David J. Foster, Bsquire
Costopoulos, Foster & Fields
831 Market street
P.O. Box 222
Lemoyne, PA 17043
Thomas M. Devlin, Eequire "/ J" ~I 71
1802 Market street
Camp Hill, PA 17011
Andrew C. Sheely, Esquire
Five West Main street
Shiremanstown, PA 17011
RBI polillo v State Farm
Cumberland County Court of Common Pleas
No. 94-2520
.,
Gentlemen:
This letter is in regard to the issue of the Dsfendant's
responsibility to pay Plaintiff, Zedna Polillo's chiropractic
bills incurred after March 23, 1994.
Initially, at issue is the definition of "maintenance". The
Defendant contende that Plaintiff and Dr. Zabinski conceded that
said chiropractic treatments were maintenance. However, the
Defendant defines "maintenance" as treatments that are of no
value whateoever.
The arbitration testimony of Dr. Zabinski, and his reports,
reflect that, by March 23, 1994, Plaintiff had reached maximum
medical improvement, but continued to suffer with pain and
partial disability which was permanent in nature. Thereafter,
Dr. Zabinski testified, his treatments were not intended to heal
Plaintiff and cause her complete recovery, but were necessary to
maintain Plaintiff's ability to function at her present level of
physical activity and to prevent further disability. Both Dr.
Zabinski and Zedna Polillo testified that the chiropractic
treatmente after March 23, 1994 were beneficial to her in that
1.- .
,.
,
David J. Foster, Esquire
Thomas M. Devlin, Esquire
Andrew C. Sheely, Esquire
Page 2
February 9, 1996
theYl allowed her to continue working, reduced her pain and
discomfort, and caused her to be able to continue with activities
of daily life. Therefore, the evidentiary record does not
support the Defendant's aesertion that Plaintiff and Dr. Zabinski
admitted that said chiropractic treatments were maintenance,
i.e., treatments of no value whatsoever.
The applicable No-Fault statute, 75 Pa. C.S.A. 51712(1)
requires an insurer to provide firet party medical benefits
coverage for reasonable and necessary medical treatment and
rehabilitative services, including chiropractic. The statute's
express language doos not exclude from coverage medical treatment
which is not intended to improve the pationt's condition and
cause recovery, but rather maintains ability to function and
prevents further disability after reaching maximum medical
improvement. The only statutory limitation on coverage is that
the medi.cal treatment must be reasonable and necessary. See
Drake v Pennsylvania National Mutual Casualtv Ins. Co., 529 Pa.
44,601 A.2d 797, BOl (1992) (copy attached).
The purpose of the No-Fault Act was to establish a system of
prompt and adequate basic loss benefits for motor vehicle
accident victims. Moreover, it was the intent of the legielature
to guarantee that accident victims receive prompt and
comprehensive medical treatment. Id., at BOO-B01. The
Pennsylvania Supreme Court has consistently held that in
interpreting the No-Fault Act, it must be liberally construed to
effectuate its purposes, erring in favor of coverage for the
insured in close or doubtful cases. Id., at BOO.
There does not appear to be any case on point as to what
constitutes reasonable and necessary medical treatment under the
current No-Fault law, 75 Pa. C.S.A. 51701, et sea. However, the
Pennsylvania Suprems Court, while interpreting the now repealed
predecessor No-Fault Act ruled that expenses related to custodial
care involving a patient confined to a nursing home, including
room charges, constituted professional msdical treatment and care
and was an allowable expense under the Act. Drake v Pennsvlvania
National Mutual Casualtv Ine. Co., supra. at B01.
The Defendant cites Pennsylvania National Mutual Casualty
Ins. Co. v Fertia, 3B2 Pa. Super. 335, 555 A.2d 20B (19B9) as its
only authority for its claim that a no-fault insurer is not
required to pay for custodial or maintenance treatments as
services which do not reduce the disability of the victim or
restore functioning. Id., at 209. However, Drake and Fertia
involve the same case. Millard Fertig was rendered a
David J. Foster, Esquire
Thomas M. Devlin, Esquire
Andrew C. Sheely, Esquire
Page J
February 9, 1996
quadriplegic in an automobile accident. He received inpatient
hospital care, but within a year of the accident was admitted to
a nursing home where he remained until his death some five (5)
years later. The trial testimony established that Fertiq had
reached the point in his rehabilitation where he was no ionger a
candidate for physical therapy and was receiving only maintenance
and supportive care. One physician testified that Fertig needed
periodic review of his bladder and bowel functions, that he
required skilled nursing care or his condition could regress, and
that even though he was not a candidate for rehabilitation he
needed medical and nursing care because of his condition.
Drake v pennsvlvania National Mutual Casualtv Ins. Co., supra.,
at 799.
The No-Fault Act in effect at the time, 40 P.S.
51009.l03(A), included coverage for professional medical
treatment and care. The Superior Court in PennsYlvania National
Mutual Ins. Co. v Fertia, supra., as noted above, denied
coverage, ruling Fertia was receiving custodial care in the
nursing home and not medical treatment. Id., at 210.
Fertig died and, therefore, the appeal to the Pennsylvania
Supreme Court was taken in the name of William L. Drake, Executor
of his Estate. Drake v pennsvlvania National Mutual Casualtv
Ins. Co., supra., at 797. The Pennsylvania Supreme Court in
Drake reversed the Superior Court's decision not on factual
grounds as the Defendant contends, but on legal grounds. Id.
