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Compllint
1. The plaintiffs, Julie Krelzlng and George Kretzlng, are adult Individuals
residing at 633 South Bedford Stre~t, Carlisle, Cumberland County,
Pennsylvania. .
2. At all times relevant hereto, the defendant, WlIlIam J, West, is an adult
Individual and a physician engaged In the practice of medicine, with a place of
business at Belvedere Medical C~nter, 850 Walnut Bottom Road, Carlisle,
Cumbedand County, Pennsylvania.
3. At all times relevant hereto, Julie Kretzlng and George Kretzing were
husband and wife.
4. On January 5, 1993, at approximately 11:00 PM, the plaintiff, Julie
Kretzing, called Dr, West to Inform him that her water had broken, Dr. West
Inquired how much water and Ms, Kretzing stated It was a lot. He then informed
her to walt 5 hours before coming to the hospital.
5. On or about January 6, 1993, the plaintiff, Julie Kretzing, underwent a
cesarean section operation at the Carlisle Hospital, with the defendant
performing said operation,
Count 1 . Negligence
6. The allegations in paragraphs 1 through 5 are incorporated herein and
reference is made thereto as if fully set forth at length,
7. As a direct and proximate result of the ne~lIgence of the defendant, and
through no fault of her own, the plaintiff suffered Injury.
8. The defendant may have been negligent in the following respects;
a, In not properly performing the cesarean section procedure,
b, In causing the laceration of the uterus.
c. In falling to correctly repair said laceration in that the uterer
of the plaintiff was stitched shut obstructing the flow of urine from
the kidney to the bladder,
d. In failing to fully and completely advise plaintiff, and obtain
consent therefor, on the serious nature of the proposed surgical'
procedures to be performed, and that the plaintiff may suffer
severe and permanent Injury as the result of the operation. A
reasonable medical practitioner of the same school practicing In the
accuracy or inaccuracy of the corresponding averments of
Plaintiff's complaint and the same is accordingly denied.
5. Admitted.
6. Dr. West herein incorporates by reference answers
contained in Paragraphs 1-5 above as though the same were fully
set forth herein at length.
7. Denied. It is specifically denied that Dr. West was
negligent or otherwise fell below the applicable standard of
care. It is specifically denied that the Plaintiff suffered
permanent injury as a result of Dr. West's conduct.
8. Denied. It is specifically denied that Dr. West was
negligent with respect to subparagraphs (a-d). Dr. West is
advised by counsel and therefore avers that the corresponding
allegations of Plaintiff's Complaint are deemed to be denied by
operation of Pa, R.C.P. 1029(e) and that no further answer is
re~ired.
9-12. Denied. It is specifically denied that Dr. West was
negligent or that his conduct caused or contributed a permanent
injury to Plaintiff. It is not denied that as a result of
suturing the uterus it is probable that the distal left ureter
was caught in a loop of absorbable suture. It is specifically
denied that this occurred as a result of negligence. It is
specifically denied that Plaintiff has suffered permanent injury
as a result of the conduct of Dr. West.
- 2 -
WHBRBPORB, William J. West, M.D. demands judgment in his
favor and against Plaintiff.
CoaHT 2 . RaS IPSA LOQUITOR
13. Dr. West herein incorporates by reference the anRwers
contained in Paragraphs 1-12 above as though the same are fully
set torth herein at length.
14. Denied. It is specifically denied that Dr. West was
in the exclusive control of the operating room. It is not denied
that Dr. West was in the exclusive control of the surgical field.
It is specifically denied that Dr. West controlled, or had the
right to control the nurses other than their participation in the
surgical field. It is specifically denied that the doctrine of
res ipsa loquitor applies to this case. There was an inadvertent
tear of the uterus approaching the cervix which bled and required
suturing. Under the circumstances, the left posterolateral
ureter was blind and Dr. West did not know, and with the exercise
of reasonable care could not have discovered, that the left
ureter was entrapped in a loop of absorbable suture. By way of
further answer this is not the kind of sequelae which occurs in
the absence of negligence.
WHBRBFORB, William J. West, M.D. demands judgment in his
favor against Plaintiff.