Under Drake, custodial services that are administered as part of
professional medical treatment and care were ruled to be an
allowable expense under the No-Fault Act as long as they were
required because of accident-related injuries. Id., at BOl. As a
result, the principal of law the Defendant cites from Fertig haD
been overruled, and cannot be relied upon to resolve the instant
matter.
In American Motorists Insurance Company v Farmers Bank and
Trust Co. of Hanover, Pa. Super. 644 A.2d l232, l234
(1994) (copy attached) which also interpreted the repealed
previous No-Fault Act, the Superior Court ruled that the fact
that an insured was receiving custodial care does not, of itself,
relieve the insuror of the responsibility for payment, and that,
for an insurer to be relieved of financial responsibility, the
care must be unrelated to the accident. Id.
The previous repealed No-Fault Act was again considered in
Travelers Insurance Company v Obusek, ___ F.2d ___, No. 94-3666,
U.S. Court of Appeals, Jrd Circuit (1995) (copy attached). In
.
David J. Foster, Esquire
Thomas M. Devlin, Esquire
Andrew C. Sheely, Esquire
Page 4
February 9, 1996
that case, Lisa Obusek became paralyzed as a result of an
automobile accident. The evidence established she needed twenty-
four (24) hours attendant care for all activities of daily living
including, but not limited tOl bowel and bladder routines,
bathing, dressing, weight shifts and transfers, hygiene care,
range of motion, house cleaning, exercise routines, leisure time
activities and wheelchair maintenance. Id., at 3-4. In Travelers
the evidence also established that daily attendant care of
quadriplegics usually is provided by unskilled lay persons,
having only a high school diploma and a driver's license and
being over age lB, with a licensed practical nurse available for
periodic supervision and review. Id., at 4-5.
The Third Circuit Court of Appeals, citing Drake v
PennsYlvania National Mutual Casualty Insurance Company, supra.,
ruled that the attendant care needed was because of accident-
related injuries and constituted professional medical treatment
and care which was an allowable expense. Travelers Insurance
Companv v Obusek, supra., at 15-16.
As noted above, custodial services involving nursing home
care, including room charges, and attendant care, inyolving all
activities of daily living, have been ruled to constitute medical
treatment covered by first party No-Fault medical benefits. In
the instant case, the treatment provided to Zedna Polillo by Dr.
Zabinski after March 23, 1994, to maintain Plaintiff's ability to
function at her present level of physical activity and prevent
further disability, was a higher level of care, actually provided
by a licensed chiropractor. As a result, it is clear that Dr.
Zabinski's care of Plaintiff constitutes reasonable and necessary
medical treatment under the present No-Fault statute, 75 Pa.
C.S.A. 517l2(l), for which the Defendant must provide payment.
ilSP ctfully sll.bmitted,
.A_iJi ). p,'U)1J J/'
ichard F. Maffett, Jr.
RFMlcjs
Attachments
CCl Barry A. Kronthol, Esquire (wIatt)
Zedna Polillo (wIatt)
Robert C. Zabinski, D.C. (wIatt)
SIIERIFF'S RETURN
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
In the Court of Common PleaD of
Cumberland County, Pennsylvnaia
No. 94-2520 Civil
Complaint in Civil Action Law
and Notice
Zedna polillo
VS
State Farm Insurance Company
R. THOMAS KLINE, Sheriff, who being duly sworn according to law,
says, that he made diligent search and inquiry for the within named
defendant, to witl State Farm Insurance Company
but was unable to locate
them
in his bailiwick. He therefore
deputized the sheriff of York
County, Pennsylvania,
to serve the within
Complaint in Civil Action Law and Notice
On
May 20, 1994
, this office was in receipt of
the attached return from
York
County, Pennsylvania.
Sheriff's COStSI So answers I
Docketing 14.00
Out of County 5.00 . ~./ .
.., (
Surcharge 2.00
York Co. 29.44 R. THOMAS KLINE, Sheriff
50.44 Pd. by Atty
Sworn and subscribed to before me 5-20-94
this
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1M The Court or C.:mmo:i Ple::s or C:.Jr.::"-:~It'l:nd C':'U:-;~'YI Panr:syl'lc::r:i=
Zedna Pol illo
'IS.
State Farm Insurance Company
:-roo
94-2520 CJvil Term
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State Farm 'Insurance Company - .
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:It 115 Limekiln Rd., New Currberland, PA "
,
by :::U:cili1i:o Mark Pau 1, Claims Supvr.
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NOTARIAl SEAL
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IIDatA POLILLO,
Plaintiff
v
1 IN THE COURT OF CONNON PLBAI
1 CUMBERLAND COUNTY, PEHHSYLVANIA
1
1 NO. 9.-2520
1
1 CIVIL ACTION - LAW
1
STATE rARM IHSURAHCE COMPANY,
Defendant
PRAECIPE
TO THB PROTHONOTARYl
Please mark the above-captioned matter settled and
discontinued with prejudice.
Datedl
6/7 )%
RiL.A;} !'~.t:11!: 1:..
2201 North Second Street
Harrisburg, PA 17110
(717) 233-4160
Attorney for Plaintiff
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