- 3 -
comrr 3 - BA'l"l'IlRY
15. Answers contained in Paragraphs 1 . 14 above arc herein
incorporated by reference as though fully set forth at length.
By way of further answer, Wife Plaintiff specifically consented
to the performance of a cesarean section after having been
apprised of the risks and complications which a reasonably
prudent patient would want to be informed of under like
circumstances.
WHBRBFORE, William J. West, M.D. demands judgment in hi.
favor against Plaintiff.
comrr . . CONSORTItDI
.16. Dr. West herein incorporates by reference answers
contained in Paragraphs 1-15 above as though the same were fully
set forth herein at length.
17. Denied. After reasonable investigation Dr. West does
not have sufficient information to form a belief as to the
accuracy or inaccuracy of the averments contained in Paragraph 17
of Plaintiff's Complaint and the same are accordingly denied.
WHBRBFORB, William J. West, M.D. demands judgment in his
favor against Plaintiff.
- 4 -
~BW MATTBR
18. Pacts set forth in the foregoing answers to Plaintiffs'
Complaint are incorporated herein by reference as though fully
Bet forth at length.
19. At no time relevant hereto was Dr. West an agent,
servant, employee or otherwise acting for or on behalf of any
other Defendant in this action or any other natural person,
partnership, corporation or other legal entity.
20. At no time relevant hereto was any other natural
person, partnership, corporation or. other legal entity acting or
serving as an agent, servant, employee or otherwise for or on
behalf of Dr. West.
21. At all times relevant hereto Dr. West complied with the
applicable standard of care.
22. At all times relevant hereto Dr. West acted within and
followed the precepts of a respected school of thought and,
accordingly, his professional conduct was fully commensurate with
the applicable standard of care. It is not denied that there may
be two or more schools of thought applicable to the issues
presented with respect to the treatment of Julie Kretzing.
23. Wife Plaintiff assumed the risk of her injuries and
this action is therefore barred. by the Doctrine of Assumption of
Risk.
- 5 -
24. Dr. West believes and therefore avers that evidence
accumulated at ~iscovery and provided at trial may establish
Plaintiffs were contributorily or comparatively negligent, and in
order to protect the record, Dr. West hereby pleads contributory
and comparative negligence as an affirmative defense.
25. Dr. West is entitled to contribution in accordance with
the pennsylvania Comparative Negligence Act, 42 P.S. 57102.
26. In the event that it is determined that Dr. West was
negligent with regard to any of the allegations contained in, and
with respect to Plaintiffs' Complaint, said allegations being
specifically denied, said negligence was superseded by the
intervening negligent acts of other persons, parties and/or
organizations other than Defendant and over whom said Defendant
had no control, right or responsibility and, therefore, Dr. West
is not liable.
27. At all times relevant hereto, Dr. West was a competent
and qualified physician acting in compliance with the applicable
standard of care.
28. To the extent that the evidence may show that other
persons, partnerships, corporations or other legal entities
caused or contributed to the injuries or exacerbation of the pre-
existing condition of Wife Plaintiff, then the conduct of the
Defendant was not the proximate cause of such conditions or
injuries.
.6-
29. Any acts or omissions of Defendant alleged to
constitute negligence were not substantial contributing factors
and the injuries and damages alleged in Plaintiffs' Complaint.
30. Whatever injuries and damages, if any, were sustained
by Plaintiffs as averred in Plaintiffs' Complaint, ware caused in
whole or in part by persons or entities over whom Defendant had
no duty to supervise or control, then Defendant is not liable,
and Plaintiffs may not recover against him.
31. Plaintiffs' injuries and losses, if any, were not
caused by the conduct or negligence of Defendant but rather were
caused by pre-existing medical conditions and causes beyond the
control of Defendant, Plaintiffs may not recover against him.
32. The acts or omissions of others, and not Defendant,
constituted intervening and/or superseding causes of the injuries
and/or damages alleged to have been sustained by Plaintiffs and
Defendant cannot, therefore, pursuant to Pennsylvania law, be
held liable for the alleged injuries to Plaintiffs.
33. Plaintiffs were advised of the alternatives to surgery,
the nature of the proposed procedure, and the risks and
complications that a reasonable patient would consider to be
material to the decision of whether or not to undergo the
procedure, and Plaintiffs willingly and knowingly consented to
the pr.ocedure.
- 7 -
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JULIE KRBTZING and
GEORGE KRETztNG
V.
, .
.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION. LAW
NO. 94-7222 CIVIL TERM
JURY TRIAL DEMANDED
WILLlAMJ. WEST,M.D.
~PLY
19. Admitted.
20. Denied. All persons present In the operating room were under
the direction of Dr. West.
21. Denied.
herein.
The allegations of the complaint are incorporated
22. Denied. The conduct of Dr, West was not commensurate with
the appllcable standard of care, and "the two schools of thought" 18 not an
applicable defense In this matter.
23. Denied, The plaintiff had no Idea what Dr. West was going to
do with respect to the actual conduct of the Caesarean section itself, and,
therefore, could not have the requisite knowledge to assume the risk. '
24. Denied.
25. . Denied.
26. Denied.
27. Denied.
28. Denied, '
29. Denied.
30. Denied. "I'
31. Denied.
32; Denied.
33. Denied.
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34. Ie 35.
nec:esaary.
Denied, as legal conclusions to which no response Is
DOUGLAS, DOUGLAS Ie DOUGLAS
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By
Attorney for Plaintiff
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YOU .ul "uny 1U0U.lltO TO riLl A
WIIlITTfH IIU,ONU ,0 'HI': fNClOUO
. WITHIN ,..nUllO) DAYS rllOllllSUVlCl
Ht lila' 011I A JUDGMl~' Jill...., U
UUlnlO AUA1HISf YOU.
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ATTOlllNey
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DOUG~AS, DOUG~AS & DOUG~A5
WI DO HUUY Cla:l;1: 1HAl THI
WITHIN II A nUl AND c.....'tlCfc.o"
0' TNI O"IQIHAL "UD IN THIS
Ac..TIOH,
.., .....---.--
ATTOfH~lYlS /'oT L,,"W
. l~/t !l1d'l. &1111."
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CARLISLE. PENNSYLVANIA
1101)'Olel
ATTOAHU
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S, WALTIR FOULXROD, III, ISgUIRI
Pa, Supreme Court I,D, No. 01982
S, WALTlR POULKROD, IV, ISgUIRI
Pa, Supreme Court I,D, No, 65207
~RlW H. FOULKROD, ISgUIRI
Pa, Supreme Court I,D, No, 77394
S, WALTIR FOULKROD, III & ASSOCIATIS
2215 For.at Hilla Drive - Suite 35
Poat Office Box 6600
Harrieburg, pennar1vania 17112-0600
Telephone: [717 541-0400
Fax: [7171 541-1727
JULIE KRETZING and
GEORGE KRETZING, W/H,
Plaintiffs,
Attorney. for:
WILLIAM J. waST. M.D.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
Docket No. 94-7222
v.
WILLIAM J. WEST, M.D.,
Defendant.
JURY TRIAL DEMANDED
MOTION OF DEFENDANT, WILLIAM J. WEST, M.D.
TO COMPEL PLAINTIFFS' ANSWERS AND RESPONSES TO INTERROGATORIES
AND REQUEST FOR PRODUCTION OF DOCUMENTS SPECIFICALLY REGARDING
EXPERT WITNESS TESTIMONY
AND NOW comes Defendant, William J. West, M.D. ("Dr. West"),
by and through his counsel, S. Walter Foulkrod, III & Associates,
and moves to compel Plaintiffs I answers to interrogatories and
responses to request for production of documents and asserts the
following reasons therefor:
1. On December 27, 1994, this medical professional
liabi.lity action was instituted by Writ of Summons.
2. On January 30, 1995, Dr. West served upon Plaintiffs
interrogatories and a request for production of documents.
(Interrogatories of Defendant, William J. West, M.D., Directed to
be Answered by Plaintiffs - First Set, and Request of Defendant,
William J. West, M.D., For Production of Documents Directed to
Plaintiffs - First Request, and letter of service of same, are
.~
.
attached hereto collectively as "Bxhibit A") .
3. Over 2U years later and on July 22, 1997 Plaintiffs
served upon Dr. West their answers to Dr, West's interrogatories
and responses to request for production.
4. Dr, West's Interrogatory "6 and Plaintiffs' answer
thereto were as follows:
Question:
Please identify all expert witnesses retained or
employed by plaintiff who you expect to call as a
witness to testify at trial and the substance of the
facts relied upon and opinions held by each such expert
witness.
Response:
W. rel.rv. the right to lupplement thil an...r.
(A true and correct copy of Plaintiffs' answer to interrogatory
"6 is attached hereto as "Exhibit B".)
5. Dr. West specifically requested production of documents
regarding expert witness testimony as follows:
3. Any and all documents containing the names and
home and business addresses of all individuals
contacted as potential witnesses.
4. Reports of any and all experts who will testify at
trial including any and all "preliminary" reports,
and all documents and records reviewed by each
expert including all correspondence or memoranda.
5. The curriculum vitae of each and every expert that
will be called to testify at trial.
6. Plaintiffs responded to such requests as follows:
3. S.e aDswer to 1. [1. All medical record. have b.en
provided previoully.]
2
,
.~ .
... "ill be provictect a. .oon a. it i. raaaivect.
5. See an_er to ..
(A true and correct copy of Plaintiffs' responses to Request for
Production is attached hereto as "Exhibit C".)
7. Over two more years have passed without further
response or answer to requests and interrogatories pertaining to
expert witnesses.
8. Pa.R.C.P. No. 4006 states, in pertinent part:
The answering party shall serve a copy of the
answers [to written interrogatories by a party)
and obj ections if allY, within thirty days after
the service of the interrogatories.
9. Pa.R.C.P. No. 4009.12 states, in pertinent part:
(a) The party whom the request [for production of
documents) is served shall within thirty days
after the service of the request
(1) serve an answer including objections to each
numbered paragraph in the request, and
(2) Produce or make available to the party
submitting the request those documents and things
described in the requ.est to which there is no
objection.
10. Plaintiffs' failure to further respond to Dr. West's
discovery requests is attributable solely to Plaintiffs.
11. Plaintiffs' conduct in not further answering Dr. West's
interrogatories nor responding to his requests for production of
documents is unjustified.
3
WHBRBFORB, Defendant William J. Wast, M.D. respectfully
requests that this Honorable Court grant this Motion to Compel
and Order Plaintiffs to fully and comprehensively answer all
interrogatories and substantively respond to all requests for
production, and specifically that Plaintiffs identify all medical
experts they intend to call to testify at trial and to serve an
expert report which satisfies the requirements of Pa.R.C.P.
4003.5, within thirty (30) days of the entry of the Order.
Date1 Ifl;hf
Respectfully submitted,
S. WALTER FOULKROD, III & ASSOCIATBS
By: /H:.L~
S.~R~
Attorney 1.0. No. 01982
S. WALTER FOULKROD, IV
Attorney 1.0. No. 65207
ANDREW H. FOULKROD
Attorney I,D. No. 77394
Attorneys for
William J. West, M.D.
2215 Forest Hills Drive, Suite #35
P.O. Box 6600
Harrisburg, PA 17112-0600
(717) . 54l- 0400
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S. WALTlR rOULKROD, III, ESQUIRE
Pa, Supreme CQu:rt I,D, NQ. OU82
S, WALTER rOULKROD, IV, aSQUIRS
Pa, Supnme Court I,D. No, 55207
S. WALTlR rOCLlCltOD, III 'ASSOCIATIiS
2215 'orelt Hi111 Drive . Suite 35
POlt Ottice Box 6600
Ha:rrilburg, pennlr1vania 17112.0600
Tllephonl: [717 541.0400
'ax: [717J 541-1727
AttorneYI tor:
WILLIAM J. WEST, M.D,
JULIE KRETZING and
GEORGE KRETZING, W/H,
Plaintiffs,
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
Docket No. 94.7222
v.
WILLIAM J. WEST, M.D.,
Defendant.
JURY TRIAL DEMANDED
IN'l'BRR.OGATORIIlS 01' DIlPIlNDANT. WILLIAM J. WIlST. M. D. .
DIUC'l'IlD TO BB ANSWBRIlD BY PLA7.NTIPPS . PIRST SIT
TO: JULIE KRETZING and GEORGE KRETZING
c/o William P. Douglas, Esquire
Douglas, Douglas & Douglas
27 West High Street - P. O. Box 261
Carlisle, PA 17013-0261
PLEASE TAKE NOTICE that you are hereby required,
pursuant to the Pennsylvania Rules of Civil Procedure, Nos. 4005
and 4006, to serve upon the undersi.gned within thirty (30) days
from service hereof your answers in writing and under oath to the
Interrogatories.
These Interrogatories shall be deemed to be continuing
Interrogatories. If, between the time of your Answers to said
Interrogatories and the time of the trial of this case, you or
anyone acting in your behalf learns the identity and whereabouts
of any other witnesses not identified in your said Answers, or if
you obtain or become aware of additional requested information
not supplied in your Answers, you shall promptly furnish the same
to the undersigned by Supplemental Answers.
Date: ~/~f~
S. -. QU~
~- .
By: ,'/
S. L R FOUt 0 ,
Attorney I.D. #01982
S. WALTER FOULKROD, IV
Attorney I.D. #65207
Attorney for Defendant,
WILLIAM J. WEST, M.D.
.~ '.
~.P%HITIOHS AND INSTRDCTIONS
As used in these Interrogatories, the words and terms
as set forth below shall be defined as follows:
(a) "You," "your" or "yourself" shall mean and include
the answering party or parties, each of said party's
representatives, agents, servants, workmen, relatives,
employees, attorney, and all other persons acting for or on
behalf of the answering party.
(b) "Identify" or "identity" when referring to an
individual means to state his/her:
(1) name;
(2) present address, if known, or last known
address (business and residence);
(3) job title, business affiliation or job
classification at the time of the events referred to in the
Interrogatory Answers;
(4) currant employer, if known, or last known
employer; and
(5) telephone number (business and residence).
(c) "Identify" or "identity" when referring to a
document or documents means to:
(1) state the type of document (~, record,
report, letter, memoranda, telegram, chart, photo, etc.),
its date, its title (if any), its identifying number, a
.~ '.
generalized summary of the subject matter of the contents of
the document, and its present location; and
(2) state each person who prepared it, each
person for whom it was prepared, the address of each person
to whom it was sent, the address of each person who
presently has custody of the original or copies thereof.
(d) "Xdentify" or "identity" when referring to a
.claim" or "action" means to set orth the name of the court where
the case, claim or action was filed, the docket number, the year
and date when the action was commenced, the names of all
claimants (including you), the names of all parties against whom
a claim was asserted, the date or dates of the transaction or
occurrences which gave rise to the claim, a description of
injuries and damages claimed to have accrued, the identity of
insurance carrier for the persons or entities a,gainst whom all
claims or suits were asserted, the outcome of the claim or suit,
the amount recovered, from whom, and if no recovery was realized,
why not.
(e) '''Documents'' include any written, recorded or
graphic matter however produced or reproduced including but not
limited to correspondence, telegrams, other written
communications, contracts, agreements, notes, reports, records,
x-rays, memoranda, photographs, tape recordings or any other
writings, including copies of any of the foregoing now or at any
- 2 -
.~ "
prior time in your (all defined herein) possesBion,custody or
control.
It) "Statement".includes a written statement signed or
otherwise adopted or ap~roved by the person making it. It
includes the stenographic, mechanical, electrical, or other
method of recording or a transcription thereof which is a
substantially verbatim recital of an oral statement by the person
making it and contemporaneously recorded.
(g) "Treatment" means any surgery, examination,
diagnosis, therapy or other medical care or attention rendered.
lh) "F.ealth Care Provider" means physician, dentist,
chiropractor, podiatrist, chiropedist, therapist, intern,
resident, nurse (RN or LPN), or other person who rendered service
to, attended to or otherwise assisted in the health care of the
Plaintiff.
"Health Care Provider" also means hospital,
doctor's office, clinic, rehabilitation center, nursing home or
any similar facility in which or through which medical,
therapeutic, rehabilitativp. or other services were rendered. .
(i) "Person" has its customary broad meaning and shall
also include any human being, corporation, partnership, sole
proprietorship, unincorporated association, joint venture, or any
other organization or. entity.
. 3 .
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4. Pl..... id.ntifYI
(.) All non-expert witnesses who you know or believe
witn..s.d all or any part of the tre.tm.nt upon
which this action is based or who were present or
ne.r the scene of the treatment upon which this
action is based and had knowledge of injuries you
claim to have resulted from said treatment by
stilting:
(i)
(ii)
(iii)
their name;
their address;
their location at the time. of said
treatment.
(b) All other witnesseswr.o you know or believe to
have any information ~egarding your claims of
negligence against De!endant and your claims of
damages by stating:
(i) their name;
(ii) their addresses and telephone
nwnbers .
(c) All individuals with whom you at any time
discussed the facts and circumstances upon which
this action is based by stating:
, '
(i)
(ii)
'their names;
,
, ,
their addresses and telephone
nwnbers .
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8. State, 'Yo~r content,ions as to the liability of each Oehndant
a. ..t forth in the Complaint ..s well ..s th. 'specific facts'
known to you upon ~hich such contentions Of 'negligence or
malpractice are based.
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S~at:. a1:1 damage. you allege were 8u.ta:l.ned Ioyyou ~~ a
re.u,lt ot tbe alleged negligence or malpractice of, I ;'J
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S, WALTER FOULKROD, III, ESQUIRE
Pa, Supreme Cour~ I.D, No, 01982
S, WALTER FOOLKROD, IV, ESQUIRE
Pe, Supreme Cour~ I,D, No, 65207
S, WALTER FOULKROC. I II , ASSOCIATES
2215 Forest Hills Drive - Suite 35
Post Ottice Box 6600
Harrisburg, Pennsylvania 17112-0600
Telephone: [717J 541-0400
Fax: [717] 541-1727
AttomeYs tor.
WILLIAM J. WlST,K.C,
JULIE KR~TZING and
GEORGE KRETZING, W/H,
Plaintiffs,
: IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
Docket No. 94-7222
v.
WILLIAM J. WEST, M.D.,
Defendant.
JURY TRIAL DEMANDED
~:
.
REOUEST OP DEPENDANT. WILLIAM J. WEST. M.D.. POR PRODUCTION OP
DOCUMENTS DIRECTED TO PLAINTIPPS .. PIRST REQUEST
TO: JULIE KRETZING and GEORGE KRETZING
c/o William P. Douglas, Esquire
Douglas, Douglas & Douglas
27 West High Street - P. O. Box 261
Carlisle, PA 17013-0261
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Pursuant to Pa. R.C.P. No. 4009, you are hereby
requested to produce the below listed documents and/or items for
purposes of dis~overy, This material will be examined and/or
photocopies; photograph negatives will be processed and
photographs reproduced. Said documents or tangible things are to
be produced at the offices of S. WALTER FOULKROD, III &
ASSOCIATES, 2215 Forest Hills Drive, Suite 35, P. 0, Box 6600,
Harrisburg, PA 17112-0600, within thirty (30) days of the date
of ser~ice hereof and supplemented thereafter in accordance with.
~:.
Pa, R.C.P. No. 4007.4:
1. The entire contents of any investigation file or
files and any and all documents in Plaintiffs' possession which
~. '.
support or relate to the allegations of Plaintiffs' Complaint
(excluding the mental impressions of Plaintiffs' attorney or his
conclusions, opinions, memoranda, notes or summaries, legal
research or legal theories, and excluding the mental impressions,
conclusions or opinions respecting the value or merit of a claim
or defense or respecting strategy or tactics of a representative
of Plaintiff, other than his attorney).
2. Any and all statements concerning this action or
its subject matter made by a party or its agents, servants or
employees, or by a witness, as defined by Pa, R.C.P. No. 4003.4.
3, Any and all documents containing the names and homa
and business addresses of all individuals contacted as potential
witnesses.
4. Reports of any and all experts who will testify at
trial inGluding any and all "preliminary" reports, and all
documents and records reviewed by each expert including all
correspondence or memoranda.
5. The curriculum vitae of each and every expert that
will be called to testify at trial.
6. Any and all medical records, autopsy reports,
physician's reports and bills, hospital records or abstracts of
same which relate in any way to the injuries allegedly sustained
by Plaintiffs.
- 2 .
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